Monday, 21 Aug 2017


The Ill-Conceived Diagnosis of Fibromyalgia

Notalgia, Lyme disease in Texas and still wearing your hospital ID bracelet? You may have been misdiagnosed and instead have fibromyalgia!

Wine and the Rheumatologist does Vegas

As I think of the many meetings I attend as a speaker or attendee, the experience ranges from grueling to exhilarating. Yes, each venue has its own merit, including furthering my education, presenting my research, and, certainly, seeing old friends and interesting places. This particular trip had all of this but so much more.

Writing Effective Appeal Letters

Getting the right drug to the right patient isn’t quite as easy as it should be. Here's a collection of appeal trench war musings and tactics with a sample letter for all to use.

What Happened to Science in Medicine?

Have crony capitalism and medical administrators overtaken science, logic and common sense in healthcare?  Dr. John Goldman reviews some recent developments with some misgivings.

Wine and the Rheumatologist: Post ACR Reflections--Wine and Rheumatology at its Best

Let me share a great wine and ACR 2105 story with all of you. It epitomizes everything I think of when I wish to blend my work and my life, and I owe this experience to Mike Schweitz, a noted rheumatologist from Palm Beach.

5 Things To Know About Antimalarials for Lupus

Here are five things every rheumatologist should know about antimalarial medications for lupus. 

The Born Again Rheumatoid

While there are currently 9 biologic agents approved and marketed for the treatment of RA, and although each has a valued place in our arsenal, I would propose none has been as influential or dramatic as TNF inhibitors. The “born again” rheumatoid feeling is not well captured by any of the usual metrics or measures. It’s not found in the HAQ, DAS28, SF36 (either mental or physical), fatigue score, or any lab parameter. I believe it’s best described by my patient RH who wrote me a letter soon after starting etanercept.

Tried-and-True or Something New?

While decades of drug development have improved treatment options, some of our older drugs are harder to improve upon. The same can be said for old movies and new movies, or classic literature and current best sellers. Which do you prefer or rely on?

Building a Better Rheumatologist

Are you efficient, productive and accurate in what you do?  Could you be better? Or do the job differently?

Should Lupus Patients Receive Influenza and Pneumococcal Vaccines?

I have a 21 yr. old lupus nephritis patient on mycophenolate, hydroxychloroquine and prednisone 40 mg per day. She says both her current nephrologist and her prior pediatric rheumatologist told her NOT to get pneumococcal and flu vaccines. I thought she is supposed to get them - any comment?

ACR Annual Meeting and Wine: San Francisco via Sicily

I think this will be my 35th ACR meeting. Meetings such as ACR are family events as much as they are scientific events, meant to be celebrated with food and your favorite legal beverage, which in my case is wine.

The Best Kind of Arthritis …..Revisited

A reprise of a prior blog on the "best kinds of arthritis" to have.  This time with more commentary and good news.