ICYMI: Telemedicine Bloopers and Successes
Jul 06, 2020
Recent News
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At my COVID home command center, I feel pretty prepared for everything. From here, I can run my practice, manage and home-school 3 children and keep the family afloat. I have 2 computers: one for telemedicine/business meetings and one for e-learning lessons/school updates that teachers and school administrators email me throughout the day for my children. As a no-nonsense, organized mom and doctor, I felt ready to handle any issues that would arise.Read Article
ICYMI: Outcomes of Critically-Ill COVID Patients in NYC
Jul 06, 2020
Lancet has reported COVID outcomes from NewYork-Presbyterian hospitals in NYC during March 2020 showing high rates of hospitalization, ICU admission, mechanical ventilation and death. A prospective observational cohort study 2 2 NYC hospitals from March 2 to April 1, 2020, looking at laboratory-confirmed COVID-19 and were critically ill with acute hypoxaemic respiratory failure, and collected clinical, biomarker, and treatment data. The
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A msg from my nurse friend: “A blood clot from my pt yesterday. Covid lungs. I helped changed his code to DNR, talked to his son/ex wife/brother&sister to say goodbye. He asked if I would pray w/him. I prayed. He cried. Then I walked out & lost it.
k dao @KDAO2011 ( View Tweet)
Jul 06, 2020
Case Controlled Study of 482 RA patients with ILD vs 741 RA w/o IL found an inverse relationship Between MTX exposu… https://t.co/ljtaKO8pVZ
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Dr. John Cush @RheumNow ( View Tweet)
Jul 06, 2020
Rheumatologist Question: early on, what do you tell your RA patient their chance of future drug free remission?
Dr. John Cush @RheumNow ( View Tweet)
Jul 06, 2020
Know your Risks! https://t.co/DsaEDA0VFI
Dr. John Cush @RheumNow ( View Tweet)
Jul 06, 2020
Pleased to share our work detailing events around HCQ and COVID-19. Started through texts with @alhkim about the news cycle being a swinging pendulum. The figure tells it all. Proud to work with @rheum_covid.
Jeff Sparks @jeffsparks ( View Tweet)
Jul 06, 2020
Rheumatoid Arthritis: Pathogenesis, Prediction and Prevention – An Emerging Paradigm Shift https://t.co/uNDsLmgaN7
#RA #prevention #Rituximab - nice article, still think if repeated Ritux to eliminate pathogenic abs would significantly prevent RA
Peter Nash @drpnash ( View Tweet)
Jul 06, 2020
RheumNow Podcast – Gout Guidelines (7.3.20)
Jul 03, 2020
Dr Jack Cush reviews the journal reports and news from RheumNow this past week. Highlights include:
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2020 ACR Gout Management Guideline
Jul 03, 2020
In May, the American College of Rheumatology (ACR) released the"2020 Guideline for the Management of Gout"reflecting new clinical evidence since the last guideline published in 2012.
The guideline puts forth 42 recommendations, including 16 strong recommendations, based in 52 PICO questions and a systematic review of the literature by a guidelines committee following GRADE methodology.
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Study of NSAID use in 7747 patients hospitalized with influenza or influenza pneumonia found NSAID use was not associated with an increase in 30-day intensive care unit admission or death https://t.co/9LmFLeqJD2
Links:
Dr. John Cush @RheumNow ( View Tweet)
Jul 03, 2020
I have entered more patients with #COVID19 in the @rheum_covid registry in the last 3 days than I have in the last 3 months. Come on Texas- we can do better! Wear your mask, watch your distance, and help each other stay healthy #July4th @RheumNow
k dao @KDAO2011 ( View Tweet)
Jul 03, 2020
Claims data study of nearly 3 million receiving influenza vaccination shows an increased risk of subsequent subdeltoid bursitis, but incredibly low with an attributable risk was 7.78 additional bursitis per 1 million vaccinated.https://t.co/qtzd8pWk4O
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Dr. John Cush @RheumNow ( View Tweet)
Jul 03, 2020
Pneumonia vaccination of 21461 RA pts in UK Clinical Practice Research Datalink (2000-18) finds 38.2% vaccinated; 44.3% ≥65 years, 66.4% female; 36.5% vaccinated prior to starting csDMARDs, moreso in elderly.
Links:
Dr. John Cush @RheumNow ( View Tweet)
Jul 03, 2020
Coexistent Gout and Rheumatoid Arthritis
Jul 02, 2020
While it is often said there is a negative association between gout and rheumatoid arthritis (RA), cases of coexistent disorders are uncommonly seen. A recent VA study describes 121 patients whith both RA and gout.
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CV Risks Raised in Myopathies
Jul 02, 2020
Patients with the idiopathic inflammatory myopathies (IIMs) dermatomyositis and polymyositis are at increased risk for cardiovascular events, with risks similar to what has been documented for rheumatoid arthritis (RA), during the first 5 years after diagnosis, U.K. researchers reported.
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PRES - Posterior reversible encephalopathy syndrome. Review of US hosp records finds 3125 cases.
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Dr. John Cush @RheumNow ( View Tweet)
Jul 02, 2020
UK population study shows fibromyalgia pts have a higher risk of Self harm (HR 2.06; 1.60,2.65)), RA (HR 1.59) & OA, but not ank spondylitis.
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Dr. John Cush @RheumNow ( View Tweet)
Jul 02, 2020
A Genetic Probability tool used to calculate risk of rheum Dz in 3 pt cohorts (1211 eMERGE, 245 Partners & 243 early inflam arthritis. Dx AUc: 0.69, 0.81 & 0.84. Likely dx made in 64% & r/o in 45%.
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Dr. John Cush @RheumNow ( View Tweet)
Jul 02, 2020
Liver Abnormalities in Psoriatic Arthritis
Jul 01, 2020
A new report in the Journal of Rheumatology shows that liver abnormalities are common in psoriatic arthritis (PsA) and may be associated with obesity, more severe disease and select therapies.
An analysis of a prospective PsA cohort study included 1061 patients. Of these, over one-third (n 343) had liver abnormalities.
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Rituximab (RTX)-associated autoimmune disease flare is rare and only seen in 7/185 pts (3.4%); all w/ type II mixed cryoglobulinemia vasculitis.
Links:
Dr. John Cush @RheumNow ( View Tweet)
Jul 01, 2020
From the blog
Change from Within
Jun 24, 2020
I attended the #whitecoats4blacklives rally at Dallas City Hall a few weeks ago to support our black colleagues, patients, and friends. It was inspiring, humbling, and emotional. I encouraged other physicians to join me, posting on the Dallas Physician Facebook page that we need to lead by example for our community and our children to fight structural racism. One black physician posed a very important point to my post, “What permanent changes will you make in your personal and professional lives as a result of this? Because not endorsing racism is not the same as not being complicit in it.”
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Recent Podcasts
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RheumNow Podcast – Gout Guidelines (7.3.20)Jul 03, 2020 -
RheumNow Podcast – Lupus Mortality Declines, But… (6.26.20)Jun 26, 2020
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RheumNow Podcast – Enough Already With Weaning (6.19.20)Jun 19, 2020
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Virtual EULAR 2020 Round Up - Drs. Artie Kavanaugh And Jack Cush0:29:52 Jun 12, 2020 -
GCA PMR Panel From EULAR2020
0:19:48 Jun 10, 2020
Therapeutic Update
Safety Profile of RINVOQ™ (upadacitinib): Analysis of Up to ~3.5 Years of Exposure in Patients With Rheumatoid Arthritis
Sponsored by AbbVie Medical Affairs
Jul 01, 2020
Presented here is an update on the longer-term safety profile of upadacitinib, drawing on the integrated analysis of up to ~3.5 years of exposure data from five Phase 3 studies. Dr. Winthrop and Dr. Cush provide additional information from relevant EULAR 2020 posters.
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