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RheumNow Podcast - Scurvy and Mechanics (2-1-19)

d Jack Cush, MD

Dr. Jack Cush reviews new journal articles, news reports, and more from the past week on RheumNow.com.

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Update on Pregnancy Management in RA

d Jack Cush, MD

Two recent reports offer good news to rheumatoid arthritis (RA) women who are planning to become pregnant. 

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No Difference in Oral or IV Antibiotics for Bone & Joint Infections

d Jack Cush, MD

Research from the NEJM shows that oral antibiotic therapy was noninferior to intravenous antibiotic therapy when used during the first six weeks for complex orthopedic infections.

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Low IBD Risk with Secukinumab

d RheumNow

The interleukin-23 (IL-23)/IL-17 axis plays an important role in inflammation and infection. Some of these chronic immune-mediated inflammatory disorders include PsO, PsA, AS, and IBD. Patients with PsO, PsA, and AS have up to a four-fold risk of developing IBD versus the general population.

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QD CLinic Podcast 20 min compilation of 4 QD clinics from RheumNow. Cases of managing recurrent infx; tophaceous gout; EOA v PsA, Periodic fever and norm ESR in PMR https://t.co/iEBdLPUtrL

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Dr. John Cush RheumNow ( View Tweet)

Would You Shave Your Head For Your Daughter? https://t.co/4vFBIFKR4W
Danny smith doglab ( View Tweet)
QD Clinic - Normal ESR PMR Pt | Clinic lessons from RheumNow https://t.co/JyixgkANUH

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Dr. John Cush RheumNow ( View Tweet)

"When consultants lack time, trainees suffer. The knock-on effect of an overstretched workforce spills, like dominoes, deep into the future, as each opportunity for learning and development is lost." #BMJOpinion https://t.co/5NvZrbtup7

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The BMJ bmj_latest ( View Tweet)

RheumNow Podcast is UP - Scurvy and Mechanics | Watch here https://t.co/7Kb5WFupqh or listen on iTunes or SoundCloud https://t.co/KmXJMqe1A6

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Dr. John Cush RheumNow ( View Tweet)

QD Clinic - Can you tell the difference betwen EOA & . PsA | from RheumNow https://t.co/n7Zo0nF8Gf

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Dr. John Cush RheumNow ( View Tweet)

QD Clinic - Febrile syndromes; How many days of fever? | from RheumNow - https://t.co/E9TJL3eZaD

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Dr. John Cush RheumNow ( View Tweet)

Otezla brought in revenue of $448 million in the quarter, about 21 percent higher than last year and well above the average analyst estimate of $430.2 million. https://t.co/rAxadGVz1R

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Dr. John Cush RheumNow ( View Tweet)

This proposal has the potential to usher in the most significant change in how Americans’ drugs are priced at the pharmacy counter, ever, and ease the burden of the sticker shock that millions of Americans experience every month for the drugs they need. https://t.co/gOlQVWsGpt

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Secretary Alex Azar SecAzar ( View Tweet)

Survey Q for Rheumatologists - a new arthritis drug is FDA approved - how long do you wait to prescribe it?

Dr. John Cush RheumNow ( View Tweet)

MMWR reports SCURVY outbreak in the Sudanese; NOTE this also occurs where you live, especially in young people with Horrible, monotonous diets. Sxs include arthralgias, lethargy, fatigue, gingival pain/bleeding, hyperkeratotic skin changes, chest pain https://t.co/v41LdnheOu

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Dr. John Cush RheumNow ( View Tweet)

RCT of Vitamin D in 379 elderly UK adults aged ≥70 y (48% women) give either 12,000 IU, 24,000 IU, or 48,000 IU. There was no ΔBMD, but parathyroid hormone decreased in all 3 groups (significantly betw 48,000 and 12,000-IU groups (P < 0.01). https://t.co/2ZxJ3kcYqx

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Dr. John Cush RheumNow ( View Tweet)

The rheumatoid arthritis drug Xeljanz saw revenues jump 33% for the year, with total revenues coming in at $1.8 billion in 2018 https://t.co/E7KHJSgkjF

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Dr. John Cush RheumNow ( View Tweet)

Dr Uma Mahadevan and colleagues have published guidelines for managing pregnancy in IBD patients. Rec coordinated care w/ maternal-fetal medicine subspecialist, GI doc, preconception planning, more on treatement https://t.co/A5zsHYd9hm

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Dr. John Cush RheumNow ( View Tweet)

Survey Q for Rheumatologists - a new arthritis drug is FDA approved - how long do you wait to prescribe it?

Dr. John Cush RheumNow ( View Tweet)

17.2% of 576 autoimmune pts had Mechanic hands: 50% MCTD; 35% DM; 15% PSS; 15% of UCTD; 14% Sjogren’s; NO SLE pts. 81% Mechanic+ had abnl capillaroscopy. DM w/ Mechanics had more Raynauds, Jo-1+ & abnl capillaroscopy https://t.co/igdTHUYmSj

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Dr. John Cush RheumNow ( View Tweet)

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