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2019: the Year of Price Hikes

d Jack Cush, MD

In 2019 there have been numerous reports of higher drug pricing for many drugs.  Yesterday it was reported that the price of insulin drugs have more than doubled from 2012 to 2016.

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Smoking Doesn't Influence Rituximab Responses in Rheumatoid Arthritis

d Jack Cush, MD

Alcohol, smoking and obesity have all been shown to influence the risk and activity of rheumatoid arthritis (RA) and may also influence response to therapy. This study assesssed whether smoking would influence response to rituximab (RTX) in RA. 

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U.S. Gout Rates Remain Steady, but Substantial

d RheumNow

Using data from 5,467 adults in the US in the National Health and Nutrition Examination Survey (NHANES) for the years 2007-2016, researchers found that the prevalence of gout and hyperuricemia has remained at 3.9%, having doubled from the 1960s to the 1990s, corresponding to an estimated 9.2 mill

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Malar Rash and Polyarthritis

d Jack Cush, MD

58-year-old woman with a history of hypothyroidism presents with a 2-week history of joint pain and swelling in her right knee, which became migratory and later affected the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints of her fingers; this followed a series of others being sick in the household.

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RheumNow Podcast – FDA Panels Meet on Gout & OP (1.18.19)

d Jack Cush, MD

Dr. Jack Cush reviews the news, articles and FDA Panel discussions from the past week.

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Systematic review of literature and 478 RA patients (mostly female; age 53-64 yrs) shows 73 to 97% of patients being unaware of an increased risk of developing Cardiovascular Disease in relation to their RA, https://t.co/aNM3wI2KBo

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QD Videos (lessons from the clinic) - Bug Bite Arthralgias | RheumNow | whats the diagnosis when the arthralgias persist? https://t.co/NYW0uqKPnw

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QD Video - The Nucleolar ANA | from RheumNow | whats the differential Diagnosis - https://t.co/du37vXydmx

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QD Video - The Nucleolar ANA | RheumNow - Rheumatology News & Information https://t.co/kcEgHOHSoT

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NIAMS has given a $2.85 million grant (RO1) to Indiana Univ (IUPUI) Dr. William Thompson, an asst professor of physical therapy, to study how bone cells sense and respond to mechanical force, and the effects of gabapentin on falls and Fx. https://t.co/px9C6zPgCn

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Literature review article of Musculoskeletal and Rheumatic Diseases Induced by Immune Checkpoint Inhibitors https://t.co/CobnyiONwd

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Checkout the new QD lessons - from the Rheumatology Clinic. Daily cases and lessons- watch from the website or email daily or listen to a batch each week as a ~20 min podcast on iTunes or SoundCloud https://t.co/dHDieyLdoW

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Curious, mind-bending Rheumatologists who like to teach....go to https://t.co/4UQlqwujiR

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JAMA study shows that when drug companies increased their opioid marketing budgets by just $5.29 per 1,000 population, the number of MD opioid prescriptions went up 82% and opioid deaths increased 9%. https://t.co/4FAr53gH17

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Dr. John Cush RheumNow ( View Tweet)

"Teach what you most need to learn" - Tony Robbins

Dr. John Cush RheumNow ( View Tweet)

The Weekly RheumNow Podcast is up - FDA hearings, anakinra in crystal arthritis, SSc renal crisis predictors & lower mortality in lupus nephritis. Watch here https://t.co/Ph5IK9syqw or listen at iTunes or here https://t.co/EVBAszEb9J

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For what reason have you "fired" or discharged a patient from your clinic

Dr. John Cush RheumNow ( View Tweet)

Curious, mind-bending Rheumatologists who like to teach....go to https://t.co/4UQlqwujiR

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CDC reports that opioid overdoses are more likely to kill Americans than car crashes. Themotor vehicle death rate =11.5 per 100,000 in 2017 (use to be 15.2) vs opioid overdose deaths of 14.9 per 100,000 in 2017 (up from 2.9 in 1999). https://t.co/n8cFgvKyGu

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CARRA legacy registry of 631 pts with Juvenile Dermatomyositis finds 13% with current or past calcinosis; Calcinosis was associated with longer durations of disease prior to Dx, lipodystrophy, joint contractures, and treatment with IVIG or RTX https://t.co/x8NstBdptc.

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