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Ten Contemporary Challenges Facing Lupus Treatment

d Jack Cush, MD

A group of French researchers have pooled their interests to identify the challenges ahead in the management of patients with systemic lupus erythematosus (SLE). 

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HHS Issues New EHR Record Sharing Rule

d Jack Cush, MD

WASHINGTON -- Patients would have access to their electronic health records free of charge and would be able to transfer them more easily from one provider to another under rules proposed Monday by the Department of Health and Human Services (HHS).

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RheumNow Podcast – Downside of Lupus (2.9.19)

d Jack Cush, MD

Dr. Jack Cush reviews this past week's news and reports from RheumNow.com:

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Guidelines Recommend Against Acromioplasty

d Jack Cush, MD

Subacromial pain iacounts for up to 70% of shoulder pain. Patients may be diagnosed with subacromial pain syndrome (SAPS), shoulder impingement, or rotator cuff disease and often end up in surgery. 

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Biologic High Out of Pocket Costs for Medicare Patients

d Jack Cush, MD

Specialty tier drugs, including biologics, accounts for nearly half of all medication spending by Medicare Part D patients. High out-of-pocket costs for these patients is a major concern. 

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The CDC says the flu season is peaking and far from over. https://t.co/XUqNQk86Xz

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Dr. John Cush RheumNow ( View Tweet)

Cytokine profiles in lupus do not differ based on the Autoantibody status; hence the same in those positive for SSA/SSB or Sm/RNP or APL or multiple. However ANA negative Lupus have sign lower levels of IFNγ, TNFα, IL12/IL23p40, etc. https://t.co/jiEBPKbtxt

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Dr. John Cush RheumNow ( View Tweet)

Read the Brazilian Societyof Rheum guidelines on the use of nailfold capillaroscopy. Indications: Raynauds; Dermatomyositis; MCTD; Systemic sclerosis. NFC can be done by stereomicroscope, videocapillaroscope, dermatoscope, or ophthalmoscope. https://t.co/sTAddqh376

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Dr. John Cush RheumNow ( View Tweet)

Medicine info sheets used by Rheus exceeds 8th grade reading. Comprehension was low w/ correct answers by 9/21 pts for adalimumab, 7/11 for MTX, 6/28 NSAIDs, 13/24 abatacept MIS.. Simpler, shorter MIS with pictures and infographics are needed. https://t.co/ZPVX6wQVwR

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Dr. John Cush RheumNow ( View Tweet)

Priorities differ between Docs and Patients with Ulcerative colitis - Pts need to discuss managing Sxs/problems, inflammation, cancer risk. GI-MDs top priorities were managing Sxs and side effects from meds. https://t.co/m4eUa1QFVq

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Dr. John Cush RheumNow ( View Tweet)

2015–2017, 2.8% of persons in the USA had an injury (in the past 3 months) that lead to medical attention. Rates highest n the 10-19 yr. and >65 yrs age groups. https://t.co/PdyluqSymL

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Dr. John Cush RheumNow ( View Tweet)

It is also poor prognosis for the patient if Rheum and ID are standing next to each other in the room https://t.co/BQ6tGwH1Pe

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k dao KDAO2011 ( View Tweet)

Very alarming!!! I found a few of my patients have undetectable rubeola Ab. Are you checking measles titers in your immunosuppressed patients? @rheumnow Measles | Cases and Outbreaks | CDC https://t.co/BI1qNnja5M via @CDCgov

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k dao KDAO2011 ( View Tweet)

Check out a weeks worth of QD Clinic Podcasts - Week 5. Case discussions from the Rheumatology clinic. Available in iTunes or on SoundCloud https://t.co/bYc4Vi3J2O

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Dr. John Cush RheumNow ( View Tweet)

The RHeumNow Podcast is up! Alot on lupus this time. View here: https://t.co/fIq9qOFRW6 or listen to podcast on iTunes, Apple Car Play Podcasts or on SoundCloud https://t.co/wtmkKEsqCX

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Dr. John Cush RheumNow ( View Tweet)

NEJM: Oral and genital ulcers in Behcets disease https://t.co/wrY8m3RDGc

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Dr. John Cush RheumNow ( View Tweet)

Study of 3209 incident lupus pts in Sweden shows lung dz to be 6 fold more common than controls (IR 14/1000 Pt Yrs), including a 19 fold higher risk of interstitial lung disease. https://t.co/olLejMXv6j

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Dr. John Cush RheumNow ( View Tweet)

QD Clinic - Zero to Sixty in PsA | When restarting therapy, How quick do they respond; How soon to reassess? https://t.co/kOKZ4RUZwz

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Dr. John Cush RheumNow ( View Tweet)

Study of 497 rheumatology clinic pts shows 24% met fibromyalgia criteria, while 21% had a ICD-10 Dx of FM. Clinicians and criteria agreement was only fair (κ = 0.41). MD failed to Dx identify 60 criteria (+) pts & wrongly dx 43 criteria‐negative pts https://t.co/sZobOovOW4

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Dr. John Cush RheumNow ( View Tweet)

CDC Stats: In 2017, >2/3 of all drug overdose deaths in the United States involved opioids; From 2016 to 2017, opioid-related overdose deaths increased 12 percent overall (17.2% in elderly). https://t.co/O38uFIUcpd

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Dr. John Cush RheumNow ( View Tweet)

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