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High CV Risk in Lupus

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d RheumNow

Nov 26, 2018

Patients with systemic lupus erythematosus (SLE) remain at risk for accelerated atherosclerosis, and important questions have yet to be answered, British investigators reported.

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Trazodone High Risk of Falls and Fractures

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d Jack Cush, MD

Nov 26, 2018

The CMAJ (Canadian Medical Association Journal) has reported that trazadone use in the elderly may be associated with a risk of falls and major fractures.

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Steroid Injection Superior to Splinting in Carpal Tunnel Syndrome

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d Jack Cush, MD

Nov 21, 2018

Lancet has published a comparative effectiveness study examining the the value of night splints (conservative treatment) vs local injection for patients with carpal tunnel syndrome.

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TB Testing - Do PPD or IGRA before TNFi or biologic - If negative, start therapy - If Positive, Eval for active TB (Sxs, CXR, C/S); if neg --> LTBI Rx BEFORE biologic - If "Indeterminate", repeat or change test. If same or neg--> start biologic - Do not do annual TST or IGRA

Dr. John Cush RheumNow ( View Tweet)

Nov 26, 2018

Metanalysis shows DMARDs (6 studies) and biologics (5 studies) offer NO clinically significant benefit compared with placebo in Osteoarthritis. https://t.co/fNGVzuNQNo

Links:

https://buff.ly/2TGck9I

Dr. John Cush RheumNow ( View Tweet)

Nov 26, 2018

Vasculopathy (inflammatory, occlusive, necrotizing) distguishes juvenile dermatomyositis from adult myositis - also w/ high risk of severe extra-muscular dz (GI, Lung, cardiac, skin). Good review article here https://t.co/yH8xwKl6S8

Links:

https://buff.ly/2Am1Lj7

Dr. John Cush RheumNow ( View Tweet)

Nov 26, 2018

Could routine use of hydroxychloroquine reduce the rate of serious infections in immunosuppressed patients? A modest to moderate risk reduction noted in two large SLE cohort studies. https://t.co/pssLrteRRq

Links:

https://buff.ly/2r6iXFm

Dr. John Cush RheumNow ( View Tweet)

Nov 26, 2018

2018 NRMP report shows Rheumatology as one of the most competitive fellowships with 313 applicants for 221 positions - 147 filled by US grads and 69 by FMGs. https://t.co/xRmMyA2yCy

Links:

https://buff.ly/2Trglyu

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

Clinical Trials Benchmark for Biosimilar Development is one of several educational videos available in the "Therapeutic Update: Biosimilars in Rheumatology" video series, sponsored by Sandoz, Inc. and now available on RheumNow. https://t.co/1vmnEJqOSi

Links:

https://buff.ly/2yeKAPN

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

J Rheum (Ward et al) reports that the minimal clinically important improvement (MCII) of RAPID-3 was –3.8. https://t.co/UxCOeMl52g

Links:

https://buff.ly/2DJQKMJ

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

The "Type" of person you are often is displayed with how you manage authority

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

CORRECTION: mm! Guidelines on CT pulm nodules-no F/U needed for solid nodules <6mm in low risk pts (age,smoking, morphology); but larger (6-8mm), suspicious nodules should have 6 & 12 mos F/U images. Some 8cm or more nodules require more freq assessments https://t.co/Nl6zV3VQg1

Links:

https://buff.ly/2Tr2gkU

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

“This is not your responsibility but it is your problem.” — Cheryl Strayed I believe the converse is more important to what we need to teach our patients - "This is not just your problem, this is now your responsibility"

Dr. John Cush RheumNow ( View Tweet)

Nov 25, 2018

Safety and Immunogenicity is one of nine educational videos available in the "Therapeutic Update: Biosimilars in Rheumatology" video series, sponsored by Sandoz, Inc. and now available on RheumNow. https://t.co/1vmnEJqOSi

Links:

https://buff.ly/2yeKAPN

Dr. John Cush RheumNow ( View Tweet)

Nov 23, 2018

FDA Approves Gamifant (emapalumab-lzsg) for Primary Hemophagocytic Lymphohistiocytosis https://t.co/YALlc0XdKh

Links:

https://buff.ly/2FM87yz

Dr. John Cush RheumNow ( View Tweet)

Nov 22, 2018

Are you a US rheumatologist interested in what the midterm election results mean for us? 100 members of the next Congress are NEW and we need to meet them! Please invest in #RheumPAC NOW. Help advance arthritis research, reform step therapy & other causes! https://t.co/pcRkh6eLfJ

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What the Election Means for Rheumatology - The Rheumatologist

Angus Worthing MD AngusWorthing ( View Tweet)

Nov 22, 2018

Sudden discontinuation of duloxetine may have Adverse Events in up to 44% - dizziness, nauseam headache, paresthesia, vomiting, irritability, nightmares. Instead, its rec to gradually reduce dose over 2 weeks before D/C of duloxetine.https://t.co/aSGU0CVldB

Links:

https://buff.ly/2qSAKzC

Dr. John Cush RheumNow ( View Tweet)

Nov 22, 2018

New Guidelines on CT pulm nodules-no F/U needed for solid nodules <6cm in low risk pts (age, smoking, morphology); but larger (6-8cm), suspicious nodules should have 6 and 12 mos F/U images. Some 8cm or more nodules require more freq assessments https://t.co/Nl6zV3VQg1

Links:

https://buff.ly/2Tr2gkU

Dr. John Cush RheumNow ( View Tweet)

Nov 21, 2018

The Next Best Meeting in Rheumatology is coming - RHEUMNOW LIVE - March 22-24 2019 in beautiful downtown Fort Worth. Short Lectures, interactive sessions, Q&A panels, TED (like) Talks, digital, streaming and much more. You dont want to miss this meeting! https://t.co/5TVg0Frsbf

Links:

https://buff.ly/2qX0Mlp

Dr. John Cush RheumNow ( View Tweet)

Nov 21, 2018

79 pts Ultrasound evidence of gout (tophus or double contour sign) @ knee or MTP1 were given ULT for 6 mos. Those achieving very low uric acid levels showed US decrease in tophus (r = 0.54) and double contour sign disappearance (r=−0.59) https://t.co/4W0EX8swDo

Links:

https://buff.ly/2S1R38O

Dr. John Cush RheumNow ( View Tweet)

Nov 21, 2018

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