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Trazodone High Risk of Falls and Fractures

d Jack Cush, MD

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

d Jack Cush, MD

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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Low Risk of Serious Complications with Meniscectomy

d Jack Cush, MD

Lancet reports on the safety of over 1 million arthroscopic partial meniscectomies done in the United Kingdom and found a low overall risk in the first 90 days.

They examined Hospital Episode Statistics on  1,088,782 arthroscopic partial meniscectomies (1997-2017); 699 965 of which were eligible for analysis. They sought to identify complications occurring in the 90 days after the index procedure.

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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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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

Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

“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)

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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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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Angus Worthing MD AngusWorthing ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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:

Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

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

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Dr. John Cush RheumNow ( View Tweet)

Large claims analysis shows that lipid screening was suboptimal (37%) among RA patients but was higher when RA patients visited a rheumatologist and a non-rheumatology clinicians (~55%). https://t.co/S4Op22LOoY

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Dr. John Cush RheumNow ( View Tweet)

A step-by-step guide to academic publication for young investigators #SciComm #PhD #postdoc #scientist https://t.co/yEnd2xJelZ https://t.co/kyZiQSX7L9

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Immunometabolism Network ImmunoMet ( View Tweet)

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