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Opioid Use in Osteoarthritis Varies by State

d Jack Cush, MD

A study in Arthritis & Rheumatology shows that there is substantial statewide variation in rates of treatment with long‐term opioid therapy in osteoarthritis - not fully explained by differences in access to healthcare providers, varying case‐mix, or state‐level policies.

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Elevated Fracture Risk in Lupus

d Jack Cush, MD

A Medicaid study of lupus (SLE) patients finds that fracture risks are elevated in low‐income SLE and lupus nephritis patients compared to those without SLE.

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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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Antiphospholipid syndrome incidence is 5 per 100k/Yr; aside from the triad lesser known complications valve dz, livedo reticularis, racemosa, skin ulcers/necrosis, GN & thrombotic microangiopathy, AVN, non-traumatic fractures https://t.co/ugjKR2gttU

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Dr. John Cush RheumNow ( View Tweet)

QD Clinic - Arthritis Drugs & Major Surgery; cases from RheumNow and RheumNow Live. How do you advised med changes w/ upcoming surgery? https://t.co/YRh6gQtvSL via @YouTube

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Dr. John Cush RheumNow ( View Tweet)

Study of 690 ambulatory patients examined RDW, ESR, CRP and showed RDW is increased in inflammatory disorders (RA, SpA) and elevated RDW has a 48–95% sensitivity and 66–95% specificity for inflammatory disease. https://t.co/P0QWh5NL3s

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Dr. John Cush RheumNow ( View Tweet)

French Study Group for Large Vessel Vasculitis shows in a small 49 pt GCA cohort study that GCA is not associated with a higher risk of cancer (compared 1:3 with age matched controls) https://t.co/o8z8D99aKn

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Dr. John Cush RheumNow ( View Tweet)

Great Full Text Review of Interstitial Lung Disease and Other Pulmonary Manifestations in Connective Tissue Diseases from Mayo Clinic Proceedings https://t.co/crzxVyynY2

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Dr. John Cush RheumNow ( View Tweet)

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)

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