On April 11th, the ACR Board of Directors approved a COVID-19 guidance document written by an ACR task force charged with updating and clarifying recommendations for rheumatologists and rheumatic disease patient management during the current COVID-19 crisis.
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The 9/11/01 terrorist attach on the World Trade Center (WTC) resulted in at least 2,977 fatalities, over 25,000 injuries, and caused at least $10 billion in infrastructure and property damage. Arthritis & Rheumatology reports that dust cloud exposure among responders and
Why are more MEN (severely?) affected in COVID-19? Men have higher levels of circulating ACE2 (unrelated to ACEi or ARB HTN meds) based on a Biobank study of 1485 men, 537 women. ACE2 is found in lungs, heart, kidneys, vessels & testes https://t.co/CWXevTNYWm
A new feature of COVID-19; "Covid toes" manifest as multifocal, asymmetric, erythema, ecchymoses, ischemic changes that blister or appear vasculitic. The toes, heel and soles can be affected. Healing in 12-20 days. https://t.co/Isqn9ebnQj
American Hospital Association (AHA), in a new report, projected a loss of $202.6 billion from COVID-19 expenses and lost revenue for US hospitals and health systems from Mar 1 to Jun 30—about $50 billion in losses each month. https://t.co/pidOduwnDb
COVID-19 Does alot of Damage via thrombotic complications - a role for complement or autoantibody mediated thrombotic microangiopathy? #COVID19 https://t.co/33R8WxE5C0
Ronan Kavanagh
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Random thought about virtual clinics. Beginning to think that phone just as good as a stop gap as video. Less performative, more relaxed, and less tiring. Rheumatology is mainly (mainly) about history esp for those patients you know well.
“Middle-high level of RF-IgM could lead to false-positive reactivity of SARS-CoV-2 IgM “
As more people want SARS-CoV2 antibody testing, I am afraid this will give people a false sense of security @RheumNow
@ACRheum
NCBI - NLM - NIH https://t.co/vkjWRJQV27
5 reasons Telehealth is here to stay: 1) Fast adoption fostered by technology; 2) Lowered regulatory hurdles; 3) Improved financial reimbursements; 4) Video Telehealth can be built upon; & 5) Untapped potential with adoption by Pts and MDs https://t.co/UMeRyUtKnK
On April 24, FDA issued a Drug Safety Communication stating HCQ and CQ have not been shown to be safe and effective in COVID-19 and that HCQ/CQ should not be used outside of hospitalized or pts in clinical trials. https://t.co/l2DNBhhvTR
Dr C Kershaw @UTSWNews grand rounds on ventilation in #COVID19
Why putting pts in prone position might help with ARDS
@RheumNow https://t.co/I0AOx72Jwl
Dr. Kavanaugh said it well in his blog on the "Upside of Covid" Humanity is really shining thru these days. Im truly touched by all my patients who ask about my health and my safety during COVID-19 == we all have to look out for each other! https://t.co/BYI5LHybeV
NY State study shows 13.9% of population to be COVID (+) by Antibody testing; (+) means previously exposed. (+) COVID results were not different between all age groups. Given 15,500 deaths in NY, that means the COVID death rate is 0.5% https://t.co/LCDPeBLy2r
In Italy, mention of #RA as one of the casues of death was increasingly noted from 2003 to 2015 but decreased as the main or underlying cause of death https://t.co/fPzs5k7XOa
COVID-19: GI involvment does occur. Diarrhea in 3-24%, Nausea 10-18%, vomiting <4% and increased LFTs in up to one-third; and 28% of those with GI symptoms may not have respiratory symptoms. Virus has been found in stool samples. https://t.co/pErYDwuodT
(1) We are delighted to announce that Kenneth Saag, MD MSc @KenSaag will serve as our next #UABRheumatology Division Director effective July 1st 2020
@uabmedicine @UABSOM @UABNews @UAB_NRTC @UABPulmonary @UABCardiology @UABGIM @uabSOPH @ONealCancerUAB @sethlandefeld @DrVickersUAB https://t.co/PMjhpWIptp
