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ICYMI: The Greatest Rheumatologist - Part I

d Jack Cush, MD

Who is the greatest rheumatologist? What makes for a great rheum? Is it clinical acumen, scientific achievement, educational prowess or years of unrivaled service or mentoring? Rheumatologists are quite opinionated on this subject and very nostalgic about their mentors and leaders. When I’ve posed this question in small groups, it’s plain to see how moved they become when discussing mentors or peers who influenced them. Thus, I posed this question to many of our leaders and mentors: who do you think of as the greatest rheumatologist?

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RheumNow Podcast – JAK Inhibitor Warnings from the FDA

d Jack Cush, MD

FDA JAK inhibitor warnings and what it means (also: what do you think?); other news released this week; and, two questions submitted from listeners. Dr. Cush discusses this and more in this week's podcast.

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MMWR: COVID-19–hospitalization rates in kids & adolescents rose 5-fold late June–mid-Aug 2021 (w/ rise of Delta variant). Hospitalization rates were 10 times higher among unvaccinated than fully vaccinated adolescents. https://t.co/Qt5lj3Ycxb https://t.co/p2e0KoiAXr

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Dr. John Cush RheumNow ( View Tweet)
#Fatigue in the ARCTIC study studied using a 0-100 VAS over 24 mos. Baseline median fatigue 37mm & DAS=3.4. Fatigue declined 69% to 38% @24 mos. Predictors: low dz activity & high pt global. No remission at 6 mos assoc w/ fatigue at 24 mos https://t.co/NDk8fvr7Mq

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Dr. John Cush RheumNow ( View Tweet)

ICYMI: Belimumab in Pregnancy? a study of 13 pregnancies in 13 pts, mean age 38 yrs.. There were 11 live births, 1 case omphalitis (recovered w Abx) . No fetal anomalies found. 6 pts (46%) w/ Hx of recurrent pregnancy loss, four had live births on BEL https://t.co/FJJhepa25M

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Dr. John Cush RheumNow ( View Tweet)

FDA JAKi Warnings, 2nd Panel of rheumatologists weigh in on this. Drs. Cush, Dao, Tate, Sparks, Shergy. https://t.co/eETzP8DspC via @YouTube #RheumNow @KDAO2011 @uptoTate @jeffsparks @WilliamShergy https://t.co/iqxFQjJQ0l

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Dr. John Cush RheumNow ( View Tweet)
Do you subscribe to our weekly podcast? It’s available wherever you download your podcasts—just search RheumNow. And, of course, find it on the site each Friday! https://t.co/wjBWCrKL34 https://t.co/MZzpNIpTv1

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Dr. John Cush RheumNow ( View Tweet)
ICYMI: Using inpatient hospital records of 1.9 million SLE pts, the mortality of hospitalized #SLE changed little from 2006-2016;mortality dropped from 2.2% to 1.5% - with most of this decline between 2006-‘08 and no change since. Racial disparities seen. https://t.co/UUsJYFxQS4

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Dr. John Cush RheumNow ( View Tweet)

ICYMI Expert Panel: Initial Views on FDA Warnings for JAK Inhibitors https://t.co/omeZyprT96 https://t.co/UGBlb9m5bS

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Dr. John Cush RheumNow ( View Tweet)
Highly allergic can safely get the COVID Vax. Israeli study of 8102 pts w/ allergies recv Pfizer mRNA vax - 429 were highly allergic-->98% of the highly allergic had no allergic rxns, 1% mild allergic resp & 3 anaphylactic rxns Rx w/ EPI, none hospitalized https://t.co/ATYs5R5AQC https://t.co/owNEACH1pe

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Dr. John Cush RheumNow ( View Tweet)
New podcast available! Download wherever you get your podcasts. https://t.co/4jTBhYDzRn https://t.co/DUWVD89JJ5

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Dr. John Cush RheumNow ( View Tweet)
ICYMI: FDA slaps new BOXED warning revision on ALL JAK inhibitors (Xeljanz, Olumiant, Rinvoq) after final revew of the Pfizer Oral Surveillance study. New warnings for incr risk of MI, CVA, VTE, lymphoma & death see w/ BOTH dose of tofacitinib. https://t.co/tvTv40oy59

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Dr. John Cush RheumNow ( View Tweet)

500 Turkish pts from 4 pediatric rheum clinics. Oligoart. JIA (oJIA) was most common (39%), then enthesitisJIA (ERA-23%), RF neg polyarthritis (16%), RF+ poly (2.2%), Systemic JIA (16%), juvenile PsA (5.2%). Uveitis most common in oJIA (13%), then ERA (5%) https://t.co/a7O1RBM1xJ https://t.co/woSafvVsmA

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Dr. John Cush RheumNow ( View Tweet)
Not All Immunosuppression Alters Vaccine Immunogenicity https://t.co/I9sShpMLBO https://t.co/oz9Qp1HM1e

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Dr. John Cush RheumNow ( View Tweet)
FDA JAKi Warnings, 2nd Panel of rheumatologists weigh in on this. Drs. Cush, Dao, Tate, Sparks, Shergy. https://t.co/0WqeV6jKex via @YouTube #RheumNow @KDAO2011 @uptoTate @jeffsparks @WilliamShergy

Links:

Dr. John Cush RheumNow ( View Tweet)

FDA JAK inhibitor warnings and what it means (also: what do you think?); other news released this week; and, two questions submitted from listeners. Dr. Cush discusses this and more in this week's podcast. https://t.co/4jTBhYDzRn https://t.co/lMpl2IOeXe

Links:

Dr. John Cush RheumNow ( View Tweet)
Expert Panel: Initial Views on FDA Warnings for JAK Inhibitors https://t.co/omeZyprT96 https://t.co/zXlGpEK6cC

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Dr. John Cush RheumNow ( View Tweet)
FORWARD prospective registry showed Obesity to be associated with a substantially higher risk of incident chronic opioid use (HR adj 1.74). Approximately 1 in 4 cases of incident strong opioid use can be attributable to obesity ((HRadj 2.11) https://t.co/R0KhH4b05g https://t.co/HGHeqh4B0c

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Dr. John Cush RheumNow ( View Tweet)
PhIII trial of Baricitinib vs placebo in hospitalized COVID-19 pts (91% steroids, 13% remdesivir). While no diff (28 vs 30%) in primary outcome (O2, ventilation, death). BARI had signif better Mortality @28d (8 vs 13%) & 60d (10 vs 15%) w/ no incr in VTE https://t.co/AjoRgEKW8G

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Dr. John Cush RheumNow ( View Tweet)

Highly allergic can safely get the COVID Vax. Israeli study of 8102 pts w/ allergies recv Pfizer mRNA vax - 429 were highly allergic-->98% of the highly allergic had no allergic rxns, 1% mild allergic resp & 3 anaphylactic rxns Rx w/ EPI, none hospitalized https://t.co/ATYs5R5AQC https://t.co/RoYU2vVLl2

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Dr. John Cush RheumNow ( View Tweet)
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