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Alcohols Net Zero Effect in Rheumatoid Arthritis

d Jack Cush, MD

A report from The National Databank for Rheumatic Disease addressed the impact of alcohol on disease activity and mortality in rheumatoid arthritis (RA) and found that alcohol use was not associated with changes in disease activity or mortality, after addressing confounders. 

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Overmedication of America

d Jack Cush, MD

Recent research from the Lown Institute reports that 750 older Americans are hospitalized daily because of serious side effects from and the core problem is that of polypharmacy, especially in the elderly. 

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"To improve is to change; to be perfect is to change often." Winston Churchill

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Shingles vaccine appears to reduce stroke risk by about 16% in older adults. In addition, the shingles vaccine may offer the strongest protection against stroke for people younger than 80 https://t.co/fqHKlHnLED

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Poorly regulated industry of Stem cell injx for OA fail to show consistent evidence of efficacy. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/poME3BNme3
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PRP injections for knee OA may work, but at a very high can 8 price $714. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/wmh2iaQ4kt
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Leeches work in osteoarthritis, but you won't like the icky side effects. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/0bbkyfVHE9
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Some improvement with lateral wedge insoles on function but not pain in one OA. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/oL9I4f4Kap
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Acute anterior uveitis is most common in adults, pan-uveitis is more common in children. Dr AWells #RWCS @RWCSmtg https://t.co/osC7gmypFo
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"EPI is wimpy and Sceritis is the real deal!". Dr AWells #RWCS @RWCSmtg https://t.co/4pHFjffixE
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Scleritis is a Vasculitis that requires systemic therapy https://t.co/QHknRcrLQy
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Despite the AAOS recommendation to wait 5 yesterday for plaquenil eye screening, many rheums still do annual eye exams on HCQ, including Dr AWells #RWCS @RWCSmtg https://t.co/wawZDh1gWL
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Teprotumumab effective in thyroid associated ophthalmopsthy it inhibits IGF 1 Dr AWells #RWCS @RWCSmtg https://t.co/eTHbAz0EQp
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Ocular toxicities with immune checkpoint inhibitors from Dr AWells #RWCS @RWCSmtg https://t.co/oM0gnQvmcR
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66 pt RA study shows that adding an Exercise program results in significant physicial and cognitive improvement while lowering CRP (p = 0.025), fatigue (p = 0.047) and truncal fat (p = 0.004) https://t.co/hckGcM3pyL

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JBMR UK network study of 146,956 adults > 50 yrs compared Fracture tisk with tramadol (no cancer/Fx/Opioid disorder) compared to codeine (or naproxen, IBU, celecoxib, etoricoxib). Tramadol was assoc w/ a 28-70% higher Risk of hip Fx https://t.co/TPd9mTknqN

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FDA has granted orphan drug status to Privigen (IVIG) as an investigational treatment for Systemic Sclerosis (SSc). https://t.co/5eQPMfstZ8

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"The first quality that is needed is audacity." - Winston Churchill

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Large UK database looked at 1281 Behcet Dz pts - prevalence of BD was 14.61 per 100k. BD was at increased risk of ischaemic heart disease [aHR 3.09), venous thrombosis [aHR 4.80] and mortality [aHR 1.40] iVS 5K controls. https://t.co/FghxE6bAZ0

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QD clinic - Seronegative RA. Watch the video.https://t.co/o7pZ0JPvvW Or listen to the podcast https://t.co/BRwO8Xa5OV

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