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Blogs

“Doctors Don’t Get Sick”

We physicians are clearly better at defining “too sick to work” in our patients than we are for ourselves.  After pondering this ill issue, I’ve come up with some wisdom, goofiness and facts.

Should Lupus Patients Receive Influenza and Pneumococcal Vaccines?

I have a 21 yr. old lupus nephritis patient on mycophenolate, hydroxychloroquine and prednisone 40 mg per day. She says both her current nephrologist and her prior pediatric rheumatologist told her NOT to get pneumococcal and flu vaccines. I thought she is supposed to get them - any comment?

Severe RA and Coccidioidomycosis

RA patient complicated by invasive fungal infection with coccidioidomycosis is discussed by Drs. Tesser and Cush

Better Zoster Vaccine Options on the Horizon

The prevention of Herpes zoster infections can be challenging in patients receiving immunosuppressives or biologic therapies.  Dr. Artie Kavanugh reviews a new, potential advance in vaccination for shingles.

An Elderly RA Patient with Hepatitis B and Latent TB

Comorbidities often influence the choice of therapies in RA. This elderly man with hepatitis and TB needs aggressive treatment, but what drugs can reasonably be considered?