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Prednisone is the best drug we have and prednisone is the worst drug we have Peter A Merkel MD

Dr. John Cush RheumNow

7 years 9 months ago
"Prednisone is the best drug we have, and prednisone is the worst drug we have"- Peter A. Merkel, MD
Not all symptoms merit a diagnosis or disease some are just evidence of human imperfection

Dr. John Cush RheumNow

7 years 9 months ago
Not all symptoms merit a diagnosis or disease; some are just evidence of human imperfection
Twitter reach scientists w less then 1000 followers are largely talking to peers but if gt1000 followers theres expandin

Dr. John Cush RheumNow

7 years 9 months ago
Twitter reach: scientists w/ less then 1000 followers are largely talking to peers; but if >1000 followers there's expanding diversity of followers. Thus scientists have the potential to use social media to widely educate & influence. https://t.co/pr0uf9RG0G
To order ANA test in FM or pain AllOver pts is wrong to order more subserologiesdsDNARNPSm should be criminal httpstcoFM

Dr. John Cush RheumNow

7 years 9 months ago
To order ANA test in FM or "pain AllOver" pts is wrong; to order more subserologies(dsDNA,RNP,Sm) should be criminal https://t.co/FMkOsiQrXr
Despite many excellent therapies most patients with gout are not adequately managed and patients and providers have many

Dr. John Cush RheumNow

7 years 9 months ago
Despite many excellent therapies, most patients with gout are not adequately managed, and patients and providers have many misconceptions about gout. Great review by Ted Fields, MD https://t.co/Njpo1225XP
When patients come to clinic with a list of questions its best to address the whole list at the start and not the end of

Dr. John Cush RheumNow

7 years 9 months ago
When patients come to clinic with a list of questions, its best to address the whole list at the start, and not the end, of the visit. Now your putting patient priorities ahead of your MD priorities - isnt that what your paid to do?
Adult-onset Still's presents an interesting and diagnostic challenge when encountered. Here are 5 tips to improve your diagnostic acumen for this febrile disorder.
Hydroxychloroquine retinopathy prevention guidelines have revised from ideal body weight-based dosing to actual body weight-based dosing; the question remains whether these have been adopted in clinical practice. A database of nearly 21,000 new HCQ users from a UK general population database studied HCQ dosing and use between 2007 and 2016. Specifically they examined whether users were subjected to excess HCQ dosing per ophthalmology guidelines
Learn from the mistakes of others You can never live long enough to make them all yourself
Groucho Marx

Dr. John Cush RheumNow

7 years 9 months ago
“Learn from the mistakes of others. You can never live long enough to make them all yourself.” ― Groucho Marx
PLEASE stop trying Plaquenil DMARDs biologics in Hand OA they dont work My best regimen is simple analgesics acetaminop

Dr. John Cush RheumNow

7 years 9 months ago
PLEASE- stop trying Plaquenil, DMARDs, biologics in Hand OA - they dont work!!. My best regimen is: simple analgesics (acetaminophen 1950 mg qd) plus 2.5 mg prednisone, hand OT, and painful PIP/DIP immobilization with 2inch Cohesive tape x 14days https://t.co/I6JvgXuAo2
Should you accept gifts from patients Yes Accepting their gifts is the same as accepting their complements Dont shun th

Dr. John Cush RheumNow

7 years 9 months ago
Should you accept gifts from patients? Yes! Accepting their gifts is the same as accepting their complements. Don’t shun them, don’t minimize them, be gracious and admit that the gift means a lot to you. @StGeorgesU White Coat Ceremony
A 3rd year medical student started his rotation with me this past week and the rotation was a challenge for us both.
The Annual U.S. News and World Report Rankings of Hospitals has listed the top contenders in the field of rheumatology. The U.S. News Review rates hospitals nationwide in 16 specialties – including rheumatology. Of the 4,500 hospitals covered by U.S. News that were analyzed, 158 were classified nationally in at least one specialty area.
In 90 seconds I can make a Dx do Test Rx a drug But 40 yrs of medicine has taught me thats not what they want they want

Dr. John Cush RheumNow

7 years 9 months ago
In 90 seconds I can make a Dx, do Test, Rx a drug. But 40 yrs of medicine has taught me thats not what they want - they want to be heard/understood, a solution, hope - none of these are accomplished in 90 seconds
Do you Know What the difference is between a great doctor and a mediocre one The best doctors have two traits curiosit

Dr. John Cush RheumNow

7 years 9 months ago
"Do you Know What the difference is between a great doctor and a mediocre one? The best doctors have two traits - curiosity and never giving less than 100%” a quote from my @StGeorgesU White Coat Ceremony speech https://t.co/vIxPhohrGE
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