k dao KDAO2011
7 years 10 months ago
While flu activity is starting to rise in US, CDC issued Updated Influenza Antiviral Medications Summary for Clinicians | CDC.
**DON’T USE: Amantadine OR Rimantidine to Tx flu **
@RheumNow @CDCFlu https://t.co/6W26hBEQvF
Dr. John Cush RheumNow
7 years 10 months ago
Comparison of pediatric (214) and adult (5348) GPA pts shows Pediatric GPA to have 30% more hospitalizations and 2-3 fold more leukopenia, neutropenia, hypogamma than adults. No diff in severe infections, major relapse, ESRD. https://t.co/Q1qX80RJDK
Dr. John Cush RheumNow
7 years 10 months ago
By turning my back to the EMR, looking 1 on 1 at the patient and letting the patient tell their story, I collect more information, trust and goodness than I would ever from by reading reams of reports and results and "documenting"
Dr. John Cush RheumNow
7 years 10 months ago
No differences seen in the rates of major adverse CV events (MACE) between RA, axial SpA or PsA pts, suggesting inflammation, rather than a disease, drives CV risk. Data from a Swiss mixed retrospective/prospective cohort study https://t.co/Kn8a8tWId9
The Dec. 12 issue of the National Vital Statistics Reports from the U.S. Centers for Disease Control and Prevention reports that the most commonly abused drugs causing drug overdose deaths (between 2011-2016) include fentanyl, heroin, oxycodone, and cocaine.
When psoriatic arthritis (PsA) patients become pregnant, they do not have more infertility or adverse pregnancy outcomes compared to healthy controls.
This study is relevant as the average onset age of PsA ranges between the 4th-6th decades of life and therefore includes a period of child-bearing potential.
Dr. John Cush RheumNow
7 years 10 months ago
I find my self thinking or saying, "what were you thinking", "oh no, say it isnt so" or "what?!!?!" when I shoud say "maybe another/better way would be.." or "I think the next time you should try...." and "my other patients find that when you it this way...."
Dr. John Cush RheumNow
7 years 10 months ago
Too often doctors think their job is to know the answer and fix the problem. All too often, strangely and surprisingly, that isnt what the patient wants or needs. They need someone who cares, doesnt judge behaviors and displays a pulse and personality
Dr. John Cush RheumNow
7 years 10 months ago
27yoF w/ chronic 4 mos b/l knee effusions (SF WBC=22K, -C/S), MRI synovitis only, Labs normal but with +ANA 1:160, neg Parvo, B27, RF, CCP, RPR, HCV/HBV, ESR and CRP. No resp to NSAIDs or IA steroids. DX?
Dr. John Cush RheumNow
7 years 10 months ago
28 yr old w/ nail pitting on both hands. Other signs of nail psoriasis are yellow/ pink ("oil-drop") discoloration, onycholysis, subungual hyperkeratosis, nail plate crumbling, splinter hemorrhages. 3 other diseases cause nail pitting -which ones? https://t.co/B38TE1MYW0
There is a national shortage of a new shingles vaccine, Shingrix, which is a problem for those who want to start the vaccine and those seeking to receive their second and final injection.
Since its FDA approval nearly a year ago, sales of the new vaccine have outperformed projections and are expected to approach $1 billion in revenue for 2018.
Johnson & Johnson has announced the preliminary results of its phase 3 ECLIPSE study; a head-to-head trial wherein guselkumab (Tremfya; an IL-23 inhibitor) was compared to secukinumab (Cosentyx; an IL-17 inhibitor) in adults with moderate to severe plaque psoriasis.
Dr. John Cush RheumNow
7 years 10 months ago
Statin Safety review from the American Heart Assn says 1 in 4 adults > 40yrs takes a statin; lowering LDL by 55-60%. Statin-induced rhabdomyolysis is <0.1%, and serious hepatotoxicity is ≈0.001%. The risk of statin-induced new diabetes is ≈0.2%/Year https://t.co/1FLZFsvmvZ
Dr. John Cush RheumNow
7 years 10 months ago
Acute onset 1st MTP swelling and Pain w/ ultrasound evidence of synovitis on power doppler - the most likely diagnosis is? https://t.co/VGkxLR7aRh
Interactions between disease-related inflammatory processes and the development of several morbidities have been well-studied in RA, particularly heart disease. This is not the case for the often-lethal SSc (estimated standardized mortality ratio between 2.5 and 4.0). Similarly, there are no studies comparing the most relevant comorbidities between SSc and RA.

