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RheumNow Podcast – New World Order (3.27.20)

Mar 27, 2020 2:58 pm

Dr. Jack Cush reviews the news and COVID developments from this past week.

RheumNow PSA - 1-4 patient support announcements on dealing with medications, their health, COVID, Safety, Myths and Stress.

  1. Side effects of Chloroquine - retinopathy, cardiac (conduction disturbances, cardiomyopathy, CHF), ototoxicity (hearing loss, tinnitus, imbalance), Skin rash, itching, skin exanthema, hyperpigmentation photodynamic reactions. #COVID @rheum_COVID   
  2. In Vitro evidence of comparative efficacy of chloroquine and hydroxychloroquine against SARS-CoV-2 in vitro. 
  3. American Academy of Dermatology issues guidance on COVID - 1) Do NOT stop biologic therapy without calling your Dr. 2) Especially for those without COVID symptoms or a (+)test; 3) if you have a proven COVID infection, stop the biologic   
  4. Check Dr. Michelle Petri's answers on Hydroxychloroquine and a potential Shortage. Watch it here>> or listen to the podcast on iTunes or Soundcloud here>>     
  5. Phenomenal discussion of HCQ in COVID-19 study, echoes my concerns: 1. Not randomized 2. Poor choice of outcome 3. Control arm ill conceived 4. Pts inappropriately dropped from analysis 5. Overstated conclusions PDF of this excellent article here: 
  6. Office of the Inspector General has issued a 90 day moratorium on administrative sanctions for reducing or waiving any cost-sharing obligations (copays, etc) for Federal health care program beneficiaries may owe for telehealth services furnished   
  7. Global Rheumatology Alliance Registry Will Study COVID-19  Dr. Philip Robinson Jinoos yadazny and UCSF   provide valuable information about COVID-19 to the global rheumatology community  
  8. Great Videos worth watching: 1) Calebrese; 2) Petri; 3) Kavanaugh; 4) Dao;  5) Ruderman; 6) Gravallese; 7) Winthrop; 8) Wells x 3 
  9. The world has changed, if you haven't then your taking risks (for you and everyone else) akin to driving without a seatbelt, with no car door next to you, while drunk and being chased by Sheriff Buford T. Justice - We all need to do our best for each other.   
  10. What we don’t know: 
    1. Are our patients protected or at a higher risk?  Looks good so far, but we need data
    2. What will happen with a HCQ and IL-6 shortage?
    3. Scenario and sequence when one of our patients is symptomatic? 
    4. Where are the lessons we can learn from?
  • Disaster should lead to preparedness
  • Where and how was disaster avoided?
The author has no conflicts of interest to disclose related to this subject

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