PJP Prophylaxis Needed with Steroids and Rituximab

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Pneumocystis jirovecii pneumonia (PJP) can be a life-threatening infection in immunocompromised patients. The 2023 EULAR Vasculitis guidelines recommends primary prophylaxis with antibiotics, especially in rheumatic disease patients receiving rituximab (RTX).

National Population Insights (4.28.2023)

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Dr. Jack Cush reviews the news and journal reports and addresses 3 viewer case questions.

Romania to U.S.: My Journey to a Permanent Residency

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One in four practicing physicians in the United States are international medical graduates. I am one of them. Here is what I learned, and my advice to others who are on a similar journey.

25 Great Women in Rheumatology

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This week I reached out to many leaders in rheumatology and asked: who are the great women in rheumatology who should be recognized? This was prompted by a smart article in Annals of Rheumatic Disease written by Drs. Tuhina Neogi (Boston) and Nicola Dalbeth (N. Zealand), entitled "Where are the women ‘Heroes and Pillars of Rheumatology’?

Narrative Medicine

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I am a woman in pediatric rheumatology. Even in a predominantly female field, at times I feel compelled to mask my emotional response to the consistently complicated, often overwhelming and sometimes ambiguous nature of the job. Rather than detach, however, I choose to emotionally engage with the medical experience through my own medicine: narratives.

Denosumab Reduces Type II Diabetes Risk

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The British Medical Journal has publish a matched cohort analysis demonstrating that adults receiving denosumab had a lower risk of incident type 2 diabetes (NIDDM) compared with those taking oral bisphosphonates for osteoporosis.

AWIR: Why it's important for women to come together

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Why does the Association of Women in Rheumatology (AWIR, pronounced AWARE) exist?  Recalling a singular event several years ago prompted the action of four women to rectify the issue we were witnessing.

A Rising Gout Risk in Asians

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Two independent data sets suggests the prevalence of gout among Asians has grown such that this sub-population has numerically surpassed all other racial and ethnic groups by 2018.

How Being a Patient Taught Me to Be a Better Doctor

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When I was accepted into medical school, my Dad (a trauma surgeon) taught me that as a doctor I should not judge and do my best not to let my personal views interfere with how I manage and interact with my patients.

NY Times on Arthritis Prevention

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A reader question ("Ask Well") to the New York times wonders "is arthritis avoidable"?

A recent survey suggests that up to 60% of adults have been told by an HCP they had some form of arthritis.

Want to Go Far, Go Together (4.21.2023)

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This week on the podcast Dr. Jack Cush reviews the news, regulatory announcements and novel journal reports including a profile on pseudogout, the safety of immune checkpoint inhibitors in RA patients and the diagnostic importance of neutrophils.

Aging Mechanisms Tied to Giant Cell Arteritis

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Senescence pathways are involved in giant cell arteritis (GCA), an analysis of patient tissue samples suggested, which may account for the efficacy of one agent now used for the disease and another in commercial development.