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RheumThoughts: ICYMI: Changing the Conversation with Patients: Lupus

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Donald E Thomas Jr

| Aug 11, 2023 1:25 pm

Dr. Clowse: I really like your method and recommendations on how to approach this. It can be easy for physicians to become overwhelmed by their patient's type 2 symptoms and not feel sure on the best way to approach it. We all know (from experience) that it can be easy to inadvertently say the wrong thing and approach it incorrectly. I hope all rheumatologist read this so we we can take better care of all our patients who have systemic inflammatory diseases that also have concomitant fibromyalgia, depression, anxiety, insomnia, etc. I love how we all can learn from each other. Dr. Saira Sheikh last week told me she always likes to start with the question, "What is the most important thing to you for us to talk about today?" I love that as it puts 100% attention to the patient.

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Dr. Megan Clowse is an Associate Professor of Medicine in the Division of Rheumatology and Immunology.  Her clinical research focuses on the management of rheumatic diseases in pregnancy. She has cared for over 600 pregnancies in women with rheumatic disease, collecting information on these pregnancies initially in the Duke Autoimmunity in Pregnancy Registry and Repository, and now the MADRA (Maternal Autoimmune Disease Research Alliance) registry and repository.  She served on the Core Leadership Team for the inaugural American College of Rheumatology's Reproductive Health Guidelines, published January 2020.  Dr. Clowse created, a website dedicated to improving lupus pregnancy planning and management for patients and rheumatologists.