Tweets
"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
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Always be student who becomes a teacher
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Frankincense is derived from Boswellia plants. Boswellia serrata is an Ayurvedic purported to be anti-inflammatory; inhibits 5-lipoxygenase & possibly prostaglandins, Pilot studies in OA have shown significant pain relief and improved physical function https://t.co/OPxal73aIF
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Often doctors think their job is to know the answer and fix the problem. 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 ( View Tweet )
7 years 7 months ago
TB Testing
- Do PPD or IGRA before TNFi or biologic
- If negative, start therapy
- If Positive, Eval for active TB (Sxs, CXR, C/S); if neg --> LTBI Rx BEFORE biologic
- If "Indeterminate", repeat or change test. If same or neg--> start biologic
- Do not do annual TST or IGRA
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Merry Christmas ya’ll☃️
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Bing Bingham MD talking on immune related adverse events (MSK and autoimmune). Says these occur in 3-5% of cancer pts treated with Checkpoint inhibitors. Unofficial surveys show nearly 50% of Rheums have seen these referrals. #MARS #ARTHROS https://t.co/lDLX1qHIDh
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
@RheumNow Jack - my current mantra “given up on meaningful use, focused on meaningful care”. Feel free to yes David McG
David McGinnis @demcginnis ( View Tweet )
7 years 7 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 ( View Tweet )
7 years 7 months ago
RheumNow LIve - the next best 2day CME weekend meeting for Rheumtologists!. Now with discounted registration for the holidays. Check out this high interactive, Q&A, Panel driven, audience focused meeting. March 22-24, 2019. --> https://t.co/2dcFVgu8z6
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
RheumNow week in review is out. https://t.co/4WCDIftZW3
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Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Study from the UK BSRBR registry shows 34 cancers & 41 deaths in 709 pts. Risk of CA w/ TNFi was not increased (SIR 0.94; 95% CI 0.65,1.34) (but for 2 fold incr risk of nonmelanoma skin CA) & all-cause mortality rate was increased (SMR 1.56) from CV events https://t.co/6HSnw5SOF8
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Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Case reports of non-infectious pneumonia with Ustekinumab reported from FDA Adverse Event Reporting System (medwatch) - 12 cases, 7 interstitial pneumonia, 3 eosinophilic pneumonia, 1 each organizing pneumonia & hypersensitivity pneumonitis https://t.co/r9zGR0nTmc
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Clinical pain severity & disability in OA is higher amongst African Americans vs Whites. Metanalysis of 61 articles shows higher pain severity in AA using the WOMAC (0.57; 95%CI: 0.54, 0.61) & non-WOMAC studies (0.35; 95%CI: 0.23, 0.47). Journal of Pain. https://t.co/qLm2Pbw7pz
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
Retrospective study of 282 Bx proven Temporal arteritis pts (Northern Italy) finds increased mortality associated with large vessel Dz (HR 5.14) at diagnosis and reduced mortality with PMR (HR 0.57) at Dx and adventitial inflammation (HR 0.31) on Bx. https://t.co/iF90cqYtqn
Links:
Dr. John Cush @RheumNow ( View Tweet )
7 years 7 months ago
