Tweets
Direct Antiglobulin Test (DAT) or Coombs test reviewed in JAMA - hemolysis can be suggested by low haptoglobin, high LDH &reticulocytosis- a positive IgG DAT indicates warm AIHA. An IgM & anti-C3d activity --> cold agglutinin Dz https://t.co/XLZHtISTjn
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
An interesting read in JAMA - how a patient developed his own "tool kit" to manage fibromyalgia - cannibis, exercise, diet, massage, PT, CBT. A story of serendipity, inadequate insurance coverage & woefulness of current pain management https://t.co/DIiuqSbkJ8
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
CARRA reports it has completed enrollment of 403 newly diagnosed polyarticular JIA patients in STOP-JIA (Start Time Optimization of Biologic Therapy in Polyarticular JIA). Results anticipated in late 2019. https://t.co/V2qvZCRXvs
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Retrospective study of 65 093 obese adults w/ bariatric surgery shows that, although Rouxen-Y gastric bypass had more wt. loss than gastric sleeve > gastric banding; RYGB had more 30-day major adverse events - Gastric Sleeve wins? https://t.co/R0Fday00Bh
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Interdisciplinary guidelines for treating Uveitis in JIA - 1) Topical steroids; 2) if not improved, MTX; 3) Then TNF inhibitor; 4) systemic steroids; or 5) other biologics (TCZ, ABA, RTX). https://t.co/6D1aq3xQqA
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Cohort study 56866 RA/PsA/AS patients compared 287 w/ multiple myeloma & 2760 matched controls - no difference in MM risk related to biologic, DMARD or NSAIDs. But compared to DMARD only pts, Biologic + DMARD users had a 48% lower risk of MM (OR 0.52) https://t.co/DsmvNXC9c9
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Open source review Assessing Disease Activity in Psoriatic Arthritis: A Literature Review by Drs Tucker, Coates, Helliwell. How to assess arthritis, dactylitis, enthesitis, axial disease, skin & patient measures (PROMs). https://t.co/5SLwpeGbkn
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Depression worsens back pain; increases healthcare costs. Medicare claims study 73,000 found 6,739 with back pain & 20% of these (1310) had depression. Annual healthcare costs substantially higher in LBP pts w/ depression ($13,153 vs $7,477, P < 0.001). https://t.co/rHqfWPTV7r
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
CDC reports that 40-47% of adults have had a flu vaccination in the past 12 months (higher in elderly (67%). https://t.co/RPmkTECeF7
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Bisphosphonate safety review — risk of Atypical Femoral Fracture is 1/1000 and risk of osteonecrosis of the jaw is 1/10,000. One-third of IV zolendronic acid pts will have arthralgia/myalgias or flu like sxs. https://t.co/80xBkZlKgn
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
FDA has approved Genentechs ACTpen - a tocilizumab autoinjector 162 mg sc for use in RA, GCA, poly and systemic JIA - should be available in January 2019. https://t.co/YzFHyYxQlS
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
Study of 2053 RA patients from VA medical centers found 27% with chronic lung disease that confered a 51% increased mortality risk; sadly this was not altered by MTX or biologic therapy. https://t.co/nYFnScSXQ4
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Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
I prefer more slides with less data per slide rather than fewer slides jam packed with multiple miniscule figures #ASH18
John P. Leonard, MD @JohnPLeonardMD ( View Tweet )
7 years 8 months ago
We are not only doctors for the elderly. Many of our patients are young or even children. Sometimes we treat banal conditions but also we manage severe & autoimmune disorders with systemic involvement. We use innovative therapies.
Didn't you know us? We are the Rheumatologists
Emilio Martin Mola @emartinmola ( View Tweet )
7 years 8 months ago
This is a great conference! https://t.co/GEDlj44jLE
Dr. John Cush @RheumNow ( View Tweet )
7 years 8 months ago
