AI Passes U.S. Medical Licensing Exam
Two artificial intelligence (AI) programs -- including ChatGPT -- have passed the U.S. Medical Licensing Examination (USMLE), according to two recent papers. https://t.co/E5GEWrJR00https://t.co/nd9PrLVn4U
Skin manifestations in MDA5 phenotype #inflammatorymyopathy
✅Punched out ulcers on arm, forearm, extensor aspect of elbow
✅Extensive ulcers in PIP and DIP creases
✅Vasculitic rash over fingers with digital ischemia and erythematous palmar papules
👉https://t.co/hUc6Lakww0https://t.co/smJ1BrSWGc
Why not end your patient visit with a recitation pledging your service and commitment:
"Your coming to see me to day is very important, to the both of us. I pledge to be of service to you. Together WE can certainly improve your health" https://t.co/HrzbipL1ZGhttps://t.co/amDCk309wi
Subanalysis of Scleroderma Lung Study II (MMP vs CTX in SSc-ILD) showed pt reported GI reflux (~moderate) was independently associated with the change ILD and fibrosis over two years (but not so for esophageal dilation) https://t.co/5Gz2vfOockhttps://t.co/N2FsvNe24M
Have a Rheumatology question or case for Jack Cush? Record it here and we may feature it on an upcoming podcast. Tell us your name and where you practice rheumatology.https://t.co/RaFKTqhQjNhttps://t.co/hH0NcpOoyx
Recent NEJM has reviewed arthroplasty-associated infection and PJI, noting this is a rare event; notably these infections are caused by skin microorganisms introduced during arthroplasty surgery or may be seeded post-surgically.https://t.co/DXflkGnsdKhttps://t.co/GgfeSSl4xJ
JAMA: 13 million In US have latent TB (5-10% risk of getting active TB). Review of LTBI regimens:
- Preferred: 4 mos Rifampin: better/safer of INH
- Preferred: 3 mos of INH + rifapentine - more completers less SAE
- ALternative: 6-9 mos of INHhttps://t.co/vZTmSKTFWuhttps://t.co/W7BraJs6yC
New Hope for Hand Osteoarthritis
The drug talarozole – which increases retinoic acid – could be a promising new treatment for hand osteoarthritis. https://t.co/AHoEZM75mhhttps://t.co/dZ1LWWoNl5
Join us! Take advantage of our early bird pricing.https://t.co/9Up0ZgaRP2What attendees say about our meeting:
100% found the program free of commercial bias.
99% would recommend RheumNow Live to colleagues.
95% describe the content as extremely relevant to their practice. https://t.co/HOmh0CMyyJ
Join RheumNow Live in person or virtually on 3/18 and 3/19. This meeting is unlike any other meeting you attended.
But don't take our word for it, last year's attendees say:
"Great conference. Best in the last year. I did Hopkins, CCR, and ACR too"https://t.co/Im6xStFwOwhttps://t.co/NhdbkNo1jl
Half of all outpt. MDs are bound by restrictive covenants. FTC is considering a ban on noncompete clauses. AMA) code of ethics discourages covenants that "unreasonably restrict". FTC the rule change could save Pts up to $148 billion https://t.co/nssfbrxnLRhttps://t.co/8hGArfGEGW
Degeneration seen in #OA may be related to cartilage tissue stiffening with the repression of a key longevity protein α-Klotho brought about by epigenetic changes. Downregulated Klotho gene expression accelerated chondrocyte senescence https://t.co/HBLeLIlmJGhttps://t.co/T7d6EodDYN
"It takes alot of courage to reach out and say 'I need some help on this one'" (Carla Harris)
Put on your big-boy pants, woman-up and ask for advice, not from anyone - go to the right person/people - you know who they are! https://t.co/GUs1nCvXeU
2022 Memorium
Sadly, too many of our rheumatology colleagues passed on in 2022. Here is an (incomplete) list of notable brethren, mentors, do-gooders and great rheumatologists.https://t.co/wtr4ablgUmhttps://t.co/xPpgnrEQWz
Neutrophil-to-lymphocyte ratio (NLR) was studied in 205 Idiopathic pulmonary fibrosis (IPF) pts - NLR correlated with lung function, & outcomes - NLR >= 2.9 was associated with a significant 2 fold increased risk of mortality https://t.co/FCuKx2NfeChttps://t.co/iIb9uIGBAE
Rheumatology Giants in who passed away in 2022:
Eric Gall
William Wilke
John Winfield
Peter Simkin
Roy Altman
Samuel Strober
James Fries
Robert Lightfoot
Bart Lindsley https://t.co/BX3fGBVre7https://t.co/ToxZOZHOhU
For 2023 - what you going to focus on with your patients? Same ole, same ole means youre not getting better. How about focusing on 2 main messages, mine would be patient "STRENGTH" and "COMPLIANCE" (meaning more Rx education) https://t.co/fEIVYk6Z9m
According to a 2022 Review of Physician and Advanced Practitioner Recruiting Incentives" by Merritt Hawkins, orthopedics has the highest salary & pediatrics the lowest. Rheumatology: Low: $200,000, Average: $258,000, High: $325,000 https://t.co/PmmAj9s2Vqhttps://t.co/nEzp4pWiG0
Differential Dx of hyperferritinemia (≥500 μg/) in critically ill ICU pts includes: sepsis, liver disease/failure, hematological malignancy, HLH. Single center study of 2583 patients https://t.co/F5Dz2qpmAyhttps://t.co/ZWnxHGoQR1
In GCA, Hospital Admission Is Bad News
1/3 of patients admitted w/ GCA were rehospitalized within 6 months, largely because of complications potentially related to corticosteroid therapy, researchers found in a retrospective cohort study. https://t.co/zaWZn7F9slhttps://t.co/OfuyZxNbaa
Join us for RheumNow Live this March 18-19 in Dallas, TX! We're not like other meetings--we're answering the questions you want answered.
RNL is a meeting to engage your mind and change your practice. Join us in-person or virtually!https://t.co/bMphD12Biehttps://t.co/Hx0uHAIUWd
Extreme Global Costs of Physical Inactivity
A global, population-based study shows that physical inactivity is not only an important modifiable risk factor for NCDs and mental health conditions, it also imparts a considerable health and economic burden.
https… https://t.co/eZEW6LGpiL
Medical (AKA surgical) masks are not inferior to N95 fitted masks. A study of 1009 medical workers in 4 countries caring for COVID+ infected patients shows equal rate of PCR+ COVID tests (10.5% vs 9.3% +) (HR 1.14 [95% CI, 0.77 to 1.69]) https://t.co/wTuLHcOxlOhttps://t.co/gjqfLOU7JW
Patients and their family for years have been inviting me to their dinners, picnics, baptisms, anniversaries, and funerals. I always felt somewhat awkward when asked to participate in a patient’s life outside of my office or the hospital setting and usually will decline politely. I tell myself I should not blur the lines between patient care and friendship.
I broke this rule recently.Read Post