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U.S. Air Force - Basic Measures in Basic Training to Avoid COVID-19

Jun 02, 2020

In the current issue of MMWR, the CDC reports that among military personnel starting basic training, the use of nonpharmaceutical interventions (NPI) may significantly reduce the risk of COVID-19 infection. NPIs advocated include screening measures, testing, administrative measures, quarantine,

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Proud of this amazing collaboration with @zach_wallace_md: 52 rheumatic cases vs. 104 non-rheumatic comparators, all infected with COVID-19. Rheum cases had 3-fold risk of mechanical ventilation @BrighamResearch @MGHMedicine https://t.co/nBXe78i4JU

Jeff Sparks jeffsparks ( View Tweet)

May 27, 2020
Governor Cuomo cites NY study showing front line workers have lower rates of COVID positivity - Suggests that WEARING PPE's Works! (NY population 20% vs 14% transit workers & 12% healthcare workers & 10.5% NYPD and 17% FDNY/EMTs) https://t.co/pfC9rKHKVz

Dr. John Cush RheumNow ( View Tweet)

May 21, 2020

Outcomes of Critically-Ill COVID Patients in NYC

May 21, 2020

Lancet has reported COVID outcomes from NewYork-Presbyterian hospitals in NYC during March 2020 showing high rates of hospitalization, ICU admission, mechanical ventilation and death. 



A prospective observational cohort study 2 2 NYC hospitals from March 2 to April 1, 2020, looking at

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NEJM report shows that hospitalizations for acute MI are down ~-40% with the onset of the COVID Crisis (data from Kaiser N. California) - Will the shutdown/lockdown lead to other necessary services or hospital admissions? https://t.co/onpFhsDE9Z

Dr. John Cush RheumNow ( View Tweet)

May 21, 2020
Specialties w/ highest percentage of women? OBGYN 58%, Peds 59%, Rheumatology 54%, Derm 49%, Endocrine 45%, Family medicine 43%, Psych 43%, Pathology 40%, IM 36%, ID 36%; yet men (375K) earn 31% more than women ($286K) as specialists https://t.co/oNTwm8vRFq

Dr. John Cush RheumNow ( View Tweet)

May 21, 2020

BCG & COVID: 1) Israeli study shows BCG vaccination during childhood had no protective effect on getting COVID-19 infection later. 2) Bladder cancer pts on BCG therapy who get COVID infection, can safely take IL-6 or IL-1 inhibitors, Just not TNF inhib.

Dr. John Cush RheumNow ( View Tweet)

May 14, 2020
New axioms in the time of #COVID-19 1. Always assume every patient may have COVID-19 2. Always assume your Zoom camera is on. 3. Always assume your microphone is live. 4. Always assume something will be fundamentaly different next week. @medicalaxioms #covid4MDs

T. Scott Diesing, M.D. diesing_t ( View Tweet)

May 13, 2020
Interview w/ Private Practice Rheums on Covid - Drs. Herb Baraf and Danny Ricciardi. DC & Brooklyn Docs wrangle technology, Telehealth, Return to normal, the future and more.

Dr. John Cush RheumNow ( View Tweet)

May 13, 2020
God Bless our Nurses! Happy Nurse Week! https://t.co/5TRitXfvpu

Dr. John Cush RheumNow ( View Tweet)

May 13, 2020
Why are more MEN (severely?) affected in COVID-19? Men have higher levels of circulating ACE2 (unrelated to ACEi or ARB HTN meds) based on a Biobank study of 1485 men, 537 women.

Dr. John Cush RheumNow ( View Tweet)

May 12, 2020
A new feature of COVID-19; "Covid toes" manifest as multifocal, asymmetric, erythema, ecchymoses, ischemic changes that blister or appear vasculitic. The toes, heel and soles can be affected. Healing in 12-20 days. https://t.co/Isqn9ebnQj

Dr. John Cush RheumNow ( View Tweet)

May 12, 2020
American Hospital Association (AHA), in a new report, projected a loss of $202.6 billion from COVID-19 expenses and lost revenue for US hospitals and health systems from Mar 1 to Jun 30—about $50 billion in losses each month. https://t.co/pidOduwnDb

Dr. John Cush RheumNow ( View Tweet)

May 08, 2020
COVID-19 Does alot of Damage via thrombotic complications - a role for complement or autoantibody mediated thrombotic microangiopathy? #COVID19 https://t.co/33R8WxE5C0

Dr. John Cush RheumNow ( View Tweet)

May 07, 2020
Random thought about virtual clinics. Beginning to think that phone just as good as a stop gap as video. Less performative, more relaxed, and less tiring. Rheumatology is mainly (mainly) about history esp for those patients you know well.

Ronan Kavanagh RonanTKavanagh ( View Tweet)

May 07, 2020
“Middle-high level of RF-IgM could lead to false-positive reactivity of SARS-CoV-2 IgM “ As more people want SARS-CoV2 antibody testing, I am afraid this will give people a false sense of security ⁦@RheumNow⁩ ⁦@ACRheum⁩ NCBI - NLM - NIH https://t.co/vkjWRJQV27
May 07, 2020
5 reasons Telehealth is here to stay: 1) Fast adoption fostered by technology; 2) Lowered regulatory hurdles; 3) Improved financial reimbursements; 4) Video Telehealth can be built upon; & 5) Untapped potential with adoption by Pts and MDs https://t.co/UMeRyUtKn

Dr. John Cush RheumNow ( View Tweet)

May 07, 2020
"Permanence, perseverance and persistence in spite of all obstacles, discouragements, and impossibilities: It is this, that in all things distinguishes the strong soul from the weak." - Thomas Carlyle

Dr. John Cush RheumNow ( View Tweet)

Apr 28, 2020
On April 24, FDA issued a Drug Safety Communication stating HCQ and CQ have not been shown to be safe and effective in COVID-19 and that HCQ/CQ should not be used outside of hospitalized or pts in clinical trials. https://t.co/l2DNBhhvTR

Dr. John Cush RheumNow ( View Tweet)

Apr 27, 2020
"Yeah, you might beat me today, but then you’re gonna have to fight me again tomorrow and the day after that and every single day from now on until I kick the #$%! out of you, which I will.” - William Costanzo

Dr. John Cush RheumNow ( View Tweet)

Apr 26, 2020
There’s a saying that anyone driving faster than you is crazy and anyone driving slower doesn’t know how to drive. Similar with COVID-19: anyone taking more precautions than you has an anxiety issue and anyone taking fewer is an idiot.

Adam Cifu adamcifu ( View Tweet)

Apr 24, 2020
Dr C Kershaw @UTSWNews grand rounds on ventilation in #COVID19 Why putting pts in prone position might help with ARDS ⁦@RheumNow⁩ https://t.co/I0AOx72Jwl
Apr 24, 2020
Dr. Kavanaugh said it well in his blog on the "Upside of Covid" Humanity is really shining thru these days. Im truly touched by all my patients who ask about my health and my safety during COVID-19 == we all have to look out for each other!

Dr. John Cush RheumNow ( View Tweet)

Apr 23, 2020
NY State study shows 13.9% of population to be COVID (+) by Antibody testing; (+) means previously exposed. (+) COVID results were not different between all age groups. Given 15,500 deaths in NY, that means the COVID death rate is 0.5% https://t.co/LCDPeBLy2r

Dr. John Cush RheumNow ( View Tweet)

Apr 23, 2020

ACR COVID-19 Guidance for Rheumatic Disease Patients

Apr 14, 2020

On April 11th, the ACR Board of Directors approved a COVID-19 guidance document written by an ACR task force charged with updating and clarifying recommendations for rheumatologists and rheumatic disease patient management during the current COVID-19 crisis.

This ACR release, in its

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