Monday, 21 Oct 2019

TODAY'S HEADLINES

Joint Injections: Are They Worth the Risk?

Intra-articular injections of corticosteroids for relief of the pain of hip or knee osteoarthritis (OA) may have adverse long-term consequences, researchers suggested.

Protective Effects of ASA and Vasodilators in Systemic Sclerosis

A large cohort study suggests that the use of vasodilators and aspirin (ASA) in systemic sclerosis (SSc) may yield favorable  cardiovascular outcomes.

High Dose Statins Increase Odds of Osteoporosis

It is unknown if inhibiting cholesterol synthesis (with statins) might influence sex-hormone production and therefore, the risk of osteoporosis. A new study shows that, in statin-treated individuals, the development of osteoporosis is statin dose-dependent.

Comorbidity Worsens Axial Spondyloarthritis

Comorbidities are common in patients with axial spondyloarthropathy (axSpA), and a recent study has shown that multimorbidity, the coexistence of 2 or more conditions, is associated with more severe disease than those without comorbidities.

Myositis Patients at High Risk of Opportunistic Infections

Among patients with systemic rheumatic diseases, the highest incidence of opportunistic infections was seen in those with polymyositis/dermatomyositis (PM/DM), Taiwanese researchers found.

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In this video, Dr. Roy Fleischmann discusses data from the SELECT-COMPARE trial with RINVOQ™ (upadacitinib).
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Since moving to South Florida (also popularly known as "God's Waiting Room" by the locals). I've learned a lot more about Lipstick Rheumatology. This moniker was made famous by my friend and colleague, Dr. Kathryn Dao, who first wrote about the nuances of being a female with rheumatic disease. This blog focuses on three popular products recommended by my female patients that serve as life improving hacks.
A water pipe in my house broke, and I had to call for emergency plumbing service. The next day I went to the hospital, where I was on my two weeks of General Medicine inpatient attending. An elderly man was admitted, cared for, and following this patient's successful hospital discharge several days later, something occurred to me.
After a few clinic no-shows, our clinic partner discussions lapsed into a discussion of clinics, especially bad clinics. Amidst the cussing and discussing of clinic experience, my partner, Dr. Dao, threw out the phrase, “clinic exorcism”! What a great title for a different kind of blog. When clinic operations and operators are truly bad, who you gonna call? Not Clinic Busters. Think about clinic exorcisms designed to eradicate potentially hazardous patients, employees, partners or certain clinic practices.
How do you help your patients who are resistant to your medical recommendations when they are receiving biased information from friends, family, and the internet? I wanted to share with you two cases and my approach.
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