TheDaoIndex
@thedaoindex.bsky.social
Co-chair for the new ACR Women in Rheumatology Taskforce. Private practice, academics, industry- I’ve experienced it all. Views are my own. #iLOVErheumatology.
Peter’s Pearls in vasculitis - Dr Merkel noted:
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
September 18, 2025 at 5:38 PM
Peter’s Pearls in vasculitis - Dr Merkel noted:
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
1. Do NOT follow ANCA titers
2. Anti-PR3 ANCA more likely to relapse
3. ANCA+ EGPA behaves like GPA/MPA
4. Don’t delay is there is Pulm hemorrhage/ RPGN
5. Steroids save lives in the short term
#CCRwest
Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport
August 16, 2025 at 1:13 PM
Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport
This is pretty cool- I tried out Open Evidence (ChatGPT for HCPs). It can generate mock board questions, write discharge planning, help with medical decision making. The last photo is a fictional case to see how it would care for a 78 yo w/RA, recurrent infx & HCV @EvidenceOpen
March 11, 2025 at 4:09 PM
This is pretty cool- I tried out Open Evidence (ChatGPT for HCPs). It can generate mock board questions, write discharge planning, help with medical decision making. The last photo is a fictional case to see how it would care for a 78 yo w/RA, recurrent infx & HCV @EvidenceOpen
Thanks Alabama Society for the Rheumatic Disease for having me come review the 2024 ACR Lupus Nephritis Guidelines. Lively discussions and great company! #SLE #LupusNephritis
February 21, 2025 at 11:43 AM
Thanks Alabama Society for the Rheumatic Disease for having me come review the 2024 ACR Lupus Nephritis Guidelines. Lively discussions and great company! #SLE #LupusNephritis
Who’s liable for an incorrect #AI diagnosis or medical advice? Is this a reason why physicians are slow to adapt AI in their practice? Interesting law review article on this www.acsh.org/news/2024/03... @rheumnow.bsky.social
February 9, 2025 at 4:04 PM
Who’s liable for an incorrect #AI diagnosis or medical advice? Is this a reason why physicians are slow to adapt AI in their practice? Interesting law review article on this www.acsh.org/news/2024/03... @rheumnow.bsky.social
80% #hydradenitis suppurativa pts are smokers or former smokers, smoking can predate #HS by 4-5 years. Other associations: DM-2, Spa, obesity, SAPHO, PCOS eval for SCC (squ. cell CA) #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:58 PM
80% #hydradenitis suppurativa pts are smokers or former smokers, smoking can predate #HS by 4-5 years. Other associations: DM-2, Spa, obesity, SAPHO, PCOS eval for SCC (squ. cell CA) #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:57 PM
"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
"Vinegar water or 1 tbs bleach to 1 gallon water can help with the odor from #Hidadrenitis" - Dr. J Cather reviewed goals of therapies and Rx's (while laser hair removal can help, it also can cause problems; intralesional steroids can cause atrophy)
@rheumnow.bsky.social
#RNL2025
@rheumnow.bsky.social
#RNL2025
February 9, 2025 at 3:56 PM
"Vinegar water or 1 tbs bleach to 1 gallon water can help with the odor from #Hidadrenitis" - Dr. J Cather reviewed goals of therapies and Rx's (while laser hair removal can help, it also can cause problems; intralesional steroids can cause atrophy)
@rheumnow.bsky.social
#RNL2025
@rheumnow.bsky.social
#RNL2025
Dr. C Bakewell's PEARLs on imaging in #ankspond & #PsA:
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
February 9, 2025 at 3:54 PM
Dr. C Bakewell's PEARLs on imaging in #ankspond & #PsA:
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
- PsA may have +HLA-B08 and B28 (esp if it looks like candle drip--not just B27)
- for PsA, up to 30% of pts will have spinal lesions without Si joint changes
- for AS, MRI SI joints, xray the spine #RNL2025
@rheumnow.bsky.social
Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
February 9, 2025 at 3:49 PM
Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025
@rheumnow.bsky.social
@rheumnow.bsky.social
What are RA flare risks? @rheumnow.bsky.social #RNL2025
February 9, 2025 at 3:47 PM
What are RA flare risks? @rheumnow.bsky.social #RNL2025
February 9, 2025 at 3:46 PM
WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social
February 9, 2025 at 3:45 PM
WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social
"NO guidelines address RA flares!" - @rheumnow.bsky.social
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
February 9, 2025 at 3:43 PM
"NO guidelines address RA flares!" - @rheumnow.bsky.social
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
on how flares are perceived as bad and important, but yet, no standard definition, guidance on this #RNL2025
#RNL2025. RA flare definition differs w/ clinical trial. Pt's flare definition is even more different. Recent study defined flare as sDAI >=4.7 or CDAI > =4.5. a longer flare is worse than a shorter flare. Can't rely on DAS28 & low correl w/VECTRA or biomarkers. @rheumnow.bsky.social
February 9, 2025 at 3:40 PM
#RNL2025. RA flare definition differs w/ clinical trial. Pt's flare definition is even more different. Recent study defined flare as sDAI >=4.7 or CDAI > =4.5. a longer flare is worse than a shorter flare. Can't rely on DAS28 & low correl w/VECTRA or biomarkers. @rheumnow.bsky.social
#RNL2025 @rheumnow.bsky.social on SGLT2/GLP-1 helpful for PsA, PsO... likely Rheums will be more comfortable writing these Rx's given the benefits seen for the inflammatory disease. Make sure you know side effects and how to titrate them.
February 8, 2025 at 6:10 PM
#RNL2025 @rheumnow.bsky.social on SGLT2/GLP-1 helpful for PsA, PsO... likely Rheums will be more comfortable writing these Rx's given the benefits seen for the inflammatory disease. Make sure you know side effects and how to titrate them.
I registered to attend RheumNowLive in person … this will make it even more interesting. #ACR25 will need to step up its game @vksandhumd.bsky.social @rheumepi.bsky.social @rheumcat.bsky.social
January 15, 2025 at 8:09 PM
I registered to attend RheumNowLive in person … this will make it even more interesting. #ACR25 will need to step up its game @vksandhumd.bsky.social @rheumepi.bsky.social @rheumcat.bsky.social
"If you want a planned pregnancy, you need to first prevent an unplanned pregnancy ." - @kidneydoc101.bsky.social on pregnancy challenges for patients with #LupusNephritis @kdigo.org
January 13, 2025 at 8:16 PM
"If you want a planned pregnancy, you need to first prevent an unplanned pregnancy ." - @kidneydoc101.bsky.social on pregnancy challenges for patients with #LupusNephritis @kdigo.org
Prof TM Chan highlights key management objectives in #LupusNephritis @goKDIGO
January 13, 2025 at 6:36 PM
Prof TM Chan highlights key management objectives in #LupusNephritis @goKDIGO
Anyone who has interest in Glonerular diseases (eg #LupusNephritis #AAV #IgAN) — @KDIGO.org is having its inaugural guidelines educational meeting happening today and tomorrow … note time zone (LN session at 12:30 CST today) kdigo.org/kdigo-direct...
January 13, 2025 at 5:21 PM
Anyone who has interest in Glonerular diseases (eg #LupusNephritis #AAV #IgAN) — @KDIGO.org is having its inaugural guidelines educational meeting happening today and tomorrow … note time zone (LN session at 12:30 CST today) kdigo.org/kdigo-direct...
My dear friend Dr Eugene Fung is retiring after decades of providing rheumatologic care for the people of Central Texas. Even at his retirement party, he continues to teach us. @rheumnow.bsky.social
January 6, 2025 at 3:25 AM
My dear friend Dr Eugene Fung is retiring after decades of providing rheumatologic care for the people of Central Texas. Even at his retirement party, he continues to teach us. @rheumnow.bsky.social
“On average male doctors earn 29% more than female doctors in 2023” www.medscape.com/slideshow/20...
January 6, 2025 at 3:18 AM
“On average male doctors earn 29% more than female doctors in 2023” www.medscape.com/slideshow/20...
Need a cause for end-of-year donations? The Lonestar LFA @LupusOrg is hosting their 3rd annual camp in North Texas for children living with #SLE
Donations can be made by texting LUPUS to 707070 or visiting their website: secure3.convio.net/lfach/site/Don…
Registration for the camp is opened, too
Donations can be made by texting LUPUS to 707070 or visiting their website: secure3.convio.net/lfach/site/Don…
Registration for the camp is opened, too
December 19, 2024 at 6:58 PM
Need a cause for end-of-year donations? The Lonestar LFA @LupusOrg is hosting their 3rd annual camp in North Texas for children living with #SLE
Donations can be made by texting LUPUS to 707070 or visiting their website: secure3.convio.net/lfach/site/Don…
Registration for the camp is opened, too
Donations can be made by texting LUPUS to 707070 or visiting their website: secure3.convio.net/lfach/site/Don…
Registration for the camp is opened, too