Rheumnow Podcast

This is an updated virtual joint exam from Dr. Jack Cush at RheumNow.com Scripted elements - Inspection, ROM, contralateral comparison - Single Hand MCP frontal view, nail inspection - MCP squeeze, PIP/finger squeeze - Praying hands for prayer sign - Finger flextion - Fist bump to camera, Fist/wrist flexion - extend arms/elbows towards camera - Hands on ears, elbows out (abduction, ext rotation), Bring elbows together (adduction, Int rotation) - TMJ palpate and open mouth - Neck Flex, extend, Lateral bending R and L - Rise and walk away from Camera - Focus on patients primary problematic joint

Grand Rounds presentation by Dr. Randy Cron (UAB)

Dr Jack Cush reviews the news and journal articles from the past week on RheumNow.com

Dr. Philip Robinson presents latest data on the Rheum-Covid.org Registry established by the Global Rheumatology Alliance. Dr. Peter Nash presents the impact of COVID in Australia and pragmatic COVID management.

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com

Dr. Joan Merrill (OMRF) discusses lupus, thrombotic microangiopathy, complementopathies, catastrophic lupus syndrome and vascular pathology in COVID-19 infection

Grand Rounds Presentation by Dr. Len Calabrese

An Interview with Dr. Herb Baraf and Dr. Dan Ricciardi on the state of private practice rheumatology, technology, Telehealth, Return to normal, the future and more....

Dr. Barry Gruber explains why you cannot space Denosumab treatments

Dr Jack Cush reviews the news and journal reports from the past week on RheumNow.com

Dr Jack Cush reviews the news and journal articles from the past week. Many interesting early reports on the use of rheumatic drugs, including hydroxychlorquine, IL-6 inhibitors, canakinumab, baricitinib and colchicine. Below are some of the links or citations of interest.

Dr. Artie Kavnaugh from UCSD runs journal club and discusses Journal Article: Mathian A, et al. Withdrawal of low-dose prednisone in SLE patients with a clinically quiescent disease for more than 1 year: a randomized clinical trial. Annals of Rheumatic Disease 2020; Mar;79(3):339-34 https://bit.ly/2S3VOBc

Dr. Jack Cush reviews the 2 minute Video Virtual Joint exam.

Dr Jack Cush reviews the news, journal reports, twitter feed and COVID developments from the past week on RheumNow.com

Dr. Alvin Wells gives a primer on Telerheumatology and Telemedicine in the era of COVID-19. 30 minute lecture is followed by stimulating 30 minutes of Q&A

Dr Jack Cush reviews the news, journal articles and new ACR COVID-19 guidelines from the past week on RheumNow.com

Dr. Jack Cush reviews the appproach to evaluating fever in adults suspected of having a rheumatic disease, Stills disease or autoinflammatory conditions. Presentation, disease criteria and genetic testing are discussed. For more information on this subject go to StillsNow.com

Dr. Jack Cush reviews the appproach to evaluating fever in adults suspected of having a rheumatic disease, Stills disease or autoinflammatory conditions. Presentation, disease criteria and genetic testing are discussed. For more information on this subject go to StillsNow.com

Dr. Jack Cush reviews the safety of biologic agents and newer therapies for rheumatoid arthritis and inflammatory arthritis

Dr Jack Cush reviews the news and journal reports from the past week on RheumNow.com

Dr Jack Cush reviews the news and journal reports from the past week on RheumNow.com

Part III - Audience Questions 54:14 How comfortable are you with telephone or televideo visits with your patients? 57:24 A Covid (+) patient was treated at home, how long after the infection till you resume the biologic? 1:00:00 PsA Case, post TKR, off adalimumab, now flaring skin and joints and has low grade fever, cough and aches; is it safe to restart the TNF inhibitor in the COVID-19 era or what would you do? 1:03:58 Is hydroxychloroquine protective; Should we screen before IV infusions? 1:04:29 What dose of prednisone is immunosuppressive? 1:05:50 Is it Hydroxychloroquine may not be helpful in HIV and chikungunya? 1:07:03 What are your policies on seeing new patient consults in clinic? 1:09:10 What will happen to ongoing clinical trials in rheumatology? 1:11:41 Are you having a hard time getting HCQ for your patients? 1:12:04 Should we look at COVID-19 viral loads? 1:13:12 Who wears masks in your clinic – doctors; staff; patients? 1:16:22 During the PPE shortage, can masks be reused? 1:18:33 How good/valid are patient self-joint exams? 1:20:30 How are you handling patient requests for letters to be excused from work? 1:23:45 Adjorn; Look for Tuesday Night Rheumatology – Grand Rounds starting 4/7/20 8PM EST (5PM PST) John J. Cush, MD Executive Editor RheumNow.com Follow me on twitter @RheumNow

Part II – Audience Questions 33:32 What about the timing of hydroxychloroquine use and for how long? 34:50 Should patients on bDMARDs or tsDMARDs (because of presumed risk) not go to work and should we write letters for such people? 37:05 Bush Administration disaster preparedness guidelines and supporting patients 39:06 What infusions should we not do? Denosumab? Zolendronic acid? 41:09 What to do about tocilizumab infusions being COVID diverted? What are the alternatives? 44:09 Should you start your lupus or RA patient on hydroxychloroquine or a new biologic in this era? 46:58 A patient has a resolved COVID-19 infection, would you start a biologic if needed? 47:21 Is anyone worried about the cardiotoxicity of hydroxychloroquine or chloroquine? 48:42 Would you the doctor, self-medicate, or prophylax, with HCQ if you have new onset suspicious symptoms? 50:04 Should rheumatologists do inpatient consults during the COVID? 51:30 If tests were universally available, would you test all your rheumatology patients for COVID-19?

Part I Panel Questions 0:00 Introduction 1:22 How has the COVID-19 pandemic affected you? 4:09 What’s the most common question you’re getting and what is your response? 8:06 What adjustments have you made in your practice or how has your practice changed? 13:13 Things we are not doing anymore… 13:40 Questions amongst panelists 13:33 A Kavanaugh (to K Winthrop) What’s the evidence favoring the evidence hydroxychloroquine (French Study) 16:40 J Cush (to C Calabrese) Is azithromycin an effective COVID therapy? 17:45 C Calabrese (to K Winthrop) What about “Universal Masking”? 20:24 A Matsumoto (to ID docs CC, KW) When can patients (or healthcare workers) resume infliximab infusions after being symptomatic? 24:23 A Wells (to AK) what to do with trainees during this “shutdown”? 25:55 A Wells (to CC) What about the new 15 min test vs the ‘real time' (PCR) test? 26:22 J Cush on the Global Rheumatology Alliance - rheum-covid.org 27:25 Are Rheumatic patients “at-risk” for COVID-19 infection or worse outcomes?

Q&A with the Experts: Drs. Cassie Calabrese, Jack Cush, Artie Kavanaugh, Alan Matsumoto, Alvin Wells & Kevin Winthrop

Dr. Jack Cush reviews the news on COVID-19 and FDA actions this past week. Be sure to check out: - COVID-19 Town Hall for Rheumatologists - ID Specialist Dr. Jade Le answers questions about COVID issues https://t.co/o79FJ8QhDY - RheumNow interviews Dr @philipcrobinson about the COVID-Global Rheumatology Alliance Registry https://t.co/pOlm58QkZD

Dr. Jade Le is an infectious disease specialist in Dallas, TX She addresses PPE, masks, Package delivery, Managing suspicious Sxs, Testing and consulting ID

Interview with Dr. Philip Robinson, Univ. of Queensland

Why the Virtual Visit is the Future of Rheumatology

Dr Jack Cush reviews the news and COVID developments from this past week

COVID RHEUMNOW PSAs (1 - 5) by Dr. Cush

Dr. Jack Cush dispels a number of myths about the COVID/Corona pandemic.

1. Telemedicine 2. Remote Care - Connecting and Coding 3. Telemedicine in Academia and Private Practice - features Dr. Daniel Albert too!

Dr. Kevin Winthrop Answers COVID questions and advocates for "hit the pause button, lay low & Exercise". We discuss, baricitinib, losartan, COVID testing, Next Success and who to listen to.

Drs. Cush and Kavanaugh Discuss the downside of stopping Plaquenil, DMARDs and biologics in lupus, RA and pregnancy

Rheumnow PSA 3 COVID Safety Advice by Dr. Cush

Rheumnow PSA 2 Your Medical Care by Dr. Cush

Dr Jack Cush answers the following questions: Q: Do I stop my disease-modifying anti-rheumatic drugs? A: NO! This and my other tips for managing arthritis medicines: link Q: Do I stop my biologics? A: NO! See this and other tips I've put together for patients on managing arthritis medicines: link Q: What should I do about refills, and should I be worried about shortages? A: Watch the video to see what I'm telling my patients: link Q: Am I immunosuppressed?

Eric Ruderman, MD - Infusions In The Time Of Corona by Dr. Cush

Dr. Kathryn Dao - Transforming Your Rheum Clinic by Dr. Cush

Sequencing Of COVID - 19 Treatment by Dr. Cush

Michelle Petri, MD, MPH - Managing Hydroxychloroquine by Dr. Cush

Rheumnow PSA - Managing Your Arthritis Medicines by Dr. Cush

Dr. Jack Cush reviews the past week of COVID-19 news and advances.

QD Videos 86 - 88 by Dr. Cush

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com YouTube Link: https://youtu.be/J-A3V1pILWA

QD Clinic - Lessons from the clinic The Rheumatologists Role in Comorbidity Management Features Dr. Jack Cush YouTUbe link: https://youtu.be/1R6J_-WM49Q

QD Clinic - Lessons from the clinic Tips on using Leflunomide Features Dr. Jack Cush YouTube link: https://youtu.be/XF2XKuWkg1Q

QD Clinic - Lessons from the clinic Tips on using Leflunomide Features Dr. Jack Cush YouTube Link: https://youtu.be/mLEFPYVl3vk

QD Videos 81 - 85 by Dr. Cush