Fact or fiction? 🤔 "Being trans is just a fad and social contagion." "There's no evidence, so gender affirming care should be banned." @drbrendannolan1.bsky.social and I answer some of this #misinformation about #transhealth in our latest article 🏳️⚧️ 👉 onlinelibrary.wiley.com/doi/10.1111/...
Learning is never a waste of time.
“We’re not going anywhere. What’s more: we’re expanding.”
Nearly a dozen of Minnesota’s foremost experts on gender-affirming care collaborated on this beautiful op-ed in today’s Strib. No paywall.
A vicious 🔄 - we all know steroids contribute to weight ⬆️ , but this study by Cimmino et al also demonstrates how a higher BMI is associated with increased pain & fatigue in PMR patients.
Of course these symptoms often results in higher doses of steroids…
www.jrheum.org/content/52/2...
#rheumsky
A sad but important time to remember this study in Lancet Public Health that found lack of access to gender-congruent government identification was linked to greater odds of suicidality for #trans Americans.
www.thelancet.com/journals/lan...
Nor am I!
Cessation methods used by the physicians. PCP, primary-care physician; STAR, situation, task, action, and result
Physician interviews highlight variability in perceptions and existing barriers regarding smoking cessation in rheumatoid arthritis patients, emphasizing need for tailored, multifaceted approaches to this critical health issue
In Arthritis Care & Research
doi.org/10.1002/acr....
#Medsky
A new study finds clinical factors that may predict successful withdrawal of glucocorticoid (GC) use in people with #lupus. Read the study:
Progressive ulceration and leakage of serum-calcific material at the right elbow (A). A CT scan with 3D rendering was performed in the suspicion of fistulized calcinosis cutis (B and C). The procedure allowed the fistula to be cannulated for a few millimeters, without, however, carrying out a complete fistulography, probably because of fibroinflammatory phenomena linked to calcinosis cutis
Severe calcinosis cutis in a 63-year-old patient affected by multirefractory dermatomyositis
Progressive ulceration and leakage of serum-calcific material at the right elbow (A)
A CT scan with 3D rendering was performed in the suspicion of fistulized calcinosis cutis (B and C)
#Medsky #Dermsky
You asked for it! Bitter Orange Tart is #RecipeOfTheDay www.nigella.com/recipes/bitt...
Sunday morning.
This morning’s cameraphone shot taken on the beach just before sunrise. ☕️
#photography #brisbane #sunrise
New study finds that drinking coffee is linked to lower risk of all-cause mortality, but only for exclusively morning drinkers. ☕️
www.medpagetoday.com/primarycare/...
So I better pick up that morning espresso, but put down the evening espresso martini!
Worth a read:
Some real world data on Rituximab or Tocilizumab (in combo with Mycophenolate) in SSc-ILD.
Both stabilised lung function.
It appears males were more likely to respond to RTX. Interesting 🤔
academic.oup.com/rheumatology...
Screenshot of news article reporting Queensland will again have free flu vaccines for everyone, and are being urged to not give in to ‘vaccine fatigue’.
The Queensland Government's decision to provide free flu vaccinations for everyone in the state is a smart move.
This will help keep Queenslanders healthy and relieve pressure on our hospitals, while saving patients money.
Vaccines are our best protection against the flu. 1/2
Using anticonvulsants (gabapentin, pregabalin) for many kinds of pain is WAY up. And this study links those drugs to 30% more hip fractures … a far worse outcome for those patients than any pain they were trying to treat.
jamanetwork.com/journals/jam...
A festive Christmas cake with candied nuts on top
Wishing everyone a very cosy Christmas (if you celebrate) and happy holidays to all!
ard.bmj.com/content/earl...
📣🆕
2024 EULAR points to consider on the initiation of targeted therapies in patients with inflammatory arthritis and a history of cancer
#Rheumsky #Medsky
Extremely pleased to see this published! It takes a whole division of rheumatology to be on the look out for active SLE patients in the clinics/hospital with an active flare to enroll them in research and follow them over time
clinicalepigeneticsjournal.biomedcentral.com/articles/10....
Inborn errors of immunity occupy a major focus for clinical immunologists yet secondary inmunodeficiencies are very very common!
The RMH Scrub Choir are back with an ethereal cover of Coldplay’s “A Sky Full of Stars”
Watch 👇
youtu.be/zIwmFy-alS8
#Music
Good luck
www.the-rheumatologist.org/article/retr...
4 Management principles of retroperitoneal fibrosis 📖
1️⃣most cases are probably IgG4
2️⃣important differential diagnosis 👇
3️⃣a lot remains to be known
4️⃣do not fear!
#Rheumsky
a senior pug gal sits upright on her booty, back leaning against a low pipe. her front paws are tented together in a cute little begging formation that we absolutely dare you to say no to. her ears are back and her eyes wide, giving her the vibes of a young victorian street urchin politely asking for a scoop of gruel.
This is Sakura. She knows she already had dinner. But would like to politely inquire about second dinner. 13/10
I would love to join this please
Assessing agreement of frailty measures and association with health outcomes over 3 years found percentages of individuals classified as frail and agreement of frailty classification varied widely. Most measures were predictive of poor health outcomes
In AC&R
doi.org/10.1002/acr....
Thanks for the head's up @restovall.bsky.social!
Our mentee Jose Meade-Aguilar's work is cited from #ACR24 here: www.the-rheumatologist.org/article/key-...
www.nature.com/articles/s41...
#Treg abundant in the active arthritis synovial fluid, yet inflammation persists👉a paradox.
✅intrinsic; genetic variants→function / TCR repertoire.
✅extrinsic; cytokine milieu, hypoxia.
…can become pathogenic exTreg cells→express pro-inflammatory cytokines or RANKL.
Marginal population-averaged predictions for (A) general practitioner (GP) and (B) specialist physician visit frequency per year by socioeconomic (SES) status, estimated from multivariable models with and without control for comorbidity
Health admin data linked to the Australian Rheumatology Association Database showed inflammatory arthritis patients with lower area-level socioeconomic status have more GP visits and fewer visits with specialist physicians compared to those with higher socioeconomic status
In AC&R
acr.tw/3YHxecc
The Melbourne Rainbow Band and CBQ Singers posing on stage
The CBQ singers
It’s the most wonderful time of the year 🎄
This year I was part of a small exuberant community choir that partnered with the Melbourne Rainbow Band 🌈 to share Yuletide joy with the community at the annual Carols by Queerlight concert!
It was such a thrill to sing!
📸: Luke David Photography