iiinova — where your digital self keeps evolving

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The Journal of Rheumatology @jrheumatol.bsky.social · 24/09/2026

Panorama Improving Accessibility in Rheumatology Conferences: A Multidisciplinary Perspective 📖 doi.org/10.3899/jrhe... @rheumcat.bsky.social @kristenyoung.bsky.social @alisonbays.bsky.social @ninacarsonpt.bsky.social @arthritischeryl.bsky.social @ihakkarinen.bsky.social #Accessibility

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Rheum Cat @rheumcat.bsky.social · 18/07/2026

Caturday from @kristenyoung.bsky.social 1️⃣ 3️⃣ 🫶

A Siamese cat sits on a scale and it registers 13.0 lbs

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Kristen @kristenyoung.bsky.social · 07/04/2026

If you want a cat who will constantly remind you that they are superior to you, get a Siamese! They will also yell at you every night and bring you gifts. 🥹 Happy Siamese day!

A lynx point cat and a chocolate point Siamese mix sitting together on a chair

A Siamese point cat and a tuxedo cat staring into the void

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Kristen @kristenyoung.bsky.social · 15/03/2026

caturday is for patio time and deep ✨existential✨ thoughts

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Razzball @razzball.bsky.social · 03/03/2026

A minor league hockey team had a wiener dog race. Zero thoughts, just vibes and absolute chaos. A thing of beauty

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Kristen @kristenyoung.bsky.social · 02/02/2026

been slacking on #caturday but here are some v cute kitties to make up for that … everyday is a weekend when you’re a cat 😸

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Rheum Cat @rheumcat.bsky.social · 25/01/2026

“If Alex’s parents haven’t given up, if those people in Minneapolis haven’t given up, then how can anybody else?”

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Kristen @kristenyoung.bsky.social · 16/01/2026

This OOMF IS ME 😅😅😅🫢 I get to keep studying lupus and menopause!!!! Thanks @rheumresearch.bsky.social, @lupusresearch.bsky.social, and all of my amazing mentors!

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Kristen @kristenyoung.bsky.social · 26/12/2025

This is her tamale begging face:

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Kristen @kristenyoung.bsky.social · 22/12/2025

Here’s some cat photos from the weekend since everyone needs something to get them through this holiday week! 😸

A sleeping Siamese cat with a black-and-white kitten

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Kristen @kristenyoung.bsky.social · 05/12/2025

this is such a perfect thread of winter coat kitties

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Kristen @kristenyoung.bsky.social · 27/11/2025

Happy thanksgiving! 🦃🍁 Eleanor was not impressed when I yelled “CHRISTOPHER JACKSON!” on the Sesame Street float.

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Rheum Cat @rheumcat.bsky.social · 15/11/2025

Not just brain researchers

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Mithu Maheswaranathan, MD @mithurheum.bsky.social · 05/11/2025

🆕 2025 ACR Guideline for Treatment of Systemic #Lupus Erythematosus 🦋 Just Released: Nov 3 #ACR25 🔥 🔸Review organ-specific treatment recommendations 🔸Steroid & HCQ Use Guidance 🔸Management of Comorbidities ➠ Read the Full Guideline here: acr.tw/47mkegj #RheumSky #SLE #Rheumatology

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ACR Journals @acr-journals.bsky.social · 03/11/2025

The ACR prioritizes formal patient involvement in guideline development, & guideline development experts have highlighted the need to ensure patients’ values are taken into consideration. ✋🏽💬 Read how patient perspectives & preferences informed the updated ACR SLE guideline: doi.org/10.1002/acr....

A Qualitative Analysis of Patient Perspectives and Preferences in Lupus Management to Guide Lupus Guidelines Development. A graphical abstract.

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Kristen @kristenyoung.bsky.social · 02/11/2025

if you would’ve told me I would be locked in rooting for the Blue Jays last year and have a favorite player … well, that would be surprising, but here we are.

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Shannon O’Mac @shannonomac.bsky.social · 29/10/2025

I’ve been struggling with plantar fasciitis for several months. (Ow) Recently I started estradiol for perimenopause. Once I hit an effective dose, the plantar fasciitis disappeared overnight. I am 41. Never in my medical training had I ever learned about this. www.tandfonline.com/doi/full/10....

tandfonline.com

The musculoskeletal syndrome of menopause

Fifty-one percent of humans are born with ovaries. As the ovarian production of estrogen diminishes in midlife and ultimately stops, it is estimated that more than 47 million women worldwide enter ...

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Rheum Cat @rheumcat.bsky.social · 29/10/2025

Not sure of mine but I bet @kristenyoung.bsky.social's is either "love that for you" or "that's my villain origin story" 😆

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Mithu Maheswaranathan, MD @mithurheum.bsky.social · 28/10/2025

🆕 Secrets & Pearls of #Rheumatology at #ACR25 | Part 1 by Dr. Janet Pope 🖐️ Cutaneous Pathology SLE/DM 🧴 Tips for SLE 💪 Cancer Screening in Myositis 🩸 Laboratory Testing 🥶 Raynaud's / Scleroderma 👀 Sjogrens Disease #RheumSky #MedSky #Lupus #Myositis #Scleroderma #Sjogrens

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Rheum Cat @rheumcat.bsky.social · 28/10/2025

Today I got Jen Barton and @kristenyoung.bsky.social to formally meet #ACR25

Kristen Young presenting her poster to Jen Barton at ACR25

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Alison Bays, MD (she/her) @alisonbays.bsky.social · 28/10/2025

Plenary III, Abstract 1726: Mayo research shows arthritis from cancer immunotherapy is NOT the same as rheumatoid arthritis! Key finding: It’s driven by overactive T cells, not autoantibodies. This means different treatments may be needed. #ACR25

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Alison Bays, MD (she/her) @alisonbays.bsky.social · 28/10/2025

Plenary III, Abstract 1727: New study in 41k postmenopausal women with osteoporosis reveals treatment gaps: 52% were at very high fracture risk, yet only 6% received anabolic therapies. Over half (51.7%) of these patients got oral bisphosphonates instead.

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Rheum Cat @rheumcat.bsky.social · 26/10/2025

Thanks to @kristenyoung.bsky.social for these amazing friendship bracelets #ACR25

I’m wearing 3 friendship bracelets

One has cat beads
Another has a butterfly bead
The third says Opalite

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Kristen @kristenyoung.bsky.social · 26/10/2025

Now at the Sjogren’s disease peripheral nervous system guidelines session presented by Dr Hal Scofield and Dr. Arun Varadhachary Starting with aligning neurology and rheumatology nomenclature. acrjournals.onlinelibrary.wiley.com/doi/epdf/10.... #ACR25

Sjögren's Disease
Peripheral Nervous System Guidelines
R. Hal Scofield, MD
Oklahoma Medical Research Foundation
University of Oklahoma
Oklahoma City VAMC
Arun S. Varadhachary, MD, PhD
Washington University in St Louis School of Medicine
Sjögren's

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Kristen @kristenyoung.bsky.social · 26/10/2025

2025 ACR Lupus Guideline - Overview presented by Dr. Lisa Sammaritano. Key take aways: • HCQ should be standard therapy • Use GC with precision • Introduce immunosuppressive therapies early • Use shared decision-making when considering treatment decisions #ACR25

Why taper to ≤ 5 mg pred/d?
Strong recommendation
GULP study:
127 SLE pts starting pred 25 mg/d
(w/HCQor IS) within 12 mo. of SLEd (2yr f/u)
Daily Prednisone doses
Calcome in patients with newly
aosocclve oourtea وgoy
20
Patients (%)
31
80 mp 4
47
12
Time (months)
= ‹5 mgld
24
135 bul 25 mg/d
• No difference in relapse rates (p=0.706) when tapering to <5 mg/d vs. not tapering < 5 mg/day (46.4%).
• Every month on pred <5 mg/day → lower damage accrual (IRR: 0.96; p=0.007)
• Never tapering pred <5 mg/day → higher risk of GC-related damage (OR 5.9;
p=0.014).
•Tapering pred <5 mg/day was achieved + maintained in half of newly diagnosed patients with SLE.

Hydroxychloroquine Recommendations:
• Routinely treat with HCQ unless
ACR
Convergence
Where Rheumatology Meets
contraindicated. (S)
• Continue therapy indefinitely, even if sustained remission. (C)
• Aim for long-term average daily dose goal of ≤5 mg/kg (C)
• Preferred over >5 mg/kg to minimize retinal toxicity
• Use of short courses of higher dose (5-6.5 mg/kg/d) therapy may be necessary at initiation of treatment, to maintain disease control, or during pregnancy.
No recommendation regarding utilization of HCQ levels
S: strong recommendation C: conditional recommendation

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Kristen @kristenyoung.bsky.social · 26/10/2025

Bumping the Bluesky starter pack with a bunch of rheumatology content… if you are looking for people to follow on Bluesky you can easily follow along with rheumatology content by hitting “follow all” on the starter pack. #ACR25

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Rheum Cat @rheumcat.bsky.social · 25/10/2025

It’s my friend Max Konig on bispecific T cell engages for autoimmune disease #ACR25

Title slide
Still a packed room
Max Konig is on the podium behind the lectern

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Rheum Cat @rheumcat.bsky.social · 27/09/2025

Countdown to #ACR25, the big rheumatology meeting in Chicago at the end of October. Sharing some abstracts publicly available at www.acrabstracts.org along some themes of interest to me. (Remember to mute #ACR25 if you don't want to be inundated with rheumatology posts!) 🩺 🧪

acrabstracts.org

ACR Meeting Abstracts

Browse and search abstracts from the ACR/ARHP Annual Meetings. Also view session dates and times.

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Rheum Cat @rheumcat.bsky.social · 22/10/2025

#GCAN2025 cat content "That's my cat Carmen devouring a textbook on gout" - Dr Terkeltaub #ACR25

a gray tabby cat with her face in a textbook on gout

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Rheum Cat @rheumcat.bsky.social · 21/10/2025

#ACR25 attendees, make sure you review the "know before you go" page For example, collecting CME credit for the meeting requires a pre-test to be done before the meeting starts! rheumatology.org/annual-meeti...

rheumatology.org

ACR Convergence Resources

ACR Convergence 2025 takes place October 24–29 in Chicago. Explore attendee information, resources, and event details.

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Rheum Cat @rheumcat.bsky.social · 19/10/2025

#ACR25 countdown Highlighting some work being presented at this meeting NEXT WEEK by colleagues who are on this platform (say hi & comment on their work!) #Rheumatology #MedSky 🧪

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Rheum Cat @rheumcat.bsky.social · 21/09/2025

While I am genuinely concerned for my colleagues who are doctors currently on H1B visas, I acknowledge that I can't make people care about other humans. But American *should* care about the fact that their ability to get medical care WILL be affected by these visa restrictions.

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Rheum Cat @rheumcat.bsky.social · 11/09/2025

Thrilled that both @kristenyoung.bsky.social and I won the Lady Gaga Ticketmaster war today

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Rheum Cat @rheumcat.bsky.social · 26/08/2025

I called @kristenyoung.bsky.social during her clinic We observed her MCPs while observing the ring

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bina 🐝 @thefalsebolter.bsky.social · 14/08/2025

"You should think of your energy as if it's expensive, as if it's a luxury item not everyone can afford." - Taylor Swift, August 13 2025

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Charity Oyedeji, MD @drcharity.bsky.social · 27/06/2025

On June 16, 2025 my 5-year $750,000 NIH grant (K award) to improve care for adults with sickle cell disease was terminated suddenly and unjustly. If you would like to donate to the research we are doing, click the link: www.gifts.duke.edu/dukehealth?d... #sicklecell #health #america #usa

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Michael D. Green, PhD @michaeldgreen.phd · 27/06/2025

I have a lot of issues with people getting information solely through short-form video content (cue the Gen-Z hate), but it doesn’t seem like that trend is stopping anytime soon. I am going to try to reach people over on TikTok. Here are the first 3 minutes of one I just made. 🧪 #MedSky #BlackMedSky

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Kristen @kristenyoung.bsky.social · 25/06/2025

Kittttttennnns

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Kristen @kristenyoung.bsky.social · 20/06/2025

taking name suggestions from a broader audience now for our new kitten:

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Kristen @kristenyoung.bsky.social · 30/05/2025

🎶 but on a Friday in may … I watched begin again 🎶 The genuine joy knowing that there is a Debut TV 🥹🥹🥹🙃😃 Yes, Taylor we are interested!!

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Kristen @kristenyoung.bsky.social · 26/05/2025

Thrilled to have the opportunity to present our early research on identifying stereotypes for patients with SLE at #LUPUS2025 in Toronto. Leaving inspired and grateful for this outstanding community of scientists, clinicians, and patient partners.

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