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TheDaoIndex

@thedaoindex.bsky.social
207 followers 83 following 46 posts

Private practice, academics, industry- I’ve experienced it all. Views are my own. #iLOVErheumatology. ❤️

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TheDaoIndex @thedaoindex.bsky.social · 18/09/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 16/08/2025
Thank you for inviting me to lecture #LSUrheum on Practical Applications of the @acr-journals.bsky.social #LupusNephritis guidelines. #Shreveport
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TheDaoIndex @thedaoindex.bsky.social · 01/05/2025
May is #LupusAwareness month! @rheumnow is running a campaign: Lupus Unlocked: Keys to Mastery First blog by Dr Sammaritano rheumnow.com/news/contracep… @Lupusreference @LupusOrg @EricFMorand @edvital @alhkim @alvinwellsmd @Janetbirdope
rheumnow.com
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TheDaoIndex @thedaoindex.bsky.social · 01/05/2025
“TNFi are on the whole cardioprotective for IMIDs”- Prod McInnes #CCRE25
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TheDaoIndex @thedaoindex.bsky.social · 30/04/2025
Hypogammaglobulinemia is prevalent in our pts exposed to B cell depleting therapy, BiTEs, CAR-T, alkylators. Worse with age and if they have underlying low Ig’s before Rx. Severe hypoIgG is <200 mg%. High risk patients=AAV & SLE Dr @LCalabreseDO #CCRE25
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TheDaoIndex @thedaoindex.bsky.social · 30/04/2025
Besides alkylators, other meds can cause hypo-IgG @LCalabreseDO #CCRE25
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TheDaoIndex @thedaoindex.bsky.social · 30/04/2025
Dr M Kahlenberg shares what she does for #SLE patients 1. HCQ for every patient and check HCQ blood levels once a year 2. Sun protection using zinc/ titanium based sunblock 3. Add HCQ for people with incomplete lupus (when you suspect but not enough evidence) 4. Less steroids! #CCREast25
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TheDaoIndex @thedaoindex.bsky.social · 11/03/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 27/02/2025
CDC guidance: who should & should’t get MMR (#measles mumps rubella) vaccine. Interestingly, there is data showing if someone get vaccinated within 72 hours of exposure to measles, they may get some protection and have a milder course. www.cdc.gov/vaccines/vpd...
cdc.gov
Measles, Mumps, and Rubella (MMR) Vaccination | CDCMinusSASstats
What Everyone should know about the MMR vaccine. What is the MMRV vaccines? Who should and should not get these vaccines? How well do these vaccines work, and what are the possible side effects?
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TheDaoIndex @thedaoindex.bsky.social · 25/02/2025
Treat to target goals are near impossible to achieve. Read my conversation with Dr Dzhus on how the war has affected patients and rheumatologic care in #Ukraine. @ashira-md.bsky.social @kristenyoung.bsky.social @ukrainematters.bsky.social @rheumcat.bsky.social @rheumnow.bsky.social
rheumnow.com
The War Rheum | RheumNow
The effects on rheumatologists and their patients living in Ukraine largely have been unseen by the world. At ACR Convergence 2024, I met Dr. Marta Dzhus who practices at St. Michael's Clinical Hospit...
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TheDaoIndex @thedaoindex.bsky.social · 21/02/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
"Tombstone comedones" (2 comodones together) are pathognomonic of #Hydradenitis - Dr. J Cather #RNL2025 @rheumnow.bsky.social
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
"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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
Can NSAIDS reduce the risk for progression in #ankylosingspondylitis? - Dr. Van Der Heidje #RNL2025 @rheumnow.bsky.social
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
What are RA flare risks? @rheumnow.bsky.social #RNL2025
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
The consequences of #RA flares - @rheumnow.bsky.social #RNL2025
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
WWJCD-- what would Jack Cush do? for RA flares #RNL2025 @rheumnow.bsky.social
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
"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
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TheDaoIndex @thedaoindex.bsky.social · 09/02/2025
#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
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TheDaoIndex @thedaoindex.bsky.social · 08/02/2025
#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.
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TheDaoIndex @thedaoindex.bsky.social · 22/01/2025
My new blog: This unique career lifestyle has been embraced by several of our colleagues and is growing… it has filled the void in areas that are rheumatology deserts. @RheumNow @ACRheum @AWIRGROUP @uptoTate @vksandhumd rheumnow.com/blog/rheum-t...
rheumnow.com
Rheum to Travel | RheumNow
One of the benefits of attending conferences aside from scientific exchange is meeting new people. At one symposium, I met a unique rheumatologist. This chance meeting turned into an interview, that t...
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TheDaoIndex @thedaoindex.bsky.social · 15/01/2025
BTW, abstracts are due today for #EULAR25 congress.eular.org/abstractsgen...
congress.eular.org
EULAR 2025 - Abstracts
EULAR invites you to submit an abstract to EULAR 2025, the European Congress of Rheumatology. Every year EULAR invites abstract submitters from all over the globe to present their work at the Europea...
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TheDaoIndex @thedaoindex.bsky.social · 15/01/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 13/01/2025
"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
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TheDaoIndex @thedaoindex.bsky.social · 13/01/2025
Prof TM Chan highlights key management objectives in #LupusNephritis @goKDIGO
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TheDaoIndex @thedaoindex.bsky.social · 13/01/2025
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...
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TheDaoIndex @thedaoindex.bsky.social · 09/01/2025
Attention Rheum Fellows and recent graduates —this is a professional development conference teaching you things about clinical and academic practice you don’t learn during your training csro.info/fellows/fell...
csro.info
Coalition of State Rheumatology Organizations (CSRO)
The Coalition of State Rheumatology Organizations (CSRO) is comprised of 32 state and regional professional rheumatology societies whose mission is to advocate for excellence in the field of rheumatol...
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TheDaoIndex @thedaoindex.bsky.social · 08/01/2025
ICYMI: Dr. M Dall'Era & @BradRovin discussed her paper & ACR 2024 #LupusNephritis guidelines: start triple Rx early "MMF+steroids alone is substandard" rapid⬇️proteinuria➡️better for renal outcomes use⬇️steroid dosing protect the podocytes @LupusForum youtu.be/mak240dn8Yg
youtu.be
Discussing Lupus: Voclosporin immunosuppressive therapy and new ACR guidelines for lupus nephritis
YouTube video by Lupus Forum
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TheDaoIndex @thedaoindex.bsky.social · 06/01/2025
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
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TheDaoIndex @thedaoindex.bsky.social · 06/01/2025
“On average male doctors earn 29% more than female doctors in 2023” www.medscape.com/slideshow/20...
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TheDaoIndex @thedaoindex.bsky.social · 19/12/2024
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
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ACR Journals @acr-journals.bsky.social · 14/12/2024
Weekly recap in ACR journals Lupus nephritis kidney biopsy features to guide BI655064 add-on therapy doi.org/10.1002/art.... Four-year pain course in hand osteoarthritis doi.org/10.1002/acr.... Heart failure incidence in patients with and without rheumatoid arthritis doi.org/10.1002/acr....
ACR Journals weekly recap banner
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Dr. John Cush @rheumnow.bsky.social · 13/12/2024
Scope of Infections Associated with b/ts DMARDs
buff.ly
Scope of Infections Associated with b/ts DMARDs | RheumNow
By downloading this material, I acknowledge that it may be used only for personal use and personal education and that I will accredit RheumNow.com as the source and owner of this material. Commercial…
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Maureen Dubreuil, MD MSc @spondymd.bsky.social · 13/12/2024
Congratulations to Drs. Mohamad Bittar and Atul Deodhar for this *outstanding* review of axial spondyloarthritis. Bookmark this for a read!
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TheDaoIndex @thedaoindex.bsky.social · 13/12/2024
I love it when the fellows teach me— the arrows on the bottom of the iphone camera is for when you take a selfie to tighten or expand the frame (designed so that it doesn’t look like your arms are in the way! Despite the lesson, my photo with the #USC #RheumFellows did not come out as hoped!
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Dr. Glaucomflecken @glaucomflecken.bsky.social · 05/12/2024
One thing I didn’t expect in the wake of the CEO shooting is the sudden attention on health insurance policy. I have seen this video and the BCBS policy itself go viral on almost every platform. People are waking up. Real lasting change in healthcare is coming. youtube.com/shorts/vWA2a...
youtube.com
No More General Anesthesia
YouTube video by Dr. Glaucomflecken
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ACR Journals @acr-journals.bsky.social · 06/12/2024
Disease course and outcomes in pediatric-onset AAV affecting the kidneys. At 1 year, 42% had evidence of permanent renal damage. Renal function at diagnosis is a strong predictor of renal function at 1 year In Arthritis & Rheumatology doi.org/10.1002/art.... #Medsky #Nephsky
Evaluating renal disease in pediatric-onset anti-neutrophil cytoplasmic antibody-associated vasculitis: disease course, outcomes, and predictors of outcome. Graphical abstract created with BioRender
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@THEE Ashira Blazer MD @ashira-md.bsky.social · 06/12/2024
Disease modification in #SLE means 1. preventing flares 2. Reducing steroids and 3. Reducing organ damage over time. Steroids temporarily reduce disease activity, but they do not prevent future flares and contribute to damage. Compare to biologic therapies that protect patients over the life course.
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TheDaoIndex @thedaoindex.bsky.social · 04/12/2024
It’s not just physicians but APPs are also getting #BurnedOut. I have been volunteering at a charity rheum clinic, and the joy of practicing medicine is back… I am able to spend more time with the patients, not have to rush or worry about billing/documentation, and can control my schedule.
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Dr. John Cush @rheumnow.bsky.social · 02/12/2024
Off-Label Use of JAK Inhibitors in Orphan Diseases and Other Conditions? The issues surrounding publication bias are real.
buff.ly
Off-Label Use of JAK Inhibitors in Orphan Diseases and Other Conditions? | RheumNow
When should you consider off-label use of JAKi?
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ACR Journals @acr-journals.bsky.social · 17/10/2024
Care pathways among patients with SLE in the Lupus Midwest Network registry: • ~1/4 initially seen by nephrology or dermatology • 1/4 had delays in SLE-spec. care, which were assoc. with damage • Hematologic or aPL antibodies domains, and fewer SLE manifestations assoc. with delay in SLE-spec. care🩺
Clinical Presentation, Care Pathways, and Delays in Access to Specialized Care in Patients With Systemic Lupus Erythematosus: A Study From Lupus Midwest Network (LUMEN 💡). Graphical abstract created with BioRender
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Mithu Maheswaranathan, MD @mithurheum.bsky.social · 18/11/2024
🆕 #ACR24 | Updated Guidelines for Lupus Nephritis Treatment & Management 🫘 Highlights 🔶 • Critical role of renal biopsy • Differences for treatment by LN Class • Adjunctive Rx w/ HCQ & RAASi • GC pulse ⇢ *moderate/low* dose PDN #Lupus #NephSky #RheumSky #Rheumatology #MedSky
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Healthcare-Global @healthcare-global.bsky.social · 23/11/2024
jamanetwork.com/journals/jam... Long-Term Risk of Autoimmune and Autoinflammatory Connective Tissue Disorders Following COVID-19 | Rheumatology | JAMA Dermatology | JAMA Network
jamanetwork.com
Long-Term Risk of Autoimmune and Autoinflammatory Disorders After COVID-19
This cohort study investigates the long-term risk of autoimmune and autoinflammatory diseases among patients in South Korea who had a COVID-19 diagnosis using an extended observational period.
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TheDaoIndex @thedaoindex.bsky.social · 26/11/2024
#Inebilizumab-- anti-CD19 shown efficacious to reduce #IgG4RD flare rates in MITIGATE study. #ACR24 #YearInReview
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TheDaoIndex @thedaoindex.bsky.social · 26/11/2024
"Targeting CD40/CD40L may be an effective approach to treating #Sjogrens." - Dr. M Pillinger #ACR24 #ACRReview
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TheDaoIndex @thedaoindex.bsky.social · 26/11/2024
#ACR24 #YearInReview MANDARA Trial Benralizumab (IL-5Ri) vs Mepolizumab (IL5i) noninferiority study lead to 2024 FDA approval for benralizumab in #EGPA. Secondary outcomes: eosinophils fell more dramatically and more pts able to get off of GCs with #Benralizumab.
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TheDaoIndex @thedaoindex.bsky.social · 26/11/2024
Is it worthwhile to use MTX in knee OA? #ACR24 #YearInReview @rheumcat.bsky.social
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