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The Rheumatologist: July 2011

How Energy Shifts Lead to Systemic Illness

Rainer H. Straub, MD  |  July 12, 2011

The impact of adaptive energy programs on the manifestations of chronic inflammatory disease

Is It Time to Replace the HAQ?

Kathy Holliman  |  July 12, 2011

The PROMIS initiative uses item response theory to improve assessment of patient-reported health and wellbeing

A Duet of Bone and the Immune System

Christian Beyer, MD, and Georg Schett, MD  |  July 12, 2011

Examining emerging perspectives in osteoimmunology

It Takes All Kinds

David Borenstein, MD, and Nadine T. James, RN, PhD  |  July 12, 2011

A look at the rheumatology practice team

Treat-to-Target Decisions and Dilemmas

David S. Pisetsky, MD, PhD  |  July 12, 2011

A better understanding of targets can lead to better outcomes down the road

Letters: Feedback from Our Readers

Staff  |  July 12, 2011

Rheumatology and NPs/PAs in Local Practice Models; Family Connections

High Cost, No Benefit

Aryeh M. Abeles, MD  |  July 12, 2011

Why are so many brand-name drugs approved after generic versions become available?

Is the Electronic Health Information in Your Practice Really Safe?

Staff  |  July 12, 2011

The Centers for Medicare and Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Program (Meaningful Use) provides for eligible physicians who demonstrate “meaningful use” of certified EHR technology to be eligible to receive up to $44,000 in Medicare incentive payments over five years or up to $63,750 in Medicaid incentive payments over six years. But what does it really mean to achieve “meaningful use” for the EHR Incentive Program, and what will your practice need to do to meet the required objectives?

Pain Perspective in Scleroderma

Susan L. Williams Judge, MN, ARNP  |  July 12, 2011

Systemic sclerosis (SSc; scleroderma) is a disease in which inflammatory and fibrotic changes result in overproduction and accumulation of collagen and other extracellular matrix proteins, resulting in intimal vascular damage, fibrosis, and occasionally organ dysfunction affecting the gastrointestinal, lung, heart, and renal systems. There are two classifications of SSc—limited cutaneous or CREST (calcinosis, Raynaud’s, esophageal dysmotility, sclerodactyly, and telangectasias) syndrome, where skin thickening occurs mainly in the distal extremities and facial/neck areas and internal organ involvement, if present, occurs later in the disease process; and diffuse cutaneous disease where there is a more rapid progression of skin thickening from distal to proximal and organ involvement can be severe and occur early in the disease. As noted by various authors, there is no “crystal ball” into which one can look to see the outcome of the disease, and involvement varies significantly from one person to the next.

RheumPAC: It’s Not About Politics

James Engelbrecht, MD  |  July 12, 2011

The best thing about RheumPAC is that it’s not political.

To Fix Health Policy, You (Yes, You) Have to Get Involved

Jeffrey Lawson, MD  |  July 12, 2011

I can’t tell you how many times I have conversed with a colleague about the state of health policy and heard, “It’s broken.” I invariably have to ask, “What have you done to fix it?” Often times I get a blank stare or an excuse about how Congress doesn’t listen.

Coding Corner Answer

Staff  |  July 12, 2011

July’s Coding Answer

Coding Corner Question

Staff  |  July 12, 2011

July’s Coding Challenge

Honorary Member Joan “Happy” Tyree Retiring

Staff  |  July 12, 2011

Staff member Joan “Happy” Tyree has worked in arthritis since May 1982, when she joined the staff of the ACR. She began her career with the ARHP in August 1984. During her years at the ARHP, she has worked in membership and educational programs, coordinating the development of more than 26 ARHP Annual Scientific Meeting programs.

2011 ILR Request for Proposals

Staff  |  July 12, 2011

The International League of Associations for Rheumatology (ILAR) is issuing its fourth request for proposals for projects that advance rheumatology in developing countries.

Practice Page

Staff  |  July 12, 2011

ZPIC Medicare Audits: What’s in Store for Physicians?

Revising Fibromyalgia: One Year Later

Heather Haley  |  July 12, 2011

The 2010 ACR fibromyalgia criteria capture the broader clinical picture and help ensure more appropriate diagnosis and management by primary care

Innovation Brings Specialist Services to the Underserved

Neil Canavan  |  July 12, 2011

Project ECHO trains general practitioners and midlevel providers in the basic arts of rheumatology

Is Ultrasound Right For YOUR Office?

Kurt Ullman  |  July 12, 2011

Growth of ultrasound for rheumatic diseases leads many to wonder how it might fit into their practice

Office Visit

Catherine Kolonko  |  July 12, 2011

Epidemiology makes a career of studying arthritis health disparities for Leigh Callahan, PhD

Rheum with a View

Richard S. Panush, MD  |  July 12, 2011

Panush’s perspectives on selections from the literature

Drug Updates

Michele B. Kaufman, PharmD, BCGP  |  July 12, 2011

Information on New Approvals and Medication Safety

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