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Search results for: pain

Optimizing DMARD Use in Older Adults with Rheumatoid Arthritis

Devyani Misra, MD, MS, & Jiha Lee, MD, MHS  |  April 10, 2024

SAN DIEGO—Older adults with rheumatoid arthritis (RA) comprise two groups: those who have lived with diagnosed RA since an early age (young-onset RA) and those who have new-onset RA diagnosed at an older age (≥65 years), known as late-onset RA or, formerly, as elderly onset RA.1 Individuals with late-onset RA have more acute and systemic…

Filed under:Biologics/DMARDsConditionsRheumatoid Arthritis Tagged with:aging-sensitive careelderlylate-onset RARA Resource Centerutilization

The Physical Exam Begins with a Handshake

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  April 10, 2024

During the height of the pandemic four years ago, I took every precaution to avoid, or at the very least, delay contracting COVID-19. I religiously wore a mask in all public settings, I washed my hands so frequently that my skin became dry and cracked, and I studiously maintained a six-foot distance from others. But…

Filed under:OpinionRheuminations Tagged with:physical exam

Case Report: Complicated Presentation Eventually Explained by Rare Syndrome

Geoffrey E. Thiele, MD, & Iris Reyhan, MD  |  April 10, 2024

Pachydermoperiostosis (PDP), also known as Touraine-Solente-Golé syndrome or primary hypertrophic osteoarthropathy, is a rare syndrome that can be inherited as autosomal dominant, autosomal recessive, or sporadically. This progressive disease primarily affects males, who tend to have more severe features than females. PDP usually occurs during adolescence, often starting around puberty.1 The main clinical features are…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:case reportCrohn's diseasePachydermoperiostosisprimary hypertrophic osteoarthropathyTouraine-Solente- Golé syndrome

A Delicate Balance: How to Avoid Overmedicalization in Rheumatology

Jason Liebowitz, MD, FACR  |  April 9, 2024

Rheumatologist Rachelle Buchbinder, AO, MBBS (Hons), MSc, PhD, discusses reducing overdiagnosis, overtreatment, low-value care and waste in medicine.

Filed under:EthicsProfiles Tagged with:overmedicalizationpatient care

The Biases We Don’t Know We Hold

Vanessa Caceres  |  March 26, 2024

Implicit bias can affect patient care at the physician level when they’re making treatment decisions and at the healthcare organization level when they’re choosing new hires. Here are insights into strategies rheumatologists can use to become aware of, and question, their implicit biases.

Filed under:OpinionPractice SupportWorkforce Tagged with:biasdiscriminationEquityinclusion

Mental Health in Rheumatology

Vanessa Caceres  |  March 26, 2024

Regaining a sense of control, limiting responsibilities and engaging in mindfulness can help rheumatologists manage their mental health needs. Rheumatologists should also address the mental health concerns raised by their patients. Here are insights from a psychiatrist/rheumatologist.

Filed under:ConditionsOther Rheumatic Conditions Tagged with:burnoutMental Health

Updated Coding Guidance for 2024 Remote Physiologic Monitoring & Therapeutic Monitoring

From the College  |  March 7, 2024

The Centers for Medicare & Medicaid Services updated recent regulations to clarify some points about remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services for key areas.

Filed under:Billing/Coding Tagged with:evaluation and management (E/M)telehealth

‘Where Are You From?’ & Other Microaggressions

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  March 6, 2024

“I’m actually from Iowa. Where do you hail from?” I replied, in the friendliest tone I could muster. Many readers may already know the context, but I’ll rewind a few moments to clear up any ambiguity. I was in clinic and talking with a kind lady with joint pain. While I was in the middle…

Filed under:OpinionRheuminations Tagged with:microagression

SMILE, an Online Lupus Tool, Can Aid Shared Decision Making

Katie Robinson  |  March 6, 2024

Patients with systemic lupus erythematosus (SLE) often face many concerns, fears and uncertainties that render “treatment decision making very difficult,” says Jasvinder Singh, MD, MPH, professor of medicine and epidemiology at the University of Alabama at Birmingham. Often these patients, who tend to be women from minority groups, “do not have access to easily understandable…

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:health literacyshared decision makingSLE Resource Center

The Roles of the Interdisciplinary Rheumatology Team in Patient Care Highlighted

Kimberly Steinbarger, PT, MHS, DHSc, & Keri Losavio  |  March 4, 2024

To work together effectively, clinicians and rheumatology professionals need to understand the roles of every member of the interdisciplinary team. To enhance this understanding, the ARP Interprofessional Practice & Management Committee has undertaken a project to describe the modern roles of members of the interdisciplinary team in a series of fact sheets. The first three…

Filed under:American College of RheumatologyInterprofessional PerspectivePractice SupportProfessional TopicsWorkforce Tagged with:fact sheets

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