Dr. Sara McCoy, rheumatologist and Sjögren's specialist, a "Sjögrensologist", joins us this week for an in-depth look at Sjögren's Disease. We address how the systemic nature of this disease can affect everything from the lungs to the kidneys, why traditional treatments may not always work, why a patient's antibody profile may hold the key to their disease severity, the use of new biomarkers, the role of advanced diagnostics and ground-breaking developments in the use of stromal cells in treatment and so much more! 

Our annual preview episode for Convergence is here, and we have AMPC (Annual Meeting Planning Committee) Chair, Dr. Greg Gardner as our guest! Dr. Gardner walks us through this meeting's focus and strategies, which are designed to make ACR24 even more engaging, delivering cutting edge science, more networking opportunities, improved educational experiences and new initiatives to better the lives of our patients. We'll discuss how Convergence has adapted to a post-pandemic era, get a glimpse of "must attend" sessions, and even hear about the new networking lounge and some insider tips to make the most of your stay in Washington D.C. 

Internationally renowned Lyme Disease clinician and researcher, Dr. Allen Steere, joins us for a discussion on Lyme Arthritis. Dr. Steere explains the history of this disease, the historical identification of the borrelia spirochete which causes it, how Lyme Arthritis manifests and presents (including why severity can be vary greatly in patients) and explore the current challenges in its diagnosis. We also cover treatment and antibiotic therapies for the disease, what post-treatment syndromes are, how to treat them and how understanding Lyme Arthritis has improved our knowledge of other diseases, such as rheumatoid arthritis.  

Expert researcher and clinician, Dr. Elana Bernstein, is our guest this week as we dive into lung disease brought on by Systemic Sclerosis (SS). We discuss symptoms, diagnosis, how systemic sclerosis affects the lungs, including pulmonary hypertension and interstitial lung disease. Dr. Bernstein, who has dedicated her career to improving patient outcomes in systemic sclerosis, explains her approach to screening for lung disease, plus the latest research and questions that need to be answered. 

This week, Dr. Hausmann takes on Ultrasound in Rheumatology, exploring its use in the field and diagnosing diseases such as Inflammatory Arthritis, Crystaline Arthropathy and Vasculitis. Dr. Minna Kohler, Founder and Director of the Musculoskeletal Ultrasound Program at Massachusetts General Hospital, joins us as our guest. Dr. Kohler discusses how Ultrasound can help therapeutically, what it's like working in an MSK Ultrasound clinic, plus how one can become trained in the use of Ultrasound, what the patient experience is like, the controversies surrounding the use of Ultrasound in rheumatology and what the future holds for it in our field. 

Join us this week as Jon meets with a truly influential woman in the medical field, Dr. Elizabeth Ang, being one of the first pediatric rheumatologists in the Southeast Asian region to receive pediatric rheumatology training and is the Co-Convenor of the Paediatric Rheumatology Special Interest Group of APLAR (Asia Pacific League of Associations for Rheumatology). Beyond this, and so that children with rheumatic disease in the region have the opportunity to be diagnosed and treated, Dr. Ang trains local doctors and shares her knowledge and experience with them in Cambodia, Vietnam, Indonesia and Myanmar. In this episode she and Dr. Hausmann discuss Singapore's healthcare system, access to biologics, cultural barriers to treatment and much, much more. 

Bone health may not be first on the mind when discussing rheumatology, however, Dr. Marcy Bolster believes it plays a vital role in caring for 'the whole patient'. As such, Dr. Bolster's innovative contributions to the field of Osteoporosis cannot be overstated. She joins us today to discuss the role of the rheumatologist in helping to prevent or treat Osteoporosis, how often it's under-recognized, plus the services she created to help identify, diagnose and treat the condition among patients.  

When a patient is diagnosed with cancer, treatments that force the immune system into overdrive are given in hopes that it will recognize the cancer and destroy it. Unfortunately, this can mean that various Immune Related Adverse Events (IRAEs) can occur. In rheumatology, our treatments are meant to tame an overactive immune system, creating a unique dilemma. Joining us today is Dr. Laura Cappelli, MD, MHS. Dr. Cappelli explains what these IRAEs really are, how they commonly occur, what risk factors exist in their development, the importance of a multidisciplinary approach to treatment and much, much more. 

April is just around the corner, and so is 2024's State-of-the-Art Clinical Symposium (SOTA)! This week, we welcome Dr. Sobia Hassan, Chair of the SOTA Planning Committee and Dr. Ibtissam Gad, Chair of the Fellows in Training subcommittee. We discuss the topics and speakers chosen for SOTA and how they were selected, some highlights including discussions on CAR T Cells, CPPD, and Check Point Inhibitors, what's in store for our Fellows in Training and how you, our listeners, can get involved! If you've not yet registered, be sure to visit the ACR's registration page for all the details you'll need to plan your trip here: State-of-the-Art Clinical Symposium

Join us this week for an insightful and encouraging discussion with Drs. Mandal and Grant, the founders of The Rheumatology Access Expansion Initiative (RAE). RAE is a project designed to support the Navajo Nation, an underserved community with respect to rheumatic disease. Our guests explain how leveraging the established educational model, Extension for Community Healthcare Outcomes (ECHO), was used to remotely train PCPs among the Navajo in the diagnosis and evidence-based treatment of rheumatoid arthritis (RA). 

Kicking off a new series in conjunction with ARP, we're spending time with professionals in the field of rheumatology that can, and do, much for our patients. Today, our focus centers on The Occupational Therapist. But how much do we know of our colleagues and their contributions toward our patients? What does an occupational therapist do, with our referrals in hand? We caught up with the founder of Arthritis Life and host of the Arthritis Life Podcast, Cheryl Crow, to answer that question and much more. Cheryl explains to us what happens at an OT visit, what sorts of patients should see an OT, how to manage pain from exercise as well as sharing with us her favorite life hacks and her own personal journey from patient to advocate. 

If there was ever any evidence for the depth of complexity within our own brains, look no further than the placebos and their effects. Both a help and hinderance to the medical community, rheumatology clinicians and researchers can agree that when testing new treatments, the placebo effect is as powerful as it is disruptive. But what is it exactly? How does it work and for which symptoms? Are there symptoms to which this effect is ineffective? How can you diminish the effect? What is the "Nocebo Effect" and what ethics are involved when dealing with placebos? To answer these questions, we've invited Professor Ted Kaptchuk, director of the Harvard-wide Program in Placebo Studies and the Therapeutic Encounter (PiPS) at Beth Israel Deaconess Medical Center in Boston, Massachusetts to be our guest today and tell us all about placebos, their effects and why they work. 

What are Inborn Errors of Immunity (IEI) and what should be done if you suspect them? Dr. Bharat Kumar, clinical rheumatologist and allergy immunologist, joins us to lend his insights on what they are, how to identify them in our patients, the challenges in diagnosing them, and how they manifest in a clinical setting. Dr. Kumar also explains how IEI's are caused, their overlap with rheumatic diseases and recent advancements in treatments. 

Join us this week for an in-depth discussion on IgG4-Related Disease with one of the premiere researchers in the field, Dr. John Stone. On this episode, Dr. Stone reviews the disease clinical presentation as well as its symptoms, how to make the diagnosis, treatment options, the role of IgG4 and what happens inside the body. Later, we discuss Dr. Stone's research along with his personal journey in the field. 

As the year winds down and a new year is about to begin, looking back sometimes forces us to look ahead. Last month's Convergence 2023 offered an opportunity to do just that: Look Ahead! We've invited the two speakers from the "The Clinical Year in Preview" session, Joan Bathon, MD and Jill Buyon, MD to discuss with us the latest abstracts that are expected to make the biggest waves in the coming year, as they relate to Rheumatoid Arthritis (RA) and Systemic Lupus Erythematosus (SLE). We discuss a variety of abstracts that include the use of AI, steroid use, hydroxychloroquine dosing, preventing the development of RA in lupus, pregnancy in lupus dosing for methotrexate and much, much more. 

Dr. Hausmann interviews the first author of the 2022 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis Guideline Summary , Mary Beth Humphrey, MD, PhD this week. We discuss what glucocorticoid-induced osteoporosis (GIOP) is and why it's important for people with rheumatic diseases, the need for an updated guideline, how adult and pediatric patients should be screened, risk categorization and much, much more 

We are LIVE from the San Diego Convention Center with Dr. Snow, Dr. Bulbin, and Dr. Phillips, fresh from their presentation at Convergence 2023 regarding the recruitment and retention of our rheumatology workforce!  

Dr. Hausmann, MD interviews our Convergence attendees on the floor of the San Diego Convention Center! Here's your Daily Round Up for Sunday, November 13th 2023

Dr. Hausmann, MD interviews our Convergence attendees on the floor of the San Diego Convention Center! Here's your Daily Round Up for Sunday, November 13th 2023

Award-winning researcher, Dr. Doruk Erkan joins us today with newly published classification criteria for Antiphospholipid Syndrome (APS). Dr. Erkan joins us today with those criteria and why he believes there is sufficient evidence to "Rethink APS". 

Dr. Hausmann, MD interviews our Convergence attendees on the floor of the San Diego Convention Center! Here's your Daily Round Up for Sunday, November 12th 2023

We welcome Dr. Christina Downey back onto our show, this time LIVE from Convergence 2023! You may remember Dr. Downey from Episode 46: Empathy and Wellness , but today she comes to us in another capacity: in her continuing role as Chair of the ACR's Government Affairs Committee! Listen in as she discusses what our collective voice in Washington has done for our patients in 2023, what are the current issues rheumatology faces "on The Hill" and lastly, what you can do to be heard! Learn more about the ACR's efforts in advocacy at: rheumatology.org/about-acr-advocacy and get involved at: rheumatology.org/get-involved 

The weekend of Convergence 2023 continues! Dr. Sindhu Johnson presented the new 2023 ACR Interstitial Lung Disease Guidelines (which can be found here ) and joins us today as its first author. Learn all about the recommendations, monitoring, how to approach treatment and when to change it as well as what gaps were noticed that inspired the new guidelines and the intent of the guidelines going forward. Enjoy, and we'll see you tomorrow for another great episode at Convergence! 

This week, the ACR is kicking off Rheumatic Disease Awareness Month (RDAM), and we've got Dr. Shah who introduces the concept of self-management, which can help improve the control of rheumatic disease beyond medication and empower our patients to take active roles in the management of them. Dr. Shah also spends time highlighting resources available for self-management and addresses how the ACR is advocating for improved healthcare polices and patient support and what you can do to take part in that process! 

Welcome to "ACR Convergence on Air" (ACoA)! Our daily coverage of ACR Convergence 2023! First up: what is thrombotic microangiopathy (TMA) and what is its significance for rheumatology? How does TMA present in clinic and what are the challenges in diagnosing it? Chief of the Division of Hematology and Medical Director of the Clinical Coagulation and the Platelet Antibody Laboratories at Duke University, Dr. Thomas Ortel, joins us on the show to explain this and more from his presentation here at Convergence 2023 

ACR Convergence 2023 begins this Saturday! Dr. Hausmann gets on the mic for this short preview to unveil all of the exciting new things you'll hear, all week long, on our podcast! Be sure to wake up with Jon this Saturday morning, and every morning, during this year's Convergence!

Your patients are seeing you regularly, and things are going well. What else could they possibly need? In this week's episode, we discussed the support a patient organization can contribute between visits to your office and the type of support they provide patients, such as navigating the pitfalls of insurance coverage, managing the complexities of school, work, family, relationships with a chronic rheumatic disease, group support and much, much more. Our guest is Monique Gore-Massy, a distinguished and awarded global lupus advocate, diversity equity & inclusion champion, patient experience researcher, patient opinion leader consultant, motivational speaker, writer, strategist and, a patient with lupus. Her inspiring story and all the ways you can leverage these organizations for your patients are coming up in this next episode of "ACR on Air". 

ACR Convergence 2023 is very nearly here, and with it only being a few weeks away, it's also time for our annual preview episode! What's new this year? What returning favorites are coming back? What can we expect from the San Diego Convention Center? Jon talks to our AMPC Chair, Dr. Sharon Kolasinski once more to tease this year's meeting, which in many ways builds on your feedback from last year as well. While listening, why not explore our Full Schedule or even Register Today! Enjoy the show and we'll see you in November! 

Most may find the topic of advocacy to be uninteresting or too big to tackle with such busy schedules. However, our guests this week, Dr. Belinda Birnbaum, MD and Lennie Shewmaker McDaniel, JD, truly breathe life into this matter while explaining the role the American College of Rheumatology has on Capitol Hill and how you (yes YOU) can play an important and rewarding role. We discuss what RheumPAC is, how the ACR identifies key issues affecting our patients, highlight past successes of the ACR's advocacy group, plus cover important issues currently being presented to Congress such as "Transparency within Pharmacy Benefit Managers" and "Challenges of Step Therapy". 

Congratulations, you've completed your rheumatology fellowship! Armed with the knowledge, skills and passion for treating complex rheumatic disease you're set to go off into the world and help those who need your set of skills most. So... How do you do that? Our next guest, Dr. Sunil Abraham joins us to unpack and demystify this next challenge in your career – from his experience. We discuss the various ways of practicing rheumatology, from academic to clinical, as well as the organizational models of hospital-based groups, community practices, and private practices and the financial risks and benefits of partnership!  

No matter what stage of your career you're in, the Rheumatology Research Foundation can help and support your research endeavors. This week, we discuss many of the grants The Foundation offers, not just to medical students and early career investigators, but also to medical educators, community rheumatologists and fellowship programs. We've invited Dr. Ted Mikuls, MD, MSPH, the chair of the Scientific Advisory Council on the Board of Directors for the Rheumatology Research Foundation and Eryn Marchiolo, the Vice President of Mission at the Rheumatology Research Foundation to discuss what The Foundation is, how it goes about executing its mission for rheumatology research, what scientific topics it's most interested in, plus how to apply for grants, their grant selection process and how you can get involved. 

Our eyes: reflections of the soul, can say more than lips without need of translation and give us a glimpse into stories only a journey can record. Our next guest knows this all too well as he's made a career of looking at rheumatic disease through a different lens. Quite literally. Join us this week for an illuminating discussion with Dr. James T. Rosenbaum, MD, rheumatologist and author of over 650 peer-reviewed manuscripts. Dr. Rosenbaum is credited as being both one of the world's most impactful uveitis scientists for the years 2013 to 2023 and the only practicing rheumatologist to have headed a department of ophthalmology. Dr. Rosenbaum helps us put uveitis into focus this week as we discuss what it is, how he treats it, how to determine if those with it have other rheumatic conditions, and which patients with rheumatic disease should seek additional treatment with an ophthalmologist. 

In this week's episode, we've invited Dr. Irene Blanco, MD, MS, to the show for a discussion regarding healthcare disparities. What are healthcare disparities? What causes them? Are there any disparities specific to rheumatology? We examine the consequences, explore the impact of patient outcomes, and the challenges faced by communities and some solutions you and your practice can engage in.   

Health research methodologist and clinical epidemiologist, Dr. Emily Sirotich, PhD is our guest this week who sheds light on a growing paradigm shift in medicine: patient participation in research. Once only considered to be the beneficiaries of research and care, Dr. Sirotich is here to discuss with us the evolving role patients and patient organizations have and how they are helping to lead the way in research. Through dispensing invaluable perspectives, experiences and insights to the conversation of care, the improvement of it and the advancement of the science involved, patient participation in research has proven to be a powerful resource in the investigation of treatment. 

As physicians, ethical challenges are a certainty for us. Some can be spotted easily and avoided, but what do we do when the choices are not obvious, and a path isn't clear? We must trust our tools to fashion a way forward. Today, we discuss some of today's most relevant moral dilemmas with the Chair of the ACR Ethics Committee, Dr. Kelly Weselman. We'll touch on the balance between patient autonomy and medical recommendations, navigating the complexities of access to care and treatment costs, and managing conflicts of interest. At the bottom of the show, we explore the evolving ethical landscape that is influenced by technological advancements and the increasing availability of information. 

Sarcoidosis: What is it? Why does it occur? Are there any potential environmental triggers? Our guest, Dr. Adam Morgenthau, sheds light on these and more, including making the diagnosis of sarcoidosis, the need for imaging or biopsy and how it will distinguish between organ involvement and organ damage. And, perhaps just as important, we discuss when to treat it, including the various medications that can be effective for organ system manifestations. Finally, we conclude with a discussion on the latest research into Sarcoidosis patients, and their families, living with this disease. 

This week, we invited Dr. Paul Dellaripa to discuss why patients and providers should be concerned regarding increases in heat, pollution, and allergens and how they may negatively impact people with rheumatic diseases. We discuss how environmental factors could contribute to the development of autoimmunity in people who were otherwise previously healthy and how these factors may also cause exacerbations of a patient's underlying rheumatic disease. Most importantly, we discuss what role we can assume at home, as professionals and as educators to our patients and medical trainees. 

This week we've invited Dr. Lauren Henderson of Boston Children's Hospital to discuss what Macrophage Activation Syndrome (MAS) is, how to diagnose it and which medications are used to treat it. Dr. Henderson also explains her efforts to partner with healthcare professionals in other fields (who may use a different name for MAS) seeking to understand what treatments they use when confronted with MAS and to establish a formalized process in evaluating and treating these patients together. 

Join us this week for a very special episode, that is just as much a personal story as it is an educational discussion. Dr. Jon Hausmann discusses a vasculitis disease that affects cartilage, particularly around the ears, nose, joints, eyes and throat, known as Relapsing Polychondritis (RP). Our guest, board certified in internal medicine, critical care, infectious diseases, and rheumatology, is Dr. Marcela Ferrada. Dr. Ferrada is an expert in the research, diagnosis and clinical treatment of RP and is a world-renowned leader in its subject. Dr. Ferrada also lives with the disease, as she was diagnosed with RP in 2015. Her inspiring story of hard work and dedication through adversity truly sets the stage for this educational and informative episode about a very rare disease: Relapsing Polychondritis 

Calcium Pyrophosphate Deposition (CPPD) - is one of the most common inflammatory arthritis in the world, and yet, it doesn't receive the recognition it deserves. Our discussion today will feature everything you've ever wanted to know about this disease. We'll review the basics, diagnosis through arthrocentesis and various imaging studies, creating classification criteria for CPPD, treating both the acute and chronic manifestations of CPPD as well as all the questions that remained unanswered. 

This week we discuss a pressing issue facing healthcare in the United States: The shortage of rheumatologists nationwide. With millions of American suffering from rheumatic diseases, the demand for specialized care has never been greater. Meanwhile, the supply of rheumatologists has not kept pace with this demand. Leaving many patients struggling to access the care they need. Today, we are joined by Dr. Daniel Battafarano, co-chair of the ACR Workforce Study, whose aim was to understand this very topic. We explore the root causes of this shortage, its impact on patient care and potential solutions for addressing this critical issue. 

Gout, despite being one of the most well-known and recognizable rheumatic diseases, still has large populations of people struggling with its management, as they do not receive urate-lowering treatment, even when they qualify. Of those who receive this treatment, only a small percentage reach their target urate goal. To shed some light on this, we've invited Dr. Nicola Dalbeth, a Specialist Rheumatologist, who leads research on the mechanisms, impact and treatment of gout. Dr. Dalbeth is also a principal investigator of trials for novel therapeutic agents and treatment strategies in gout and in 2020, was also a member of the core oversight committee for the ACR Gout Management Guidelines. We discuss treatment efficacy, the disparities, myths and barriers to them, diagnosis, and strategies regarding management of gout. 

Founder of Attune Health and Associate Clinical Professor of Medicine at The David Geffen School of Medicine at UCLA, Dr. Swamy Venuturupalli is our guest today! We discuss innovative tech solutions designed to keep you, the clinician, working smarter, not harder. Dr. Venuturupalli explains some of his favorite tech adoptions in his practice, such as use of VR, AI, social media, and other software designed to increase efficiency and productivity in a field desperately searching for more hands to heal and assist an ever-growing patient load. 

"Rheumatology For All" is an organization with a global mission: To increase access to rheumatology care in under-resourced regions. They aim to create self-sustaining rheumatology training programs by funding the education of local physicians to become rheumatologists and provide educational programs for local physicians. Much of the organization's work is done in developing nations throughout Africa. Today, we have founding member and member of the board of directors, Dr. Michele Meltzer as our guest, to discuss their mission, how it began, where "Rheumatology For All" is going, and how you can get involved in the great need to expand rheumatic care to these under-served countries. 

This week we discuss what a biosimilar is, why they're causing such controversy and why they've taken seven years, since the FDA approved Amgevita, to come to market. We review the evidence behind the safety and efficacy of these drugs, the data from switching from a bio-originator to a biosimilar, and how the approval of the drugs may lower the health care costs and improve access to these medications. 

Master rheumatologist, Dr. Philip J. Mease, joins us for a deep dive into psoriatic arthritis (PsA). Dr. Mease explains how to diagnose PsA in patients, the latest treatments, his insights on evaluating joint pain, the role of enthesitis and axial involvement and how to differentiate between inflammatory and non-inflammatory causes of joint pain in those with PsA. This was an enlightening discussion with a master physician that we know you'll enjoy! 

This week, we have the distinct privilege to interview Dr. Dan Kaster, "The Father of Autio inflammatory Diseases". His discoveries have taught us a great deal about how the immune system works, both in health and disease. His work has contributed to finding effective treatments for conditions that previously caused significant suffering and early death. Discussions around the many autoinflammatory diseases for which he is famous are had in this episode, but we dive deeper, asking about the keys to his success as an investigator as well. Dr. Kastner shares with us formative experiences as a medical student, skills he's acquired solving the myriad of challenges he's faced and the global collaborations he's forged over his long and legendary career.     

This week, our guest is Assoc. Prof. Of Medicine in Rheumatology at Loma Linda Univ. And board certified from the American Board of Lifestyle Medicine and Chair of ACR's Government Affairs Committee, Dr. Christina Downey. Dr. Downey discusses and shares with us how to counsel and provide small and practical steps for patients to improve their wellness as well as tips on staying healthy while juggling clinical practice, administrative responsibilities and family life. We'll learn all about empathy: what it is, how to get it and why you want it. And finally, Dr. Downey shares with us her work in advocacy for her patients and what motivates her to continue that work and fighting burnout 

In this episode, we take a deep dive into the life of a researcher.  We've invited Dr. Jeffrey Sparks to share with us how he ended up as an R01 independent researcher. We'll learn how the sausage is made, as they say, of a successful grant submission.  Jeff will share with us how he became interested in research, the skills he gained along the way, how mentors were necessary for his success, and he explains the alphabet soup of NIH grants.  He also discusses the 20 medals that he has hanging on the wall of his office. 

This week, Dr. Alfred Kim joins Dr. Hausmann for a reflective episode, highlighting memorable moments and key learning takeaways from ACR Convergence 2022, in our final episode of the year. Have a happy and healthy new year.