Bienvenue à ce nouveau balado en français d’Autour de la Rhumato avec notre animateur, le docteur Hugues Allard-Chamard. Nous sommes heureux d’accueillir la docteure Alessandra Bruns pour une discussion sur l'échographie.

La docteure Bruns est professeure adjointe au Service de rhumatologie et directrice de la Clinique d'échographie de l'Université de Sherbrooke. Elle est également consultante en rhumatologie pédiatrique et échographie musculo-squelettique à l'Hôpital pour enfants de Montréal. Ses protocoles de recherche portent sur les contributions de l'échographie dans divers domaines.

Le docteur Hugues Allard-Chamard, diplômé en rhumatologie, a également obtenu son doctorat en pharmacologie à l’Université de Sherbrooke. Il est professeur-chercheur et clinicien à l’Université de Sherbrooke.

Bienvenue à ce premier de deux balados en français pour cette nouvelle saison d’Autour de la Rhumato avec notre animateur, le docteur Hugues Allard-Chamard. Nous sommes heureux d’accueillir la docteure Valérie Leclair pour une discussion sur les myopathies.

Docteure Leclair est rhumatologue auprès des adultes à l’Hôpital général juif, affilié à l’Université McGill. Elle est également étudiante au doctorat en épidémiologie à l’Institut Karolinska à Stockholm, en Suède. Son intérêt de recherche porte sur les myopathies inflammatoires. Elle fait d’ailleurs partie de l’équipe de recherche de l’Étude canadienne sur les myopathies inflammatoires.

Le Dr Hugues Allard-Chamard, diplômé en rhumatologie, a également obtenu son doctorat en pharmacologie à l’Université de Sherbrooke. Il est professeur-chercheur et clinicien à l’Université de Sherbrooke.

This month, we're thrilled to have Dr. David Fajgenbaum on our podcast. He is a clinician scientist, rare disease patient, author, and all-around incredible human being.  On this episode, he tells the riveting true story of his battle with Idiopathic Multicentric Castleman’s Disease (IMCD), including his brush with death (a priest gave him last rites), and his subsequent journey to discovering his own cure. David later wrote a book about his journey called ‘Chasing My Cure: A Doctor’s Race to Turn Hope Into Action” and co-founded ‘Every Cure,’ a nonprofit organization aimed at unlocking the full potential of every approved medicine to treat every disease possible. He has been interviewed by the New York Times, CNN, The Today Show, The BBC… and now Around the Rheum! 

Dr. Fajgenbaum is also an Assistant Professor of Medicine in translational medicine and human genetics at the University of Pennsylvania’s Perelman Medical School. 

Special Thanks: Around the Rheum is produced by the Canadian Rheumatology Associations Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), Erin Stewart (Marketing and Communications Director, CRA) for leading production. Our theme music was composed by Aaron Fontwell. 

For more on the work of the Canadian Rheumatology Association, visit rheum.ca 

"The patient in this case is a 73-year-old woman. [She] was previously healthy and not on any medications... She developed exertional shortness of breath for a few months, which prompted her to visit [the] emergency room. It was discovered that she had bilateral pleural effusion."

And so begins our latest episode of our popular new segment, Clinical Pearls and Medical Mysteries, in which two UBC Rheum Fellows try to stump Dan and Janet with this case, laying out increasingly complex details piece by piece. No spoilers, but we will say that Dan describes Janet's approach to the case in this episode as "Lebron James-like."

Our guests are Dr. Angela Hu, who is finishing her final year of Rheumatology Fellowship at UBC. She is from Vancouver and completed medical school at McMaster University and internal medicine training in Toronto. She has an interest in lupus and will be pursuing an additional fellowship in this. Dr. Danya Al Nujaidi is also in her final year of her Rheumatology Fellowship at UBC. She completed medical school and Internal Medicine Board at IAU in Saudi Arabia.

Special Thanks: Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), Erin Stewart (Marketing and Communications Director, CRA) for leading production. Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

On this episode of Around the Rheum, we're thrilled to have Dr. Elie Karam as our guest talking about his journey with Axial Spondyloarthritis, a form of arthritis that causes inflammation and pain of the spine as well as other parts of the body, including the peripheral joints, entheses, gut and eyes.

Dr. Karam is Chair of the Canadian Spondylitis Association (CSA): a patient-led, not-for-profit organization focused on advocacy for Canadians living with this disease. www.spondylitis.ca

He is a self-described Ankylosing Spondylitis warrior, advocating as both a physician and a patient with the condition. In this fascinating conversation, Dr. Karam describes his own journey with spondylitis, the challenge in getting a diagnosis, and finally his experience with treatment. He and Dan talk about the difficulties in dealing with this "invisible disease," how patients can better advocate for themselves, and what more can be done by doctors and the healthcare system to help patients.

Dr. Karam is currently completing his family medicine residency at the University of Ottawa, after having switched out of orthopedic surgery after his diagnosis. Please join us for his inspiring tale!

Around The Rheum (ATR) is produced by the CRA Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.

Our theme music is by Aaron Fontwell.

You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast.

For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca

We're thrilled to be joined by Dr. Dissanayake for this episode on Autoinflammatory Disorders. And we're also happy to have Janet Pope back in the host chair again with Daniel Ennis.

Together, Dilan, Daniel, and Janet have a fascinating conversation, taking on basic questions like what defines an autoinflammatory disease and how is it distinct from an Autoimmune disease? What is the interplay between autoinflammatory and autoimmune disease? How can we group or arrange the different autoinflammatory diseases to make them a more approachable topic? How to take a proper autoinflammatory disease history? How to confirm a suspected autoinflammatory disease and rule out common mimics? Finally, treatment principles and possible long-term consequences.

Dr. Dilan Dissanayake is a staff rheumatologist at The Hospital for Sick Children in Toronto. He is an Assistant Professor at the University of Toronto and a Transition Clinician-Scientist at SickKids Research Institute. Dr. Dissanayake’s current research interests include using high-dimensional methods to better characterize the immune cells that cause rheumatologic diseases and investigations into the functional consequences of genetic changes that lead to inflammatory diseases.

Around The Rheum (ATR) is produced by the CRA Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.

Our theme music is by Aaron Fontwell.

You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast. 

For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca



In this episode, we continue our series of conversations on an important topic, Indigenous Health in Canada. Today, we will focus on the care of patients with rheumatic disease who live in remote communities. We will be visiting with Cynthia Munger, Community Health Representative at the Stellat'en First Nation in northern British Columbia, for a discussion on what remote communities are looking for in their relationship with visiting doctors, how to win the trust of First Nation communities to best serve patients there, and what the experience is like for visiting doctors who commit to this kind of work.

For this conversation, our host Daniel Ennis is joined by his friend and colleague Dr. Brent Ohata, a rheumatologist at UBC. Brent is passionate about Indigenous Health and health equity and has been working as a visiting rheumatologist in Stellat'en First Nation for the past ~8 years. In 2017, Brent won the Innovation Award in the UBC Division of Rheumatology for championing telehealth as a means of improving access to rheumatologic care in rural BC. 

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Around The Rheum (ATR) is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.

Our theme music is by Aaron Fontwell.

You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast. 

For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca.

Dan and Janet are thrilled to welcome UBC's Dr. Fergus To to Around the Rheum for a fascinating conversation about Myositis.

In this discussion, they delve into the general categories of Myositis that rheumatologists need to know about, important clinical features that help differentiate the subtype before you get the panel back, a broad approach to understanding serologies, establishing a firm diagnosis, most common mimics and how to differentiate them from Inflammatory Myositis, the decision making process when selecting first and second line treatments, when to use IVIG for both induction and maintenance, advances in the treatment of RPILD, as well as prognosis and cancer screening and what's in the pipeline.

Dr To is a Clinical Assistant Professor at UBC and serves as a consultant rheumatologist at Vancouver General Hospital and Saint Paul's Hospital. He started the Vancouver Coastal Health Myositis Clinic for which he was awarded the BC Society of Rheumatology Award for Innovation. His research interests are in QI and novel therapies for myositis.

If you have questions you would like answered by the experts, please get in touch through the CRA Twitter account (@crascrrheum) or by email (Info@rheum.ca). And for future Medical Mysteries episodes, please get in touch if you have challenging cases you want to present on the podcast! A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (host), David McGuffin (Producer, Explore Podcast Productions), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. Our theme music was composed by Aaron Fontwell. For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca (http://www.rheum.ca/) or check out our X (Twitter) account - @CRASCRRheum

Host Dan Ennis has to admit that AI has had him a bit concerned. So he joined up with co-host Janet Pope to talk to a couple of Rheumatologists who have done a lot of thinking about where AI is taking us, to see if they could soothe his fears. Together, the University of Alberta's Dr. Carrie Ye and UBC's Dr. Carson Chin, take a look at the practical applications of AI right now, and what the future may hold for it. It is a fun and fascinating conversation and by the end Dan said he was feeling more hopeful about "how we can use [AI] and make it make us better doctors."

Dr. Carson Chin is a Clinical Instructor in the Division of Rheumatology at UBC and is a consultant Rheumatologist at Burnaby Hospital. He is the current Vice President of the BC Society of Rheumatologists. He has a special interest in AI.

Dr. Carrie Ye is a Rheumatologist and Assistant Professor at the University of Alberta and at the Kaye Edmonton Clinic, where she runs the Rheumatology in Immuno-oncology Clinic. 

She is a co-author of the Arthritis & Rheumatology journal article: Doctor versus AI: Patient and physician evaluation of large language model responses to rheumatology patient questions, a cross-sectional study.

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. 

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. 

Our theme music was composed by Aaron Fontwell. 

For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca or check out our X (Twitter) account - @CRASCRRheum

"The patient was a 36 year-old male [...] He presented to the emergency department with a witnessed first-time, generalized tonic-clonic seizure. From the chart, he had a two-week history of poor sleep, worsening headache, and an inability to read."

And with that, we're off on our third edition of Medical Mysteries! The CRA's Holmes and Watson team, Drs. Janet Pope and Daniel Ennis take in the history of this challenging case from the University of Alberta's rheumatology trainee physician Dr. Justin Smith. Will they solve it before Dr. Smith reveals the diagnosis? As well as presenting a fascinating case, this episode is full of great clinical pearls from our resident experts and guest.

Justin Smith is a PGY-5 resident completing his Rheumatology training at the University of Alberta in Edmonton. He is originally from Calgary, and has an interest in connective tissue diseases, particularly SLE, and pediatric-to-adult transition.

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. 

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. 

Our theme music was composed by Aaron Fontwell. 

For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca or check out our X (Twitter) account - @CRASCRRheum

Autoinflammatory diseases are often considered rare — but, in clinical practice, they may be far more common than we think. In this episode of Around the Rheum, hosts Dr. Daniel Ennis and Dr. Janet Pope speak with Dr. Jason An, a Toronto rheumatologist with expertise in autoinflammatory disorders.

Together, they explore how these conditions differ from classic autoimmune disease, why adult rheumatologists should be thinking about them more often, and how to approach diagnosis when the presentation doesn’t fit neatly into familiar categories.

Dr. An also shares practical strategies for recognizing autoinflammatory patterns, interpreting genetic testing, and using targeted therapies both diagnostically and therapeutically.

In this episode we discuss:

• The evolving definition of autoinflammatory disease and how it differs from autoimmune disease
• Why these disorders are not just pediatric diseases and may present in adulthood
• A practical cytokine-based framework for classifying autoinflammatory diseases
• The four major inflammatory “buckets”:
• IL-1–mediated diseases
• IL-18-mediated diseases
• TNF / NF-κB pathway disorders
• Interferonopathies
• Clinical pattern recognition in patients with recurrent fevers and systemic inflammation
• The role and limitations of genetic testing in autoinflammatory disease
• Why variants of uncertain significance (VUS) may still be clinically meaningful in adults
• Using targeted therapies as diagnostic tools (colchicine, IL-1 blockade, JAK inhibitors)
• When rheumatologists should consider referral to an autoinflammatory disease specialist

Recommended reading:

Dr. An’s review on autoinflammatory diseases in The Journal of Rheumatology:

https://www.jrheum.org/content/51/9/848

Dr. Jason An, MD, MSc is an adult rheumatologist specializing in the diagnosis and treatment of autoinflammatory diseases who works in community practice in the Greater Toronto Area (GTA)

Around The Rheum is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Host) David McGuffin (exploreproductions.ca), and Erin Stewart (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

Hosts: Dr. Daniel Ennis, Dr. Janet Pope

Guest: Dr. Marinka Twilt (Pediatric Rheumatologist, University of Calgary; ASM Program Committee Chair)

We’re coming to you almost live from Halifax for Day 1 of the Canadian Rheumatology Association ASM. The day featured key updates across the field, including gaps in pediatric trials, growing recognition of autoinflammatory diseases, and the expanding role of genetics.

The SELECT-GCA trial reinforced that upadacitinib is effective for both induction and maintenance of Giant Cell Arteritis (GCA), with high relapse rates after stopping—supporting longer-term treatment. In pediatric ANCA vasculitis, rituximab showed similar efficacy to cyclophosphamide with a safer profile.

Sessions on “tough-to-treat RA” highlighted how often non-inflammatory factors drive symptoms, while Clinical Pearls and Medical Mysteries emphasized revisiting diagnoses and the importance of pathology and genetics.

The keynote by Dr. Elizabeth Volkman rounded out the day with a focus on holistic care and patient empowerment.

 Main Takeaways

• GCA likely requires longer-term therapy to prevent relapse
• Rituximab is a safe, effective alternative in pediatric ANCA vasculitis
• “Tough-to-treat RA” often reflects non-inflammatory disease
• Reassess when treatments fail—diagnosis evolves
• Genetics and pathology are increasingly central to complex cases
• Holistic care and patient empowerment matter for outcomes

What to Watch on Day 2

• New myositis insights, including statin-associated disease
• Podium presentations showcasing emerging research
• Hands-on workshops (including TMJ)
• Poster tours, with a focus on trainee work
• The Great Debate: “Be it resolved that medications should be tapered in patients with inflammatory arthritis in remission.”

More highlights coming tomorrow—stay tuned!

Hosts: Dr. Daniel Ennis, Dr. Janet Pope

Guests: Dr. Marinka Twilt (Pediatric Rheumatologist, University of Calgary; ASM Program Committee Chair), Dr. Mo Osman (University of Alberta; Abstract Chair & ASM Planning Committee Co-Chair)

We’re coming to you almost live from Halifax for Day 2 of the Canadian Rheumatology Association ASM. The day featured diverse podium science, practical workshops, and a lively Great Debate on DMARD tapering.

Podium sessions highlighted lupus research on cancer risk, rising costs and work disability in RA, and new biologic insights into flares, with B-cell changes supporting patient-reported disease activity in lupus.

Workshops focused on practical tools, including capillaroscopy for early CTD detection, pediatric updates on neonatal lupus risk (anti-Ro vs anti-La), and a structured lab-based approach to unexplained lymphadenopathy.

The Dunlop-Dottridge Lecture reviewed statin-associated myositis, emphasizing delayed onset, persistence after discontinuation of the statins, and early IVIG-based treatment.

The Great Debate explored DMARD tapering, reinforcing that while guidelines are cautious, real-world care requires shared decision-making and a focus on the lowest effective dose rather than full discontinuation.

Main Takeaways

Rising costs and ongoing work disability remain significant in RA

Patient-reported flares have a clear biological basis

Statin-associated myositis can occur years after statin use and requires early IVIG

DMARD tapering should be individualized, with focus on lowest effective dose

What to Watch for on Day 3

State-of-the-art lecture on Still’s disease across the lifespan

More high-impact podium presentations

Clinical workshops, including one on topical therapies

Gala dinner and closing events

More highlights coming tomorrow—stay tuned!

Hosts: Dr. Daniel Ennis, Dr. Janet Pope

Guests: Dr. Marinka Twilt (Pediatric Rheumatologist, University of Calgary; ASM Program Committee Chair), Dr. Mo Osman (University of Alberta; Abstract Chair & ASM Planning Committee Co-Chair)

We’re coming to you almost live from Halifax for Day 3—the final day of the Canadian Rheumatology Association ASM. The day featured strong podium presentations, a high-yield state-of-the-art lecture on Still’s disease, and a powerful closing keynote on health equity.

Podium sessions highlighted emerging science across the spectrum, including sex-based differences in psoriatic arthritis linked to genetic and epigenetic factors, novel monogenic variants in pediatric lupus with neurocognitive involvement, and ongoing inequities in access to therapies for JIA across provinces.

The state-of-the-art lecture on Still’s disease emphasized its spectrum across pediatric and adult care, with practical treatment strategies and increasing recognition of associated interstitial lung disease. Key points included the role of HLA-DRB1*15 as a risk marker, the importance of early treatment, and the potential for IL-1 and IL-6 therapies to contribute to complications in select patients.

Workshops reinforced these themes, focusing on practical approaches to diagnosing and managing Still’s disease, including lung involvement and the role of JAK inhibitors in refractory cases.

The meeting closed with a distinguished investigator lecture from Dr. Cheryl Barnabe, highlighting inequities in care for Indigenous populations and the importance of culturally safe, community-based care to address both geographic and systemic barriers.

Main Takeaways

• Genetic and epigenetic factors may explain sex differences in psoriatic arthritis
• Monogenic variants continue to reveal complexity in pediatric lupus
• Significant inequities persist in access to therapies for JIA across provinces
• Still’s disease spans pediatric and adult care with shared mechanisms
• HLA-DRB1*15 may help predict lung complications in Still’s disease
• Culturally safe, community-based care is essential to improving health equity

What’s Next

CRA ASM 2026 will be held in Vancouver.

More highlights coming next year—see you in Vancouver!

In this episode, Dr. Proton Rahman reflects on his journey from patient with spondyloarthritis to internationally recognized rheumatologist and newly appointed member of the Order of Canada. He shares how his lived experience shapes his approach to patient care, offering insight into empathy, trust, and connection in chronic disease management.

Dr. Rahman also discusses the influence of key mentors — including Dr. Dafna Gladman, herself an Officer of the Order of Canada — in shaping his path into research and his work in the genetics of psoriatic arthritis and beyond! The conversation highlights the shift toward polygenic risk and the ongoing challenge of translating genetic discoveries into clinical practice.

Looking ahead, Dr. Rahman explores the future of rheumatology, emphasizing precision medicine, improved diagnostics, and more effective use of existing therapies. A thoughtful discussion on humility, mentorship, and the evolving complexity of modern rheumatology.

Dr. Proton Rahman is Clinical Chief of Rheumatology at Newfoundland and Labrador Health Services and John Lewis Distinguished Professor at Memorial University. A global expert in spondyloarthritis and psoriatic arthritis, his research focuses on the genetics of inflammatory arthritis and its translation into improved patient care. He is a recent appointee as a Member of the Order of Canada.

Around The Rheum is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Host) David McGuffin (exploreproductions.ca),

and Erin Stewart (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

In this episode of Around the Rheum, hosts Dr. Daniel Ennis and Dr. Janet Pope sit down with Dr. Luke Chen for a deep dive into an approach to patients presenting with hypereosinophilia. Recorded at the Canadian Rheumatology Association (CRA)’s 2026 Annual Scientific Meeting in Halifax, the conversation explores how hematologists, rheumatologists, allergists, infectious disease specialists, and others work together to diagnose and manage these complex disorders.

Dr. Chen discusses the broad differential diagnosis behind eosinophilia — from Eosinophilic Granulomatosus with Polyangiitis (EGPA) and IgG4-related disease to parasitic infections to rare hematologic disorders to 'Idiopathic' Hypereosinophilic Syndrome (I-HES) — and the uncertainty clinicians often face when distinguishing overlapping eosinophilic diseases. The discussion also highlights emerging therapies including IL-5 inhibitors, JAK inhibitors, interferon, and biologics, alongside the practical realities of access to treatment in rare disease care.

Thoughtful, practical, and candid, this episode offers insight into multidisciplinary medicine, diagnostic humility, and caring for patients living with rare inflammatory diseases. It touches on the importance of being okay with uncertainty in the rare disease space.

Dr. Luke Chen is a hematologist and Professor of Medicine at Dalhousie University in Halifax, Nova Scotia. His clinical and research interests focus on rare inflammatory diseases and eosinophilic disorders. He is the founder of the Coastal Rare Inflammatory Diseases Program, supporting physicians caring for patients with rare diseases across Canada.

Around The Rheum is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Host), David McGuffin of Explore Productions, and Erin Stewart (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca.

Dr. Hugues Allard-Chamard from the University of Sherbrooke joins Dan to take a fascinating deep dive into the world of IgG4-related disease. Together they tackle the basics, like what IgG4-related disease is, the clinical spectrum of the disease, the phenotypes that we should look for clinically, an approach to diagnosis, the best tissue to biopsy, and what to look for on pathology. They discuss common mimics of the disease, how to treat it, a look at the recently published open label study on use of Abatacept (of which Hugues was an author), how and when to use Prednisone, and what's in the pipeline for IgG4-related disease.

Dr. Hugues Allard-Chamard is a Rheumatologist and Assistant Professor at the University of Sherbrooke where his research focuses on immunology and IgG4-related disease.

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Co-host Dr Janet Pope is off for this episode and back again with us next time.

Around The Rheum (ATR) is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), and David McGuffin (Producer, Explore Podcast Productions) for leading production.

Our theme music is by Aaron Fontwell.

You can claim podcasts as a scanning activity under the Section 2 MOC Program for 0.5 credits per podcast. 

For more on the work of the Canadian Rheumatology Association (CRA), please visit www.rheum.ca.

"The Patient is a 19-year-old woman of Filipino descent but born in Canada, previously healthy apart from a history of eczema, for which she is not taking any treatment. She had traveled to France on a gap year and while she was there she developed a skin rash that was worse on sun exposure. She also noticed increased hair loss, shortness of breath, dry cough, and arthralgias." 

Dr Sarah Hansen, a recent graduate from the UBC Rheumatology program and an incoming Fellow at the National Institutes of Health (NIH) joins Dan and Janet for our first Medical Mysteries episode.

Step-by-step, Sarah lays out what proves to be an increasingly difficult case to our in-house Holmes and Watson. Will Janet and Dan crack it?  You'll have to listen to find out, but we can guarantee you an episode 'chock-full' of clinical pearls. 

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), Leslie Ishimwe (Marketing and Communications Director, CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

In this fascinating second part of our ATR conversation about osteoarthritis (OA), Dan and Janet engage with Western University's Dr. Tom Appleton on both the traditional and more groundbreaking ways to treat OA. These include pharmacological management options like steroid, hyaluronic acid, PRP, dextrose, and stem cell injections and disease-modifying osteoarthritis drugs (DMOADs) and non-pharmacological treatments, including physical therapy, exercise, and surgical options.

Bios:

-Dr. Tom Appleton is a rheumatologist at St. Joseph’s Health Care in London Ontario, and a Clinician-Scientist and Assistant Professor of Medicine at Western University, where his research focus is Osteoarthritis.

-Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London. 

-Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), Kevin Baijnauth and Leslie Ishimwe (Marketing and Communications Director, CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca. 

On this special Ask the Expert episode of Around the Rheum, Daniel Ennis and his newly promoted co-host (!) Janet Pope, take a deep dive into Osteoarthritis (OA) with Dr. Tom Appleton, Janet's colleague at Western University and a leading OA specialist.

In this first of two episodes Daniel, Janet, and Tom address important questions about Osteoarthritis, including how to define and diagnose it, why early diagnosis is important, do OA subtypes matter, why it affects some joints and not others, and does it belong to Rheumatology?

Be sure to check out part two of this OA conversation with Tom Appleton, about best practices for treatment.

If you have any questions you'd like to ask in our possible upcoming "Ask the Expert" episodes on Sjogren's Syndrome, Autoinflammatory Diseases, and/or Ig4-Related Disease, please send us an e-mail at info@rheum.ca (mailto:info@rheum.ca) or tag us on social media at @CRASCRRheum (https://twitter.com/CRASCRRheum).

Bios:

-Dr. Tom Appleton is a rheumatologist at St. Joseph’s Health Care in London Ontario, and a Clinician-Scientist and Assistant Professor of Medicine at Western University, where his research focus is Osteoarthritis.

-Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London. 

-Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca (http://rheum.ca)

There are few people in our lives that have as big an impact on our careers as mentors. So, in this episode, we're thrilled to have Dr. Janet Pope back to discuss the importance of the mentor-mentee relationship in Rheumatology. Daniel and Janet discuss the benefits - and occasional challenges - of mentorships, as well as the mentors who have made a difference in their lives, how best to find and connect with a mentor early in your career, who the right mentor is for you, the difference between mentors and teachers, and what they love about being mentors themselves.

If you have any questions you'd like to ask in our possible upcoming "Ask the Expert" episodes on Sjogren's Disease, Autoinflammatory Diseases, and/or IgG-4-Related Disease, please send us an email at info@rheum.ca or tag us on social media at @CRASCRRheum.

Bios: 

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.  

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia. 

Special Thanks: Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production. Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

In this special Virtual Care episode of Around the Rheum, host Daniel Ennis is joined by Brent Ohata and Tommy Gerschman, two of the leading advocates for telehealth in Rheumatology. They discuss the pre-COVID-19 use of virtual care, how rheumatologists made the quick pivot to virtual care when the pandemic hit, why video is better than phone, why virtual care is a good fit for patients and doctors in many instances, and what its limitations are and why it isn’t going away anytime soon!

Bios:

Dr. Brent Ohata is an adult rheumatologist and clinical assistant professor in the UBC Division of Rheumatology. He is the co-chair of the CRA's Telehealth Working Group. He has a clinical focus on Indigenous health and health equity.

Dr. Tommy Gerschman is a community-based pediatric rheumatologist and sports medicine specialist. Dr. Gerschman has assisted with the BC Ministry of Health's Digital Health Strategy and associated policies. He is currently the co-chair of a Community-Based Specialists' working group. 

Dr. Daniel Ennis is a rheumatologist and vasculitis specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

Thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Rheumatologist and Host), David McGuffin (Producer, Explore Podcast Productions), and Kevin Baijnauth (Marketing and Communications, CRA) for leading production. Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, including Best Practices for Virtual Care in Rheumatology

visit rheum.ca.

In this follow-up to the last episode on diagnosing and investigating scleroderma with veteran Rheumatologist Dr. Janet Pope, Daniel and Janet discuss her pearls on scleroderma management.

The questions they explore include when and how to treat skin disease, how to manage scleroderma renal crisis, GERD, dysphagia, and lung disease.

If you have any questions you'd like to ask in our possible upcoming "Ask the Expert" episodes on Sjogren's Disease, Psoriatic Arthritis, Myositis, Autoinflammatory Diseases, Large Vessel Vasculitis, and IgG-4-Related Disease, send us an email at info@rheum.ca or tag us on social media at @CRASCRRheum.

Bios:

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca 

In this latest fascinating and informative episode of Ask the Expert with veteran Rheumatologist Dr. Janet Pope, Daniel and Janet dive into the first of a two-parts series on scleroderma, focusing here on diagnosis and investigations.

The questions they explore include what differentiates limited and diffuse scleroderma and why that matters, the concept of very early diagnosis of scleroderma, the role of the 15% rule, and many more!

Our listener questions this episode come from two Rheumatology Residents at the University of Western Ontario, Dr. Leonardo Martin and Dr. Mais Nuaaman, and Vancouver Rheumatologist Dr. Hyein Kim. Many thanks! 

If you have any questions you'd to ask in our upcoming episode on Sclerdoerma management or to suggest topics for upcoming Ask An Expert segments, send us an email at info@rheum.ca or tag us on social media at @Crascrrheum.

Bios:

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca 

Description:

In this second part of our special series on Indigenous Health in Canada, we are joined by Dr. Lindsay Crowshoe, a primary care physician in Calgary and a member of the Piikani First Nation. He and guest host, UBC Rheumatologist Dr. Raheem Kherani, discuss ways doctors can make their practices more welcoming to Indigenous patients, the importance of understanding the impacts of colonization on Indigenous people, and why the healthcare system is often not seen as a place of healing for them. They also discuss the impacts of Residential Schools and systemic racism and respectful ways to approach conversations about those impacts with survivors.

Bios: 

Dr. Lindsay Crowshoe is a Blackfoot primary care physician, Associate Professor, and Assistant Dean of Indigenous Health at the Cumming School of Medicine, University of Calgary.

Dr. Raheem Kherani is a Rheumatologist at the University of British Columbia and the Chair of the Canadian Rheumatology Association’s Education Committee. 

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia. 

Special Thanks: 

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. 

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Rheumatologist and Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (Marketing and Communications, CRA) for leading production. Our theme music was composed by Aaron Fontwell. 

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

Description:

In this latest installment of Around the Rheum’s “Ask the Expert” segment, Dr. Janet Pope takes questions from host Dr. Daniel Ennis and you, our listeners, on the diagnosis and treatment of Lupus.

Topics include: what constitutes a lupus-related rash, when do oral and nasal ulcers matter, differentiating between pathologic and normal hair loss, hydroxychloroquine and the risk of long QT syndrome, low dose steroids, and more!

Thanks to Dr. Juan Antonio Aviña-Zubieta, Lupologist and Associate Prof at UBC for sending in a question for this week's episode.

You, too, can have your question featured on an episode of Around the Rheum!

 To ask questions for our upcoming "Ask the Expert" segments and Scleroderma Pearls and Treatment, e-mail us at info@rheum.ca or tag our Twitter account with your question @crascrrheum.

Bios:

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London. 

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

 Our theme music was composed by Aaron Fontwell.

 For more on the work of the Canadian Rheumatology Association, visit rheum.ca 

Dans ce premier épisode en français du balado Autour de la rhumato, notre animateur, le Dr Allard-Chamard aborde avec le Dr Louis Bessette de l’Université Laval la question des comorbidités dans l’arthrite rhumatoïde.

Cette discussion pratique vise à bien contextualiser la problématique des comorbidités et à explorer comment le rhumatologue peut être partie prenante de la prise en charge et de la surveillance de cet enjeu croissant au sein de la population.

Description: In this first French-language episode of the Around the Rheum Podcast, our host Dr. Allard-Chamard talks with Dr. Louis Bessette of Laval University about comorbidities in rheumatoid arthritis.

This hands-on discussion is intended to properly contextualize the issue of comorbidities and explore how rheumatologists can be involved in the management and monitoring of this growing problem in our population.

Bios: 

Le Dr Hugues Allard-Chamard, diplômé en rhumatologie, a également obtenu son doctorat en pharmacologie à l’Université de Sherbrooke. Actuellement, il est professeur-chercheur et clinicien à l’Université de Sherbrooke, où il dirige un laboratoire de recherche qui se penche sur les immunodéficiences primaires et la réponse immunitaire à la COVID-19. Il se passionne depuis longtemps pour la rhumatologie et a consacré sa carrière à la compréhension de l’arthrite inflammatoire.

Le Dr Louis Bessette, professeur de médecine à l’Université Laval à Québec, est également chercheur clinicien dans l’axe Maladies infectieuses et immunitaires du CHUL de même que directeur du Groupe de recherche en rhumatologie et maladies osseuses (GRMO).

Bios:

Dr. Hugues Allard-Chamard graduated in rheumatology and obtained his doctorate in pharmacology at the University of Sherbrooke. Currently, he is a research professor and clinician at the University of Sherbrooke, where he directs a research laboratory studying primary immunodeficiencies and the immune response to COVID-19. Dr. Allard-Chamard has a long-standing passion for rheumatology as demonstrated by a career focusing on understanding inflammatory arthritis.

Dr. Louis Bessette is a professor of medicine at Laval University in Quebec City. He is a clinical researcher in the Infectious and Immune Diseases Axis of the CHUL and director of the Rheumatology and Bone Diseases Research Group (GRMO).

Un grand merci:

Le balado Autour de la Rhumato est produit par le Comité des communications de la Société canadienne de rhumatologie. Nous tenons à remercier l’équipe du balado, en l’occurrence le Dr Dax G. Rumsey (président du Comité des communications de la SCR), le Dr Daniel Ennis (animateur), David McGuffin (producteur chez Explore Podcast Productions) et Kevin Baijnauth (SCR), chargé de la direction de la production.

Notre thème musical a été composé par Aaron Fontwell.

Pour en savoir plus sur la mission de la Société canadienne de rhumatologie, consultez le site rheum.ca/fr

Acknowledgements:

Around the Rheum is produced by the Canadian Rheumatology Association’s Communications Committee. We would like to say a big thank you to the podcast team, namely Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA), production lead.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

Description:

In this next installment of Around the Rheum’s new “Ask the Expert” segment, Dr. Janet Pope takes questions from host Dr. Daniel Ennis and from our listeners on the diagnosis and treatment of Early Arthritis.

Thanks to Dr. Andrea Johnson, University of Alberta Rheumatology Resident, for sending in questions for this week's Episode.

You, too, can have your question featured on an episode of Around the Rheum!

To ask questions for our upcoming "Ask the Expert" segments on Lupus Pearls and Scleroderma Pearls, e-mail us at info@rheum.ca or tag our Twitter account with your question @crascrrheum.

Bios:

Dr. Janet Pope is a Professor of Medicine in the Division of Rheumatology at the University of Western Ontario, Schulich School of Medicine, London, Ontario. She is also the Division Head in Rheumatology at St. Joseph's Health Centre in London.

Dr. Daniel Ennis is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.

For more on the work of the Canadian Rheumatology Association, visit rheum.ca

Description:

In this Indigenous Health episode of "Around the Rheum," our host Dr Daniel Ennis hands the mics to colleagues Dr. Brent Ohata of UBC and Dr. Cheryl Barnabe of the University of Calgary.

In this smart, thoughtful conversation, Brent and Cheryl talk about Cheryl's experiences working in and with Indigenous communities, how she has learned to adapt how she practices to achieve better outcomes, the importance of outreach to Indigenous patients, the ongoing impact of systemic racism in health care and ways to overcome that, and her approaches to win the trust of Indigenous patients.

Bios:

Dr. Cheryl Barnabe is a Métis rheumatologist and an associate professor in the Departments of Medicine and Community Health Sciences at the University of Calgary. Dr. Barnabe’s research program, ‘Arthritis Care for Indigenous Populations’, is defining the burden of rheumatic disease afflicting the Indigenous populations of Canada, while co-developing promising health services interventions to bridge care gaps that exist.

Dr. Brent Ohata is a clinical instructor in the UBC Division of Rheumatology. He is passionate about indigenous health and health equity. He won the 2017 Innovation Award in the UBC Division of Rheumatology for championing telehealth (pre-pandemic!) as a means of improving access to rheumatologic care in rural BC.

Our host, Dr. Daniel Ennis, is a Rheumatologist and Vasculitis Specialist at the University of British Columbia.

Special Thanks:

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee.

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions) and Kevin Baijnauth (CRA) for leading production.

Our theme music was composed by Aaron Fontwell.