In this week’s episode, we discuss the "ACR’s 2022 Guideline Summary for Vaccinations in Patients with Rheumatic and Musculoskeletal Diseases" with lead author Dr. Anne Bass, Attending Physician in the Division of Rheumatology at Hospital for Special Surgery and a Professor of Clinical Medicine at Weill Cornell Medicine. During our conversation we consider the importance of guidelines for vaccines, the impact certain drugs like rituximab and methotrexate have on vaccinations, cover some vaccine highlights within the guidelines, how these guidelines can aid in navigation with insurance companies and much, much more. 

Today we’re talking about implicit bias with Dr Arin Reeves. What bias is, how it permeates our lives, how it can negatively impact our workforce, and its impact on clinical research and patient care. Most importantly, we discuss what we can do about our implicit biases to prevent them from causing damage. 

This week we welcome Dr. Alfred Kim to our show as we discuss B-Cell depleting therapies and how patients on these drugs may be more susceptible to COVID-19. During which, Dr. Kim takes us back to the beginning of the pandemic and how he and his patients initially managed the rituximab infusions, how and why people on this drug may be at increased risk of severe disease, the importance of vaccinations, and why they may not work for this patient population. Finally, we finish with Dr. Kim sharing with us important information on how to mitigate the risk of COVID-19 among people taking b-cell depleting therapies, now that there are new therapies for COVID-19 pre-exposure prophylaxis.  

Today’s episode is all about mental health for today’s healthcare professionals with our guest, Dr. Hanna Zembrzuska. She is a psychiatrist and rheumatologist and is a clinical assistant professor at The University of Iowa, holding appointments in the depts of internal medicine and psychiatry. We discuss everything from what burnout is, strategies to prevent/overcome it, the importance of having a sense of control within your medical practice and how to establish boundaries to coaching and support groups for physicians, as well as tips and tricks to maintain your mental health during busy clinic days. We then dive into how depression and anxiety can cause physical pain with rheumatic disease. 

Today, in this episode, we’ll discuss the new “2021 Guideline for the Management of Kawasaki Disease”, the mysterious triggers that cause KD, the use of therapies such as IVIG, steroids, infliximab, anakinra, and compare multisystem inflammatory disease in children, or MIS-C (a condition very similar to Kawasaki Disease that is triggered by SARS COV-2). Joining us today is Dr. Mark Gorelik, lead Author of the “2021 Guideline for the Management of Kawasaki Disease”. He’s an assistant professor of pediatrics at the Columbia University Vagelos College of Physicians and Surgeons, is a pediatric rheumatologist, an allergist and immunologist. His research focuses on vasculitis, including Kawasaki disease, and on immune dysregulation.   

In this episode, Dr. Kim Steinbarger, PT, MHS, DHSc, Asst. Professor at Husson University, and Talitha Black, an occupational therapist at Children’s Hospital Los Angeles (CHLA), help us clarify some common misconceptions about exercise for people with rheumatic diseases. We’ll discuss tips and strategies to increase physical activity for people of all ages, explore who would benefit from physical or occupational therapy. We’ll discuss bracing, taping, and other strategies that people may use to reduce pain and improve function. 

• Tough Choices: Exploring Medication Decision-Making During Pregnancy and Lactation Among Women With Inflammatory Arthritis. ACR Open Rheumatology. 
• Improving Knowledge of Lactation Compatibility of Antirheumatic Medications Among Providers Who Care for Patients With Rheumatic Disease. ACR Open Rheumatology. 
• Improved Pregnancy Outcome in Patients With Rheumatoid Arthritis Who Followed an Ideal Clinical Pathway. ACR Arthritis Care & Research. 

In this episode of ACR on Air, we reach the final installment of our vasculitis guideline miniseries. Dr. Hausmann is once again joined by Dr. Sharon Chung, lead author of the 2021 ACR/VF guidelines for managing systemic vasculitis, to discuss Polyarteritis Nodosa (PAN). Dr. Chung weighs in on CTA over MRA for abdominal vascular imaging, and blind biopsy. Dr. Hausmann and Dr. Chung examine various patient scenarios for PAN symptoms and why they would meet the criteria for data testing.