ACR on Air

Excited for ACR Convergence 2022? So are we! This week Jon catches up with AMPC Chair, Dr. Sharon Kolasinski! It's been two years since we've gathered physically, and when we meet up at The Philadelphia Convention Center, you won't be disappointed. Dr. Kolasinski dives into this year's program, new features at Convergence and even the delicious dining to be had in this historic city of brotherly love. See you soon!

In this episode we discuss how pain syndromes occur, what's happening in the brain, how to diagnose and explain these syndromes in our patients and (most importantly) how to help patients on the road to recovery. Our guest, Dr. Schubiner, has decades of experience in treating patients with these syndromes and uses randomized controlled studies to inform his approach. These studies have shown that a specific type of treatment leads to a nearly complete elimination of pain in a large majority of patients with chronic pain.

• Psychophysiologic Disorders Association Non-profit professional organization and clearinghouse for information, lists of practitioners, bibliography of research articles, and an online training course
• The Tension Myositis Syndrome Wiki A peer-run support group organization for people looking for help with chronic pain, plus a list of practitioners, and online support groups
• UnlearnYourPain.com Six animated videos for educating patients on pain and the brain, plus lists of training programs, and other videos/lectures; and an online program for patients
• Stress Illness Recovery Practitioner's Association A site in the UK with training & online programs

Books written by our colleagues for patients:

• John Sarno—The Mindbody Prescription, Healing Back Pain, The Divided Mind
• Alan Gordon—The Way Out, pain reprocessing therapy for patients
• Howard Schubiner—Unlearn Your Pain and Unlearn Your Anxiety and Depression; books for patients with self-guided recovery programs

Other books:

• David Hanscom—Back in Control and Should you have spine surgery?
• David Clarke—They can't find anything wrong
• David Schechter—Think away your pain
• Georgie Oldfield—The key to chronic pain recovery

Books for professionals:

• Lisa Feldman Barrett—How Emotions are Made; on predictive processing
• Schubiner and Allan Abbass—Hidden from View
• PPD Association—Clarke, Schubiner, Abbass, Clark-Smith—Textbook on psychophysiologic disorders

During "The Great Debate" at ACR Convergence 2020, the question: "Should JAK inhibitors be started before TNF inhibitors in people with rheumatoid arthritis who failed methotrexate?" was asked. However, in 2021, results from the oral surveillance trial showed an increased risk of major adverse cardiovascular events in cancers among patients with rheumatoid arthritis taking tofacitinib as compared to those on TNF inhibitors. These findings led to the FDA updating their black box warning on JAK inhibitors. Today, we've invited one of the speakers on the great debate, Dr. Vibeke Strand, to speak on her position on JAK inhibitors given these new results and shed some more light on the subject.

Today, we've invited a clinical expert of spondyloarthritis, Dr. Maureen Dubreuil. In this episode, Dr. Dubreuil discusses how she evaluates and treats patients with this specific condition and shares with us tips and insights into how to diagnose and manage this disease.

This week's episode is another installment of our popular "Hot Topics" series, where we discuss "must read" studies recently published in one of ACR's three peer-reviewed journals. Joining us is Dr. Vicki Shanmugam. Not just our guest today, but also the host of a new ACR podcast series, "ACR Journals on Air" scheduled to launch later this summer. Today, we'll hear what we can expect from her new podcast, and we'll talk about some of her favorite studies in the ACR's journals right now. Enjoy!

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.