60 acast.com Rheumatology Republic https://player.whooshkaa.com/shows/rheumatology-republic en Rheumatology Republic Rheumatology Republic Bringing the rheumatology community together

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]]> false Rheumatology Republic info+631854ec30768d00133f2fe2@mg-eu.acast.com 631854ec30768d00133f2fe2 rheumatology-republic https://rss.whooshkaa.com/rss/podcast/id/6898 episodic https://assets.pippa.io/shows/631854ec30768d00133f2fe2/show-cover.jpg https://player.whooshkaa.com/shows/rheumatology-republic Rheumatology Republic https://feeds.acast.com/public/shows/631854ec30768d00133f2fe2 Spinal fusions: why, when, how and who pays Spinal fusions: why, when, how and who pays Thu, 07 Sep 2023 03:19:24 GMT 17:58 64f8259510203100126bb66d false https://shows.acast.com/rheumatology-republic/episodes/spinal-fusions 64f8259510203100126bb66d 631854ec30768d00133f2fe2 spinal-fusions It’s a case of when in doubt, leave it out – but deciding against the procedure for sufferers of chronic back pain is also fraught. full The number of spinal fusions performed in Australia has skyrocketed over the past few decades, with the number of privately funded procedures far outstripping those done in the public system.

Spinal fusions, which help stabilise the spine by surgically joining two or more vertebrae together, can be used following traumatic injury, or to help correct scoliosis in children. But the most common use for spinal fusions is in degenerative conditions of the spine. 

This episode of The Medical Republic Podcast explores when this procedure should be considered, and why we are seeing such a large increase in the number of these procedures being performed.

Dr Ashish Diwan, director of the Spine Service at St George Hospital in New South Wales, says there are several considerations to be weighed before undertaking a spinal fusion, including the duration, intensity and frequency of back pain; whether other treatment options have been tried; and what the patient wants.

Dr Diwan has sympathy for GPs with patients who are considering undergoing a spinal fusion, which is far from a straightforward decision: “It’s like trying to get married. If you’re in doubt, don’t do it.”

The decision not to do surgery can be equally challenging, according to Dr Diwan.

“There is also an incredible lack of evidence as to what you do for a person who continues to suffer. The alternatives [drugs, spinal cord stimulators or radiofrequency ablations] are not very clear … none of them stack up when you start dealing with people who have pain of a chronic nature.”

There are many reasons for the spike in the number of spinal fusions being performed, according to Professor Ian Harris, an orthopaedic surgeon and researcher from the University of NSW.

“There is an aging of the population, but [now] there are more so called ‘indications’ for spine surgery,” he tells the podcast. “The techniques of doing them have developed in a way that there’s now lots of different ways you can do spine fusions.”

Several reasons also exist for why more privately, rather than publicly, funded procedures are being done. But Professor Harris feels the inclusion of MRI scans on the MBS is glaringly obvious one.

This presents a fine line to walk between using imaging to rule out potential pathologies and jumping at shadows and operating unnecessarily on age-related changes. This reinforces the need for clear discussions with patients about any imaging findings.

“Just having a scan doesn’t hurt anyone. It’s what you do with the results that can harm people.”

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]]> The number of spinal fusions performed in Australia has skyrocketed over the past few decades, with the number of privately funded procedures far outstripping those done in the public system.

Spinal fusions, which help stabilise the spine by surgically joining two or more vertebrae together, can be used following traumatic injury, or to help correct scoliosis in children. But the most common use for spinal fusions is in degenerative conditions of the spine. 

This episode of The Medical Republic Podcast explores when this procedure should be considered, and why we are seeing such a large increase in the number of these procedures being performed.

Dr Ashish Diwan, director of the Spine Service at St George Hospital in New South Wales, says there are several considerations to be weighed before undertaking a spinal fusion, including the duration, intensity and frequency of back pain; whether other treatment options have been tried; and what the patient wants.

Dr Diwan has sympathy for GPs with patients who are considering undergoing a spinal fusion, which is far from a straightforward decision: “It’s like trying to get married. If you’re in doubt, don’t do it.”

The decision not to do surgery can be equally challenging, according to Dr Diwan.

“There is also an incredible lack of evidence as to what you do for a person who continues to suffer. The alternatives [drugs, spinal cord stimulators or radiofrequency ablations] are not very clear … none of them stack up when you start dealing with people who have pain of a chronic nature.”

There are many reasons for the spike in the number of spinal fusions being performed, according to Professor Ian Harris, an orthopaedic surgeon and researcher from the University of NSW.

“There is an aging of the population, but [now] there are more so called ‘indications’ for spine surgery,” he tells the podcast. “The techniques of doing them have developed in a way that there’s now lots of different ways you can do spine fusions.”

Several reasons also exist for why more privately, rather than publicly, funded procedures are being done. But Professor Harris feels the inclusion of MRI scans on the MBS is glaringly obvious one.

This presents a fine line to walk between using imaging to rule out potential pathologies and jumping at shadows and operating unnecessarily on age-related changes. This reinforces the need for clear discussions with patients about any imaging findings.

“Just having a scan doesn’t hurt anyone. It’s what you do with the results that can harm people.”

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]]> Your dollar goes further when you stay home Your dollar goes further when you stay home Wed, 19 Jul 2023 05:48:01 GMT 23:22 64b76846438cf700118a15d2 false https://shows.acast.com/rheumatology-republic/episodes/voluntourism 64b76846438cf700118a15d2 631854ec30768d00133f2fe2 voluntourism Some hero doctors do the hard yards saving lives overseas, but for most of us, giving a little can make a much bigger difference, says Sydney rheumatologist Dr Rob Baume. full Voluntourism is an enticing form of travel: exotic locales, cultural immersion, serving needy populations with your skills – all wrapped up in your four weeks’ annual leave. 

Not so fast. Before packing your passport and mosquito net, tune in to Rheumatology Republic podcast to hear from two guests who might make you reconsider. 

Sydney rheumatologist Dr Rob Baume says he considered Médecins Sans Frontières after a bout of professional burnout, but ended up staying put. 

“When I did a bit of more research, I found that unless you have a specific specialty such as anesthetist or an obstetrician, you need to sign up for nine months. The other part of the equation is that I don't speak the language. Then there’s also the cost, the health risks and the risk to your life,” he said. 

Instead of volunteering himself, Dr Baume has just reached a milestone: raising $1 million for healthcare in developing nations through his charity, Twice the Doctor. 

The idea is that you “volunteer” in your own practice for one day per year (or more if you wish), see your own patients and donate the income from that day. Twice the Doctor, in partnership with UNICEF and The Fred Hollows Foundation, uses those funds for doctors and primary healthcare workers in Africa. 

One day of your wages is around the same as one month’s wages for a doctor in Africa or six months for a nurse.  

Dr Baume says research shows that if a doctor wants to make maximum impact on the world, it doesn't matter which specialisation they have.  

“What matters is that you give a fair bit of your income to third world causes,” Dr Baume said. 

Our second guest, Dr Andrew Browning, has been doing fistula surgery in Africa through the Barbara May Foundation for around 25 years. He says it’s life-changing for patients who start to live normal lives again after the deeply distressing injury caused by obstructed labour. However, Dr Browning says a donation that funds local health workers may better support outcomes than a short-term volunteering stint. 

Short-term volunteers often teach local staff new clinicial approaches. However, the volunteer’s lack of relationship and cultural understanding can stymie the uptake of Western ways. 

 “You don't know the culture, you don't know the way things work or don't work.  

“The people [healthcare staff] there are very polite, very long-suffering, and will put up with you for the time that you're there. Then as soon as you leave, they just go back to their normal ways.” 

There are some spaces for shorter-term volunteers if you have specialised in obstetrics, gynaecology or midwifery, he says. 

“Around 40% of these girls [with fistulas] have been suicidal or attempted suicide with this injury, 100% of them are depressed. And when you treat them they just turn back to normal, happy citizens,” Dr Browning says. 

 

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]]> Voluntourism is an enticing form of travel: exotic locales, cultural immersion, serving needy populations with your skills – all wrapped up in your four weeks’ annual leave. 

Not so fast. Before packing your passport and mosquito net, tune in to Rheumatology Republic podcast to hear from two guests who might make you reconsider. 

Sydney rheumatologist Dr Rob Baume says he considered Médecins Sans Frontières after a bout of professional burnout, but ended up staying put. 

“When I did a bit of more research, I found that unless you have a specific specialty such as anesthetist or an obstetrician, you need to sign up for nine months. The other part of the equation is that I don't speak the language. Then there’s also the cost, the health risks and the risk to your life,” he said. 

Instead of volunteering himself, Dr Baume has just reached a milestone: raising $1 million for healthcare in developing nations through his charity, Twice the Doctor. 

The idea is that you “volunteer” in your own practice for one day per year (or more if you wish), see your own patients and donate the income from that day. Twice the Doctor, in partnership with UNICEF and The Fred Hollows Foundation, uses those funds for doctors and primary healthcare workers in Africa. 

One day of your wages is around the same as one month’s wages for a doctor in Africa or six months for a nurse.  

Dr Baume says research shows that if a doctor wants to make maximum impact on the world, it doesn't matter which specialisation they have.  

“What matters is that you give a fair bit of your income to third world causes,” Dr Baume said. 

Our second guest, Dr Andrew Browning, has been doing fistula surgery in Africa through the Barbara May Foundation for around 25 years. He says it’s life-changing for patients who start to live normal lives again after the deeply distressing injury caused by obstructed labour. However, Dr Browning says a donation that funds local health workers may better support outcomes than a short-term volunteering stint. 

Short-term volunteers often teach local staff new clinicial approaches. However, the volunteer’s lack of relationship and cultural understanding can stymie the uptake of Western ways. 

 “You don't know the culture, you don't know the way things work or don't work.  

“The people [healthcare staff] there are very polite, very long-suffering, and will put up with you for the time that you're there. Then as soon as you leave, they just go back to their normal ways.” 

There are some spaces for shorter-term volunteers if you have specialised in obstetrics, gynaecology or midwifery, he says. 

“Around 40% of these girls [with fistulas] have been suicidal or attempted suicide with this injury, 100% of them are depressed. And when you treat them they just turn back to normal, happy citizens,” Dr Browning says. 

 

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]]> Alternatives to the knife for OA Alternatives to the knife for OA Wed, 07 Jun 2023 04:50:13 GMT 18:11 647faa59b3fd8b0011ac7259 false https://shows.acast.com/rheumatology-republic/episodes/alternatives-to-the-knife-for-oa 647faa59b3fd8b0011ac7259 631854ec30768d00133f2fe2 alternatives-to-the-knife-for-oa First do no harm: non-drug and non-surgery options that work for osteoarthritis patients. full When the choice is between writing a script for pain killers and a 45 consultation about weight management, which one do you choose?

Associate Professor Kade Paterson, University of Melbourne, is a guest this episode of In Conversation podcast. He says scripts for pain killers and referrals to orthopaedic surgeons are unnecessarily common for patients with osteoarthritis (OA).

Professor Paterson says everyone who has osteoarthritis should be offered some sort of therapeutic exercise that suits them, and his fitness focus is backed by evidence.

“We see very positive outcomes from the three approaches - exercise, weight management and education. All have been shown to be clinically effective at reducing both pain and function,” Professor Paterson says.

Professor Kim Bennell is director of the Centre for Health, Exercise and Sports Medicine at University of Melbourne. She also joins In Conversation podcast and says that the kind of language clinicians use with osteoarthritis patients is important. Focusing on the person, rather than the joint, is shown to be clinically effective in improving a patient’s willingness to take up exercise, she says.

“Using language that talks with optimism about the effective, different treatments out there,” is a small change that is relatively easy to make says Professor Bennell.

This episode also delves into the latest research into foot OA, when ACL surgery is best, why young girls are at risk and what gets in the way of a doctor trying non-drug treatments first.

 

Resources:

 

OA treatment resources from the Centre for Health, Exercise and Sports Medicine.

 

Handbook of Non-drug Interventions (HANDI)

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]]> When the choice is between writing a script for pain killers and a 45 consultation about weight management, which one do you choose?

Associate Professor Kade Paterson, University of Melbourne, is a guest this episode of In Conversation podcast. He says scripts for pain killers and referrals to orthopaedic surgeons are unnecessarily common for patients with osteoarthritis (OA).

Professor Paterson says everyone who has osteoarthritis should be offered some sort of therapeutic exercise that suits them, and his fitness focus is backed by evidence.

“We see very positive outcomes from the three approaches - exercise, weight management and education. All have been shown to be clinically effective at reducing both pain and function,” Professor Paterson says.

Professor Kim Bennell is director of the Centre for Health, Exercise and Sports Medicine at University of Melbourne. She also joins In Conversation podcast and says that the kind of language clinicians use with osteoarthritis patients is important. Focusing on the person, rather than the joint, is shown to be clinically effective in improving a patient’s willingness to take up exercise, she says.

“Using language that talks with optimism about the effective, different treatments out there,” is a small change that is relatively easy to make says Professor Bennell.

This episode also delves into the latest research into foot OA, when ACL surgery is best, why young girls are at risk and what gets in the way of a doctor trying non-drug treatments first.

 

Resources:

 

OA treatment resources from the Centre for Health, Exercise and Sports Medicine.

 

Handbook of Non-drug Interventions (HANDI)

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]]> JAKi and the brave new world of hair loss   JAKi and the brave new world of hair loss   Thu, 09 Feb 2023 03:20:31 GMT 12:13 639813547e04bb00115f5b6d false https://shows.acast.com/rheumatology-republic/episodes/hair-loss 639813547e04bb00115f5b6d 631854ec30768d00133f2fe2 hair-loss Rheumatologists are having hairy conversations with dermatologists about immunosuppressants. full Patients with covid-related hair loss are benefiting from rheumatologists and dermatologists working together on its treatment, says Irish dermatologist Dr Dmitri Wall.

In June year, the JAK inhibitor baricitinib won US FDA approval for patients with severe alopecia areata.and is now being used for hair loss more broadly. 

In this podcast episode, Dr Wall talks about the discussions he’s been having with rheumatologists when treating patients with severe hair loss associated with long covid.  

“I have a number of patients back in Ireland who are seeing me and they're also seeing a rheumatologist. There's back and forth communication between me and the rheumatologists saying ‘Look, maybe we can alter the dose in this way to best cover both’,” he said. 

Dr Wall said that for patients who have a more rapid trajectory and more extensive disease, one of the big, currentdiscussions \is the use of JAK inhibitors. . 

“It’s making a huge difference to patients with more severe or more progressive alopecia areata,” he said 

Dr Wall also talks about his recently published paper which includes a case report on a patient with Crohn’s disease and severe hair loss. Dr Wall encouraged the patient to speak with his gastroenterologist about looking for clinical trials where both conditions could possibly be treated.  

“I didn't hear anything for a year but then I got an email that said, ‘I just want to thank you. I got on that clinical trial and all my hair grew back’. As it turned out, he was treated with filgotinib, which has never been described in the area of alopecia areata before,” Dr Wall said. 

Dr Wall provides some research insights from the UK–Irish Atopic eczema Systemic Therapy Registry (A-STAR) and reveals what showed up as a result of covid. 

“We had this really strange but interesting collection of data suggesting that while some of the immunosuppressants could be beneficial with covid, some of them may actually be more damaging. And that's what the registry started to define as giving people a degree of awareness of the circumstances, the patients where they should or shouldn't be prescribed,” he said. 

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]]> Patients with covid-related hair loss are benefiting from rheumatologists and dermatologists working together on its treatment, says Irish dermatologist Dr Dmitri Wall.

In June year, the JAK inhibitor baricitinib won US FDA approval for patients with severe alopecia areata.and is now being used for hair loss more broadly. 

In this podcast episode, Dr Wall talks about the discussions he’s been having with rheumatologists when treating patients with severe hair loss associated with long covid.  

“I have a number of patients back in Ireland who are seeing me and they're also seeing a rheumatologist. There's back and forth communication between me and the rheumatologists saying ‘Look, maybe we can alter the dose in this way to best cover both’,” he said. 

Dr Wall said that for patients who have a more rapid trajectory and more extensive disease, one of the big, currentdiscussions \is the use of JAK inhibitors. . 

“It’s making a huge difference to patients with more severe or more progressive alopecia areata,” he said 

Dr Wall also talks about his recently published paper which includes a case report on a patient with Crohn’s disease and severe hair loss. Dr Wall encouraged the patient to speak with his gastroenterologist about looking for clinical trials where both conditions could possibly be treated.  

“I didn't hear anything for a year but then I got an email that said, ‘I just want to thank you. I got on that clinical trial and all my hair grew back’. As it turned out, he was treated with filgotinib, which has never been described in the area of alopecia areata before,” Dr Wall said. 

Dr Wall provides some research insights from the UK–Irish Atopic eczema Systemic Therapy Registry (A-STAR) and reveals what showed up as a result of covid. 

“We had this really strange but interesting collection of data suggesting that while some of the immunosuppressants could be beneficial with covid, some of them may actually be more damaging. And that's what the registry started to define as giving people a degree of awareness of the circumstances, the patients where they should or shouldn't be prescribed,” he said. 

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]]> From ACR Convergence with Dr Claire Owen From ACR Convergence with Dr Claire Owen Thu, 17 Nov 2022 02:00:50 GMT 6:51 637315bf693fc80011133025 false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-with-dr-claire-owen 637315bf693fc80011133025 631854ec30768d00133f2fe2 from-acr-convergence-with-dr-claire-owen full

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]]> From ACR Convergence Dr Mike Putman From ACR Convergence Dr Mike Putman Mon, 14 Nov 2022 02:09:46 GMT 8:21 6371a5be5ce7b9001270e44c false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-dr-mike-putman 6371a5be5ce7b9001270e44c 631854ec30768d00133f2fe2 from-acr-convergence-dr-mike-putman full

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]]> From ACR Convergence Dr Tina Ko From ACR Convergence Dr Tina Ko Mon, 14 Nov 2022 01:47:34 GMT 5:27 63719e365ce7b9001270dbe9 false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-dr-tina-ko 63719e365ce7b9001270dbe9 631854ec30768d00133f2fe2 from-acr-convergence-dr-tina-ko full

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]]> From ACR Convergence Professor Anne Davidson From ACR Convergence Professor Anne Davidson Mon, 14 Nov 2022 00:24:05 GMT 7:41 63718ab65229b00011c1869c false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-professor-anne-davidson 63718ab65229b00011c1869c 631854ec30768d00133f2fe2 from-acr-convergence-professor-anne-davidson full

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]]> From ACR Convergence with Dr Ai Li Yeo From ACR Convergence with Dr Ai Li Yeo Sun, 13 Nov 2022 04:05:48 GMT 6:05 637067a55229b00011c03792 false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-with-dr-ai-li-yeo 637067a55229b00011c03792 631854ec30768d00133f2fe2 from-acr-convergence-with-dr-ai-li-yeo full

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]]> From ACR Convergence with Dr Adam J Brown From ACR Convergence with Dr Adam J Brown Sun, 13 Nov 2022 03:41:37 GMT 10:40 6370627d9128e800112510a4 false https://shows.acast.com/rheumatology-republic/episodes/from-acr-convergence-with-dr-adam-j-brown 6370627d9128e800112510a4 631854ec30768d00133f2fe2 from-acr-convergence-with-dr-adam-j-brown full

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]]> From ACR Convergence with Dr Laura Eades From ACR Convergence with Dr Laura Eades Sun, 13 Nov 2022 02:31:32 GMT 5:07 636f14e15edee5001239a3b3 false https://shows.acast.com/rheumatology-republic/episodes/from-sfx-in-conversation-with-laura-eades 636f14e15edee5001239a3b3 631854ec30768d00133f2fe2 from-sfx-in-conversation-with-laura-eades full

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]]> In Conversation podcast with Professor Catherine Hill In Conversation podcast with Professor Catherine Hill Thu, 13 Oct 2022 04:00:14 GMT 28:39 634675177583ef001190636c false https://shows.acast.com/rheumatology-republic/episodes/in-conversation-podcast-with-professor-catherine-hill 634675177583ef001190636c 631854ec30768d00133f2fe2 in-conversation-podcast-with-professor-catherine-hill The 2022 Parr Prize winner opens up about her career, mentoring and how all she’s made the pieces of a rich life in rheumatology fit together. full 1 34 It wasn’t the conventional path to becoming a rheumatologist, but Professor Catherine Hill has found her career journey extremely rewarding. 

The immediate past president of the ARA joins In Conversation podcast this month and shares candid insights about her life, career and what it meant to win the 2022 Parr Prize. 

“I was delighted to be the recipient, but it's a body of work over many years. And it's also not just my efforts, it's really a team effort. I have a fantastic team that I work with, the radiology research group at the Basil Hetzel Institute,” Professor Hill says. 

A strong advocate of mentoring, Professor Hill also provides some coaching tips on how to handle giving feedback. 

“If I've agreed to take on a PhD student, I enter a pact to be open and supportive to them, also asking them what I could do better if they are struggling - asking what could we, as a team, do to help them if things are starting to fall behind,” she says. 

Professor Hill says mentors are necessary even for mid or later-career rheumatologists who might be reflecting on the next stages in their career. 

“Maybe sit down and think about where your priorities are for both your career and your life and what you really want to concentrate on. Find a colleague who you can have an honest conversation with. I still have some mentoring myself some time,” she says. 

 

You can listen and subscribe to the show by searching for “The Tea Room Medical Republic” in your favourite podcast player. 

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]]> It wasn’t the conventional path to becoming a rheumatologist, but Professor Catherine Hill has found her career journey extremely rewarding. 

The immediate past president of the ARA joins In Conversation podcast this month and shares candid insights about her life, career and what it meant to win the 2022 Parr Prize. 

“I was delighted to be the recipient, but it's a body of work over many years. And it's also not just my efforts, it's really a team effort. I have a fantastic team that I work with, the radiology research group at the Basil Hetzel Institute,” Professor Hill says. 

A strong advocate of mentoring, Professor Hill also provides some coaching tips on how to handle giving feedback. 

“If I've agreed to take on a PhD student, I enter a pact to be open and supportive to them, also asking them what I could do better if they are struggling - asking what could we, as a team, do to help them if things are starting to fall behind,” she says. 

Professor Hill says mentors are necessary even for mid or later-career rheumatologists who might be reflecting on the next stages in their career. 

“Maybe sit down and think about where your priorities are for both your career and your life and what you really want to concentrate on. Find a colleague who you can have an honest conversation with. I still have some mentoring myself some time,” she says. 

 

You can listen and subscribe to the show by searching for “The Tea Room Medical Republic” in your favourite podcast player. 

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]]> Dignity over data - where medical AI fails to impress Dignity over data - where medical AI fails to impress Wed, 07 Sep 2022 02:00:00 GMT 7:13 6816c690-6194-4278-8667-51e4ac03792a false https://player.whooshkaa.com/episode?id=1038585 631854eed5e7d0001494dbac 631854ec30768d00133f2fe2 AI in healthcare is only going to get bigger and new Macquaire University research reveals how to do it better.In this super... full 1 33 AI in healthcare is only going to get bigger and new Macquaire University research reveals how to do it better.
In this super short podcast we hear from Associate Professor Paul Formosa from Macquarie University. He’s been researching how patients respond to AI making their medical decisions compared to how they respond if a human is involved.
Professor Formosa says that patients see humans as appropriate decision makers and that AI is perceived as dehumanizing even when the decision outcome is identical.
“There's this dual aspect to people's relationship with data. They want decisions based on data and they don't like it when data is missing. However, they also don't like themselves to be reduced merely to a number,” Professor Formosa says.
Study scenarios included use of imaging AI to diagnose of skin cancers and to allocate organ donations. Professor Formasa poses a key question for both technology designers and specialists to ask.
“If AI technology is used, is it being used in ways that promote good health care interactions between patients and healthcare providers? Or is it just automatically relied on in a way that interferes with that relationship?” he says.

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]]> AI in healthcare is only going to get bigger and new Macquaire University research reveals how to do it better.
In this super short podcast we hear from Associate Professor Paul Formosa from Macquarie University. He’s been researching how patients respond to AI making their medical decisions compared to how they respond if a human is involved.
Professor Formosa says that patients see humans as appropriate decision makers and that AI is perceived as dehumanizing even when the decision outcome is identical.
“There's this dual aspect to people's relationship with data. They want decisions based on data and they don't like it when data is missing. However, they also don't like themselves to be reduced merely to a number,” Professor Formosa says.
Study scenarios included use of imaging AI to diagnose of skin cancers and to allocate organ donations. Professor Formasa poses a key question for both technology designers and specialists to ask.
“If AI technology is used, is it being used in ways that promote good health care interactions between patients and healthcare providers? Or is it just automatically relied on in a way that interferes with that relationship?” he says.

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]]> What was hot at ARA 2022 What was hot at ARA 2022 Mon, 23 May 2022 01:21:00 GMT 16:49 894beee0-31cd-4fc8-80b0-3e549f0a180d false https://player.whooshkaa.com/episode?id=996754 631854eed5e7d0001494dbad 631854ec30768d00133f2fe2 After a year of lockdowns and border closures the Australian rheumatology community has come together again at ARA... full 1 32 After a year of lockdowns and border closures the Australian rheumatology community has come together again at ARA 2022.
Rheumatology Republic captured the spirit of the conference in conversation with speakers including Professor Lyn March, Professor Paul Bird and Dr Mona Marabani.
Popular sessions included the covid update which one delegate heralded as a timely “masterclass”. Other delegates lauded the sessions on sleep disorders, autoinflammation and paediatric papers.
The overall sentiment in the face-to-face hubs was one of celebration at coming together again.

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]]> After a year of lockdowns and border closures the Australian rheumatology community has come together again at ARA 2022.
Rheumatology Republic captured the spirit of the conference in conversation with speakers including Professor Lyn March, Professor Paul Bird and Dr Mona Marabani.
Popular sessions included the covid update which one delegate heralded as a timely “masterclass”. Other delegates lauded the sessions on sleep disorders, autoinflammation and paediatric papers.
The overall sentiment in the face-to-face hubs was one of celebration at coming together again.

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]]> Tele-Presence 5: coaching self-examinations via telehealth Tele-Presence 5: coaching self-examinations via telehealth Thu, 28 Apr 2022 03:00:00 GMT 26:37 614b8a2b-e572-466f-b62b-1386d272d509 false https://player.whooshkaa.com/episode?id=987345 631854eed5e7d0001494dbae 631854ec30768d00133f2fe2 Physical examinations are hampered by telehealth, but after an extensive literature review, experts have curated the best workarounds... full 1 31 Physical examinations are hampered by telehealth, but after an extensive literature review, experts have curated the best workarounds to optimise diagnosis.
In this episode of In conversation we introduce Tele-Presence 5 – a guideline for doctors to coach patients through self-examinations via telehealth. We are joined by Professor Stephen W. Russell, physician and researcher from the University of Alabama at Birmingham.
Using long-term shoulder pain as an example, Professor Russell demonstrates how to talk a patient through a physical self-examination and touches on new technology emerging to support telehealth. He also explains the five key tenements of Tele-Presence 5 which are validated ways to increase connection and communication between patient and doctor.

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]]> Physical examinations are hampered by telehealth, but after an extensive literature review, experts have curated the best workarounds to optimise diagnosis.
In this episode of In conversation we introduce Tele-Presence 5 – a guideline for doctors to coach patients through self-examinations via telehealth. We are joined by Professor Stephen W. Russell, physician and researcher from the University of Alabama at Birmingham.
Using long-term shoulder pain as an example, Professor Russell demonstrates how to talk a patient through a physical self-examination and touches on new technology emerging to support telehealth. He also explains the five key tenements of Tele-Presence 5 which are validated ways to increase connection and communication between patient and doctor.

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]]> Cognitive dysfunction often overlooked in lupus patients Cognitive dysfunction often overlooked in lupus patients Thu, 10 Mar 2022 03:58:00 GMT 23:30 e99c09c8-c59e-4eea-8d43-2f69d003d99f false https://player.whooshkaa.com/episode?id=968420 631854eed5e7d0001494dbaf 631854ec30768d00133f2fe2 full 1 30 Beyond ‘brain fog’ – the real penalty of cognitive dysfunction in lupus and what to do about it.

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]]> Beyond ‘brain fog’ – the real penalty of cognitive dysfunction in lupus and what to do about it.

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]]> Health hackers - protect your clinic from data ransom Health hackers - protect your clinic from data ransom Thu, 02 Dec 2021 05:18:00 GMT 19:30 b55be37d-b934-48af-8f51-5eaecbf8fd19 false https://player.whooshkaa.com/episode?id=932638 631854eed5e7d0001494dbb0 631854ec30768d00133f2fe2 Prevention is better than cure when it comes to cybersecurity. Data security expert Troy Hunt discusses how to protect yourself, your... full 1 29 Prevention is better than cure when it comes to cybersecurity. Data security expert Troy Hunt discusses how to protect yourself, your practice and your patient’s privacy.
The health care sector is number one again in 2021 for reporting the highest number of data breaches in Australia. It’s a consistent track record that reflects a concerted targeting by hackers because health data can fetch a lot more than other personal information on the black market.
According to cyber-security expert Troy Hunt, sophisticated cyber hackers are trying to trip up your systems and your staff “every hour, every day”.
Mr Hunt spoke to In Conversation podcast and outlined practical actions that can be taken take protect doctors, businesses and patient privacy.

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]]> Prevention is better than cure when it comes to cybersecurity. Data security expert Troy Hunt discusses how to protect yourself, your practice and your patient’s privacy.
The health care sector is number one again in 2021 for reporting the highest number of data breaches in Australia. It’s a consistent track record that reflects a concerted targeting by hackers because health data can fetch a lot more than other personal information on the black market.
According to cyber-security expert Troy Hunt, sophisticated cyber hackers are trying to trip up your systems and your staff “every hour, every day”.
Mr Hunt spoke to In Conversation podcast and outlined practical actions that can be taken take protect doctors, businesses and patient privacy.

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]]> Solving the polymyalgia rheumatica puzzle Solving the polymyalgia rheumatica puzzle Thu, 28 Oct 2021 05:06:00 GMT 18:38 4d72ae77-0a18-479a-b176-7ec025836ea1 false https://player.whooshkaa.com/episode?id=921691 631854eed5e7d0001494dbb1 631854ec30768d00133f2fe2 Dr Jessica Leung and Dr Georgia Harris find PMR is not as self-limiting as generally thought and often misdiagnosed for... full 1 27 Dr Jessica Leung and Dr Georgia Harris find PMR is not as self-limiting as generally thought and often misdiagnosed for months.

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]]> Dr Jessica Leung and Dr Georgia Harris find PMR is not as self-limiting as generally thought and often misdiagnosed for months.

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]]> Why people are bad at taking meds Why people are bad at taking meds Wed, 22 Sep 2021 04:43:00 GMT 15:53 49e02837-1141-45fe-bcc5-1268b87f296e false https://player.whooshkaa.com/episode?id=907130 631854eed5e7d0001494dbb2 631854ec30768d00133f2fe2 full 1 26 It’s as complex and difficult as losing weight but Ayano Kelly is getting to the bottom of adherence.

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]]> It’s as complex and difficult as losing weight but Ayano Kelly is getting to the bottom of adherence.

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]]> <![CDATA[Rheumatologist honoured in Queen's birthday awards]]> Wed, 16 Jun 2021 05:25:00 GMT 16:06 495eac71-70ec-4d18-a04a-a75c6d5e6b69 false https://player.whooshkaa.com/episode?id=840943 631854eed5e7d0001494dbb3 631854ec30768d00133f2fe2 full 1 25 Professor Flavia Cicuttini AM talks about her early research career, key research moments and her passion for helping today’s early and mid-career researchers to create a better future.

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]]> Professor Flavia Cicuttini AM talks about her early research career, key research moments and her passion for helping today’s early and mid-career researchers to create a better future.

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]]> <![CDATA['We need to lead the way']]> Wed, 26 May 2021 07:00:00 GMT 16:07 b4deb669-b679-4b1c-a179-fb78aeded61e false https://player.whooshkaa.com/episode?id=830901 631854eed5e7d0001494dbb4 631854ec30768d00133f2fe2 The chair of Doctors for the Environment Australia, rheumatologist Dr John Van Der Kallen, is calling for a national body to reduce... full 1 24 The chair of Doctors for the Environment Australia, rheumatologist Dr John Van Der Kallen, is calling for a national body to reduce healthcare emissions.

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]]> The chair of Doctors for the Environment Australia, rheumatologist Dr John Van Der Kallen, is calling for a national body to reduce healthcare emissions.

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]]> <![CDATA[Why 'living guidelines' will work so well]]> Tue, 13 Apr 2021 23:30:00 GMT 16:24 77929d07-9cac-4df3-b6f6-02550b866182 false https://player.whooshkaa.com/episode?id=814209 631854eed5e7d0001494dbb5 631854ec30768d00133f2fe2 full 1 23 Living guidelines could soon be the gold standard for treating inflammatory diseases. Here’s how they work.

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]]> Living guidelines could soon be the gold standard for treating inflammatory diseases. Here’s how they work.

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]]> <![CDATA[Seth Ginsberg's escape from New York]]> Thu, 03 Dec 2020 04:32:00 GMT 22:15 940f2323-0044-4caa-95a7-37b70ebf2a53 false https://player.whooshkaa.com/episode?id=765595 631854eed5e7d0001494dbb6 631854ec30768d00133f2fe2 With COVID-19 raging through the United States like wildfire, and the controversial US election whipping up rage and spreading... full 1 22 With COVID-19 raging through the United States like wildfire, and the controversial US election whipping up rage and spreading misinformation far and wide, Seth Ginsberg is very happy with his decision to move from New York to the relative calm and safety of Australia – his wife’s home country. Felicity Nelson and Karina Bray chatted to Seth Ginsberg on the Rheumatology Republic podcast.

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]]> With COVID-19 raging through the United States like wildfire, and the controversial US election whipping up rage and spreading misinformation far and wide, Seth Ginsberg is very happy with his decision to move from New York to the relative calm and safety of Australia – his wife’s home country. Felicity Nelson and Karina Bray chatted to Seth Ginsberg on the Rheumatology Republic podcast.

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]]> <![CDATA[Oz's first wellness officer is a rheumatologist]]> Tue, 17 Nov 2020 22:30:00 GMT 16:09 919922d7-4a96-4437-9167-89952cb13e9a false https://player.whooshkaa.com/episode?id=754333 631854eed5e7d0001494dbb7 631854ec30768d00133f2fe2 full 1 21 As Australia’s first ever wellness officer, rheumatologist Dr Bethan Richards has focused on meeting the basic needs of hospital staff – offering protected lunch breaks, access to water, functioning rest areas and moments of human connection. It all sounds tragically obvious but has required deep changes in governance, organisational structure and culture.

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]]> As Australia’s first ever wellness officer, rheumatologist Dr Bethan Richards has focused on meeting the basic needs of hospital staff – offering protected lunch breaks, access to water, functioning rest areas and moments of human connection. It all sounds tragically obvious but has required deep changes in governance, organisational structure and culture.

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]]> What does FAST mean for febuxostat warnings? What does FAST mean for febuxostat warnings? Wed, 11 Nov 2020 23:25:00 GMT 10:31 8ba6ecaa-bdfc-448f-a6aa-8e9c57d158e9 false https://player.whooshkaa.com/episode?id=757035 631854eed5e7d0001494dbb8 631854ec30768d00133f2fe2 The FAST study that pitted febuxostat against allopurinol for patients with gout and CVD risk factors has released its results in a... full 1 20 The FAST study that pitted febuxostat against allopurinol for patients with gout and CVD risk factors has released its results in a late breaking abstract at ACR. Thomas MacDonald, the senior author and a professor of medicine at the University of Dundee in the UK, came on the Rheumatology Republic podcast to discuss the study.

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]]> The FAST study that pitted febuxostat against allopurinol for patients with gout and CVD risk factors has released its results in a late breaking abstract at ACR. Thomas MacDonald, the senior author and a professor of medicine at the University of Dundee in the UK, came on the Rheumatology Republic podcast to discuss the study.

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]]> Switching from rheumatology to the COVID wards Switching from rheumatology to the COVID wards Fri, 07 Aug 2020 10:53:00 GMT 13:53 21205f67-a843-4251-8921-99bd3c453904 false https://player.whooshkaa.com/episode?id=713446 631854eed5e7d0001494dbb9 631854ec30768d00133f2fe2 With COVID-19 cases climbing in Victoria, some rheumatologists are being called up to help with frontline care of sick... full 1 19 With COVID-19 cases climbing in Victoria, some rheumatologists are being called up to help with frontline care of sick patients.

Today, we're interviewing Dr Mueed Mian, a rheumatologist at Austin Health and Northern Health, who’s been working with patients who have coronavirus.

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]]> With COVID-19 cases climbing in Victoria, some rheumatologists are being called up to help with frontline care of sick patients.

Today, we're interviewing Dr Mueed Mian, a rheumatologist at Austin Health and Northern Health, who’s been working with patients who have coronavirus.

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]]> Rheuma in the time of corona Rheuma in the time of corona Wed, 08 Apr 2020 04:30:00 GMT 20:48 a65d1931-5377-482e-8fb7-fa739677b090 false https://player.whooshkaa.com/episode?id=618985 631854eed5e7d0001494dbba 631854ec30768d00133f2fe2 The absence of any data on the risk that SARS-Cov 2 poses to patients with rheumatic disease has been unsettling for the entire... full 1 18 The absence of any data on the risk that SARS-Cov 2 poses to patients with rheumatic disease has been unsettling for the entire rheumatology community. It feels like we’re all fumbling around in the dark...

This week, I’m joined by Dr David Liew, the COVID-19 Global Rheumatology Alliance's regional lead for Australia. I’m hoping he has some updates for us on how this pandemic is panning out for patients for rheumatic disease.

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]]> The absence of any data on the risk that SARS-Cov 2 poses to patients with rheumatic disease has been unsettling for the entire rheumatology community. It feels like we’re all fumbling around in the dark...

This week, I’m joined by Dr David Liew, the COVID-19 Global Rheumatology Alliance's regional lead for Australia. I’m hoping he has some updates for us on how this pandemic is panning out for patients for rheumatic disease.

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]]> A tailored approach to self-management of lupus A tailored approach to self-management of lupus Tue, 28 Jan 2020 22:30:00 GMT 9:15 01672f99-f720-439f-af63-a70ec165291f false https://player.whooshkaa.com/episode?id=518708 631854eed5e7d0001494dbbb 631854ec30768d00133f2fe2 At the ACR annual meeting in Atlanta, Rheumatology Republic reporter Penny Durham caught up with Patricia Davidson and Karin Tse... bonus 1 17 At the ACR annual meeting in Atlanta, Rheumatology Republic reporter Penny Durham caught up with Patricia Davidson and Karin Tse from the Lupus Foundation of America, which is trialling two self-management programs for lupus patients.

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]]> At the ACR annual meeting in Atlanta, Rheumatology Republic reporter Penny Durham caught up with Patricia Davidson and Karin Tse from the Lupus Foundation of America, which is trialling two self-management programs for lupus patients.

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]]> <![CDATA[Roo-matology & life in the bush]]> Tue, 14 Jan 2020 22:59:00 GMT 10:09 9377eccb-1fdf-45d1-a9a9-5a12d81158d3 false https://player.whooshkaa.com/episode?id=520364 631854eed5e7d0001494dbbc 631854ec30768d00133f2fe2 full 1 16 Associate Professor Mark Arnold works as a rheumatologist in Dubbo and Orange in NSW.

There's a significant need for rheumatologists in the bush, but it comes with its own unique challenges.

There are vast distances to travel and wildlife to avoid. You learn not to schedule patient appointments around peak times for emu and kangaroo strikes, and to watch out for blocks of concrete on the road, otherwise known as wombats.

Rheumatology Republic reporter Penny Durham met with Associate Professor Arnold at the ACR annual meeting in Atlanta.

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]]> Associate Professor Mark Arnold works as a rheumatologist in Dubbo and Orange in NSW.

There's a significant need for rheumatologists in the bush, but it comes with its own unique challenges.

There are vast distances to travel and wildlife to avoid. You learn not to schedule patient appointments around peak times for emu and kangaroo strikes, and to watch out for blocks of concrete on the road, otherwise known as wombats.

Rheumatology Republic reporter Penny Durham met with Associate Professor Arnold at the ACR annual meeting in Atlanta.

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]]> <![CDATA[Have you asked your patients this 'One Key Question'?]]> Wed, 04 Dec 2019 02:08:00 GMT 19:04 ede3c0a9-438b-4ba8-a399-b2c2e97b5807 false https://player.whooshkaa.com/episode?id=507835 631854eed5e7d0001494dbbd 631854ec30768d00133f2fe2 full 1 15 Rheumatologists don’t always ask their female patients this question, but, according to US rheumatologist Dr Bonnie Bermas from UT Southwestern in Dallas, it’s really quite important.

The ‘One Key Question’ is: “Are you planning on becoming pregnant in the next year?”

The conversations about contraception and pregnancy planning are often out of the “comfort zone” of rheumatologists, says Dr Bermas.

But this is a topic that rheumatologists should bring up with their patients to kickstart a conversation about disease control during pregnancy.

Rheumatoid arthritis patients are at a greater risk for pregnancy complications if their disease is more active, says Dr Bermas.

“We have a lot of data that show that pregnancies do best when they are planned and disease is under good control,” she says.

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]]> Rheumatologists don’t always ask their female patients this question, but, according to US rheumatologist Dr Bonnie Bermas from UT Southwestern in Dallas, it’s really quite important.

The ‘One Key Question’ is: “Are you planning on becoming pregnant in the next year?”

The conversations about contraception and pregnancy planning are often out of the “comfort zone” of rheumatologists, says Dr Bermas.

But this is a topic that rheumatologists should bring up with their patients to kickstart a conversation about disease control during pregnancy.

Rheumatoid arthritis patients are at a greater risk for pregnancy complications if their disease is more active, says Dr Bermas.

“We have a lot of data that show that pregnancies do best when they are planned and disease is under good control,” she says.

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]]> Disneyland for rheumatologists Disneyland for rheumatologists Wed, 20 Nov 2019 05:13:00 GMT 9:05 97a80dbb-38e6-4c55-9607-c2f99568180f false https://player.whooshkaa.com/episode?id=473951 631854eed5e7d0001494dbbe 631854ec30768d00133f2fe2 full 1 14 Dr David Liew, a rheumatologist at Austin Hospital in Victoria, is at ‘Disneyland’ for rheumatologists – the annual meeting for ACR in Atlanta, Georgia.

“The kind of conversations that you have here are the kind of conversations that are hard to have elsewhere,” he tells Rheumatology Republic reporter Penny Durham.

Australia is “leading the field or certainly up there” in terms of using PET CT in polymyalgia rheumatica, he says.

Another positive development from Australia reported at the conference was the success of the EVOLVE guidelines.

In ANA-negative patients, doctors shouldn’t order anti dsDNA antibody tests unless there were features consistent with lupus, says Dr Liew.

“It’s something that we’ve really been trying to emphasise to our generalist colleagues,” he says. “And our data show the campaign worked. In our centre, at least, there was an incredible drop off in inappropriate double stranded DNA ordering.”

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]]> Dr David Liew, a rheumatologist at Austin Hospital in Victoria, is at ‘Disneyland’ for rheumatologists – the annual meeting for ACR in Atlanta, Georgia.

“The kind of conversations that you have here are the kind of conversations that are hard to have elsewhere,” he tells Rheumatology Republic reporter Penny Durham.

Australia is “leading the field or certainly up there” in terms of using PET CT in polymyalgia rheumatica, he says.

Another positive development from Australia reported at the conference was the success of the EVOLVE guidelines.

In ANA-negative patients, doctors shouldn’t order anti dsDNA antibody tests unless there were features consistent with lupus, says Dr Liew.

“It’s something that we’ve really been trying to emphasise to our generalist colleagues,” he says. “And our data show the campaign worked. In our centre, at least, there was an incredible drop off in inappropriate double stranded DNA ordering.”

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]]> <![CDATA[Sleeping in your patients' sheets]]> Tue, 13 Aug 2019 00:57:00 GMT 12:20 12b7f5e9-bd96-4d93-acbb-9faa549ec3f3 false https://player.whooshkaa.com/episode?id=409226 631854eed5e7d0001494dbbf 631854ec30768d00133f2fe2 full 1 13 Doctors' silence on the topic of sex is troubling for patients with arthritis.

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]]> Doctors' silence on the topic of sex is troubling for patients with arthritis.

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]]> Prednisolone for hand osteoarthritis Prednisolone for hand osteoarthritis Fri, 28 Jun 2019 14:31:00 GMT 3:28 c8154654-60fd-4a00-83cb-a9fee2b7c64a false https://player.whooshkaa.com/episode?id=389840 631854eed5e7d0001494dbc0 631854ec30768d00133f2fe2 Dutch research presented at EULAR has shown that low-dose prednisolone improves symptoms in patients with painful hand... full 1 12 Dutch research presented at EULAR has shown that low-dose prednisolone improves symptoms in patients with painful hand osteoarthritis.

Here's presenting author Dr Féline Kroon, a researcher at Leiden University Medical Center in The Netherlands, explaining the implications of her team's research.

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]]> Dutch research presented at EULAR has shown that low-dose prednisolone improves symptoms in patients with painful hand osteoarthritis.

Here's presenting author Dr Féline Kroon, a researcher at Leiden University Medical Center in The Netherlands, explaining the implications of her team's research.

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]]> <![CDATA[Doc, I'm so tired all the time!]]> Fri, 28 Jun 2019 12:16:00 GMT 8:25 a4250cc7-0247-42d1-a8df-aa3c6862a873 false https://player.whooshkaa.com/episode?id=389833 631854eed5e7d0001494dbc1 631854ec30768d00133f2fe2 Patients with rheumatic conditions often report being unable to get out of bed, having countless nights of restless sleep and being... full 1 11 Patients with rheumatic conditions often report being unable to get out of bed, having countless nights of restless sleep and being weighed down by relentless exhaustion.

Rheumatology Republic caught up with Dr James Galloway, an epidemiologist and rheumatologist at King’s College London in the UK, at EULAR in Madrid to chat about why fatigue is an often-ignored burden of rheumatic disease.

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]]> Patients with rheumatic conditions often report being unable to get out of bed, having countless nights of restless sleep and being weighed down by relentless exhaustion.

Rheumatology Republic caught up with Dr James Galloway, an epidemiologist and rheumatologist at King’s College London in the UK, at EULAR in Madrid to chat about why fatigue is an often-ignored burden of rheumatic disease.

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]]> Big data finds hidden connections between diseases Big data finds hidden connections between diseases Mon, 17 Jun 2019 14:14:00 GMT 9:25 07049e62-4f44-45b9-98f5-6fae33f3bcc2 false https://player.whooshkaa.com/episode?id=385869 631854eed5e7d0001494dbc2 631854ec30768d00133f2fe2 What has stroke got to do with diabetes? Are asthma and eczema related? How come a smoking cessation drug seems to work for obesity... full 1 10 What has stroke got to do with diabetes? Are asthma and eczema related? How come a smoking cessation drug seems to work for obesity treatment?

Presenting at EULAR in Madrid on the topic ‘The end of medicine as we know it’, Professor Harald Schmidt explained how big data is breaking down traditional ideas about disease.

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]]> What has stroke got to do with diabetes? Are asthma and eczema related? How come a smoking cessation drug seems to work for obesity treatment?

Presenting at EULAR in Madrid on the topic ‘The end of medicine as we know it’, Professor Harald Schmidt explained how big data is breaking down traditional ideas about disease.

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]]> What part 2 of the GiACTA trial means for Australia What part 2 of the GiACTA trial means for Australia Mon, 17 Jun 2019 11:08:00 GMT 8:18 aea52d75-fac5-4b91-bc2f-e2b05d2d5f55 false https://player.whooshkaa.com/episode?id=385838 631854eed5e7d0001494dbc3 631854ec30768d00133f2fe2 full 1 9 The study results we've all been waiting for – part 2 of the GiACTA trial – have been announced at EULAR, but there were still a few “unanswered questions”, an Australian rheumatologist says.

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]]> The study results we've all been waiting for – part 2 of the GiACTA trial – have been announced at EULAR, but there were still a few “unanswered questions”, an Australian rheumatologist says.

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]]> The registrar experience at EULAR The registrar experience at EULAR Fri, 14 Jun 2019 14:16:00 GMT 7:34 39f83b6e-63f8-4e5e-8419-ee1dc71229e8 false https://player.whooshkaa.com/episode?id=384507 631854eed5e7d0001494dbc4 631854ec30768d00133f2fe2 Dr Luke Williamson, a rheumatology registrar from Canberra, sums up his EULAR experience in three words: exciting, extensive and... full 1 8 Dr Luke Williamson, a rheumatology registrar from Canberra, sums up his EULAR experience in three words: exciting, extensive and inspirational.

Dr Williamson has been to a few international conferences, but EULAR is “like nothing else I've been to before”, he tells Rheumatology Republic.

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]]> Dr Luke Williamson, a rheumatology registrar from Canberra, sums up his EULAR experience in three words: exciting, extensive and inspirational.

Dr Williamson has been to a few international conferences, but EULAR is “like nothing else I've been to before”, he tells Rheumatology Republic.

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]]> EULAR wrap from the editor EULAR wrap from the editor Fri, 14 Jun 2019 13:59:00 GMT 5:41 6418e806-5119-42fa-ab70-057fb1a02073 false https://player.whooshkaa.com/episode?id=384505 631854eed5e7d0001494dbc5 631854ec30768d00133f2fe2 What makes EULAR different? And why are rheumatologists so infatuated with... full 1 7
What makes EULAR different? And why are rheumatologists so infatuated with Twitter?

Rheumatology Republic editor Dr Irwin Lim shares a few thoughts from EULAR in Madrid.

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]]>
What makes EULAR different? And why are rheumatologists so infatuated with Twitter?

Rheumatology Republic editor Dr Irwin Lim shares a few thoughts from EULAR in Madrid.

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]]> Repeat ANA testing is useless Repeat ANA testing is useless Thu, 13 Jun 2019 12:16:00 GMT 5:27 ea9939dc-5025-44eb-b9a8-3069a90c872a false https://player.whooshkaa.com/episode?id=384186 631854eed5e7d0001494dbc6 631854ec30768d00133f2fe2 full 1 6 Have you ever wondered whether it’s worth repeating an ANA test? Australian data presented at EULAR in Madrid has finally provided an answer to this clinical conundrum.

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]]> Have you ever wondered whether it’s worth repeating an ANA test? Australian data presented at EULAR in Madrid has finally provided an answer to this clinical conundrum.

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]]> RA treatment in 2030 RA treatment in 2030 Fri, 12 Apr 2019 04:42:00 GMT 9:50 606b5657-19d9-4ed0-a550-9978587e58a3 false https://player.whooshkaa.com/episode?id=359840 631854eed5e7d0001494dbc7 631854ec30768d00133f2fe2 What will the next decade of RA treatment bring? Iain McInnes, a professor of experimental medicine at the University of Glasgow, has... full 1 5 What will the next decade of RA treatment bring? Iain McInnes, a professor of experimental medicine at the University of Glasgow, has some answers.

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]]> What will the next decade of RA treatment bring? Iain McInnes, a professor of experimental medicine at the University of Glasgow, has some answers.

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]]> Novel biomarkers for takayasu arteritis Novel biomarkers for takayasu arteritis Tue, 09 Apr 2019 08:47:00 GMT 14:56 2bcc79a7-baad-465b-8453-3715b30c42d0 false https://player.whooshkaa.com/episode?id=358037 631854eed5e7d0001494dbc8 631854ec30768d00133f2fe2 full 1 4 It's difficult to know when to start tapering off high-dose steroids for patients with takayasu arteritis, but novel biomarkers discovered in India could help guide the decision.

Professor Debashish Danda, a rheumatologist at Christian Medical College Vellore in India, spoke about his research with Rheumatology Republic reporter Felicity Nelson at APLAR-ARA 2019 in Brisbane.

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]]> It's difficult to know when to start tapering off high-dose steroids for patients with takayasu arteritis, but novel biomarkers discovered in India could help guide the decision.

Professor Debashish Danda, a rheumatologist at Christian Medical College Vellore in India, spoke about his research with Rheumatology Republic reporter Felicity Nelson at APLAR-ARA 2019 in Brisbane.

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]]> <![CDATA["Hub and spoke" telehealth]]> Tue, 09 Apr 2019 06:29:00 GMT 8:27 e7184b95-eca5-4477-93c8-27e8676513c4 false https://player.whooshkaa.com/episode?id=357988 631854eed5e7d0001494dbc9 631854ec30768d00133f2fe2 full 1 3
Rheumatologist Dr Helen Benham has been running a "hub and spoke" telehealth model of care for 200 patients annually at Princess Alexandra Hospital in Brisbane.

The telehealth patients still have to see their rheumatologists once a year face-to-face, and Dr Benham "universally get groans" from patients at that time of the year.

"It really demonstrates, as the research did, that patients generally do prefer telehealth for lots of different reasons," she says in conversation with Rheumatology Republic reporter Felicity Nelson.

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]]>
Rheumatologist Dr Helen Benham has been running a "hub and spoke" telehealth model of care for 200 patients annually at Princess Alexandra Hospital in Brisbane.

The telehealth patients still have to see their rheumatologists once a year face-to-face, and Dr Benham "universally get groans" from patients at that time of the year.

"It really demonstrates, as the research did, that patients generally do prefer telehealth for lots of different reasons," she says in conversation with Rheumatology Republic reporter Felicity Nelson.

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]]> <![CDATA[Telerheumatology "whereever there's Wi-Fi"]]> Tue, 09 Apr 2019 05:00:00 GMT 6:10 e1d1428e-5536-4171-9828-b59e1b8c3c65 false https://player.whooshkaa.com/episode?id=357985 631854eed5e7d0001494dbca 631854ec30768d00133f2fe2 full 1 2 Victorian rheumatologist Peter Ryan has been offering telehealth for years using "simple Skype".

"Teleheath is something I can't live without," he says. "I started telehealth 16 years ago with the help of Medicare and various medical indemnity societies. Now, I could not practice without it. I could not deliver what I do to country patients in a way that they've come to love."

Speaking with Rheumatology Republic reporter Felicity Nelson at APLAR this week, Associate Professor Ryan shared his experiences in telerheumatology in Victoria.

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]]> Victorian rheumatologist Peter Ryan has been offering telehealth for years using "simple Skype".

"Teleheath is something I can't live without," he says. "I started telehealth 16 years ago with the help of Medicare and various medical indemnity societies. Now, I could not practice without it. I could not deliver what I do to country patients in a way that they've come to love."

Speaking with Rheumatology Republic reporter Felicity Nelson at APLAR this week, Associate Professor Ryan shared his experiences in telerheumatology in Victoria.

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]]> Education *is* medicine Education *is* medicine Tue, 09 Apr 2019 00:30:00 GMT 19:37 358f49ef-67fa-4831-ae4a-f9296f375f2b false https://player.whooshkaa.com/episode?id=357868 631854eed5e7d0001494dbcb 631854ec30768d00133f2fe2 full 1 1 "If people learn why they hurt, they hurt less."

Rheumatology Republic reporter Felicity Nelson caught up with Professor Lorimer Moseley at APLAR in Brisbane this week to chat about how educating patients about pain science can actually reduce their pain levels in the long term.

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]]> "If people learn why they hurt, they hurt less."

Rheumatology Republic reporter Felicity Nelson caught up with Professor Lorimer Moseley at APLAR in Brisbane this week to chat about how educating patients about pain science can actually reduce their pain levels in the long term.

Hosted on Acast. See acast.com/privacy for more information.

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