Episodes

5 days ago
E94: Steroids and Psoriasis Flares
5 days ago
5 days ago
This week I hope to debunk one of rheumatology's "paradoxes." We love to talk about these and subject our fellows to memorizing them for the boards. We often use them to guide clinical practice, but I suspect that many "paradoxes" are actually the result of shoddy epidemiology. Todays' paper from JAMA dermatology covers one that I have heard frequently, which is that steroids cause psoriasis flares. I hope you enjoy!
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Thursday Mar 02, 2023
E93: Azathioprine is the Worst
Thursday Mar 02, 2023
Thursday Mar 02, 2023
Today I'll be reading one of my recent newsletters! It's kind of a fun run-down of my anti-azathioprine stance. As I say in the piece, some patients may benefit from azathioprine and I am not saying it is an entirely useless drug or that nobody should ever prescribe it. Rather, I am just saying that it is likely the worst option for nearly every indication for which it could be prescribed.
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Thursday Feb 16, 2023
E92: Are muscle symptoms from statins imaginary?
Thursday Feb 16, 2023
Thursday Feb 16, 2023
Today I review a recent large meta analysis of randomized controlled trials of statin use. Super interesting findings that have changed my clinical practice. Check out the paper here and listen to the episode!
Paper: https://www.thelancet.com/article/S0140-6736(22)01545-8/fulltext
"Internet driven cult" editorial: https://pubmed.ncbi.nlm.nih.gov/28738422/

Thursday Dec 15, 2022
E91: Clinical Innovation in Rheumatology: Past, Present, and Future
Thursday Dec 15, 2022
Thursday Dec 15, 2022
Change of pace today! I interviewed Jason Liebowitz and Phil Seo about their new book entitled "Clinical Innovation in Rheumatology: Past, Present, and Future." I thoroughly enjoyed the book and had a great time interviewing them about some of their "futuristic" topics. Grab the book (or better yet, have your division get some copies) at the link below and be sure to share the podcast with friends!
https://www.routledge.com/Clinical-Innovation-in-Rheumatology-Past-Present-and-Future/Liebowitz-Seo/p/book/9781032074917

Thursday Dec 01, 2022
E90: There Is No Diagnosis of Exclusion in Rheumatology
Thursday Dec 01, 2022
Thursday Dec 01, 2022
Quick episode this week to share an editorial I recently wrote with Jay Patel and Anisha Dua. We cover one of my least phrases in medicine, the "diagnosis of exclusion."
Hope you enjoy! Find the original paper here: https://academic.oup.com/rheumatology/advance-article/doi/10.1093/rheumatology/keac278/6584804

Thursday Nov 10, 2022
E89: Vitamin D to Prevent Osteoporotic Fractures
Thursday Nov 10, 2022
Thursday Nov 10, 2022
Exciting (negative) results from a large RCT on the podcast this week as well as a (mini) rant about how we should be spending our time as rheumatologists and the false security of ineffective treatments.
Let me know what you think on twitter @ebhruem
https://www.nejm.org/doi/full/10.1056/NEJMoa2202106

Thursday Oct 27, 2022
E88: HCQ Dose Reductions and SLE Flares
Thursday Oct 27, 2022
Thursday Oct 27, 2022
Interesting case-crossover study today evaluating the association between HCQ dosing and risk of SLE flares. Super worth your time to read the paper or listen to this episode!
https://jamanetwork.com/journals/jama/article-abstract/2796634

Thursday Oct 13, 2022
E87: IVIG for Dermatomyositis
Thursday Oct 13, 2022
Thursday Oct 13, 2022
Podcast is back! This week I discuss a pivotal RCT in dermatomyositis. Check it out and be sure to subscribe to my newsletter at ebrheum.com!

Monday Jun 06, 2022
E86: Target Trials and Causality in Rheumatology
Monday Jun 06, 2022
Monday Jun 06, 2022
Mixing it up again this week to discuss an editorial by Miguel Hernan and a systematic review of target trials in rheumatology. It's kind of a fun free-form stream of consciousness. Hope you enjoy! Links:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888052/
https://pubmed.ncbi.nlm.nih.gov/32381560/

Monday May 23, 2022
E85: Challenging Wisely
Monday May 23, 2022
Monday May 23, 2022
Quick episode today. I wanted to share an editorial that was recently published in Rheumatology, where I and co-authors (Shannon Tai and Natalie Anumolu) discuss lessons from recent trials in AAV and SLE.
Link to editorial: https://pubmed.ncbi.nlm.nih.gov/35438142/