2️⃣ How SDH affect lupus management Low income, limited health literacy, language barriers or caregiving responsibilities (affects mainly women) can reduce access to medication, appointments, and follow-up, leading to irregular treatment & worse disease control. #1Month1Study

1️⃣ SDH 🆚 presentation & diagnosis (example) Patients from ⬇️income or minority backgrounds often face delays in diagnosis due to limited access to specialists, low health literacy or stigma. As a result, lupus may be more severe, with organ damage, at diagnosis #1Month1Study

😃 Dr @go-daniel.bsky.social explores now how social determinants of health —income, education, geography, health literacy & stigma—shape lupus outcomes from diagnosis to long-term care. Based on our joint review, co-authored by patients & clinicians https://t.co/OXq9YGUddD #LupusConvention

🍂Welcome, October! This month, #1month1study focuses on social determinants of health (SDH)- factors like income, education & access to care that can shape the entire lupus journey. 📢 We’re kicking off with our latest review in Autoim Reviews: https://t.co/OXq9YGUddD 🧵👇

📢 Our new review is out in Autoimmunity Reviews! We explore how the gut microbiome may influence SLE — from manifestations to diagnosis and therapy. From dysbiosis to diet, probiotics & FMT, the evidence is growing. Open access 👉 doi.org/10.1016/j.au... #Lupus #SLE #Microbiome #Autoimmunity

📢 New in Aut Rev! Together with @go-daniel.bsky.social & Laurent Arnaud, we have reviewed 10 years of studies on SDH in #SLE. This narrative review maps disparities across the patient pathway and offers solutions at each step. From first symptoms to outcomes www.sciencedirect.com/science/arti...

📢 Our new paper is out in Autoimmunity Reviews! We review how social determinants of health #SDH shape outcomes in #lupus across the full patient journey — and explore actionable solutions. Huge thanks to Zoe & Lena from @lupuseurope.bsky.social and Prof. Laurent Arnaud! 🔗 doi.org/10.1016/j.au...

Just a public service announcement for... The World (PS: to any thinking humans remaining in the future - we did try...) m.youtube.com/watch?v=TWpg...

Back from #EULAR2025 — Europe’s leading congress on immune-mediated diseases — where I had the honour of presenting the preliminary results of our study examining the impact of social determinants of health (SDH) in Lupus outcomes in systemic lupus erythematosus (#SLE).

🌈 This work wouldn’t have been possible without Prof L Arnaud & A Cornet! Also, special thanks to Dr @go-daniel.bsky.social, & thanks to @sarahdyball.bsky.social, Dr @cristianasieiro.bsky.social & Dr E Chessa 👉 Share & help raise awareness www.sciencedirect.com/science/arti...

🦋Lupus Europe’s 2024 Swiss Knife Survey is now published in Autoimmunity Reviews! With 4525 responses from 36 countries, it’s a🔝step forward in understanding the real burden of SLE from the patient’s perspective. https://f.mtr.cool/xrvljwnsvd

For anyone trying to understand why nothing **seems** to make sense in politics anymore, the recent TV mini series "M Figlio del Secolo" about Benito Mussolini's rise to power is shockingly thought provoking. History has a tendency to repeat itself. en.m.wikipedia.org/wiki/Mussoli...

Excited and honoured to be part of the wonderful team behind this LUPUS-ALERT project! Systematically identifying vulnerabilities in #SLE care and tailoring solutions is key to improving #lupus management and outcomes. Grateful for all patients, HCPs and non-HCPs that are contributing! #SDOH

✅ #LupusGPT has been developed by Lupus Europe & validated by leading lupus experts & patients. This AI tool ensures 100% reliability by exclusively using information meticulously verified and sourced from top-tier scientific publications and #Lupus100. https://lupusgpt.org/

Patients with a prothrombotic clinical course often associated with thrombocytopenia may have a monoclonal paraprotein, even at low levels, that activates platelets by binding to platelet factor 4. Read the Brief Report: nej.md/4gKmrUs #MedSky #Hematology

All this says to me is that the hospital is not thoroughly using its resources. If there are no CT waiting lines then an animal was saved and no humans were harmed. If there are then the hospital should be questioned about spare capacity. He just loves his cats. www.theguardian.com/world/2025/f...

Quote of the day: "But this is late-stage capitalism. Young people’s bones have been ground to make Boomers’ bread" #marshmallowmedicine #clinicalmarshmallow www.theguardian.com/commentisfre...

I AM A CLINICAL MARSHMALLOW 🇵🇹🩺🇦🇺 #MedSky #marshmallowmedicine www.theguardian.com/australia-ne...

We are eroding the rules and institutions that created the modern world as we know it. Destruction and tragedy brought with them decency and common ground. Lives have improved globally, even if not as much as we might hope. Why are we now relinquishing all this? www.theguardian.com/law/2025/jan...

"Increasing sub-specialisation means patients see more doctors for less cohesive care." This is why I feel that we have come full circle and #InternalMedicine is now more important than ever, globally. Not just for the elderly, but increasingly for them: www.theguardian.com/commentisfre...

Read this 👇 today. Health systems are crumbling. Healthcare professionals simply not given the tools to do their best. Humans in need not getting the humane care they deserve. The mentality that Medicine is numbers and tech solves all hurts everyone. www.theguardian.com/commentisfre...

The single best career advice that I give PhDs is that there are multiple different pathways to success. It is the detours that make your insights unique. This is why @immunolcellbiol.bsky.social made #PathwaysToSuccess - get inspired from different journeys! onlinelibrary.wiley.com/page/journal...

Eltrombopag, a Potential New Treatment for ITP A pilot trial has shown a thrombopoietin receptor agonist, eltrombopag (Promacta), to be effective in connective tissue disease-related (CTD), refractory immune thrombocytopenia (ITP).

To address the primary care shortage, the University of Nebraska Medical Center (UNMC) has implemented an innovative hybrid general internist model, blending hospitalist and primary care roles. This approach is gaining popularity and offers a promising solution! https://buff.ly/3DHVyTj #SGIMForum

"The culture in healthcare that expects doctors to be heroic and resilient to a superhuman degree, with an intense workload, is toxic and increases their suicide risk." We can do more to prevent healthcare worker suicides, writes @scarlettmcnally.bsky.social www.bmj.com/content/388/...

This is an arctic ice core. Its layers contain a history of the atmosphere of the Earth going back millennia. You can use these to measure CO2 levels from 100,000 years ago. Or you can look at atmospheric lead levels, which aren't that interesting... until about 500 BCE.🧵(1/15)

The power of these tools is moving forward faster than we can discuss its implications. There are very few things we can predict accurately in 10y timeframe in Medicine. I see the public health picture. I'm worried about the individual preference and privacy one. www.theguardian.com/society/2024...

#battleofthehealthcaresystems #battleofhealthcarephylosophy #theartofcaring

NSFW! As in if you open this and the replies that follow you may go down such a C&H rabbit hole that you will not be able to do any work! Beware!

"In looking for people to hire, look for 3 qualities: integrity, intelligence and energy. But if they don't have the first, the other 2 will kill you." Warren Buffet @forbes.com via @theweek.com I would add that without the first 2, they will just annoy you to death anyway. Look for integrity.

I love this idea - for medical students, trainees, residents and "grown up" doctors alike.

We are SO close to 100,000 people having taken our FREE online course on how to interpret medical studies. This course was designed from the ground up to teach lay people, with no scientific training, how medical research works. Tell your friends! https://buff.ly/3ZH8oJN

Feeling stressed? Blaming your job? Your relationship? Your sleep? Your diet? Your... tonsillectomy? This week - a study linking tonsillectomy in childhood with acute stress reactions later on. 🧵

Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU length of stay in critically ill adult patients. https://ja.ma/3ZpCQqn

Sepsis can occur in patients of any age, but the incidence varies markedly across the life span. The incidence worldwide is highest among children younger than 5 years of age. Learn more about sepsis and septic shock in a new Review Article: nej.md/3OFrGZR #MedSky

“Air travel has become democratized so expecting people to act differently on airplanes than in public at large is probably unrealistic” The corollary problem being, of course, how the public at large now behaves. www.theguardian.com/us-news/2024...

GLP-1 receptor agonists significantly lower cardiovascular risks in type 2 diabetes, regardless of SGLT2 inhibitor use. by Neuen BL, Fletcher RA (...) Heerspink HJL et 8 al. in Circulation #MedSky 📖 read the article: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.071689

1) These are **not** artificial **intelligence** 2) If a human is fed information they will **not** work to untangle it 3) Shocked these are already widespread in the UK 4) Afraid for us in other countries where this is happening without transparency or a registry www.theguardian.com/society/2024...