OA vs LORA: Know the Difference! www.thecurbsiders.com Not all joint pain is the same. 🦴 ➡️ Swipe through to see how osteoarthritis (OA) differs from late-onset rheumatoid arthritis (LORA)—from where it shows up to how it’s treated. With expert guest @unamakris.bsky.social

Thank you to UTSW Rheumatology for hosting me the past few days. I enjoyed meeting folks in Rheum & other Div/Depts, & engaging in micro-mentoring. I think I got people interested in #osteoarthritis, pain mechanisms, & #gout! I’m looking forward to new collaborations! @unamakris.bsky.social

Viewpoint: Recent disruptions and funding cuts at the NIH undermine the infrastructure and stability of US scientific research, threatening the nation's global leadership and scientific productivity. https://ja.ma/3FLvqHS

Great weekend #RNL2025 Speaking about geriatrics concepts we can integrate into our care to improve outcomes for older adults with rheumatic disease. Thank you to this engaged audience early Sat morning 🙌🙌 @rheumnow.bsky.social @kwyshammd.bsky.social Credit to #gerirheum for moving us forward

B England 75% of RA pts have multi-morbidity Pts develop multi-morbidity BEFORE the onset of RA Should we have different goals: Prioritize LDA over remission in pts w multimorbidity Collaborate w PCP: one size doesn't fit all, do something better than nothing! @rheumnow.bsky.social #RNL2025

Review Med Lists in Rheum - ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM) -Review Beers Criteria for Rx to avoid in older pts - Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax @unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social @JihaRheum @NamrataRheum

@unamakris.bsky.social #RNL25 @rheumnow.bsky.social Older pts w RA 1/3 of pts onset >60-65 - More acute onset, more systemic, more PMR-like, larger jts - Higher IL-6, lower TNF-a, less RF, high ESR -Co-morbidities, polypharmacy, cognition, depression Age does not equal frailty, but does correlate

J Curtis #RNL2025 @rheumnow.bsky.social AI Will Not Replace You - AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education Will become a tool... but not a replacement to a good clinician

Both an integrated pain team and pharmacist collaborative management resulted in similar small improvements in pain and substantial reductions in opioid dosage among chronic pain patients on long-term opioid therapy. ja.ma/3VttRDz @jama.com

Assessing agreement of frailty measures and association with health outcomes over 3 years found percentages of individuals classified as frail and agreement of frailty classification varied widely. Most measures were predictive of poor health outcomes In AC&R doi.org/10.1002/acr....

Fantastic collaboration amongst medical specialists around #frailty @clinstarcc.bsky.social @agsjournal.bsky.social agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

www.thelancet.com/series/agein... Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases #gerirheum #acr24 #ClinSTAR2024 @utswinternalmed.bsky.social @thelancet.bsky.social

Lessons learned from advancing aging research in Rheumatology. Proud of my #gerirheum colleagues for moving our field forward #ClinSTARCC #ClinSTAR2024 #AFARorg #NIHAging #acr24

More from DC and #ACR24 #gerirheum

Fun in DC for #ACR24 love my 2 communities of rheum and geriatrics

Reflecting on a fantastic #ACR24 for both the science and reconnecting with so many dear colleagues and friends #gerirheum

Pros and cons of leading a #NIH network grant or conference grant #ClinSTAR2024 w/ Drs. Sharon Inouye @manish-shah.bsky.social Basil Eldadah, William Dale #R13 #R24 #R33

Now @unamakris.bsky.social rheumatologist about how to be a specialist with an #aging focus #Beeson2024 - create learning opportunities like journal clubs - identify diverse funding sources - attend special interest group meetings for your specialty relevant to aging - submit proposals to symposia

Now at #ClinSTAR2024 Dr. Sharon Inouye, MD, MPH, Editor-in-Chief of @jamacurrent.bsky.social Internal Medicine sharing tips on "Publishing in Academic Medicine: A Few Pearls to Enhance Success" 🧵