Boy! I cannot believe it has been 33 years of continuous rheumatology board certification! ABIM Foundation just sent me this. I think I might know what I am doing by now :-)

My kitty

rheumnow.com/news/acr-app... Thanks to lawmakers at least for our Medicare patients! Let's HOPE the wealthy insurance company lobbyists don't pay off lawmakers to have this fail. Then if it passes... we need this for ALL insurance companies and NOT just CMS (Medicare/Medicaid)

😍 I LOVE the @EULAR guidelines for 1st-line therapy for LN! If everyone did this IMMEDIATELY (include a CNI, obinutuzumab, or belimumab) instead of just mycophenolate or CYC with steroids, greater numbers of patients would go into renal remission & fewer to end stage renal disease! #SLE #lupus

Thanks Republicans and those Democrats who caved. This is the reality. You do not know what it is like to live pay check to pay check. You are hurting my patients!! These are posts on the lupus subreddit

😍 I LOVE the @EULAR guidelines for 1st-line therapy for LN! If everyone did this IMMEDIATELY (include a CNI, obinutuzumab, or belimumab) instead of just mycophenolate or CYC with steroids, greater numbers of patients would go into renal remission & fewer to end stage renal disease! #SLE #lupus

I just got a 22 page, 108 question drug prior auth for patient from @expressscripts.bsky.social @bluecrosspa.bsky.social for patient's adalimumab: she has been on for years. We proved she needed this many times in the past. My notes very clearly show how she failed so many and doing great on this.

😍😍Click on "2025 Systemic Lupus Erythematosus Guidelines" here: rheumatology.org/lupus-guidel... @ACRheum @ACR_Journals

😍😍Click on "2025 Systemic Lupus Erythematosus Guidelines" here: rheumatology.org/lupus-guidel... @ACRheum @ACR_Journals

Meeting with like-minded people to improve lives of patients at @ACRheum #ACR25 is wonderful #Sjogrens #lupus #SLE

A wonderful awards and opening session at #ACR25 by the ⁦‪@ACRheum‬⁩ …. Celebrating better care for our patients…. Dedicated professionals who love our profession and giving to society

Private practice rheumatologists: PLEASE: If you do not belong to the ACR, please do. If you do, please volunteer for committees when the time opens up in a few months. I just joined the Board of Directors and learned that only 10% of applicants are private practice! rheumatology.org

😍 A cellular therapy that only attacks pathologic B cells in #SLE #lupus and not healthy cells; unlike most CAR-T therapies that target healthy B -cells. www.biorxiv.org/content/10.1... Hope for other B-cell driven diseases like #Sjogrens ? 👉Thanks to Maximilian F. Konig and collaborators!

⚡️Consider loading your patients initially with higher dose HCQ: ✅It works faster ✅✅It is safe ✅✅✅Warn them if they get GI side effects immediately go down to 5 mg/kg/d

🔥One of my favorite parts of the 2025 ACR SLE Management Guidelines! I have been doing this for over 20 years as a "loading dose": HCQ works faster. This is another steroid-sparing tactic to use in SLE patients. I do this for 1-3 months initially.

FDA approved #obinutuzumab #Gazyva for the treatment of #SLE #lupus nephritis when used with other standard therapies! Complete renal responses: higher than standard therapies. Studies show deep tissue B-cell depletion.

💵We raised $127,000 for the @ArthritisFdn at the OCT 9 Washington DC Gala! #SLE #lupus and #Sjogrens commonly cause arthritis! Good job to Rebecca Caldwell (CEO), Madeline Martin, MPH (Development Manager), Dr. Herbert S. B. Baraf, MD, FACP, MACR and the entire AF team! #arthritis

Exactly 13 years ago I accidentally won this adorable puppy at an auction at the @ArthritisFdn Gala. I was raising my hand to drive up the price. Little did I know … the bidding stopped and I became the shocked owner of this adorable Bichon. Please consider donating to the Arthritis Foundation

I visited the Basilique de St. Martin in Liege, built in honor of St. Martin due to St. Martin healing the Bishop of Liege of his #SLE #lupus in 963AD. youtube.com/watch?v=R67I... Watch all three episodes. Episode 2 shows the Bishop's sarcophagus replica (1st person in history with lupus)

Please donate to the Arthritis Foundation Metro DC! In these trying times of drastic research funding withdrawals from today's administration, science-based advancements are in jeopardy. CLICK here (then click DONATE), even just a little makes a big difference: my.onecause.com/event/organi...

Dry mouth and poor dental health occur much more commonly in #Sjogrens #SLE #lupus. There are many things patients can do to proactively prevent tooth loss and help dry mouth: www.lupusencyclopedia.com/prevent-earl...

The App for the @ACRheum Annual Meeting Convergence #ACR25 is available! Cruise the sessions, pick those you are interested in now. It is easy, just hold your finger down a couple of seconds, and it is saved: rheumatology.org/annual-meeti...

SC #Saphnelo meets its primary endpoint. How exciting for patients who find IV infusions too time consuming and difficult! I hope it is approved and available for my patients quickly! www.astrazeneca-us.com/media/press-...

💵 Please help with arthritis research and advocacy. Give to the Arthritis Foundation by helping with their 2025 DC Gala. I'm honored that they named me their Medical Honoree for this year. Click below to give to the @ArthritisFdn ... JOIN my team! CLICK👉: onecau.se/_c8wu31

Unfortunately, people with #SLE #lupus have a higher chance of developing numerous types of cancers. However, there are steps people can take to reduce their risk. One of those is to take hydroxychloroquine regularly: www.lupusencyclopedia.com/lupus-and-ca...

🌞 An easy way to correctly measure sunscreen for protection when you have #lupus #SLE #Sjogrens ... CLICK to see more tips: www.lupusencyclopedia.com/sun-protecti...

8:30 AM arrived at Washington Dulles airport. I have never seen no one at all in either long. Perfect timing for me. Shreveport, Louisiana here I come to give a lupus talk.

🔥 We need help from the public to get back high-quality scientific integrity and stop looking like a foolish nation: rheumnow.com/news/acr-con... Write your Congress People: ESPECIALLY Republicans who need to grow a spine and get up the courage to speak up against Trump and RFK, Jr.

🔥I was so glad to be a part of this study! We need new, better biomarkers like this to slash the delays in #SLE #lupus diagnoses, treat it faster, prevent organ damage, and reduce mortality and morbidity from this devastating disease: www.jrheum.org/content/52/S...

I was in Georgetown yesterday. I couldn't believe all the military on the streets. NO ONE feels unsafe in Georgetown on a Saturday. This administration is wasting money. While 40% of NIH research dollars are removed, and 1 $Billion is taken away from the DC budget (less police officers).

✏️ Register now for the largest international conference dedicated to improving the lives for people suffering from rheumatic diseases. I hope to see you there at @ACRheum #ACR25 rheumatology.org/annual-meeti...

#Ianalumab met its Phase 3 clinical trial primary end points in #Sjogrens. Up to 10% of patients in the clinical trials had seronegative Sjogren's (anti-SSA negative)! It is on a fast track at the FDA. Let's hope Kennedy doesn't insist that Sjogren's can be cured by just eating better.

I have a patient with RA with LGL. @bluecrosspa.bsky.social only allows Ruxience or Truxima. We gave Truxima as required. CareFirst paid $600 LESS FOR TRUXIMA than the cost! They refuse to pay the true price. If we give her Rituxan, we would not lose $, but CareFirst refuses: system needs fixed!

😡 No matter what your political views are ... FACT... the @donaldjtrump-maga.bsky.social Administration is an enemy of research, scientific truth, and health welfare of its citizens. A nonhealthcare provider, Jim O'Neill= named head of the CDC while an amazing physician director was kicked out.

My cat Siroe is either: Crossed Or Demonstrating a perfect example of near vision ocular convergence.. if the latter and if this is also his example of miosis… then his mydriasis should be truly huge!

Come to Chicago and participate in an amazing agenda this year for American College of Rheumatology Convergence #ACR25!

oin your colleagues to hear and see about all the latest amazing advancements for the management of rheumatologic patients at this year's @ACRheum Convergence #ACR25 : rheumatology.org/annual-meeti...

Our ferocious guard dog, Musette. I hope she is scary enough to frighten away burglars! Actually, I think she would beg them to cuddle with her instead

oin your colleagues to hear and see about all the latest amazing advancements for the management of rheumatologic patients at this year's @ACRheum Convergence #ACR25 : rheumatology.org/annual-meeti...

Attend the #Arthritis Foundation Gala October 9, 2025 to help raise money to advocate and help with research for arthritis: #1 cause of disability in the US my.onecause.com/event/organi... If can't attend, click link below: click "Donate" at the top right of the page. arthritis.org/commitcuredc

The Sjögren’s Foundation has a 20-minute patient survey open to better understand what life with #sjogrens is really like. It is confidential, pushes for better research, treatments, and support. Must be 18+ US resident; closes 9/4/25. surveys.harrisinsights.com/survey/selfs... sjogrens.org/survey

My picturesque kitty, Siroe, posing for the pic with my cousin-in-law, Scott

🔥 I like the recent recommendation of abandoning the term "secondary or concomittant fibromyalgia" with #SLE #lupus instead replace it with the term "lupus-associated nociplastic pain" I think the same should go for #Sjogrens patients as well: acrjournals.onlinelibrary.wiley.com/doi/10.1002/...

😍 How exciting! #Ianalumab by @Novartis , the first every drug to pass phase 3 trials for @Sjogrens! Could we have our very first FDA-approved drug to treat the systemic manifestations of Sjogren's? www.novartis.com/news/media-r... I can't wait to offer my patients the potential for relief!

@themednet.bsky.social has a new search ability making it even easier to find answers from colleagues. If not answered in the past, ask a new question to get answers from experts you trust: blog.themednet.org/the-new-medn...

Study from Duke shows that some patients with type 2 symptoms are probably immunomodulated and can improve with immunomodulatory therapy. lupus.bmj.com/content/12/1...

Study from Duke shows that some patients with type 2 symptoms are probably immunomodulated and can improve with immunomodulatory therapy. lupus.bmj.com/content/12/1...

✍️ I LOVE using the Freed AI Scribe AI ! It is amazing, the laptop listens to the patient and me during the evaluation. It then types up a beautiful, well organized note. 😍I've had a lot LESS stress as I am not having to do notes all day long. I can see this reducing doctor burnout

#Sjogrens highlighted on the radio: www.youtube.com/watch?v=VsLU... with @janetchurch CEO of the @SjogrensOrg Sjogren's is NOT a benign disease Sjogren's is NOT "just dry eyes and mouth" Sjogren's is systemic and serious!