Gregory Gardner
@GGRheumdoc
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Rheumatologist, educator, ILD/rheumatology clinician, University of Washington
Seattle, WA
Joined November 2019
Against my better judgement the ILD pulmonologist started drawing MDA5 on all ILD pts. Rheum literature says seen only in DM. Now agree should be part of ILD panel. I guess a person has to be wrong at least once in life to stay humble 😎
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Where I learn. My ACR20 convergence learning nest! Great meeting🤓
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I was intrigued that he mentioned MDA5 ILD without rash but did not elaborate. We are finding some MDA5 ILD pts without DM
To all the pulmonologists out there: Which ILD patients should be screened for myositis? Dr. Aggarwal says ALL of them! ILD is very commonly the presenting manifestation of antisynthetase syndrome, MDA5, and other myositides. Do a myositis panel! #ILDtwitter #Pulmtwitter #ACR20
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I went to this plenary presentation and it made the investigators feel better but not the patients. What we need in Sjogrens is a medication that patients and not statisticians tell us it works.
I missed this one during #ACR19 (found via @RheumNow's weekly roundup): Abstract L19: Early study, but BAFF inhibitor Ianalumab met its primary endpoint in primary Sjogren's. https://t.co/HlYpyQL2Xs
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I think there is enough evidence that hyperuricemia is an independent risk factor for mortality in CAD or progression in CKD that it should be addressed in these pts. I should have attended the guideline session to raise my concern but was watching whale sharks instead
Primary care providers - take a look at these new gout guidelines. They're very straightforward, and your patients will do much better than if you follow the ACP guidelines. #ACR19
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Hope you didnt eat that thing
@Richter_MD I like how the churros were coated in purple MSU crystals
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Agree but a MGUS of 1.5 g/dL makes me a bit nervous unless my metric system is off
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#ACR19 Medicare costs for biologic medications have risen by 5 billion dollars in recent years mostly driven by medication price increases over the years. Cost in Netherlands is 1/10 the cost of same drugs in USA. Unbelievable!!
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Antimitochondrial antibodies found in JDM patients with calcinosis and predicts development of calcinosis. Dr Lood at U Washington presenting #ACR19
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