Maeve Gamble

Irish Canadian☘️🍁Rheumatologist 🦴with interests in rheumatic disease in pregnancy and medical journalism

[Maeve Gamble @MaeveGamble]

I teamed up with @MediaplanetCA to help raise awareness to how women are affected by AS. Know the signs and talk to your healthcare professional. Read the story here: https://t.co/63tinj2PFW
#AS #arthritis #ankylosingspondylitis #backpain #rheumaticdiseaseinpregnancy

[Dr. Rachel Tate @uptoTate]

We always want to know what to do with vaccines in our patients. Check out Dr Shenoi’s review of the data/recommendations regarding our medications. #RWCS24 @RWCSmtg @RheumNow

[Dr. John Cush @RheumNow]

Dr Jon Giles at #RWCS24 shows adipose tissue produces pro inflammatory ytokines

[Dr. Rachel Tate @uptoTate]

Who do you watch closely for developing RA? @RheumNow and @RWCSmtg suggest additional risk factors for ratcheting closer to RA. #RWCS24

[Dr. Rachel Tate @uptoTate]

"In solid tumors, treat your RA patient as if they do not have a cancer, meaning do not change your therapy if the patient is responding well. Things may get dicey if hematologic malignancy." @RheumNow #RWCS24
I work w/ my onc team to ensure the patient has the needed support.

[Richard Conway @RichardPAConway]

The great unknown with tocilizumab in GCA, do you stop, how do you stop, etc. @philseo approach. I'm not as brave! Usually park at every other week dosing @RheumNow #RNL2024

[Dr. Rachel Tate @uptoTate]

@anisha_dua reviews GPA management in 2024. Here are your ACR/VF 2021 and EULAR 2022 guideline updates. Review these regimen options for your patients. #RNL2024 @RheumNow

[Dr. Rachel Tate @uptoTate]

Clinical Pearl!
@DrCassySims currently treats with ASA 81mg po daily during vasculitis pregnancies at 12 weeks for preeclampsia ppx.
She notes there is some data/use of 162mg po daily in Europe which may change the way we practice in the future.
#RNL2024 @RheumNow

[Dr. Rachel Tate @uptoTate]

How I do it, treatment of CGA with Dr. @philseo, who thoughtfully paused so everyone could take a picture of this slide knowing full well it was already at our fingertips! Such a gentleman!
#RNL2024 @RheumNow

[Mithu Maheswaranathan, MD @MithuRheum]

🆕 2020 ACR Guidelines for Management of Reproductive Health in Patients w/ Rheum & MSK Diseases 🤰🏽

🔸 Pregnancy Counseling
🔸 Meds in Pregnancy/Breastfeeding
🔸 Male Medication Safety for Conception

#RheumTwitter #OBTwitter #ReproRheum #MedX

[Cassy Sims, MD @DrCassySims]

Register your #pregnant #vasculitis patients in VPREG! #ACR22

📍Women with vasculitis report a prior miscarriage rate double that of women without autoimmune disease

📍 Rheumatologists should engage women in family planning discussions at EVERY clinic visit

[Mike Putman @EBRheum]

Large observational study of TNF use among patients with RA & cancer

Overall encouraging, no negative impact on survival

I'm kind of a TNF-truther on this; I don't think they cause ANY increased risk of malignancy

@RheumNow #ACR23 Abstr 1675

[CreakyJoints.org @CreakyJoints]

Excess weight puts extra pressure on your joints, & #ACR23 research shows it can also worsen inflammation & quality of life, especially in early cases of #rheumatoidarthritis. But we know exercise is hard when you're in pain, what are your tips for adding movement into your day?

[Mike Putman @EBRheum]

Important plenary session, RA-ILD outcomes in VA cohort study

No difference in death/hospitalization for TNF vs non-TNF treated patients. Jives w/my priors; I do NOT avoid TNF in RA-ILD

Encouraging if you (like me) prefer RA-active tx for RA-ILD 😉😆

@RheumNow #ACR23 #ACRBest

[Janet Pope @Janetbirdope]

#ACR23 #Debate Dr Spiera says NO need to up front use #glucocorticoid #sparing drugs in PMR - maybe only if flaring. Esp in PMR vs #GCA where maybe bDMARD in GCA in some Pts (my opinion) but for sure if failing #ACRbest #ACR23 @RheumNow @ACRheum

[Janet Pope @Janetbirdope]

#GCA Rx #bDMARD is established to #steroid spare and reduce relapses. #Tocilizumab #GiACTA Dr Seo said ‘biologics work and steroids are bad!’ ⁦@ACRheum⁩ ⁦@RheumNow⁩ #ACR23 #ACRbest

[Jeffrey Sparks MD MMSc @jeffsparks]

Impressive and important study supporting safety of TNF inhibitors among patients with RA-ILD. Elegant methods of target trial emulation. Congrats to the authors on plenary presentation!

#ACR23

[Karen Schreiber @KarenS_LDN]

“There needs to be a conceptual shift towards inclusion of #pregnant people in studies, to protect through research, rather than from it” - thank you @annamolto, @nelson_piercy & everyone involved in the lively discussion at the #RheumPreg2023

[Jeff Campbell, MD, MPH @JDCampbell_MD]

Proud and so impressed with all the hard work that has gone into Jillian MacDonalds new focused practice of #mbsr

Offering virtual, OHIP-covered mindfulness therapy for patients with any chronic pain. Check out website for referral info @lmprimarycare

https://t.co/VYnkgWbmtV

[David Liew @drdavidliew]

PMR is no a disease of vague shoulder and hip pain.
It's something much more specific:
a chronic inflammatory disease of musculotendinous structures.

We're starting to understand the real story.

@drceowen lays it out for #ACR22 this morning
@EBRheum @SattuiSEMD @RheumNow