Dr Irwin Lim

Co-founder of BJC Health, Sydney’s only one-stop centre for Rheumatic Disease. check out

[Dr Irwin Lim @_connectedcare]

@benjaminsutu @JAFAforkids @AusRheum 🙌 NSW (very) slowly catching up to the other states in terms of Paeds Rheum services

[Dr Irwin Lim @_connectedcare]

$6.9million for NSW Paediatric Rheum services!

So pleasantly surprised advocacy actually worked
So very needed after such a long slog

AMAZING😊 @JAFAforkids @AusRheum

https://t.co/VbwgX53Ers

[David Liew @drdavidliew]

If you’re just giving allopurinol at 300mg daily, you’re condemning up to 4/5 of patients to miss serum uric acid targets.

Allopurinol dosing is a massive cause of allopurinol failure.

Slow escalating to target is safe & effective, even in renal impairment
Lisa Stamp #ARANZRA24

[David Liew @drdavidliew]

and clinical remission doesn’t mean imaging remission necessarily, and that might be a problem. A real need to ensure non-steroid therapies truly modify disease #ARANZRA24

[David Liew @drdavidliew]

GUSTO trial (GCA treated with TCZ, and no steroids at all apart from an initial pulse):
1/18 had blindness
5/18 had aortic dilatation (update from Vasculitis 2024 Barcelona)

@MdWarrington asks: is TCZ really a disease modifying therapy in GCA?

#ARANZRA24

[Katrina Chakradeo @Bibimbap14]

Ken Warrington presents on GCA
⁃emerging treatments considering IL-6, IL-17, JAK-STAT targeted treatment
⁃Future treatment options…

#ARANZRA24 @MdWarrington @AusRheum

[David Liew @drdavidliew]

Diagnosing acute gout is critical on the front line - Nicola Dalbeth highlights this validated tool designed for ED and primary care

https://t.co/Quaw8wkn5r

#ARANZRA24

[Dr Irwin Lim @_connectedcare]

Another one off the bucket list #AusOpen

Well organised & loads of smiles

[Dr Irwin Lim @_connectedcare]

@matylda68 Looks beautiful and start and cold....so so different from here

[Dr Irwin Lim @_connectedcare]

@psufka @Drbeckyg @samwhittle Happy NY to you all! In Hoi An, Vietnam with my daughters

[Dr Irwin Lim @_connectedcare]

Wow! Forgot how much we got through this year. No wonder we’re feeling a bit overcooked 🫠

https://t.co/vrYWfLhhYS

[Dr Irwin Lim @_connectedcare]

@owlsgryphons Prednisone still needed and it’s the most useful 💊 we have. However we’re trying to find alternatives & the search needs to continue

[Dr Irwin Lim @_connectedcare]

‘The P in prednisone stands for poison’

Problem is that P is also our most useful medication...

Can any of you name a medication you'd struggle without, if we no longer had it, in a rheum clinic?

https://t.co/hTxs8GHkIP

[Dr Irwin Lim @_connectedcare]

@DrPujaMehta1 It’s a quote. I usually just tell my patients it’s a two edged 🗡️ & explain the 2 sides

[Dr Irwin Lim @_connectedcare]

@AdamJBrownMD Of course. I don’t disagree and use it. I think what we would like are alternatives & at least there are some options starting to emerge

[Dr Irwin Lim @_connectedcare]

New First Nations resources for OA, RA, SLE and gout

Thanks to @ArthritisAust

https://t.co/35zufkHQX8

[Dr Irwin Lim @_connectedcare]

Longer acting & more effective steroid injections?
Would be useful in our clinics

#ACR23 presentation by @ProfDavidHunter

reported by @RheumaRepublic

https://t.co/rkUp4M0azM

[Dr Irwin Lim @_connectedcare]

@drdavidliew @RheumNow @uptoTate @KDAO2011 @AurelieRheumo @Yuz6Yusof @bella_mehta @EBRheum You look v v tired....safe travels

[Eric Dein @ericdeinmd]

L19 #ACR23 @RheumNow
Hunter: TLC599 injxn for knee OA
Liposomal formulation of dexamathasone sodium phosphate
Improved WOMAC Pain, Fxn, and Aver Daily Pain
Separation of ADP at wk 12 through wk 24
2nd injxn at wk 24 - further benefit
@AusRheum

[Dr Irwin Lim @_connectedcare]

Lovely to see the different things we all pay attention to

Favourite #acr23 things

by @drceowen @RheumaRepublic

https://t.co/jsq0Yfud90