Dr. Natalie MacLean

Rheumatologist. Kaplan MacLean Rheumatology. Providing comprehensive, compassionate care. Helping you turn a new leaf. DMs not answered. T: 760.753.7374

[Dr. Natalie MacLean @macleanmd1]

You are the key. Patients count yourself in!

[The COVID-19 Global Rheumatology Alliance @rheum_covid]

Unlocking the #Covid19 Code: You are the Key! Complete the 15-minute rheumatology patient experience survey today #rheumatoid #lupus #AK #coronavirus #rheumaticdisease #stillsdisease #SJIA #scleritis #JIA #GPA #EGPA #IGG4 #arthritis
https://t.co/ZNKB3j47rf

[Dr. Natalie MacLean @macleanmd1]

@LGlaucomflecken Welcome to San Diego!

[Dr. Natalie MacLean @macleanmd1]

@DGlaucomflecken “I have prostrate.”
No. You become prostrate to get to your PROSTATE.

[Dr. Glaucomflecken @DGlaucomflecken]

Hanging out with the Rheumatologist

[Dr. Natalie MacLean @macleanmd1]

I have been insisting to my patients for years that inflammation in their bodies is riskier than a targeted, intelligently selected drug regimen. This is more important work.

[KenWarringtonMD @MdWarrington]

Risk of CV events in RA - cohort study with almost 19K patients
https://t.co/T3Lb7BN5ez
⬇️risk of MI with TNFi and Abatacept
⬇️CV risk with MTX - higher dose better
⬆️risk with GC
great work by @UNMC_Rheum @Dr_K

[Dr. Natalie MacLean @macleanmd1]

Proud of the effort put in by my husband and his team. How much will a coronavirus vaccine cost? - Marketplace https://t.co/KhA9qTVjnT

[The New York Times @nytimes]

The number of people dying from the coronavirus across the U.S. is rising again for the first time since April — the reopening and relaxing of social distancing restrictions in some states may be contributing to the trend.
https://t.co/SWCKpf3pew

[Ariella Coler-Reilly🏳️‍🌈 @AriellaStudies]

WHO, NIH, and RECOVERY all ended their HCQ trials in May or June due to lack of efficacy. Touting HCQ as a miracle drug back in April was misguided but understandable. Now it’s July, and we know better. Trust data, not opinions. Read more in our new review https://t.co/e3Mz6w1WQb

[Dr. Natalie MacLean @macleanmd1]

Whole patient care is essential. By the numbers.

[David Liew @drdavidliew]

Getting a dx of RA can be scary enough for pts, but half have also had a major stressor in the 1y prior (vs 20% in overall pop).

Not only that, these pts experience worse symptoms.

We can do so much by treating the whole patient.

@earlyarthritis OP0263-HPR #EULAR2020 @RheumNow

[Dr. Natalie MacLean @macleanmd1]

@drdavidliew @LCalabreseDO @eular_org @RheumNow Wonderful news @LCalabreseDO! Well deserved.

[Dr. Natalie MacLean @macleanmd1]

@EBRheum @JointMD Congrats!

[Dr. Natalie MacLean @macleanmd1]

@DrNiChengLiang @DrBenLovell Woah what?

[Dr. Natalie MacLean @macleanmd1]

@LCalabreseDO It was really funny dictating “recommend tree bathing” the other day. Accurate medical record!

[Dr. John Cush @RheumNow]

ACR advice for Talking to Patients About Shortages of Hydroxychloroquine During the COVID-19 Pandemic https://t.co/ja7NHyDcKm

[Leonard Calabrese @LCalabreseDO]

This interview rocks #COVID19

[The COVID-19 Global Rheumatology Alliance @rheum_covid]

If you have a case to report, please go to our website: https://t.co/c4QpUJ2Ufu

[Aarat Patel, MD @PatelAarat]

“All pt's with severe #COVID19 should be screened for hyperinflammation (increasing ferritin, decreasing platelets, or ESR) and the HScore to identify the subgroup of patients for whom immunosuppression could improve mortality." #covid4MDs
@ACRheum https://t.co/ULJ7PJJy4x

[Dr. Natalie MacLean @macleanmd1]

We got concerned. Then we got together. The Covid 19 Global Rheumatology Alliance initiative, conceived two weeks ago from rheumatologists around the world, is now live! Happy to do my part. #rheumresponse @ACRheum @CRASCRRheum

[The COVID-19 Global Rheumatology Alliance @rheum_covid]

Huge thank you to everyone who has submitted cases in just the first few days.

So far, we have *46 cases* reported, and we just added the EULAR registry today.

We expect the first scientific report to the community to come out early next week.

https://t.co/c4QpUJ2Ufu

[BSR @RheumatologyUK]

We've developed a new guidance resource on #corticosteroids in #msk and #rheumatic conditions during #coronavirus w/ @BritOrthopaedic @BASSspine @thecsp, published by @NHSEngland ➡️ https://t.co/EIWPfHiZ8T (this is also listed in our #COVID19 guidance piece)

[Dr. Natalie MacLean @macleanmd1]

Hydroxychloroquine is not a savior. Need more data.

[Mike Putman @EBRheum]

Raoult PRE-print: 79 pts w/COVID improve, also receive HCQ

1. Not peer rvwd
2. No control group
3. Incl pts from prior study
4. Migratory/weak endpts
5. Healthy group: 41% only URI & 5% asymptomatic!?!

Not confirmatory; not progress. Need. RCTs.

PDF: https://t.co/Mbrq7bFHk0