Dr. John Cush
@rheumnow.bsky.social
Know-it-Now. Info on RA, Stills disease, Lupus, Gout, Pregnancy, Spondylitis, Psoriasis, Drug Safety, Rheumatology Research, Medical Education & Drug Evaluation
Rheumnow.com
Rheumnow.com
Changing Loan Limits for APPs
The "One Big Beautiful Bill" (OBBB) changes healthcare education funding by lowering loan limits for graduate programs--this aims to address the federal budget, reduce the DOE's role, and counter claims that unlimited loans raise tuition in the USA.
buff.ly/CQ9bJom
The "One Big Beautiful Bill" (OBBB) changes healthcare education funding by lowering loan limits for graduate programs--this aims to address the federal budget, reduce the DOE's role, and counter claims that unlimited loans raise tuition in the USA.
buff.ly/CQ9bJom
December 4, 2025 at 10:01 PM
Changing Loan Limits for APPs
The "One Big Beautiful Bill" (OBBB) changes healthcare education funding by lowering loan limits for graduate programs--this aims to address the federal budget, reduce the DOE's role, and counter claims that unlimited loans raise tuition in the USA.
buff.ly/CQ9bJom
The "One Big Beautiful Bill" (OBBB) changes healthcare education funding by lowering loan limits for graduate programs--this aims to address the federal budget, reduce the DOE's role, and counter claims that unlimited loans raise tuition in the USA.
buff.ly/CQ9bJom
December 4, 2025 at 8:01 PM
High Cost of Cancelling Knee Replacement Surgery
NHS knee replacement surgeries are often cancelled at short notice each year for preventable reasons, leading to millions in costs and longer waiting times for patients in severe pain, according to a study released on December 1st.
buff.ly/5bxJxW1
NHS knee replacement surgeries are often cancelled at short notice each year for preventable reasons, leading to millions in costs and longer waiting times for patients in severe pain, according to a study released on December 1st.
buff.ly/5bxJxW1
December 4, 2025 at 7:00 PM
High Cost of Cancelling Knee Replacement Surgery
NHS knee replacement surgeries are often cancelled at short notice each year for preventable reasons, leading to millions in costs and longer waiting times for patients in severe pain, according to a study released on December 1st.
buff.ly/5bxJxW1
NHS knee replacement surgeries are often cancelled at short notice each year for preventable reasons, leading to millions in costs and longer waiting times for patients in severe pain, according to a study released on December 1st.
buff.ly/5bxJxW1
Legislative Issues Affecting APPs
Major interstate “compacts” allow for cross state licensing for physicians. However, compacts for Advanced Practice Registered Nurse (APRN) are fewer and currently on hold - thereby limiting healthcare manpower and patient care.
rheumnow.com/news/legisla...
Major interstate “compacts” allow for cross state licensing for physicians. However, compacts for Advanced Practice Registered Nurse (APRN) are fewer and currently on hold - thereby limiting healthcare manpower and patient care.
rheumnow.com/news/legisla...
December 4, 2025 at 5:01 PM
Legislative Issues Affecting APPs
Major interstate “compacts” allow for cross state licensing for physicians. However, compacts for Advanced Practice Registered Nurse (APRN) are fewer and currently on hold - thereby limiting healthcare manpower and patient care.
rheumnow.com/news/legisla...
Major interstate “compacts” allow for cross state licensing for physicians. However, compacts for Advanced Practice Registered Nurse (APRN) are fewer and currently on hold - thereby limiting healthcare manpower and patient care.
rheumnow.com/news/legisla...
Hiring, Onboarding and Training APPs
Watch our kickoff webinar for this month's Mission: APP — Partners in Care campaign. Our panel of rheumatologists and experienced advanced practice providers share insights into hiring, onboarding, training, compensation, and more.
rheumnow.com/video/hiring...
Watch our kickoff webinar for this month's Mission: APP — Partners in Care campaign. Our panel of rheumatologists and experienced advanced practice providers share insights into hiring, onboarding, training, compensation, and more.
rheumnow.com/video/hiring...
December 4, 2025 at 4:00 PM
Hiring, Onboarding and Training APPs
Watch our kickoff webinar for this month's Mission: APP — Partners in Care campaign. Our panel of rheumatologists and experienced advanced practice providers share insights into hiring, onboarding, training, compensation, and more.
rheumnow.com/video/hiring...
Watch our kickoff webinar for this month's Mission: APP — Partners in Care campaign. Our panel of rheumatologists and experienced advanced practice providers share insights into hiring, onboarding, training, compensation, and more.
rheumnow.com/video/hiring...
QD Clinic: Flare or Beware
Lindsay Tom, PA-C and Phong Nguyen, MD, Reston, VA discuss today's case called "Flare or Beware", involving a patient who has psoriatic arthritis mutilans, presented as part of RheumNow's "Mission: APP Partners in Care" campaign.
buff.ly/S9g01Pu
Lindsay Tom, PA-C and Phong Nguyen, MD, Reston, VA discuss today's case called "Flare or Beware", involving a patient who has psoriatic arthritis mutilans, presented as part of RheumNow's "Mission: APP Partners in Care" campaign.
buff.ly/S9g01Pu
December 4, 2025 at 3:00 PM
QD Clinic: Flare or Beware
Lindsay Tom, PA-C and Phong Nguyen, MD, Reston, VA discuss today's case called "Flare or Beware", involving a patient who has psoriatic arthritis mutilans, presented as part of RheumNow's "Mission: APP Partners in Care" campaign.
buff.ly/S9g01Pu
Lindsay Tom, PA-C and Phong Nguyen, MD, Reston, VA discuss today's case called "Flare or Beware", involving a patient who has psoriatic arthritis mutilans, presented as part of RheumNow's "Mission: APP Partners in Care" campaign.
buff.ly/S9g01Pu
RheumNow Live 2026
Where the data meets the dialogue.
Join leading rheumatologists, researchers, and innovators at RheumNow Live 2026 — the meeting redefining rheumatology education.
🕓 Early Bird registration is open until 12/1.
Save now ➡️https://rheumnow.live
Where the data meets the dialogue.
Join leading rheumatologists, researchers, and innovators at RheumNow Live 2026 — the meeting redefining rheumatology education.
🕓 Early Bird registration is open until 12/1.
Save now ➡️https://rheumnow.live
December 3, 2025 at 10:00 PM
RheumNow Live 2026
Where the data meets the dialogue.
Join leading rheumatologists, researchers, and innovators at RheumNow Live 2026 — the meeting redefining rheumatology education.
🕓 Early Bird registration is open until 12/1.
Save now ➡️https://rheumnow.live
Where the data meets the dialogue.
Join leading rheumatologists, researchers, and innovators at RheumNow Live 2026 — the meeting redefining rheumatology education.
🕓 Early Bird registration is open until 12/1.
Save now ➡️https://rheumnow.live
A substantial number of patients with PsA, have difficult, persistent and hard-to-treat disease. A GRAPPA task force has developed a consensus terminology for two distinct states:
Complex-to-manage PsA (C2M-PsA)
Treatment-refractory PsA (TR-PsA)
buff.ly/0j5A6qq
Complex-to-manage PsA (C2M-PsA)
Treatment-refractory PsA (TR-PsA)
buff.ly/0j5A6qq
December 3, 2025 at 8:01 PM
A substantial number of patients with PsA, have difficult, persistent and hard-to-treat disease. A GRAPPA task force has developed a consensus terminology for two distinct states:
Complex-to-manage PsA (C2M-PsA)
Treatment-refractory PsA (TR-PsA)
buff.ly/0j5A6qq
Complex-to-manage PsA (C2M-PsA)
Treatment-refractory PsA (TR-PsA)
buff.ly/0j5A6qq
Hematologic Malignancies Increased in Systemic Sclerosis
Swedish national study found that among a cohort of systemic sclerosis (SSc) patients a two-fold increase risk of hematological malignancies was seen.
rheumnow.com/news/hematol...
Swedish national study found that among a cohort of systemic sclerosis (SSc) patients a two-fold increase risk of hematological malignancies was seen.
rheumnow.com/news/hematol...
December 3, 2025 at 7:00 PM
Hematologic Malignancies Increased in Systemic Sclerosis
Swedish national study found that among a cohort of systemic sclerosis (SSc) patients a two-fold increase risk of hematological malignancies was seen.
rheumnow.com/news/hematol...
Swedish national study found that among a cohort of systemic sclerosis (SSc) patients a two-fold increase risk of hematological malignancies was seen.
rheumnow.com/news/hematol...
Long-Term APP Retention: Building Success for Practices and Providers
Long-term APP retention is vital in rheumatology due to rising patient numbers and the need for prompt care. Integrating APPs improves practice efficiency, patient access, and clinician workload balance.
buff.ly/CDUIKQ3
Long-term APP retention is vital in rheumatology due to rising patient numbers and the need for prompt care. Integrating APPs improves practice efficiency, patient access, and clinician workload balance.
buff.ly/CDUIKQ3
December 3, 2025 at 5:01 PM
Long-Term APP Retention: Building Success for Practices and Providers
Long-term APP retention is vital in rheumatology due to rising patient numbers and the need for prompt care. Integrating APPs improves practice efficiency, patient access, and clinician workload balance.
buff.ly/CDUIKQ3
Long-term APP retention is vital in rheumatology due to rising patient numbers and the need for prompt care. Integrating APPs improves practice efficiency, patient access, and clinician workload balance.
buff.ly/CDUIKQ3
Turkey Tryptophan (11.28.2025)
Dr. Jack Cush reviews the news and reports from this past week on RheumNow, including reports on FDA resurrections, FM seasonal worsening, and do you fight switch or swap biologics in PsA TNFi nonresponders?
rheumnow.com/news/turkey-...
Dr. Jack Cush reviews the news and reports from this past week on RheumNow, including reports on FDA resurrections, FM seasonal worsening, and do you fight switch or swap biologics in PsA TNFi nonresponders?
rheumnow.com/news/turkey-...
December 3, 2025 at 4:00 PM
Turkey Tryptophan (11.28.2025)
Dr. Jack Cush reviews the news and reports from this past week on RheumNow, including reports on FDA resurrections, FM seasonal worsening, and do you fight switch or swap biologics in PsA TNFi nonresponders?
rheumnow.com/news/turkey-...
Dr. Jack Cush reviews the news and reports from this past week on RheumNow, including reports on FDA resurrections, FM seasonal worsening, and do you fight switch or swap biologics in PsA TNFi nonresponders?
rheumnow.com/news/turkey-...
Coccyx and Sacrococcygeal Joint Disorders
Coccyx and sacrococcygeal disorders cause rare and difficult-to-diagnose pain, often confused with lumbosacral, pelvic, or gastrointestinal issues. This review discusses the epidemiology, anatomy, biomechanics, symptoms, and more.
buff.ly/TQIDpzb
Coccyx and sacrococcygeal disorders cause rare and difficult-to-diagnose pain, often confused with lumbosacral, pelvic, or gastrointestinal issues. This review discusses the epidemiology, anatomy, biomechanics, symptoms, and more.
buff.ly/TQIDpzb
December 2, 2025 at 7:01 PM
Coccyx and Sacrococcygeal Joint Disorders
Coccyx and sacrococcygeal disorders cause rare and difficult-to-diagnose pain, often confused with lumbosacral, pelvic, or gastrointestinal issues. This review discusses the epidemiology, anatomy, biomechanics, symptoms, and more.
buff.ly/TQIDpzb
Coccyx and sacrococcygeal disorders cause rare and difficult-to-diagnose pain, often confused with lumbosacral, pelvic, or gastrointestinal issues. This review discusses the epidemiology, anatomy, biomechanics, symptoms, and more.
buff.ly/TQIDpzb
RNL 25 Replay: Vasculitis
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
December 2, 2025 at 5:07 PM
RNL 25 Replay: Vasculitis
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
Treating Refractory Still's Disease
A systematic review article explored treatment options for systemic juvenile idiopathic arthritis, or Still’s disease, focusing on patients with persistent arthritis, challenging macrophage activation syndrome (MAS), or interstitial lung disease.
buff.ly/TIyx7sd
A systematic review article explored treatment options for systemic juvenile idiopathic arthritis, or Still’s disease, focusing on patients with persistent arthritis, challenging macrophage activation syndrome (MAS), or interstitial lung disease.
buff.ly/TIyx7sd
December 2, 2025 at 4:02 PM
Treating Refractory Still's Disease
A systematic review article explored treatment options for systemic juvenile idiopathic arthritis, or Still’s disease, focusing on patients with persistent arthritis, challenging macrophage activation syndrome (MAS), or interstitial lung disease.
buff.ly/TIyx7sd
A systematic review article explored treatment options for systemic juvenile idiopathic arthritis, or Still’s disease, focusing on patients with persistent arthritis, challenging macrophage activation syndrome (MAS), or interstitial lung disease.
buff.ly/TIyx7sd
A&R USA adult rheum workforce study showed in 2019, there were 5,667 rheumatologists & 379 APPs. Betw 2009-2020, rheumatologist #s increased 23%, while #APP #s increased 141%. There was a signif increase in female rheumatologists & APPs over time acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
December 1, 2025 at 11:34 PM
A&R USA adult rheum workforce study showed in 2019, there were 5,667 rheumatologists & 379 APPs. Betw 2009-2020, rheumatologist #s increased 23%, while #APP #s increased 141%. There was a signif increase in female rheumatologists & APPs over time acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
DERM on RheumNow (November 2025)
The Derm on RheumNow podcast is a collection of Citations and Content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, other CTD skin disorders. dermatology drugs, biiologics, JAKs - their use, efficacy and side effects.
buff.ly/euwPKJn
The Derm on RheumNow podcast is a collection of Citations and Content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, other CTD skin disorders. dermatology drugs, biiologics, JAKs - their use, efficacy and side effects.
buff.ly/euwPKJn
December 1, 2025 at 3:00 PM
DERM on RheumNow (November 2025)
The Derm on RheumNow podcast is a collection of Citations and Content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, other CTD skin disorders. dermatology drugs, biiologics, JAKs - their use, efficacy and side effects.
buff.ly/euwPKJn
The Derm on RheumNow podcast is a collection of Citations and Content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, other CTD skin disorders. dermatology drugs, biiologics, JAKs - their use, efficacy and side effects.
buff.ly/euwPKJn
Chronic pain may dramatically raise your blood pressure
Widespread chronic pain may stealthily drive up blood pressure, partly through its ties to depression and inflammation.
rheumnow.com/news/chronic...
Widespread chronic pain may stealthily drive up blood pressure, partly through its ties to depression and inflammation.
rheumnow.com/news/chronic...
November 28, 2025 at 5:00 PM
Chronic pain may dramatically raise your blood pressure
Widespread chronic pain may stealthily drive up blood pressure, partly through its ties to depression and inflammation.
rheumnow.com/news/chronic...
Widespread chronic pain may stealthily drive up blood pressure, partly through its ties to depression and inflammation.
rheumnow.com/news/chronic...
2023 National Health Interview Survey studied arthritis-attributable work limitations in adults (18-64 yrs) - it was 38.8% (same as 2019). AAWL was higher in Hispanics (50%), American Indian/Alaska Natives (56%), & disabled (62%), & veterans (52%) acrjournals.onlinelibrary.wiley.com/doi/pdf/10.1...
November 27, 2025 at 3:02 PM
2023 National Health Interview Survey studied arthritis-attributable work limitations in adults (18-64 yrs) - it was 38.8% (same as 2019). AAWL was higher in Hispanics (50%), American Indian/Alaska Natives (56%), & disabled (62%), & veterans (52%) acrjournals.onlinelibrary.wiley.com/doi/pdf/10.1...
CorEvitas ional registry of 3,696 w/ psoriatic arthritis (no hx of CV eents), followed for mean 3.7 yrs, showed that Dactylitis & enthesitis didnt predict future CV events. But Dactylitis & enthesitis & Synovitis were all significantly interrelated. Cureus 17(11): e97377. doi:10.7759/cureus.97377
November 26, 2025 at 11:44 PM
CorEvitas ional registry of 3,696 w/ psoriatic arthritis (no hx of CV eents), followed for mean 3.7 yrs, showed that Dactylitis & enthesitis didnt predict future CV events. But Dactylitis & enthesitis & Synovitis were all significantly interrelated. Cureus 17(11): e97377. doi:10.7759/cureus.97377
Tuesday Nite Rheumatology (on 11.18.25)
Replay of RheumNow Live 2025 - Spondyloarthritis
Replay of RheumNow Live 2025 - Spondyloarthritis
November 26, 2025 at 5:02 PM
Tuesday Nite Rheumatology (on 11.18.25)
Replay of RheumNow Live 2025 - Spondyloarthritis
Replay of RheumNow Live 2025 - Spondyloarthritis
Partial vs Total Knee Replacement: Is One Superior?
Patients with OA primarily affecting only one knee joint compartment did just as well with partial knee replacement (PKR) as with total arthroplasty after 10 years in a randomized trial -- and maybe a little bit better.
buff.ly/T6Bscs9
Patients with OA primarily affecting only one knee joint compartment did just as well with partial knee replacement (PKR) as with total arthroplasty after 10 years in a randomized trial -- and maybe a little bit better.
buff.ly/T6Bscs9
November 26, 2025 at 4:00 PM
Partial vs Total Knee Replacement: Is One Superior?
Patients with OA primarily affecting only one knee joint compartment did just as well with partial knee replacement (PKR) as with total arthroplasty after 10 years in a randomized trial -- and maybe a little bit better.
buff.ly/T6Bscs9
Patients with OA primarily affecting only one knee joint compartment did just as well with partial knee replacement (PKR) as with total arthroplasty after 10 years in a randomized trial -- and maybe a little bit better.
buff.ly/T6Bscs9
Retrospective study of 39 pts w/ MDA5 + DM-ILD Rx w baricitinib. 31 (79.5%) had improvement in Gottron’s, heliotrope, dyspnea, HRCT score, ferritin, LDH, steroid dose & 6 mo survival (87% vs. 70%, p = 0.047). arthritis-research.biomedcentral.com/articles/10....
November 24, 2025 at 8:53 PM
Retrospective study of 39 pts w/ MDA5 + DM-ILD Rx w baricitinib. 31 (79.5%) had improvement in Gottron’s, heliotrope, dyspnea, HRCT score, ferritin, LDH, steroid dose & 6 mo survival (87% vs. 70%, p = 0.047). arthritis-research.biomedcentral.com/articles/10....
Vitamin D and Lupus Outcomes (11.21.2025)
Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.
rheumnow.com/news/vitamin...
Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.
rheumnow.com/news/vitamin...
November 24, 2025 at 8:01 PM
Vitamin D and Lupus Outcomes (11.21.2025)
Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.
rheumnow.com/news/vitamin...
Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.
rheumnow.com/news/vitamin...
ILD in Patients with Connective Tissue Disease
Dr. Janet Pope reports on abstract 0154 (Incidence and Prevalence of Connective Tissue Diseases with Interstitial Lung Disease (CTD-ILD) in the United States) at #ACR25.
rheumnow.com/video/ild-pa...
Dr. Janet Pope reports on abstract 0154 (Incidence and Prevalence of Connective Tissue Diseases with Interstitial Lung Disease (CTD-ILD) in the United States) at #ACR25.
rheumnow.com/video/ild-pa...
November 24, 2025 at 7:00 PM
ILD in Patients with Connective Tissue Disease
Dr. Janet Pope reports on abstract 0154 (Incidence and Prevalence of Connective Tissue Diseases with Interstitial Lung Disease (CTD-ILD) in the United States) at #ACR25.
rheumnow.com/video/ild-pa...
Dr. Janet Pope reports on abstract 0154 (Incidence and Prevalence of Connective Tissue Diseases with Interstitial Lung Disease (CTD-ILD) in the United States) at #ACR25.
rheumnow.com/video/ild-pa...
RNL 25 Replay: Spondyloarthritis
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
November 24, 2025 at 5:02 PM
RNL 25 Replay: Spondyloarthritis
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...
Enjoy these excerpts from the RNL 2025 meeting, and join us for RNL 2026 in Dallas, TX - registration is now open! Visit rheumnow.live for complete details.
rheumnow.com/video/rnl-25...