The Exchange

Commentary and Observations from
the Medical Front Lines

Rheumatology

<a href='/the-exchange/hydroxychloroquine-monitoring-a-common-drug-seen-in-primary-care'>Hydroxychloroquine Monitoring: A Common Drug Seen in Primary Care
</a>

Hydroxychloroquine Monitoring: A Common Drug Seen in Primary Care

Hydroxychloroquine (Plaquenil) has been a staple for treatment of rheumatoid arthritis, systemic lupus erythematosis (SLE), and discoid lupus for many decades. It is also indicated for prevention and treatment of malaria caused by four types of protozoa of the genus Plasmodium. more >

Found in: Rheumatology

<a href='/the-exchange/medical-marijuana-fibromyalgia-and-ptsd'>Medical Marijuana, Fibromyalgia, and PTSD</a>

Medical Marijuana, Fibromyalgia, and PTSD

Have you made up your mind about the use of medical marijuana in your practice? I haven’t yet, but writing this posting has improved my knowledge of its more >

<a href='/the-exchange/lyme-arthritis-from-high-index-of-suspicion-to-diagnosis-and-treatment'>Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment</a>

Lyme Arthritis—From High Index of Suspicion to Diagnosis and Treatment

An effusion of the knee(s) is the most common manifestation of Lyme arthritis, a late stage of infection with Borrelia burgdorferi, the tick involved more >

<a href='/the-exchange/how-do-drug-pricing-systems-work-if-there-is-more-competition-shouldn-t-the-list-price-go-down-'>How Do Drug Pricing Systems Work? If There Is More Competition, Shouldn’t the List Price Go Down?</a>

How Do Drug Pricing Systems Work? If There Is More Competition, Shouldn’t the List Price Go Down?

Have you ever noticed how much more expensive drug prices become every year? I think we have all noticed this increase, so this week I decided to look in to more >

<a href='/the-exchange/what-is-the-best-treatment-for-painful-osteoporotic-compression-fractures-of-the-spine-'>What is the Best Treatment for Painful Osteoporotic Compression Fractures of the Spine?</a>

What is the Best Treatment for Painful Osteoporotic Compression Fractures of the Spine?

Pop quiz: What is the best method of treatment for osteoporotic compression fractures of the spine? Nonsurgical treatment (NST) Balloon kyphoplasty more >

<a href='/the-exchange/a-view-of-rheumatology-from-31-years-and-30-000-feet'>A View of Rheumatology From 31 Years And 30,000 Feet</a>

A View of Rheumatology From 31 Years And 30,000 Feet

The last 31 years of my PA career has been in the subspecialty of rheumatology. As I reflect on the changes in the field, I have become aware of the incredible more >

<a href='/the-exchange/expanding-jak-inhibitor-market-for-ra-on-the-horizon-in-2019--which-one-is-the-best-'>Expanding JAK Inhibitor Market for RA on the Horizon in 2019: “Which One Is the Best?”</a>

Expanding JAK Inhibitor Market for RA on the Horizon in 2019: “Which One Is the Best?”

Rheumatoid arthritis (RA) treatments continue to improve outcomes in the latest clinical trials. At the 2018 American College of Rheumatology (ACR) meeting more >

<a href='/the-exchange/cares-study-prompts-fda-boxed-warning-on-febuxostat'>CARES Study Prompts FDA Boxed Warning on Febuxostat</a>

CARES Study Prompts FDA Boxed Warning on Febuxostat

On February 21, 2019, the US Food and Drug Administration (FDA) issued a boxed warning on febuxostat. This was a result of the CARES study published in the more >

<a href='/the-exchange/how-do-you-make-a-diagnosis-of-gout-without-seeing-msu-crystals-under-a-microscope-'>How Do You Make a Diagnosis of Gout Without Seeing MSU Crystals Under a Microscope?</a>

How Do You Make a Diagnosis of Gout Without Seeing MSU Crystals Under a Microscope?

Primary care/urgent care/emergency rooms are all settings where acute monoarthritis is seen. The differential diagnosis includes acute crystal arthritis (gout, more >

<a href='/the-exchange/is-long-term-survival-associated-with-the-use-of-nitrogen-containing-bisphosphonates-'>Is Long-term Survival Associated With the Use of Nitrogen-containing Bisphosphonates?</a>

Is Long-term Survival Associated With the Use of Nitrogen-containing Bisphosphonates?

In the January issue of Osteoporosis International, there was an article entitled, “Mortality Risk Reduction Differs According to Bisphosphonate more >

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