Couverture de Healio Rheuminations

Healio Rheuminations

Healio Rheuminations

De : Adam J. Brown MD
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 Rheumatology is an incredibly fast-moving and exciting field of medicine that can be difficult to keep up with. This Healio podcast provides busy clinicians with quick updates in the field of autoimmunity, with emphasis on new medications, treatment guidelines and explorations into the pathophysiology of diseases. The show will also feature historical perspectives in the field of rheumatology, as well as fascinating case presentations of medical mysteries complete with discussions from experts in the field. Hygiène et vie saine Maladie et pathologies physiques Science
Épisodes
  • Bats, boats, baths, and vasculitis: The story of ultrasound in GCA

    Bats, boats, baths, and vasculitis: The story of ultrasound in GCA
    Apr 28 2026

    In this week's episode we interview Kinanah Yaseen, MD, a rheumatologist from Cleveland Clinic's department of rheumatic and immunologic diseases about using ultrasound for giant cell arteritis.

    · Intro by Adam J. Brown, MD 0:12

    · Dr. Brown's recent patient 1:34

    · History of ultrasound and GCA 3:20

    · Episode overview 7:05

    · History of echolocation; how bats helped us invent ultrasound 8:00

    · What is a bat bomb? 14:56

    · How the Titanic helped us invent ultrasound 16:48

    · Neurologists bring ultrasound to medicine 20:09

    · OB/GYN is next to use ultrasound 23:11

    · Ultrasound image quality becomes better 26:32

    · Ultrasound use in giant cell arteritis 28:44

    · Welcome Kinanah Yaseen, MD 33:49

    · Using ultrasound in the clinic 34:25

    · Can you walk us through an ultrasound of the axillary and vertebral arteries? 37:16

    · Can you tell us why we stopped looking for sites to biopsy by finding narrowing of the vessels? 38:19

    · Tell us about the halo sign 39:10

    · How do you validate your ultrasound skills? 40:20

    · If we start a patient on steroids, how useful is an ultrasound? 42:35

    · Episode summary 44:20

    · Thank you for listening 45:57

    We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

    Kinanah Yaseen, MD, is a is a staff member of Cleveland Clinic's department of rheumatic and immunologic diseases.

    References:

    Friedman, G, et al.Isr J Med Sci. 1988

    Kaproth-Joslin K A, et al. Radiographics. 2015 ;doi:10.1148/rg.2015140300

    Puéchal X, et al. Lancet. 1995;doi:10.1016/s0140-6736(95)92626-7

    Schmidt W A, et al. Lancet. 1995;doi:10.1016/s0140-6736(95)93005-1

    Sigel B. Ultrasound Med Biol. 1998;doi:10.1016/s0301-5629(97)00264-0

    Editor's Note: This has been updated to include references.
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    46 min
  • ILD for the rheumatologist: Digging through the past and making sense of the present

    ILD for the rheumatologist: Digging through the past and making sense of the present
    Mar 24 2026
    In this week's episode we interview Joseph Parambil, MD, staff member in the department of pulmonary, allergy and critical care medicine at Cleveland Clinic, about the current challenges of interstitial lung disease, or ILD. · Intro by Adam J. Brown, MD 0:12 · Welcome back Joseph Parambil, MD 0:32 · But first, some medical history on ILD 1:04 · ILD vs. IPF 2:26 · A quick aside into silicosis and bleomycin 4:27 · Trying to describe pulmonary fibrosis 5:23 · The different types of ILD 9:44 · Finding a slow progression of disease and autoimmune conditions 10:59 · Pulmonary fibrosis diagnoses in 1963 14:41 · The modern era of ILD 16:22 · Nonspecific interstitial pneumonia 20:12 · Handing things over to Dr. Parambil 23:01 · Helping rheumatologists understand ILD/The alphabet soup 24:34 · The shift from biopsies and using immunosuppression 33:07 · Is the workup similar for UIP and NSIP? 35:26 · Is there a standard protocol for workup in terms of serologies? 36:30 · The danger of choosing the wrong treatment 38:43 · Immunosuppression in patients with pulmonary hypertension and ILD 40:52 · UIP and ANCA vasculitis 42:12 · Compared to ten years ago, how are we doing with treatments? 43:10 · Where are we with lung transplants? 50:49 · Looking at hematopoietic stem cell transplants 53:24 · The importance of early diagnosis 54:14 · Antifibrotic medicines 56:15 · Chronic and acute interstitial lung diseases 58:41 · Thank you, Dr. Parambil 1:03:54 · A conclusion from Dr. Brown 1:04:20 · Thank you for listening 1:04:55 We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum. Joseph Parambil, MD, is a staff member in the Respiratory Institute and the director of the HHT Center of Excellence and the Vascular Anomalies Center at the Cleveland Clinic. He is associate professor of medicine at Cleveland Clinic's Lerner College of Medicine. He is certified by the American Board of Internal Medicine with additional specialty certification in pulmonary medicine and critical care medicine. References: Homolka J. CMAJ. 1987;PMID:3315158 Liebow A, et al. : "Frontiers of Pulmonary Radiology." The interstitial pneumonias, pp. 102-141. 1969. Grune & Stratton. Liebow A, et al. Calif Med. 1969;PMID:PMC1501512 Noble PW, et al. Am J Respir Cell Mol Biol. 2005;doi:10.1165/rcmb.F301 Scadding JG, et al. Thorax. 1967;doi:10.1136/thx.22.4.291 Disclosures: Brown and Parambil report no relevant financial disclosures.
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    1 h et 5 min
  • Healio Community Book Club: A conversation between Leonard Calabrese, DO and Kevin Tracey, MD, author of The Great Nerve

    Healio Community Book Club: A conversation between Leonard Calabrese, DO and Kevin Tracey, MD, author of The Great Nerve
    Feb 24 2026

    This special edition episode features the latest installment of Healio Community's book club. Physician author Kevin J. Tracey, MD, discussed his book, The Great Nerve: The New Science of the Vagus Nerve and How to Harness Its Healing Reflexes in which he explores the potential of stimulating the vagus nerve to treat rheumatoid arthritis and other diseases.

    · Intro by Adam J. Brown, MD 0:14

    · A warm welcome from Leonard H. Calabrese, DO 0:25

    · Introducing Kevin J. Tracey, MD 0:58

    · The connection between the brain and the immune system 3:25

    · Where was the switch that combined neural networks and immune response? 5:55

    · A brief summary of the main parts of The Great Nerve: The New Science of the Vagus Nerve and How to Harness Its Healing Reflexes 9:18

    · The science of vagal nerve stimulation 11:03

    · What are the pros and cons of different strategies of stimulating the vagus nerve? 16:28

    · Different inflammatory responses to implant devices 17:35

    · Data on vagus nerve stimulation 21:38

    · Adopting new technology 25:40

    · Enhancing immune health through brain health 28:35

    · Wellness behaviors 32:55

    · A motivated patient 36:16

    · Thank you, Dr. Tracey 38:03

    · Thanks for listening 39:26

    Don't miss out! To engage in future conversations like this with physician authors on Healio Community, register here.

    We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.
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    40 min
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