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Tuesday, May 23, 2017
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John J Cush, MD
Baylor University Medical Center- Dallas
Expertise: Rheumatology
http://mdtvnews.com/main.asp?SectionID=504&SubSect




home : 2: pregnancy and autoimmune diseases : 2:pregnancy and autoimmune diseases May 23, 2017 

Dr. Clowse and Dr. Cush: Postpartum
John J. Cush, MD, Director of Clinical Rheumatology at Baylor University Medical Center in Dallas, and Megan E.B. Clowse, MD, MPH, Duke University Rheumatologist and Researcher, discuss supporting their RA patients during the postpartum period.

Patient Profile
Meet a woman with Rheumatoid Arthritis who became pregnant while on Methotrexate, and hear about the medical team during her pregnancies and the critical role of her rheumatologist.

Dr. Kane: Planning
Sunanda Kane, MD, a professor of medicine at the MAYO Clinic expains the importance of family planning.

Postpartum Period
Even though the pregnancy is over, many hurdles remain for a new mother with RA.

Dr. Cush: Treatment and Pregnancy
John J. Cush, MD, discusses the relationship between pregnancy and Rheumatoid Arthritis treatments.

Immune Tolerance Shifts
Because of shifts in immune tolerace, about 75% of women with Rheumatoid Arthritis experience an improvement in their symptoms during pregnancy.

Risks and Complications
While most pregnancies are successful in women with Rheumatoid Arthritis, or RA, their disease is associated with higher rates of complications.

Dr. Clowse: Recent Studies
Megan E.B. Clowse, MD, MPH, discusses recent studies she has conducted at Duke University.

Pregnancy and RA
Studies show that Rheumatoid Arthritis in women is on the rise. What does this mean for RA patients who want to have children?

Dr. Bermas and Dr. Clowse: Postpartum
Bonnie Lee Bermas, MD, and Megan E. B. Clowse, MD, MPH, discuss how they support Lupus patients in the postpartum period.

Patient Profile
Meet a woman with Lupus and hear about her experience with her medical team and the critical role of her rheumatologist during her pregnancy.

Delivery and Postpartum
What special precautions should Lupus patients take when preparing to give birth? What challenges can they expect to face in the postpartum period?

Dr. Bermas: Managing the Medical Team
Bonnie Lee Bermas, MD, explains the need for an interdisciplinary approach among a Lupus patient's doctors.

Risks and Complications
While the majority of outcomes are good, Lupus pregnancies can be threatened by complications.

Lupus Diagnosis
Bonnie Lee Bermas, MD, and Megan E. B. Clowse, MD, MPH, discuss diagnosing Lupus and what a diagnosis means for patients.

Pregnancy Planning
Nine times as many women as men get Lupus, and it’s usually in their childbearing years.

Dr. Kane: Postpartum
Sunanda Kane, MD, a professor of medicine at the MAYO Clinic, explains how the medical focus shifts during the postpartum period. 

Dr. Koren: Doctor-Patient Relationship
Gideon Koren, MD, discusses the importance of the relationship between Crohn's patients and their doctors.

Dr. Koren: Planning
Gideon Koren, MD, explains the importance of family planning and patient literacy.

Postpartum Period
In addition to finding the right medications, it’s important for a Crohn’s patient and her doctor to discuss family planning and birth control options in the postpartum.

IBD Inheritance
Women with Inflammatory Bowel Disease, or IBD, often worry about whether they’ll pass Crohn’s Disease or Ulcerative Colitis on to their offspring.

Dr. Kane: Fertility
Many women are concerned that their fertility will be impaired by their Crohn’s Disease.  Sunanda Kane, MD, a professor of medicine at the MAYO Clinic, discusses the validity of these concerns with MDTV.

Pregnancy Planning
Family planning discussions need to take place early and often between a woman and her gastroenterologist.

Dr. Cush: Postpartum Period
90 percent of Rheumatoid Arthritis patients are going to worsen with flares in the first few months after pregnancy.

Dr. Bermas: Postpartum Period
Bonnie Lee Bermas, MD, discusses the challenges of the postpartum period for women with an autoimmune disease.

Patient Profile
After managing her lifelong rheumatoid arthritis, she fulfilled her dream of having a child, and then acquired another autoimmune disease after giving birth.

Postpartum Period
Women who give birth sometimes find that the support and concern that they felt during pregnancy has vanished into thin air and they’re left on their own to manage.

Preeclampsia
Preeclampsia's symptoms mimic those of both pregnancy and disease flares.

Managing Pregnancy
Each autoimmune disease responds differently to pregnancy.

Dr. Bermas: Family Planning
What factors need to be considered by women with autoimmune diseases when thinking about planning a family?

Patient Planning is Key
An estimated 1 in 12 women will be diagnosed with an autoimmune disease in her lifetime, and for many women, during their prime childbearing years.

Neonatal Lupus
While only 5% of children born to women with Lupus develop the disease, they could be at risk for other conditions, such as Neonatal Lupus.


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