Around the Rheum is the official podcast of the Canadian Rheumatology Association. Our goal is to share a Canadian perspective within the world of rheumatology through stories, in-depth subject matter features, clinical advice, interviews and more.
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In this special episode of Around the Rheum, hosts Dr. Daniel Ennis and Dr. Janet Pope sit down with guideline co-authors Dr. Carrie Ye and Dr. Jeff Graham to break down the newly released Canadian Rheumatology Association/Canadian Research Group of Rheumatology in Immuno-Oncology (CanRIO) Living Guidelines for the management of baseline immunosuppression in individuals with pre-existing rheumatic diseases initiating immune checkpoint inhibitors (ICIs).Together, they unpack the key tensions clinicians face: balancing cancer treatment efficacy with the risk of flare of autoimmune disease, the challenges of low-quality and limited data, and the nuances of caring for patients whose autoimmune conditions behave very differently. From inflammatory arthritis to systemic autoimmune rheumatic diseases (SARDs), the panel highlights when to consider de-escalation, when to continue treatment, and how oncologists and rheumatologists can collaborate to support patient outcomes.They also discuss what surprised them during the systematic review, what evidence is still missing — especially around oncologic outcomes — and how clinicians can access and stay update to date on these living guidelines.A must-listen for anyone treating autoimmune disease or cancer in the era of immunotherapy!Dr. Carrie Ye is a rheumatologist and Associate Professor at the University of Alberta. She practices at the Kaye Edmonton Clinic and runs a specialized Rheumatology & Immuno-Oncology Clinic, focusing on the intersection of autoimmune disease and cancer immunotherapy. Dr. Ye is a leading member of the CanRIO Research Group and a senior author of the new living guidelines discussed in this episode. Dr. Jeff Graham is a medical oncologist at CancerCare Manitoba and an Assistant Professor at the University of Manitoba. His clinical and research expertise focuses on genitourinary cancers, particularly kidney cancer and immunotherapy. He serves as the oncology lead on the CanRIO guideline team, bringing critical insight into cancer outcomes and treatment-risk balancing for patients receiving checkpoint inhibitors.Around The Rheum is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Host) David McGuffin (exploreproductions.ca) and Erin Stewart (CRA) for leading production.Our theme music was composed by Aaron Fontwell. For more on the work of the Canadian Rheumatology Association, visit rheum.ca
Saviez-vous que le secteur des soins de santé a une empreinte climatique plus importante que celle de l’industrie aérienne?Dans cet épisode d’Autour de la Rhumato, le Dr Hugues Allard-Chamard discute de la santé planétaire et des moyens d’intégrer la durabilité dans la pratique médicale avec les Dres Stéphanie Tom et Elizabeth Hazel. Ensemble, ils explorent les liens entre la santé humaine et celle de notre environnement, et réfléchissent à la responsabilité du milieu de la santé face aux changements climatiques.La boîte à outils: Des soins de santé durables : Guide de mise en œuvre en rhumatologie.La Dre Stéphanie Tom, vice-présidente de la Société canadienne de rhumatologie, explique comment elle s’est intéressée à la durabilité après avoir découvert l’empreinte carbone importante du secteur de la santé. Elle partage des gestes concrets pour réduire l’impact environnemental des cliniques, comme la diminution de l’usage des produits jetables.La Dre Elizabeth Hazel, professeure associée à l’Université McGill, souligne pour sa part l’importance d’intégrer ces principes dans la formation médicale et de prêcher par l’exemple, que ce soit en encourageant l’activité physique ou en adoptant des comportements écoresponsables au quotidien. Ensemble, elles rappellent que protéger la planète, c’est aussi protéger la santé de nos patients et la résilience de nos systèmes de soins.L’épisode met en lumière des solutions accessibles et des ressources comme CASCADES, la Société canadienne de rhumatologie et l’Association médicale canadienne, qui accompagnent les professionnels vers une pratique plus durable.Pour réagir à l’épisode ou proposer des sujets, écrivez à info@rhumato.ca ou suivez-nous sur X (Twitter) à @autourdelarhumato.
Did you know that the healthcare industry has a bigger climate change footprint than the airline industry? In this episode of 'Around the Rheum,' hosts Dr. Daniel Ennis and Dr. Janet Pope join in conversation about how rheumatologists can help fight global warming with Dr. Stephanie Tom, the Rheumatology Division Head at Trillium Health Partners in Mississauga, ON and Vice President of the Canadian Rheumatology Association (CRA).In 2022, Dr. Tom led the creation of the CRA Planetary Health Committee that has now published a toolkit to help rheumatologists lessen our climate change impact. Dr. Tom discusses the concept of planetary health and its application in rheumatology. She emphasizes cost savings and sustainable practices such as de-prescribing and high-value patient care. Through practical examples, the conversation highlights efforts to reduce waste and improve efficiencies in clinical practice. Dr. Tom also introduces the CRA's new toolkit designed to help rheumatologists lessen their climate impact, and offers actionable advice for greening offices and advocating for environmental stewardship in healthcare.This episode of Around The Rheum was generously supported by Choosing Wisely Canada and The Royal College Foundation.Around The Rheum is produced by the CRA Communications Committee. A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Host) David McGuffin (exploreproductions.ca) and Erin Stewart (CRA) for leading production.Our theme music was composed by Aaron Fontwell. For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca
We're back with another fascinating medical mystery in this episode of Around the Rheum! Hosts Dr. Daniel Ennis and Dr. Janet Pope are joined by Dr. Steven Rowe, an internal medicine resident at Memorial University of Newfoundland (MUN), as they delve into a challenging case of a 22-year-old male with severe fatigue, requiring a wheelchair, who had to stop his studies and move back with his parents. The patient presented with multiple perplexing symptoms, including significant weight gain, intermittent abdominal discomfort, dyspnea, and peripheral edema. Will Dan and Janet solve the case before Dr. Rowe reveals the ultimate and surprising diagnosis? Voicing your theories out loud as you listen along is definitely encouraged!If you have questions you would like answered or guest suggestions, please get in touch through the CRA social media accounts or by email: Info@rheum.ca.A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Co-Host), David McGuffin (Producer, ExploreProductions.ca), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. Our theme music was composed by Aaron Fontwell. For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca
In this episode of Around The Rheum, Dr. Daniel Ennis and Dr. Janet Pope are joined again by living legend in the world of Rheumatology, Dr. Dafna Gladman. Dr. Gladman is an Emeritus Professor of Medicine at the University of Toronto and an Emeritus Scientist at the Schroeder Arthritis Institute and Crumble Research Institute. Dr. Gladman, who recently delivered the Dunlop-Dottridge lecture at the CRA's 2025 Annual Scientific Meeting in Calgary, discusses the past, present, and future of psoriatic arthritis (PsA) research. She highlights the role of biomarkers, the vital and complementary contributions of clinicians and statisticians in conducting research, and the emerging role of AI in transforming PsA patient care. Dr. Gladman also reflects on her career journey, the importance of collaboration in medical research, and her recent appointment as an officer of the Order of Canada.If you have questions you would like answered or guest suggestions, please get in touch through the CRA social media accounts or by email: Info@rheum.ca.A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), Dr. Janet Pope (Co-Host), David McGuffin (Producer, ExploreProductions.ca), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. Our theme music was composed by Aaron Fontwell. For more on the work of the Canadian Rheumatology Association, visit www.rheum.ca