Interactive modules by Olga Goodman, MD.Copyright protected · Read termsClose terms

All RheumaView™ interactive modules, quizzes and educational cases are original works developed by Olga Goodman, MD.

Without the author’s prior written permission, you may not copy or republish these modules or their components; extract, reuse or modify their original software code (“engines”); or use that code to build your own modules, quizzes or other products.

You may not claim these works as your own or remove or replace the author’s name or copyright notices. When quoting material, credit Olga Goodman, MD, identify the source and include a direct link to the original.

Free or public access is provided for learning and does not grant permission to copy, adapt or redistribute the materials. Unauthorized use of protected material may constitute copyright infringement. Exceptions and limitations provided by applicable law remain unaffected.

Sharing direct links to the modules is welcome.

© 2026 Olga Goodman, MD. All rights reserved.

Added Clinically reviewed

Patient Quizzes & Journeys

Serious medicine. A little curiosity, a little humour — and explanations that stay with you.

All patient quizzes are free. Open demos need no registration; the other quizzes need a free account. No paid subscription.

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Read the essay: Serious medicine. Learning can come with a smile. →

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Juvenile spondyloarthritis

30

Heel, Knee and Homework

In young people, spondyloarthritis often shows up first in the legs and feet — a sore heel, a swollen knee, a sudden dislike of stairs. For teenagers and their families: what to notice, what to ask, and how to keep school and sport in the plan.

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RV-JSPA-01

Behind the Long Name

Sort fact from myth about what the words “juvenile spondyloarthritis” do, and do not, tell a family.

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RV-JSPA-02

What Did You Notice?

True or false: how to notice early changes in a child and describe them, without diagnosing at home.

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RV-JSPA-03

Joint, Tendon or Growing Bone

A sore foot holds several close neighbours; see how well you can tell the clues from the conclusions.

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RV-JSPA-04

Where the Pain Really Starts

Sort true from false about hip, buttock and back symptoms in juvenile spondyloarthritis.

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RV-JSPA-05

Pieces of the Diagnosis

See how history, examination, tests and follow-up come together into a diagnosis.

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RV-JSPA-06

Reading the Lab Report

Everyday beliefs about blood tests and HLA-B27 in juvenile spondyloarthritis: which are facts, and which are myths?

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RV-JSPA-07

Scans Without the Mystery

True or false: what ultrasound, X-rays and MRI can and cannot tell you in juvenile spondyloarthritis.

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RV-JSPA-08

More Than Just Joints

Eye, skin and bowel symptoms belong in the same care plan as the joints. See how well you can connect them.

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RV-JSPA-09

Knowing When Not to Wait

A calm look at which changes need emergency help, which need assessment today, and which need a prompt call.

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RV-JSPA-10

Three Wishes, One Plan

Fact or myth: what treatment for juvenile spondyloarthritis is trying to achieve, in the clinic and in everyday life.

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RV-JSPA-11

Medicines With Different Jobs

NSAIDs, injections and conventional DMARDs in juvenile spondyloarthritis: six everyday situations, and two answers to choose between.

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RV-JSPA-12

Biologics Without the Myths

Things people say about biologics, approval, off-label prescribing and biosimilars in juvenile SpA: which are facts, and which are myths?

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RV-JSPA-13

A Plan Before You Need It

Choose the better of two answers about vaccines, missed treatment, other medicines and planning ahead in juvenile spondyloarthritis.

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RV-JSPA-14

Better, But How?

True or false: how a family and the care team can tell whether treatment for juvenile spondyloarthritis is helping.

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RV-JSPA-15

Better, but Still Hurting

Things people say when the inflammation has improved and the pain has not: which are facts, and which are myths?

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RV-JSPA-16

Back in the Game

Sport, movement and rehabilitation with juvenile spondyloarthritis: which of these statements are true?

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RV-JSPA-17

The Rest of the Week

See how school, friends, sleep and mood find their place in life with juvenile SpA.

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RV-JSPA-18

Honest Questions, Clear Answers

Fact or myth: privacy, parties, relationships and medicines while growing up with juvenile spondyloarthritis.

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RV-JSPA-19

When the Disease Is Quiet

True or false: what remission means, how treatment changes are decided, and how to think about the future.

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RV-JSPA-20

Your Turn to Steer

Pick the better of two answers on growing up with juvenile spondyloarthritis and moving to adult care.

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RV-JSPA-21

Before the Results Arrive

Family history, the blood draw and a plan for the results in juvenile spondyloarthritis: six everyday situations, and two answers to choose between.

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RV-JSPA-22

From Prescription to Practice

True or false: the practical side of a biologic or targeted treatment for juvenile spondyloarthritis, from the route it is given by to the notes worth keeping.

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RV-JSPA-23

Safety on an Ordinary Day

Things people say about routine checks, new symptoms, urgent situations and a teenager’s questions during treatment for juvenile SpA: fact or myth?

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RV-JSPA-24

Room for Real Life

School, friendships, fatigue and urgent support with juvenile spondyloarthritis: which of these statements are true?

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RV-JSPA-25

On Your Own, Not Alone

Fact or myth: the family's changing role, asking for help, and the practical side of moving to adult care with juvenile spondyloarthritis.

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RV-JSPA-26

Better Compared With What?

Six everyday situations around a follow-up visit, two answers each: how a family and the care team judge whether treatment for juvenile spondyloarthritis is helping.

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RV-JSPA-27

Which Medicine, Which Job?

Fact or myth: what NSAIDs, joint injections and conventional DMARDs are each meant to do in juvenile spondyloarthritis.

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RV-JSPA-28

Better on Paper, Still Sore

True or false: why pain can stay when inflammation improves in juvenile spondyloarthritis, and what a plan that takes both seriously looks like.

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RV-JSPA-29

Back in the Game

Six situations from sport, school and physiotherapy, two answers each: staying active with juvenile spondyloarthritis.

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RV-JSPA-30

The Quiet Spell

Fact or myth: what remission means in juvenile spondyloarthritis, how treatment changes are agreed, and what to do if symptoms return.

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Peripheral / undifferentiated SpA

20

A label with three jobs

Helena, a translator in her forties, can turn a contract into three languages before lunch. Her own referral letter defeats her: “suspected peripheral SpA, previously…

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Joint, attachment or the whole toe?

Marta, a pastry chef in her thirties, tells her rheumatologist: “My foot hurts.” Accurate, heartfelt — and about as precise as “something is wrong with the oven.” Her ankle is…

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The detective’s notebook

Nina, a florist in her forties, has a knee that swells without asking and a heel that objects to the first steps of every morning. Her first rheumatology visit is short, and even…

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Wait, call or go?

Viktor, a tram driver in his fifties, has peripheral SpA and takes an immune-suppressing medicine. His body has a gift for producing something new on a Friday evening, just as the…

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HLA-B27, CRP and other famous letters: fact or myth?

Irena audits other people’s accounts for a living, so columns of figures do not frighten her — until her own lab report arrives. Her ankle has been swollen since spring, the CRP…

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The fanciest scan doesn’t always win

Leon, a postman in his fifties, walks his whole round on foot, in any weather. His heel hurts where the Achilles tendon attaches, one ankle is swollen, and peripheral SpA is being…

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What are we actually aiming at?

Daniel, a barista in his forties, has started a medicine for the persistent synovitis in his ankle. Some weeks in, the ankle is slimmer, the heel still nags, and his sister wants…

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Tablets, needles and patience: fact or myth?

Oskar is a baker: up before the birds, on his feet until noon. His knee has been swollen for weeks, his heel objects by the second tray, and the kitchen drawer holds pain…

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Evidence, approval, coverage: three different desks

Clara, a court interpreter in her forties, has nonpsoriatic peripheral SpA; NSAIDs have not done enough, and a targeted medicine is now on the table. She came home with three…

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A working day on two sore feet

Adam, a hairdresser in his thirties, has peripheral spondyloarthritis: a sore Achilles attachment, a ring finger that swells, and a job done standing up with scissors in hand. His…

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What did “better” mean?

Tomasz, a schoolteacher in his fifties, has peripheral spondyloarthritis and inflammatory bowel disease; some months ago he started a medicine chosen in the hope of helping…

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Plans change, plans ahead

Eva, a software developer in her early thirties, has peripheral SpA and a treatment that is finally doing its job. The next few years hold a hoped-for baby, a postponed…

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The label moved. Did the disease?

Paul, a bus mechanic in his late thirties, keeps a service log for every bus in the depot, each repair dated and explained. His own medical file is less orderly: it starts in a…

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When the tests and the pain don’t agree

Rosa, a ward nurse in her fifties, has spent years explaining other people’s results to them. Now her own refuse to agree: her ankle aches after every long shift, the…

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Remission, tapering and other words that sound alike: fact or myth?

Gregor conducts a choir. For a good while now his fingers and heels have kept time without complaint, and a question has started humming in the background: does he still need…

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What's in a Name? Peripheral, Undifferentiated, Suspected

Three words on a spondyloarthritis (SpA) referral letter answer three different questions.

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Joint, Attachment or Whole Toe?

Three peripheral patterns, and why the pattern matters more than where it hurts.

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Building the Diagnosis, Clue by Clue

How history, examination, tests and other possible explanations come together in peripheral SpA.

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A New Symptom: Can It Wait?

Two questions for every new symptom — and why urgency comes first.

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Blood Tests and HLA-B27: What Numbers Can Say

Inflammation, diagnosis or safety? See what each blood test can and cannot tell you.

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IBD-associated spondyloarthritis / IBD-SpA

17

Gut Feelings

The infection may be over while the knee is still swollen; the bowel may be calm while the back is not. Two conditions where joints keep their own calendar. Bet before the next flare decides for you.

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Bowel, joints and spine: how are they connected?

Understand the bowel–joint connection, different symptom timelines and what HLA-B27 can and cannot tell you.

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Describing your symptoms: what helps the doctor?

Practise describing stiffness, swelling, back pain and medicine timelines to your care team.

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How the diagnosis is made: what can each test show?

Explore what blood tests, stool tests, imaging and joint fluid can show—and their limits.

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When is help urgent?

Recognize eye, joint, clot and nerve warning signs and when to seek same-day or emergency care.

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Choosing treatment for both the bowel and the joints

Consider movement, pain medicines and coordinated treatment for bowel and musculoskeletal inflammation.

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Pain medicines, infections, vaccines and safety tests

Review pain medicines, infection precautions, vaccinations, safety tests and medicine use during pregnancy.

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When the bowel and joints respond differently

Consider different bowel and joint responses, persistent pain and reassessment before changing treatment.

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Daily life: movement, fatigue, food and work

Explore tailored movement, fatigue, nutrition, low-FODMAP diets and spine safety in daily life.

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Different life stages and surgery

Prepare for pregnancy and surgery with coordinated care, and understand joint symptoms after colectomy and pouch symptoms.

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Preparing for a shared care visit

Practise setting priorities, describing bowel and joint changes and leaving with a clear shared care plan.

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The essentials: bowel, joints and one shared plan

Review the bowel–joint connection, shared care, steroids, pain medicines and individual treatment goals.

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Words you will hear at the clinic

Learn the meaning of sacroiliac joints, arthralgia, arthritis, enthesitis and targeted medicines.

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Myth or fact? Common beliefs about the bowel and the joints

Check common beliefs about food, supplements, microbiome tests, stopping treatment and the future.

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What would you do? Everyday situations

Practise decisions about infection, travel, movement, work and symptoms in a young person with IBD.

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Medicines: which problem does each one treat?

Match treatment to bowel, peripheral joint and spinal disease, and review injections, JAK inhibitors and dual targeted therapy.

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What Each Test and Medicine Is For

Seven situations about blood and stool tests, persistent pain and medicines that treat the bowel, joints or spine.

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Safe Between Visits

Seven situations about urgent symptoms, pain medicines, infections, vaccines, pregnancy planning and surgery.

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Reactive arthritis

30

Reactive Arthritis: What the Name Means

A gentle first look at joint inflammation that follows an infection—with a round of fact or myth.

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The Infection Is Over. Why Do My Joints Hurt?

The infection and the inflammation do not always follow the same clock

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Where Reactive Arthritis Shows Up

Knee, heel, toe, lower back: learn to connect a symptom with the part of the body it comes from.

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Beyond the Joints: Eyes, Skin and More

Reactive arthritis can show up in the eyes, skin, mouth and urinary tract — and some signs should not wait.

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Putting the Clues Together

How doctors recognize reactive arthritis when no single test can prove it.

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Do I Need Antibiotics?

Treating an infection and calming the joints are two related but separate jobs.

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Calming a Hot, Swollen Joint

Reactive arthritis: what treatment for pain and inflammation is meant to do — and what pain relief alone cannot tell you.

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When the Arthritis Lingers

A longer course of reactive arthritis: what it means and what a careful second look involves.

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Moving Again, Step by Step

Walking, work and exercise while a reactive arthritis flare settles

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Reactive Arthritis: Recovery and What Comes Next

How recovery is judged, why symptoms can return, and what follow-up visits are for.

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The Gene Marker on Your Test Report

Reactive arthritis: what an HLA-B27 result can tell you and your doctor — and what it cannot.

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Gut Germs and a Safer Kitchen

Reactive arthritis: the gut bacteria that can set it off, and everyday food and water habits that lower the risk.

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Why Is the Joint Doctor Asking That?

Reactive arthritis: why sexual health is part of the history, what testing involves, and what a result can and cannot tell you.

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One Hot Joint: Look-Alikes and the Fluid Test

Reactive arthritis, an infected joint, gout or an injury can look alike — and what having joint fluid taken is really like.

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Two Kinds of Red Eye

Reactive arthritis: conjunctivitis versus inflammation inside the eye (anterior uveitis), and how each is checked and treated.

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When the Heel Is the Sore Spot

Reactive arthritis: pain where a tendon meets the heel bone — how it feels, how it is checked and how to care for it day to day.

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When the Back Joins In

Reactive arthritis: low back and buttock pain, the sacroiliac joints and the spine — clues, scans and what helps.

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Making a Short Visit Count

Reactive arthritis: what to write down, what to bring and what to take home from your appointment.

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Sulfasalazine and Methotrexate: Everyday Safety

Reactive arthritis that lasts: what living with a disease-modifying medicine involves — schedules, blood tests, what to report.

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One Family, Different Members

How reactive arthritis relates to its relatives in the spondyloarthritis family — and how it differs from rheumatoid arthritis.

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Skin, Nails and Mouth: Reading the Clues

Scaly patches on the soles and a crumbling nail in reactive arthritis: what they are, what they are not, and how they are looked after.

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Reading Your Blood Test Report

What the common blood tests ordered in reactive arthritis can show — and what they cannot.

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X-ray, Ultrasound or MRI: Which Picture, Which Question?

What each kind of scan can and cannot show in reactive arthritis — and how to get ready for one.

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Worn Out, Not Weak: Tiredness, Sleep and Mood

Why reactive arthritis drains energy, how pain and sleep feed each other, and when mood deserves a mention.

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Back to Work, Stairs and the Road

Everyday life while the joints recover from reactive arthritis: work adjustments, a cane, stairs, driving and long trips.

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A Steroid Injection Into the Joint: What to Expect

What is in the syringe, how the first days usually go, and which signs after a glucocorticoid (“steroid”) joint injection need attention.

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Anti-Inflammatory Pain Medicines, Used Wisely

NSAIDs up close: food, stomach protection, blood pressure, and why the labels of cold remedies matter.

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A Biologic Medicine: Before the First Dose

What a TNF inhibitor is, when it is discussed in long-lasting reactive arthritis, and what starting one involves.

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Less Common Triggers and Look-Alikes

Beyond the classic germs: what else is linked with reactive arthritis, how firm the evidence is, and what only looks like it.

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Helping Someone You Love Through Reactive Arthritis

For partners and family: how much to do, what to say, and how to stay close without wearing yourself out.

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Before your visit

The Fifteen-Minute Visit

Find the important details, leave time for the rest of the visit, and prepare your own printable notes.

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The Visit Starts at Home

Prepare your medicines, results and questions; agree on priorities and leave with a clear plan.

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Two Tuesdays

See how preparing a few details leaves more time for examination, explanations and your questions.

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Will This Plan Work on Monday?

Help Maya explain what gets in the way and agree on a plan for real life.

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A Message That Helps the Clinic Answer

Improve three example messages, then write, copy or print your own.

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Non-radiographic axial SpA

Putting the diagnosis together

Explore how symptoms, blood tests and imaging fit together in diagnosing nr-axSpA.

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The treatment toolbox

Explore exercise, anti-inflammatory medicines, targeted therapy and individual treatment choices for nr-axSpA.

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Is the treatment working?

Track symptoms, review treatment response and plan the next steps with your care team.

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Now, today, or at the next visit?

Sort urgent symptoms and prepare your questions, medicines and results for the next visit.

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Now, today, or at the next visit? →

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Half an hour to move

Build a 30-minute movement routine and explore exercise and physiotherapy for nr-axSpA.

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Beyond the spine

Explore enthesitis, dactylitis, psoriasis, eye and bowel symptoms in nr-axSpA.

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Living with a biologic, step by step

Put practical steps in order: starting a biologic, home injections, surgery, travel and infection.

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Flare or not — and what now?

Sort flare situations by urgency, then explore movement, NSAIDs and treatment planning.

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Bones, posture and falls

Use a 15-minute visit to explore bone density, inflammation, exercise and fall prevention in nr-axSpA.

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Your back, your heart

Explore cardiovascular risk, NSAIDs, JAK inhibitors and heart-attack warning signs with nr-axSpA.

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Looking ahead with nr-axSpA

Explore progression, mobility, work, remission and long-term follow-up with nr-axSpA.

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When the back still hurts, step by step

Put the steps in order to review persistent pain, try medicines safely and plan a difficult day with nr-axSpA.

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Vaccines and infections on treatment

Explore vaccination planning, live and non-live vaccines, and signs of infection during treatment for nr-axSpA.

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Talking about axSpA: fact or myth?

Sort fact from myth about discussing axSpA with family, partners and employers, and asking for support.

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Ready for take-off

Plan medicines, vaccines, movement and practical support for a long flight with nr-axSpA.

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Evidence or hype?

Sort health claims by evidence and potential harm, then practise checking what you read online.

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Psoriatic arthritis

Reading the Headline

Psoriasis and PsA studies: endpoints, numbers and fair comparisons

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What Is the Test For?

Biomarkers, ‘personalised’ panels and what a result can really tell you

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Inside the Plaque

Immune signals, skin, joints and bone — explained without a switchboard

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The Long Medical File

Psoriatic disease with cancer, infections or other illnesses in the history

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More Than Birthdays

Psoriatic disease in later life: several conditions, one workable plan

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Handing Over the Folder

Psoriasis and arthritis that started in childhood: moving into adult care

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Planning for Two

Psoriatic disease, pregnancy plans and medicines for both partners

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Move It Your Way

Exercise, work and everyday life with psoriatic disease

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Skin Clear, Joints Still Sore

Persistent symptoms: what ‘the treatment did not work’ really means

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Day One Notes

Newly diagnosed with psoriatic arthritis on top of psoriasis: the first steps

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Itch at Three A.M.

Fatigue, sleep and mood with psoriatic disease

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The Supplement Aisle

Food, supplements and the microbiome — what helps and what only sells

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Better Joints, Same Arteries

Heart and metabolic health alongside psoriatic disease

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The Same Ruler

How to tell whether treatment for psoriatic disease is working

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Twice the Risk of What?

Weighing medicine risks against the cost of waiting

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Map Before Medicine

Choosing treatment when psoriasis and joints both have a vote

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No Single Test

How psoriatic arthritis is diagnosed when you already have psoriasis

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Check Behind the Ears

Hidden psoriasis, heels, toes and nails — what to show the doctor

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Not a Countdown

Psoriasis, the risk of arthritis and what is worth writing down

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Wider Than the Skin

Psoriasis, psoriatic disease and the map your doctor is drawing

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My Psoriatic Arthritis

Follow Marta through 23 decisions over thirty months: before diagnosis, the first year of treatment and life beyond. You are the patient. Explanations lead to the detailed patient guides.

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Surgery, travel, infection: before, during, after

Three situations where timing is everything. Put each timeline in order.

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Dr Google: how to spot a miracle cure

The internet knows everything — including a lot that isn’t true. Eight campfire stories for building a healthy sense of doubt.

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Pregnancy and family planning

PsA and a baby can absolutely go together — with a plan. Four doors for future parents, both of them.

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Talking to your doctor: fact or myth?

A visit lasts minutes, PsA lasts much longer. Ten cards on getting the most out of those minutes.

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Work and joint protection

Fingers that type, a heel that commutes and a limited budget of effort. Choose the changes that make the working day kinder.

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Pain, stress and mood

The joints and the head talk to each other all day long. Eight campfire stories about that conversation.

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Fatigue and sleep: recharging the battery

“Just tired” isn’t the whole story. Five stops about where the energy goes — and how to get it back.

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Movement is medicine

Heels, back, fingers, pain and motivation: five stops on the way to the summit. No marathon required.

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Heart, sugar, liver: PsA’s travel companions

Inflammation doesn’t stay in the joints. Four doors about the conditions that like to travel with PsA — and how to keep them in check.

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Smoking and alcohol: an honest chat

No lectures — just facts around the campfire (the only smoke we recommend).

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Weight, food and inflammation

Energy for changes is limited. Spend it on what really works — and skip what only works on the label.

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Eyes and gut: fact or myth?

PsA is related to a few neighbours outside the joints. Ten cards on which signals deserve a call — and which can wait.

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Shields up: infections and vaccines on treatment

Modern treatment calms an over-eager immune system. Here is how to keep your defences strong at the same time — five stops on the way up.

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Injection day: fact or myth?

The fridge, the pen, the airport and the forgotten dose. Ten cards to make injection day routine — not drama.

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Methotrexate, the friendly way

One of the most-used medicines in rheumatology. Eight questions to make friends with it — and keep it safe.

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Meet the medicine families

Tablets, pens, letters and numbers — who is who in PsA treatment? Four doors, a lifebuoy included.

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The road to target

Treatment is not a lottery ticket — it is a route with checkpoints. Put the steps in the right order.

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Detective work: how PsA is diagnosed

You are the doctor for a day. The budget is limited — choose the tests that really help.

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Skin, nails and scalp: the clues

Why does a rheumatologist want to look at your nails and scalp? Four doors of friendly detective work.

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Reviewed

Name that symptom

Inflammation or wear and tear? Wait and see, or call today? Eight everyday stories around the campfire.

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The five faces of psoriatic arthritis

A mountain hike past every spot where PsA likes to show up: joints, tendon attachments, whole fingers, the back — and skin with nails.

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Psoriatic arthritis: myth or fact?

Ten cards, ten popular beliefs. Let’s sort the truth from internet folklore.

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RV-PSA-05

Branches of the Family Tree

Genes, children, pregnancy and the dinner table: what psoriatic arthritis means for the whole family.

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RV-PSA-04

Aim for the Bullseye

Modern psoriatic arthritis care has a target. Here's how patient and doctor aim together — and which moves send the arrow wide.

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RV-PSA-03

The Flare Line-Up

Stress, a sore throat, a scratch, a cigarette: which suspects really stir psoriatic disease — and which have an alibi.

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RV-PSA-02

A Pencil in a Cup

What X-rays, ultrasound, MRI and blood tests can — and can’t — tell you about psoriatic arthritis.

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RV-PSA-01

Fingertip Forensics

The same knobbly finger can belong to very different stories. Learn to read the pattern.

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RV-DEMO-06 · Psoriatic arthritis

The Whole-Body Group Chat

Skin and joints aren’t the only members — eyes, heart and mood are in the chat too.

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RV-DEMO-05 · Psoriatic arthritis

Achilles’ Heel

Pain where tendons anchor to bone — and a back that hates the sofa more than the gym.

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RV-DEMO-04 · Psoriatic arthritis

The Case of the Sausage Toe

Skin, nails and one very puffy toe: how psoriasis drops hints about the joints.

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Early autoimmunity

Patient quizzes · Read the guide

Name Pending

UCTD, incomplete lupus, “at risk” — diagnoses still in beta. Bet on reading the label without reading your future into it.

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Notifications: Now, Soon or Later

Your body sends notifications all day. Most are spam, a few are urgent. Bet on sorting the inbox without missing the one that matters.

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The Scan Found Something

Modern scanners can see almost everything — including things that were never a problem. Bet on knowing which pictures matter.

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Read the Fine Print

Lab reports are written in a dialect of their own. Learn the vocabulary before you learn to panic.

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Everyone's an ANA Expert

Your aunt, your coworker and a forum thread from 2011 all have theories about your positive test. Bet that you know better.

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Early autoimmunity / UCTD

A Diagnosis Without a Name Yet

The letter says “undifferentiated connective tissue disease”. You have a year ahead and ten decisions to make. Some choices help. Some feel sensible at 2 a.m. and make the year harder. In every scene you keep choosing until you find the move that works.

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Early autoimmunity / UCTD

Everyone Has an Opinion About Your ANA

You have a positive ANA and a diagnosis called UCTD. Within a week, ten advisers have appeared. None of them went to medical school. All of them are certain. Your job is to survive their advice with your sense of humor and your plan intact.

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Early autoimmunity / UCTD

The Leaflet and Other Horror Stories

Your doctor has suggested a medicine for your UCTD. The box contains thirty tablets and one leaflet. The leaflet unfolds to the size of a tablecloth and has been written by people who have imagined everything. Eight episodes follow. In each of them, fear has a suggestion, and you have a better one.

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Early autoimmunity / UCTD

Your Body Has Sent You 8 Notifications

Since the diagnosis, your body has started sending notifications. All of them arrive marked urgent. Most of them are a knee. Your task is to tell which ones you can swipe away, which ones go on the list for your doctor, and which one means you stop reading and call for help.

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Early autoimmunity / UCTD

Your Lab Report Would Like a Word

You open your results. Eight tests are waiting, and each one has a personality. Some want attention. Some are hiding at the back. One is fourteen pages long. Your task is to find out what each of them can actually tell you, and what it only claims to.

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Early autoimmunity / UCTD

Your Fingers Have Opinions About the Weather

Your fingers have started changing colour in the cold. They do it without warning, in public, and with a strong sense of theatre. This is Raynaud’s. Eight winter episodes follow. In each of them your fingers are dramatic and you are asked to be sensible.

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Early autoimmunity / UCTD

The Scan Will See You Now

Your joints hurt, your antibodies are positive, and somebody has mentioned imaging. You would like a scan. Any scan. Ideally a large one. Eight scenes follow, featuring an ultrasound, an MRI, an X-ray and a radiology report written in a language that only resembles English.

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Early autoimmunity / UCTD

Rheumatologist to Human: A Pocket Dictionary

Your doctor speaks fluent Rheumatologist. You speak Human. The visit lasted twenty minutes and you came home with eight words you did not understand, three of which sounded like bad news. This dictionary translates them. In each entry, choose the meaning. The wrong ones are what most of us hear the first time.

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RV-DEMO-03 · aPL / LA

The Name That Lies Twice

Lupus anticoagulant: usually no lupus, and no anticoagulant in the body. Meet medicine’s most misleading name.

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RV-DEMO-02 · RF / anti-CCP

Rheumatoid Factor: Internal Affairs

An antibody that investigates other antibodies — with a name that promises more than it can prove.

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RV-DEMO-01 · ANA

The Smoke Alarm Called ANA

It shrieks at real fires — and at burnt toast. Learn to tell the difference.

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RV-EA-01

The Words Your Doctor Uses

Arthralgia, subclinical, UCTD, “at risk”: what these words mean — and what they don't.

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RV-EA-02

Positive Test: Finding, Risk or Disease?

The same result can mean different things in two different people.

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RV-EA-03

Which Test Answers Which Question?

ANA, RF, anti-CCP, ESR, CRP, urine tests and scans — each one is good at a different job.

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RV-EA-04

Early Biomarkers and Advanced Panels

What extra testing can add — and why every panel needs a clear question.

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RV-EA-05

Observation Is a Plan Too

What a good monitoring plan contains, what's worth writing down — and when not to wait.

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RV-EA-06

Living Well While the Diagnosis Is Uncertain

Your symptoms deserve attention. Your life deserves room beyond the results.

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RV-EA-07

Similar Findings, Different Decisions

One ANA result, three fictional people, three reasonable plans.

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RV-EA-08

RA Antibodies Without Arthritis

RF, anti-CCP and “at risk”: a reason to look closer, not a diagnosis.

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RV-EA-09

Joint Pain: Ultrasound, MRI and X-ray

Imaging can reveal important inflammation — and it needs careful interpretation.

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RV-EA-10

“Subclinical”: Reading an Imaging Finding

A small finding, findings that align, risk with uncertainty — what a scan adds, and what it can't.

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RV-EA-11

“Seronegative” and Sensitive RA Panels

What a negative RF and anti-CCP do — and don't — settle, and when a broader panel helps.

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RV-EA-12

When Results Don't Agree

A blood marker, a pain score and a scan measure different things — here's how to read a mismatch.

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RV-EA-13

Attacks That Come and Go, Arthritis That Stays

A quiet examination between attacks doesn't erase the history.

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RV-EA-14

Early Treatment or Observation?

The decision depends on what is present now — and what treatment is meant to achieve.

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RV-EA-15

Can RA Be Prevented? Reading the Studies

Delay, prevention and the size of a benefit — how to read what trials show.

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RV-EA-16

ANA, Incomplete Lupus and UCTD

Words that describe today's findings — without predicting who you are or what comes next.

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RV-EA-17

Lupus Tests and AVISE: Making the Result Useful

Sensitive testing helps most when the clinical question and the next decision are clear.

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RV-EA-18

Feeling Well, Organ Checks and the Right Test

Feeling well is reassuring — but an objective abnormality still needs to be explained.

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RV-EA-19

Lupus Treatment: Treat, Maintain or Prevent?

Before deciding about a medicine, name the problem it is meant to address.

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RV-EA-20

Lupus Follow-up That Leaves Room for Life

Useful monitoring has a purpose, a timetable and a clear route back to care.

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RV-EA-21

Raynaud’s and Systemic Sclerosis: What Changes the Plan?

Cold-related colour changes need context; a risk assessment is not a prediction of inevitable disease.

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RV-EA-22

Antiphospholipid Antibodies Without APS: When Does Prevention Matter?

A positive aPL result is not a diagnosis; prevention depends on the whole profile.

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RV-EA-23

Antibodies and Pregnancy: Plan Early, Without Assuming the Worst

SSA/Ro and aPL can matter for pregnancy even when the mother feels well — and each follows its own pathway.

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RV-EA-24

Myositis Antibodies: When the Lungs Come First

A targeted panel can reveal a useful pattern — but the organ findings decide what it means.

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RV-EA-25

A Positive ANCA: The Pattern, Not Just the Number

The same test label can appear in very different situations — the presentation guides the next step.

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RV-EA-26

Psoriasis and Joint Symptoms: Recognising Early PsA

This pathway relies on symptoms, examination and imaging — not on a single antibody test.

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RV-EA-27

Your Next Visit: Findings, Questions and a Plan

Prepare one useful conversation — complete only what matters to you.

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RV-EA-28

Negative Tests, Persistent Symptoms: What Comes Next?

A negative result changes the assessment — how much depends on the test, the condition and the findings.

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RV-EA-29

When Can Follow-up Become Less Intensive?

Observation needs a purpose, a review point and a route back to care.

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RV-EA-30

Family History and Prevention: What Can You Act On?

Family history can inform a plan without becoming a forecast for every relative.

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RV-EA-31

Marta's Story: A Positive ANA, Cold Fingers and a Pregnancy Plan

A fictional story: one plan that keeps today's findings, pregnancy questions and ordinary life apart.

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RV-EA-32

Adam's Story: Psoriasis, a Swollen Toe and an ANA “Just in Case”

A fictional story: telling the finding that matters from the one that simply happened to be tested.

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RV-EA-33

Tom's Story: Breathless on the Hills

A fictional story: when the lungs lead, the organ question comes first — and a negative ANA doesn't close it.

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RV-EA-34

Victor's Story: A Positive ANCA After a Chest Infection

A fictional story: an unexpected result, a careful look for organ involvement, and a plan with a reason.

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RV-EA-35

Nina's Story: A Clotting-Test Surprise Before Surgery

A fictional story: an antiphospholipid finding, a planned operation and a family history — kept in proportion.

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RV-EA-36

Laura's Story: Attacks That Come and Go, and Two Positive Antibodies

A fictional story: recording the attacks, sorting out her hand symptoms and noticing when the pattern changes.

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RV-EA-37

Julia's Story: A Letter That Says “UCTD”

A fictional story: living with a name that describes today’s pattern, not a forecast.

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RV-EA-38

Paul's Story: All Tests Negative, Still Not Well

A fictional story: negative tests narrow the question, and each symptom gets its own explanation.

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RV-EA-39

Eva's Story: Five Quiet Years and Fewer Visits

A fictional story: stepping back from routine checks with a plan, not a leap of faith.

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RV-EA-40

Barbara's Story: A Positive ANA at 68 and Gritty Eyes

A fictional story: connecting dryness, medicines and one antibody — without assuming they're the same thing.

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RV-EA-41

Hannah's Story: A Report on Friday Night

A fictional story: an expanded lupus panel arrives on the patient portal before anyone has explained it.

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RV-EA-42

Omar's Story: Swollen Joints, Negative Antibodies

A fictional story: when the joints tell a clearer story than the blood tests.

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RV-EA-43

Greta's Story: A Private MRI That Found “Something”

A fictional story: a scan without a clear question, and how to put its findings back in context.

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RV-EA-44

Lidia and Kira: Cold Fingers in the Family

A fictional story: a mother with lupus, a teenager with white fingers, and keeping each one's story separate.

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RV-EA-45

Oliver's Story: An Invitation to a Prevention Study

A fictional story: weighing a research invitation calmly — what it offers, what it asks and what stays the same.

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RV-EA-46

Review: Things People Say About Positive Tests

Ten everyday sayings about test results — which ones hold up, and which don't?

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RV-EA-47

Review: Match the Test to the Question

Ten short situations from across the series — which investigation actually answers each one?

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RV-EA-48

Review: Words That Appear in Reports

Small words such as “incidental”, “equivocal” or “trace” can change how a result reads.

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RV-EA-49

Review: Now, Soon or at the Review?

Ten changes someone might notice — sort each one by how quickly it needs attention.

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RV-EA-50

Series Finale: The Big Ideas

Ten fresh situations that bring together what the series has explored.

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Sjögren’s disease

Dryness, diagnosis and everyday life. You can read the guide before or after playing.

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The Pipeline & the Miracles

Breakthrough designation, phase III, 'approved in one country', stem cells and gland regrowth. Seven rounds on reading a treatment headline without buying a ticket you cannot use.

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Follow-up Without Panic

Feeling reasonably well is not a reason to vanish — and 'stable' is not a synonym for 'cured'. Seven rounds on what gets checked, how often, and which lumps deserve a look.

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Pregnancy & Life Stages

Anti-Ro, a baby's heartbeat, a breastfeeding plan, a teenager with swollen glands, a man told it is 'a women's disease'. Seven rounds on Sjögren's across a lifetime.

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Food & Myths

No diet cures Sjögren's, and no diet is forbidden by it. Seven rounds on what food can realistically change, which supplements earn their shelf space, and which 'resets' reset only your bank balance.

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Fatigue, Pain & Fog

'Tired' is not a diagnosis, and 'your tests are fine' is not a plan. Seven rounds on fatigue, pain that will not read the lab results, brain fog and what the exercise trials really showed.

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Treatment Follows the Problem

There is no 'mild to strong' ladder — there is a target, a medicine for it and a date to check. Seven rounds on goals, hydroxychloroquine, organ-directed drugs and why guidelines disagree.

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Beyond the Glands

Lungs, nerves, kidneys, skin, blood. Seven rounds on how organs get assessed in Sjögren's — and why 'systemic' does not mean 'everything, always'.

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Tears & Saliva

Drops, gels, plugs, pills and a dentist who means it. Seven rounds on eye, mouth and tooth care — and on not becoming a product collector.

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Reading the Report

Positive, negative, high, low — a lab report is a text in a foreign language. Seven rounds on antibodies, anticentromere results and what a number can and cannot say.

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More Than Dry

Dry eyes are the opening line, not the whole story. Seven rounds on what Sjögren's is, how the diagnosis gets built and which changes deserve a phone call.

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My Sjögren’s Disease

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Daily Life, Follow-up and Pregnancy

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What Each Treatment Is For

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Beyond Dryness

Open demo · No registration · CPQ-SJD-SYSTEMIC

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Protecting Eyes, Mouth and Teeth

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What Your Tests Can and Cannot Tell You

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Nine weeks pregnant with Sjögren's disease and a positive anti-Ro antibody test

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Patient Interactive Journey

Past the Headline

Twenty months with Sjögren’s disease for a patient who reads trial registries before breakfast and learns which numbers answer his own questions.

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Patient Interactive Journey

The Invisible Half

Twenty-two months with Sjögren’s nerves, sleep and brain fog, for a crossword compiler whose problems rarely show on a routine blood test.

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RV-SJ-30 · DEMO

Hype or Hope?

How to read Sjögren’s research headlines without losing your head — or your eye drops.

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RV-SJ-29 · DEMO

One Disease, Many Cookbooks

Why Sjögren’s guidelines differ between countries — and how to use them.

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RV-SJ-28 · DEMO

The Case of the Unexpected Antibody

A mystery in one lab report: ACA-positive Sjögren’s, investigated.

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RV-SJ-27 · DEMO

Treatment GPS

Before asking “Are we there yet?”, enter a destination.

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RV-SJ-26 · DEMO

The Sjögren's Weather Forecast

Mostly dry, with a chance of check-ups. Learn to read the long-range forecast.

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RV-SJ-01

Sjögren's at a Glance

Ten quick questions on what it is, who gets it, and why it's more than dryness.

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RV-SJ-02

Dry Eyes: The Secret Life of Tears

Ten questions on how tears work, why Sjögren's dries them out, and simple habits that bring relief.

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RV-SJ-03

Dry Mouth: Why Saliva Matters

Ten questions on what saliva does, how a dry mouth affects your teeth, and small habits that help.

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RV-SJ-04

Beyond Dryness: The Whole-Body Picture

Ten questions on symptoms that are easy to miss — and the ones worth reporting.

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RV-SJ-05

The Diagnosis Puzzle: Tests Explained

Ten questions on the clues doctors put together — from blood tests to a tiny lip biopsy.

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RV-SJ-06

Everyday Life: Energy, Sleep and Movement

Ten questions on pacing, movement, sleep and the small adjustments that add up.

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RV-SJ-07

Myth or Fact? The Sjögren's Edition

Ten statements you may have heard. Can you tell which are true?

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RV-SJ-08

Pregnancy and Family

Ten questions on planning ahead, anti-Ro antibodies and what really passes from parent to child.

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RV-SJ-09

A Short History: Doctors, Dyes and Discoveries

Ten questions on how doctors in London, Königsberg, Paris and Sweden pieced the disease together.

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RV-SJ-10

On the Move: Travel and the Seasons

Ten questions on planes, hotel rooms, winter heating, summer sun and packing smart.

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RV-SJ-11

Your Care Team: Who's Who and When to Call

Ten questions on the specialists who help, regular check-ups and the signs that shouldn't wait.

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RV-SJ-12

Eating Well: Food, Taste and Swallowing

Ten questions on making meals comfortable, protecting your teeth and separating diet facts from hype.

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RV-SJ-13

Mind and Mood: Coping with a Long-Term Condition

Ten questions on brain fog, low mood, worry and the tools that help.

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RV-SJ-14

Lungs, Kidneys and Nerves: The Quieter Organs

Ten questions on less visible parts of Sjögren's — and the tests that keep watch.

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RV-SJ-15

Research and Clinical Trials: How Progress Happens

Ten questions on how new treatments are tested — and how patients help.

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RV-SJ-16

Nose, Throat and Voice

Ten questions on the dry spots people forget — from the nose to the vocal folds, plus a word about hearing.

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RV-SJ-17

Your Lab Report, Decoded

Ten questions on the numbers, flags and abbreviations you see after a blood test.

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RV-SJ-18

Sjögren's and Its Autoimmune Relatives

Ten questions on the conditions that often keep Sjögren's company — and the look-alikes doctors rule out.

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RV-SJ-19

Work and Study with Sjögren's

Ten questions on desks, screens, meetings and fair adjustments — so the working day works for you.

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RV-SJ-20

Joints, Muscles and Hands

Ten questions on aches, stiffness, cold fingers and clever ways to go easy on your hands.

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RV-SJ-21

Skin, Hair and Nails

Ten questions on dry skin, itchy spots, cracked lips and the clues doctors find at your fingertips.

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RV-SJ-22

Children and Teens with Sjögren's

Ten questions for parents and families: early clues, tricky diagnosis, school and growing up.

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RV-SJ-23

Good Nights: Sleep and Sjögren's

Ten questions on what wakes you up at night — and the habits that help you sleep through.

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RV-SJ-24

Eye Care Beyond Drops

Ten questions on makeup, contact lenses, eyelid care, eye surgery and check-ups.

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RV-SJ-25

For Family and Friends

Ten questions for the people who love someone with Sjögren's — how to understand, help and look after yourself too.

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Gout

Flares, food, uric acid and treatment. You can read the guide before or after playing.

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RV-GP-21 · DEMO

The Trial of Uric Acid

Be the jury: six charges against uric acid. Open demo—start without an account.

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RV-GP-01 · Gout basics

The Big Toe at Midnight

A sudden, painful toe at night. Learn the basics of gout in a warm-up and six questions.

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RV-GP-02 · Food and drink

The Gout Menu

Which drinks and dishes nudge uric acid up — and which may help?

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RV-GP-03 · Gout flare care

Flare Night

What helps — and what backfires — when a gout flare strikes.

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RV-GP-04 · Uric acid and long-term treatment

The Long Game

Uric acid numbers, targets — and why gout treatment is a marathon, not a sprint.

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RV-GP-05 · Gout myths

Gout: Myth or Fact?

Six popular beliefs about gout — can you tell which ones hold up?

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RV-GP-06 · History of gout

Kings, Quills & Microscopes

A playful tour through 2,500 years of gout history.

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RV-GP-11 · Why uric acid builds up

The Uric Acid Bathtub

The tap, the drain and why the tub overflows: production, kidney removal, food and medicines.

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RV-GP-12 · Night-time gout flares

The 2 a.m. Mystery

Why gout often strikes at night: temperature, hydration, sleep apnea and common myths.

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RV-GP-13 · How gout treatment works

Firefighters and Fire Marshals

Put out the flare and remove the fuel: learn the different jobs of gout medicines.

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RV-GP-14 · Travel and holidays with gout

Pack Your Bags

Flights, medicines, hydration and a flare plan: prepare for a holiday with gout.

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RV-GP-15 · Exercise, weight and gout

Move It!

Activity, gradual weight loss, hydration and common exercise myths — learn what helps with gout.

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RV-GP-16 · Genes and family

Why Me? Genes, Family and Gout

Explore heredity, family history and common misconceptions about gout.

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RV-GP-17 · Gout in women

She’s Got Gout

How gout appears in women: menopause, finger joints and diagnostic clues.

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RV-GP-19 · Preparing for a visit

Make Every Minute Count

Prepare your flare diary, medicine list and questions—and leave with a written plan.

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CPPD

Pseudogout, crystals and diagnostic clues. You can read the guide before or after playing.

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RV-GP-22 · DEMO

Confessions of a Knee

An 81-year-old knee explains CPPD crystals, flares, tests and everyday care.

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RV-GP-07 · Pseudogout (CPPD) basics

Meet Pseudogout

Gout’s lesser-known cousin — calcium crystals, knees and wrists.

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RV-GP-08 · Gout vs pseudogout

Needles vs Rhomboids

Gout or pseudogout? Spot the difference between two crystal troublemakers.

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RV-GP-09 · How gout and pseudogout are diagnosed

Crystal Detectives

How doctors confirm gout and pseudogout — needles, light and imaging.

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RV-GP-10 · Pseudogout: associated conditions and living with CPPD

Pseudogout: Clues & Connections

What pseudogout can hint at — and how people live well with it.

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RV-GP-18 · Understanding reports

The Report Decoder

Decode effusion, chondrocalcinosis, tophus and other terms in gout and CPPD reports.

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RV-GP-20 · Pseudogout myths

Pseudogout: Myth or Fact?

Test common beliefs about CPPD, treatment, infection and activity.

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Muscle diseases & myositis

Weak, Tired or Sore?

Three words people use for one another, an enzyme that is not a strength test, and the stairs as a diagnostic instrument. Bet before you see the task.

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The Myositis Family Tree

A librarian who loves family trees discovers that myositis has relatives of its own — and that knowing the exact branch matters.

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Weak, Tired or Just Stiff?

A retired carpenter, a creaky morning and a chair test: how doctors tell true weakness from its look-alikes.

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The Muscle Detective's Kit

A crime novelist, “liver tests” with an alibi and a line-up of witnesses: how doctors actually prove myositis.

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Antibody Passports

A passport officer learns that myositis antibodies carry ID cards — with hints about where doctors should look next.

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The Unfinished Waltz

A ballroom dancer, a huge CK number and weakness that didn't stop when the medicine did.

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The Captain's Knots

Tricky knots, stubborn jars and knees that give way: the slow, particular story of inclusion body myositis.

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The Tenor and the Teacup

Coughing at tea breaks, tea through the nose, a gurgly voice: which swallowing signs your myositis team needs to hear about.

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The Lighthouse Stairs

Rest is best? Not for muscles with myositis. How a lighthouse guide got back to the top — one step, one chair and one notebook at a time.

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The Brachiosaurus Climb

A dinosaur fan, a librarian mom and a notebook of clues: how juvenile dermatomyositis shows up in children — and why acting early matters.

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Express or Regular Mail?

A mail carrier learns to sort his symptoms: what needs a call today, and what goes in the diary for the next visit.

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RV-DEMO-14 · Myositis

Mechanic’s Hands

Cracked fingertips, a dry cough and cold fingers: when myositis speaks through the lungs and the skin.

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RV-DEMO-13 · Myositis

Stairs, Chairs and Hairbrushes

Myositis weakness hides in ordinary moments. Learn where to look — and what a CK test can tell you.

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RV-DEMO-12 · DM

The Lilac Eyelids

A florist, a purple rash and a van that got harder to climb into: when the skin points to the muscles.

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Vasculitis

Inflamed Pipes

Vasculitis is a family, not one disease, and the exact type, the organs involved and what is active today matter more than the label. Bet before you see the task.

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One Rash, Two Diseases

When you already have a diagnosis, the next rash still needs a fresh look.

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Blood Thinner Bingo

Clots and bleeding can live in the same disease.

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The Injection Is Not the Rescue

A monthly shot and a rescue inhaler have different jobs.

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Asthma Plus Something

When the inhaler is only part of the story.

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Fever, Flare or Something Else?

Not every new problem is the old disease coming back.

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The Number That Went Up

A lab value is a clue, not a steering wheel.

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Not Everyone's Aspirin

Two rare conditions, two opposite worries.

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The Gene That Arrived Late

A genetic change you were not born with.

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The Vaccine Calendar Moved

One infusion, and suddenly the calendar needs a rewrite.

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Peeling Fingers and a Second Scan

The skin peels. The heart question does not.

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RV-DEMO-11 · TAK

The Missing Pulse

A young woman, a tired arm and two different blood pressures: the vasculitis of the body’s main highway.

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RV-DEMO-10 · ANCA

The Cold That Wouldn’t Leave

Crusts, nosebleeds, a blocked ear and a strange urine test: when a “cold” is really small-vessel vasculitis.

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RV-DEMO-09 · IgA

Spots You Can Feel

A child, a rash on the legs, a sore tummy: what IgA vasculitis is — and which rash can’t wait.

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RV-DEMO-08 · GCA

The Headache That Can’t Wait

Over 50, a new headache, a tired jaw: when the artery at your temple deserves same-day attention.

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RV-DEMO-07 · Vasculitis

Pipes of Every Size

Vasculitis means inflamed blood vessels — and which vessels are inflamed changes everything.

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Pain, fatigue & other conditions

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Controlled, Still Not Well

The examination looks better, the blood tests behave, and everyday life still feels difficult. Four words that are not interchangeable, and what to do with the gap. Bet before you see the task.

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Pain & Fatigue

No Single Test

Two years with fibromyalgia, told from the patient’s side: pain, normal tests, a handover, medicines, and the night a new pain was new.

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Pain & Fatigue

The Crash Arrives Late

Eighteen months of ME/CFS after a virus, told from the patient’s side: the delayed crash, the budget, the watch, the clinic abroad, and a review done right.

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Pain & Fatigue

The Border

Four years with a spondyloarthritis you were afraid to treat and a pain syndrome that grew beside it: when pain, examination, blood tests and imaging disagree.

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Fatigue, sleepiness, weakness or pain?

The same “I can’t” can have different mechanisms — and lead to different investigations

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Not everything is “just my fibro”

When a new symptom needs urgent help

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Fibromyalgia: a real diagnosis, no magic test

How the diagnosis is made — and what it does not mean

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A fibromyalgia plan you can actually live with

Goals, movement, sleep and skills — without heroics

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Fibromyalgia medicines: fewer surprises

What is approved, what to ask and how to stop safely

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DISH / Forestier disease

Small Fall, Big Deal

A rigid spine doesn't do 'minor'. Seven rounds on which new symptoms with DISH can wait for a routine visit, which can't — and how to walk in prepared.

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Bridges Stay, Life Moves

The bony bridges aren't going anywhere. You are. Seven rounds on movement, everyday tricks, medicines and procedures with DISH.

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Read the Picture

X-ray, CT, MRI: three cameras, three different questions. Seven rounds on what images of DISH can answer — and what they politely can't.

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Stiff, Not Stuck

Your back has opinions. Seven rounds on turning stiffness and pain from DISH into a story a clinician can actually use.

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Decode the Report

A four-letter word turned up in your X-ray report — and no, not that kind. Seven rounds on what DISH means, and what it doesn't.

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Tests & diagnosis

A Curve Is Not a Diagnosis

“Straightening of the normal cervical lordosis” sounds like a verdict on your neck. It's a description of a curve on one image — the beginning of interpretation, not the end. Learn to read the rest of the report. Bet first.

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Creatinine & Co.

A red flag on the lab report, a number that depends on your muscles, and a urine colour you should never explain away at home. Bet before you see the task.

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Cell-based therapies

What's in the Vial?

“Stem-cell treatment” is not one treatment: source, processing, contents and route change the decision. Real promise deserves a high standard of judgment, not a lower one. “Young”, “natural” and “regenerative” are adjectives, not ingredients. Chips first.

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Peptide therapy

One Word, Many Molecules

“Peptide” is a chemical family, not a treatment: it includes established medicines and promising research compounds, each with its own evidence. Neither hype nor dismissal — just the right question for the right molecule. Place your chips.

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Spondyloarthritis (SpA)

The Back Story

We lost the tail long ago; the coccyx stayed and still anchors the pelvic floor. The rest of the back story — sacroiliac joints, heels, eyes and an inflamed family of diseases — is what this round of chips is about.

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Rheumatoid arthritis

The Pattern, Not the Checklist

Rheumatoid arthritis rarely announces itself with a perfect list of symptoms: sometimes it's a toothbrush that's hard to grip or shoes that pinch across the front. You don't need to prove the diagnosis — just describe what changed. Bet on the pattern.

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More Than a Spreadsheet

Targets, review visits and what to report sooner in the first months of RA treatment.

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A New Doctor, a New Plan?

When a new rheumatologist suggests a change: what it does and does not mean.

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Sore After the Move

Flare, strain or something else — and how fast to act.

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I Came Prepared!

Turning a stack of notes into a follow-up visit that really works

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Pumpkin Season

A new combination: what is harmless, what needs a call, and what stays with the team.

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Flagged — Now What?

From a flagged value to an agreed plan: tests, medicines, schedules and who acts.

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The Clinic in the Video

A hopeful video, a clinic abroad — and the questions that come before any decision.

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Back on the Bike

A hand operation with RA: the medicine plan, everyday aids, shoes and a gradual way back.

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One Plan for Rosa

When RA meets diabetes: one list, clear roles and a plan that fits real life.

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Two Lines, One Plan

An unexpected pregnancy on RA treatment — the call, the steroids, the leflunomide question and life after birth

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Ad, Trial or Treatment?

Telling an approved treatment, a research product and an advertisement apart.

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A Letter, a Jab, a Plan

Vaccines during RA treatment: planned with the team, not copied from a general leaflet.

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One Stubborn Knee

Joint injections, anti-inflammatories and steroid effects: the less obvious points

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Options on the Table

Biologics, JAK inhibitors and what to weigh besides the timetable.

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Methotrexate: The Fine Print

Feeling unwell after a dose, injections, blood tests, family plans and warning signs

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Everything’s the Same, Doctor

Turning a month of ups and downs into a follow-up visit that actually helps

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A Bag of Good Intentions

Supplements, diet printouts and alcohol advice — checked against your own RA treatment

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Scissors, Shoes and Stamina

Practical ways to protect your hands, feet and working day with RA.

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Who Holds the Whole Plan?

RA alongside other conditions: one list, clear roles and a plan you can actually follow

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Planning for Baby

RA medicines, pregnancy, breastfeeding and the baby’s vaccines — planned ahead together

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Now, Today, or Wait?

When a new symptom or a methotrexate mix-up should not wait for the next visit

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Colds, Jabs and a Suitcase

Illness, vaccines and treatment pauses with RA — by plan, not by rumour.

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All Good — So Why Test?

Activity checks, safety checks, trends — and who acts on your results

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Flare or Something Else?

Describe the change, tell a flare from other causes, and pick how fast to act.

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Behind Every Switch

Inflammation, side effects or access — different reasons call for different changes.

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The Magic Tablets

Steroids, anti-inflammatory medicines and joint injections: relief with a plan

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Beyond the Scary Headline

Biologics, JAK inhibitors and the questions worth asking before you start.

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Many Tablets, One Plan

Hydroxychloroquine, sulfasalazine, leflunomide — and why combinations are used

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Methotrexate, Sorted

The weekly rule, folic acid, interactions, alcohol and family planning

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Is It Working Yet?

Goals, review checkpoints and patience with a plan in the first months of RA treatment.

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The thread lost by mid-afternoon

Ivo, a bookbinder in his sixties, has rheumatoid arthritis (RA).

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The frame, the springs or the fabric?

Dorota, an upholsterer in her fifties, never replaces a sagging armchair on sight: it may be the frame, the springs or the fabric, and you look before you replace.

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Calm water, still watched: fact or myth?

Lena, in her forties, keeps a lock on a canal: her job is to hold the water at a steady level through small, watched adjustments.

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Quiet joints, a path that still aches

Henrik, a mountain hut keeper in his fifties, has had quiet joints for a while; at his last appointment the word “remission” was used.

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Not everything is the joints, not everything is hormones

Margit, a choir director in her early fifties, has lived with rheumatoid arthritis (RA) long enough to know how her joints behave.

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Notifications before the explanation

Mira, an air-traffic controller in her thirties, has had swollen knuckles for some weeks, and a rheumatologist is working out why.

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More than the knuckles

Bruno, a theatre set carpenter in his forties, heard the words “rheumatoid arthritis” a few weeks ago, somewhere between a dress rehearsal and an opening night.

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The hallmark and the whole piece: fact or myth?

Agnes, a jeweller in her forties, appraises stones for a living, and she knows that a hallmark tells you one thing and the whole piece tells you another.

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The question that opens the door

Teodor, a museum guide in his sixties, has learned that the right question opens a room, while a vague one earns you a tour of the gift shop.

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One crossing at a time

Ruth, a ferry pilot in her fifties, spends every crossing reading what changes — wind, current, visibility — and writing it in the log.

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Between two appointments

Lucia, a school bus driver in her forties, has puffy knuckles, hands that are slow to get going in the morning, a referral to rheumatology and an appointment that is still some weeks down the road.

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Words worth more than their pronunciation

Stefan, a radio announcer in his sixties, has read out storm warnings, election results and the surnames of foreign conductors without a single stumble.

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Heard in the back seat: fact or myth?

Nora is in her fifties and has driven a taxi for most of her adult life; rheumatoid arthritis (RA) is a recent addition to her paperwork.

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Three cameras, one hand

Simon, a wedding photographer in his fifties, owns three cameras and is asked every week which one is the best.

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A diagnosis in pencil

Felix, a proofreader in his forties, is professionally uneasy about any sentence that is not finished.

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A forecast is not a calendar

Iris, a beekeeper in her thirties, plans her season by the long-range forecast and knows its limits: it tells her what kind of summer to prepare for, not what Tuesday will be like.

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Four signals on one report: fact or myth?

Hugo, in his sixties, spent his working life in a railway signal box, where a lamp meant something only if you knew which line it belonged to.

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A map, not a stamp

Vera, a cartographer in her forties, has swollen knuckles that are making fine pen work harder.

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What the mornings are telling you

Emil, a watchmaker in his forties, has noticed that his own hands now need winding up in the morning: the fingers that seat hairsprings all day take their time before they will close around a screwdriver.

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What is actually out of tune?

Sofia, a piano tuner in her fifties, earns her living by finding the one string that is off and leaving the others alone.

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Crystal arthritis

Crystal Clear

Different crystals, look-alike attacks, and Benjamin Franklin arguing with his own foot. Gout is not a verdict on your dinner, and CPPD is not a reason to give up cheese. Chips first, crystals second.

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Good Questions

A short appointment rewards a good question — learn which one to ask, and when.

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Between Attacks

The attack is the loud part; the weeks in between are where you quietly win.

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Where Crystals Hide

The big toe is only the front door — time to search the rest of the house.

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Not Everything Is Gout

Gout is a diagnosis, not an alibi: learn when an ache deserves its own hearing.

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Three Crystals

Three crystals walk into a joint — and each one leaves with a different plan.

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Kidneys, Heart & Crystals

Gout chats with your kidneys, your heart and your medicine cabinet — learn to chair the meeting.

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Needle, Scan, Number

A needle, a scan and a number each claim to know the whole story — find out which part each one actually knows.

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The Shoulder Pebble

A tiny calcium pebble, a very loud shoulder — and seven rounds on what actually helps.

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Calm Knees

Your knees have crystals; you have a plan. Let's see who's in charge.

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The Other Crystal

Not gout, not fake, and not your cheese board's fault: meet calcium pyrophosphate.

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Not a Royal Disease

Kings got the blame, kidneys and genes did the work — meet the real cast behind gout.

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Gout at the Table

No food police, no guilt trip — just what your plate and glass really do to uric acid.

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Pill Talk

Your medicine list, interviewed: what each pill does and which questions it is happy to answer.

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Under Six

The crystals took years to move in. The eviction is polite, daily and under six.

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Night Shift

Gout never books an appointment — learn to run the 2 a.m. shift with a plan instead of panic.

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Crystal Myths, Live on Air

Listener claims about gout, food, tests and follow-up — fact or myth?

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Three Labs, One Story

Reading results in context: units, dates, attack timing, scans and what a review looks at besides a number.

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Three Boxes for Ruth

A week of family notes, three shoeboxes and the guide’s exact urgency levels.

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The Crystal Scoreboard

Gout, CPPD and a calcific shoulder at one bridge table: which crystal, where, and which long-term plan.

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The Whole Crossword in One Minute

Crystals, tests, the two jobs of gout treatment, CPPD and the shoulder, and your next visit — in one quick tour.

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Antonio’s Gout Shelf

Shelf and basket decisions from the chapter’s practical eating pattern for gout.

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Names Like Orchids

Febuxostat, probenecid, infusions: what each one does, and what to ask before it joins your list.

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Who Plays What Part?

One medicine with two jobs, a genetic test with fine print and the questions that keep gout treatment in time.

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Nothing to Show?

When the swelling leaves before the visit: what to write down, what to bring and what to ask.

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Three Letters, Different Addresses

Gout, CPPD and calcium deposits: why the name on the envelope matters.

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Is the Lesson Over?

What progress looks like, when to call sooner and when a new pain deserves a fresh look.

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Coach Frank’s Comeback Plan

Movement, weight, fluids and medicines in the calm weeks between gout attacks.

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The Shoulder That Said No

A calcium deposit near a tendon: what it means, what helps and what a scan cannot tell you.

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The Great Milk Rescue

Why cutting calcium does not starve CPP crystals — and what matters instead.

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Not Gout Like My Brother

Why CPPD looks like gout in a flare but needs its own long-term plan.

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Fourteen Little Doors

Interactions, rashes and the right questions for every gout medicine on your list.

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Balancing the Uric Acid Books

Why gout doses get adjusted, what a “normal” flag can miss, and why patience pays off.

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Small Joint, Big Alarm

Why gout is called autoinflammatory, and why it needs two kinds of treatment.

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One Test That Settles It?

What uric acid, joint fluid and scans can — and cannot — tell you.

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Which Timetable Today?

When a hot, swollen joint needs same-day care, emergency care or a fresh look, even after years of gout.

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Rheumatology · Mixed topics

Is This a Rheumatology Problem?

Rheumatology is far more than painful joints — skin, eyes, lungs, kidneys, vessels and muscles can belong to one illness. But not every ache, positive test or “arthritis” on a scan is a lifelong rheumatology appointment. Bet on the right door.

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Dr Google

Leaflets, forums, headlines and chatbots: how to read about your medicines and keep your nerve.

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Life Goes On

Sport, food, sun, travel, surgery, family — what a rheumatic diagnosis changes, and what it doesn't.

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What Remission Means

Flares, fatigue, tapering and the word 'forever' — what to expect from a well-treated disease.

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Positive ≠ Sick

ANA, rheumatoid factor, HLA-B27 and friends: what a positive result does and does not mean.

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Fact or Fear

What people believe about their medicines — and what the evidence says.

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Safe Hands

The handful of habits that make strong medicines quiet ones.

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The Long Game

Why the medicine that feels slow is the one that wins.

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The Flag

Why a (!) on your report is a question, not a verdict.

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Osteoarthritis

Lighter, But Is It Better?

The scale is down, the knees hurt less, morning stiffness has eased. Did the weight-loss injection treat the arthritis? Partly, maybe — the honest answer depends on what actually improved. Bet on the right question.

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The Whole Joint

Osteoarthritis is more than worn cartilage, an X-ray cannot measure pain, and no advertised procedure has to be tried before you ask about surgery. Bet before you see the task.

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Lupus (SLE)

The Daily Dose

Sun, sport, scans and sniffles: small daily choices that protect your kidneys.

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The Scenic Route

Chronic kidney disease, dialysis, transplant: a road with options, not a forecast.

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Kidneys & Cradles

Contraception, fertility, pregnancy and after: plans that keep the kidneys in view.

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Tiny Sample, Big Story

Before, during and beyond the report: a biopsy has more to tell.

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Pillbox Diplomacy

Fine print, timing and two teams: keep your medicines working together at home.

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Ping! A New Result

A number lands in your portal: read it wisely, then make the right move.

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Ask Away

The right question at the right moment turns a visit into a plan.

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Month by Month

Your first year with lupus nephritis, minus the guesswork: what happens when, and why.

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Jargon, Decoded

The words on your reports, labels and portal, translated into plain language.

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Heard It Somewhere

Popular beliefs about lupus nephritis, checked against what is actually true.

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Timing Is Everything

Pregnancy plans and long-term kidney options: what to discuss, and when.

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Salt, Cuffs & Questions

Home habits that help your kidneys, and a visit that ends with a plan.

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Flare or Impostor?

Sort emergencies from same-day calls, and real flares from clever look-alikes.

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Better by Degrees

Bet on the trend, not the single number, and see how response is measured.

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Seatbelts On

Infections, vaccines and check-ups: build a safety plan that actually works.

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Who’s On Duty?

Seven rounds to learn which medicine does which job in lupus nephritis.

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The Game Plan

Every medicine on your list has a job — meet the whole team.

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Behind the Roman Numeral

A tiny sample, a detailed report — let’s read between the lines.

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Lab Sheet Detective

Read the numbers as clues in context, not as verdicts.

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The Silent Filter

Kidneys rarely complain out loud — here’s why checks still matter.

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Family Plans and Long-Term Choices

Contraception, a male partner on treatment, aspirin in pregnancy, temporary dialysis and conservative kidney care.

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Signals That Need Action

Clots, sepsis, warning signs after pregnancy, home blood-pressure technique and a plan for days when you are ill.

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More About the Medicines

Cyclophosphamide, anti-CD20 treatments, diuretics, infection screening and prevention — what each one is for.

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The Day of the Biopsy and After

How a kidney biopsy is done, which warning signs need prompt help afterward, and what the report’s numbers mean.

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Results Between Visits

A result in the portal, an unexpected urine sample, creatinine and eGFR categories: how to read the numbers calmly.

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Planning Ahead

Pregnancy planning, medicines to review before conception, and what chronic kidney disease, dialysis and transplantation mean.

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Everyday Habits, Better Visits

Pain relievers, salt, supplements and scans — and how to leave an appointment with a plan you can use.

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When Something Changes

Emergency signs, same-day advice, and why a change is a reason to investigate rather than to self-treat a “flare.”

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Is the Treatment Working?

Trends, partial and complete response, monitoring intervals and why feeling well is only part of the picture.

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Making Treatment Safer

Infections, vaccines, eye checks and drug monitoring: a usable safety plan rather than a list of warnings.

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Different Drugs, Different Jobs

Hydroxychloroquine, mycophenolate, calcineurin inhibitors, targeted treatments and kidney-protective medicines.

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How the Plan Fits Together

Why several medicines may each have a job, why the steroid plan matters, and why treatment continues after improvement.

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What a Biopsy Can Tell

Why a small tissue sample can change treatment, how to prepare for it, and how to read class, activity and chronicity.

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Reading Your Lab Report

Urine protein, creatinine, eGFR, units and immune blood tests: what each number can and cannot tell you.

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Quiet Kidneys Can Still Need Attention

What lupus nephritis is, why it can be silent, and why regular urine checks matter when you feel well.

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Scleroderma & systemic sclerosis

Raynaud’s and Systemic Sclerosis: What Changes the Plan?

Cold-related colour changes need context; a risk assessment is not a prediction of inevitable disease.

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More Than Skin Deep

The word means hard skin; the diagnosis needs more precision than that. Organ checks, cold fingers and the one medicine cabinet to leave closed. Bet before you see the task.

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Call Today, Not Next Month

A cheat sheet for the moments that can't wait.

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The Antibody and the Mammogram

A risk signal is not a diagnosis — and not a reason to skip screening.

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Puffy Fingers and a Phone Camera

Your phone may be the most useful medical device you own.

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The Stem-Cell Shop

Not all stem cells come with evidence. Some come with a price tag.

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Promising Is Not Proven

Between a headline and your prescription there are several steps.

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One Jar at a Time

The goal isn't a number. It's opening the pickles.

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The Folder of Everything

Three kilograms of paper, zero answers — let's fix that.

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Growing Up With a Line

Children are not small adults — and neither is their morphea.

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The Patch With a Mind of Its Own

Morphea is its own story — not a trailer for another one.

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One Antibody, Not Two Diseases

Extra test results are not extra diagnoses.

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Tired, Pregnant and at the Dentist

Life keeps happening. Plan it with your team.

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Never Borrow a Regimen

Your friend's treatment fits your friend.

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Small Meals, Big Clues

Your stomach is sending messages. Read them.

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Your Normal Is the Baseline

A “normal” number can be abnormal for you.

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The Heart Has Its Own Calendar

Symptoms don't wait for the annual appointment.

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Two Tests, Two Questions

A picture of the lungs and a measure of how they work.

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Calcium Isn't From the Cheese

The lumps are real. The cheese is innocent.

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Warm Hands, Cool Head

Gentle warmth helps. A heroic hairdryer does not.

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The Antibody Is Not a Horoscope

It hints at what to watch, not at what will happen.

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Limited Doesn't Mean Lite

A word about where the skin is, not how serious things are.

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Asking the Question Again

A six-year-old diagnosis still has to show its paperwork.

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Thick Fingers, Tired Tongue

When a blood protein borrows the skin for a disguise.

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Sun, Blisters and Tight Skin

A summer problem that was never about the summer.

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The Medicine Timeline

Two cancer treatments, one set of tight legs, and a phone call between two doctors.

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After the Transplant

New tight skin, dry eyes, a sore mouth — and an antibody that gets the wrong idea.

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Hands That Will Not Pray Flat

Waxy fingers, quiet nail-folds, and a clue about the eyes.

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The Dye From the Scan

Eight weeks ago a scan. Today, legs like tree bark.

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Bumps in a Row

Tiny waxy beads, a thickening face, and a blood protein that wants attention.

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The Stiff Collar

A neck that will not look up, and hands that have no complaints.

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The Marathon Arms

Hard forearms, happy fingers, and a sample that has to go deep.

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Treatment & medicines

Risk, Compared With What?

The leaflet lists what the medicine can do. Nobody prints a leaflet for the disease. A game about biologics, targeted pills and the arithmetic of 'twice the risk'. Bet before you see the task.

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Fast and Slow

Why the new medicine isn't working yet — and why that is usually the calendar, not the medicine. Bet on what you know before you see the task.

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Living with disease

Fifteen Minutes

A follow-up visit is fifteen to twenty minutes long, and most of it can be spent reconstructing what happened — or deciding what happens next. Bet before you see the task.

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Food Is Not a Pill

What food can change, where the evidence differs by diagnosis, and why a beautiful supplement schedule can still be wrong. Bet before you see the task.

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Heart & vessels

The headline confesses: fact or myth? — Patient quiz

Two rounds of fact-or-myth cards, explanations and an optional bonus round.

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The heart’s raincoat: fact or myth? — Patient quiz

Two rounds of fact-or-myth cards, explanations and an optional bonus round.

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A crowded neighbourhood: fact or myth? — Patient quiz

Two rounds of fact-or-myth cards, explanations and an optional bonus round.

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The oracle on your fingertip: fact or myth? — Patient quiz

Two rounds of fact-or-myth cards, explanations and an optional bonus round.

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A word from the heart: fact or myth? — Patient quiz

Two rounds of fact-or-myth cards, explanations and an optional bonus round.

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Low home blood pressure readings and morning headaches in a woman with Takayasu arteritis

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Swollen ankles and rapid weight gain in a man with rheumatoid arthritis and heart failure

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A request to change blood thinner in a woman with antiphospholipid syndrome

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Palpitations and a raised 'heart' blood test in a man treated for myositis

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Feeling well three weeks into treatment for pericarditis

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Three days of sharp chest pain in a young woman with lupus

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A statin offer and a bottle of red yeast rice in a man whose rheumatoid arthritis has settled on tocilizumab

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Five months after heart inflammation in a woman with lupus who is planning a race and a pregnancy

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A woman with rheumatoid arthritis reads the warning on her medicine after a long trip

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A new headache and a brief dimming of vision in a woman taking prednisone for polymyalgia rheumatica

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Another gout flare in a man with high blood pressure who distrusts a medicine he was offered

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Out of breath with a normal oxygen reading

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A borderline risk score and a question about prevention

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Feeling well again and planning a pregnancy

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Skipped beats in a man with muscle inflammation

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Swollen ankles and a night propped on pillows

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Chest pain that returned after the tablets were stopped

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Sharp chest pain that eases when leaning forward

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Topics: Crystal arthritisGoutPatient quiz