Patient-Reported EULAR2021 Debriefs ... and We're Off!

Part of our "Go with Us! to Conferences"/EULAR2021 Series

AiArthritis Voices 360 Full Episode 62

Air Date: June 6, 2021

This week join your patient co-hosts Tiffany Westrich-Robertson, Deb Constien, Patrice Johnson, Katie Simons, and Leslie Rott Welsbacher as they brief our AiArthritis patient community on the first day of EULAR 2021. Tiffany, Deb, and Katie are the core team members attending the conference, but as part of our "Go with Us! to Conferences" program, we have invited three patients to be part of the experience, too! Joining us for this debrief are Patrice Johnson and Leslie Welsbacher. Patients are one of three pillars of EULAR (researchers and medical professionals make up the other two) and are encouraged to attend and participate in the annual conference. So here we come!

Formerly known as the European League Against Rheumatism, the organization is now called European Alliance of Associations for Rheumatology (EULAR) and is in the midst of hosting their annual conference online for the second consecutive year due to the COVID-19 pandemic.  Our first review covers emerging conference themes (inflammation as an umbrella, comorbidities and "multi-morbidities") and covers featured recommendations for disease management.


Whether in person, or attending online, our organization always attends, then does patient-led video debriefs - highlighting lessons learned from sessions and reporting back what is new in research. But we don't just tell you what we learned, we invite you to learn with us So we invite you to get comfy on your couch with a glass of your preferred beverage, pretend we are all together in Paris (intended location of the conference before it was moved to the virtual platform), and enjoy our debrief of this first round of sessions. Then head over to our YouTube Channel or online patient platform to learn even more!


LISTEN TO THE EPISODE THEN BE SURE TO TAKE A SEAT AT THE TABLE BY JOINING THE CONVERSATION! 

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This "Go with Us" to EULAR video series continues...visit the playlist on our YouTube Channel:

Full #EULAR2021 Patient Debrief Coverage

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AiArthritis Voices is our program where people living with AiArthritis diseases and other stakeholders who we need 'at the table' to solve problems that impact education, advocacy, and research sign up to have a voice in our initiatives.


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AiArthritis Voices 360 is produced by the International Foundation for Autoimmune and Autoinflammatory Arthritis. Visit us on the web at www.aiarthritis.org/talkshow. Find us on Twitter, Instagram, TikTok, or Facebook (@IFAiArthritis) or email us (podcast@aiarthritis.org).



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Show Notes:

  • 00:52 - Tiffany welcomes listeners.
  • 01:41 - Tiffany is joined by recurring co-hosts Deb and Patrice, as well as fellow patient guest co-hosts Katie and Leslie.
  • 04:04 - Today’s episode is brought to you from the European Alliance of Associations for Rheumatology Virtual Conference 2021 (formerly the European League Against Rheumatism).
  • 07:29 - Collaboration is a major theme of the conference this year.
  • 08:06 - Patients are 1 of 3 pillars in the organizational structure of EULAR (along with researchers and health professionals), so they are welcomed and encouraged to participate in the annual conference.
  • 09:11 - Inflammation is another major theme of the conference, even including a session on the impact of inflammation on dementia.
  • 13:17 - One session Tiffany and Patrice attended was titled “HELP! What do I need to cope with my rheumatic disease?”
  • 14:32 - Patrice gives a brief summary of the session.
  • 18:13 - One of the key themes of the session was the interaction between genetics and environmental triggers and how educating people about potential triggers may help prevent onset of disease in people who are genetically predisposed to develop rheumatic disease.
  • 24:09 - Comorbidity is when the primary disease triggered some other condition, whereas multi-morbidity is when some factor to do with the patient spontaneously triggers multiple disease conditions.
  • 27:33 - The second session the co-hosts attended was on exercise.
  • 28:50 - Tiffany asks the other co-hosts: do you have any fears about exercising?
  • 29:00 - Patrice exercises every day and says movement makes her feel better.
  • 30:20 - In Italy 90% of people living with rheumatic diseases are inactive. In the US around 70% of patients are inactive. In Finland, around 40% of patients were inactive (which was the most active country in the study).
  • 30:49 - Researchers want to know why more patients don’t exercise when the studies show that exercise helps patients feel better.
  • 31:35 - Researchers put a group of 136 rheumatic patients on a high-intensity weight-bearing exercises for 2 years and did not have any more damage or disease progression than the control group.
  • 34:22 - Tiffany talks about the importance of knowing your limits as related to your specific diagnosis. Keep in mind that all exercise advice is generalized and you have to figure out the routine that works for you.
  • 36:15 - Katie talks about working with physical therapists who understand your condition to look for expert guidance on what works for you.
  • 38:00 - The next session the co-hosts attended was on Remission and Lupus: Is remission achievable with today’s drugs?
  • 38:31 - In recent studies, at least 50% of patients were able to achieve at least one remission state.
  • 38:38 - For people who have had Lupus a long time, long-term remission is very rare.
  • 39:15 - Clinical remission without treatment is extremely rare and probably not a realistic goal for patients, but clinical remission with treatment is definitely possible.
  • 42:45 - Patrice asks Leslie: How did you feel about a presenter describing Lupus patients’ quality of life as poor?
  • 43:44 - Leslie discusses people’s perception of Lupus, quality of life issues, and health equity.
  • 52:28 - Tiffany attended a session on multidisciplinary care.
  • 52:48 - Tiffany asks her co-hosts: how many different doctors do you have?
  • 53:00 - Only Deb and Tiffany have teams that work together (both within University systems). Everyone else has doctors that do not talk to each other.
  • 54:10 - Tiffany also attended a session about RA that is difficult to treat , where researchers defined “difficult to treat” as failing 2 or more treatments that use different mechanisms of action.
  • 55:50 - AiArthritis is partnered with OMERACT and EULAR on a study about synovial tissue studies.
  • 56:46 - Aurelie presented at a session based on this research where she recommended 14 points to EULAR about changing physician practices with regard to patient education and biopsy collection.
  • 1:02:00 - This episode will be broken down into smaller video segments and posted to our YouTube channel for anyone interested in watching specific segments.
  • 1:02:44 - All of the videos from EULAR 2020 are also available on our YouTube channel as well.
  • 1:02:55 - You can also find any of our previous podcast episodes at aiarthritis.org/talkshow.
  • 1:03:10 - Connect with us on social media @ IFAiArthritis on all platforms.
  • 1:03:30 - Email Katie at katie@aiarthritis.org if you are interested in attending future conferences (please put Go To Conferences in the subject line).
  • 1:03:45 - Please consider donating at aiarthritis.org because we need your support to keep this show and all of our initiatives moving forward.
  • 1:04:21 - Follow Leslie’s blog @ GettingCloserToMyself.blogspot.com.
  • 1:05:00 - Tiffany thanks listeners for joining all of our co-hosts today.

Your Co-Hosts & Guests: Who is at the table this episode?

Tiffany Westrich-Robertson

Tiffany is the CEO at International Foundation for AiArthritis and uses her professional expertise in mind-mapping and problem solving to help others, like her, who live with AiArthritis diseases work in unison to identify and solve unresolved community issues. For the last several years, she has continued her education in research, including becoming a professional focus group moderator, and translated this experience at our organization to develop award-winning, innovative projects that are taking patient engagement to next levels. 


Tiffany has served on several advisory boards, including those to advance patient voices in policy, clinical trials, and precision medicine. In addition to reviewing grants at PCORI and for the Department of Defense, she was the sole patient grant reviewer for the National Institute of Arthritis and Musculoskeletal and Skin diseases from 2015-2018. She currently participates as a Patient Research Partner for OMERACT (Outcome Measures in Rheumatology), co-leads our organizations' international effort to advance patient voices in rheumatology research (the ACTion Council) and has dedicated her professional career to developing other patients to utilize their voices to impact the future of millions.


Deb Constien

Deb has been living with Rheumatoid Arthritis for three decades and while she has experienced disability from it, she never lets her disease dominate how powerful her voice can be. 

She has been a key Representative (high level volunteer) for our organization for several years and often takes a leadership role in many programs and mission initiatives, including attending meetings as the voice of the organization. She is also a Platinum Ambassador at the Arthritis Foundation, as well as various other nonprofits, and has formerly and currently used her voice as a Patient Research Partner (Wisconsin Research and Education Network (WREN), OMERACT, Arthritis Power through CreakyJoints and more). She has represented her state of Wisconsin on Capitol Hill and at a local multiples times, and most recently was a key player in helping to pass step therapy legislation in her state.

Patrice Johnson

Originally diagnosed with Rheumatoid arthritis 9 years ago, Patrice now has an undifferentiated diagnosis. She has also been told she has had Osteoarthritis for 35 years. Along the way she developed some comorbidities which include severe hearing loss, a Baker's cyst, osteopenia, and a vein ablation. Patrice lives in Northern California and have 2 grown children and 5 grandchildren. She loves to travel, read, and cook.  

Katie Simons

Diagnosed with Juvenile Rheumatoid Arthritis (now called Juvenile Idiopathic Arthritis) at age 12 and recently found a new home at AiArthritis as Senior Program & Communications Manager. She earned a Masters of Public Administration, nonprofit management concentration, from Oakland University in Rochester, Michigan.

Guest: Leslie Rott Welsbacher

Leslie Rott Welsbacher has a Master’s degree and PhD in Sociology from the University of Michigan, and a Master’s degree in Health Advocacy from Sarah Lawrence College. She was diagnosed with lupus and rheumatoid arthritis in 2008, at the age of 22. She is a blogger, e-patient, health activist, patient advocate, healthcare disruptor, sociologist, and writer. She authors the blog Getting Closer to Myself and has contributed to a variety of other health-related sites, including CreakyJoints, Health Central, Health Line, Lupus News Today, Mango Health, and Rheumatoidarthritis.net. Leslie’s story has been featured in the U.S. Pain Foundation Invisible Project: RA/RD Edition, Women’s Health magazine (twice!), Real Life Diaries: Living with Rheumatic Diseases, and on a jacket, “Double Major,” that she proudly wears as a member of the Walking Gallery of Healthcare. Previously, Leslie has worked at the Hospital for Special Surgery, the Partnership for Palliative Care, and the Global Healthy Living Foundation. She currently works as the Compliance & Experience Officer at a community healthcare company in Royal Oak, Michigan.


Blog: Getting Closer to Myself

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