As a pediatric rheumatologist, I am attracted to the unknown. I appreciate the challenge of a real mystery and enjoy using my general pediatric skills when I approach unsolved cases. I recently participated in the discovery of a new disease, an ACOX1 mutation-associated, neurodegenerative, auto-inflammatory disease [Chung et al. Neuron 2020 May 20;106(4):589-606.e6]. This work is relevant as we probe the edges of our collective medical knowledge.
Thinking deeply is an intuitive skill for me. I’m drawn to bringing children back to being functional again. My clinical research contributes to identifying the medicines that achieve a person's goals of healing and regaining their ability to be active.
As a dedicated listener, I pay great attention to detail. Solving mysteries means diligently collecting the clues. I also have a co-existing capacity to pull away from the morass of detail to see the big picture emerge. I connect dots for a living; however, I’m not shy about knowing my limits and when to ask for help.
I give people the evidence to make their own decisions because I feel this shared-decision model promotes personal investment in the outcome. If pressed, I will provide an opinion, but I always start with the facts.
Early in my career, I received two awards from the Arthritis Foundation, including a national volunteer citation in 1997 and another for founding a patient and family education day in 2004 that continues today. During my fellowship, I received a Physician Scientist Development Award from the American College of Rheumatology.
Additional recognitions include:
Given the volume of patients that I see, I’m primarily involved in collaborative research. I participate in a substantial number of translational projects, most of which are characterized by determining if a candidate’s medication will successfully treat a specific disease. With other projects, I help identify the immunologic and molecular basis of groups of autoimmune and autoinflammatory diseases.
My participation in pediatric musculoskeletal ultrasound research helps advance the clinical capacity of important technology. I also work independently to identify and improve ways to deliver care, especially to geographic regions with poor or limited accessibility to my subspecialty.
In my free time, I contribute extensively to Cincinnati’s Christ Church Cathedral in various leadership positions, including developing and administering resources for those in great need from many causes. I also helped shape a prevention of gun violence initiative in our community that focuses on empowering capacity within neighborhoods.
I’ve participated in several service-related and medical mission trips throughout Appalachia and Honduras. When I’m not working, my passions are travel, photography, music and cultivating friendships. My adult daughters keep me on my toes, too.
BA: magna cum laude, Emory University, Atlanta, GA, 1980.
MD: Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, 1984.
MPH: College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 2009.
Residency: Pediatrics, Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI, 1984-87.
Fellowship: Pediatric Rheumatology, Division of Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 1991-94.
Certification: American Board of Pediatrics: General Pediatrics, 1988 (recertified 2014); Pediatric Rheumatology, 1994 (recertified 2008); National Board of Public Health Examiners, 2009.
Telehealth; health policy; global health; neuropsychiatric-SLE; periodic fever syndromes; systemic JIA; culturally appropriate care.
Rheumatology, Lupus
Ongoing clinical research trials, as a feature of the Division of Rheumatology's translational research focus; telemedicine (tele-rheumatology).
Rheumatology
Child Health Needs and the Pediatric Rheumatology Workforce: 2020-2040. Pediatrics. 2024; 153.
Pediatric-onset limited ANCA-associated vasculitis arising during pre-existing chronic recurrent multifocal osteomyelitis. Pediatric Rheumatology Online Journal. 2023; 21:89.
Dissemination of a Pediatric Musculoskeletal POCUS Scoring System via Virtual Education: A Proof-of-Concept Study. POCUS Journal. 2023; 8:146-152.
Musculoskeletal Ultrasound and the Assessment of Disease Activity in Juvenile Idiopathic Arthritis. Arthritis Care and Research. 2023; 75:1815-1820.
Comprehensive and reliable sonographic assessment and scoring system for inflammatory lesions of the paediatric ankle. Rheumatology. 2023; 62:2239-2246.
International Pediatric Multidisciplinary Management Using Telemedicine to Promote Equitable Care. Telemedicine Journal and e-Health. 2023; 29:674-685.
Reliability of the Pediatric Specific Musculoskeletal Ultrasound Scoring Systems for the Elbow, Wrist, and Finger Joints. The Journal of rheumatology. 2023; 50:236-239.
Alternative Biologic Therapy in Children Failing Conventional TNFα Inhibitors for Refractory, Noninfectious, Chronic Anterior Uveitis. American Journal of Ophthalmology. 2022; 244:183-195.
Open-label phase 3 study of intravenous golimumab in patients with polyarticular juvenile idiopathic arthritis. Rheumatology. 2021; 60:4495-4507.
Subcutaneous dosing regimens of tocilizumab in children with systemic or polyarticular juvenile idiopathic arthritis. Rheumatology. 2021; 60:4568-4580.
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