In my practice I treat adult patients with many types of arthritis and autoimmune diseases, including osteoarthritis, Psoriatic arthritis, lupus, and osteoporosis. But I hold a special interest in rheumatoid arthritis and gout. As a physician, I believe in shared decision making. There can be many options for treating a condition, but ultimately the decision should be based on reviewing research evidence for effectiveness and the patient’s comfort level before determining together the best course.