FDA Law

AUGUST 4, 2022

Kirschenbaum — In a recent decision, the Second Circuit upheld the HHS Office of the Inspector General (OIG)’s position that Pfizer’s proposed copay assistance program for its high-cost heart treatment would violate the Federal Anti-Kickback Statute (AKS). Pfizer, Inc. Department of Health and Human Services et al. July 25, 2022. OIG disagreed.

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Today's Hospitalist

MAY 9, 2025

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. We have seen explosive growth and become a cornerstone of modern health care systems.

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Doctor On Demand

APRIL 16, 2025

A 2020 study, “Herbal Medicine for Acute Bronchitis: A Qualitative Interview Study of Patients’ and Health Professionals’ Views,” published in Complementary Therapies in Medicine showed that many UK patients expressed an interest in herbal remedies to avoid unnecessary antibiotics. . Sign up today.

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Medical Board-Certified Telehealth Asthma 52

FDA Law

JULY 31, 2023

Three years after that letter, DEA proposed a rule to amend its regulations consistent with CARA on December 20, 2020. In addition, a pharmacist could partially fill a schedule II prescription issued to patients in a Long Term Care Facility or who have a terminal medical illness diagnosis. 78,282 (Dec. 46,983 (July 21, 2023).

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FDA Law

NOVEMBER 1, 2023

The PR takes on two specific statutory grounds raised by the June 22, 2020 HHS memo —the requirements for “interstate commercial” and “commercial distribution”—and argues that they are not impediments to FDA jurisdiction over LDTs. Premarket Approval or De Novo pathways).

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The Clinical Problem Solvers

AUGUST 25, 2020

Jefferson & Hedwig Lee (2020) Illness spillovers of lethal police violence: the significance of gendered marginalization. Faculty Regardless of specialty or field, it is important all educators and clinicians do the work of understanding how racism is pervasive within their respective areas of expertise. N Engl J Med.

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Community Patient-Centered Relationship Education 52

GeriPal

AUGUST 4, 2022

And why is it important when we’re caring for older adults or those with serious illness? Alex: No, I think we did one other super special. Alex: So this is Super special 2. Eric: Before we jump into the topic, we’ve got some great papers to review. One in JAMA Network. One in, was it JAMA IM? Another in JAG. Ariel: Sure.

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PEMBlog

SEPTEMBER 13, 2023

Recurrent epilepsy In children with known seizure disorders, a new seizure can be due to the seizure disorder itself as well as medication non-adherence, sub-therapeutic antiepileptic dosing, or a lowered seizure threshold due to an acutely ill state. Selecting the appropriate medications, if necessary, is of paramount importance.

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GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! Nadine: I do.

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Annals of Family Medicine

NOVEMBER 20, 2024

The time horizon was anchored in January 2012: pre-pandemic period was defined as January 2012 to March 2020, and the pandemic period as April 2020 to June 2022. In April 2020 the MHV rate rose to 0.141/month. Study Design and Analysis: An interrupted time series (ITS) analysis was conducted.

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GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

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Patient-Centered Illness IT Patients 122

The Clinical Problem Solvers

MAY 2, 2022

As she embarked on her project, she realized that improving serious illness care would require improving serious illness communication. link] November 17, 2020. December 17, 2020. Carine talked about her expertise in empathically communicating with patients as a palliative care physician.

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Healthcare Utilities Hospital Internal Medicine 52

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Summary Transcript Summary. Wonderful work.

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GeriPal

JANUARY 30, 2025

Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out!

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Medical Xpress

NOVEMBER 21, 2022

The number of children and babies with respiratory illnesses currently exceeds the capacity of our health system to care for them. More adult Canadians will die directly of COVID-19 this year than died last year or in 2020.

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Illness IT 74

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. Welcome, Karl.

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Patient-Centered IT Patients Illness 126

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

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Hospital Patient-Centered Patients IT 132

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. Accepting This Poem by Mark Nepo [link] Saks, N.,

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The Clinical Problem Solvers

NOVEMBER 16, 2020

Much of the data promoting biological difference amongst races comes from poorly-designed studies where race as a variable is ill-defined or confounding variables are inadequately controlled. Edwin Lindo 03:28 ​What is race? How is race a social construct? Why was it constructed in the first place? Is race a good proxy for ancestry?

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Clinical Practice Clinic Education Medical 52

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

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Patient-Centered Hospital IT Patients 77

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

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IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

DECEMBER 5, 2024

One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?” Eric 00:18 Throwing us off.

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GeriPal

SEPTEMBER 21, 2023

Summary Transcript Summary The proportion of people living with dementia who identify as Black/African Americans is on the rise , and so too are the proportion of caregivers who identify as Black/African American. Acknowledging that the most sensitive terms shift over time, what terms are they using today and why? African American? Karen: I do.

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Community Family Families IT 128

GeriPal

FEBRUARY 20, 2025

Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Here we go.

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Patient-Centered IT Screening Individual 66

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality.

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Consulting Community Patient-Centered Family 63

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. As Mary Oliver tells us In Blackwater Woods , and I’m paraphrasing here, we must to hold it to our bones, knowing our lives depend on it, and when the time comes, to let it go. To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful. Eric: Yeah?

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Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 29, 2022

December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs. Geriatrics. Conflicts Experienced by Caregivers of Older Adults With the Health-Care System. Transcript.

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Family Families IT Patient-Centered 96

GeriPal

NOVEMBER 3, 2022

I t’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block , who have been struck by personal illness and loss. Eric: And why’d you pick that song? Vickie: It just reminds me of how important collegial support and being with each other is. Alex: Great choice.

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BMJ

AUGUST 20, 2021

We sought to analyse how prescribing trends have changed over time, utilising a dataset containing all prescriptions signed and dispensed in the UK by primary care facilities from January 2014 to November 2020. Despite the spike in prescribing of insulins, oral antidiabetic medications were not similarly affected.

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Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

OCTOBER 31, 2024

Summary Transcript CME Summary In March 2020, we launched our first podcast on COVID-19. Over the past four years, we’ve seen many changes—some positive, some negative. While many of us are eager to move past COVID (myself included), it’s clear that COVID is here to stay. Lona, welcome back to GeriPal. Lona 00:21 It’s great to be here.

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GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Annals of Int Med.

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Physician's Weekly

JUNE 26, 2025

Within an hour of receiving a covid vaccination in November 2020, Utah preschool teacher Brianne Dressen felt pins and needles through her arms and legs. system for monitoring the rare ill effects of vaccines. In the medical odyssey that followed, she suffered double vision, chronic nausea, brain fog, and profound weakness. Kennedy Jr.

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Vaccination Patient-Centered Government IT 52

GeriPal

JUNE 2, 2022

Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? Monica Gandhi is a professor of medicine and associate division chief of HIV, Infectious Diseases, and Global Medicine at UCSF & San Francisco General Hospital. Our World in Data COVID graphs.

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FDA Law

MAY 19, 2022

By Faraz Siddiqui — Last June, we blogged about a lawsuit brought by the Pharmaceutical Research and Manufacturers of America (PhRMA) challenging CMS’s ill-conceived Accumulator Adjustment Rule (“final rule”), which amended the Medicaid Rebate best price regulation. On Tuesday, May 17, 2022, the D.C. See 42 U.S.C. 1396r-8(c)(1)(C).

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Manufacturing Patients Insurance Government 40

GeriPal

JULY 16, 2024

On the one hand, they have concerns about cognitive fitness of candidates for office. On the other hand, they worry about ageism. There’s something happening here, and what it is ain’t exactly clear. We need clear eyed thinking about this issue. We do not endorse or disclose our personal attitudes toward any particular candidate. Ken 02:33 Bravo.

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Diagnosis Diagnose IT Physicals 141

FDA Law

JANUARY 9, 2024

In late 2020, industry groups challenged the final rule in federal court, but the case was dismissed for lack of standing. Kirschenbaum — The law permitting the importation of cheaper prescription drugs from Canada—Section 804 of the Federal Food, Drug, and Cosmetic Act (FDC Act)—has been on the books for decades. See 21 C.F.R. See 21 C.F.R.

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GeriPal

APRIL 17, 2025

What a Wonderful World could be sung in irony at this moment. I hope we all take it literally, with the hope this podcast ends with. Alex Smith ** This podcast is not CME eligible. To learn more about CME for other GeriPal episodes, click here. Transcript Eric 00:00 Welcome to the GeriPal Podcast. It is a terrific book. Alex 02:07 Yeah, I love it.

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