FDA Law

AUGUST 18, 2024

When we reviewed the De Novos that were granted between CY 2022 and 2024, we saw that only 28% had decision summaries posted: Posted 2022 2023 2024 Total Yes 18 of 23 (78%) 9 of 48 (19%) 1 of 30 (3%) 28 of 101 (28%) Dishearteningly, the trend is in the wrong direction.

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PEMBlog

SEPTEMBER 6, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

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Lab Testing Medical Patients Mental Health 52

PEMBlog

SEPTEMBER 23, 2024

Andrea De Jesús Martínez Chief PEM Fellow at Baylor College of Medicine | Texas Children’s Hospital Instagram: @bcm_pemfellows Co-author: Benjamin Silva, MD, MPH The Case A 4-year-old male with no significant past medical history presents with headache and vomiting. At that visit, his physical exam was normal. Cureus vol.

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Diagnosis Physicals Hypertension Families 59

The Clinical Problem Solvers

DECEMBER 16, 2020

19:05 Clarifying the “ethics vs science” argument and critiquing research techniques 22:00 Resurgence of race-based speculation in COVID-19-related research 25:57 Implantation of ideas about innate racial inferiority within medicine 28:32 Will removal of race from algorithms potentially harm our patients?

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

PEMBlog

MARCH 4, 2025

Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations. Differentiate Mycoplasma pneumoniae pneumonia from typical bacterial and viral pneumonia based on history, physical exam findings, and diagnostic testing.

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Patient-Centered Diagnosis Complication Community 91

PEMBlog

SEPTEMBER 24, 2024

At that point, he was referred to pulmonology who started the patient on albuterol, manual chest physiotherapy, and a steroid inhaler with a plan for a fourth chest x-ray four weeks later. On arrival, the patient was febrile to 38.3C. Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS).

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Diagnosis Diagnose Patients Asthma 52

Medical Xpress

JUNE 16, 2025

The law directs Texas universities and hospitals to lead the research. A 2024 study published in the journal Nature Medicine found that military veterans with brain injuries saw major mental and physical improvements after just one ibogaine session. It also makes sure the state keeps a share in future profits if the drug is approved.

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Mental Health IT Medical Specialization 52

PEMBlog

MAY 24, 2023

Patient that are agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Deaths due to physical restraint. Physical and chemical restraints. Dtsch Arztebl Int. 2012 Jan;109(3):27-32.

Management 54

Management Patient-Centered Physicals Finance 54

GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. Im b leary eyed.

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Illness IT Patient-Centered Patients 107

FDA Law

JANUARY 18, 2024

Houck — In August 2023 the Food and Drug Administration (“FDA”) and Health and Human Services (“HHS”) recommended that the Drug Enforcement Administration (“DEA”) reschedule marijuana from schedule I under the federal Controlled Substances Act (“CSA”) to schedule III. By Larry K. HHS forwards FDA’s analysis and recommendation to DEA.

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Medical Physicals IT Healthcare Professional 69

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. 2023 Dec 20:S1524-9042(23)00202-3. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A.

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IT Families Family Physicals 137

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Paramedics can provide life-saving treatment on the way to the hospital. Then, they’ll perform a physical examination.

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ER Telehealth Primary Care Doctor Appointment 52

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. The patient case. I think the theme is more saving someone’s life and the regret that follows.

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Patients IT Patient-Centered Hospital 98

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. In one room the physician under study interacts with a white patient-actor, and in another room interacts with a Black patient-actor. Alex: That’s great.

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Patient-Centered Patients IT Healthcare 111

PEMBlog

MARCH 27, 2024

Updated 2023 Jul 17]. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. You won’t be able to diagnose them on history and physical alone. So you’ve done your initial workup, nothing’s really conclusive yet, and this patient’s still in the ED.

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Consulting Individual Families Family 59

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. These studies are important. Is that your grandchildren?

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IT Patient-Centered Families Family 99

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. So we did a podcast on aging and homelessness with Margot Kushel in 2023. You know, we found that 64% of the people we cared for never went to the hospital or ER.

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Healthcare IT Community Illness 100

FDA Law

MAY 21, 2024

and its abuse may lead to only moderate or low physical dependence or high psychological dependence. 29, 2023) (“Basis”); NPRM at 44,603. In 2023, HHS conducted a different approach, a two-part test, to determine whether marijuana has a CAMU. 21 U.S.C. § Basis at 45; NPRM at 44,613. Basis at 7-8; NPRM at 44,614.

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Physicals Medical Clinic Emergency Room 69

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. We would admit them to the hospital. Who doesn’t want to leave the hospital?

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Mental Health IT Community Individual 123

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Care Ecosystem.

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Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

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PEMBlog

APRIL 4, 2025

So as of the 2023-24 school year, about 3.3% 2023 translates to about 80,000 kids in the United States, and vaccination coverage varies across states. So in the 2023-24 school year. of their patients were fully vaccinated, five and a half percent were under vaccinated, and 3% were unvaccinated. Unfortunately. Interesting.

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Vaccination Illness IT Clinic 66

PEMBlog

FEBRUARY 22, 2024

Updated 2023 Jun 26]. Approximately 1 half of the severe cases of vitamin k deficient bleeding are associated with parental refusal vitamin k during the birth and hospitalization. Home delivered infants don’t have access to immediate vitamin k prophylaxis at the same rates that hospitalized infants do. 1997 Jan;99(1).

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Vaccination IT Diagnosis Hospital 72

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

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Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

APRIL 17, 2025

Summary Transcript CME Summary I read Farah Stockmans article in the NYT on why attacks on DEI will cost us all , and thought, Yes, and everyone includes harm to our healthcare workforce, our patients, and their families. I’m asking you, have you ever walked in and talked to a black, older black patient and used their first name?

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IT Community Government Management 70