Thu.Jun 26, 2025

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Why even the best employees are silently quitting health care

KevinMD

Imagine yourself being miserable at work and you have been thinking about quitting for a long time now, but you are just really good at what you do. Your colleagues approached you when they needed advice and even your patients praised and thanked you all the time. Imagine leaving all of this and walking away Read more… Why even the best employees are silently quitting health care originally appeared in KevinMD.com.

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Unsorted: Welcome to my World!

A Country Doctor Writes

A patient appointment for a physical could yield a cancer suspicion or diagnosis. An appointment for chest pain could lead to an intervention for domestic violence. A quick visit for a skin rash could land a high school senior in the hospital for a leukemia workup. In this business we can never assume that a visit will be about what we somewhat callously have been calling the “Chief Complaint” You have to be prepared to shift gears, sometimes because the patient drops a hint or a bom

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How community paramedicine impacts Indigenous elders

KevinMD

Tucked along the edge of the frigid James Bay, Moosonee stands as one of Northern Ontario’s most remote and storied communities—a place often referred to as the “Gateway to the Arctic.” While towns like Thunder Bay or Rainy River echo similar titles, Moosonee carries its own unique distinctions. This isolated town of about 3,000 people Read more… How community paramedicine impacts Indigenous elders originally appeared in KevinMD.com.

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RFK Jr.'s vaccine advisers raise disproven fears about the preservative thimerosal

NPR Health - Shots

The CDC's Advisory Committee on Immunization Practices voted on the flu vaccine, raising concerns about a rarely used preservative. Medical groups worry this will "sow distrust" in vaccines.

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The most overlooked skill in medicine: contract negotiation

KevinMD

As an early career physician, transitioning from residency or fellowship into attendinghood, or even just contemplating a job change, can feel both exciting and overwhelming. There’s the thrill of stepping into your first “real” job, finally earning a salary that reflects the years you’ve invested. But alongside that excitement often comes anxiety: About finding the Read more… The most overlooked skill in medicine: contract negotiation originally appeared in KevinMD.com.

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A podcast on the evaluation and management of penetrating neck injuries in children

PEMBlog

Penetrating neck injuries in children are rare—but when they happen, the stakes are high. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical pearls behind ā€œno-zoneā€ management, how to distinguish hard and soft signs, when to image versus operate, and why airway always comes first. Get ready for a focused, evidence-based deep dive into pediatric neck trauma.

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I was trapped by fear of what others thought. This is what set me free. [PODCAST]

KevinMD

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Physician coach and marriage and family therapy graduate student Jillian Rigert discusses her article, “Fear of other people’s opinions nearly killed me. Here’s what freed me.” Jillian shares her harrowing journey through medical discharge from the military and transitioning out of Read more… I was trapped by fear of what others thought.

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Empowerment Self-Defense Arms ED Staff Against Rising Workplace Violence

Physician's Weekly

Empowerment self-defense training protects emergency department staff, boosts confidence, enhances communication, and fosters a safer work environment. Violence in hospital emergency departments (EDs) has reached crisis levels. For physicians, nurses, medical assistants, and support staff, workplace violence (WPV) is now a daily hazard, inflicting physical injury, emotional trauma, and eroding the quality of patient care.

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Medicaid changes don't meet Senate rules in 'big, beautiful bill' says parliamentarian

NPR Health

The nonpartisan Senate official whose office determines if legislation fits within the rules of the chamber dealt Senate Republicans a blow on proposed changes to Medicaid.

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ICU Targeted Decolonization Reduces MRSE Bloodstream Infections

Physician's Weekly

In low‑MRSA ICUs, switching from universal to targeted decolonization reduced MRSE bloodstream infections without raising overall bloodstream infection rates. In intensive care units (ICUs) with low incidence of meticillin-resistant Staphylococcus aureus ( MRSA ), de-escalation from universal to targeted skin and nasal decolonization was associated with reduced rates of meticillin-resistant Staphylococcus epidermidis bloodstream infections (MRSE-BSI) and did not increase the incidence density of

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Is your telehealth setup up to snuff? 7 quick checkpoints for practices

Physician's Practice

Topics Access and Reimbursement Billing & Collections Coding & Documentation Finance Law & Malpractice MedMal by Coverys Patient Engagement & Communications Staffing & Salary Technology Media Video & Interviews Podcasts Medical World News Pearls Surveys Best States to Practice Great American Physician Survey Staff Salary Survey Conferences ACP Internal Medicine Meeting HIMSS MGMA All Conferences Events Virtual Events CME/CE Resources Sponsored Partners Publications Subscr

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Nephron‑Sparing Techniques Improve Long‑Term eGFR Outcomes

Physician's Weekly

Partial nephrectomy preserves renal function better than radical nephrectomy for complex tumors, especially in younger patients with higher baseline eGFR. ā€œComplex renal masses are often defined by their size, location, and involvement of adjacent structures, making surgical decision-making more challenging,ā€ researchers wrote in JU Open Plus. ā€œPartial nephrectomy, a nephron-sparing approach, has emerged as the preferred option for patients with localized renal tumors, offering the potential to

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BITESIZE | 3 Simple Tips For Pain-Free Running (and Walking!) | Helen Hall

Dr Chatterjee

Running or walking effortlessly isn’t as easy as you might think. Often, we’re making small mistakes that impact our everyday movement and that can lead to frequent injury or pain.

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Q&A: Prioritizing Early Intervention in Pediatric Obesity

Physician's Weekly

Ihuoma Eneli, MD, MS, discusses early intervention in childhood obesity to reduce long‑term risk and supporting families with tailored, accessible care. Rapid weight gain in early childhood is a risk factor for obesity. Despite this, there’s a lack of obesity prevention programs and interventions that target early childhood, defined as the first 1,000 days.

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'Say no to power peeing' and other good tips from a pelvic floor physical therapist

NPR Health

Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage.'/> Your pelvic floor supports organs like your bladder, bowels and reproductive system. Strengthen it with exercises and mantras (like "squeeze before you sneeze") from physical therapist Sara Reardon.

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Knee Brace Most Recommended Option for Knee Osteoarthritis

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Of a dozen therapeutic options, knee brace seems to be the most recommended option for knee osteoarthritis (KOA), according to a study published online June 18 in PLOS ONE. Xiao Chen, from the First People’s Hospital in Neijiang in China, and colleagues examined the effects of therapeutic options on KOA in a literature review of 139 randomized controlled trials, including 9,644 KOA patients and involving 12 therapeutic options.

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The paperwork trap: A sneaky way to cut Medicaid in the 'One Big Beautiful Bill'?

NPR Health

Republicans want to add work requirements for Americans to get Medicaid. Is that a necessary step to fight "waste, fraud, and abuse" or a sneaky way of cutting the social safety net?

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Increasing Rates of Pre-Pregnancy T2D Tied to Higher Fetal, Neonatal Risk

Physician's Weekly

Early-onset type 2 diabetes is rising in women of childbearing age, increasing the risk for fetal and maternal complications versus other forms of diabetes. ā€œEarly onset type 2 diabetes (T2D – generally diagnosed prior to the age of 40) is of major concern as its prevalence is increasing rapidly,ā€ researchers wrote in The American Journal of Obstetrics and Gynecology.

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How many kids go to work instead of school?

NPR Health

They toil in mines, tend crops, scrub floors. An author of a new report on child labor points to great progress in reducing the number of kids who work but says the numbers remain "unacceptable.

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Two-Hour Observation Probably Safe for Most Children With Anaphylaxis

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — For most children who present to an emergency department with an acute allergic reaction requiring epinephrine, a two-hour observation period is probably safe, according to a study published online June 10 in The Lancet Child & Adolescent Health. Timothy E. Dribin, M.D., from Cincinnati Children’s Hospital Medical Center, and colleagues conducted a multicenter, retrospective cohort study across 30 emergency departments involving children

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What the new primary care patient management code means for your practice

Physician's Practice

Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.

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Empagliflozin Has Kidney Protective Effects in Acute Myocardial Infarction

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Empagliflozin has kidney protective effects and reduces heart failure outcomes across baseline kidney function among patients with acute myocardial infarction (MI), according to a study published online June 13 in Nature Cardiovascular Research. Rahul Aggarwal, M.D., from Harvard Medical School in Boston, and colleagues examined the cardiovascular-kidney effects and safety of empagliflozin in a secondary analysis of a multicenter, clinical trial i

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How to Manage Prediabetes with Food (What Actually Works)

Vida Family Medicine

Being told you have pre-diabetes can feel overwhelming, but there’s good news: food is one of the most powerful tools you can use to manage your blood sugar. The key? Small, sustainable changes that work with your body—not against it. At Vida Family Medicine, I’ve helped hundreds of patients improve their blood sugar without extreme dieting or cutting out the foods they love.

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CRC as First of Multiple Primary Malignancies Tied to Better Outcomes Than CRC as Only Malignancy

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Compared with colorectal cancer (CRC) presenting as an isolated primary or second primary malignancy, CRC presenting as the first of multiple primary malignancies less often presents at advanced stage and is associated with improved survival, according to a study published online June 17 in the Journal of the American College of Surgeons.

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Supreme Court Sets ā€˜Dangerous Precedent’ on Gender-Affirming Care

Physicians News Digest

By Susan J. Kressly, MD, FAAP, President, American Academy of Pediatrics The Supreme Court ruling in United States v. Skrmett i will have profound and far-reaching consequences for the health and well-being of transgender youth across this country and for the doctors who care for them. To be clear—regardless of the legal ruling —the science still supports gender-affirming care, children will still need it.

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Distinct Lamin Heart Disease CMR Phenotype Discovered

Physician's Weekly

This graphic illustrates the recent study through which researchers discovered that CMR scans may reveal lamin heart disease prognostic biomarkers. The post Distinct Lamin Heart Disease CMR Phenotype Discovered first appeared on Physician's Weekly.

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Autism rates have soared. This doctor says he knows part of the reason why

NPR Health - Shots

NPR's Juana Summers speaks with Dr. Allen Frances, about his piece in the New York Times titled, "Autism Rates have Increased 60-Fold. I Played a Role in That.

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Gene Signatures Linked to Treatment Response in Ulcerative Colitis

Physician's Weekly

Therapies for ulcerative colitis (UC) result in varying remission and response rates in patients enrolled in clinical trials, likely due to individual differences in therapeutic targets, variations in active biological pathways, feedback, or resistance mechanisms, researchers noted in the Journal of Crohn’s and Colitis. Furthermore, research has identified heterogeneity among patient populations as a primary factor contributing to the differences in patient responses observed in clinical trials.

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New Report on Patent Litigation Settlements Says that they are Critically Necessary to Ensure Prompt Generic and Biosimilar Market Entry

FDA Law

By Kurt R. Karst — Earlier this month, the Association for Accessible Medicines and its Biosimilars Council (ā€œAAMā€) announced ( here and here ) the release of a report, titled ā€œ Assessment of the Impact of Settlements ,ā€ examining the effects of patent litigation settlements on patient savings and access to generic drugs and biosimilar biological products.

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Arsenic Less Than EPA Maximum Contaminant Level Tied to Adverse Birth Outcomes

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Arsenic measured in public water systems at levels below the current U.S. Environmental Protection Agency’s maximum contaminant level are associated with adverse birth outcomes, according to a study published online June 16 in JAMA Network Open. Anne E. Nigra, Sc.M., Ph.D., from Columbia University Mailman School of Public Health in New York City, and colleagues examined the association between prenatal public water arsenic exposure below th

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Supreme CourtĀ upholds South Carolina's ban on Medicaid funds for Planned Parenthood

NPR Health

The Supreme Court allowed South Carolina to remove Planned Parenthood clinics from its state Medicaid program, even though Medicaid funds cannot generally be used to fund abortions.

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Moderate-to-Severe Asthma Up for Female Permanent Night Shift Workers

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Female permanent night shift workers have higher odds of moderate-to-severe asthma than female day workers, but this relationship is not seen in men, according to a study published online June 15 in ERJ Open Research. Robert J. Maidstone, Ph.D., from the University of Manchester in the United Kingdom, and colleagues used cross-sectional data from more than 280,000 U.K.

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Autism rates have exploded. Could the definition be partly to blame?

NPR Health - Shots

Secretary of Health and Human Services Robert F. Kennedy, Jr. has spent years spreading doubt about the safety of vaccines and linking them to autism. Dozens of studies have debunked the theory, but it has nevertheless persisted for years. Part of the reason why may be that autism diagnoses have soared over the last few decades. Dr. Allen Frances is psychiatrist who led the task force that created the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, which expanded the

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Comorbidities Linked to Poor Outcomes in Demyelinating Disorders

Physician's Weekly

Comorbidities worsen outcomes and optic neuritis-related neurodegeneration in multiple demyelinating disorders, including NMOSD and AQP4-NMOSD. Neuromyelitis optica spectrum disorder (NMOSD), myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD), and double seronegative NMOSD (DN-NMOSD) are all conditions in which optic neuritis (ON) occurs frequently, according to research published in the European Journal of Neurology.

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Health and Wealth Shocks: Lauren Hunt, Rebecca Rodin, Tsai-Chin Cho

GeriPal

Summary Transcript CME Summary June Lunney famously characterized the end of life functional course of people with dementia as a slow dwindle over time. Tom Gill later found that people with dementia do indeed have persistent severe disability throughout the last year of their lives. But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia.

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Mortality From ALS Up With Exposure to Cyanobacterial Harmful Algal Blooms

Physician's Weekly

THURSDAY, June 26, 2025 (HealthDay News) — Living close to cyanobacterial harmful algal blooms in U.S. water bodies is associated with increased risk of mortality from amyotrophic lateral sclerosis (ALS), according to a study published online May 12 in the International Journal of Environmental Research and Public Health. Stuart A. Batterman, Ph.D., from the University of Michigan in Ann Arbor, and colleagues developed life course exposure measures for cyanobacteria and examined the associ

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Nursing homes face 2 threats: Trump's Medicaid cuts and his immigration crackdown

NPR Health

Understaffed nursing homes rely on an immigrant workforce. Cuts to Medicaid and a tough immigration policy amount to a double whammy for the long-term care industry.

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