Intuitive Intelligence

DECEMBER 21, 2023

The holidays – a time for joy, celebration, and quality time with loved ones. However, as much as we look forward to the festive season, it can also bring a unique set of challenges, particularly when it comes to socializing. The hustle and bustle of gatherings, events, and family obligations can sometimes lead to social burnout. Fear not! In this post, we’ll explore some quick and effective tips to help you survive the holidays with your sanity intact.

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Louisville Lectures

DECEMBER 8, 2023

Crystal Heishman presents an introduction on the broad topic of Infection Prevention. Heishman presents how to identify methods to prevent infectious disease transmission and how to implement device related infection prevention strategies for CAUTI and CLABSI. After, she discusses appropriate testing requirements for C.Diff. Watch on YouTube Listen as a Podcast Watch more lectures about Internal Medicine Crystal Heishman Mba, msn, rn, onc, cic, fapic Crystal Heishman is the Director of Infection

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FDA Law Blog

DECEMBER 4, 2023

By Larry K. Houck — Separate decisions by federal district courts in Texas and Puerto Rico in the past two months provide cautionary tales for every pharmacy and wholesale distributor dispensing or distributing controlled substances. On October 10th, based on ability to pay, the U.S. District Court for the Western District of Texas imposed a $275,000 civil penalty on Zarzamora Healthcare LLC, in San Antonio, and its pharmacist-owner.

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Boulder Medical Center

DECEMBER 8, 2023

Full-time employed Americans spend an average 8-1/2 hours a day at work. How do we get the job done while staying healthy? Here are tips for a healthier workplace lifestyle. The post Five Tips for Staying Healthy While Working Full Time appeared first on Boulder Medical Center.

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PEMBlog

DECEMBER 7, 2023

The Case A middle-school aged boy presents with a slightly pruritic rash that started along the side of his chest, but then soon spread to encompass several dozen similar lesions across his torso, especially his back. he has had no other symptoms, including fever or upper respiratory complaints. There are no new food, personal care product, or animal exposures.

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Aspiring Minority Doctor

DECEMBER 17, 2023

Headshot from this year that I forgot to post lol It's my 10th blogiversary, y'all! Okay, now I'll admit I've done a horrible job of keeping up with the blog lately especially given that this is only my fifth post of the year, but today is still super special for me. When I started this blog, I had just received my first acceptance into medical school, and after scouring the web and not being able to find anyone with a similar story as mine, I wanted to create something to not only document my j

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Intuitive Intelligence

DECEMBER 28, 2023

As the year comes to a close, let’s take a moment to reflect on everything that has happened this year—both the good and not-so-good. Imagine we’re chatting over a cup of coffee, and I’m asking you some questions to help us make sense of it all. What were the three most pivotal moments of the past year? Think about the times that made you go, “Wow, that was a big deal!

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The Direct Doctors Difference

DECEMBER 8, 2023

A recent article featured on the medical blog, www.Kevinmd.com , highlights some super important reasons as to why you might consider seeing a doctor who is not affiliated with a hospital or large system. As a small, direct primary care practice here at Direct Doctors, we wholeheartedly agree! ​The author highlights the fact that the business model of hospital owned primary care… ” emphasizes revenue maximization over patient well-being.” He also notes that “add in

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The Clinical Problem Solvers

DECEMBER 6, 2023

[link] In this Hepatology Rafael Medina Subspecialty episode, Dr. Christopher Coe presents a case to Dr. Arpan Patel of a woman presenting with fatigue and splenomegaly. Session facilitator: Maddy Conte The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world.

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Vascular Physician

DECEMBER 11, 2023

Arteriovenous Fistula: What It Is and How It Is Treated in Vascular Surgery An Arteriovenous Fistula (AVF) is an abnormal connection between a vein and an artery. Typically, veins are connected to arteries by tiny blood vessels called capillaries. The capillaries bring oxygen-rich blood to other tissues around the body as it circulates through the arteries of the body.

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FDA Law Blog

DECEMBER 11, 2023

By Allyson B. Mullen — With comments due on the proposed LDT rule last week, FDA wasted no time updating the Unified Agenda to indicate that a final rule may be published in April ( here ). We take this date with a grain of salt given the frequency with which these dates are missed and given the volume of comments filed. (It is not entirely clear how many comments were actually logged in; on December 7, FDA showed 19,655 comments, and the next day 6,732.

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PEMBlog

DECEMBER 1, 2023

This concise and informative video was developed at Cincinnati Children’s and features some of my colleagues. It discusses how to deal with fever, including treating it with antipyretics and what to look out for. I have a feeling it would be very helpful on your next shift if you shared it with a family that you are discharging home.

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GeriPal

DECEMBER 28, 2023

It’s been a big year for the GeriPal podcast. We’ve published 45 podcasts in 2023 and have had a total of 400,000 downloads, plus another 40,000 views on YouTube. We’ve added a TikTok channel , and we’ve surpassed our fundraising goal of $30,000 to offset production costs for each episode (we are still accepting, though, tax-deductible donations to support future podcasts!

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Vida Family Medicine

DECEMBER 1, 2023

Flu and RSV and COVID, oh my! It may feel like everyone you know is sick right now- and it is true! There are a LOT of different viruses going around right now. If you have not been sick already you likely will be soon. Realistically, we cannot (and really shouldn't need to) see a doctor every time we have viral respiratory symptoms. I do my best to maintain availability for sick visits the same or next day for my patients, but if everyone is sick simultaneously there is a limit to what I can do

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The Clinical Problem Solvers

DECEMBER 21, 2023

[link] Ann-Marie , Sharmin , and Maddy discusses their approaches to diverticulitis complications as they talk through a case presented by Jack.

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Vascular Physician

DECEMBER 11, 2023

The Role of Exercise in Improving Vascular Health Having a healthy vascular system is an important part of living an overall healthy life. Strong blood vessels lead to good circulation which can have a big impact on how you feel physically and how well your body functions. While many factors can affect your vascular health, including genetics and diet, the good news is that exercise can have a noticeable impact on vascular health.

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FDA Law Blog

DECEMBER 20, 2023

By Mark A. Tobolowsky — FDA, like much of the rest of the world, has been adjusting to the rapid changes in our world these last few years. For nearly three years following the declaration of the COVID-19 health emergency, there were no in-person meetings held. Then, in early 2023, CDER and CBER started a slow phase-in of in-person meetings in a hybrid format, with some attendees present only virtually.

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PEMBlog

DECEMBER 14, 2023

Laryngomalacia, is the most common cause of infant stridor. Early diagnosis is crucial as it can impact a child’s growth and development. Most infants get better on their own, but those with severe symptoms need surgical interventions like supraglottoplasty. Learn all about diagnosis and management of this common problem in this brief podcast episode.

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GeriPal

DECEMBER 14, 2023

Summary Transcript Summary One of the things I love about Liz Dzeng’s work is the way in which it draws upon, echoes, and advances our understanding of the influence of culture on the end of life experience. This field is not new. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying.

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The Clinical Problem Solvers

DECEMBER 13, 2023

[link] Episode description Reza and Rabih discuss a case of a patient with flank pain and systemic features Student discount [link] IMG discount Use coupon code RLRIMG at check out [link]

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FDA Law Blog

DECEMBER 13, 2023

By Mark A. Tobolowsky & James E. Valentine & Charles G. Raver & Frank J. Sasinowski — On December 12, 2023, FDA announced the creation of a new advisory committee specifically for treatments for genetic metabolic diseases, the Genetic Metabolic Diseases Advisory Committee, or “GeMDAC.” As described by FDA’s press release, genetic metabolic diseases are conditions whereby a genetic mutation, generally one that leads to dysfunction of a key protein or enzyme, disrupts the chemical pro

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FDA Law Blog

DECEMBER 12, 2023

By Sophia R. Gaulkin & Riëtte van Laack — On November 30, FDA’s Center for Veterinary Medicine (CVM) released a draft guidance , “Using Relative Supersaturation to Support ‘Urinary Tract Health’ Claims for Adult Maintenance Cat Food,” to provide recommendations for how pet food companies manufacturers can use relative supersaturation (RSS) methodology to support urinary tract health (UTH) claims for certain adult maintenance cat food.

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FDA Law Blog

DECEMBER 6, 2023

By Jeffrey N. Gibbs & Gail H. Javitt — On Monday, Hyman, Phelps & McNamara, P.C. filed comments on behalf of the Coalition to Preserve LDT Access and Innovation in response to FDA’s proposed rule to regulate laboratory developed tests (LDTs) as devices. Weighing in at nearly 60 pages, the comments detail extensive flaws in the proposed regulation.

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FDA Law Blog

DECEMBER 7, 2023

By Steven J. Gonzalez — The annual Enforcement, Litigation, and Compliance Conference put on by the Food and Drug Law Institute (“FDLI”) took place in Washington this week. There were too many interesting panels and discussions to mention them all, but presentations about DOJ’s and FDA’s coordination deserve some special mention. In his conference keynote address , Arun Rao—the Deputy Assistant Attorney General for DOJ’s Consumer Protection Branch—provided an overview of DOJ’s year in FDA enforc

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FDA Law Blog

DECEMBER 3, 2023

By Faraz Siddiqui & Alan M. Kirschenbaum — The Inflation Reduction Act (IRA) significantly changed the Part D benefit. As part of this change, the Coverage Gap Discount Program (CGDP), a program that has existed since 2011, will sunset on December 31, 2024, and be replaced by the Medicare Part D Manufacturer Discount Program (the “Discount Program”).

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FDA Law Blog

DECEMBER 21, 2023

What do Gene Autry’s Rudolph the Red-Nosed Reindeer and FDLI have in common? Both are celebrating their 75th anniversaries in 2024. While “The Singing Cowboy” Gene Autry was busy in Los Angeles recording Rudolph the Red-Nosed Reindeer, The Food and Drug Law Institute (FDLI) founders were hard at work in Washington forming the association that still serves as the platform for discussing complex legal and regulatory issues associated with food, drugs, cosmetics, medical devices, and other health

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FDA Law Blog

DECEMBER 21, 2023

By Hyman, Phelps & McNamara, P.C. — In October 2022 President Joseph Biden directed the Secretary of Health and Human Services (“HHS”) and the Attorney General to begin the administrative process of reviewing expeditiously how cannabis is scheduled under federal law. HHS recommended that the Drug Enforcement Administration (“DEA”) reschedule cannabis from schedule I to schedule III in August.

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GeriPal

DECEMBER 7, 2023

Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask – why don’t adults care about this issue the same way that they and their friends care about it? My kids have taught me that the emphasis on personal responsibility (reduce your carbon footprint!

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GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. This proposed new definition, championed by the Alzheimer’s Association (AA) and the National Institute on Aging (NIA) , proposes that the disease exists when the earliest manifestation of Alzheimer’s pathophysiology can be detected (amyloid), eve

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GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. 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

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FDA Law Blog

DECEMBER 18, 2023

By Faraz Siddiqui & Dara Katcher Levy — It has been a few weeks, but we thought it important to do a deeper dive on the two Office of Prescription Drug Promotion (OPDP) Untitled Letters published in November. The letters, both issued on October 31, 2023 but published in early November, were to Otsuka and Evofem for misleading efficacy claims relating to overstating the efficacy of their respective products in direct-to-consumer (DTC) advertisements.

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FDA Law Blog

DECEMBER 14, 2023

By Larry K. Houck — Last week, in a letter thanking President Joe Biden for his leadership to federally reschedule cannabis, Democratic governors sought to make the case for rescheduling. Letter to President Joseph R. Biden, Jr., from Governor Jared Polis et al. , Dec. 5, 2023. The governors (of Colorado, Illinois, Louisiana, Maryland, New Jersey and New York) thanked the President for his leadership in directing the Department of Health and Human Services (“HHS”) to reconsider the current sch

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