When I was doing anticoag down in South Georgia I had a patient who had atrial fibrilation AND Factor V Leiden and had a history of thromboembolic stroke. He was going for a procedure for which he needed to be unanticoagulated, so I wanted to put him on enoxaparin for a week prior to the procedure and stop the enoxaparin 24 hours prior to the procedure, restart it after the procedure while I was making him therapeutic again after the procedure with warfarin (this was pre-DOAC). He had UHC. Denied the enoxaparin. I wrote the justification for the outpatient use of the enoxaparin, afib, F V Leiden, hx of CVA, procedure... denied. Fortunately, I also worked part-time at the hospital where the procedure was going to be done and I can't remember now exactly how I did it, but I got the hospital to pony up the enoxaparin. I mean, I can't say for certain the guy would have had a stroke in the two weeks or so that the guy would have been unanticoagulated, but those are dice that no one wants to roll.
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HHS plans to shutter or downsize several health agencies, including at CDC
Health and Human Services is planning to cut 10,000 jobs across the sprawling department.www.nbcnews.com
Holee mother of f***After RFK Jr. recommends vitamin A as a measles treatment, some Texas patients show signs of toxicity
Patients at Covenant Children’s Hospital in Lubbock, Texas, have been found to have abnormal liver function, which can occur when someone takes too much vitamin A.
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After RFK Jr. recommends vitamin A as a measles treatment, some Texas patients show signs of toxicity
Weeks after Health and Human Services Secretary Robert Kennedy Jr. touted vitamin A as an effective treatment for measles amid the largest outbreak of disease in decades, hospitalized patients in West Texas are being treated for signs of vitamin A toxicity.www.yahoo.com
Holee mother of f***
I’m working on recertification as a healthcare ethics consultant so that I can continue my role as a consultant for the medical center. I am one of the very few pharmacist healthcare ethics consultants in the country. I am so damn discouraged by all the uncertainty in the VA right now that I really don’t know what to do. We have been told that reviewing recertification portfolios has ceased for the foreseeable future and we don’t know when or if they will resume or what the standards will be if and when they do, but we are expected to maintain professional competence nevertheless. Exactly how when we don’t know what the standards are is freaking beyond me.
RFK jr so far has been a real disappointment. I had hoped that he would come in, tone down the anti-vax rhetoric, and focus on health, healthy eating, exercise, etc. Instead, I have heard very little about those things, and he is playing up the part I hoped he would avoid.JUST IN: The FDA’s top vaccine official, Dr. Peter Marks, has been pushed out. In his resignation letter, he slams RFK Jr. for rejecting “truth and transparency” and pushing “misinformation and lies.” Marks warns of an “unprecedented assault on scientific truth.”
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MeidasTouch (@meidastouch) on Threads
JUST IN: The FDA’s top vaccine official, Dr. Peter Marks, has been pushed out. In his resignation letter, he slams RFK Jr. for rejecting “truth and transparency” and pushing “misinformation and lies.” Marks warns of an “unprecedented assault on scientific truth.”www.threads.net
Cigna declined life flight and care for a cardiac arrest...? How in the crap did they justify that decision, it wasn't pre approved?This guy is the funniest doc on the internet. He is a practicing ophthalmologist who had a cardiac arrest and had his life flight and care denied by Cigna. His videos are funny but on point about the reality of us health care.