Ugh. Between this and RFK Jr going after tv news for not being in favor of french fries made with lard or tallow, I can't even. Fairly damning for the husband to be in family med eh?

We do! I think our inpatient HM procedure team just recently started doing it (maybe), but prior our IMAT/psych team most weekdays would coordinate having patient walk down to the on-site clinic at IP discharge and get the shot there before leaving

It looked too creepy for me. Last of us (the game) is already borderline for me, though I love it

Like others, I click the "AMA" discharge button if it's egregiously early/very sick, shared decision making usually o/w + write the nuance in DC summ (often as "pt directed dc", though def a bit pedantic); I no longer have folks sign a form even though we have one... heard it's not v helpful legally

The prior famous study was the Hygia trial, and many have subsequently accused the author group of fraud. I believe it showed both a 30% decrease in both CV events and non-CV death (i.e. cancer), and obviously the latter makes no sense, so probably a fake study.

Best time is w/e works for patient

Our community hospital (near tertiary care that has neuro IR for thrombectomy, not tpa usually) recently started using Rapid AI for quicker LVO dx (vs. waiting for rads read), better stats than text AI hallucinations (97-96% sens/spec), which makes more sense to me. www.rapidai.com/neurovascula...

Ryan can you tell me specific implications if this is cut? Like, will medicare/medicaid still cover a Narcan rx to pharmacy, but no longer hand it out for free OTC? I presume this would also cut further Narcan trainings too

Unfortunately would have to call the prescribing pharmacy and ask about those specific ones, pharmacist should have records of the lot #

No, the man is a joke. I wouldn't give him partial credit for "America isn't healthy", there's no deep insight there. The concept of cutting funding/staff, as an "overhaul"... I'd use a different word. It's no secret we're drowning here, aging pop, common sense says we need more $/staff, not less.

I doubt he would know this, but IIRC from training this is only true for I think testicular cancer, which is why they do full testicle extraction typically anyways rather than a biopsy (but I'm not an oncologist, situations and YMMV).

I think our ICU pharmacists were doing this, will have to see if I can find the calculations for how they do it

Given how things are looking, this may be the best way to secure funding rather than NIH grants for the next few years.

The name is catchy, market the spiro as a steroid... it's gold

"Generalists hate this one simple trick..."

FLR w Na <120 eh? I had always heard consider if <125 (not that I use it much), did I miss a tweetorial of yours haha

And starting at spironolactone 100mg feels bold, though lower doses do feel like they don't do much.. is that your starting for compensated outpt or hospitalized pt?