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Let ' s Talk About Hospitals And Rural Healthcare (Particularly Mother-Baby Care): My Letter To The NC Government Commission/NC State Treasurer In Support Of Randolph County ' s Application For A Loan To Save Randolph Health
Author ' s Note:  The lawyers have a saying, " Res Ipsa Loquitur " " .  Translated from Latin, it means, " The thing speaks for itself " .  This is the text of the letter I sent to theNC Local Government Commission (embellished with a few links and additional comments in red) . . .in support of the state of North Carolina granting a loan to Randolph County (via the NC Rural Healthcare Stabilization Act) . . . for purposes of assisting in the " rescue " of Asheboro ' s Randolph Health - in a bankruptcy Court-approved buy-out of Randolph ' s assets by American Healthcare Systems, LLC.On May 4th, afte...
Source: Dr.J's HouseCalls - May 7, 2021 Category: American Health Tags: Asheboro Atrium Health Bankruptcy Cone Health Duke Lifepoint LGC Medical Whistle-blower Mother-Baby Care NC Rural Heatlh NCDHHS Non-profit Randolph Health UNC Health Wake Forest Baptist Source Type: blogs

Fight Aging! Newsletter, April 19th 2021
In conclusion, airway pressure treatment and adherence are independently associated with lower odds of incident AD diagnoses in older adults. Results suggest that treatment of OSA may reduce risk of subsequent dementia.
Source: Fight Aging! - April 18, 2021 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

As One Licensed NC Physician To Another Unlicensed One (Dr. Mary Johnson to Dr. Mandy Cohen/NC DHHS Secretary): PROTECT MEDICAL WHISTLEBLOWERS NOW!
Related to mylast post - which went up (after much soul-searching and trepidation) on 2/28/20201 one of the biggest complaints (coming largely from folks reading on mobile phones) was that the post was " so long " .  They wanted something more " concise " . The post relates my own horrific pandemic experience with Central Carolina Hospital/ApolloMD and Duke Lifepoint in Sanford, North Carolina.  It ' s my third dance as a medical whistle-blower in 23 years.  And much like the first two cases (Asheboro in 1998, and ETSU/Ballad Health in 2017), it ' s really NOT " soundbite " material (it would ...
Source: Dr.J's HouseCalls - March 4, 2021 Category: American Health Tags: ApolloMD Central Carolina Hospital CMS Dr. Seuss Duke Lifepoint HIPAA Mandy Cohen Medicaid Medical Whistleblower NCDHHS Pandemic Pediatric Hospitalist Source Type: blogs

A North Carolina Pediatric Hospitalist Tells Her Pandemic Story to Senator Richard Burr: Thirteen Months (And Counting) In Medical Whistle-blower Hell - Courtesy Of Private Equity/For-Profit Healthcare And Cruelly-Indifferent/Morally-Bankrupt State & Federal Oversight
Author ' s Note:  I cannot " sound-bite " the last year - and perhaps it ' s time to write the book. Scroll about half-way down to read the letter to Senator Burr.  The bottom line is that for thethird time in 23 years, as a Pediatrician staffing a community hospital, I was fired " with-out cause " immediately after intervening in a neonatal ( " bad baby " ) case, rescuing the situation/ " saving " the baby, and reporting it INTERNALLY to Peer Review.  NO discussion.  NO recourse.  NO review.  A total cover-up.  And EVERY SINGLE TIME I ' ve asked the state/Federal government to enfor...
Source: Dr.J's HouseCalls - February 28, 2021 Category: American Health Tags: ACA Apollo Global Management ApolloMD Ballad Heath Central Carolina Hospital CMS Duke Lifepoint ETSU Medicaid Medical Whistleblower NCDHHS Pandemic Quality Assruance Randolph Health Richard Burr Trump Source Type: blogs

More on clinical trials
Previously, I discussed the basic concept of randomized controlled trials, but didn ' t go into all the complexities. Actually, I can ' t go intoallthe complexities without writing a very big book, and that ' s not the book I want to write. However, there are some important points I ' d like to cover here.First, there ' s the question of what drugs (or possibly other kinds of interventions) even get into clinical trials in the first place. In order to conduct trials, the sponsor needs to get approval of what ' s called an Investigational New Drug Application from the FDA. This requires a reasonable expectation of safety an...
Source: Stayin' Alive - February 18, 2021 Category: American Health Source Type: blogs

Quality in Healthcare: Cultural Competence, Diagnostic Accuracy or Patronizing Insensitivity?
By HANS DUVEFELT I sometimes tell patients “I work for the government”, but sometimes I say the opposite, “I work for you”. Herein lies a dichotomy that is eating away at primary care in this country, like a slow growing cancer. I suspect everybody is aware of it, but it seems nobody has the inclination to deal with it. 2020 exposed how differently Americans view and prioritize things like personal freedom and public safety. We have also seen how vastly different perceptions of reality suddenly exist about what constitutes medical facts. Alternative facts and fake news are suddenly household concepts. F...
Source: The Health Care Blog - January 4, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Source Type: blogs

Getting a second opinion can save lives. It is time we make Miranda rights for patients.
The Lebanese-born former American oncologist Farid Fata committed one of the most malicious acts of greed by a medical professional in recorded history. Fata spent six years telling otherwise healthy people that they had cancer and needed immediate chemotherapy. He then fraudulently billed over $34 million in charges to Medicare and private insurance companies. Fata […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - December 27, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-trent" rel="tag" > Robert Trent < /a > < /span > Tags: Physician Primary Care Source Type: blogs

CRAZY AMERICA: Health Insurance Covers Testing When You Are Well But Not When You Are Sick
By HANS DUVEFELT Insurance is the wrong word for what we have here. Our private health insurance system’s prioritization of sometimes frivolous screenings but non-coverage for common illnesses and emergencies is a travesty and an insult to typical American middle class families. State Medicaid insurance for the underemployed has minimal copays of just a few dollars for doctor visits and medications. From my vantage point as a physician, it is the best insurance a patient can have. They cover almost everything and it is clear to me how to apply for exceptions or follow their step care requirements. I cannot...
Source: The Health Care Blog - December 9, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Source Type: blogs

A new Alzheimer ’ s drug: From advisory panel to FDA — what ’ s at stake here?
It’s been more than 17 years since the FDA last approved an Alzheimer’s drug. Will Biogen’s drug, called aducanumab, end this drought? The FDA will decide by March 2021, based on its own analysis of clinical trial data and an advisory panel’s review of the evidence. How does the drug work? Aducanumab is a monoclonal antibody engineered in a laboratory to stick to the amyloid molecule that forms plaques in the brains of people with Alzheimer’s. Most researchers believe that the plaques form first and damage brain cells, causing tau tangles to form inside them, killing the cells. Once aducanumab has stuck to the pl...
Source: Harvard Health Blog - November 12, 2020 Category: Consumer Health News Authors: Andrew E. Budson, MD Tags: Alzheimer's Disease Brain and cognitive health Healthy Aging Medical Research Memory Source Type: blogs

What Will Shape Joe Biden ’s Health Care Agenda?
I’m thrilled to have health futurist Jeff Goldsmith back on THCB, and given Biden was only confirmed as President-elect this morning, his article on what to expect is extremely timely!–Matthew Holt By  JEFF GOLDSMITH The Trump administration’s health care journey began with a trillion dollar near miss–the failed Repeal and Replacement of ObamaCare- and ended with a full-on train wreck, the catastrophically mismanaged COVID epidemic that will have claimed 300,000 lives by the time he leaves office. After four years of posturing and lethal incompetence, it will be a relief to see caring and pr...
Source: The Health Care Blog - November 7, 2020 Category: Consumer Health News Authors: matthew holt Tags: Health Policy OP-ED Politics THCB ACA Biden Jeff Goldsmith States Unions Source Type: blogs

Dear Newly Diagnosed: What We Wish We Knew
In today’s show, Gabe discusses what he could have done differently as a newly diagnosed bipolar patient that may have made his life a little easier. He and Lisa also discuss some common pitfalls a new patient may run into. For example, what’s the problem when patients are told they need to be med-compliant at all costs? Should you be open at work about your illness? Join us to hear Gabe’s experiences and learn from his rookie mistakes (which actually ended up working out in the end anyway). (Transcript Available Below) Please Subscribe to Our Show: And We Love Written Reviews!  About The Not Crazy podcast ...
Source: World of Psychology - October 20, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Disorders General LifeHelper Mental Health and Wellness Not Crazy Podcast Treatment Source Type: blogs

Health Care 101, continued
Okay, back to where we were before I was so rudely interrupted. As we have established, insurance is about risk pools. Sure, you can offer a cheap policy if you only sell it to people who are young and healthy, and that ' s what would happen in a non-regulated ( " free " ) market; but that would be largely pointless. As soon as somebody actually needed the insurance, they would not be able to renew it. People who are fortunate enough to have employer-provided insurance (which is an oddity largely specific to the United States, for historical reasons we won ' t go into there) don ' t generally have this problem. Employ...
Source: Stayin' Alive - October 13, 2020 Category: American Health Source Type: blogs

Biden ’ s Nov 9th speech: “Don’t you force me to pass Medicare 4 All”
By MATTHEW HOLT The new Supreme Court, in all likelihood including just nominated Justice Amy Coney Barrett, will be hearing the California v Texas suit against the ACA on November 10th, seven days after the election. The lower courts have already ruled the ACA unconstitutional. Some hopeful moderates among my Democratic friends seem to believe that the justices will show cool heads, and not throw out the ACA. But it’s worth remembering that in the NFIB vs. Sebelius decision which confirmed the legitimacy of most of the ACA back in 2011 all the conservative justices with the exception of John Roberts voted to ...
Source: The Health Care Blog - September 27, 2020 Category: Consumer Health News Authors: matthew holt Tags: Featured Health Policy Politics Repeal Replace ACA Biden California v Texas Obamacare Supreme Court Source Type: blogs

The Medical AI Floodgates Open, at a Cost of $1000 per Patient
By LUKE OAKDEN-RAYNER In surprising news this week, CMS (the Centres for Medicare & Medicaid Services) in the USA approved the first reimbursement for AI augmented medical care. Viz.ai have a deep learning model which identifies signs of stroke on brain CT and automatically contacts the neurointerventionalist, bypassing the first read normally performed by a general radiologist. From their press material: Viz.ai demonstrated to CMS a significant reduction in time to treatment and improved clinical outcomes in patients suffering a stroke. Viz LVO has been granted a New Technology Add on Payment of up to&nb...
Source: The Health Care Blog - September 10, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Artificial Intelligence Health Tech AI Luke Oakden-Rayner Reimbursement Source Type: blogs

Keep A Breast Foundation and Carbon Health Partner on Self-Check App
Over 300,000 women in the US are expected to be diagnosed with breast cancer this year, with an estimated 12,000 of those diagnosed expected to be under the age of 40. Early detection is pivotal to ensuring a high likelihood of survival, which is why...
Source: Medgadget - September 8, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Exclusive Informatics Medicine Ob/Gyn Oncology Radiology Source Type: blogs