Ashish Jha on the End of the COVID-19 Public Health Emergency

29 days ago Medpage Today

In this video, Jeremy Faust, MD, editor-in-chief of MedPage Today, and Ashish Jha, MD, MPH, the White House COVID-19 Response Coordinator for the Biden administration, discuss the end of the COVID-19 public health emergency (PHE) in May and what that means for the future. Faust: Let's talk about the end of the public health emergency. So let me be very, very clear: the public health emergency has nothing to do with access to free vaccines and treatments. The public health emergency is a set of tools we often call "flexibilities" that health systems and others have around how they deliver healthcare. We did it for the public health emergency, and we realized that actually, that is great.
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My Patients Are My Heroes

I knew, however, that amongst all the commotion in my brain and body, I had to refocus to provide care to the patients I was responsible for. Once you turn that doorknob on a patient room, your personal life takes a back burner, and the patient is your top priority. The day my daughter started day care and cried relentlessly at drop-off. However, I knew that I owed it to my patients to show up and give them the care they deserve. But I am also here to say that my patients have been my heroes in the last few weeks.

5 months ago Medpage Today

Time for Changes at the FDA, Expert Group Says

And that's atop the agency's burden of regulatory work across a large group of industries, she added. "However, at the end of the day, it's clear that there needs to be a truly independent FDA." Panelist John Powers, MD, of George Washington University School of Medicine, who is also part of the working group, emphasized the need for more transparency in these accelerated approvals. Fellow working group member Susan Molchan, MD, of Walter Reed National Military Medical Center in Bethesda, Maryland, noted that the way the FDA describes its processes and it designations can have far-reaching implications. The wide range of recommended changes will have to be enacted by an equally broad-based coalition, they added.

5 months ago Medpage Today

Fluticasone Delivery System Reduced Exacerbations of Chronic Rhinosinusitis

WASHINGTON -- Use of an exhalation delivery system with fluticasone (EDS-FLU; Xhance) significantly reduced acute exacerbations of chronic rhinosinusitis, which may drive down the need for antibiotics, an analysis of two randomized controlled trials showed. "The exhalation delivery system with fluticasone is the first and only medication shown in randomized controlled trials to significantly reduce acute exacerbations of chronic rhinosinusitis, offering the potential to improve antibiotic stewardship by substantially reducing one of the most common drivers of outpatient antibiotic use," he concluded. In the ReOpen 1 and ReOpen 2 trials, patients with chronic rhinosinusitis were randomized to the lower dose of the EDS-FLU, the higher dose of the EDS-FLU, or placebo. He now uses the device in patients who have nasal polyps, a fraction of the group with chronic rhinosinusitis. Primary Source IDWeek Source Reference: Mahmoud R, et al "Exhalation delivery system with fluticasone significantly reduces acute exacerbations and associated antibiotic use in chronic rhinosinusitis" IDWeek 2022.

5 months ago Medpage Today

ECMO May Come With Mental Health Costs

"This finding corroborates results of previous studies that showed pre-ICU health status was the most important prognostic factor for mental health outcomes after ICU care, and even suicide," they wrote. "This suggests that ECMO treatment might be an extra trigger for mental problems in patients who already are vulnerable to mental health conditions." The groups were matched for characteristics including age, sex, mental health history, critical illness severity, and hospital length of stay. Of the 642 ECMO survivors, 37% were diagnosed with a new mental health condition. Fernando and colleagues acknowledged that their study was observational, and therefore cannot confirm a causal relationship between ECMO and downstream mental health effects.

5 months ago Medpage Today

'Rogue Nurse' Faces Murder Charges; Pediatric Bed Shortage Grows; WHO's Fatal Fungi

Flu and respiratory syncytial virus (RSV) cases continue to rise, with children making up a third of flu hospitalizations, the CDC said. (CNN)Meanwhile, the growing shortage of pediatric hospital beds is delaying care for some kids, according to a CNN analysis of HHS data. (KHN)Fossil fuel dependence continues to compound the health effects of multiple global crises, the 2022 Lancet Countdown report showed. (The Hill)Influenza A virus and RSV can fuse together to create hybrid virus particles that might better evade the human immune system, a lab study showed. Clorox has recalled some Pine-Sol cleaners due to bacteria risk, according to the Consumer Product Safety Commission.

5 months ago Medpage Today

Aging U.S. Population a Challenge for Oncologists

Urologic oncologists are not going to be immune from the demographic trends, she noted, adding that the incidence of genitourinary cancers is going to increase precipitously in older adults in the next few years. "They're worried how cancer treatment will impact their current geriatric conditions." She also advised oncologists to be mindful of ageism, and their own individual biases regarding age. "My patients have taught me a lot about what is important to them, and they do worry about their cancer," Garg said. Primary Source Society of Urologic Oncology Source Reference: Garg T "Frailty, geriatrics, and oncologic care" SUO 2022.

3 months ago Medpage Today

Hawaii Hospital Cuts Unneeded ED Psych Evals Following Police Encounters

This decline occurred even as mental health calls remained fairly steady, the nurses reported at the annual meeting of the American Psychiatric Nurses Association. According to Sondra Leiggi-Brandon, APRN-Rx, MSN, MPH, Hawaii law requires police officers to consult a professional mental health emergency worker before involuntarily transferring a person to a hospital for a psychiatric evaluation. (Queen's sees 61% of mental health evaluations in the entire state.) On one hand, "let's say somebody commits a petty crime, but there clearly is a mental health crisis. That way, we try to decriminalize mental health," said Leiggi-Brandon.

5 months ago Medpage Today

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