• Doctors supporting John Fetterman have accused his opponent, Mehmet Oz, of betraying the medical profession.
• “We are committed to doing no harm,” said Dr. Marcelle Shapiro. “It is clear that Dr. Oz breached his recognizance.”
• Oz, a Republican, promoted questionable weight loss treatments on his daytime TV show.

PHILADELPHIA, Pa. — Before he was a television star, Dr. Mehmet Oz was a renowned cardiothoracic surgeon. But at a press conference outside City Hall on Wednesday, medical professionals supporting his Democratic Senate rival accused him of betraying his responsibilities by promoting questionable treatments to his daytime audience. .

“Oz just doesn’t have the trust of real medical professionals,” Dr. Val Arkoosh, who briefly sought the Democratic Senate nomination, told reporters at the event, hosted by Lt. -Pennsylvania Governor John Fetterman.

Arkoosh singled out Oz’s promotion of hydroxychloroquine as a treatment for COVID-19, despite studies showing it’s not effective; the FDA has warned against its use for the coronavirus, citing reports of kidney damage and liver failure. She also pointed to the Oz campaign’s attacks on the Democratic nominee.

Fetterman suffered a stroke in May, just before winning the Democratic primary, and has been recovering at home for three months. The Oz campaign, in turn, called Fetterman a “basement bum,” citing his lack of public events. He returns to the campaign trail Friday with a rally in Erie.

“No real doctor – or any decent human being, to be honest – would ever laugh at a stroke victim recovering from that stroke the way Dr. Oz laughs at John Fetterman,” said Arkoosh. “It’s disgusting.”

Brittany Yanick, communications director for the Oz campaign, did not address the specific accusations during the press conference, but in a statement she said Oz is a “world-class surgeon, inventor, educator and author. in the domain of health”. Fetterman, she said, is a “radical liberal supporting the government’s takeover of health care.”

As Insider previously reported, Oz — which won the Republican Senate nomination after being endorsed by former President Donald Trump — has used its television platform to promote a number of extraordinary but false claims. In 2012, for example, he told viewers that, according to scientists, green coffee extract was a “magical weight loss remedy for every body type.” In fact, the study he cited, which claimed that the extract reduced a consumer’s weight without the need for exercise or dietary changes, was retracted.

A study published by the British Medical Journal found that more than half of the medical recommendations Oz made on his TV show were either unsupported by evidence or actively contradicted by it. A 2015 letter signed by 10 doctors at Columbia University, where Oz is a lecturer, accused him of promoting “quackery treatments and cures.”

At the press conference, Dr. Marcelle Shapiro, vice chair of the Medical Alumni Advisory Council at the University of Pennsylvania’s Perelman School of Medicine – which Oz attended – noted that when the Republican candidate appeared before a Senate committee in 2014, “he received a bipartisan rebuke for misleading claims.”

His record, Shapiro argued, is disqualifying.

“As physicians, we pledge to do no harm as part of our Hippocratic oath,” she said. “It is clear that Dr. Oz breached his recognizance.”

Dr. Lisa Perriera, chief medical director of Women’s Centers, which provides abortion care, said Oz’s opposition to Roe v. Wade was a dealbreaker. Since the Supreme Court overturned the decision, Perriera said, she has been inundated with overseas patients seeking care in the Commonwealth, where it remains legal.

“If Dr. Oz were elected, he would only make it harder for my patients to fight,” she said.

Do you have a topical tip? Email this reporter: [email protected]

A Department of Health and Medical Services survey of nurses in Lautoka and Labasa indicated that the majority preferred 12-hour shifts because they had more continuous days off.

The Permanent Secretary of the Ministry of Health, Dr James Fong, made the comment when responding to claims made by the leader of the National Federation Party, Prof Biman Prasad, and said that the exodus of medical personnel was a global problem. and not specific to Fiji.

Prof Prasad said 25 nurses have resigned in the last two months and in the first six months of this year 50 mostly young doctors have applied to the Fiji College of General Practitioners to join general medicine whereas normally, in one year, it is on average only five to six doctors.

He said one of the reasons this happened was because nurses and doctors were scheduled to work 12 hours per shift instead of the normal eight hours.

However, Dr. Fong said otherwise.

He said there were staffing shortages that were forcing some health workers to stay on the job longer.

“I’m glad we have overtime pay and compensatory time off that helps alleviate that,” he said.

Dr Fong also clarified that there are currently eight operating theaters working at CWM and the reason there are a lot of emergency surgeries is because of the backlog.

“The backlog in normative services is linked to the prolonged closure of normative functions.

“I know that clinicians have followed those on the backlog for surgeries, however, I understand that in some cases our communication intentions have been less than ideal.

“Clinicians are working to continue to improve in this area. Although we would like to believe that the effects of the pandemic are over, the only thing we have mitigated are the effects of acute illnesses. »

On the issue of the exodus of doctors and nurses, Dr Fong said Australia, New Zealand, the United States and many developed countries have reported shortages related to the exodus of medical personnel.

“The key factor is underlying or impending burnout.

“So many medical staff around the world will be moving towards what they perceive as greener pastures and/or less stressful working conditions.

“A particular survey in the United States, published by Elsevier Health, predicts that up to 75% of healthcare workers will leave the healthcare profession by 2025.

“The same study discusses factors related to burnout such as work-life balance and finding caring for families too stressful.

“This exodus to developed countries means that many of our healthcare workers are finding vacancies abroad which allow them new experiences and the Department of Health and Medical Services, as well as our Minister, always wishes them well. luck in their endeavors.”

Dr. Fong also said the move of doctors to private practice was good for the ministry.

Łódź, Poland – With one last hammer blow, U.S. Army Brig. General Clinton Murray affixed the U.S. Army Europe and Africa emblem to the wooden patch panel at the Polish Military Medicine Training Center in Łódź, Poland on July 27. This act emphasized the deepening of the collaboration between the military medical teams of the two allies. Earlier in the morning, US Army Europe and Africa Command Surgeon Murray and Polish Surgeon General Dr. Aurelia Ostrowska signed a historic Memorandum of Understanding on Combat Medicine Interoperability.

The MOA on Combat Medicine Interoperability establishes the scope, principles and procedures for combat medicine professionals from both countries to conduct bilateral training activities at two of Poland’s main military medicine facilities: the Military Medical Training Center in Łódź and the Military Medical Institute in Warsaw. The goal is to enable U.S. troops stationed in Poland to conduct collaborative training at these facilities with their Polish partners to enhance cooperation and gain confidence when operating as part of multinational teams.

Asked about the importance of the MOA, Murray replied, “As a medical officer, you work in two professions. One is a profession of arms and the other is a profession of medicine. In a place like Poland, you always balance the two. What is unique is that both professions serve in a way that goes beyond our country and ourselves. Having a servant leadership approach to combat medicine creates an essential balance with great partners like the Polish military medical team. It is a very exciting and humbling event.

Interoperability is key to the US Army’s vision for Europe and Africa. MOA marks a milestone in combat medicine training and supports continued interoperability with Polish allies. The resulting training opportunities will enable U.S. and Polish forces to routinely act together cohesively, effectively, and efficiently to achieve tactical, operational, and strategic objectives in support of maneuver operations.

Polish Colonel Zygmunt Glogowski, chief of plans at the Department of Military Medicine of the Ministry of Defense, described his views on Polish-American military medical relations.

“The most beneficial way to build our ties and cooperation is to understand how we can cooperate better together in the future.” said Glogowski. “I’m really proud that American medical leaders have visited our country. I deeply believe that this will open a new chapter in our cooperation for medical services.

Following the signing of the MOU, senior Polish and U.S. leaders attended MILITARY DOCTOR 22 Distinguished Visitors Day. MILITARY DOCTOR is Poland’s premier annual military field medical training exercise that functions as the l basic training event for their graduating military medical cadets. The eight-day exercise consists of combat medicine pathways from the point of injury, evacuation and treatment at field medical units (Role 1 and 2 facilities). This year, 16 U.S. soldiers from the 30th Medical Brigade, 4th Security Force Assistance Brigade, and 7th Army Training Command supported the event as guest observers and trainers. This was the third consecutive year that U.S. Army units in Europe and Africa have supported Exercise MILITARY DOCTOR.

News – PARK RIDGE, Ill. (AANA)—Leaders of the American Association of Nurse Anesthesiology (AANA) congratulated Shereef Elnahal, MD, on his confirmation as the U.S. Department of Veterans Affairs (VA) Undersecretary of Health and pledged the continued support of the ‘AANA at the VA to ensure that the nation’s veterans receive prompt, expert, and quality care.

In an Aug. 1 letter to the Undersecretary, AANA CEO Bill Bruce, MBA, CAE, emphasized the critical role that Certified Registered Nurse Anesthetists (CRNAs) play in the VA healthcare system. Bruce requested a meeting with the new Undersecretary to continue AANA’s discussions with the agency on the need to permanently expand the full practice authority under the CRNA license to provide medical services. anesthesia to veterans in every state.

Standardizing the most effective anesthesia care delivery models across the country will help ensure veterans receive safe, high-quality care at all VHA facilities, Bruce said. “VHA’s failure to utilize the safest and most effective models of care is causing our veterans to wait too long for the critical care they have earned and deserve.”

“Nurse anesthesiologists are experienced and highly trained anesthesiologists who provide high quality patient care, demonstrated by evidence from decades of scientific research,” Bruce wrote. “More than 1,000 CRNAs are available in the VHA to provide all types of anesthesia care as well as chronic pain management services to veterans.”

“We appreciate the work the agency has already done to protect our country’s veterans, especially during the [COVID-19] public health emergency,” Bruce wrote. The public health emergency “showed the urgent need for healthcare professionals to care for patients and also underscores the important role that CRNAs play in our healthcare system, especially when barriers to workforce practice work are eliminated at the state and federal levels,” he said. .

In April 2020, the VA issued Directive 1899, which allowed medical professionals, including CRNAs, to practice and operate at the peak of their training and state scope of practice. The following fall, the VA issued an interim final rule confirming that VA medical professionals, including CRNAs, may practice within the scope and requirements of their VA employment, notwithstanding any state licensing, registration, certification or other requirements that unduly interfere. with their practice. The regulations also confirm the authority of the VA to establish national standards of practice for healthcare professionals, which will standardize the practice of a healthcare professional at all VA medical facilities.

CRNAs are the primary providers of anesthesia for US military personnel. The ability of CRNAs to provide high quality care, even under the most difficult of circumstances, has been recognized by all branches of the U.S. military. CRNAs have full practice authority in the Army, Navy, and Air Force and are the primary provider of anesthesia in forward surgical teams and in combat support hospitals, where 90% of surgical teams advances are made up of CRNAs.

“We appreciate the recognition by the VA and VHA of the skills and value of CRNAs to healthcare, including the work on Directive 1899 which emphasized the importance of allowing CRNAs to practice to the fullest extent of their training,” Bruce said.

“We strongly applaud the VHA’s decision to remove barriers to care for our country’s veterans, including encouraging facilities to implement full practice authority for CRNAs, to enable them to practice at the top of their scope and training. This decision has allowed the VHA greater flexibility to care for our veterans, in a more efficient and cost-effective way that increases access to care,” he wrote. “Our country’s veterans deserve access to timely, cost-effective, high-quality care within the VA health care system. Removing unnecessary oversight and permanently implementing FPA for CRNAs will improve excellence in healthcare and practice by increasing veterans’ access to safe, high-quality healthcare personnel in the GO.

GLENVIEW, IL — A local cardiologist is not only making a difference in the lives of his Northwestern Medicine patients, but the Glenview resident is also giving medical students the chance to get first-hand experience before they even get their University diploma.

Micah Eimer, cardiologist and medical director of Northwestern Medicine’s Glenview, Evanston and Deerfield Ambulatory Centers, helped turn a summer internship program into a destination for students in need of on-the-job training.

Under the program, students from the United States, Canada, and Puerto Rico are assigned a clinical ward where they work and report to a physician as well as a program administrator. Once a week they rotate to observe a different specialty as part of the unique learning opportunity.

“We strive to offer a mix of academic work and observation, and are pleased to offer those dedicated students who have already shown a passion for medicine an 8-week paid opportunity to work with some of the greatest medical experts,” Eimer, a Glenview native, said in a news release.

“What I realize now is how much of an impact this is also having on doctors, who have a moment to step back from their busy schedules and professional demands, and take the time to provide advice. and inspiration to a young adult who has shown a passion for the study of medicine.”

Students from 21 schools have been accepted into the internship program, which has tripled since its inception. However, due to the influx of applicants who wanted to participate, only 4% of applicants were accepted for the internship.

In addition to the direct work experience students receive, the program also offers a weekly lecture series. The students recently met and had lunch with John Bluford of South Carolina, who spoke about his lessons learned as health system CEO and provided advice on leadership and equity, officials said.

Since this year, 143 pre-med students have completed the program, many of whom are now in medical school. The current class is 51 students, who have the opportunity to shadow and learn from more than 45 leading physicians at Northwestern Memorial Hospital in Chicago, in the northern suburbs of Northwestern Medicine Lake Forest Hospital, and Northwestern Medicine Outpatient Centers in Glenview and Gurnee; Northwestern Medicine Palos Hospital in Palos Heights and Northwestern Medicine Central DuPage Hospital in Winfield.

Jyoti Patel, MD, oncology at Northwestern Memorial Hospital, appreciated the mentorship of Shreyas Menon, a rising junior at Northwestern University, and Mason Hewlett, a rising junior at the University of Kentucky.

“Shreyas and Mason’s mentorship has given me the opportunity to not only teach what I’ve learned, but it’s given me a new appreciation for what I do,” Patel said. “The program is excellent and so rejuvenating for me personally. Seeing the curiosity and wonder of students at the intersection of patient care and science reminds us why we love our profession so much.”

More information about the internship program can be found here.

The Ateneo de Manila University shooter was handed over to a Bureau of Prisons Management and Penology (BJMP) facility in Quezon City, the Philippine National Police (PNP) said on Sunday.

Dr. Chao-Tiao Yumol will be held at the office premises in Quezon City Police District (QCPD) Chief Payatas. said General Remus Medina.

Yumol was transferred to Payatas prison on Saturday.

He will be arraigned this week on three counts of murder; a frustrated murder boss; car theft, illegal possession of firearms and malicious mischief.

No bail has been recommended for the murder charges. Bail of 200,000 pesos was recommended for the frustrated murder charge.

Yumol shot and killed former Lamitan, Basilan Mayor Rosita Furigay, his aide Victor George Capistrano and campus security guard Jeneven Bandiala last week.

Medina said Yumol had a personal grudge against Furigay.

The Furigays filed 76 cyberdefamation cases against Yumol, leaving the suspect unable to practice his medical profession.

Meanwhile, the remains of the former mayor arrived in her hometown on Sunday, a week after she was shot dead on the campus of Ateneo de Manila University in Quezon City.

The wooden coffin carrying his remains arrived in Calugusan, Lamitan Town around 8 a.m.

Her husband, the Mayor of Lamitan, Roderick Furigay, took the remains of the ex-mayor to their home in Barangay Malinis.

Fulfilling both an educational and medical role, Boston University School of Medicine and Boston Medical Center, BU’s primary teaching hospital, have hired Anthony “Tony” Hollenberg as the new chairman of MED’s Department of Medicine and Chief Medical Officer and Chief Medical Officer of BMC. Hollenberg, an endocrinologist who will also be a John Wade professor at MED, will arrive in the fall, replacing David Coleman, who announced his intention to retire in 2021.

“It’s clear that BMC’s mission is even bigger now,” Hollenberg said. UB today, a reference to the impact of Covid-19 on society. “We learned during the pandemic that people from underrepresented populations or with limited access to health care experienced greater illness and higher death rates, especially during the early stages of the pandemic.”

He described the pandemic as “an MRI of our health care system” because of how it exposed inequities in health care delivery. BMC, together with BU Academic Excellence, is poised to lead efforts to improve our health care system in Boston and across the country.

Hollenberg is currently chairman of the Joan and Sanford I. Weill Department of Medicine at Weill Cornell Medicine and chief medical officer of New York-Presbyterian/Weill Cornell Medical Center in New York City. Previously, he was Chief of the Division of Endocrinology, Diabetes, and Metabolism and Vice President of Mentoring at Beth Israel Deaconess Medical Center (BIDMC) and Professor of Medicine at Harvard Medical School.

A Toronto native (he admits he’s a Blue Jays fan but also loves the Bruins) and a leading physician-scientist specializing in endocrinology, Hollenberg completed his residency in internal medicine at BIDMC, followed by a clinical and research fellowship in Massachusetts. General Hospital. His work focuses on thyroid disorders, specifically studying the physiological and molecular mechanisms by which thyroid hormones regulate metabolism, including body weight.

His laboratory explored the foundations of thyroid gland development; he has published nearly 100 original studies.

In a joint memo, Karen Antman, Dean of MED and Provost of the Medical Campus, and Kate Walsh, President and CEO of BMC, wrote of Hollenberg: “Under her leadership, the department will cultivate and attract top talent. in academic medicine and research while also nurturing and mentoring emerging talent, advancing our core missions and further raising the national profile of BUSM/BMC.

Mentoring, Hollenberg said, is an important part of his role that he looks forward to. “Medical students are only better these days,” he says. “They know the world we live in better and are determined to have a greater impact. We need to train them to be extremely good at what they do and then to have an impact on society.

When Hollenberg spoke at Weill Cornell Medicine’s annual white coat ceremony last year, he talked about what it means to be a doctor in today’s trying times. “Donning the coat is a privilege, and with it comes great responsibility,” he said. “Indeed, the importance of the education you begin or the career you embark on cannot be overstated. It is a career and a profession steeped in tradition, but welcoming change based on new science, understanding the mistakes and inequalities of the past, and seeking innovations that will challenge and meet the needs unsatisfied doctors.

The air conditioning in the rooms affects the eyes, making them drier than normal

Cases of allergic conjunctivitis have increased in the United Arab Emirates in various age groups, with children under 15 being the most affected, ophthalmologists said on Wednesday.

It comes as many residents complain of red, itchy and teary eyes, which seems to indicate the condition.

“There is an increase in the number of patients during the summer, either with acute allergic conjunctivitis or with recurrent or chronic allergic conjunctivitis with relapse of allergic conjunctivitis, especially with adenovirus conjunctivitis,” explains Dr. Haitham Abdul Hafez Moued, consultant in ophthalmology and head of the department. , Burjeel Day Surgery Center, Reem Island, Abu Dhabi.

Photo provided

He adds: “There are different types of conjunctivitis: seasonal which is related to weather conditions and vernal conjunctivitis which affects children between 5 and 15 years old.

The weather conditions in the United Arab Emirates affect the eyes in several ways, they say. “During the summer, most people tend to stay indoors. Being in air-conditioned rooms lets the eye become drier than normal. This is because the humidity inside air-conditioned rooms is low. As a result, the eyes are not hydrated and the tear film which constitutes three layers (mucus, lipids and water) is deficient and thins. But when we go out, it’s hot, windy and dusty. These environmental factors would affect the eyes more, making the tear film thinner and deficient,” says Dr. Vikram Mohindra, Ophthalmology Specialist, Aster Hospital, Mankhool, Dubai.

Photo provided

Once that happens, the dust particles can then easily come into contact with the eyes, doctors explain.

He adds: “The thinner tear film couldn’t wash them out of their eyes. It’s not just dust, but it can be pollen grains, sand, or any particle. Trees and flowers contain organic dust particles – these can cause allergies in dry eyes.

Air conditioners, furniture harbor allergens

Apparently, poorly maintained air conditioners and household dust on upholstered furniture are also places where these allergens can exist for a long time.

Photo provided

Dr Mandeep Lamba, Ophthalmology Specialist and Head of Retina Services at Prime Hospital, says: “Since allergic conjunctivitis is a response of the conjunctiva (an exposed part of the eye) to any allergen , one of the most common factors is dust mites, sand, pollens, grass, among others.It could also be associated with nasal allergies and sinusitis.It mainly occurs in spring and summer. High humidity during the summer months is an aggravating factor.

Therefore, medical professionals stress that affected individuals should ideally be able to recognize the source of allergens and the time of allergy within a year.

Lamba adds, “A thorough cleaning of the house and work space around this time helps a lot. Consult an ophthalmologist and rule out other associated causes such as dry eye syndrome and meibomian gland disease. An eye doctor may also prescribe prophylactic eye drops to be used once daily to prevent symptoms from worsening.

Besides replacing items that contain allergens, such as pillows and rugs, doctors suggest other simple solutions to prevent illness.

Dr Mohindra explains: “We have to make sure the tear film is robust. One measure is to blink. Frequent blinking is important because it would wipe away dust and increase the tear film.

“Increasing screen time also causes dryness in the eye as the blink rate decreases, so it’s important to blink frequently.

He adds, “Another important factor is keeping our bodies hydrated. Body hydration affects eye hydration. We must therefore hydrate ourselves adequately. Drink more water and no soft drinks or caffeine.

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County, local and Rowan University officials gathered July 21 to celebrate the historic opening of the Sewell Campus of the School of Osteopathic Medicine (SOM). After remarks to a gathered crowd of students, staff, faculty and special guests, officials welcomed the first class of 72 medical students to the new campus with a traditional ribbon-cutting ceremony. Located on the campus of Rowan College of South Jersey (RCSJ), the new Sewell campus represents SOM’s largest expansion since the medical school opened 45 years ago.

In his opening remarks, Dr. Thomas Cavalieri, Dean of the School of Osteopathic Medicine, congratulated the students and thanked those involved for their continued partnership, including RCJS President Dr. Fred Keating, County Commissioners of Gloucester and board members.

“This is a true team effort, involving individuals from our university and our partner organizations,” said Dr. Cavalieri. “Today, we not only celebrate the start of our students’ medical careers, but also the start of expanded access to health care for thousands of South Jersey residents.”

It marks the first time in New Jersey history that a four-year medical school has been located on the campus of a community college. This extraordinary collaboration between Rowan, RCSJ and local and county officials provides unprecedented educational opportunities for New Jersey residents. In addition to SOM medical students, other allied health students will be able to gain valuable clinical experience at the Rowan Medicine offices.

“Too often people dismiss an idea, saying it can’t or shouldn’t be done, just because it’s never been done before,” said former New Jersey Senate President Steve Sweeney. “We are here today to celebrate what can be accomplished when parties come together, find their mutual interests and resolve to work together to accomplish something for the benefit of others.” Sweeney currently chairs the Steve Sweeney Center for Public Policy at Rowan University.

The Sewell location complements a “one school, two campuses” vision for SOM. Located on the second floor of the 56,454 square foot Rowan Medicine Building, SOM’s new medical school includes classrooms, library, problem-based learning and lecture rooms, wet lab, manipulative medicine lab osteopath and administrative offices. Teaching students in the first two years will be through SOM’s innovative problem-based learning program, followed by two years of clinical skills training, often delivered at Rowan Medicine’s clinical offices in the first floor of the building.

The new SOM campus continues the school’s historic growth over the past decade as it rises to help address the country’s doctor shortage challenge and expand access to health care. health and health care education in South Jersey.

“This is truly the start of a new era in opportunity and access,” said Rowan University President Dr. Ali Houshmand. “You took an idea and created a legacy. As we continue to grow through our new partnership with Virtua Health, we can see beyond the horizon a new era in healthcare, research and discovery.

A powerful new partnership

With its growing student body, rich research component, and many highly valued affiliations with New Jersey hospital systems, SOM is quickly earning a reputation as the premier school of osteopathic medicine in the nation. This reputation was greatly reinforced in January of this year with the announcement of a historic partnership between Rowan and Virtua Health to advance patient care and train the workforce of tomorrow.

Backed by a generous investment from Virtua Health, South Jersey’s largest healthcare system, Rowan University’s new Virtua Health College of Medicine and Health Sciences encompasses SOM; the Virtua Health School of Nursing and Health Professions; the new School of Engineering and Translational Biomedical Sciences; several research institutes; and aligned clinical practices.

About Rowan University:
Rowan University is ranked among the top 100 public research institutions in the nation. Over the past decade, the University has rapidly transformed into a research-intensive doctoral university with more than 23,000 students, program offerings on eight campuses, and partnerships with health systems across the south. of Jersey. Focused on access, quality, affordability and economic development, Rowan is one of only three institutions in the country to offer both MD and DO medical degree programs and recently established a School of Professions nurses and health. Learn more: rowan.edu.

WASHINGTON — U.S. Senators Kevin Cramer (R-ND), Martin Heinrich (D-NM), and Roger Wicker (R-MS) sent a bipartisan, bicameral letter urging the acting director of the National Institute of Health (NIH), the Dr. Lawrence A. Tabak to expand funding opportunities for research in osteopathic medicine. Osteopathic physicians have expertise in the musculoskeletal system and receive additional training in Osteopathic Manipulative Treatment (OMT), a hands-on technique and non-pharmacological solution to pain management. This type of treatment can serve as a non-addictive alternative to opioids. Increasing this focus at NIH would help address health disparities in rural and medically underserved populations and advance research in primary care, prevention, and treatment. It also helps address the nation’s doctor shortage — 58% of osteopathic medical schools are located in states with a shortage of medical professionals, including New Mexico, Mississippi, and Nevada.

“We are concerned about the historical disparity in NIH funding and representation for
[Colleges of Osteopathic Medicine (COMs)]”, write the senators.

Osteopathy is the fastest growing medical field in the country, and 38 osteopathic medical schools nationwide currently train nearly 34,000 doctors, or 25% of all American medical students. Unfortunately, osteopathic medical schools receive only 0.1% of NIH grants, compared to 40% for allopathic schools.

In the letter, lawmakers outlined critical steps for NIH to increase research funding for COMs. This includes tips for:

• Establish a structured partnership with the osteopathic medical education community, including the American Association of Colleges of Osteopathic Medicine (AACOM), which creates and executes a plan to increase NIH funding for COMs.
• Establish a program to incentivize COM Principal Investigators.
• Consider funding opportunities for research projects that integrate osteopathic philosophy and OMT.
• Increase representation of the osteopathic profession on NIH National Advisory Boards and Study Screeners.

“We encourage you and NIH leadership to meet with relevant stakeholders to discuss the issues outlined in this letter. We thank you for your attention to this important issue and we look forward to hearing more about your efforts to advance funding and advocacy opportunities for osteopathic medicine,” conclude the senators.

The lawmakers’ letter is supported by the American Association of Colleges of Osteopathic Medicine (AACOM).

“For decades, the NIH has overlooked the world-class research conducted at colleges of osteopathic medicine,” said Dr. Robert A. Cain, President and CEO of AACOM.
“Increasing funding for osteopathic medical research will help our country in its efforts to address health disparities in rural and underserved populations, allow us to better understand the COVID-19 pandemic, and advance the quality of treatment in primary care and beyond.”

Alongside Senators Cramer, Wicker and Heinrich are Senators John Boozman (R-AR), Sherrod Brown (D-OH), Mark Kelly (D-AZ) Cindy Hyde-Smith (R-MS), James Inhofe (R -OK), James Lankford (R-OK) and Ben Ray Luján (D-NM).

Click here to read the letter.

Well into the third year of the coronavirus disease 2019 (COVID-19) pandemic, new vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continue to be developed. However, many groups and individuals remain hesitant about vaccinating against COVID-19, including pregnant women who are at high risk of severe disease and adverse pregnancy outcomes.

A new Women’s Health Reports The study examines pregnant women’s feelings toward the COVID-19 vaccine based on a survey conducted at a single regional center in New York City.

Study: Cross-sectional survey of the opinions of high-risk pregnant women on vaccination against COVID-19. Image Credit: Andrey_Popov / Shutterstock.com

Introduction

The COVID-19 pandemic has resulted in widespread and crippling waves of illness around the world. This triggered the implementation of quarantine measures which halted travel, business, education and social interaction.

The resulting disruption of global life has led many pharmaceutical companies to make intensive efforts to develop safe and effective vaccines against SARS-CoV-2. The first type of COVID-19 vaccine to be approved was based on the messenger ribonucleic acid (mRNA) platform. Since then, several billion doses of mRNA vaccines have been administered worldwide.

Pregnant women were not included in clinical trials of mRNA vaccines and were initially reluctant to receive these vaccines for fear of their impact on their health and that of their babies. This fear has been cited, even though COVID-19 during pregnancy is associated with an increased risk of severe illness, mechanical ventilation and death compared to non-pregnant women.

Pregnant women who were at high risk for COVID-19, such as frontline medical staff and other workers, received COVID-19 vaccines early in the pandemic. Observational studies have shown that no harm was done to the mother or the fetus as a result of these vaccinations.

This success has been referenced by many professional societies and public health agencies like the US Centers for Disease Control and Prevention (CDC) to demonstrate that COVID-19 mRNA vaccines are safe in pregnancy.

Despite recommendations from these organizations, including the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal Fetal Medicine (SMFM), and the CDC, social media pressure and a lack of clinical trial data have led to many pregnant women still resist vaccination.

Study results

About 160 women participated in the current study, of whom only about 33% had received the vaccine. Of those who had not yet been vaccinated against COVID-19, most cited lack of information about the vaccine used during pregnancy as a reason for their unvaccinated status and feared adverse effects.

More than 50% of study participants said they felt the vaccine platform was too new for them to trust its safety. About a third did not trust the benevolent intentions of the government in recommending widespread vaccination.

There was a weak positive trend with education level, with those who had completed less than eight years of formal schooling being half as likely to be vaccinated. The differences in the other groups, from those who completed the ninth grade to the baccalaureate, were not significant.

Bayesian hierarchical logistic regression.

Other factors didn’t seem to play a major role in the decision, including race, type of residence, occupation, marital status, type of insurance, and drug use. The woman’s body habitus, the number of living children or the term of the pregnancy also had no significant difference on the decision to be vaccinated.

A history of influenza or tetanus-diphtheria pertussis (Tdap) vaccination also did not show a correlation with COVID-19 acceptance rates. Interestingly, only one-third of patients who received COVID-19 vaccines had taken the Tdap vaccine, whereas two-thirds of unvaccinated women had received this vaccine, although this difference did not reach statistical significance.

Among study participants with high-risk factors such as hypertension, heart disease, asthma, diabetes mellitus, cancer, chronic kidney disease, and developmental disabilities, only diabetes was associated with a 30% higher probability of vaccination against COVID-19.

Overall, women said they would rather learn about the vaccine from their doctor than from brochures, videos, websites or social media. This response was referenced by half of unvaccinated women versus 60% of vaccinated women. The least popular choice was a short recorded video or a webinar and was selected by 10% or less of both groups.

Consequences

Vaccination rates for pregnant women remain low. It seems that the lack of reliable data regarding the safety of current COVID-19 vaccines in pregnancy is the main obstacle.

The disconnect between influenza and Tdap vaccination and COVID-19 vaccination status during pregnancy belies assumptions that hesitancy about COVID-19 vaccination reflects a negative view of vaccines in general. The importance of discussing the COVID-19 vaccine with patients during elective antenatal visits is evident given the confidence expressed by women in obtaining information about this vaccine from their physicians.

Perhaps the slightly higher vaccination rate among pregnant women with diabetes is due to their increased frequency of interaction with their health care providers, through which they may have gained a positive opinion of the vaccine through a increased information.

Further research could involve providing more clinic visits and assessing any changes in willingness to vaccinate afterwards.

Opinions on COVID-19 vaccination are dynamic throughout the natural history of the pandemic and future studies may be useful to reassess changing patient opinions.”

A rare, but often deadly, hazard lurks in freshwater ponds, rivers and lakes across the United States ⁠ — and experts say recreational swimmers need to be aware.

In early July, Iowa officials announced the closure of a beach at its Lake of Three Fires state park after a Missouri resident contracted Naegleria fowleri, also known as the “eating amoeba of brain”, after having swum there at the end of June.

The person died of a rare and usually fatal brain disease caused by Naegleria fowleri called primary amoebic meningoencephalitis, or PAM, Lisa Cox, spokeswoman for the Missouri Department of Health and Senior Services, said at USA TODAY.

Specific diagnostic tests for the amoeba are available in only a few laboratories in the United States, and infections are so rare and difficult to detect initially that 75% of diagnoses are made after death, according to the Centers for Disease Control and Prevention. Amoeba infects a person through water through the nose.

After one person in California survived in 1978, reported cases were fatal for 35 years until three children beat the infection in the past decade, according to the CDC:

Here’s what you need to know about Naegleria fowleri.

What is Naegleria fowleri?

Naegleria fowleri is the only Naegleria species that infects humans and has a 97% mortality rate, according to the CDC. Amoeba is usually found in soil and warm or warm freshwater, such as lakes, rivers, ponds, and hot springs. It can also live in poorly chlorinated water heaters or swimming pools, according to the CDC.

The amoeba thrives in temperatures as high as 114.4 degrees Fahrenheit, said Paul Rega, retired assistant professor at the University of Toledo in public health, disease prevention and emergency medicine.

“Naegleria fowleri is ubiquitous; it is found in both fresh waters and soils on six of the seven continents,” he said. Rega added that people can also get it from contaminated water on water slides or during artificial white-water rafting and water skiing.

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The amoeba is not found in salt water, according to the CDC. “Salt dehydrates cells, so it’s like a natural disinfection system,” said Christopher A. Rice, associate scientist and director of the Center for Drug Discovery at the University of Georgia College of Pharmacy.

What is the impact of climate change on the spread of Naegleria fowleri?

Naegleria fowleri is often found in freshwater in southern states like Texas and Florida, two states where the CDC reported 76 cases of MPA between 1962 and 2021. These cases make up the bulk of reported cases of Naegleria fowleri in the states. -United.

With 10 cases over a period of nearly 50 years, California had the third highest frequency of reported cases. CDC data shows that during this period, 154 cases of amoebas were reported. All but four were fatal.

Recent cases have been reported as far north as Minnesota and Iowa as climate change increases freshwater temperatures in northern states, Rega research shows.

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“The incidence will increase not only because more people could be exposed, but also because it will not be diagnosed in a timely manner due to the naivety of the health profession in many parts of the country,” a- he added.

How does Naegleria fowleri kill quickly?

Naegleria fowleri can make its own nutrients, but continues to forage in soil or water to feed on bacteria, fungi, and other organisms. That’s how problems can arise for freshwater swimmers, Rice said.

If contaminated water goes up a person’s nose, the organism migrates to the brain, leading to infection with primary amoebic meningoencephalitis, he said. Rice added that misdiagnosis and mistreatment are the reason so few people survive MPA.

Naegleria fowleri is often misdiagnosed as bacterial or viral meningitis, Rice said. The diseases share early-stage PAM symptoms like vomiting, fever, and nausea. The amoeba can kill within days.

“Patients succumbed between one day after symptoms and between 13 and 15 days after symptoms,” Rice said.

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It can grow and divide in 10 hours, and therapeutics suggested by the CDC can take between three and five days after diagnosis to work, Rice said. He explained that the amoeba does not cause problems when swallowed, as stomach acid kills it.

How to avoid brain-eating amoeba infection?

The key to avoidance is keeping fresh water out of your nose, experts say. The CDC recommends assuming that any warm freshwater body in the United States contains Naegleria fowleri.

“Maybe wading through the water rather than splashing around and getting water in your nose,” Rice said. If jumping, holding the nose can help, he added.

Swimmers should avoid immersing their heads under fresh water when swimming or diving, Rega said.

“Good nasal plugs would also prevent the amoeba from entering the nose,” he said.

One thing is true about the legalization of cannabis, no matter where it happens: no one gets it right the first time and there are always lots of critics. This has been true in all US legalizing states. This is true of Canada. This will almost certainly be the case in Europe, although lawmakers here are cautious to back most advances on the legalization front in “trials”. This is also now seen in Asia as Thailand becomes the first country in the region to legalize the plant and proceeds to draft formal legislation to regulate the country’s burgeoning cannabis industry.

While Thailand may be hailed internationally as the first Asian country to embrace cannabis reform, however, the new policies are being harshly criticized in some quarters, particularly domestically, and further with flawed logic seen elsewhere. .

There are two main points of contention. The first is that critics berate the government’s decision to go ahead with cannabis reform, albeit medical in nature. The second is that the government should have moved more slowly and studied the consequences of legalization, plugging loopholes along the way.

One of the more public consequences of the country’s move to legalize cannabis this year, beyond the global publicity Thailand has received for donating a million cannabis plants or freeing its cannabis prisoners, is to launch a public relations campaign warning tourists that cannabis is not widely legal in the country.

And all this before the official bill to legalize medical use was officially passed.

Buyer’s remorse in Thailand?

Thailand may be carrying out reform a little differently than Western countries to date, but the arguments against reform seem to be remarkably similar regardless of the geography in which they occur.

The first, inevitably, comes from the established medical profession. Despite government assurances that they are implementing reforms for medical, not recreational use, Thai doctors have raised concerns familiar elsewhere. Namely that cannabis can supposedly “trigger” mental health problems. This is especially ironic given the history of the plant here. Historically, cannabis has been used in Thailand, as in other countries, for medical and religious purposes.

The second wave of criticism comes from critics who fear the change in law will damage the reputation of Thai agricultural exports. Whether this biomass will be used in animal feed. There is also considerable irony in this attack, including the existence of a recent Thai study which seems to indicate that chickens fed hemp containing up to 0.4% THC seem to need less, if not more. ‘none, antibiotics because they are bred for meat.

A global stigma remains

No matter how far cannabis reform has come over the past decade, it’s situations like the one unfolding in Thailand now that serve as a stark reminder of just how far the legalization effort still needs to go.

The good news is that Thailand’s sudden change in attitude towards cannabis is already causing other countries in the region (such as Indonesia) to re-examine their own approach to cannabis.

In other words, Thailand’s green conversion is particularly disruptive in a region that has so far resisted modern cannabis reform and still has some of the toughest anti-cannabis laws in the world. In many parts of Asia, a person can still be sentenced to life imprisonment or even the death penalty for “crimes” that are considered relatively minor cannabis-related offenses elsewhere.

The world’s largest hemp producer, China, is of course watching all of these developments closely. At the UN, the country is still lobbying against the removal of cannabis from a Schedule I drug. At home, even unauthorized possession of hemp seeds is considered a serious crime.

Be that as it may, the remarkable progress in Thailand, together with the unconventional approach to reform implementation seen here, is just another welcome sign that, regardless of criticism, the great revolution in cannabis continues, unabated, even in this part of the world.

A coalition of Los Angeles hospitals and other healthcare facilities launched a campaign on Tuesday to repeal a newly enacted ordinance raising the minimum wage for thousands of healthcare workers to $25 an hour, saying the law will have a detrimental effect on medical care across the city.

The No on the Unequal Pay Measure Coalition, a group sponsored by the California Assn. of hospitals and health systems, said he would start collecting signatures this week for a referendum to put the issue of wage increases to voters.

To qualify the referendum for the ballot, the coalition would need to collect nearly 41,000 valid signatures from Los Angeles voters within 30 days. Such a move, if successful, would prevent the wage increase from taking effect — at least until an election to determine its fate.

The coalition acted just days after Mayor Eric Garcetti signed the measure. Appearing last week at an order-signing ceremony, he said higher wages would lead to better health care, help hospitals and other facilities retain workers and reduce staff turnover. .

“It’s going to make your industry stronger,” Garcetti told workers at Service Employees International Union-United Healthcare Workers West, the union that lobbied for the wage increase.

Opponents of the wage increase strongly disagree, saying it will abruptly upend the finances of health facilities in the region and jeopardize access to health services.

At Gateways Hospital and Echo Park Mental Health Center, administrators have said they are considering cutting operations – possibly by as much as 20% – as a way to absorb rising costs. The 300-bed psychiatric facility serves a large number of people who are homeless or at risk of homelessness, hospital CEO Phil Wong said in an interview.

In Woodland Hills, the nonprofit Motion Picture and Television Fund is now seeking to cover a $1.5 million annual increase in labor costs, according to Bob Beitcher, the fund’s chief executive. This increase is currently expected to take effect in August.

Beitcher said some security guards at the 300-bed campus of the Motion Picture Fund, which provides care for seniors who have retired from the entertainment industry, would receive pay increases of 40% to 50%. Some practical nurses would see pay increases of 30% to 40%, he said.

“The only way we could absorb this is either to cut services, which is not something we would like to do, or to raise additional funds of one and a half million [dollars] per year,” he said.

The city council voted to approve the pay rise last month, boosting pay for a range of employees, including security guards, receptionists, orderlies, cleaners, gardeners., janitors and others who work in private hospitals, clinics and skilled nursing facilities that are part of these hospitals, and dialysis clinics, among other health facilities specified as part of the measure. They did so over objections from hospital leaders, who said the city hadn’t bothered to analyze the financial impact on the area’s medical system.

The SEIU-UHW initially collected more than 145,000 signatures to put the salary increase on the Nov. 8 ballot. Councilors Curren Price and Marqueece Harris-Dawson decided to act faster, pushing their colleagues to pass the measure immediately.

“Now is the time to show these workers that we see them, that we appreciate them and that we appreciate all the sacrifices” made since the outbreak of COVID-19, Price said last month, before the board votes. the first of two votes on the ordinance.

SEIU-UHW endorsed six of 15 board members in this year’s election, including Price, who just won a third term representing part of South Los Angeles. Two of them – Councilmen Mitch O’Farrell and Paul Koretz – are on the ballot on Nov. 8. (Representative Karen Bass, a mayoral candidate, also has union support.)

For weeks at City Hall, union members argued that health care companies had made huge profits while workers at the bottom struggled to pay for gas and rent – ​​sometimes turning to a second job.

Mauricio Medina, a nursing assistant who works at Southern California Hospital in Hollywood, said many of his colleagues were considering quitting and seeking better paying jobs outside of the medical profession.

“A co-worker of mine who just welcomed a new baby just got an eviction notice because he and his wife are behind on their bills,” said Medina, who lives downtown. He said he and his co-workers set up a GoFundMe to help the co-worker pay for his baby’s diapers and milk.

The union estimated the higher pay will cover about 4,500 union workers and potentially more than 10,000 non-union workers at more than 102 workplaces, including those operated by Kaiser Permanente and Cedars-Sinai Medical Center. About half of the workplaces affected by the measure would be dialysis centers, according to a representative of the SEIU-UHW.

After the hospital group launched its efforts on Tuesday to end the wage measure, SEIU-UHW spokeswoman Renée Saldaña said “greedy hospital executives have seen record pandemic windfalls, but they don’t ‘have no plan to solve the staffing crisis plaguing Los Angeles hospitals’.

“They are out of step with local voters if they think the solution is to cut the salaries of the caregivers who got us through the pandemic,” Saldaña said. “The issue that needs to be addressed is excessive executive compensation that is driving up health care costs for Angelenos.”

Hospital officials have described the order as arbitrary and unfair because it covers only a fraction of healthcare facilities, excluding county government-run hospitals, such as the Olive View-UCLA Medical Center in Sylmar. . and LAC+ USC Medical Center, and Federally Qualified Health Centers – community clinics that provide care to underserved areas or populations.

They predicted that workers in public hospitals and community clinics would likely seek high-paying jobs in private facilities, creating a talent drain for facilities operating in low-income communities.

George Greene, President and CEO of Hospital Assn. of Southern California, pushed back against the idea that area hospitals are hugely profitable. Many, he said, are “in shock” financially after 2 and a half years of battling a pandemic, he said.

“There was no analysis of what this would entail for hospitals,” Greene said.

Union officials said their measure did not cover public facilities because the city could not set rates for county and state employees. SEIU-UHW is also supporting a bill in the state legislature to raise salaries at federally qualified health centers to at least $25.

“All healthcare workers should earn a minimum wage of $25, but there are different routes to achieve this,” Saldaña said.

Private hospital workers aren’t the only workers to earn their own minimum wage in Los Angeles. Unite Here Local 11, which runs independent campaigns to elect municipal candidates, has a minimum wage of $18.86 under municipal law.

For other Los Angeles workers, the minimum wage is $16.04 per hour.

Times editor Emily Alpert Reyes contributed to this report.

Desperation, desperation and fear of patients dying in waiting rooms – doctors from all aspects of patient care say the healthcare system is beyond a crisis and they want the government to fix it recognize.

The survey, conducted by the New Zealand Women in Medicine (NZWIM) Charitable Trust, gathered more than 900 responses from doctors working in 30 different fields of medicine.

“The findings indicate that we are at risk of a catastrophic health workforce collapse,” the authors wrote in a letter to Prime Minister Jacinda Ardern, Health Ministers and Associate Health Ministers and leaders of Te Whatu Ora Health NZ on Monday. . A total of 923 doctors from GP clinics and hospitals signed their names to the letter, while survey comments were anonymized.

“So much [nurses] sick (and some of them because of burnout) that we have to close areas of the ward or work there alone without nursing support… Our triage nurses are so scared someone will die in the ward. ‘waiting – then they quit too,’ an ER doctor told the inquest.

READ MORE:
* Critically understaffed, why doesn’t New Zealand employ more foreign-trained doctors?
* Covid-19: two-thirds of doctors at the point of burnout, before the Omicron “tsunami” hit
* Covid-19: Frontline hospital workers warn patients will die without staff increases

“The system is beyond a crisis. I feel sorry for the new graduates who are entering this crisis. It will break a lot of them, ”said a chief medical officer.

Almost all 911 respondents said there was either definitely a crisis (93.5%) or probably a crisis (6.3%) in New Zealand’s healthcare workforce.

Many said they regularly consider leaving the profession due to stress and unpaid hours: “With great sadness, I am leaving the GP workforce in the next few months to retrain. I love being a GP , but his future looks bleak and I don’t see anyone in 10 or 20 years ahead of me who is happy,” said a GP.

An emergency department clerk wrote: “I have no words to describe how dreadful the labor has become. I have yet to see an article that comes even closer to the reality of what it is like to work in healthcare right now.

The problems were nothing new, said Dr Orna McGinn, a general practitioner for east Auckland and chairman of the trust, but the pandemic and winter had meant the cracks could no longer be concealed.

“We’re not afraid to work hard, but we’re beyond working harder,” McGinn said.

“Concerns have been mitigated and dismissed; a ‘lack of listening’ has led to a disconnect between decision makers and those working within the system,” she said.

At the top of the list of recommendations is a call for officials to recognize that there is a crisis.

“Public statements by political leaders that there is ‘no crisis’ in the healthcare system have seemed increasingly out of step with the experience of physicians over the past year,” McGinn said. .

“I think that until it is recognized that there is a problem, it is not possible to solve it.”

Comments from respondents revealed deep distress among clinicians. The perilous state of the nursing, midwifery and paramedical staff was constantly mentioned as a major risk for the sustainability of the health system.

McGinn said her patients with a high body mass index (BMI) waiting for surgery for endometriosis, a painful condition, faced wait times of at least three years. These women were losing their jobs because they were unable to work while in so much pain, she said.

Patients with high BMIs were typically Maori and Pasifika, which exacerbated equity concerns, she said.

McGinn said doctors can’t address the entrenched inequities the new health care system was supposed to tackle when “we can’t even do the basics.”

“There’s the moral hurt of feeling we’re failing and falling behind in our efforts to close the equity gap when we can’t even admit sick patients to hospital, let alone screening, we can’t address inequalities when we’re fighting fires,” McGinn said.

Health Minister Andrew Little has been approached for comment.

Main recommendations:

• Recognize that there is a workforce crisis with a need for immediate innovative solutions to ensure retention, recruitment and equity in all areas of healthcare.
• Create a responsive model with adequate funding for primary care.
• Integrate clinical leadership expertise into the planning and design of health services.
• Develop a workforce health, safety and wellness strategy that underpins future planning.

In the Dobbs v. Jackson Women’s Health Organization decision, the conservative justices rejected the idea that it is a basic human right for women to have power over their own bodies and ruled that state lawmakers can exercise control over some of what is actually a spectrum of reproductive health care. It’s a spectrum because all reproductive health experiences are linked, and the accessibility and safety of abortion care is key to ensuring that pregnancy, childbirth, and miscarriage can also be safe. There are not people who have children and others who have abortions; we are the same people at different times in our lives. 1

I had an abortion, a miscarriage and a full term pregnancy which ended in a caesarean section and the birth of my son. None of these health issues should be treated in isolation – I know this because I have experienced it. My medical abortion kind of prepared me for my miscarriage of a planned and wanted pregnancy, as the care for both was similar. In both cases, my uterus contracted to expel the pregnancy about six weeks after conception. Some people who miscarry have additional treatment, such as a D&C, to remove the products of conception from the uterus. I didn’t need this care, but if my uterus hadn’t been completely emptied either way, I would have been at risk for infection or sepsis. Regulating or prohibiting procedures under one condition but not the other puts us all at risk of complications or death. This is not hyperbole, as providers, fearing criminal charges, may not help patients in need of life-saving care. 2

Decades of research, including a landmark 2018 report from the National Academies of Sciences, Engineering, and Medicine, found that abortion is extremely safe. Medical abortion is even safer than Tylenol and extractions of wisdom teeth. Yet in no other similar health care facility can judges, let alone state legislators, insert their objections. The short explanation is that patriarchy, misogyny and good old fashioned racism. But the longer explanation goes back to how abortion became an issue to legislate in this country – through the medical community.3

It was not until the late 1800s that state legislatures began to pass criminal abortion laws, allowing abortions only if a doctor agreed it was necessary, not if the pregnant person simply did not want to be pregnant or had a medical reason to terminate the pregnancy. . It used to be legal to ‘bring back the rules’ before accelerating with the support of community midwives and their elders. Enter: Dr. Horatio Storer, who ushered in the century-long crusade against abortion at the American Medical Association and propelled the movement’s ideology about the beginning of “life” into the mainstream. Anti-abortion restrictions began to appear that allowed “therapeutic abortions” only if patients had the approval of their doctors and hospital boards.4

This story makes the Jane Collective in 1970s Chicago all the more remarkable. Not only has this underground feminist health care network revolutionized the delivery of safe medical care before Roe vs. Wade became the law of the land, during their operations between 1969 and 1973, but when the Janes, as they called themselves, finally began performing abortions themselves, they were able to center the needs and desires of women receiving care through the collective. When the deer decision handed down in 1973, the Janes were relieved but also skeptical about the treatment of women in clinics that had come to model themselves on the services the collective had created. The deer decision, wrote Laura Kaplan in her 1995 book on the network, “written emphatically on physicians’ rights, not women’s rights, revalidated the medical profession’s control over women’s reproductive health.”5

“Women would always be objectified as patients, removed from abortion as a life-defining experience. They would be followed by effects, not with which they would act,” Kaplan added. “Jane’s members knew the medical profession was not going to seize the opportunity to educate women. Roe vs. Wade had won the war, but the battle for decent care and respectful treatment was still far from over.6

For some time now, abortion providers have been forced to build their practices not with their patients’ needs in mind, but with medically unnecessary regulations. As we begin this new post-deer chapter, it is even more important that we recognize the crucial role that self-managed abortion will play in allowing pregnant women to control when and how they receive their abortion care. A person wishing to have an abortion can order medication for their abortion from reliable online resources such as Aid Access, which helps people access medical abortion regardless of their postcode. seven

Certainly, beyond the physical discomforts of a medical abortion, there are significant legal risks associated with SMA without the protections of deer, especially in today’s criminalized environment and how people of color and undocumented people are already targets of imprisonment. But we need to provide those who seek this care with support and accurate information about available health care. services, as well as the legal assistance services that the lawyers have in place at the moment. History shows us that abortion bans do not stop abortions; they only make care more difficult and dangerous to obtain. SMA has the potential to minimize the number of preventable deaths associated with laws that criminalize abortion. 8

Self-managed abortion is not the only solution in this post-deer environment. Clinics are essential for communities, and there are instances where an in-clinic abortion is the only option for a patient, including for those facing incomplete miscarriages, as we have seen recently in Malta. But clearly too few people are aware of the safety of medical abortion, which now accounts for more than half of all abortions in the United States, where the majority of abortions occur within the FDA-approved window. for drugs inducing abortion (up to 70 days of pregnancy). So while we donate to abortion funds and support clinics, we must also champion self-managed abortion, both in principle and in practice. 9

Induced abortions are an important part of what is a spectrum of reproductive health care. As we fight to reopen abortion clinics in every state, let us continue to advance Janes’ vision for health care, which is not based on what doctors, lawmakers or judges allow us to do with our bodies, but about what we choose to do with our bodies, while ensuring that everyone has the resources they need, no matter where and how their care happens.ten

Brookdale Community College’s Spring Nursing Class of 2022 is pinned! They enrolled in the midst of the pandemic, and throughout their studies they saw the demand for the profession increase. Some graduates always wanted to be a nurse. For others, it was a career change. Some did not have the prospect of a higher education earlier in life and have now embraced the opportunity. What binds this class is the dedication they all have to this noble calling.

“The rewards of this profession outweigh any other hurdles we might encounter,” said nursing graduate Bryanna Long as she kicked off the nursing pinning ceremony. “This group of graduates witnessed the profession through a global pandemic and still said I wanted to be part of this special profession.”

The pre-commencement pinning ceremony is distinctive to the nursing community and unlike any graduation ceremony. Not only does it mark the end of student classes, but this ceremony honors nursing graduates who will work in a career where they will have to be selfless for the good of many others. Each nursing school designs and awards its own personalized pin, connecting each graduate to the alumni before them.

Charlotte Cole, nursing educator and graduate of the Brookdale nursing class of 2006, was chosen by the class to be the guest speaker. She reflected on the College’s motto, “Here you will get there.” She shared some success stories about three of the former Brookdale nurses she had the pleasure of working with and where they are today.

Latoya Thomas graduated from Brookdale in 2014 and is an assistant instructor. She is the head of the oncology unit at Jersey Shore University Medical Center (JSUMC).

“Here Latoya is here,” Cole said.

A graduate of Brookdale with the Class of 2002, Bill Schreiber started out in housekeeping at JSUMC, then went on to earn his BSN, MSN, from Thomas Edison University and an MBA from Monmouth University. He is now the director of operations at Southern Ocean Medical Center. He accomplished all of this while having a busy family life.

“Here Bill is,” Cole said.

Thomas Ciancia is an alumni from the class of 2014. He changed careers and entered nursing after a career in construction and eventually became a nurse practitioner. As Brookdale’s newest faculty member, he said, “I came to teach to have a positive impact on health care by training the next generation of nurses.”

“Here Tom is here,” Cole said.

The spring 2022 class has 57 graduates. Each has their own unique stories, goals, and challenges. “Now you’re all nursing grads,” Cole said. “Brookdale brought you there!”

“Nursing is the hardest job you’ll ever love,” Cole said. “Nursing is cerebral, physical and emotional. You will serve some when they enter this world, and others when they leave it. You can shed tears on both. In these and other difficult times, you will remember why you became a nurse.

Director of Nursing, Patricia D’Aloia-Gandolfo, MSN, RN, CMSRN presented the Nursing Honor Society Awards to the following graduate students, Stphanie Beckerman, Vivian Eadicicco, Chelsea Fulton, Bryanna Long, Kristy Ngo, Michelle Rotunno , Laina Tollefsen , and Alyson Trione.

The farewell speech was delivered by Siobhan Nagy, a nursing graduate and member of the US Army Reserve’s 357th Chemical Company. She said: “Teamwork will be the epitome of our nursing class. When a teammate is weak, the others become their strike and practice every shift. During the clinics, we met some amazing friends. We created undeniable bonds and leaned on each other for support. Our motto was “Leave no one behind” and today our entire clinical group is here getting caught. »

DEHRADUN: Over the past six months, the Uttarakhand Medical Council (UKMC) issued notices to 41 physicians for breaching its “Professional Conduct, Etiquette and Ethics Regulations 2002” by agreeing to appear in advertisements on billboards, banners and newspapers.
The UKMC ordered these doctors to undergo up to 150 hours of “continuing medical education” to “rekindle the memory of the ethics of the medical profession”. The council also said doctors should “focus on the job and not the limelight” and that their faces in advertisements were “an embarrassment, a gross violation of the law and unethical”. The body reiterated that if doctors were caught flouting the advice and repeating the offence, legal action would be taken against them. “Board action can range from suspension to license suspension,” UKMC said.
“A single doctor claiming to treat several specialties is disturbing”
Meanwhile, TOI has learned that a major Dehradun-based hospital has been arrested by the council for such misconduct. The Uttarakhand Medical Council has made it clear that such publicity could also result in license suspension of individuals.
Speaking to TOI, a board member said: “Doctors working as employees of large facilities have been urged to take this message to their administrators. Such abusive practices are promoted by the corporate world to gain traction. ‘silver.” Dr DD Choudhury, member secretary of the UKMC’s Ethics and Disciplinary Committee, said: “A single doctor claims to treat several specialties on billboards. It’s troubling. Hospitals using photos of doctors as an advertising and marketing tool are unacceptable according to the ethics of Indian Medical Council. A person’s diploma and specialties are enough to transmit their skills. Physicians are advised not to use their photos in advertisements.”

July 1, 2022 – Aron Sousa, MD

Friends,

With the arrival of summer, I hope people will take the opportunity to take some time off from work to enjoy the season. For the past two weeks, my family and I have taken time off to be in the Pacific Northwest because Michigan wasn’t cloudy enough for us this winter. I’m joking; it was lovely, but our Michigan shores have the same beautiful sunsets, and you can see as many whales in the Great Lakes as we saw on our trip.

I made it back in time to visit the College of Human Medicine tent during the Grand Rapids Pride event two weeks ago (it’s pictured above). There were so many people! And, as a note to all, we’re working to get the t-shirts out of the college store. (And, look for Diagnosis Queer, an advocacy group started by fourth-year medical student Nicholas Nicoletti. They had a busy, well-attended tent at Pride and were featured on MSU Today. Catch Nick, as well as Rick Leach and Keith English also at City Hall last week.)

Today is July 1, the start date for residencies and residents across the country. It’s a big day for the profession, and a big day for new residents. Almost everyone I know has a story about their first day as a resident. I will share one of mine; I followed my wife to East Lansing when she joined the faculty at MSU, and started residency just about a month before her first day as a faculty. I started on the wards, and my primary resident had a clinic, so after rounds he walked me to the emergency department (ED) for our first admission of the day. We took stock, I got hands-on experience in the ER and with Sparrow’s paperwork; everything was good. Shortly after, we went back upstairs, did some work, and my eldest went to the clinic.

And then I was called to do an admission, but I couldn’t find my way to the ER, so I walked out the front door of the hospital, walked around the building and I entered through the ER parking lot entrance. I did the admission, called the attending physician, everything was fine, then I left the emergency room and came back through the front door of the hospital. I mean, it was stressful doing the admission on my own, but I felt well trained and attending was good for me (thanks, Dr. Neiberg!), so overall the day was going good .

Then the ED called for another admission, so I walked out of the hospital, walked around the building, and entered the ED through the parking lot entrance. Again I did the admission, called the attending physician, all was well, and retraced my way outside back to the main hospital through the front door. And, sure enough, the ER called back, so I walked through the front door of the hospital to the ER, and it was a beautiful day. I thought, “Could you keep walking…” And then I remembered my student loans, and walked around the building and into ED through the parking lot entrance…

Today I started doing the rounds with the new elders and new first year residents. It will be stressful for all of us, but we will make sure we take good care of the patients, and if we have to take a few extra steps to provide good care, so be it.

Serve people with you,

Arron

Aron Sousa, MD
Dean

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Dean’s Update

It was our second year of medical school. We had heard stories of diligent physicians doing all they can to lift patients from the jaws of death. After a year and a half of taking courses, learning the course of a vessel, the physiology of a nerve and the biochemistry of cholesterol, we finally had the chance to enter a hospital. We had to learn the tactics needed to get a useful clinical history and how to hit the hammer on a knee jerk test. We had so much to learn in such a short time.

Equipped with Littmann stethoscopes, we reached the rooms crowded with patients. “Patients are your best teachers,” we reminded ourselves. We were getting ready to go to the patients when the residents stopped us. The next day, the government announced the containment linked to Covid-19. We went back home. There were online courses to supplement our studies, but they could only simulate hands-on experience. Over the next two years, our learning never picked up momentum.

We came back in our last year – the most difficult year of the program. There were nine lengthy topics to cover in just eight months. Our teachers expected us to know the basics and skipped them during teaching. But we couldn’t learn them properly earlier, so we had extra work to do. Our anxiety was already at its height when a new exam schedule was announced.

A senior official spoke anonymously about the National Exit Test (NExT) to a newspaper, which was reported by other news portals without much additional information, stating that the new model will first be implemented for the lot graduated in 2023.

NExT will replace the two-decade-old NEET-PG that medical graduates had to go through to gain postgraduate places. Borrowing heavily from the USMLE (United States Medical Licensing Exam) – a multi-stage assessment that tests medical student recall, concepts and clinical skills to enable practice in the United States – it will be a three-day affair with morning and evening changes every day.

Taking place just after the final year, it will also remove a year of preparation, with the NEET taking place after the students’ internship. Preparing for 19 subjects, with a flurry of tests and homework, seems almost impossible. That too, when nothing concrete has been shared.

The problem is compounded for students who plan to travel out of India for their masters. They should prepare for this exam and get at least passing grades to get their undergraduate degree. They would also no longer be able to get internship extensions for electives at hospitals in the United States, as an internship must be completed within the stipulated time frame under the new rules.

Passing an exam that would also double the final professional theory exam is also fraught with pitfalls for colleges. The most basic is being able to complete the program on time – in fact, at least two months before the exam, which seems absurd right now, given that many private colleges in UP have only held exams pre-final professionals only in March.

The abrupt introduction of baffling changes over the past few days leading to major reviews has been a recurring pattern of late. Take, for example, the INI-CET, an exam that allows entry into the most sought-after central institutions. It replaced the old exam just a month before its due date.

Every official order sounds like a warning. An update earlier this year said the exam would be held in two parts – once after the second year of college and the next after the final year. Barring sketchy information about the basic structure of the course and a few scattered facts that arise unpredictably, students wonder about the details of an exam they may have to attempt in January.

Gupta is a New-Delhi based writer and medical student