Clomiphene QB http://clomipheneqb.com/ Tue, 28 Jun 2022 22:31:04 +0000 en-US hourly 1 https://wordpress.org/?v=5.9 https://clomipheneqb.com/wp-content/uploads/2021/10/cropped-icon-32x32.png Clomiphene QB http://clomipheneqb.com/ 32 32 Video shows bear breaking into prescription bin https://clomipheneqb.com/video-shows-bear-breaking-into-prescription-bin/ Tue, 28 Jun 2022 22:12:22 +0000 https://clomipheneqb.com/video-shows-bear-breaking-into-prescription-bin/

After a bear broke into a secure prescription disposal bin Monday night in Mammoth Lakes, authorities reminded the public to ensure their medications are disposed of properly.

On Tuesday morning, the Mammoth Lakes Police Department released video of the bear sifting through the trash. The ferry is located outside the police headquarters.

“We are asking for the public’s assistance in helping us identify a suspect who broke into our prescription disposal bin last night!” joked the department in a Facebook post.

SEE ALSO: Man struggles to load crocodile with frying pan, video goes viral

In the same article, the department also reminded people to dispose of their medication completely and safely, noting that the bear fortunately did not ingest any medication.

“Please ensure your medication leaves the chute and sinks to the bottom when using our collection site,” the message continues. “Fortunately, that big guy or girl left without eating anything!!”

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Glenmark Acquires Leading OTC Brands From Wockhardt in the US for an Undisclosed Sum https://clomipheneqb.com/glenmark-acquires-leading-otc-brands-from-wockhardt-in-the-us-for-an-undisclosed-sum/ Tue, 28 Jun 2022 10:02:00 +0000 https://clomipheneqb.com/glenmark-acquires-leading-otc-brands-from-wockhardt-in-the-us-for-an-undisclosed-sum/

Mumbai-based Glenmark Pharmaceuticals said it acquired the approved generic versions of some over-the-counter drugs from Wockhardt Ltd in the United States for an undisclosed sum. This decision should strengthen the acquirer’s OTC presence in the United States.

The acquisition by the Company’s wholly-owned subsidiary, Glenmark Pharmaceuticals Inc, USA, includes Approved Abbreviated New Drug Applications (ANDAs) for famotidine tablets, 10mg and 20mg, used to treat and prevent stomach and intestinal ulcers, the company said in a statement.

Glenmark did not disclose financial details. The stock ended at Rs 387, up 0.8% from BSE.

“The over-the-counter market has long been an important segment of Glenmark’s portfolio globally. Our acquisition of these ANDAs represents the continued expansion of our business in the OTC market here in the United States and our commitment to ensuring patients l ‘access to high-quality, affordable medicines,’ said President of Glenmark Pharmaceuticals Inc, USA, Sanjeev Krishan.

In the United States, Glenmark has acquired ANDAs of acid reflux medication cetirizine hydrochloride tablets, lansoprazole delayed-release capsules and olopatadine hydrochloride ophthalmic solution for allergic conjunctivitis and allergic rhinitis.

The company said its current portfolio consists of 175 products cleared for distribution in the US market and 48 ANDAs awaiting USFDA approval.

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Prescription drug abuse was cause for JD Hall’s disqualification, church says https://clomipheneqb.com/prescription-drug-abuse-was-cause-for-jd-halls-disqualification-church-says/ Tue, 28 Jun 2022 01:17:47 +0000 https://clomipheneqb.com/prescription-drug-abuse-was-cause-for-jd-halls-disqualification-church-says/
(L) FBC Sidney logo (R) Photo by JD Hall. Screenshot via Facebook @Fellowship Baptist Church of Sydney.

On Monday afternoon (June 27), Fellowship Baptist Church (FBC) in Sidney, Montana released a statement revealing that their pastor Jordan Room “JD” disqualified himself from pastoral ministry due to an addiction to prescription Xanax.

FBC Sidney’s statement comes a day after one of Hall’s postings, protestannounced that they had parted ways with Hall due to his pastoral disqualification.

Church leaders shared that following an incident on Sunday, June 5, they became aware that Hall had “fallen into an addiction to prescription alprazolam (Xanax), characterized by use that exceeded the prescribed dose.

On June 8, Hall resigned as senior pastor of FBC Sidney because he believed his addiction had disqualified him from serving as an elder. The church body voted to accept Hall’s resignation during a business meeting.

Hall, who nominated former SBC chairman JD Greear in 2019 worst christian of the year, tried to quit after his traffic stop in May, which resulted in an arrest for impaired driving, but the church rejected it. Hall’s blood alcohol level was 0.00 when he was arrested, but he was cited for driving under the influence of drugs.

“I did not use alcohol or any other type of illegal narcotic or recreational drug,” Hall had said, claiming his inability to pass a field sobriety test was due to vitamin D deficiency.

RELATED: ‘Pulpit & Pen’ Founder JD Hall Disqualified From Pastoral Ministry; SBC President Says Hall’s Online Behavior Disqualified Him Long Ago

“Deacons and elders met yesterday and rejected his resignation in consultation with three highly respected and godly pastors from other churches,” FBC Sidney leadership wrote in May.

At the time, the church board determined that Hall was exhausted and potentially workaholic. They advised him to take a three-month sabbatical. Hall was also instructed to change his phone number, so he wouldn’t be disturbed by strangers.

FBC Sidney’s June 27 statement explained that Hall’s latest resignation was separate from his rejected bid in May.

“Due to Pastor Hall’s testimony regarding a known vitamin deficiency which he believed was to blame for his lack of coordination, the church had voted unanimously to reject his resignation, believing that the situation did not disqualify him. of the pastorate,” the church said.

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£4 ex-prescription ‘miracle cure for hay fever’ tablets are selling out everywhere https://clomipheneqb.com/4-ex-prescription-miracle-cure-for-hay-fever-tablets-are-selling-out-everywhere/ Sun, 26 Jun 2022 17:25:37 +0000 https://clomipheneqb.com/4-ex-prescription-miracle-cure-for-hay-fever-tablets-are-selling-out-everywhere/

Hay fever sufferers across the UK are hailing a miracle hay fever medicine that was previously only available by prescription on the NHS – which is now selling like wildfire.

The super strength tablets were previously only available with an NHS prescription, and you had to convince your GP that you are in enough pain to justify the £9+ prescription charge for the pills. But this year, for the first time, the tablets are available over the counter – and hay fever sufferers are sweeping them off the shelves.

Fexofenadine hydrochloride, which is currently sold under the brand name Allevia or Treathay in the UK, is now available without a prescription for the first time, meaning you can now buy it over the counter from Boots, Superdrug and supermarkets like Asda and Tesco from as low as £4 per box on offer, rising to £7 per box depending on store and number of tablets.

Read more: 65p plants that keep flies out of your home

Hay fever sufferers say the tablets are so good that they have completely CURED their hay fever symptoms. They described the tablets – which are stronger than traditional tablets like cetirizine hydrochloride and loratadine – as making them feel like they had no more hay fever.

But the downside is that supply cannot keep up with demand during the recent scorching heat which saw ‘pollen bomb’ levels rise with huge amounts of floral discharge in the air.

One hay fever sufferer told YorkshireLive: “I went to three different supermarkets to try and find it. It was completely sold out at Asda Handsworth in Sheffield, and it was sold out at two others in Leeds.



Allevia, the brand name of fexofenadine hydrochloride, is out of stock

“I bought some online, but even on Amazon Prime there is about a week backlog of orders and it took a week to get to the ‘next day’ delivery service.

“The reason is that it works. It’s much stronger than regular hay fever tablets, so my reactions are much more under control.

“I don’t know what I would have done without her this year when the pollen has been absolutely crazy.

“Last year I got some on prescription, but now they’re available over the counter, it’s much easier and cheaper to get hold of – until they’re all sold out.”

Other hay fever sufferers agree with the quality of the tablets.

Ben Newmark said: “HAY FEVER SUFFERERS Allevia is now available over-the-counter and I haven’t felt this good in the summer in a decade.”

Matty Ester added: “I went from having the worst hay fever you’ll ever see in your life to feeling like I never had it. Allevia, you cured me.”

@Nikk1noodles said: “Fexofenadine aka Allevia 120mg over the counter at Boots. Took a few days to get started but this week I’m hay fever free. No itch, no eye drops, no nasal sprays. 10/10 would recommend.”

@therealmadrina said: “Allevia hay fever tablets are totally worth it – they have worked wonders for me”

@RettsUK said: “Guys Allevia really are the best tablets for hay fever. I suffer badly from hay fever but with one a day I haven’t even had a twitch in my nose for weeks!”

@28shan said, “These Allevia tablets made me forget I even suffer from hay fever, they are literally the best.”

A user added that the price of some boxes on Amazon had risen from £7 to £20 during peak demand periods.

What is fexofenadine and how does it work?

Fexofenadine is an antihistamine drug that helps people with allergies.

It is used to treat:

  • hay fever
  • conjunctivitis
  • eczema
  • urticaria (hives)
  • reactions to stings and insect bites
  • certain food allergies

Fexofenadine is known as a non-drowsy antihistamine. It is less likely to make you sleepy than some other antihistamines.

  • You will usually take fexofenadine once a day. Children 12 and under take it twice a day.
  • Fexofenadine is classified as a non-drowsy antihistamine, but some people still find it makes them quite drowsy.
  • Common side effects include headache, drowsiness, dry mouth, nausea, and dizziness.

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Top 20 most expensive prescription drugs in 2022 https://clomipheneqb.com/top-20-most-expensive-prescription-drugs-in-2022/ Sun, 26 Jun 2022 10:01:16 +0000 https://clomipheneqb.com/top-20-most-expensive-prescription-drugs-in-2022/

If you thought inflation was high, wait until you hear about rising specialty drug prices. A recent AARP report indicates that they are increasing at more than three times the rate of inflation. To see how you’ll be affected, we’ve put together this list of the 20 most expensive prescription drugs in 2022.

Rising drug costs are heartbreaking because prescription drugs were already expensive. Luckily, we’ve found a way to save up to 80% on your prescriptions. Tap or click here to see Kim’s favorite way to save money at the drugstore.

Depending on the medications you need, your prescriptions could cost thousands of dollars, reports AARP. Review the list below to see if any of your medications are listed. If so, brace yourself for tough financial times ahead.

These are the 20 most expensive prescription drugs in 2022

Worried about needing to buy the most expensive drug in the United States? It’s an understandable fear. When you hear about inflation impacting prescription costs, you can start Googling “List of Expensive Drugs,” “Highest Prescription Drugs,” or “Expensive Prescription Drugs in the U.S. ” to see if you have any problems.

Don’t waste hours researching. Use this helpful tip as a starting point. After all, we always have what you need here at Komando HQ. We also tell you which critical mistakes you should avoid, like these 10 worst ways to save money.

Scroll down to see the most expensive common prescription drugs in the US

Thanks to our sponsor GoodRx for the data. (More on that later.)

Drug name Maker What it treats Monthly cost (based on duration of treatment)
Zokinvy Eiger BioPharmaceuticals Hutchinson-Gilford syndrome progeria, which causes premature aging $89,480
Myalept Amryt Pharmaceuticals, Inc. Leptin deficiency in people with generalized lipodystrophy $77,496
Mavenclad EMD Serono, Inc. Multiple sclerosis $63,993
Ravicti Therapeutic Horizon Urea cycle disorders $57,998
Actimmun Therapeutic Horizon Osteopetrosis and chronic granulomatous disease $55,310
Oxervate Domped Neurotrophic keratitis, which makes the corneas less sensitive $50,874
Takhzyro Takeda Angioedema, a condition that causes swelling under the skin $48,233
juxtapid Amryt Pharmaceuticals, Inc. Homozygous familial hypercholesterolemia, which can lead to heart disease $47,897
Gatex Takeda Short bowel syndrome $42,913
Chenodal Travere Therapeutic Gallstones $42,570
Acthar Gel Mallinckrodt Pharmaceuticals Lupus, rheumatoid arthritis, multiple sclerosis, infantile spasms, eye conditions and psoriatic arthritis $41,459
Orladeyo BioCryst Pharmaceuticals Hereditary angioedema $38,427
Tegsedi Akcea Therapeutic Nerve damage caused by hereditary transthyretin amyloidosis $36,707
Ayvakit Medication Master Plan Gastrointestinal stromal tumors $35,213
Qinlock Decipher Pharmaceuticals, LLC Tumors of the gastrointestinal tract $35,199
Korlym Therapeutic Corcept High levels of cortisol in the body $34,620
Vitrakvi Bayer Pharmaceuticals Cancerous tumors with abnormally fused genes $33,784
Recorlev Xeris Pharmaceuticals, Inc. Endogenous Cushing’s syndrome (decreases the amount of cortisol in the body) $32,400
cortrophin gel ANI Pharmaceuticals, Inc. Rheumatic disorders, collagen diseases and dermatological diseases $31,851
Tibsovo Servier Pharmaceutical Acute myeloid leukemia, blood and bone marrow cancer $30,083
Data from GoodRx, our sponsor.

Have you seen any familiar names on that US drug price list? Unfortunately, you need one of the most expensive prescription drugs.

All hope is not lost

You can still save money on the most expensive popular generic drugs. You can talk to your doctor about sample packs, check out mail-order pharmacies, or research government assistance programs. Tap or click here for five ways to save money on your prescription (or get it for free).

Never think you are alone. There are free ways to save money on lifesaving drugs. We haven’t even figured out the best way to save money on prescription drugs. There’s also a free database you can use to find discounts. (Kim love this!)

Save money on the most expensive prescription drugs in the US

So you’ve just looked at our list of the most expensive prescription drugs. You’re starting to feel nervous since you saw your prescription on it. Take a deep breath and get ready for a silver lining.

Use GoodRx to get your medications at the best price. To find deep discounts, search for your drugs in its search bar and see what prices you can find at nearby pharmacies. You don’t need to register or share any personal information: This is a free tool that compiles the various prescription prices you can find in pharmacies across America.

Use this link to let GoodRx know that Kim sent you there. No matter how much inflation makes your prescription prices skyrocket, you have a safe place to land. GoodRx offers deep discounts on expensive prescription drugs, so you can have peace of mind when shopping.

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Damning inspections mark North Staffordshire care home as ‘inadequate’ https://clomipheneqb.com/damning-inspections-mark-north-staffordshire-care-home-as-inadequate/ Sun, 26 Jun 2022 04:00:00 +0000 https://clomipheneqb.com/damning-inspections-mark-north-staffordshire-care-home-as-inadequate/

Inspectors have placed a care home in North Staffordshire into special measures after giving it the lowest possible rating. The Care Quality Commission has raised concerns about the spread of infection, fire safety and staffing issues at the ‘inadequate’ Silverdale Nursing Home following its latest inspection.

The CQC is also concerned about the lack of ‘meaningful activity’ at the home, with one resident telling inspectors he hadn’t been out in two years and another saying he felt like a prisoner. Some residents had also experienced involuntary weight loss without any action being taken to address it.

The inspection was carried out in part due to concerns received about risk management and people being unlawfully restricted to the Newcastle Street home. It was rated as “inadequate” overall with inadequate ratings for safe, efficient, caring, responsive and well directed.

READ: Devastated owners put ‘beloved’ cafe up for sale

Silverdale Nursing Home, which is run by Silverdale Care Homes Limited, provides accommodation and personal care for up to 27 people, including people with dementia. It had already been rated “good” after its last inspection in 2018.

Amanda Lyndon, Adult Social Care Inspection Manager at the CQC, said: ‘When we inspected Silverdale Nursing Home, we found a ward where the standard of care had deteriorated significantly since our last inspection. People’s safety and well-being needs were not being met, some staff were indifferent and risks were not being managed effectively.

“People told us they were not treated with respect or kindness and that their individual needs were not taken into account. They said they were often ignored by staff or spoken to in a rude and unfriendly manner.

“It was heartbreaking to see that people weren’t being supported to take part in meaningful activities and one person said she hadn’t been out in two years, while another said she felt like a prisoner in the house. This is unacceptable.

“It was also concerning that several people had suffered unintended weight loss and no action was taken to address it, putting them at risk of harm. People’s food preferences were not taken into account. account and a person who was a vegetarian was given meat to eat.

“Staff turnover was high and newcomers were not recruited safely or given proper training or supervision. Existing managers and staff were unclear about their roles and responsibilities.

“The supplier had employed consultants prior to our inspection who were working on an action plan to make improvements. Their input was positive and focused on improving outcomes for people, but they hadn’t been around long enough for us to see meaningful changes to implement.

“We will continue to closely monitor Silverdale Nursing Home to make sure people are safe. If we are not sure that people receive safe care, we will not hesitate to act.

The inspector’s report raised the following concerns:

  • The risks have not been mitigated against the spread of infection. There was an outbreak of sickness and diarrhea on the first day of the inspection. The registered manager was aware, but no action had been taken to isolate symptomatic people.
  • The fire service had identified fire safety concerns on a previous visit, including when an emergency door in the garden was locked. Inspectors found that no action had been taken and the gate to the garden was still locked at the time of the inspection.
  • People’s medicines were not always stored safely. For example, one person’s insulin was given to them after being kept out of the refrigerator for seven weeks. The box of insulin stated that the medicine should not be stored outside the refrigerator for more than four weeks.
  • People were supported by a large number of agency staff who had not been properly vetted before starting work.
  • The systems in place did not protect people from the risk of abuse.
  • Staff turnover was high and agency staff supporting people was inconsistent. This meant that they didn’t always know people well enough to be able to meet their needs safely.
  • People’s nutrition and water intake records lacked detail and did not record the specific foods people ate.
  • People were living in housing that was not suited to their needs. For example, minimal adaptations had been made to the home to help people with dementia navigate.

Being in special measures means the CQC will keep the house under review, and if it doesn’t offer to cancel the provider’s registration, inspectors will return in six months to check for ‘significant’ improvements. Silverdale Care Homes has been approached for comment.

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With growing consumer interest in psychedelic travel, mainstream brands are marketing pseudo-psychedelics https://clomipheneqb.com/with-growing-consumer-interest-in-psychedelic-travel-mainstream-brands-are-marketing-pseudo-psychedelics/ Sat, 25 Jun 2022 15:16:32 +0000 https://clomipheneqb.com/with-growing-consumer-interest-in-psychedelic-travel-mainstream-brands-are-marketing-pseudo-psychedelics/

Mainstream brands are appropriating the hype around psychedelic medicine to market products that don’t contain any psychedelics, while cashing in on the buzz around terms like “psychedelics” and “microdosing.”

The global mental health crisis has brought substances back into the center of the discussion in what is called “the psychedelic rebirth.” As traditional medicines and conventional therapies have been unable to provide effective treatment for many, psychedelics are being tested in clinical trials for their therapeutic ability to help cure various mental health conditions.

Still, there is something to keep in mind for those eager to have a psychedelic experience or delve further into creative states: While clinical studies are advancing rapidly, the setting for virtually all psychedelics is, at this day, again federal illegal. The only exception so far, are therapeutic parameters governed by state-wide measures, as in Oregon.

If not, there is no way to legally obtain a psychedelic – psilocybin, MDMA, LSD, or DMT – to use in everyday life.

The current supply of the microdose market

As david hodes reports in his recent Green Market Report article, many mushroom products are beginning to flood the market, also targeting the audience for microdosing psychedelics.

Hodes’ research led him to find a brand producing what they call “psychedelic water“, a combination of kava root, damiana leaf and green tea leaf extract that creates “a feeling of euphoria for a hangover-free experience”, while containing no psychedelic substances.

Several companies promise a “magical” experience with their mushroom blends, when there is nothing in these products that will induce a true psychedelic trip. Simply put, they don’t have hallucinogenic properties.

Their constitution is the result of a mixture of mycelium, fruiting bodies, masala chai, chaga, reishi, cordyceps, lion’s mane, cocoa, turmeric, cinnamon, sea salt and even caffeine. On the bright side, many of these non-psychedelic mushrooms have health benefits, such as relieving stomach pain or boosting the immune system.

Nevertheless, according to user reviews, some of the products achieve results similar to those produced by psychedelics: energy, focus, calming moments, relaxation or euphoria. A kind of cerebral stimulant without the tense effect usually found in coffee.

Psychedelic experience from natural plants

According to Hodes, true natural springs provide a true psychedelic experience: the “herbal highs,” most still legal with differences in safety and effectiveness. The list includes mad darlingan intoxicating drug from Nepal used as an aphrodisiac; lysergamide (LSA), a seed producing effects similar to those of LSD; and amanita muscaria mushroomswhich can cause hallucinations as well as coma and death.

This shows an existing legal variant of psychedelic experiences for those researching, while the most popular psychedelics currently in clinical trials (MDMA, LSD, psilocybin, DMT) are showing positive results in research.

Photo courtesy of Ketut Subiyanto on Pexels.

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Supreme Court Rejects Adjustments to Certain Prescription Reimbursements | Holland & Knight LLP https://clomipheneqb.com/supreme-court-rejects-adjustments-to-certain-prescription-reimbursements-holland-knight-llp/ Fri, 24 Jun 2022 21:22:40 +0000 https://clomipheneqb.com/supreme-court-rejects-adjustments-to-certain-prescription-reimbursements-holland-knight-llp/ [co-author: Jamie Ehrlich]

The U.S. Supreme Court sided with medical providers on June 15, 2022, after the U.S. Department of Health and Human Services (HHS) cut Medicare Part B reimbursements to health care providers serving disadvantaged communities. The High Court found that HHS incorrectly adjusted hospital reimbursement rates for outpatient drugs because it failed to study hospital acquisition costs. The decision involves tens of billions of dollars in HHS reimbursement to hospitals for prescription drugs. Notably, the decision does not address the agency’s deference under Chevron c. Natural Resources Defense Councilwho had been the subject of active questioning during the oral argument. Chevron deference remains alive and well for now.

Background

In American Hospital Association v. Bacerra, the court interpreted a 2003 law that dictates how Medicare pays for prescription drugs dispensed to outpatient departments. The ruling applied narrowly to hospitals eligible for the 340B drug pricing program, which are facilities classified as serving low-income or rural communities. In 2020, there were 12,700 entities covered by 340B.1

Under Medicare Part B, the government pays for the majority of hospital services in bundled payments. However, some specific outpatient drugs – which are often more expensive – are classified under a different statutory payment scheme. The 2003 law directs HHS to calculate “the average acquisition cost of the drug that year” or “if hospital acquisition cost data is not available…as calculated and adjusted by the secretary if necessary.2

By law, HHS has the authority to vary reimbursement rates between hospitals only when acquisition rates are collected through a survey. In the absence of an investigation, the law sets the average price at 106% of the average selling price of the medicine. However, the rate cannot vary from hospital to hospital – by law, each institution calculated in this way must be set at 106%.

Until 2018, HHS rarely conducted surveys, resulting in a 106% reimbursement rate across all facilities, calculated using data on the average selling price of various drugs. The established rate did not vary from one group of hospitals to another. 340B hospitals received the same rate as other hospitals, even though their discounted costs were lower than the reimbursement amount.

Because federal law requires drug manufacturers to sell prescription drugs to 340B hospitals at a lower than average rate, significant revenue above the true cost was flowing to these hospitals. A 2015 report cited in the Respondent’s brief found that Covered Entities retained approximately $1.3 billion in profits.3 Even for non-340B hospitals, the standard rate incentivized hospitals to use more expensive pharmaceuticals in order to reap the additional 6% profit.

In 2018, HHS adjusted its Medicare payment rate for specified drugs acquired by 340B hospitals to the average selling price minus 22.5%, which represents the average discount hospitals received for drugs under the program 340B. HHS argued that this adjustment would reduce drug costs for Medicare beneficiaries at 340B hospitals whose 20% coinsurance is tied to the Medicare payment rate. HHS has not conducted a survey of acquisition costs for 340B hospitals, despite the legal requirement to vary the rate between hospital groups.

decision

In a unanimous opinion, Supreme Court Justice Brett Kavanaugh wrote that because HHS failed to investigate hospital acquisition costs, HHS acted unlawfully by cutting 340B hospital reimbursement rates. Despite the statutory adjustment power, unless HHS conducted an investigation of acquisition costs, it could not change the reimbursement rate. Additionally, Kavanaugh argued, Congress was well aware when the law was passed that 340B was benefiting from discounted prescription drugs. However, Congress made no differentiation in the law.

Kavanaugh referred the matter to both HHS and Congress: If HHS chooses, it can conduct an investigation into hospital acquisition rates to justify its lower reimbursement rates paid to 340B hospitals. Alternatively, HHS can approach Congress and request a change in the law. The High Court remanded the case to the United States Court of Appeals for the District of Columbia Circuit, where the lower courts will hear the appeals.

Kavanaugh avoided reversing the court’s decision by Chevron c. Natural Resources Defense Councilwhich provides legal deference for a government body’s interpretation of a law it administers.4 While both parties mentioned the doctrine during oral argument and the judges asked questions about the doctrine, Chevron was not cited in Kavanaugh’s opinion. The federal government often relies on the Chevron doctrine to overcome legal challenges to the implementation of its rules in several administrative areas.

The implications of the decision

The judgment in American Hospital Association has broad implications for suppliers:

  • 340B hospitals must now monitor their income more closely. With significant profit streams now vulnerable to HHS cuts if HHS conducts an investigation, 340B hospitals could lose a safety net that has helped it provide services to vulnerable populations.
  • 340B hospitals should keep an eye on lower court determination of remedies. It remains to be seen how HHS will remedy providers for the loss associated with reduced payments from 2018 to 2022.
  • If HHS begins probing non-340B and 340B hospitals to cut costs, 340B providers could lose the extra revenue they’ve relied on to fund other programs.

The Chevron doctrine has tightened over the years. Kavanaugh’s cold shoulder leaves for another day if the days of doctrine are numbered. If courts begin to interpret agency regulations without fully utilizing the doctrine, government agencies can lose a significant amount of power gained from interpreting legislative action.

Remarks

1 Government Accountability Office, Drug Pricing Program, HHS uses several mechanisms to help ensure compliance with 340B requirements (December 2020).

2 42 USC § 1395l

3 Office of the Inspector General, HHS, Part B Payments for 340B-Purchased Drugs, Executive Summary (November 2015).

4 Chevron USA, Inc. v. Natural Resources Defense Council, Inc., 467 US 837 (1984).

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Old Crow Medicine Show offers a prescription for modern ailments https://clomipheneqb.com/old-crow-medicine-show-offers-a-prescription-for-modern-ailments/ Fri, 24 Jun 2022 13:06:01 +0000 https://clomipheneqb.com/old-crow-medicine-show-offers-a-prescription-for-modern-ailments/

The grateful audience at Meijer Gardens soaked up the Southern charm of the enthusiastic, twangy, bluegrass, country and American act when they returned to Grand Rapids on Thursday. The review and the photo gallery.

Crowd-pleasing music and laughter: Old Crow Medicine Show. (Photo/Bryan Bolea)

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West Michigan Music Scene

There’s a classic bit from an early episode of “The Simpsons” when Bart and Milhouse attend an ill-fated Spinal Tap gig that sends familiar rock concert cliches wonderfully.

During their brief stint on stage, the cartoon version of the parody group bends like mad to the audience, referencing a local highway, deterring neighboring “rival” Shelbyville, and hollowly praising the host city. “Nobody moves like (checks note on guitar)…Springfield!

It’s hard not to think fondly of that joke when watching a performance of the ever-endearing Old Crow Medicine Show, which filled the amphitheater Thursday night at Frederik Meijer Gardens and Sculpture Park for his Fifth Third Bank summer concert series.

Vocalist and multi-instrumentalist Ketch Secor made a running joke when leaning into this trope. At about the fifteenth reference to Grand Rapids/wolverines/the Grand River/Spartans/Grayling, one can’t help but fulfill his gag pledge.

And while the commentary is almost certainly tongue-in-cheek, there’s nothing remotely heartfelt or cynical about the band’s energy, personality, or talent it brings to the venue year after year. A popular and familiar sight on the Meijer Gardens stage, Thursday night’s show was a crowd-pleaser affair with nearly two dozen songs packed into around 110 minutes of dancing, clapping, singing and laughing.

The Opener: Jaime Wyatt performed songs from his new album. (Photo/Bryan Bolea)

Drawing on familiar (“Wagon Wheel,” “Cocaine Habit”) and new (“DeFord Rides Again*,” “Used to Be a Mountain,” “Bombs Away”) material and the title track from their 2022 release “Paint This Town”), Old Crow was both upbeat and unexpected, with some interesting musical twists and some fun surprises, including a closing rendition of KISS’s “Rock and Roll All Nite”.

(*This song is a tribute to harmonica player DeFord Bailey, the first African-American musician to appear on the Grand Ole Opry, a story that percussionist/mandolin player/backing vocalist Jerry Pentecost encouraged the public to Google at his back home.)

Although Old Crow is known for giving audiences a rambunctious good time, they aren’t shy about tackling heavier themes in their writing, including racism, violence, drug addiction, poverty, and environmental disaster. Secor spoke candidly about the difficulties of traveling the country and seeing the pain and heaviness in people’s lives. He implored audiences to pull together before launching into 2004’s “We’re All In This Together”.

Opening the show Jaime Wyatt warmed up the crowd with 40 minutes of country-tinged rock from his new album, “Neon Cross,” produced by friend and collaborator Shooter Jennings.

The next stop in the Fifth Bank of Meijer Gardens Summer Concert Series is the sold-out venue Trombone Shorty’s Voodoo Threauxdown at 6 p.m. on Friday (June 24).

PHOTO GALLERY: Old Crow Medicine Show, Jaime Wyatt at Meijer Gardens
Pictures of Bryan Bolea

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Substituting Fossil Fuels to Fight Climate Change: A Prescription for Health and Equity | Health News from the Healthiest Communities https://clomipheneqb.com/substituting-fossil-fuels-to-fight-climate-change-a-prescription-for-health-and-equity-health-news-from-the-healthiest-communities/ Fri, 24 Jun 2022 10:32:11 +0000 https://clomipheneqb.com/substituting-fossil-fuels-to-fight-climate-change-a-prescription-for-health-and-equity-health-news-from-the-healthiest-communities/

As an emergency physician, I have a calling – and an obligation – to serve my patients by improving health, preventing harm and working to create a just society where every patient has an equal opportunity to achieve health. and optimal well-being. Yet I often feel like I’m placing a band-aid over a gunshot wound, temporarily solving my patient’s problem, but never addressing the root cause of his illness.

The burning of fossil fuels – such as gasoline in cars or coal and natural gas for electricity – causes a frighteningly wide range of disease and death, as it pollutes the air and accelerates the climate crisis.

Once, while working a night shift in the emergency department in the spring, I saw a young girl with asthma. It was her third visit that week, and her small chest was heaving up and down as she struggled to breathe. As the treatments began to open up her daughter’s airways, the mother’s eyes began to fill with tears as she shared their recent challenges.

“I did everything the doctors told me – and she’s only getting worse. What am I missing?”

The patient’s pediatrician and pulmonologist had followed the latest medical guidelines, which made me wonder: what did we miss? As I explain later in the New England Journal of Medicine, I looked up my patient’s address and found that her house was very close to a highway. She had breathed air polluted by gas-powered vehicle exhaust during her young life.

Economic injustice and racism explain why some communities have health-protective infrastructure—like parks—and others, like my patient’s, have health-damaging highways and industrial complexes. Research shows that low-income neighborhoods and communities of color were disproportionately exposed to air pollution from almost all emission sources, regardless of factors such as geographic region.

Causality can be considered the holy grail in medicine, and it requires immense scientific evidence. The American Thoracic Society, a leading medical organization, has concluded that there is enough evidence to show that long-term exposure to air pollution causes asthma in children, and it has been estimated that more than one in five children in large cities develop asthma from traffic. associated air pollution.

The harms of air pollution extend far beyond asthmatics. The American Heart Association has found that breathing polluted air causes heart disease and death. Yet, despite knowing it for over a decade, clean air is rarely discussed alongside diet and exercise for improving heart health. Air pollution has also been linked to strokes, autism, cognitive decline, diabetes, and poor pregnancy outcomes like premature birth and low birth weight in infants.

My patient’s skill and exposure to air pollution not only likely contributed to the development of her asthma, but also made it difficult to manage. Yet knowing the cause of a disease allows us to get to the root of the problem and not just treat the symptoms with band-aids. It is true that prevention is the best cure.

As a physician, I see no better prescription for my patients than a just transition to renewable energy sources such as wind or solar. This will not only reduce air pollution and its inequitable adverse health effects in the short term, but it will also minimize the suffering caused by climate change, since the use of fossil fuels is its main driver. The medical community — including major organizations and medical journals — is increasingly recognizing this problem and calling for change. Healthcare professionals are increasingly realizing that their patients are the real face of climate change, not icebergs and polar bears.

The climate crisis is already damaging health widely, creating disease and making it more difficult to deal with existing problems such as heart and lung disease, diabetes and mental health problems. It’s a threat multiplier, which means it underpins other problems and makes them worse – affecting everything we care about in medicine and beyond.

Climate change is increasing the intensity and duration of spring pollen seasons, another reason my patient was having difficulty managing her asthma. It also supercharges extreme heat, deteriorates air quality, compromises food and water supply and security, and alters the patterns of transmission of diseases such as Lyme disease and West Nile through ticks and mosquitoes. Extreme weather events – such as hurricanes, floods and wildfires – are also intensified. And while headlines often only include the immediate toll of injuries and deaths from these disasters, there are also important longer-term impacts – like damage to mental health – that we are only beginning to better understand. . In addition, these events can displace people from their homes and make it more difficult to access health services. Even if the hospital or clinic is still up and running, they may not have electricity or the necessary supplies.

In the United States, 70% of healthcare respondents to a recent survey indicated that climate change is already impacting their organization’s healthcare delivery. In my experience, everyone’s health is already affected by climate change to some extent – even if that impact remains subtle, such as a worsening of allergies due to higher pollen or a passing cough from smoke. a forest fire. But climate change is also contributing to significant illness and death, especially among the most vulnerable people.

The good news is that we already have the solutions we need for a just transition away from fossil fuels. Renewable energy sources are widely available and often cheaper than fossil fuels, especially if governments stop subsidizing fossil fuels. But we need the societal and political will to implement them. Advocating for renewable energy by reaching out to your elected officials is powerful, especially when it comes to a prescription to improve your health and that of your loved ones and neighbors.

My work continues to be guided by the advocacy of my patient’s mother, and it’s a question everyone needs to ask themselves: What am I missing in the environment that’s harming my health? A just transition away from the burning of fossil fuels, root causes of air pollution and climate change, demands of all of us.

We can only do this by working together. My ER bandages aren’t enough.

Editor’s Note: Certain potentially identifiable patient characteristics have been edited to preserve confidentiality. The opinions expressed here are the personal opinions of the author and do not reflect the opinions of his institutions.

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