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    January 9, 2025 Customer Newsletter

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    • Iodine Deficiency Problem
    • Try Our CME Course for Free
    • Benefit of GLP-1s Fight Disease
    • Join PEMQ Live Session #2
    • Rethinking Assisted Death
    • Telehealth “Cliff” Pushed Back
    • QUIZ- Test Your Knowledge

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    Doctors Worry That Iodine Deficiency — a Dietary Problem from the Past — is Coming Back

    The campaign against table salt has been effective, at least. However, the increase in consumption of high sodium processed foods is giving us the sodium problems without the iodine additive. Women, in particular pregnant women, and children require higher amounts, and many pre-natal supplements and children’s multi-vitamins do not contain iodine - it’s in the table salt. 😄

    Doctors Worry That Iodine Deficiency — a Dietary Problem from the Past — is Coming Back

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    Evidence Mounts for Benefit of GLP-1s Against Heart Disease

    By benefits, they mean beyond better sugar regulation and weight loss.  There’s two categories of risk from this large three-year study - those with and without pre-existing cardiac disease.  The actual mechanisms are still a point of contention - is this all a function of weight loss and sugar regulation, or are there, as others contend, evidence of some other specific mechanism.  The primary direct effect supposed is reduction in inflammation.  Given the names at play (Lilly, Novo, Amgen, etc.) there’s a lot of scrutiny about the test conditions and accuracy - and a ton of funding.

    Evidence Mounts for Benefit of GLP-1s Against Heart Disease - BioSpace

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    Registration Now Open for PEMQBook 202425

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    The Medical Slope of Assisted Death: From "Who May" to "Who Should"

    From the Psychiatric Times, an editorial arguing the impact of introducing assisted death (AD) as a treatment protocol.  Compares Canada’s practice against Oregon’s laws, and says the movement towards AD as a form of medical care is occurring in the US.

    The Medical Slope of Assisted Death: From "Who May" to "Who Should" 
     

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    Telehealth “Cliff” Pushed Back until April 1, 2025

    A 90-day extension, when there’s not anything close to an agreement on telehealth services, reimbursement, and prescription practices is - dumb.  There are both strong benefits and predatory practices at play in telemedicine today.  Right now, the industry, and practices, and hospitals, can’t plan around how to implement telemedicine for improved patient satisfaction and care because we’ve spent two years disagreeing on who gets to play in the direct-to-consumer market.

    Telehealth “Cliff” Pushed Back until April 1, 2025

    divider winter4quiz ad NLQUIZ QUESTION

    25-year-old female with a history of fibromyomatous and severe menometrorrhagia

    A 25-year-old female with a history of fibromyomatous and severe menometrorrhagia is scheduled for a blood transfusion. She has become quite fatigued and has developed shortness of breath with minimal exertion.

    Her hemoglobin is 6.1 mg/dL. While receiving her second unit of RBCs the patient developed a very pruritic rash over the shoulder. See Figure 

    The patient’s vital signs are stable. She is not febrile. Her blood pressure is 120/70 mmHg. What will be the best action to take?

    • Continue blood transfusion rate, report to the blood bank
    • Continue the blood transfusion, infuse normal saline, obtain a direct anti-globulin test, and repeat type and cross match
    • Immediately discontinue the blood transfusion and administer corticosteroids
    • Continue blood transfusion, administer antihistamines
    • Immediately discontinue the blood transfusion and administer epinephrine
    CLICK FOR ANSW