#hhs

[hurrems]

endless hürrem sultan appreciation: 28/∞

[justinspoliticalcorner]

Julie Tsirkin and Monica Alba at NBC News:

WASHINGTON — The Biden administration will take a historic step toward easing federal restrictions on cannabis, with plans to announce an interim rule soon reclassifying the drug for the first time since the Controlled Substances Act was enacted more than 50 years ago, four sources with knowledge of the decision tell NBC News. The Drug Enforcement Administration is expected to approve an opinion by the Department of Health and Human Services that marijuana should be reclassified from the most strict Schedule I to the less stringent Schedule III, marking the first time that the U.S. government would acknowledge its potential medical benefits and begin studying them in earnest. Attorney General Merrick Garland will submit the rescheduling proposal to the White House Office of Management and Budget as early as Tuesday afternoon, a source familiar with the timeline told NBC News. The Justice Department "continues to work on this rule," a Biden administration official said. "We have no further comment at this time."

What rescheduling means

Since 1971, marijuana has been in the same category as heroin, methamphetamines and LSD. Each substance under the Schedule I classification is defined as a drug with no accepted medical use and a high potential for abuse. Schedule III substances include Tylenol with codeine, steroids and testosterone. By rescheduling cannabis, the drug would now be studied and researched to identify concrete medical benefits, opening the door for pharmaceutical companies to get involved with the sale and distribution of medical marijuana in states where it is legal.  For the $34 billion cannabis industry, the move would also eliminate significant tax burdens for businesses in states where the drug is legal, notably getting rid of the Internal Revenue Services code Section 280E which currently prohibits legal cannabis companies from deducting what would otherwise be ordinary business expenses. The Department of Justice’s rescheduling decision could also help shrink the black market which has thrived despite legalization in states like New York and California and has undercut legal markets that are fiercely regulated and highly taxed.

The Biden Administration announces its plans to reclassify marijuana from the stringent Schedule I to the much more lenient Schedule III, following recommendations from the HHS and the DEA.

[christinasaintmarche]

Gone Fish'n by Christina Saint Marche Via Flickr: Owen "Shoots to Thrill" as he ALWAYS reminds me. My passion for handmade Italian stilettos is intoxicating. My Dômino persona always makes sure my Genoa based shoemaker is kept busy with my never ending orders each season. I created Bitch'n Heels early on in my career as I felt I wanted to accentuate my long legs.

[profeminist]

"The Department of Health and Human Services on Monday released guidance saying that health providers who perform abortions in emergency situations are protected under federal law regardless of what bans are in place in their states.

Why it matters: The move is aimed at giving assurances to abortion providers who fear they could be prosecuted for offering potentially life-saving care.

Details: The Emergency Medical Treatment and Active Labor Act "protects providers when offering legally-mandated, life- or health-saving abortion services in emergency situations," said HHS in a guidance issued via the Centers for Medicare and Medicaid Services."

Read the full piece here: https://www.axios.com/2022/07/11/abortion-emergency-biden-providers

[wadegriffith]

R. L. Paschal High School in Fort Worth, Texas was designed by Hahnfeld Hoffer Stanford Architects and built by Sedalco Construction Services.  The 250,000 square foot project includes renovations to the existing building as well as new additions. Improvements include restrooms, common areas, a new media canter, art and science classrooms and a new space for career and technical education.  Paschal is Fort Worth ISD’s oldest and largest school, originally built in 1882. Improvements were part of a district-wide Capital Improvement Program focused on updating schools to provide modern learning environments, career and technical education, and preparation for future growth.

© Wade Griffith Photography 2023

[particularj]

This is huge.

Biden is directing the power of HHS and Medicare / Medicaid’s purchasing & approval power to force drug makers to negotiate lower prices or risk steep penalties. And they (begrudgingly and after filing lawsuits) agreed to negotiate!

Why? The penalty if they didn’t, they’d have to pay 65-95% taxes on drug sales or withdraw ALL of their companies’ drugs from the formulary.

The government is pushing to cut prices 25% by 2026, which would save billions annually.

The first round includes 10 high-demand, brand name drugs without generics despite years of being on the market, and for conditions such as high blood pressure, diabetes, and cancer. In other words, these are life-saving drugs.

By pushing price cuts, it can show how drug manufacturers CAN lower prices across the market, because they are making money hand over fist.

The irony? A drug manufacturer spokesperson indicated this ‘choice’ to negotiate wasn’t a fair or real choice. Oh? Like the choice between buying your blood pressure medication or your diabetes medication, because of how much y’all charge? Or maybe between all of their meds and their heat? Hmm?

Get fucked drug makers. You have blood on your hands and you use the idea that you are good people making medicine for people to cover the fact you are even more greedy than the average company by profiteering on a product people literally can’t live without. Universal healthcare for all.

[patriciafortunato]

“That pain, that despair, is what we have to grapple with because I think for too long, what we have assumed is that dealing with that pain is up to each individual and it’s their responsibility. We can believe that all we want, but the reality tells us something very different, which is as social creatures, as communal creatures, that we have to help heal one another’s pain, that we have to help support and create the circumstances and institutions that allow people to heal, that helps prevent that pain in the first place. That’s our collective responsibility to one another. When you have a circumstance where we put that aside and say it’s each person for themself — then this is what happens: you have people struggling in pain, you have situations where people can’t come together around solutions because they can’t agree on our common responsibility to one another. And I think this, to me, is one of the fundamental issues that we need to talk about, is: What is our responsibility to one another? This is a moral question. It’s a spiritual question that has implications for policies and for programs, but it has to start at the moral and spiritual level. We can build the best programs and policies in the world, but my belief is that none of those will work as well as they need to if we are not clear on the values that should be guiding us in our work.”

Dr. Vivek Murthy on being and healing

[joe-england]

What to Do if Your Birth Control Prescription Gets Denied

Spread the word.

[thats-on-point]

Clip: Musk Confirmed Twitter Manipulated Elections (Clean)

[hurrems]

endless hürrem sultan appreciation: 26/∞

[do-not-forget-the-beckoning]

The reason why the male!MC on the High School Story cover is not white is not because of their wish for diversity but because the white version looks too much like Emma's brother. That's it, I said it.

[mcatmemoranda]

I'm looking at notes I took years ago from OnlineMedEd vidoes. There are updates to videos I took notes on, so I'll watch them again. But this is from what I had from the old video entitled Diabetic Emergencies:

Hypoglycemia can be caused by excessive insulin, sepsis, too much exercising, undereating. If the pt's BG is less than 70 mg/dL they're hypoglycemic. If pt is awake and can swallow, give orange juice. If pt unconscious/can't swallow, give IV D50. You need to find out why the pt was hypoglycemic. Check C-peptide. It should be elevated if the pt's insulin is from endogenous production. If C-peptide is low, then that means the pt is injecting too much insulin and needs to stop injecting the insulin. You also check secretagogue screen. Sulfonylureas (tolbutamide, chlorpropamide, glyburide, glipizide, glimepiride) activate secretagogue. So a positive secretagogue screen means the pt is taking sulfonylureas and the tx would be to stop the sulfonylureas. If the secretagogue screen is negative, then the pt has an insulinoma and you'd do a CT or MRI abdomen to diagnose insulinoma.

Hyperglycemia in pts with DM1 is DKA. Hyperglycemia in pts with DM2 is hyperosmolar hyperglycemic state (HHS).

DKA = type 1 diabetics who have no insulin production so cells can't take up sugar and body thinks it's starving-> breakdown of fat into ketones-> ketoacidosis. Large amount of sugar in urine-> osmotic diuresis-> dehydration. Pts present with AMS or in coma. Diagnose DKA base on: BG will be 300-500 mg/dL, serum and urine will have ketones, ABG shows acidosis. W/u: BMP to determine anion gap (Na+ + K+) - (HCO3- + Cl-) and K+. Tx: DKA protocol.

DKA protocol: monitor blood glucose, K+, and anion gap with BMPs. First check K+ before giving insulin because insulin moves K+ into cells. Before giving insulin, K+ should be greater than 4. Replete K+ if necessary before giving insulin. Give 10 units IV insulin, then insulin gtt. Give vigorous IV hydration and follow anion gap with BMPs. Stop ICU management when AG closes. Stop insulin gtt when AG closes. Then change to D5. Then give long-acting insulin, stop insulin gtt; have pt eat. Determine how the pt went into DKA (infection? STEMI?) and treat that.

Hyperosmolar Hyperglycemic State (HHS) occurs in pts with type 2 DM. They will present with AMS. But they will not have ketonuria or ketones in the blood because type 2 diabetics do produce insulin (they are just resistant to it), so cells can take up sugar and their bodies won't turn fat into ketones for energy. No ketones, so no acidosis. Their BG will be even higher than pts with DKA (800-1000 mg/dL)-> dehydration. No ketones on UA, no acidosis on ABG, no anion gap. Tx: observe on insulin gtt and IV fluids while they're in the ICU.

It's not this simple because I'm pretty sure I recall learning that pts with DM2 can go into DKA. But this is just from my old OME notes.

[npzlawyersforimmigration]

NPZ Law Group was so very pleased to have a chance to share valuable US Immigration Law information with the greater FMG and IMG communities worldwide.

[earningswhisper]

Harte Hanks Inc. Faces Decline in Demand, Slips into Deficit During Fourth Quarter of 20232.

Harte Hanks, a renowned global customer experience company, has recently announced the appointment of David Garrison as its permanent Chief Financial Officer. This strategic move comes as the company aims to navigate the evolving customer experience landscape and enhance its long-standing commitment to bringing businesses closer to their customers. With Garrisonns extensive experience in the public company sector and his solid background in finance, Harte Hanks is well-equipped to overcome the challenges it has faced in recent times and drive future growth.In the most recent fiscal period, Harte Hanks experienced lower demand, which led to vanishing revenue and greater losses. The company slipped into a loss of $-0.27 per share, while its revenue dropped by -9.65% to $49.49 million on a year-on-year basis. This decline was a setback compared to the preceding reporting season, where Harte Hanks recorded revenue of $47.12 million and a bottom lin https://csimarket.com/news/earnings/harte_hanks_inc_faces_decline_in_demand_slips_into_deficit_during_fourth_quarter_of_20232_2024-04-03173144?utm_source=dlvr.it&utm_medium=tumblr