Day: October 6, 2020

By iwano@_84

It’s OK for Physicians Not to Go by the Book

Some time ago, I performed a colonoscopy on a patient who was having serious internal bleeding. He had already received multiple transfusions since he was admitted to the hospital. After obtaining informed consent for the procedure, I performed the colon exam. I encountered blood throughout the entire colon, but saw no definite bleeding site, raising the possibility that the source of blood might be higher up than the colon, such as from the stomach.

I had not considered this possibility when I met the patient, but this was now plausible. Can I proceed with the upper scope test, to which the patient did not consent, while the patient is still sedated from the colon exam?

Seasoned gastroenterologists can usually predict the site of internal bleeding based on numerous medical facts, but there are times that we are surprised or misled. Patients don’t always behave according to the textbook presentations we

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By iwano@_84

Over 50 Salt Lake City officers under quarantine ahead of vice presidential debate

The city has seen a rise in new cases over the last month.

Salt Lake City’s latest rise in novel coronavirus cases has affected dozens of the city’s police officers, with at least 9% under quarantine ahead of Wednesday night’s vice presidential debate.

As of Tuesday evening, 17 officers tested positive for COVID-19, and 52 were in quarantine, Detective Michael Ruff told ABC News. On Monday, the department said 15 officers tested positive and 25 others were under quarantine.

A 2019 report by the Salt Lake City police department said the force had 542 uniformed officers, and Ruff could not say how much that number has changed over the year.

Ruff the department’s duties during the debate at the University of Utah shouldn’t be hindered because other agencies, including the university police,

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By iwano@_84

Trump advisers consult scientists pushing disputed herd immunity strategy

Mainstream medical and public health experts say that seeking widespread, or herd, immunity in the manner the scientists prescribe could result in the deaths of hundreds of thousands or even millions more U.S. residents.

The trio, who Azar described as “three distinguished infectious disease experts,” favors moving aggressively to reopen the economy while sidelining broad testing and other fundamental public health measures. “Three months, maybe six is sufficient time for enough immunity to accumulate … that the vulnerable could resume normal lives,” Gupta said Monday night in appearance on Laura Ingraham’s Fox News show.

That aligns with the “herd-immunity” strategy endorsed by Atlas, who Bhattacharya said was their “point of contact” for the meeting. Atlas, a neuroradiologist and senior fellow at Stanford University’s Hoover Institution, has emerged as a favored adviser to the president despite his lack of expertise in public health, infectious disease or epidemiology, and his skepticism of

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By iwano@_84

Whistleblower who alleged White House virus failures resigns

A high-ranking government whistleblower who alleges the Trump administration fumbled its coronavirus response has resigned, saying he has been forced out

Lawyers for Dr. Rick Bright said he was sidelined at the National Institutes of Health, where he had been transferred this spring after being ousted as head of a biodefense agency.

Attorneys Debra Katz and Lisa Banks said NIH superiors ignored a national coronavirus testing strategy that Bright developed because he had become politically toxic within the Trump administration.

“NIH leadership declined to support Dr. Bright’s recommendations because of political considerations, plain and simple,” the lawyers said. “This was the proverbial straw that broke the camel’s back. He can no longer countenance

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By iwano@_84

San Diego schools remove Trump letter from food boxes due to mask statements


Volunteers stand with boxes of produce at a drive-up produce giveaway | AP Photo/Charlie Neibergall

Volunteers stand with boxes of produce at a drive-up produce giveaway | AP Photo/Charlie Neibergall

SACRAMENTO, Calif. — The San Diego Unified School District is removing letters from President Donald Trump that his administration placed inside food boxes as part of a federal coronavirus relief program for families in need.

Superintendent Cindy Marten, who oversees one of the nation’s largest school districts, told POLITICO on Tuesday that she has directed her food and nutrition services department to remove all letters from food boxes that have not already been distributed “in order to protect local families from being misled on how to protect themselves from becoming infected.”

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The USDA’s Farmers to Families Food Box Program redirects meat, dairy and produce to low-income families instead of the restaurants and other food-service businesses that normally receive them. The Trump administration has been criticized for mandating that a letter from Trump taking credit

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By iwano@_84

California governor’s office tells diners to wear masks “in between bites”

The California governor’s office put out a tweet on Saturday advising that restaurant-goers keep their masks on while dining. “Going out to eat with members of your household this weekend?” the tweet reads. “Don’t forget to keep your mask on in between bites. Do your part to keep those around you healthy.”

In California, masks are required for anyone going outside their home, as well as workers in customer-facing businesses, offices, factories, and health care professionals, among others, according to the state’s COVID-19 guidance.

While children under 2 years old and those with breathing troubles or medical exemptions do not need to wear a mask, everyone

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By iwano@_84

Study: Pot users may need more anesthesia, painkillers during, after surgery

Marijuana users appear to need more anesthesia than nonusers, and also more opioids to relieve their pain after surgery, a new, preliminary study reports.

Users of cannabis products who had surgery for a broken leg required higher doses of sevoflurane, an inhaled anesthetic that keeps you asleep during a procedure. These folks also required nearly 60% more opioid painkillers per day while recuperating in the hospital, the researchers found.

The results jibe with earlier studies indicating that marijuana users might need more anesthesia initially to put them under, said lead author Dr. Ian Holmen, a resident anesthesiologist with the University of Colorado Anschutz Medical Campus in Aurora.

“It’s similar to flying a plane. You have a takeoff section, and then you have your cruising section and then your landing. These in anesthesia are induction, maintenance and emergence,” Holmen said. “We found that it’s not just in the induction phase of

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By iwano@_84

Six U.S. States Report Record COVID Hospitalizations, New Restrictions in Place | Top News

By Gabriella Borter and Lisa Shumaker

(Reuters) – Six states reported record numbers of hospitalized COVID-19 patients, including Wisconsin, where officials on Tuesday issued a new order limiting the size of indoor public gatherings.

The surge of COVID hospitalizations and new cases in some states coincides with U.S. President Donald Trump and several members of his White House staff testing positive for the novel coronavirus. Trump’s doctors on Tuesday said he was not displaying any acute symptoms after he left the Walter Reed Medical Center, where he was treated for three days.

The spike in reported hospitalizations on Monday hit states in the Midwest the hardest, with Montana, Nebraska, North Dakota, South Dakota, and Wyoming reporting their highest figures, according to a Reuters tally. Wisconsin has 782 hospitalized coronavirus patients, compared with 433 two weeks ago.

Wisconsin’s Department of Health Services issued a directive that gatherings will be limited to

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By iwano@_84

Fruit Sold at Walmart Recalled Due to Listeria Fears


Consumers who purchased products with the affected sell-by dates are urged to throw them away. Meanwhile, Walmart is removing the products from its store shelves.

“Country Fresh takes food safety matters very seriously, stringently follows all mandated regulations and implements preventive measures designed to minimize potential risks,” the supplier said in a news release. “Country Fresh is working in close coordination with FDA in its continuing investigation to resolve the matter promptly and deeply regrets the inconvenience to our consumers and customers.”

What is listeria?

Listeriosis, the infection caused by the germ Listeria monocytogenes, primarily affects older adults, newborns, pregnant women and people with weakened immune systems. It can cause fever and diarrhea, and severe cases can cause infections of the bloodstream or brain. Infections may also affect other parts of the body including bones, joints, chest and abdomen, according to the Centers for Disease Control and Prevention.

No illnesses

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By iwano@_84

Trump Administration Will Cease Federal Funding to Hospitals That Do Not Report COVID-19 Data | Top News

(Reuters) – The U.S. Department of Health and Human Services will halt some federal funding to hospitals that do not comply with its requirements for reporting data on COVID-19, senior administration officials told reporters on a Tuesday call.

Starting Wednesday, hospitals will be given 14 weeks to provide daily reporting to HHS on COVID-19 cases and deaths, as well as other information such as influenza cases and use of personal protective equipment, the officials said.

Hospitals that fail to comply will lose access to reimbursement from Medicare and Medicaid, federal insurance programs for seniors, the disabled, and people with low incomes, they said.

The data will help coordinate the federal government’s response to COVID-19, including helping allocate supplies of antiviral drug remdesivir, and distribute its stockpile of personal protective equipment, such as surgical masks, said Deborah Birx, the White House Coronavirus Task Force coordinator.

HHS is requiring that hospitals provide

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