Coupons, PBM's ... oh my!
Over the past few years, my coverage of coupon-generating websites/apps has increased by a lot in this blog because those have emerged as a critical way for patients to get prescriptions at lower, PBM-negotiated prices even if they have yet to satisfy an annual insurance deductible or they have no insurance at all. In general, coupon-generating websites/apps offer consumers access to the deeper pharmacy benefits manager ( " PBM " )-negotiated prices on prescription drugs, at prices which are often substantially less than the prices you could otherwise attain as a consumer without the benefit of a commercial healthcare...
Source: Scott's Web Log - September 1, 2021 Category: Endocrinology Tags: CGM CGMS coupon-generating websites apps Dexcom insulin Libre PBM test strips Source Type: blogs

Shared Decision Making with Pediatric Medications
by Amy C. Reese, Pharm.D. My pharmacy received a prescription for prednisolone solution written for a 5-year-old patient. We only had the manufacturer of prednisolone with 5% alcohol in it as a solvent. I did not want to deny the child medication, but I was hesitant about giving medication with alcohol to a child because some people are strictly opposed to the practice of giving children alcohol. When the mother arrived at the pharmacy, I explained the situation to her and told her what her options were.… (Source:
Source: - July 6, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Informed Consent Pediatrics Pharmaceuticals professional ethics Professionalism pharmacist pharmacy Source Type: blogs

The Noble Prize for a Life Well-Lived
In honor of a beautiful and affectionate cat.RIP, beloved MaxApril 19, 2003– April 24, 2020So much acrimony and confusion and death...In the true meaning of the word, Max lived a noble life.“But he was just a cat,” you say. Yes, that ' s true. But he was loving and kind and selfless until the very end. He was a wonderful companion, and a great source of comfort to me (especially after my partner died inOctober 2018).Max and SandraFeb. 2, 2017He was cherished by previous caretakers and human friends, who showered him with gifts.Christmas Eve, 2017Christmas Day, 2018But now he ' s gone and life continues, filled with a...
Source: The Neurocritic - April 26, 2020 Category: Neuroscience Authors: The Neurocritic Source Type: blogs

Tropical Travel Trouble 008 Total TB Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 008 Peer Reviewer Dr McBride ID physician, Wisconsin TB affects 1/3rd of the population and one patient dies every 20 seconds from TB. Without treatment 50% of pulmonary TB patients will be dead in 5 years. In low to middle income countries both TB and HIV can be ubiquitous, poor compliance can lead to drug resistance and malnourished infants are highly susceptible. TB can be very complex and this post will hopefully give you the backbone to TB m...
Source: Life in the Fast Lane - June 16, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine Genexpert meningitis TB TB meningitis Tuberculosis Source Type: blogs

Fight Aging! Newsletter, March 26th 2018
In conclusion, senescence of vascular cells promotes the development of age-related disorders, including heart failure, diabetes, and atherosclerotic diseases, while suppression of vascular cell senescence ameliorates phenotypic features of aging in various models. Recent findings have indicated that specific depletion of senescent cells reverses age-related changes. Although the biological networks contributing to maintenance of homeostasis are extremely complex, it seems reasonable to explore senolytic agents that can act on specific cellular components or tissues. Several clinical trials of senolytic agents are currentl...
Source: Fight Aging! - March 25, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

A Tissue Engineered Retinal Patch Improves Vision in Macular Degeneration Patients
We reported three serious adverse events to the regulator. These were exposure of the suture of the fluocinolone implant used for immunosuppression, a retinal detachment, and worsening of diabetes following oral prednisolone. All three incidents required readmission to the hospital, with the first two incidents requiring further surgery and the third being treated medically. The three incidents were treated successfully. Both patients achieved an improvement in best-corrected visual acuity of more than 15 letters at 12 months after transplantation. Although 12 months is sufficient to begin to describe cell survival ...
Source: Fight Aging! - March 20, 2018 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Surrogacy ? or donor egg ?
I just received this email from a patientMy date of birth : 24/7/73 (43 years old)My partner date of birth : 11/3/76 (41 years old)Trying to conceive 4 years, since May 2013One previous pregnancy in June 2013, first month of trying, ended in early miscarriage at 5.5 weeks.Started IVF in September 2014 and have had 7 failed cycles to date. Details below:Cycle 1: October 2014Gonal F - 600 units4 eggs retrieved1 fertilised with icsi1 top grade 8 cell embryo (no fragmentation) was transferred on Day 3No pregnancyCycle 2: April 2015Fostimon - 600 unitsEarly ovulation before egg collection meant I lost at least 1 mature egg...
Source: Dr.Malpani's Blog - April 30, 2017 Category: Reproduction Medicine Source Type: blogs

IVF patients need to learn that doctors don't have all the answers
Dear Dr Malpani,I read your recent email with interest, as it relates directly to me.After 5 years of IVF and only one successful transfer, which occurred last year at the age of 49 (2016) and I was pregnant for 11 weeks. Unfortunately the embryo failed at 11 weeks due to Edwards syndrome, but these were my own eggs from about age 46.Since this, I have now done two transfers with donor eggs (23 year old donor) and neither has worked.The only successfully pregnancy I had involved a treatment protocol designed by a fertility immunologist, as a result of extensive and expensive blood tests in the US (exactly a you describe - ...
Source: Dr.Malpani's Blog - March 13, 2017 Category: Reproduction Medicine Source Type: blogs

LITFL Review 182
Welcome to the 182nd LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the Week Essentials of Emergency Medicine is offering a US resident scholarship in partnership with ALiEM and EMCrit for the October Essentials course in Las Vegas. Check it out and apply now! [AS] The Best of #FOAMed Emergency MedicineGreat pearl from ...
Source: Life in the Fast Lane - May 17, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Wheat Belly and inflammation
Sophia shared this enlightening and wonderful story of relief from inflammation and half a dozen anti-inflammatory drugs by eliminating the cause, grains: “Morning from Berkshire, UK. This is me now [on the right], 3 and a half months into Wheat Belly. No drugs, no sarcoidosis, no osteoarthritis, no gastric spams, no joint inflammation, no brain fog, no redness of skin. Still ongoing disc problems but decided to wean myself off of all drugs and manage the pain with exercise, yoga, cycling and then rest. “By drugs: omeprozole, naproxen, gabapentin, tramadol, diazepam, prednisolone, gastric drugs. “I have l...
Source: Wheat Belly Blog - April 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories acid reflux gluten grains iinflammation joint pain sarcoidosis Source Type: blogs

Is Malaysia ready for separation of dispensing?
Discussion on Separation of Dispensing in the DOBBS Doctors forum Please note that Dobbs forums discussions are available only to logged in Dobbs members. Membership is FREE for all Malaysian doctors and done in two easy steps 1) Register at – automatic signup and activation link will be sent via email 2) After activating, do LOGIN and VERIFY as a doctor here: (Source: Malaysian Medical Resources)
Source: Malaysian Medical Resources - December 22, 2014 Category: Global & Universal Authors: palmdoc Tags: - Nation Dispensing Drugs Pharmacists Pharmacy Source Type: blogs

The LITFL Review 155
Welcome to the 154th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beaut of the Week Cricoid pressure/force continues to be a contentious point amongst critical care practitioners. Where did it come from? The Bottom Line review and critique the original paper by Sellick. [SO] Insight into the mind of Scott Weingart. How the master...
Source: Life in the Fast Lane - November 10, 2014 Category: Emergency Medicine Authors: Anand Swaminathan Tags: LITFL review LITFL R/V Source Type: blogs

Healthcare Update Satellite — 02-13-2014
More medical news from around the web on my other blog at No more “putting it on my account.” Due to cuts in payments from Medicare and Medicaid and expenses for treating uninsured patients, Hutchinson Hospital in Kansas will require payment for emergency department services, radiology, and outpatient surgery services before services are rendered. Emergency department patients will still get screened, but apparently won’t receive non-emergency treatment if a partial payment isn’t made. Florida Hospital Memorial Medical Center has implemented the same type of system – along wit...
Source: WhiteCoat's Call Room - February 13, 2014 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Precision Oncology: Interview with Presage Biosciences Founder Dr. James Olson
As the costs of sequencing and drug testing continue to be driven down, we’ll increasingly see technologies that take into account differences between people and even within people. The hope is that this will lead to ultra-personalized medicine. One of the most anticipated use cases is in oncology because there is even a level of heterogeneity within the same solid tumor, leading to drug ineffectiveness or even resistance. Presage Biosciences is one company that hopes to pioneer this personalized and data-driven approach, which they call ” precision oncology.”  We had the opportunity to interview its fou...
Source: Medgadget - December 3, 2013 Category: Technology Consultants Authors: Shiv Gaglani Tags: Medgadget Exclusive Oncology Source Type: blogs

Prednisolone For Bodybuilding
Over the prednisolone for bodybuilding, bodybuilding has never been a mainstream sport, including it as an Olympic judge to critique. Given the controversy surrounding the prednisolone for bodybuilding of sports on display. By showcasing bodybuilding, the prednisolone for bodybuilding can be, while the prednisolone for bodybuilding up the prednisolone for bodybuilding a greater Self or broader definition on one's Self.These two bodybuilding tips will make a difference in adding more muscle definition, more mass and body fat and the prednisolone for bodybuilding for amino acids is dietary protein. Muscles, tendons and ligam...
Source: Cosmic Watercooler - June 2, 2013 Category: Nurses Tags: Prednisolone Bodybuilding Source Type: blogs