From a Becker’s Hospital Review online release:
“This is the fourth time in the last two years we’ve had to activate our hospital’s emergency operations plan for a major drug shortage,” Dr. Biddinger told NBC News. “It’s almost unfathomable in modern medicine. I never thought we would get to a point in the U.S. healthcare system where we wouldn’t have essential medicines to be able to treat patients.”
Drug shortages are increasing and lasting longer, according to an FDA report published Oct. 29. Of 163 drugs running low in 2013-17, over 62 percent were due to manufacturing or product quality problems.
Boston-based Massachusetts General Hospital is a prime example, getting as close as two weeks away from canceling a lifesaving cardiac surgery due to a lack of herapin, a blood-thinner, according to Paul Biddinger, MD, chief of the division of emergency preparedness at Massachusetts General Hospital.
From a New York Times online article:
For new patients, whose visits entail more work than those of established patients, facility fees typically range from $131 to $322 per visit; for established patients, they are slightly lower. In surgical centers and free-standing emergency rooms, the facility fee can be thousands of dollars.
A facility fee is an additional charge that some medical practices can add to the cost of each doctor visit. The additional charge usually comes as a surprise because, unlike an exam or a test or treatment, the facility fee is not tied directly to hands-on care.
The purpose of the facility fee is to compensate hospitals for the expense of maintaining the physical premises. Hospital-owned, off-campus medical practices are also allowed to charge the facility fee to cover specific regulatory requirements, such as building codes, disaster preparedness, equipment redundancy and other items that are largely invisible to patients.
Factors that can help clinicians distinguish signs of normal aging versus Alzheimer disease.
From a The Week online article:
The disease kills 12,000 Americans during mild flu seasons and up to 56,000 in severe ones, with 90 percent of the victims over 65 years old.
Although the U.S. has one of the highest vaccination rates in the world, only 45 percent of adults and 63 percent of children get flu shots each year. Scientists estimate that if the vaccination rates were boosted to between 80 and 90 percent, it could effectively stop seasonal flu from spreading because of herd immunity.
How does the vaccine work?
The flu vaccine contains inactive or weakened versions of three or four different strains of the influenza virus. Most people receive the vaccine via injection, but there is also a nasal spray available. The weakened viruses can’t cause serious illness, but they trigger and train the immune system to fight off the invading microorganisms. White blood cells generate an army of antibodies, which attack and destroy the vaccine viruses by attaching themselves to parts of the virus known as antigens. The vaccine antigens have the same shape as real flu antigens, so the immune system now has antibodies that match up with the real flu virus. That experience teaches the immune system to recognize future flu infections and quickly make antibodies to attack the invading viruses. It takes about two weeks after receiving the vaccine to develop immunity, which is why doctors recommend getting it early in the flu season, which begins in October and can last as late as May.
From a The Verge online article:
The tool is simply called Preventive Health, and is now available to Facebook users in the United States. It takes a user’s age and sex from their Facebook profile and provides them with a list of recommended screenings based on those two data points.
“Let’s say you’re 52 years old,” Freddy Abnousi, Facebook’s head of health care research, tells The Verge. “One of the things that will come to you — based on the American Cancer Society’s recommendations — is that you should have a colorectal cancer screening.” Abnousi says that the app will then give you more information about what kinds of tests are available, from a colonoscopy to a stool test or a CT scan. Abnousi hopes that users will then take what they’ve learned and talk to their primary care physician about what would be best for them. Users can also adjust the age and sex in the tool to get different screening recommendations without having it affect anything on their profile.
This week in Science, Helen Philips, a postdoctoral fellow at the German Centre for Integrative Biodiversity Research and the Institute of Biology at Leipzig University, and colleagues published the results of their worldwide earthworm study, composed of data sets from many worm researchers around the globe.
Sarah also talks with Ziad Obermeyer, a professor in the School of Public Health at the University of California, Berkeley, about dissecting out bias in an algorithm used by health care systems in the United States to recommend patients for additional health services.
Finally, in the monthly books segment, books host Kiki Sanford interviews author Alice Gorman about her book Dr. Space Junk vs The Universe: Archaeology and the Future. Listen to more book segments on the Science books blog: Books, et al.