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When patient expectations battle with reality

TAM is fast approaching, which means one thing (at least this year). I need to get my Plexiglass blinky posterior in gear in order to have my talks together in time. I spent part of yesterday doing that, but, unfortunately, I have to work today in order to help to make up for the clinic I'll be missing next week; so you'll forgive me if this post might look familiar to a subset of you who know where you might have seen some of this discussion before elsewhere. Those of you who haven't, you're in for some good blogging, if I do say so myself. ....

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FDA restricts use of Intercept drug due to liver injury risk


Dive Brief:
The Food and Drug Administration on Wednesday restricted the use of Intercept Pharmaceuticals liver disease drug Ocaliva after an investigation linked it to severe injuries including liver failure in certain patients.
In most cases, the benefits of Ocaliva outweigh the risks for patients with primary biliary cholangitis, the FDA said. But the agency announced Wednesday that doctors should not prescribe the medicine for patients with advanced cirrhosis, or permanent scarring.
The new contraindication follows a safety warning added in 2018 to caution physicians about overdosing patients with Ocaliva and recommend they engage in closer monitoring. In the latest update, the FDA said it s connected the drug to 25 cases of injury leading to liver decompensation or liver failure in patients with cirrhosis. ....

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Palliative care: how understanding terminal pain and suffering guarantees the dignity of human rights


April 13, 2021
You are here: Home / Policy / Health / Palliative care: how understanding terminal pain and suffering guarantees the dignity of human rights
Palliative care: how understanding terminal pain and suffering guarantees the dignity of human rights
(Credit: Unsplash)
This article was exclusively written for The European Sting by Ms. Isabella Arantes Tobbin and Naiany Olivotto Martins, two second year medical students at Universidade Paranaense (UNIPAR) – Brazil. They are affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one. ....

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After State Blunder, PA Abuse Victims Ask: 'Who The Hell Are We Supposed To Trust?'


Courtesy of Dougherty
/ Keystone Crossroads
The news that Pennsylvania had screwed up the process for putting a constitutional amendment before voters that would allow victims of decades-old sexual abuse to sue hit Jay Sefton hard.
He had let himself hope that things were finally about to change.
“[It] was a real dark wave that came over,” said Sefton, now a therapist in Massachusetts, who says he was abused by a priest in Havertown in 1985.
When the Pennsylvania Department of State failed to advertise the proposed constitutional amendment that had been passed by the legislature, it halted a march toward justice for thousands of victims abused in the commonwealth. The constitutional amendment process takes two years, and unless an emergency provision passes by mid-April, it would be 2023 before victims would be given a window to sue over decades-old sexual abuse claims. ....

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