As Psychiatrists, Do We Offer Hope or Do We Offer Death? at HealthBulance.

Sixteen people from Gaza with complicated medical conditions will arrive in Spain today to receive care there, through an evacuation process involving the World Health Organization (WHO) and multiple partners. Fifteen of them are children, ranging in age from 3 to 17 years old. The mother of one of the children will also be treated in Spain. The patients had been in hospital in Egypt for the past several months, after evacuating from Gaza. They are a small portion of the thousands of other children and adults who need access to specialized medical care outside of Gaza. 2024-07-24

Female sex, hyperlipidemia, Medicaid insurance, earlier year of biologic initiation, shorter duration of psoriasis, and prior nonbiologic systemic therapy use were associated with multiple biologic failure in patients with psoriasis, results from a prospective cohort demonstrated. 2023-08-03

Among patients with atrial fibrillation (AF) hospitalized for worsening heart failure (HF), catheter (cath) ablation within 90 days of admission compared with other times is associated with reduced risk for all-cause mortality and HF-related mortality. 2023-07-24

Days into our freshman year of medical school at the University of Louisville, all 140 of us were herded into the gross anatomy lab on the top floor of the main building. Rows of florescent lights illuminated a space where we would spend months studying the human body in minute detail. Despite my having spent summers as a nursing assistant and occasionally observing surgery, my anxiety grew as the professor began assigning cadavers. I'd never fainted in my life but the thought was more terrifying than what lay beneath the thick, smudgy plastic in the steel case before me. 2023-07-20

It's tough to keep up with the proliferation of monoclonal antibodies. Seems every day I'm confronted by a patient who's using a new drug with a name ending in "mab." That drug blocks a cellular receptor I haven't heard of that's involved in a cascade of interactions I haven't thought about since medical school. The resulting disruption reduces disease burden, typically at great expense to the medical system, the patient, or both. We've truly entered the era of precision medicine. It's not enough to understand disease; you also must know its heterogeneous expression so that you can prescribe the 'mab that targets the biology responsible for variants in behavior. 2023-07-06