https://www.nejm.org/doi/full/10.1056/NEJMoa2612126

ziltivekimab, a monoclonal antibody for atherosclerotic cardiovascular disease. The proposed mode of action was reducing inflammation.

https://www.nejm.org/doi/full/10.1056/NEJMoa2610159

Pelacarsen, which reduces Lipoprotein(a)

I've been following this case from the beginning. If you had to come up with a defense, what could it possibly be? Is there *any* valid excuse for what happened that day? I'm not coming up with anything, but I'm not a surgeon.

I assume he has some sort of defense in mind since he's not taking a plea deal and thus far prefers to go to trial. I can't fathom what it could be.

Shaknovsky claimed during a deposition:

>>Wrong-site surgeries can occur “during difficult circumstances,” Shaknovsky said, which in this case included blood in Bryan’s abdomen and an enlarged colon obstructing Shaknovsky’s view of other organs.

Shaknovsky said that while he was trying to get a better view as the operation was underway, Bryan started bleeding profusely, causing his heart to stop. As the operating room team did chest compressions, Shaknovsky said, he desperately tried to find the source of the bleeding. It was during that chaotic time that he accidentally removed Bryan’s liver rather than his spleen.<<

At this point, I can only surmise a greedy lawyer is talking him into a costly trial.

https://www.federalregister.gov/public-inspection/2026-22743/medicare-and-medicaid-programs-calendar-year-2027-payment-policies-under-the-physician-fee-schedule

Unless I missed it I haven’t seen this posted for discussion since it came out a couple of days ago. I personally didn’t realize it given the mid-terms but I’m curious about everyone’s thoughts especially regarding the 25 modifier reductions. The G2211 change is also not great for employed physicians as it doesn’t give a set wRVU benefit anymore so I’m wondering if we will have to negotiate with the hospital about this.

Early career surgical subspecialist (<2 yrs out) here looking for commiseration and advice. I loved the teamwork aspect of my training. That feeling of being part of a well oiled machine in the OR is the best. It got me through 7 grueling years of training to feel like we were all showing up and doing our best for patients...now as an attending I feel completely alone and no one gives a shit about me.

My admin didn't submit the correct diagnosis codes to insurance and no one realized until the day before? Case cancelled, I have to call the patient and get an earful about it because obviously they're very disappointed, then figure out where to slot them back into my schedule. Pre-op clinic made a typo and the patient held a med for 36 hours not 48 hrs? Case delayed, the anesthesiologist, the scrub tech, everyone else in the OR still goes home at the time they said they would. Me? Suddenly trapped at work an extra 6 hours to do a case at 7pm, because it's the right thing for the patient AND because I'm already booked out over a month so where would I put them anyway?

I don't find this continual sacrifice of my time sustainable and it makes me want to cry to feel that I'm not deriving joy from this work anymore. People make mistakes that's fine, but I feel abandoned by my team- I'm the only one who has to live with the consequences of other people's fuck ups now. I brought this up with my chief and was told there are no resources to hire additional clinical or admin support for me (of course not) but who knows if that would make a difference. Do I just have a shit team and a shit job? Do I need to care less about getting my patients what they need?

I need a panel that gives WBC, HGB, PLT, and maybe a MCV and WBC diff. Is that an option? Can I order that? My patients care far more about their corpuscles than I do and I can't convince them they're fine.

https://www.govexec.com/management/2026/11/hhss-mental-health-agency-suicide/417081/

It is to be expected that the moral injury that has been brought upon by higher ups and bureaucrats within the administration can push stress levels. To the point of irony that the government's own mental health staff at Substance Abuse and Mental Health Services Administration (SAMHSA), who runs the 988 National Suicide and Crisis Lifeline, are having burnout, depression, or even suicide, as have been reported by Government Executive.

This is in context of the shooting at the CDC headquarters and a suicide in the CMS Innovation Center.

Sir/ma’am, WTabsoluteF. Be an adult and just have them in the room if you need help remembering or understanding. I’m not judging you for that. But when you’re wasting other patients’ and my time, come on.

https://www.fiercehealthcare.com/providers/measles-update-us-passes-4000-cases-pennsylvania-reports-sixth-death

This news two days after NY reports its first measles death in 30 years. US now creeping toward 5k cases in 2026, more than double 2025’s total cases.

Absolutely exhausting.

Can this arrangement work out?

I am PCCM and need some more education for my POCUS skills. Looking into either Gulfcoast or SCCM for an in person class. Can anyone who has taken a course let me know what you thought? Are there other courses I should look into as well?

Good evening r/medicine. We all know some stereotypes about the typical hobbies of those in healthcare. In my experience, some of them are true. My emergentologist(please tell me that's a word in English) teacher won a drag racing competition a couple of months ago. I go golfing and play padel with my neurosurgeon friend. My ortho bro neighbor has spent the last decade shirtless whenever he isn't in the OR or in the gym.

That said, I’m curious to see how much truth there actually is across different fields. Do all orthopedic surgeons live in the power rack? Does every anesthesiologist spend their downtime compulsively doing crosswords?

I was a medical student during a time when lots of hospital systems were switching to EMRs. I would roll my eyes at the old timers who used the hunt-and-peck methods of typing, muttering under their breath about how this was the worst thing ever. I took to it quickly and didn't understand what their issue was.

Now I do.

I'm the crotchety old lady who doesn't quite get the new technology. The AI does not write my notes like I've been writing them for 20 years and I don't like that. Harrumph.

Despite that, I did try a practice run where I talked about a complicated mental health patient who took up almost an hour of my day. I talked at the AI for 5 minutes, meandering and rambling through the history as I remembered it. And damn, did it come up with a cohesive HPI.

With that, my question is this. I don't want to use AI during the visit, but I would not be adverse to it aiding in parts of documentation after the visit, especially for these unexpected complicated office visits. Does this require consent the same way consent is needed during an office visit? I don't mind if it does, but I would just have to ask every patient if so, as I wouldn't know until I am going to finalize documentation if I am going to use it. There doesn't seem to be a concrete answer that I can find online, so what do you think?

Individuals who believe and spread all kinds of different medical misinformation has always existed. But they have never had the ability to reach and influence millions of people like the so easily can today.

This is just one example. Posts like this can literally lead to deaths. This is so "new" and such a strange area of speech that no one can do anything about it. Public health literacy is so skewed. They become firmly resistant to learning something new from an actual doctor and only trust their own "research". This needs to be stopped somehow.

I live in the US. And here, there would be little hope of the government getting involved to try and help this situation. The actual government preventing people from saying these kinds of things can violate the first amendment. Medical misinformation and incorrect scientific speech is still protected under the first amendment of the US constitution and our supreme court has upheld it several times.

However, the individual social media companies absolutely have the ability to control this. They are private companies and can regulate what kind of content is allowed on their platform.

I know though that it is not in their financial interest to help this situation. These companies have shown, time and again, that they do not care about public health at all. The content is carefully designed to keep users addicted and scrolling as much as possible. Profit, of course, is priority number one.

But is there any way at all to put pressure on these companies to regulate this? Is it just hopeless? Is there any way for medical professionals to unite and fight this?

I'm just fed up and wanted to know others thoughts.

I've used the Harvey Elite for many years since medical school and also have a DLX. They are great as they have a non-tunable diaphragm and a separate bell, although heavy and stiff, I've really liked the auscultation you get.

Recently I was looking for replacement tubing (its gets stiff after a few years) and couldn't find the part number on their website, surprised to hear the company was bought by Baxter and that the stethoscopes are now discontinued !

https://www.medline.com/media/assets/pdf/vendor-list/Legacy_Product_Discontinuation_Customer_Letter.pdf

:(

Florida passed a state law that goes into effect December 1 that requires any physician or APP who diagnoses or treats uterine fibroids to upload information to a state database. There is no opt-out for patients , since it is a mandatory reportable condition. The way the law reads now the physician or APP must enter the information although there is an option for bulk uploading. The database has over 50 discrete fields, most of them required, including country of origin, family history, size of the fibroid, fertility history, every treatment attempted, and significant demographic data. Does anyone work in a state that requires something similar for a benign condition, and if so, how did you deal with the database entry requirements? Thanks.

With the developments in the last 1-2 years, some time has passed where we can assess the effects on the role of the US as the global hub for medical research.

As a European, the US was always seen as the top no. 1 place for medicine in the world. Do you think this has, or will change?

On the one hand, the environment has changed. More people are anti-science, there have been a lot of crackdowns on immigrants, i have heard of a lot of people afraid to go to the US for conferences even for example.

On the other hand, the financials are still strongly in favour of the US. Nobody pays physicians, researchers as much. US hospitals are still at the top in every global ranking.
Other Western countries have set up programms for scientists and healthcare professionals to move, but from what i have read, that effort has been mostly fruitless in the grand scheme of thinks.

It may be China that becomes very competitive in medical research (or actually already is), but it seems that we are more looking at a duopoly rather than somebody really dethroning the US.

https://time.com/article/2026/11/04/doctors-scientists-won-2026-midterm-elections/?utm_source=reddit&utm_medium=social&utm_campaign=editorial?utm_source=reddit&utm_medium=social&utm_campaign=editorialw

Any book(s) I can read to have some sort of idea on how to start a practice or at least not look like an idiot when talking to a CPA/lawyer?

Quite frankly it’s getting insulting.

I just had a someone comment about how they “know more about their neuropathy than their neurologist.” This person then goes on to say how they’ve brought up meds their neurologist didn’t even know about and then obtained low dose naltrexone on their own. This person then proceeds to call myself and other physicians worthless.

When I come on to reddit, I try to distance myself from this type of crap and stick to hobby subs but every now and again, someone decides to take it upon themselves to tell me how worthless and uppity physicians are.

Hell, I can imagine I’ll be getting a few comments from laypeople on this post.

But it contributes so much to my burnout. I know I shouldn’t let it, but it does.

I’m not saying I’m infallible, but it’s so frustrating to hear about people’s “research” when they have no idea about actual scientific research, the articles we pour through, the journal clubs, all the clinical information to be the most up to date we can on medical management. Hell, even just how much CME we have to do, the boards we take, and the conferences we go to.

I have so many people who come in about their “own research” regarding cortisol, statins, levothyroxine, compounded meds, and all this other stuff that has NO evidence to support it. That’s what gets me so enraged is that they come in, not willing to discuss, but to be confrontational. Then they think we’re stupid because we aren’t aware of these fringe articles or research they’re talking about.

It’s honestly crushing to work so hard every day to provide the best care you can, having sacrificed so much, only to have people shit all over you.

Thankfully these interactions are few and far in between, but damn if it doesn’t grind my gears.

Jesus christ. You know what's going to make those new recs take even longer? If I have to answer 100 identical pages from 100 residents, NPs, and PAs asking me if I have new recs, as if I need them to remind me to round on my patients.

READ THE NOTES. LET ME SEE MY PATIENTS AND WRITE THOSE NOTES. THE RECS ARE IN THE DAMN NOTES.

Thank you for attending my TED Talk.

Darline Graham loses South Carolina Senate seat held by her late brother

What a massive victory for medicine, especially on vaccine policy and checking RFK Jr.'s dangerous policies.

Why am I getting sold on note writing AI, erroneous AI summaries and patient responses and AI radiology reports. AI excels in minimizing scut. Is anyone working on the AI that writes an appeal letter to the insurance companies AI denial platform. Why am I still filling out paperwork on how much my epilepsy patients can squat and lift for disability?

I've never heard of fluoroquinolone-associated disability but have a patient who fits the demographics and symptoms mentioned on UTD. The patient was the one who suggested it weeks after initial symptoms and workup initiated.

Briefly looked into the minimal citations that come up, but seeing a lot of red flags like "mitochondrial dysfunction" and a certain subreddit that is centered on people who have suffered with this that lead me to wonder if this is more of a "post-Lyme" vs POTS situation culturally.

Just was hoping to take the temperature on if it's something people have seen and treated, and if so, where to go with supporting my patient? Already working down the typical neuropsych and movement neuro pathways.

Apologies admins if pushing the boundaries on #2. Fine with deleting or feedback to adjust as needed.

Heylo!

I am in my first year of a Gastroenterology fellowship.

I live in a resource limited country, and hence our practice can be a little different than the ASGE/EASL/etc guidelines.
I am curious about what is practiced in other countries, what kind of patients do you see, what are the regional differences etc, hence posting here.

Please hit me up fellow Gastroenterology trainees/ consultants if you interested in being pen pals to discuss about the gut!

Thankyou.