January 24, 2022

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2 min read

Leslie Clayton, a physician assistant in Minnesota, says a name change for her profession is long overdue. “We don’t assist,” she says. “We provide care as part of a team.”

Liam James Doyle for KHN

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Liam James Doyle for KHN

Leslie Clayton, a physician assistant in Minnesota, says a name change for her profession is long overdue. “We don’t assist,” she says. “We provide care as part of a team.”

Liam James Doyle for KHN

After 23 years as a physician assistant, Leslie Clayton remains rankled by one facet of her vocation: its title. Specifically, the word “assistant.”

Patients have asked if she’s heading to medical school or in the middle of it. The term confounded even her family, she says: It took years for her parents to understand she does more than take blood pressure and perform similar basic tasks.

“There is an assumption that there has to be some sort of direct, hands-on oversight for us to do our work, and that’s not been accurate for decades,” says Clayton, who practices at a clinic in Golden Valley, Minn. “We don’t assist. We provide care as part of a team.”

Seeking greater understanding for and appreciation of their profession, physician assistants are pushing to rebrand themselves as “physician associates.” Their national group formally replaced “assistant” with “associate” in its name in May, transforming into the American Academy of Physician Associates. The group hopes state legislatures and regulatory bodies will legally enshrine the name change in statutes and rules. The total cost of the campaign, which began in 2018, will reach nearly $22 million, according to a consulting firm hired by the association.

Doctors are pushing back

But rechristening the PA name has spiked the blood pressure of physicians, who complain that some patients will wrongly assume a “physician associate” is a junior doctor — much as an attorney who has not yet made partner is an associate. The head of the American Medical Association has warned that the change “will undoubtedly confuse patients and is clearly an attempt to advance their pursuit toward independent practice.” The American Osteopathic Association, another group that represents doctors, accused PAs and other nonphysician clinicians of trying “to obfuscate their credentials through title misappropriation.”

In medicine, seemingly innocuous title changes are inflamed by the unending turf wars between various levels of practitioners who jealously guard their professional prerogatives and the kind of care they are authorized to perform. Just this year, the National Conference of State Legislatures catalogued 280 bills introduced in statehouses to modify scope-of-practice laws that set the practice boundaries of nurses, physician assistants, pharmacists, paramedics, dental hygienists, optometrists and addiction counselors.

Lawmakers allowed North Carolina dental hygienists to administer local anesthetics; permitted Wyoming optometrists — who, unlike ophthalmologists, do not attend medical school — to use lasers and perform surgeries in certain circumstances; and authorized Arkansas certified nurse practitioners to practice independently. Meanwhile, the physicians’ lobby aggressively fights these kinds of proposals in state legislatures, accusing other

2 min read

Oocyte cryopreservation, commonly known as egg freezing, is a process in which the eggs from the ovary are frozen to be used later. A woman who is not ready to get pregnant but wants to have kids in the future can opt for egg freezing. 

It is a widespread technique to have kids in someone’s later years when fertility is not at its peak. If you have frozen your fertile eggs, then you can use those eggs to become pregnant. You can contact the center of egg freezing in Encino to get more information. In this post, we have answered the most common questions which most females have regarding egg freezing. 

  1. What is the best age for freezing my egg? 

If you are planning to freeze your eggs, then this would be the first question to arise in your mind. A female is most fertile up to her late twenties, and fertility starts to decline after thirty. So it is best advised to freeze eggs in your late twenties. 

Many women freeze eggs in their late thirties or even in their 40s. It is possible to freeze eggs at this age, but the chances of pregnancy are lower. 

  1. What is the procedure? 

To describe the procedure in short, a female first goes for a blood test to ensure there are no chances of infections. Then the female is given hormonal injections to stimulate the growth of eggs in the ovary. After this, the eggs are withdrawn from the ovary and frozen. The withdrawal of eggs is performed under the effect of anesthesia. 

  1. What is the success rate? 

The success rate varies depending upon the age of the patient when the eggs were frozen. It is reported that the success rate of women freezing eggs before their thirties is higher than those freezing after their thirties. 

  1. How long can the eggs be stored? 

The eggs can be stored for a lifetime. The eggs are stored in a container named a dewar, which is filled with liquid nitrogen. 

  1. Does egg freezing guarantee a live birth? 

While egg freezing is a newer procedure and has shown excellent results, no medical procedure guarantees for-sure results

  1. How much does egg freezing cost? 

Egg freezing is quite an expensive procedure—a single cycle costs around $10,000. While storing the eggs costs around $400 per year. 

These are the most common questions associated with egg freezing. However, you may contact your doctor regarding further details and questions. Depending upon your medical conditions, a doctor will advise you about your appropriate next step. … Read More...

2 min read

Ingrown nails are common, and most people experience them. While it can be treated at home, you will have to consult a doctor if you experience extreme pain and discomfort in your ingrown nail.

If you are dealing with an ingrown toenail in Bakersfield, you must consult a doctor at the earliest. Seeking professional help will help you eliminate the risk of any further complications.

When do you need to see a doctor?

  • You feel continuous pain in and around your toenail. 
  • It is becoming unbreakable and is affecting your skin around it.
  • There is extreme sensitivity, and you are unable to wear your shoes.
  • You feel that the nail is putting pressure on your skin.
  • You can see a wound that has been created by the cutting of the nail in your skin. This wound can easily get infected and can also reach your bones. 
  • People with chronic diseases like diabetes are at risk as they cannot feel any pain and have weak immune systems. 

Your toenail infection can rapidly increase from minor to major, and it is best advised that you avoid any risks and consult a doctor.

How do doctors treat ingrown toenails?

  1. Check for possible infections: As soon as you consult a doctor to treat your ingrown toenail, he will first check for any infections. If there are signs, he will provide you with appropriate antibiotics for a few weeks. Since patients with diabetes are at a higher risk, the doctor will be extra careful. 
  1. Remove the ingrown edge: The next thing your doctor will do is perform a quick removal in which he will remove the ingrown nail. It is a simple procedure wherein local anesthesia is given to you. You will see and feel an incredible amount of improvement as soon as the process ends. Furthermore, it is a painless procedure and is done in just a couple of hours.

When the doctor removes the ingrown edge, he also eliminates the nail matrix. This means that the part will never grow back again. 

Aftercare of your toenail:

Your doctor will put a bandage on your toenail after the procedure. In addition to this, he will also give you a few aftercare instructions like how many times you have to change the bandage and if there are any sports activities that you must avoid. He might also suggest you a few home remedies like soaking your toe in warm water.

Consulting a doctor is essential as they can provide instant pain relief and lower any signs of infections. Therefore even if your ingrown toenail looks minor, show it to your trusted doctor and get appropriate treatments.… Read More...

3 min read

Three generations, (from left to right) grandmother Genoveva Calloway, daughter Petra Gonzales, and granddaughter Vanesa Quintero, live next door to each other in San Pablo, Calif. Recently their extended family was hit with a second wave of COVID infections a year after the first.

Beth LaBerge/KQED

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Three generations, (from left to right) grandmother Genoveva Calloway, daughter Petra Gonzales, and granddaughter Vanesa Quintero, live next door to each other in San Pablo, Calif. Recently their extended family was hit with a second wave of COVID infections a year after the first.

Beth LaBerge/KQED

On a Friday afternoon in early October this year, 8-year-old Maricia Redondo came home from her third grade class in the San Francisco Bay Area with puffy eyes, a runny nose and a cough.

“On Saturday morning we both got tested,” says Vanessa Quintero, Maricia’s 31-year-old mother. “Our results came back Monday that we were both positive.”

Vanessa stared at her phone in shock and called her doctor’s test-result hotline again, in disbelief. “This is wrong,” she thought. “I hung up and dialed again. It’s positive. This is wrong. I hung up again. And then I did it again!”

She was freaking out for two reasons. First, her large, extended family had already fought a harrowing battle against COVID-19 last year — in the fall of 2020. The virus had traveled fast and furious through their working class neighborhood back then, in the East Bay city of San Pablo. Four generations of Vanessa’s family live next door to each other in three different houses there, all connected by a backyard.

Vanessa was also terrified because she couldn’t fathom another round of treatment against a more dangerous variant than she’d faced before. The pandemic has disproportionately struck Latino families across the United States, and delta is currently the predominant variant in the U.S., according to the U.S. Centers for Disease Control and Prevention. It’s twice as contagious and may cause more severe illnesses than previous variants in unvaccinated people.

The family’s bad luck was uncanny. Research suggests immunity against a natural infection lasts about a year. And here it was almost exactly the same time of year and the family was fighting COVID-19 again.

“Reinfection is a thing,” says Dr. Peter Chin-Hong, a specialist in infections diseases and professor of medicine at the University of California, San Francisco. “It probably manifests itself more when the variant in town looks different enough from the previous variants. Or enough time has elapsed since you first got it, [and] immunity has waned.” He says a second infection is still not common, but doctors are starting to see more cases.

Computer models in a recent study suggest that people who have been infected by the virus can expect a reinfection within a year or two if they do not wear a mask or receive a vaccination. The findings show that the risk of a second bout rises over time. A person has a 5% chance

3 min read

Just can’t see the audio participant? Click right here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or where ever you hear to podcasts.

Simply click here for a transcript of the episode.

Congress appears to be making development on its massive social paying out invoice, but even if it passes the Home as prepared the week of Nov. 15, it’s unlikely it can get by means of the Senate in advance of the Thanksgiving deadline that Democrats set for themselves.

In the meantime, the charge of employer-supplied health and fitness insurance plan carries on to rise, even with so many persons forgoing care during the pandemic. The annual KFF survey of employers described that the normal price of a occupation-based mostly relatives prepare has risen to more than $22,000. To supply what their workers most will need, even so, this calendar year lots of companies added added protection of mental wellness treatment and telehealth.

This week’s panelists are Julie Rovner of KHN, Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Contact.

Among the takeaways from this week’s episode:

  • Average Democrats who have been nervous about the price tag tag of the social paying out invoice claimed for the duration of negotiations final week that they needed to see the whole assessment of investing and charges from the Congressional Spending budget Office. But members of the Property most likely won’t get that score in advance of voting on the bill. CBO alternatively is releasing its assessments piecemeal as analysts go by precise sections of the massive bill.
  • If the Residence passes the monthly bill subsequent 7 days, which management is pledging, the laws could continue to endure significant revisions in the Senate. Some provisions will be topic to the “Byrd Rule,” which suggests merchandise in this type of invoice should be connected to the finances. Republicans are anticipated to challenge parts of the bill, and the parliamentarian will have to rule on whether their objections are legitimate.
  • Amongst the provisions that some reasonable Democratic senators could object to are the paid out relatives go away and the system for lowering Medicare drug costs.
  • Congress is searching at a very fast paced stop of the year, which could complicate passage of the social paying out invoice. Leaders presently postponed a bill to raise the personal debt ceiling and the once-a-year federal shelling out bills till early December.
  • A federal decide has blocked Texas Republican Gov. Greg Abbott’s order prohibiting mask mandates in colleges. But a remaining resolution is most likely some time away as the scenario is appealed. Disability legal rights groups, which experienced sued to halt the governor’s get, argued that the ban was trying to keep young children with health and fitness difficulties who are at high possibility from covid from coming to faculty.
  • Despite opposition from conservative leaders to vaccine mandates, the huge majority of employees have had their pictures,
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