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      Specialty Focus   
                                                                                    
Volume VII | Issue 2                                                                            
Jan. 9, 2018   
 
        Practice specific news, analysis and commentary
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

How does assisting with suicide affect physicians?
Ronald Pies, MD
The Conversation

When my mother was in her final months, suffering from a heart failure and other problems, she called me to her bedside with a pained expression. She took my hand and asked plaintively, "How do I get out of this mess?" As a physician, I dreaded the question that might follow: Would I help her end her life by prescribing a lethal drug?
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Tenet to cut 700 more jobs, says $1B divestiture plan is on track
Ayla Ellison
Becker's Hospital Review

Dallas-based Tenet Healthcare is under pressure from activist shareholders and is moving quickly to revamp its business.
CDC plans briefing on how to prepare for nuclear war
Ilene MacDonald
Fierce Healthcare

The Centers for Disease Control and Prevention is CDC logo planning a briefing for healthcare professionals on how to respond to a nuclear detonation.
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An apology from a telemedicine physician 
James Siegeler, MD, KevinMD

In the emergency room, the stress is palpable. The hairs on your neck rise up as you enter the resuscitation bay where the next unconscious patient has just arrived. You can almost feel death as it circulates through the air, like a vulture in the sky. The air tastes sterile, and you hear the crash cart and ultrasound being rolled over to the patient's bed. The patient was fine 20 minutes ago, a healthy middle-aged woman who collapsed at home while preparing dinner with her husband. He now stands in the corner, face flushed and dampened by tears. You avoid making eye contact with him at first, until that empty feeling in your stomach recedes. Meanwhile, you examine the patient as the trauma team is preparing to intubate. Her eyes are disfigured, locked in opposite-facing directions like a broken doll. When you lift her arms, it feels as if all life were drained from them as they rest limp in your hands. After her neck is twisted backward and a rigid tube forced into her airway, she is shuttled off for a CT scan. But you already know what to expect. It's a horrible stroke. The situation is devastating. You begin to counsel the husband about what you might see in her brain, and what you can do about it. And that there may be a way to save her.
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OIG WorkPlan Update for December Includes Six New Initiatives  
Vitale Health Law

The HHS Office of the Inspector General continues to update its Work Plan each month and ended the year in December with six new initiatives, two of which focus on the opioid epidemic and how to better monitor and prevent drug abuse.
Usage remains low for HIV infection prevention pill
AP via STAT

Marketed in the United States as Truvada, and sometimes available abroad in generic versions, the pill has been shown to reduce the risk of getting HIV from sex by more than 90 percent if taken daily. Yet worldwide, only about a dozen countries have aggressive, government-backed programs to promote the pill. In the U.S., there are problems related to Truvada's high cost, lingering skepticism among some doctors, and low usage rates among black gays and bisexuals who have the highest rates of HIV infection.
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