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What’s Up with Intranasal Covid-19 Vaccines?
I saw the JAMA article on intranasal vaccines research for Covid-19. It starts off pretty supportive of the principle. However, at the bottom of the article, the outlook looks pretty stable for injectable vaccines for at least a good long while. It’s an interesting read. Skip to the Many Questions section: How these experimental mucosal…
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Update on CDC Recommendation for Adult RSV Vaccination
I just checked to see if the Iowa Board of Pharmacy rules had changed about the recommendation that a physician and patient shared decision-making discussion should help clarify whether and why a prescription would be necessary to enable a patient over the age of 60 years to get the Respiratory Syncytial Virus (RSV) vaccine. I…
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A Study Shows Mindfulness Is Non-Inferior to SSRI for Anxiety Disorders And What the Heck Does That Mean?
I ran across this study showing Mindfulness Based Stress Reduction (MBSR) is “noninferior” to escitalopram in the treatment of adults with anxiety disorders. I passed my Biostatistics course in medical school—barely. I have been practicing MBSR daily (for the most part) since 2014 when I really needed to address my struggle with burnout. I’m probably…
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When Should Psychiatrists Retire?
In answer to the question in the title, I’ll confess right away I don’t know the answer. The impetus for my writing this post is the Medscape article about an 84-year-old physician who was forced to take a cognitive test required by her employer as a way of gauging her ability to continue working as…
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New Step Platform for Climbing Stairs Exercise!
Yesterday we got the new aerobic step platform for cardiovascular health enhancement exercise. As I reported in October, climbing stairs can be very helpful in promoting cardiovascular health. This article summarizes the findings. At least 5 flights (around 50 steps of 10 stair steps) is said to be beneficial. I climbed a lot of stairs…

