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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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Darned Rhinorrhea Interrupting People
I’ve been having a runny nose recently that is intermittent and often related to eating hot foods. I have to get up from the dinner table and blow my nose, especially if we’re having hot soups or chili. I’ve been making fun of it, saying it’s caused by the nasal hair condensation index. You could…

