The Exchange

Commentary and Observations from
the Medical Front Lines

Lawrence Herman, MPA, PA-C

Lawrence Herman, MPA, PA-C

  • Adjunct Professor
  • PA Studies
  • School of Medicine
  • University of Texas Medical Branch
  • Galveston, Texas
How Have Carcinogens Tainted Our Generic Drug Supply?

How Have Carcinogens Tainted Our Generic Drug Supply?

In July 2018, the FDA announced that a known carcinogen, called N-Nitrosodiumdimethylamine, or NDMA, had been found in valsartan manufactured by Zhejiang Huahai Pharmaceutical Company, one of China's largest generic manufacturers. The FDA has now expanded this notification more than 50 times to include irbesartan, losartan, and H-2 blockers sold over the counter.

How has NDMA tainted so many of the generics sold, and even manufactured, in the United States?

Curren... Continue Reading

Filed under: Health Policy and Trends, Public Health

An Interesting Wrinkle in the Hahnemann University Hospital Bankruptcy

An Interesting Wrinkle in the Hahnemann University Hospital Bankruptcy

Hahnemann University Hospital has been an institution in downtown Philadelphia, seemingly forever. The level I trauma center, medical training facility, and... Continue Reading

Filed under: Miscellaneous

A Glimpse of What Artificial Intelligence May Bring to Medicine

A Glimpse of What Artificial Intelligence May Bring to Medicine

I’ve always been fascinated by what the intersection of big data, technology, and medicine will bring. While I am a firm believer that IBM's Watson will no... Continue Reading

Filed under: Preventive Medicine, Public Health

What Price to Save Your Child?

What Price to Save Your Child?

Let’s say you have your first child and are elated to bring him or her home from the hospital. A month later, you notice something isn’t right and soon y... Continue Reading

Filed under: Preventive Medicine

Choose Wisely As To When You Schedule Your Medical Care

Choose Wisely As To When You Schedule Your Medical Care

Most of us tend to need a pick-me-up—perhaps a cup of coffee—around mid- to late-afternoon. But a new study published by JAMA on May 10, 2019 in... Continue Reading

Filed under: Health Policy and Trends

Was the Apple Heart Study Virtually Useless?

Was the Apple Heart Study Virtually Useless?

My wife absolutely loves her Apple Watch and would admit that it is like her crack cocaine: she feels compelled to close all of her rings daily, even when we... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Universal Influenza Vaccine Begins Phase I Clinical Trials

Universal Influenza Vaccine Begins Phase I Clinical Trials

The National Institutes of Health have begun the first clinical trial of an innovative universal influenza vaccine candidate. A Phase I trial will examine th... Continue Reading

Filed under: Allergy/Immunology, Health Policy and Trends, Public Health

Who Should Be Responsible? Social Media and Accurate Vaccine Information

Who Should Be Responsible? Social Media and Accurate Vaccine Information

The World Health Organization recently listed what they call “vaccine hesitancy”—the reluctance or refusal to be vaccinated despite the availability of... Continue Reading

Filed under: Infectious Diseases, Public Health

How Much Revenue Do You—and Your Practice—Generate for Your Hospital?

How Much Revenue Do You—and Your Practice—Generate for Your Hospital?

Merritt Hawkins, a large search firm specializing in physicians and advanced practice providers (APPs), has published their periodic survey report detailing... Continue Reading

Filed under: Practice Management/Career

Leading the Charge Toward Maintenance of Certification Changes

Leading the Charge Toward Maintenance of Certification Changes

The rationale and justification behind certification examinations has always been explained to me as it must be guaranteed to patients that anyone practicing... Continue Reading

Filed under: Practice Management/Career

Who Should Step Up to Help in an In-flight Medical Emergency?

Who Should Step Up to Help in an In-flight Medical Emergency?

Recently I got an email from Medscape that detailed three articles, and one piqued my curiosity: “Who Should Step Up to Help in an In-flight Medical Emerge... Continue Reading

Filed under: Miscellaneous

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