LAURA H. CYPHERS

On day 7 after hospital admission, a patient with end-stage kidney disease prescribed sevelamer, hydrocodone-acetaminophen, hydromorphone, and chewable lanthanum tablets developed intermittent apneic episodes, bilateral rhonchi, and responsiveness to verbal commands only with deep painful stimulus; a chest radiograph showed 4 radio-opaque coin-shaped opacities in the stomach. What is the diagnosis and what would you do next?
Source: JAMA Online First

This study examines whether pediatric inpatient care has been redistributed from general hospitals into children’s hospitals.
Source: JAMA Online First

This JAMA Clinical Guidelines Synopsis summarizes the American Academy of Dermatology’s 2023 guidelines for topical-therapy management of adults with atopic dermatitis.
Source: JAMA Online First

This JAMA Patient Page discusses screening for cervical cancer, including who should be screened, recommendations for handling positive results, and the prevention of cervical cancer.
Source: JAMA Online First

In this narrative medicine essay, a geriatrician finds synchronicity with medicine and gardening, an activity that calms his mind, stretches his limbs, and gives him insight.
Source: JAMA Online First

The Original Investigation article titled “Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 Diabetes: The SURPASS-6 Randomized Clinical Trial,” published online October 3, 2023, was corrected to fix an error in Table 2 in which the values for change from baseline to week 52 for HbA1c and body weight were inadvertently flipped for the 15-mg and 5-mg groups. This article was corrected online.
Source: JAMA Online First

This Medical News feature discusses state laws that protect physicians who refuse to provide certain services because of religious or moral beliefs.
Source: JAMA Online First

This study examines the number of unique unions and characteristics of unionization elections among physicians in training in the US.
Source: JAMA Online First

This Viewpoint summarizes the Fifth Circuit Court of Appeals ruling on access to mifepristone, the first of 2 pills used in medication abortion.
Source: JAMA Online First

Vitamin C is an essential nutrient, functioning as an antioxidant, immunomodulator, and cofactor for numerous enzymes. Vitamin C represents the definitive treatment for scurvy, which results from vitamin C deficiency. However, beyond this unequivocally beneficial indication, the history of vitamin C as a therapeutic is decidedly more checkered. Varying doses of vitamin C have been proposed to treat a large number of conditions and diseases ranging from cancer to cardiovascular disease to dementia to the common cold; however, despite numerous clinical trials, there is little evidence to support its routine use for any of these indications.
Source: JAMA Online First