Jody reviews the changes to healthcare policy made by the Trump administration so far.

References:

1) Grossi, G. et al. Health policy in flux: Trump administration updates. AJMC. Published online March 28, 2025. https://www.ajmc.com/view/health-policy-in-flux-trump-administration-updates

2) Kates, J., Michaud, J., Moss, K., & Dawson, L. Overview of President Trump's executive actions on global health. KFF. Published online January 28, 2025. https://www.kff.org/global-health-policy/fact-sheet/overview-of-president-trumps-executive-actions-on-global-health/

Whitehouse.gov fact sheets:

https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-establishes-the-make-america-healthy-again-commission/

https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-announces-actions-to-make-healthcare-prices-transparent/

Jody checks his score and standing after the second round of #NephMadness 2025 results are released.

The first set of picks are out! #NephMadness 2025

Jody submits his bracket for #NephMadness 2025 at the last minute! A true buzzer beater!

B is for Brugada! Jody reviews this important cause of ventricular arrhythmias and sudden cardiac arrest.

References & Resources:

1) Medications to Avoid (Brugadadrugs.org)

2) Brugada Syndrome (Life In The Fastlane)

3) Wylie, J. V. Brugada syndrome: Epidemiology and pathogenesis. UpToDate. https://www.uptodate.com/ contents/brugada-syndrome-epidemiology-and-pathogenesis

4) Wylie, J. V. Brugada syndrome: Clinical presentation, diagnosis, and evaluation. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-clinical-presentation-diagnosis-and-evaluation

5) Wyle, J. V. Brugada syndrome or pattern: Management and approach to screening of relatives. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-or-pattern-management-and-approach-to-screening-of-relatives

A is for alpha-1-antitrypsin! Jody reviews this maybe-not-so-rare genetic disorder that is an important and often overlooked cause of mostly lung and liver disease.

References:

1) Stoller, J.K. Clinical manifestations, diagnosis, and natural history of alpha-1-antitrypsin deficiency. UpToDate. https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-natural-history-of-alpha-1-antitrypsin-deficiency

2) Hogarth, D. K. Alpha-1-antitrypsin deficiency. Epocrates. https://www.epocrates.com/online/diseases/1075/alpha-1-antitrypsin-deficiency#highlights-basics

3) Alpha-1-antitrypsin level test. Lippincott Advisor. https://advisor.lww.com/lna/document.do?bid=5&did=1336317&searchTerm=alpha-1-antitrypsin&hits=antitrypsin,alpha

4) Endobronchial Valve Therapy (American Lung Association)

Jody reviews a recent Special Communication from JAMA about a 2024 update of medical malpractice standards from the American Law Institute.

Reference:

Aaron DG, Robertson CT, King LP, Sage WM. A New Legal Standard for Medical Malpractice. JAMA. Published online February 26, 2025. doi:10.1001/jama.2025.0097

Jody shares what he learned at this year's Huntsville Hospital Cardiology Update, held on Saturday, February 8th, 2025 at the UA Huntsville College of Nursing.

Links:

1) UA Huntsville CON Golden Gala

2) WHO 2003 Pulmonary Hypertension Guidelines

3) BMPR2 Gene Mutations

4) 2022 ESC/ERS 3 Strata Risk Score Calculator for Pulmonary Hypertension