The National Association for Medical Direction of Respiratory Care


FDA Removes Boxed Warning from Long-Acting Beta Agonists (LABAs) and Inhaled Corticosteroids (ICS)

On December 20, 2017 the FDA removed its most prominent warning, the Boxed Warning, about asthma-related death from the drug labels of medicines that contain both an ICS and LABA. These include Advair Diskus, Advair HFA, Airduo Respiclick, Breo Ellipta, Dulera, and Symbicort. Controversy surrounding LABAs has persisted since salmeterol was originally approved by the FDA in 1994.

NAMDRC BLOG 12-20-17

Out, damned spot!

Managing Incidentally Identified Pulmonary Nodules

By Robert Albin, MD

NAMDRC BLOG 11-29-17 – ECRI Institute Releases 2018 Top Hazards List

The ECRI institute, a leading independent patient safety organization that focuses on medical devices, has published its “top 10” list for medical technology hazards and cybersecurity threats 2018.

As David T. Jamison, the executive director of the health devices group for ECRI said, “patient safety is on everyone’s mind, but technology safety sometimes gets left behind.”  This list calls attention to hazards in the medical workplace – hospitals, physicians offices – that may be overlooked.
Access the report at:

CMS Proposes New Rule for Telemedicine

From Healthcare IT News…

In the Medicare Physician Fee Schedule (PFS), 2018, CMS has proposed paying for a few new telehealth services. These services include psychotherapy for mental health crises, chronic care management programs, health risk assessments (eg, a patient self-report questionnaire), and visits to determine if a patient may be eligible for a low-dose CT scan for lung cancer detection.


In previous blogs, we have heard about respiratory medical conditions and their effects on our patient population. This blog is a little different. It is about the loss of the human factor in patient care and the dangerous path our country is taking trying to automate every part of our medical system and our patients’ lives. The opinions that follow are my own.

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