Sarah Gray, MD MPH
@sarahgraymd.bsky.social
Pulm/CC | lover of lungs w/interest in obstructive lung disease & the care of respiratory health in pregnancy | Endeavor NorthShore, University of Chicago Medicine, Michigan Medicine | She/her
^ this 100x over. If you give them a diabetic diet in the hospital and then at home they eat whenever they want, their sugars will not be well controlled at home. Figure out what meds they need (diuretic, anti-HTN, insulin) for the food they will be eating at home
October 3, 2025 at 1:45 AM
^ this 100x over. If you give them a diabetic diet in the hospital and then at home they eat whenever they want, their sugars will not be well controlled at home. Figure out what meds they need (diuretic, anti-HTN, insulin) for the food they will be eating at home
Here’s my hang up in this. I used to be just the “Covid/flu/RSV panel” only kinda gal - because those could potentially affect therapies. Full panel was just for immunocompromised. But now our full RVP includes mycoplasma, which is helpful to know 🤷♀️
January 16, 2025 at 3:20 AM
Here’s my hang up in this. I used to be just the “Covid/flu/RSV panel” only kinda gal - because those could potentially affect therapies. Full panel was just for immunocompromised. But now our full RVP includes mycoplasma, which is helpful to know 🤷♀️
I’ve had decent luck with Breyna in the last year for sure as well after everyone dropped Symbicort from formulary.
The loss of fluticasone HFA is crushing. As as adult doc I don’t often need it, but so many friends/family/colleagues with kids who literally are out of options since it was dropped
The loss of fluticasone HFA is crushing. As as adult doc I don’t often need it, but so many friends/family/colleagues with kids who literally are out of options since it was dropped
January 8, 2025 at 3:18 AM
I’ve had decent luck with Breyna in the last year for sure as well after everyone dropped Symbicort from formulary.
The loss of fluticasone HFA is crushing. As as adult doc I don’t often need it, but so many friends/family/colleagues with kids who literally are out of options since it was dropped
The loss of fluticasone HFA is crushing. As as adult doc I don’t often need it, but so many friends/family/colleagues with kids who literally are out of options since it was dropped
@robyncohenmd.bsky.social - I know we’ve both had mixed luck with Symbicort because of NDC blocks. Have you had anyone try the BI coupons?
Hopefully with the addition of GSK, we’ll have at least one option on formulary for patients
Hopefully with the addition of GSK, we’ll have at least one option on formulary for patients
January 8, 2025 at 2:59 AM
@robyncohenmd.bsky.social - I know we’ve both had mixed luck with Symbicort because of NDC blocks. Have you had anyone try the BI coupons?
Hopefully with the addition of GSK, we’ll have at least one option on formulary for patients
Hopefully with the addition of GSK, we’ll have at least one option on formulary for patients
Boehringer Ingelheim (since 6/2024)
Spiriva or Atrovent
(*I have not had anyone try this one)
- COVERED- just show up at the pharmacy
-NOT covered get a co-pay card
Atrovent: patient.boehringer-ingelheim.com/us/products/...
Spiriva: patient.boehringer-ingelheim.com/us/products/...
Spiriva or Atrovent
(*I have not had anyone try this one)
- COVERED- just show up at the pharmacy
-NOT covered get a co-pay card
Atrovent: patient.boehringer-ingelheim.com/us/products/...
Spiriva: patient.boehringer-ingelheim.com/us/products/...
patient.boehringer-ingelheim.com
January 8, 2025 at 2:59 AM
Boehringer Ingelheim (since 6/2024)
Spiriva or Atrovent
(*I have not had anyone try this one)
- COVERED- just show up at the pharmacy
-NOT covered get a co-pay card
Atrovent: patient.boehringer-ingelheim.com/us/products/...
Spiriva: patient.boehringer-ingelheim.com/us/products/...
Spiriva or Atrovent
(*I have not had anyone try this one)
- COVERED- just show up at the pharmacy
-NOT covered get a co-pay card
Atrovent: patient.boehringer-ingelheim.com/us/products/...
Spiriva: patient.boehringer-ingelheim.com/us/products/...
AstraZeneca (since 6/2024)
(Also has to be on formulary, no NDC block)
AirSupra, Symbicort, Breztri* or Bevespi:
*Breztri has a $0 co-pay card for commercial insurance
- Go to the AstraZeneca website or call to get a co-pay card:
azpatientsupport.com
1-800-236-9933
(Also has to be on formulary, no NDC block)
AirSupra, Symbicort, Breztri* or Bevespi:
*Breztri has a $0 co-pay card for commercial insurance
- Go to the AstraZeneca website or call to get a co-pay card:
azpatientsupport.com
1-800-236-9933
AstraZeneca US Patient Support | For Patients
AZ US Patient Support is committed to provide resources, assistance, and information to enhance your healthcare journey. Filter the information by role, medication, and insurance types.
azpatientsupport.com
January 8, 2025 at 2:59 AM
AstraZeneca (since 6/2024)
(Also has to be on formulary, no NDC block)
AirSupra, Symbicort, Breztri* or Bevespi:
*Breztri has a $0 co-pay card for commercial insurance
- Go to the AstraZeneca website or call to get a co-pay card:
azpatientsupport.com
1-800-236-9933
(Also has to be on formulary, no NDC block)
AirSupra, Symbicort, Breztri* or Bevespi:
*Breztri has a $0 co-pay card for commercial insurance
- Go to the AstraZeneca website or call to get a co-pay card:
azpatientsupport.com
1-800-236-9933
GSK:
Advair, Anoro, Arnuity, Breo, Incruse, Serevent, Trelegy*
*Trelegy has a $0 co-pay card for commercial insurance
Go to the GSK website to get a co-pay card:
gskforyou.com/programs/gsk...
Advair, Anoro, Arnuity, Breo, Incruse, Serevent, Trelegy*
*Trelegy has a $0 co-pay card for commercial insurance
Go to the GSK website to get a co-pay card:
gskforyou.com/programs/gsk...
GSK Coupons and Free Trial Offers | GSKForYou
Find more information about the coupons and free trial offers that may be available for the medicines you are taking. Eligibility criteria apply.
gskforyou.com
January 8, 2025 at 2:59 AM
GSK:
Advair, Anoro, Arnuity, Breo, Incruse, Serevent, Trelegy*
*Trelegy has a $0 co-pay card for commercial insurance
Go to the GSK website to get a co-pay card:
gskforyou.com/programs/gsk...
Advair, Anoro, Arnuity, Breo, Incruse, Serevent, Trelegy*
*Trelegy has a $0 co-pay card for commercial insurance
Go to the GSK website to get a co-pay card:
gskforyou.com/programs/gsk...
This may be a silly question… but are they running under part B? Nebs are run under part B, but a lot of pharmacies mistakenly try to bill/charge them under part D. Happens way too often. It’s the first thing our nurses check if nebs are denied, so I’m guessing its it’s not as easy as a fix as that
December 21, 2024 at 8:57 PM
This may be a silly question… but are they running under part B? Nebs are run under part B, but a lot of pharmacies mistakenly try to bill/charge them under part D. Happens way too often. It’s the first thing our nurses check if nebs are denied, so I’m guessing its it’s not as easy as a fix as that
Dec 25, Disney+!
December 21, 2024 at 2:59 PM
Dec 25, Disney+!
With the case? I’m not sure - this was exploratory info/looking at preICU care. I was dismissed after/not involved further
With the dep? We moved on from the sepsis definition. Later split hairs when asked if a pH 7.3 was an acidosis… it is an alkalemia, but might be both acidosis/alkalosis physio
With the dep? We moved on from the sepsis definition. Later split hairs when asked if a pH 7.3 was an acidosis… it is an alkalemia, but might be both acidosis/alkalosis physio
December 11, 2024 at 2:11 PM
With the case? I’m not sure - this was exploratory info/looking at preICU care. I was dismissed after/not involved further
With the dep? We moved on from the sepsis definition. Later split hairs when asked if a pH 7.3 was an acidosis… it is an alkalemia, but might be both acidosis/alkalosis physio
With the dep? We moved on from the sepsis definition. Later split hairs when asked if a pH 7.3 was an acidosis… it is an alkalemia, but might be both acidosis/alkalosis physio
I was once a respondent in discovery in a deposition and the lawyer posed a question along the lines of “what (lab/VS) defines sepsis” buckle up, friends. Let’s just say she did not get the answer she was looking for. Got into how scoring systems aren’t actually definitions of the syndromic process
December 11, 2024 at 2:08 AM
I was once a respondent in discovery in a deposition and the lawyer posed a question along the lines of “what (lab/VS) defines sepsis” buckle up, friends. Let’s just say she did not get the answer she was looking for. Got into how scoring systems aren’t actually definitions of the syndromic process
Used to be at a place that did 2. 1 is so much more manageable. Spouse holding down the home front for 1 week vs 2 weeks makes a huge difference for home balance too
December 8, 2024 at 3:12 AM
Used to be at a place that did 2. 1 is so much more manageable. Spouse holding down the home front for 1 week vs 2 weeks makes a huge difference for home balance too
People would be surprised how many times ivc/fvc doesn’t meet the quality guidelines. We need good data to make good decisions!
November 28, 2024 at 1:13 AM
People would be surprised how many times ivc/fvc doesn’t meet the quality guidelines. We need good data to make good decisions!
Guilty of this trap as well/waiting for a “big chunk” of time. Looking forward to your progress and hopefully will help to motivate some new behaviors of my own!
November 25, 2024 at 1:49 PM
Guilty of this trap as well/waiting for a “big chunk” of time. Looking forward to your progress and hopefully will help to motivate some new behaviors of my own!
Pizza for sure. Definitely have to do lunch food. By the time you get home it will be late for families to to lunch and nap without meltdowns. We’ve done pizza and donuts for morning parties
November 22, 2024 at 1:57 AM
Pizza for sure. Definitely have to do lunch food. By the time you get home it will be late for families to to lunch and nap without meltdowns. We’ve done pizza and donuts for morning parties