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    What Your Car’s Paint Color Says About You

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    Top Ways To Upgrade Your Electric Vehicle

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    Tips for Crossing Water in Your Jeep Wrangler

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    4 Helpful Tips for Giving Your Car a Glossy Finish

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    4 Common Mistakes To Avoid With Car Restorations

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    Signs That It Might Be Time To Get a New Car

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    Mercedes-Benz to Launch Global Branded High-Power Charging Network in North America

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    Mistakes To Avoid When Starting Your Online Store

    Mistakes To Avoid When Starting Your Online Store

    Ways To Reduce Safety Hazards in the Office

    Ways To Reduce Safety Hazards in the Office

    How To Realistically Invest in Apartment Complexes

    How To Realistically Invest in Apartment Complexes

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    How To Transition to Mass-Producing Your Product

    How To Transition to Mass-Producing Your Product

    How To Choose the Right Outdoor Lighting for Your Business

    How To Choose the Right Outdoor Lighting for Your Business

    Tips for Designing an Industrial-Style Restaurant

    Tips for Designing an Industrial-Style Restaurant

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Working shorter hours: 38 companies in the USA are testing the 4-day week

    Working shorter hours: 38 companies in the USA are testing the 4-day week

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    • Fashion
      Essential Tips for Planning a Great Fashion Show

      Essential Tips for Planning a Great Fashion Show

      Signs That Your Tuxedo Doesn’t Fit Right

      Signs That Your Tuxedo Doesn’t Fit Right

      Make a Bold Style Statement With These Wide-Leg Pants

      Make a Bold Style Statement With These Wide-Leg Pants

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      The Ultimate Watch Buying Guide

      The Ultimate Watch Buying Guide

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

      Our 7 Favorite Field Jackets for Tackling Fall Weather

      Our 7 Favorite Field Jackets for Tackling Fall Weather

      The Best Leather Jackets for Guys – No Matter Your Budget

      The Best Leather Jackets for Guys – No Matter Your Budget

      Campus-Ready Backpacks for Storing *All* the Books

      Campus-Ready Backpacks for Storing *All* the Books

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        Energizing Foods and Drinks To Consume Before a Workout

        Energizing Foods and Drinks To Consume Before a Workout

        Classic Beer Styles You Should Know How to Brew

        Classic Beer Styles You Should Know How to Brew

        The Best Flour Alternatives That Work in Any Recipe

        The Best Flour Alternatives That Work in Any Recipe

        Cheese Tortellini in Creamy Marinara

        Cheese Tortellini in Creamy Marinara

        Unusual Products That Come From Animals and Their Uses

        Unusual Products That Come From Animals and Their Uses

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        Tips for Creating a Homemade Wine Cellar

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        How the Wine You Choose Can Help You have an Eco-Friendly Home

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          Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

          Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

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          Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

          The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

          The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

          Illustrated Report: How Gun Violence Goes Viral

          Illustrated Report: How Gun Violence Goes Viral

          A New Medicare Proposal Would Cover Training for Family Caregivers

          A New Medicare Proposal Would Cover Training for Family Caregivers

          New Alzheimer’s Drug Raises Hopes — Along With Questions

          New Alzheimer’s Drug Raises Hopes — Along With Questions

          Blood Test That Screens for Cancer Raises Hopes, and Worries

          Blood Test That Screens for Cancer Raises Hopes, and Worries

          Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

          Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

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          • Lifestyle
            Common Dog Owner Mistakes and How To Avoid Them

            Common Dog Owner Mistakes and How To Avoid Them

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            3 Reasons To Give an Antique or Vintage Engagement Ring

            Tim Ferris

            Tim Ferriss’ Lifestyle Design: Unleashing Human Potential and Redefining Success

            Outdoor Luxuries To Add to Your Backyard

            Outdoor Luxuries To Add to Your Backyard

            Strategy and business planning ideas. Chess gold on the board.

            Why the Friend of My Enemy is My Enemy

            Huge Money Mistakes New Parents Fall For

            Huge Money Mistakes New Parents Fall For

            Energizing Foods and Drinks To Consume Before a Workout

            Energizing Foods and Drinks To Consume Before a Workout

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            Hobbies That Stimulate Cognitive Function

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            How To Prevent Mold from Growing in a Sauna

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            • Politics
              Carbon capture draws millions in lobbying, billions in federal subsidies

              Carbon capture draws millions in lobbying, billions in federal subsidies

              United leads soaring airline industry lobbying spending

              United leads soaring airline industry lobbying spending

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Shein’s lobbying spending soars amid supply chain probes

              Shein’s lobbying spending soars amid supply chain probes

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

              Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

              Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

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                Ways To Invest in Real Estate With No Experience

                Ways To Invest in Real Estate With No Experience

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                How To Make Your Rental Property More Eco-Friendly

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                Things To Consider Before Investing in Real Estate Overseas

                Incredible Areas in Florida To Buy a Vacation Home

                Incredible Areas in Florida To Buy a Vacation Home

                Helpful Home Staging Tips for Virtual Tours

                Helpful Home Staging Tips for Virtual Tours

                Ways To Decorate and Design a Lake House

                Ways To Decorate and Design a Lake House

                Challenges To Managing a Rental Property

                Challenges To Managing a Rental Property

                The Best Landlord: How To Show Tenants You Care

                The Best Landlord: How To Show Tenants You Care

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                The Best Locations To Invest in a Second Home

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                  Reasons Gas Stations Charge for Compressed Air

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                  What Your Car’s Paint Color Says About You

                  Top Ways To Upgrade Your Electric Vehicle

                  Top Ways To Upgrade Your Electric Vehicle

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                  Tips for Crossing Water in Your Jeep Wrangler

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Common Mistakes To Avoid With Car Restorations

                  4 Common Mistakes To Avoid With Car Restorations

                  Signs That It Might Be Time To Get a New Car

                  Signs That It Might Be Time To Get a New Car

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                  Mercedes-Benz to Launch Global Branded High-Power Charging Network in North America

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                • Business
                  Mistakes To Avoid When Starting Your Online Store

                  Mistakes To Avoid When Starting Your Online Store

                  Ways To Reduce Safety Hazards in the Office

                  Ways To Reduce Safety Hazards in the Office

                  How To Realistically Invest in Apartment Complexes

                  How To Realistically Invest in Apartment Complexes

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  How To Transition to Mass-Producing Your Product

                  How To Transition to Mass-Producing Your Product

                  How To Choose the Right Outdoor Lighting for Your Business

                  How To Choose the Right Outdoor Lighting for Your Business

                  Tips for Designing an Industrial-Style Restaurant

                  Tips for Designing an Industrial-Style Restaurant

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

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                  • Fashion
                    Essential Tips for Planning a Great Fashion Show

                    Essential Tips for Planning a Great Fashion Show

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    The Ultimate Watch Buying Guide

                    The Ultimate Watch Buying Guide

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    Campus-Ready Backpacks for Storing *All* the Books

                    Campus-Ready Backpacks for Storing *All* the Books

                    Trending Tags

                    • Food & Drink
                      Energizing Foods and Drinks To Consume Before a Workout

                      Energizing Foods and Drinks To Consume Before a Workout

                      Classic Beer Styles You Should Know How to Brew

                      Classic Beer Styles You Should Know How to Brew

                      The Best Flour Alternatives That Work in Any Recipe

                      The Best Flour Alternatives That Work in Any Recipe

                      Cheese Tortellini in Creamy Marinara

                      Cheese Tortellini in Creamy Marinara

                      Unusual Products That Come From Animals and Their Uses

                      Unusual Products That Come From Animals and Their Uses

                      Tips for Creating a Homemade Wine Cellar

                      Tips for Creating a Homemade Wine Cellar

                      How the wine you choose can help you have an eco-friendly home

                      How the Wine You Choose Can Help You have an Eco-Friendly Home

                      Rum and Cola Holiday Ham

                      Special Centerpieces for Holiday Celebrations

                      ChefsGiving 2020

                      This Holiday Season, How about Cooking for a Cause?

                      Trending Tags

                      • Health
                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Illustrated Report: How Gun Violence Goes Viral

                        Illustrated Report: How Gun Violence Goes Viral

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

                        Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril.

                        Trending Tags

                        • Lifestyle
                          Common Dog Owner Mistakes and How To Avoid Them

                          Common Dog Owner Mistakes and How To Avoid Them

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          Tim Ferris

                          Tim Ferriss’ Lifestyle Design: Unleashing Human Potential and Redefining Success

                          Outdoor Luxuries To Add to Your Backyard

                          Outdoor Luxuries To Add to Your Backyard

                          Strategy and business planning ideas. Chess gold on the board.

                          Why the Friend of My Enemy is My Enemy

                          Huge Money Mistakes New Parents Fall For

                          Huge Money Mistakes New Parents Fall For

                          Energizing Foods and Drinks To Consume Before a Workout

                          Energizing Foods and Drinks To Consume Before a Workout

                          Hobbies That Stimulate Cognitive Function

                          Hobbies That Stimulate Cognitive Function

                          How To Prevent Mold from Growing in a Sauna

                          How To Prevent Mold from Growing in a Sauna

                          Trending Tags

                          • Politics
                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            United leads soaring airline industry lobbying spending

                            United leads soaring airline industry lobbying spending

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Shein’s lobbying spending soars amid supply chain probes

                            Shein’s lobbying spending soars amid supply chain probes

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

                            Amazon lobbyists tout workplace safety improvements ahead of Senate investigation

                            Trending Tags

                            • Real Estate
                              Ways To Invest in Real Estate With No Experience

                              Ways To Invest in Real Estate With No Experience

                              How To Make Your Rental Property More Eco-Friendly

                              How To Make Your Rental Property More Eco-Friendly

                              Things To Consider Before Investing in Real Estate Overseas

                              Things To Consider Before Investing in Real Estate Overseas

                              Incredible Areas in Florida To Buy a Vacation Home

                              Incredible Areas in Florida To Buy a Vacation Home

                              Helpful Home Staging Tips for Virtual Tours

                              Helpful Home Staging Tips for Virtual Tours

                              Ways To Decorate and Design a Lake House

                              Ways To Decorate and Design a Lake House

                              Challenges To Managing a Rental Property

                              Challenges To Managing a Rental Property

                              The Best Landlord: How To Show Tenants You Care

                              The Best Landlord: How To Show Tenants You Care

                              The Best Locations To Invest in a Second Home

                              The Best Locations To Invest in a Second Home

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                              Hospitals Refused to Give Patients Ivermectin. Lockdowns and Political Pressure Followed.

                              by Staff Writer
                              December 3, 2021
                              in Health, Politics
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                              Why You Should Not Use Ivermectin to Treat or Prevent COVID-19Matt Volz
                              December 2, 2021

                              HELENA, Mont. — One Montana hospital went into lockdown and called police after a woman threatened violence because her relative was denied her request to be treated with ivermectin.

                              Officials of another Montana hospital accused public officials of threatening and harassing their health care workers for refusing to treat a politically connected covid-19 patient with that antiparasitic drug or hydroxychloroquine, another drug unauthorized by the Food and Drug Administration to treat covid.

                              And in neighboring Idaho, a medical resident said police had to be called to a hospital after a covid patient’s relative verbally abused her and threatened physical violence because she would not prescribe ivermectin or hydroxychloroquine, “drugs that are not beneficial in the treatment of covid-19,” she wrote.

                              These three conflicts, which occurred from September to November, underline the pressure on health care workers to provide unauthorized covid treatments, particularly in parts of the country where vaccination rates are low, government skepticism is high, and conservative leaders have championed the treatments.

                              “You’re going to have this from time to time, but it’s not the norm,” said Rich Rasmussen, president and CEO of the Montana Hospital Association. “The vast majority of patients are completely compliant and have good, robust conversations with their medical care team. But you’re going to have these outliers.”

                              Even before the pandemic, the health care and social assistance industry — which includes residential care facilities and child daycare, among other services — led all U.S. industries in nonfatal workplace violence, according to the Bureau of Labor Statistics. Covid has made the problem worse, leading to hospital security upgrades, staff training, and calls for increased federal regulation.

                              Ivermectin and other unauthorized covid treatments have become a major source of dispute in recent months. Lawsuits over hospitals’ refusals to provide ivermectin to patients have been filed in Texas, Florida, Illinois, and elsewhere. The ivermectin harassment extends beyond U.S. borders to providers and public health officials worldwide, in such countries as Australia, Brazil, and the United Kingdom. Even so, reports of threats of violence and harassment like those recently seen in the Northern Rocky Mountains region have been relatively rare.

                              Ivermectin is approved to treat parasites in animals, and low doses of the drug are approved to treat worms, head lice, and certain skin conditions in humans. But the FDA has not authorized the drug to treat covid. The agency says that clinical trials are ongoing but that the current data does not show it is an effective covid treatment and taking higher-than-approved levels can lead to overdose.

                              Likewise, hydroxychloroquine can cause serious health problems and the drug does not help speed recovery or decrease the chance of dying of covid, according to the FDA.

                              In Missoula, Montana, the Community Medical Center was placed on lockdown, and police were called on Nov. 17 after a woman reportedly threatened violence over how her relative was being treated, according to a Police Department statement. Nobody was arrested.

                              “The family member was upset the patient was not treated with ivermectin,” Lt. Eddie McLean said Tuesday.

                              Hospital spokesperson Megan Condra confirmed on Wednesday that the patient’s relative demanded ivermectin, but she said the patient was not there for covid, though she declined to disclose the patient’s medical issue. The main entrance of the hospital was locked to control who entered the building, Condra added, but the hospital’s formal lockdown procedures were not implemented.

                              The scare was reminiscent of one that happened in Idaho in September. Dr. Ashley Carvalho, who is completing her medical residency training in Boise, wrote in an op-ed in the Idaho Capital Sun that she was verbally abused and threatened with both physical violence and a lawsuit by a patient’s relative after she refused to prescribe ivermectin or hydroxychloroquine.

                              “My patient was struggling to breathe, but the family refused to allow me to provide care,” Carvalho wrote. “A call to the police was the only solution.”

                              An 82-year-old woman who was active in Montana Republican politics was admitted to St. Peter’s Health, the hospital in Helena, with covid in October. According to a November report by a special counsel appointed by state lawmakers, a family friend contacted Chief Deputy Attorney General Kris Hansen, a former Republican state senator, with multiple complaints: Hospital officials had not delivered a power-of-attorney document left by relatives for the patient to sign, she was denied her preferred medical treatment, she was cut off from her family, and the family worried hospital officials might prevent her from leaving. The patient later died.

                              That complaint led to the involvement of Republican Attorney General Austin Knudsen, who texted a lobbyist for the Montana Hospital Association who is also on St. Peter’s board of directors. An image of the exchange was included in the report.

                              “I’m about to send law enforcement in and file unlawful restraint charges,” Knudsen wrote to Mark Taylor, who responded that he would make inquiries.

                              “This has been going on since yesterday and I was hoping the hospital would do the right thing. But my patience is wearing thin,” the attorney general added.

                              A Montana Highway Patrol trooper was sent to the hospital to take the statement of the patient’s family members. Hansen also participated in a conference call with multiple health care providers in which she talked about the “legal ramifications” of withholding documents and the patient’s preferred treatment, which included ivermectin and hydroxychloroquine.

                              Public Service Commissioner Jennifer Fielder, a former Republican state senator, left a three-minute voicemail on a hospital line saying the patient’s friends in the Senate would not be too happy to learn of the care St. Peter’s was providing, according to the special counsel’s report.

                              Fielder and the patient’s daughter also cited a “right to try” law that Montana legislators passed in 2015 that allows terminally ill patients to seek experimental treatments. But a legal analysis written for the Montana Medical Association says that while the law does not require a provider to prescribe a particular medication if a patient demands it, it could give a provider legal immunity if the provider decides to prescribe the treatment, according to the Montana State News Bureau.

                              The report did not offer any conclusions or allegations of wrongdoing.

                              Hospital officials said before and after the report’s release that their health care providers were threatened and harassed when they refused to administer certain treatments for covid.

                              “We stand by our assertion that the involvement of public officials in clinical care is inappropriate; that individuals leveraged their official positions in an attempt to influence clinical care; and that some of the exchanges that took place were threatening or harassing,” spokesperson Katie Gallagher said in a statement.

                              “Further, we reviewed all medical and legal records related to this patient’s care and verified that our teams provided care in accordance with clinical best practice, hospital policy and patient rights,” Gallagher added.

                              The attorney general’s office did not respond to a request for comment but told the Montana Free Press in a statement that nobody at the state agency threatened anyone.

                              Rasmussen, the head of the Montana Hospital Association, said St. Peter’s officials have not reached out to the group for assistance. He downplayed the attorney general’s intervention in Helena, saying it often happens that people who know medical leaders or trustees will advocate on behalf of a relative or friend.

                              “Is this situation different? Certainly, because it’s from the attorney general,” Rasmussen said. “But I think the AG was responding to a constituent. Others would reach out to whoever they know on the hospital board.”

                              He added that hospitals have procedures in place that allow family members of patients to take their complaints to a supervisor or other hospital leader without resorting to threats.

                              Hospitals in the region that have watched the allegations of threats and harassment unfold declined to comment on their procedures to handle such conflicts.

                              “We respect the independent medical judgment of our providers who practice medicine consistent with approved, authorized treatment and recognized clinical standards,” said Bozeman Health spokesperson Lauren Brendel.

                              Tanner Gooch, a spokesperson for SCL Health Montana, which operates hospitals in Billings, Butte and Miles City, said SCL does not endorse ivermectin or other covid treatments that haven’t been approved by the FDA but doesn’t ban them, either.

                              “Ultimately, the treatment decisions are at the discretion of the provider,” Gooch said. “To our knowledge, no covid-19 patients have been treated with ivermectin at our hospitals.”

                              This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

                              KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

                              F. D. A. (2021). Fda – Why You Should Not Use Ivermectin to Treat or Prevent Covid-19. FDA.gov. FDA.gov. Retrieved December 3, 2021, from https://www.fda.gov/consumers/consumer-updates/why-you-should-not-use-ivermectin-treat-or-prevent-covid-19.

                              Tags: CovidCOVID-19FloridaHydroxychloroquineIdahoIllinoisIvermectinMissoulaMontanaTexas
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