• Postcall
  • Posts
  • šŸ©ŗ Bad trip? The darker side of psychedelics

šŸ©ŗ Bad trip? The darker side of psychedelics

PLUS: Steel, canola, and billions at stakeā€”tariffs are in.

Good morning!

Hereā€™s an anniversary no one wants to celebrate: Five years have passed since WHO declared COVID-19 a global health pandemic. While the vaccines have helped to decrease the spread of the virus, 6% of Americans (about 18 million) are still living with long COVID and have yet to find relief. Research on the issue has been slow, and advocacy groups are urging folks not to forget about those still suffering.

Todayā€™s issue takes < 4 minutes to read. If you only have one, here are the big things to know:

  • CAC scoring may help prevent CAD progression.

  • Hallucinogen-related ED visits linked to higher mortality risk.

  • Older adults want more control in acute care.

  • How a womanā€™s Oura ring helped to diagnose her cancer.

  • WHO taps Delft University for AI health governance.

  • Only 17% of the earth has clean air.

Now, letā€™s get into it.

Staying #Up2Date šŸšØ

  1. 1. CAC Scores in CAD Prevention

    A study of 365 patients at intermediate risk for CAD based on family history compared standard care to coronary artery calcium (CAC) score-informed care. After 3 years, the CAC score-informed group had greater LDL and total cholesterol reductions and less progression of all measured plaque volumes (total, noncalcified, fibrofatty, and necrotic core). These findings support CAC scoring as a potential strategy for CAD prevention. 

     

    2. Hallucinogen-Related ED Visits Linked to Mortality

    In a retrospective cohort study of 11.4 million Ontarians aged 15+, 7,953 individuals had an ED visit or hospital admission involving hallucinogens (between 2006 and 2022). Within 5 years, their all-cause mortality risk was 2.6Ɨ higher than the general population. Leading causes: suicide (HR 5.23), cancer (HR 2.88), respiratory disease (HR 2.46) and unintentional overdose (HR 2.03). With hallucinogen use in Canada rising in both research and recreation, these findings warrant attention.

     

    3.     Older Adults Want More Control Over Acute Care Decisions

    This UK-based qualitative study of 32 adults (aged 63 to 101) explored perspectives on treatment escalation planning in hospitals. Themes underscored the importance of patient-clinician communication and respect for patient autonomy in end-of-life care.

Healthcare At Your Fingertips šŸ‘†

Who needs 7 rings when youā€™ve got an Oura ring?

What happened: How one womanā€™s Oura ring helped to diagnose her cancer.

Why itā€™s interesting: For three years, Nikki Gooding, a nurse practitioner, used an Oura ring (a smart ring that tracks your health metrics) to track her stress. This past December, after she returned from a trip, her ring kept alerting her that her body was under major stress. Concerned, Gooding made an appointment with her doctor, and after being tested, it was revealed she had Hodgkin lymphoma disease.

Symptoms of the disease include fatigue, swollen lymph nodes, and night sweats. These are all things Gooding was experiencing while wearing the ring. In the US, over 8,000 people are diagnosed with Hodgkinā€™s each year, resulting in about 1,100 deaths.

@otikkiyousoofine

My Oura ring knew I had cancer before I did šŸ«  @ouraring #greenscreen #lymphoma #cancersucks #ouraring #withoura

But: While the Oura ring helps encourage users to seek medical attention, itā€™s not a replacement for doctors and shouldnā€™t be used to diagnose, cure, treat, or manage medical conditions. Gooding herself said that even if she didnā€™t have the Oura ring, she wouldā€™ve figured out she was sick eventually, but it helped her catch her symptoms earlier.

Bottom line: Your patients may think their Oura ring has all the answers, but until they endure four years of medical school, theyā€™ve got nothing on you.

Hot Off The Press

Delft University in the Netherlands

1: šŸ§  The WHO has tapped Delft Universityā€™s Digital Ethics Centre to lead its AI for Health Governance efforts. Expect a focus on transparency, accountability, and international policy guidance ā€” or in other words, trying to keep AI from making a mess of medicine. The centre will also develop training workshops to help global health organizations navigate AIā€™s risks and benefits.

2: šŸ’Ø A new study has found that only 17% of the worldā€™s cities meet air pollution guidelines. Out of 138 countries, the study found that Chad, Congo, Bangladesh, Pakistan, and India have the most polluted air. There are ways to improve air quality; for example, cities like Beijing and Seoul have created regulations like investing in public transportation.

3: ā™€ļø Abortion rights activists in Poland have successfully opened a center where women have access to abortion pills. The purpose of the center is to destigmatize abortion and support women during the procedure. Abortion is currently illegal in Poland, but Prime Minister Donald Tusk has been trying to change the policy.

4: šŸ’ø Sorry, folks ā€” we canā€™t leave this one out. The US slapped 25% tariffs on Canadian steel and aluminum March 4, and China retaliated with 100% tariffs on canola after Canada taxed Chinese EVs. CUSMA-covered goods got a one-month reprieve, but Canadian energy and potash arenā€™t off the hook. Meanwhile, Ontario hiked power prices for US states, and Canadaā€™s $30B in retaliatory tariffs stay put. Next up: April 2, when more US counter-tariffs kick in.

Notable Numbers šŸ”¢

39,021: how many X users were locked out when the platform went down Monday, with Elon Musk blaming a massive cyberattack ā€” but cybersecurity experts arenā€™t buying it. Musk pointed to Ukraine, but industry sources say most rogue traffic came from the US, Vietnam, and Brazil. Meanwhile, Teslaā€™s sales are nosediving, protests are erupting in showrooms, their stock is sliding, and Musk has taken a $100 billion hit.

2,000: how many patients in the UK benefited from a new rapid DNA sequencing system that cuts bacterial infection diagnosis from weeks to 48 hours. The breakthrough enables faster, targeted antibiotics, reducing superbug risks in hospitals. Meanwhile, a new mpox variant in the DRC carries a mutation linked to higher transmissibility, with cases rising in 14 African countriesā€”prompting the WHO to extend its public health emergency.

$80 billion: the projected size of the US regenerative medicine market by 2033, as AI-driven treatments like Xenco Medicalā€™s TrabeculeX Continuum push spine surgery into the future. Xencoā€™s tech regenerates bone post-surgery by combining biomaterial implants with AI-driven physical therapy, giving surgeons real-time recovery data to adjust treatment. With over 3,180 patients already using the system, experts say weā€™re entering a ā€œgolden ageā€ of regenerative medicineā€”where AI could one day restore aging spines to a younger state.

Postcall Picks


šŸ˜‚Laugh: at this meme about the difference between furniture and humans!

šŸ¤‘Save: Missing that hour of sleep you lost? Nectar Sleepā€™s got your back with up to 50% off on mattresses and 66% off bundles!

šŸ’»Check out: the new Macbook Air M4. Itā€™s available for pre-order now and comes in 4 colours. 

šŸŒ™Tips: for fasting during this religious season!

Relax

First Question: Mobitz type without progressive prolongation of the PR interval

If you enjoyed the puzzle, challenge your physician friends and see if they can beat your time.

Image Challenge

What is the diagnosis?

The % of folks who selected each answer will be revealed after you select an answer

Login or Subscribe to participate in polls.

Share Postcall, Get Rewards

Help Us Get Better

Thatā€™s all for this issue.

Cheers,

The Postcall team.