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oscar virtual primary care :: Article Creator Oscar To Offer Free Virtual Primary Care Visits - Becker's Hospital ... The free virtual primary care benefit includes unlimited virtual visits with Oscar primary care providers, and will be offered to members with individual and family plans. Oscar Primary Care will also offer some members $0 at-home vital monitors and in-home lab draws when ordered by an Oscar primary care provider.  The virtual primary care benefit will be launched in 10 markets across Florida, Texas, California, Colorado and New York, pending regulatory approval. In addition, Oscar will expand to 19 states and 47 markets in 2021. This includes four new states — Arkansas, North Carolina, Oklahoma and Iowa — plus 19 new markets. Read more here. More articles on payers:Anthem agrees to pay $27K medical bill after TV report airsLeapfrog Group: Employers rank Cigna highest, UnitedHealthcare lowest on drive for valueAnthem doub...

Ketamine - Epilepsy Foundation

Ketamine hydrochloride, a dissociative anesthetic, has proconvulsant and anticonvulsant properties. It should be used with caution in epilepsy patients. Of eight epilepsy patients who underwent dental work with ketamine, two had focal motor seizures and another had a generalized tonic-clonic seizure. In some patients with epileptiform activity on their baseline EEGs, particularly those receiving 2–4 mg/kg intravenous doses, the activity progressed to electrical seizure.72 EEG recordings in all of these patients returned to their preanesthetic baseline within a week.73

If a clinical seizure occurs during ketamine use, further administration of ketamine to deepen anesthesia should be avoided. Instead, a CNS depressant, such as a barbiturate or benzodiazepine, should be used.3

In other studies, ketamine did not increase epileptiform or seizure activity in epilepsy subjects.74,75 Owing to the mixed depressant-stimulant effects of ketamine, epilepsy patients should be adequately premedicated with anticonvulsants and sedatives.

Adapted from: Najjar S, Devinsky O, Rosenberg AD, et al. Procedures in epilepsy patients. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;499–513. With permission from Elsevier (www.elsevier.com).

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