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DHS Secretary Kristi Noem Released from Hospital After Allergic Reaction

DHS Secretary Kristi Noem Released from Hospital After Allergic Reaction

Yahoo7 hours ago

DHS Secretary Kristi Noem Released from Hospital After Allergic Reaction originally appeared on L.A. Mag.
Secretary of the U.S. Department of Homeland Security Kristi Noem was hospitalized Tuesday in Washington D.C. following an allergic reaction, and released later that night.According to Department of Homeland Security spokeswoman Tricia McLaughlin Noem is 'alert and recovering' after receiving treatment for the reaction. Noem was transported to the hospital by ambulance from Joint Base Anacostia-Bolling in Washington according to a DHS official. Noem, who assumed leadership of the DHS in January, oversees a workforce of roughly 260,000 employees tasked with responsibilities ranging from immigration enforcement and airport security to disaster response. Since taking office, she has maintained a high profile presence in her role amid backlash against recent immigration enforcement actions, and has frequently taken part in immigration enforcement operations.Just last week, Noem held a press conference that drew national attention when U.S. Senator Alex Padilla was forcibly removed and flanked by federal agents.
This story was originally reported by L.A. Mag on Jun 19, 2025, where it first appeared.

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PCP Toolkit for Treating Patients With Respiratory Diseases
PCP Toolkit for Treating Patients With Respiratory Diseases

Medscape

time35 minutes ago

  • Medscape

PCP Toolkit for Treating Patients With Respiratory Diseases

Primary care physicians (PCPs) regularly encounter respiratory issues, from the common cold to asthma, chronic obstructive pulmonary disease ( COPD), and more. These conditions can, at times, be diagnosed fairly quickly and easily. But sometimes, ubiquitous symptoms can make differentiating diagnoses difficult. Lung diseases can range from very minor to critical, so you don't want to waste any time in the diagnostic process. It's important, then, to know what tools PCPs have at hand and how to best apply them. This is especially true as many lung diseases also have comorbidities. 'Patients with COPD often also have high blood pressure, high cholesterol, and left-sided heart disease,' said Jeffrey Marshall, MD, pulmonologist at University of Maryland Baltimore Washington Medical Center in Glen Burnie, Maryland. It's also common for patients with respiratory diseases to experience concomitant mental health struggles, according to Marshall. For instance, high rates of anxiety are often found in patients with advanced lung disease. 'All these comorbid conditions can both exacerbate the patient's underlying pulmonary disease or be confused as an exacerbation of that pulmonary disease,' he said. Respiratory complaints — like difficulty breathing and chest pain — are among the most common reasons patients visit the emergency room. While these complaints may fall within respiratory illnesses, there are often other explanations for a patient's symptoms. Learning to discern these differences can be an important skill set as a PCP. That said, it's also important to know when to refer to a specialist. 'Early recognition and timely referral can significantly improve patient outcomes,' said Tejaswini Kulkarni, MD, associate professor of medicine and director of the Interstitial Lung Disease Program at The University of Alabama at Birmingham. Here's what you need to know to treat and guide your patients presenting with respiratory issues. PCP Toolkit The first step to having a handle on respiratory issues with your patients is taking a comprehensive medical history. For patients who have been already diagnosed with a respiratory condition, 'it's important to reinforce proper disease management and medication adherence,' said Marshall. 'Exposures, triggers, prior personal history, and a detailed family history are all important components of understanding a patient's pulmonary condition.' Tobacco use is a primary example of this — patients who currently smoke or have smoked in the past are going to be more susceptible to respiratory conditions of all kinds. 'Though cigarette use has declined in most places across the country, tobacco use still has a significant impact on our nation's health,' said Marshall. 'Tobacco use contributes to many diseases, including asthma, COPD, heart disease, and, of course, cancer. Current and former smokers are also at a significantly increased risk of infections, namely the development of pneumonia.' In addition, patients with a history of smoking are more likely to be hospitalized and die from pneumonia, he said. Physicians should also consider their patients' work history, hobbies, and current occupation. Patients who work in certain occupations, like construction, for instance, may have exposure to harmful substances, like asbestos or certain paints. Chronic exposure may lead to complications and can be a good starting point for diagnosis. Even living in an area with high pollution and poor air quality can be a contributing factor. Patients will present with both acute and chronic symptoms, ranging from cough to shortness of breath, exercise-induced asthma, allergies, and sleep apnea. After taking a comprehensive history, physicians can utilize a variety of tools for further diagnosis — one of which could include pulse oximetry. 'Though patients typically present with symptoms prior to ever becoming hypoxemic, it may be helpful to get a walking pulse oximetry to understand the degree of changes in SpO2 and heart rate with exertion,' said Marshall. 'Simply walking a patient with a pulse oximeter can provide helpful information regarding exercise tolerance and whether that patient needs oxygen.' Physicians might also want to try a handheld spirometer, which is simple to use and provides a good deal of information regarding patients' pulmonary and respiratory health. 'Spirometers can provide you with a basic set of numbers right in the office,' said Orlando Ruiz-Rodriguez, MD, a pulmonologist at Orlando Health in Orlando, Florida. A basic stethoscope can also help in diagnosing pulmonary issues. 'Listening to lungs is part of the standard of care,' said Ruiz-Rodriguez. 'Make sure there are no abnormal sounds, like wheezing, crackling, or decreased breathing. Today's generation of stethoscopes are electronic and a much-improved tool at the primary care level.' There are other tests PCPs can explore before deciding it's time to seek out a specialist. 'To expedite workup and management of patients with lung diseases, pulmonologists typically prefer certain baseline tests before a referral,' said Kulkarni. 'These commonly include pulmonary function tests to assess airflow obstruction or restriction, chest imaging (chest x-ray or high-resolution CT if interstitial lung disease is suspected), and basic lab work such as CBC [complete blood count], CMP [comprehensive metabolic panel], and BNP [B-type natriuretic peptide test].' To help reduce diagnostic delays and improve patient outcomes, it's best to move with caution when considering a pulmonary fibrosis diagnosis, said Kulkarni. Pulmonary fibrosis is often challenging to diagnose because clinical presentation mimics common conditions like coronary artery disease and COPD, 'but it has worse clinical outcomes with delays in treatment,' she said. Beyond diagnostics, one consideration to keep in your toolkit, said Marshall, is vaccines. 'Patients with underlying respiratory or pulmonary conditions are at a higher risk of developing and becoming sick from respiratory illnesses,' he said. 'We now have several extraordinary vaccines available to our patients to help reduce the burden of infectious respiratory disease.' When to Refer While PCPs can treat respiratory issues in office to the best of their ability, there are times when referring to a pulmonologist is essential. 'Your local neighborhood pulmonologist is your friend,' said Marshall. 'Referrals to a pulmonologist should be considered whenever there is diagnostic uncertainty, when initial therapeutics are not working, or when more complex interventions or therapeutics are necessary in the workup and management of your patient.' A few common reasons to refer to a pulmonologist include treating or diagnosing unremitting cough or chronic refractory, he said. There are certain times when immediate referral is appropriate, according to Kulkarni. These include rapidly progressive dyspnea, hypoxia, hypercapnia, hemoptysis, suspected lung cancer, and large pleural effusions. For cases of symptom progression, she recommends referring with chronic coughs lasting over 8 weeks, unexplained or worsening dyspnea, frequent asthma or COPD exacerbations despite treatment, recurrent pneumonia, and signs of pulmonary hypertension. Referring should not be considered a last resort, either, said Ruiz-Rodriguez. 'Some primary care doctors want to do as much as possible before referring,' he said. 'But know the limitations of what you have available to you. If your patient has symptoms, abnormal test results, or even a complicated medical history, send them to us. Even sleep apnea with a complicated history is a cue to move on to a specialist.'

LA riots proved Trump right – but he learned a hard lesson about immigration
LA riots proved Trump right – but he learned a hard lesson about immigration

USA Today

time41 minutes ago

  • USA Today

LA riots proved Trump right – but he learned a hard lesson about immigration

LA riots proved Trump right – but he learned a hard lesson about immigration | Opinion You can't deport 11 million hardworking immigrants. You can deport the much smaller subgroup of bad guys who commit serious crimes. Show Caption Hide Caption Sen. Alex Padilla physically removed from DHS news conference Democratic Sen. Alex Padilla was forced out and handcuffed at a Homeland Security news conference in Los Angeles. The 2025 Los Angeles ICE raids and riots quickly faded from national news due to escalating tensions in the Middle East. The raids highlighted the difficulty of deporting undocumented immigrants, a challenge faced by previous administrations. Public opinion, including among Latinos, disapproves of both the riots and the Trump administration's handling of the raids. California's increasing cost of living and housing, driven by taxation and regulation, is pushing out residents, particularly the working class. The most interesting aspect of the 2025 Los Angeles immigration raids and riots is how quickly they vanished from the news. Sen. Alex Padilla, D-California, had just punched his 15 minutes of fame on June 12 when the Israeli air force took off for Tehran and whispers of World War III wiped LA from the national consciousness. Padilla was back on the U.S. Senate floor five days later trying to reprise the impromptu speech he gave after the Trump FBI ran him out of a Homeland Security news conference and handcuffed him on the floor. But his words were lost in the torrent of news flashes from the Middle East. Americans were talking about bunker busters and missile defense, the Mullahs and Bibi. Burning Waymos had become an afterthought. Trump can't deport all immigrants, try as he might In those few smoke-filled days, however, Los Angeles had reaffirmed a long established truth in this country: It's a lot easier to bring migrants into America than to push them out. If the Trump administration had ambitions of deporting every last one of the 11 million-plus undocumented immigrants now in the United States – and don't put it past White House aide Stephen Miller to believe he can do that – today the president is the wiser. He has to be. Right? For a moment, it looked like President Donald Trump would backtrack from deporting undocumented farm and hospitality workers, but already facing a MAGA insurrection on Iran, he quickly reversed, yet again. But Trump has to know. There isn't enough time, money, federal officers or political capital to repeat for much longer what happened in Los Angeles. History is clear: Americans won't stand for it You can deport violent offenders by the millions, as the Obama administration proved over and over, but you'll never deport the millions of migrants whose only crime was to cross the U.S.-Mexico border to partake in American prosperity. History keeps teaching that lesson: 'Operation Wetback,' 1954. The program to deport Mexican workers is short-lived and highly controversial, even in the Eisenhower era. The program to deport Mexican workers is short-lived and highly controversial, even in the Eisenhower era. California Proposition 187, 1994. The successful ballot measure to cut off migrants from social services ends in its obliteration by the courts. The California Republican Party slinks into irrelevancy. The successful ballot measure to cut off migrants from social services ends in its obliteration by the courts. The California Republican Party slinks into irrelevancy. 'Chandler Roundup,' 1997. The papers-please arrests of those who look undocumented leads to recriminations and recall efforts against the mayor and two council members. The papers-please arrests of those who look undocumented leads to recriminations and recall efforts against the mayor and two council members. Arizona Senate Bill 1070, 2010. Hard-nosed immigration law provokes boycotts against the state and is dismantled by the courts. Hard-nosed immigration law provokes boycotts against the state and is dismantled by the courts. Los Angeles ICE raids, 2025. A week of protest and rioting against Immigration and Customs Enforcement tells the Trump administration it can try to deport 11 million-plus people but will do so at its peril. Left-wing rent-a-mob did the damage in LA The Los Angeles protests were infiltrated by the so-called Omnicause, the left-wing rent-a-mob that moves from city to city trying to destabilize the old order. It's a motley crew of anarchists, ethno-nationalists and Marxists that bring their black bloc and umbrellas to social justice protests, university encampments and now immigration pushback. It wasn't migrant dishwashers who burned Waymos or menaced ICE agents in LA. 'The people who are out there doing the violence ... they have a hoodie on, they have a face mask on ... these are people who do this all the time,' said Los Angeles Police Chief Jim McDonnell, as reported by Los Angeles Magazine. 'Many come in from other places just to hurt people and cause havoc. ... The violence I have seen is disgusting." But California has also become an experiment in how far you can press the immigration accelerator and still maintain a cohesive society. Opinion: Waymo cars get torched by LA protesters, burning Google – an immigration ally Biden let millions of immigrants in. That produced a reaction. The Los Angeles protests were as much a production of the Biden White House as they were the reactionary Trump administration. Democrats used the Biden years to stoke the largest mass migration of immigrants in this country's history, The New York Times reported in December. An average 2.4 million people annually poured across the border from 2021 to 2023. 'Even after taking into account today's larger U.S. population, the recent surge is the most rapid since at least 1850,' The Times reported. By 2023, the share of the U.S. population born in another country had soared to a new high ‒ 15.2%, The Times reported. In California that number is much larger – 27%, according to the Public Policy Institute of California. As for Los Angeles County, a third of its residents are now foreign born. It is not a political statement to say that mass migration is disruptive. Virtually everywhere you see it today, in the United States, Western Europe, Latin America and the Middle East, it roils the masses. There is a reaction, and one that is often consequential. Trump is the least of California's problems The Los Angeles ICE raids were the reaction to the Biden immigration surge. Trump swooped in with federal agents, National Guard and the U.S. military with little or no consultation with his California counterparts. That triggered a counterreaction. But Trump is the least of the worries confronting California and its biggest city. Opinion: Democrats scream democracy is in peril ... while proving that it's absolutely fine Joel Kotkin, a longtime Angelino and national expert on urban form and policy, wrote in his June 11 Spiked column 'Los Angeles has fallen' that the city 'offers a masterclass in urban dysfunction." 'Drive through the streets of the South Side or along Central Avenue," he said, "and the ambience increasingly resembles that of Mexico City or Mumbai: cracked pavements, dilapidated buildings, outdoor swap-meet markets and food stalls serving customers, much as one would see in the developing world." Kotkin continued: 'LA's political establishment is now dominated by people who barely, if at all, support capitalism. While cities such as San Francisco, Houston and even New York shift back towards the political center ground, Los Angeles in 2022 elected Mayor Karen Bass, a lifelong leftist who travelled to Castro's Cuba as part of the Venceremos brigade.' The cost of living is pushing out the working class Kotkin isn't the voice of MAGA. He's a fierce Trump critic who was a lifelong Democrat until he grew disillusioned with both parties and registered independent. The one-party state of California has produced taxation and regulation that has been raising the cost of living and housing and pushing Californians – and in particular, the working class – out. That puts the state on track to lose four of its 52 congressional seats by 2030, according to the Public Policy Institute. Today, there is evidence that even in immigrant-friendly California, where Latinos are a plurality, patience is wearing thin. Asked in February 2024 if immigrants are a benefit or a burden to California, 60% of Californians said immigrants are a benefit. But that was down from 66% in June 2023 and 78% in February 2021, the Public Policy Institute reported. Latinos oppose LA riots and Trump's raids even more We have seen nationally that Latinos are assimilating into American culture and are becoming less of a distinguishable voting bloc for any political party. Opinion: Trump isn't destroying our 'democratic norms.' Progressives are. Perhaps that is why a YouGov survey of American attitudes on the Los Angeles protests shows that a plurality of Latinos, 44%, disapprove while 39% approve. That almost mirrors American attitudes across the board, with 45% disapproval and 36% approval. Good news for the Trump administration? Yes. But the same poll shows Latinos and Americans think even less of his immigration raids: 50% of Americans, including 55% of Latinos, disapprove of how Trump is conducting the ICE raids. If that isn't clear to Trump, let me make it clear. It's time to tune out your fanatic in the West Wing – Stephen Miller – and get a grip. You can't deport 11 million hardworking immigrants. You can deport the much smaller subgroup of bad guys who commit serious crimes. Phil Boas is an editorial columnist with The Arizona Republic, where this column originally published. Email him at

Biden Diplomat: American Public Not Ready for Iran Intervention
Biden Diplomat: American Public Not Ready for Iran Intervention

Bloomberg

time43 minutes ago

  • Bloomberg

Biden Diplomat: American Public Not Ready for Iran Intervention

"There's no question that the American public is not ready, has not been prepared, by the president or his administration for the prospect of US military intervention in Iran," says Barbara Leaf, former US Assistant Secretary of State for Near Eastern Affairs. Leaf suggests the fear is now that Israel's war aims have shifted from destroying Iran's nuclear program and attriting its military to regime change. "That opens up a Pandora's box of possibilities," she adds. (Source: Bloomberg)

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