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This is a MedPage Today story. Erica Hayes, 40, has not felt healthy since November 2020 when she first fell ill with COVID. Hayes is too sick to work, so she has spent much of the last 4 years sitting on her beige couch, often curled up under an electric blanket. "My blood flow now sucks, so my hands and my feet are freezing. Even if I’m sweating, my toes are cold," said Hayes, who lives in Western Pennsylvania. She misses feeling well enough to play with her 9-year-old son or attend her 17-year-old son’s baseball games. Along with claiming the lives of 1.2 million Americans, the COVID-19 pandemic has been described as a mass disabling event. Hayes is one of millions of Americans who suffer from long COVID. Depending on the patient, the condition can rob someone of energy, scramble the autonomic nervous system, or fog their memory, among many other symptoms. In addition to the brain fog and chronic fatigue, Hayes’ constellation of symptoms includes frequent hives and migraines….

This is a MedPage Today story. Welcome to the latest edition of Investigative Roundup, highlighting some of the best investigative reporting on healthcare each week. Malpractice Killed Mom What was supposed to be a routine procedure for a Texas mom instead became a tragic example of medical malpractice, according to reporting in Texas Monthly. Kimberly Ray had been getting injections in the lower lumbar region for pain from an old injury. But the injections stopped working, so her provider recommended getting a rhizotomy. Ray never woke up from the procedure. Her family ordered an autopsy, which found she "died as a result of complications following an injection procedure for pain." The family then hired a lawyer whose investigation found red flag after red flag associated with Integrity Wellness, the clinic where Ray sought treatment, and the medical staff associated with it. For one, the CRNA who administered anesthesia and performed the procedure wore a white coat and scrubs…

This is a MedPage Today story. Luigi Mangione, the person charged with murdering United Healthcare CEO Brian Thompson, reportedly had spinal surgery for chronic back pain caused by spondylolisthesis. Spondylolisthesis occurs when a vertebra slips forward out of place onto the vertebra below, explained Jessica Stark, MD, spine surgeon at UTHealth Houston. This slippage, a sequela of arthritis, happens most often in the lumbar spine and can put pressure on the nerves around the spine. "Really arthritic backs can have varying degrees of spondylolisthesis throughout the spine, just because the joints have become overgrown and slipped at different spots," Stark told MedPage Today. Pain levels depend on the degree of slip and how the spondylolisthesis came to be. When patients come in with the condition, Stark begins by assessing the grade of severity and how much the condition is affecting the patient’s life. Many report having back and leg pain or numbness. "I always tell patients…

This is a MedPage Today story. A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn’t exist. Independent Health Association of Buffalo, which operates two Medicare Advantage plans, will pay up to $98 million. Betsy Gaffney, CEO of medical records review company DxID, will pay $2 million, according to the settlement agreement. Neither admitted wrongdoing. "Today’s result sends a clear message to the Medicare Advantage community that the United States will take appropriate action against those who knowingly submit inflated claims for reimbursement," Michael Granston, a Department of Justice (DOJ) deputy assistant attorney general, said in announcing the settlement on December 20. Frank Sava, a spokesperson for Independent Health, said in a statement: "The assertions by the DOJ…