Prim'n'Proper Consultant LLC

02/27/2026

On February 25th, 2026, Federal Judge Brian Murphy of Massachusetts ruled that the administration of President Donald Trump had violated the law by swiftly deporting migrants to countries other than their own without giving them an opportunity to appeal their removal.
Meanwhile, some African countries, like Rwanda and Uganda, which made a bilateral health agreement and signed a Memorandum of Understanding (MOU) with Secretary of State Marco Rubio in December 2025, may reconsider if this health agreement were tied to the earlier agreement of accepting deportees of illegal immigrants from the US.
To learn more about this story, visit: https://www.pbs.org/newshour/amp/politics/what-to-know-about-the-trump-administrations-plan-to-deport-migrants-to-africa

02/25/2026

U.S. Secretary of State Marco Rubio recently signed a Memorandum of Understanding (MOU) with 14 African countries, outlining a comprehensive health agreement valued at approximately $16 billion.
This American First Global Health Strategy ( AFGHS) with its three pillars of Making America Safer, Stronger and more prosperous in its bilateral health agreement has created ripples of wave of disagreements with some African countries like Zambia, Zimbabwe and Kenya.
Zambia is reconsidering $1.5 billion health investment to help with the treatment and prevention of HIV, Malaria and pandemics because it is tied to mining of its precious minerals, meanwhile Kenya is worried about it data and surveillance which may compromise its national sovereignty, constitution and security.
We all know that multilateral investments by member countries helps fund World Health Organization( WHO) altough, US has been the largest contributor over the years.
To help meet global health challenges, WHO as an international organization can device better global health strategies to meet up with the United Nation Sustainable Development Goals ( SDGs) on goals because we live in a global village as compared to bilateral agreements aligned differently for different countries which is purely transactional and less global cooperation to improving population health outcomes.
This “Rubio Model” of AFGHS and its Memoradum of Understanding ( MOU) bilateral health agreement recently signed with some African countries is yet to be seen as more result oriented in improving population health of Africans as compared to WHO multilateral health agreements and implementation all across the globe and population health outcomes in Africa.
For more information visit:

https://share.america.gov/new-us-health-assistance-model-boosts-self-reliance/ #:~:text=To%20date%2C%20the%20United%20States,Uganda%2C%20with%20dozens%20more%20anticipated.

02/21/2026

Thanks Rich& Groovy.
Move the body and stay healthy and well💃💃💃

02/18/2026

Heart disease remains the leading cause of death in the United States. The month of February serves as an opportunity to empower individuals, families, and communities to take proactive steps toward better heart health and keep it pumping for a long time.
Many heart‑related conditions are preventable through:
Knowledge and education
Healthy lifestyle choices
Access to appropriate healthcare
For more information on this topic, you can read the article on my blog at: https://primahealthservices.com/blog/

02/16/2026

According to the CDC, there are approximately 1.2 million people in the U.S. who have HIV. About 1 out of 8 persons don’t know it and need testing.
HIV continues to have a disproportionate impact on certain populations, particularly racial and ethnic minorities and gay, bis*xual, and other men who have s*x with men (MSM), which is illustrated below
In 2022, an estimated 31,800 people acquired HIV in the U.S.
Estimated new HIV infections decreased 12% from 36,300 in 2018 to 31,800 in 2022. In 2022, 37,981 people aged ≥ 13 and older received an HIV diagnosis in the U.S. and 6 territories and freely associated states.
The rate of HIV and STDs is expected to rise as the President Trump administration moves forward to rescind $600 million in funding. Some of the funds, which had already been appropriated for use by public health departments, are “earmarked for programs that support the needs of specific communities, such as HIV prevention among Black women and Latino and African American men who have s*x with men. Last fall, the CDC revised its stated priorities, including a shift away from diseases that affect specific populations.” HIV diagnoses are not evenly distributed across states and regions. The highest rates of new diagnoses continue to occur in the South.
Therefore, to prevent the spread of HIV and STDs infection, here are some of the public health key prevention strategies: Use barrier methods like condoms, Prep, and PEP medications, test regularly, keep to one s*xual partner, and abstain from casual s*x.
To learn more, visit the listed websites:
https://www.hpnonline.com/regulatory/news/55356911/trump-administration-moves-to-rescind-600-million-in-funding-affecting-hiv-prevention-efforts?utm_source=HPN+Daily+Newsletter&utm_medium=email&utm_campaign=CPS260206043&o_eid=8026I0279256H0M&rdx.ident[pull]=omeda|8026I0279256H0M&oly_enc_id=8026I0279256H0M
https://www.cdc.gov/hiv/data-research/facts-stats/index.html
https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics

02/13/2026

When politics and power dictate patient treatment rather than evidence-based scienctific facts, population health outcomes are compromised.
Right-wing figures have promoted ivermectin as a potential COVID-19 treatment, despite extensive studies showing its ineffectiveness.
The Governor of Texas, Greg Abbott, signed legislation allowing ivermectin to be dispensed without a prescription, although prescription-strength ivermectin is only approved for parasitic worms, scabies…
In 2023, I faced an incident which involved a pharmacist dispensing a script for a Z-pak and prednisone 10mg, but not ivermectin, without any explanation or pharmacist signature, rendering the script invalid due to the lack of an ICD 10 code and pharmacist name. The new law appears to protect the pharmacist dispensed the 2 medications without dispensing ivermectin. The script was not valid because there was no Pharmacist name. I later found out the name of the Pharmacist from the log in book. I know it was intentional for reasons known to me.
This raises concerns that patient health outcomes will be compromised if government dictates patient care without scientific evidence.
The Texas Board of Pharmacy and other prominent medical organizations, including the American Medical Association, should oppose government overreach in patient care.
If you are not connected to power in Texas, then you risk being sabotaged and your license to practice compromised if you want to practice accordingly following the rules as enacted and regulated by the professional bodies.
Power, and influence is now the determinant of healthcare practices in Texas???

02/06/2026

Many women after birth go through a lot mental health issues from unexplained sadness, depression and physical pain which is known as PostPartum Blues.
In 2025, the Canadian Society for Exercise Physiology (CSEP) published a guideline on physical activity throughout the first year. Clinicians and other healthcare providers can follow up with their patients with this new guidelines and help them improve their overall health and wellbeing.
To learn more visit: https://bjsm.bmj.com/content/59/8/515

02/04/2026

❤️❤️❤️

02/04/2026

Teaching our kids how to cook delicious and nutritious meals at home and choosing your ingredients meticulously keeps them not only focused, and responsible but helps them stay healthy and well and cut down on unhealthy foods and snacks.

01/23/2026

Please ensure your children are up to date with their Measles, Mumps and Rubella ( MMR) vaccines.
Again adults, if you are not up to date with MMR vaccine talk to your Healthcare providers and walk into Pharmacies and get your shot. Vaccines save lives
Thanks for sharing this important health information World Health Organization ( WHO)

can be fatal.

Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks

Seek health care if you suspect you or your child has measles.

01/14/2026

Thanks for sharing Dr. Butler.
January is a month we dedicate to health awareness of “Cervical Cancer”
This cancer is highly preventable through routine screening and HPV vaccines.
Women should ensure during their well check with their OBGYN doctors to do the routine Pap smear test and discuss with doctor if they need the routine HPV vaccination.
Many women are afraid to allow their teenage daughters get HPV vaccine due to the misinformation of not being able to get pregnant when they want to. This is not true.
Talk to your provider if you are pregnant or planning to be pregnant.

Learning about cervical cancer can be intimidating. Kristina Butler, M.D., a gynecologic oncologist at Mayo Clinic, walks you through the facts, the question...

01/11/2026

These are some of the medications that necessitate meticulous and continuous monitoring to ensure that the blood concentration remains within the “therapeutic window”when prescribed to patients.
Narrow Therapeutic Index Drugs are:
Anticoagulants: Warfarin (Coumadin, Jantoven) which is used to treat and prevent blood clots, requiring regular monitoring (e.g., INR tests) to ensure the dosage is within the optimal range and avoid serious bleeding or clotting.
Heparin is another anticoagulant that is often administered in a hospital setting with close monitoring.
Antiarrhythmics:
Digoxin (Lanoxin) is a cardiac glycoside used for heart failure and certain heart rhythm problems, with a particularly narrow therapeutic index, having an estimated ratio of toxic to effective concentration around 2:1.
Flecainide.
Quinidine.
Antiepileptic Drugs (AEDs)/Anticonvulsants:
Carbamazepine (Tegretol) is used for seizures and nerve pain. If you have certain Asian genes, these drug is not properly metabolized and can lead to toxicity and eventually death.
Phenytoin (Dilantin) is used to prevent and control seizures.
Phenobarbital.
Valproic acid (Depakote).
Immunosuppressants:
Cyclosporine (Neoral, Sandimmune) is used to prevent organ rejection after a transplant.
Tacrolimus (Prograf) is another immunosuppressant requiring careful management to avoid toxicity or organ rejection.
Sirolimus.
Other Classes:
Lithium (Lithobid) is a mood-stabilizing agent used for bipolar disorder.
Levothyroxine (Synthroid) is a thyroid hormone replacement medication, where small changes in dose can lead to hyper- or hypothyroidism.
Theophylline is a bronchodilator used for respiratory conditions like asthma and COPD.
Aminoglycoside antibiotics (e.g., gentamicin, amikacin) are used for severe bacterial infections, but have a high risk of kidney and ear toxicity.
Methotrexate is used to treat certain cancers and autoimmune diseases like rheumatoid arthritis
Always check with your Pharmacist to ensure there are no interactions and that the appropriate dose is administered at the appropriate time to the right patient.
It takes all the professional healthcare team starting from the initiators of care to ensure optimal therapeutic health outcomes of all patients’ populations.