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[DOI] [PubMed] [Google Scholar] 9.Chung YH, Church D, Koellhoffer EC, Osota E, Shukla S, Rybicki EP, et al

Caring for a pet requiring daily medications is a mental and physical effort [] administering doses, monitoring symptoms, and adjusting routines, meaning that pet owners must develop resilience (Daily management and owner resilience, Section 3.5.5)

Conventional Treatment Options Traditional treatments focus primarily on symptom management rather than correcting the underlying instability: Rest and activity modification Anti-inflammatory medications (NSAIDs) Rib belts or bracing Physical therapy, including core stabilization, thoracic mobility, and postural correction Intercostal nerve blocks to temporarily reduce nerve irritation While these approaches can provide relief, they often do not address the root cause: ligament laxity and structural instability

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Requirement To Report Hospital National Provider Identifier (NPI) Information in the Machine Readable File We proposed to revise 180.50(b)(2)(i)(A) to require hospitals, beginning January 1, 2026, to report a unique identifier, specifically their NPI(s), in their MRFs