Posts filtered by tags: Meds[x]


 

A patient’s opposition to the anti-opioid movement

I recently read an article — “California Doctors Alarmed As State Links Their Opioid Prescriptions to Deaths” — that infuriates and frightens me I’m furious that doctors are being persecuted for opioid prescriptions written years ago, and frightened that my doctor here in California may be pressured to stop prescribing them for my painful genetic […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, California, Pain Management, Medications, Meds, PA NP, CRNA


How to increase your HPV vaccination rates

As chair of general pediatrics for a large medical group, I knew our HPV vaccination rates back in 2016 were low, but didn’t completely understand why. I’m here to share how we figured it out, and how we improved. The first task was to understand the barriers, and we went straight to the front line. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Meds, PA NP, CRNA


America has seen medical marijuana before: This is what we learned (and forgot)

Very few things in the universe are 100 percent good or 100 percent bad. Cannabis is perfectly ordinary in having a mixture of good qualities (medical benefits) and bad qualities (medical risks). The people who want to make money – lots of money, by the way – from selling marijuana do a perfectly fine job of pointing out the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, America, Medications, Primary Care, Meds, PA NP, CRNA


The consequences of celebrity endorsements in health care

“Try this,” whispers Kate Winslet as I wander past the Lancôme counter. “Your glowing skin will thank you.” The consequences of a celebrity endorsement are seemingly harmless when it comes to revamping a makeup routine, but what happens when this type of advertisement seeps into the world of health care? It has been proven many […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Kate Winslet, Medications, Pediatrics, Meds, PA NP, CRNA


Motrin vs. Tylenol for children: A pediatrician explains

As a pediatrician, I am asked by worried parents about what they should give their child with a fever, Motrin (ibuprofen) or Tylenol (acetaminophen) to bring down the temperature daily. This question always requires more than a one-word response to the choice between anti-fever medications. An explanation of medication even being necessary for the fever […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Medications, Pediatrics, Meds, PA NP, CRNA


A paradigm shift in acute pain assessment and management

We have embarked upon a unique strategy to assess and manage pain. “Opioids Rarely Help Bodily Pain” is not a catchy phrase but a mnemonic related to educational learning which serves as the cornerstone of a new acute-pain management paradigm. As is known, the evaluation of pain is extremely difficult due to its subjective nature. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pain Management, Medications, Meds, PA NP, Hospital-Based Medicine, CRNA


Esketamine is not a breakthrough new drug: Why the nasal spray for depression is old news

The FDA has given official approval to market eskatamine as a treatment for depression. As expected, there has been great fanfare (press releases, morning TV talk show guests, NPR segments and so on). The news leaves me salty. The esketamine story reveals so much of what is wrong about how we get useful medical science […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Fda, Npr, Medications, Meds, PA NP, CRNA


Inappropriate antibiotics are the new drugs of abuse

In my clinical practice, I have encountered patient aggression typically with narcotic medications, in particular with the refusal of a refill due to evidence of concerning behavior, like a positive drug screen for drugs not prescribed. Aggressive behavior can include yelling, threatening physical violence or intimidation. I have had less trouble with narcotic-related aggression nowadays […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more...
Tags: Health, Infectious Disease, Primary Care, Meds, PA NP, CRNA


The tip of the iatrogenic benzodiazepine iceberg

Life experience gives one an intimate appreciation for the meaning behind the saying “just the tip of the iceberg.” Everyone’s encountered something that turned out to be much larger and more complex than was initially understood. In my experience, medicine has yet to submerge its head underwater to discover the true depths of the sordid […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Meds, PA NP, CRNA


A Xanax prescription that should have been rejected

In hindsight, I should have never accepted a Xanax prescription from my doctor. What followed was catastrophic — rapidly developing tolerance and physical dependence on the drug and a prolonged illness. Three-and-a-half years later, I am still slowly tapering off Valium (having transitioned to a longer-acting benzodiazepine to aid in tapering) and experiencing debilitating symptoms […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Psychiatry, Meds, PA NP, CRNA


How opioids can destroy the most beloved of personalities

“I feel like a caged animal” — My patient offered me this lens through which to view his life seeped in chronic pain. For him, pain dictated his entire sense of being — it was something that simply could not be distilled down to a single value on a 10-point scale. The cage represented the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pain Management, Meds, PA NP, CRNA


A shortage of Kayexalate leads to an ER visit

Last week I had a patient with mild kidney disease and a high potassium. I thought that it would be easy to take care of. We called around to all the pharmacies from Bangor to Ellsworth to Belfast, and nobody had Kayexalate, the time-tested antidote, in stock. It happened to be on a Tuesday night […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Belfast, Bangor, Ellsworth, Meds, PA NP, Nephrology, CRNA, Kayexalate


The problem with high-potency marijuana

Advocates for the legalization of medical and retail marijuana are quick to point out all the possible benefits that a community might see from such a venture. These include increased jobs, increased tax revenue, possible medical benefits and they advertise it as “safe” and “healthy” and “organic.” Many people who have voted for legalization thought […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Meds, PA NP, CRNA


Generics aren’t going to help the cost of chemotherapy drugs

Chemotherapy drugs have become ridiculously expensive. Many new drugs come to market costing more than $100,000 per patient for a full course of treatment. Often, patients have to pay a significant portion of these costs. For example, a 20% co-insurance rate, typical for basic Medicare coverage, leaves patients responsible for more than $20,000 of chemotherapy costs, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Meds, PA NP, Oncology/Hematology, CRNA


Your patients are counting on you

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address.  The highlight of the evening, however, was listening to patients share their stories with the local medical community.  We’ve all heard from […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Pain Management, American Society of Anesthesiologists, Meds, PA NP, CRNA


We have a shot at preventing cervical cancer

Many people think eradicating cancer is unattainable. But for cervical cancer, we are well on our way to doing just that. Cervical cancer was once the leading cause of death in women in the U.S. But we are on the cusp of vanquishing this disease thanks to regular pap screening and a vaccine that protects […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, OB/GYN, Meds, PA NP, CRNA


The conflict between pharmacists and their corporate superiors

Pharmacists play an essential role in today’s ever-expanding health care system today. They check for drug interactions, watch for signs of opioid overprescribing and try to determine whether a drug for one condition prescribed by one doctor will negatively impact the patient because of another diagnosis the patient has. In hospital units, their roles have […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pain Management, Medications, Meds, PA NP, CRNA


How hospitals are taking advantage of the 340B Drug Pricing Program

Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Medicaid, Meds, PA NP, Public Health & Policy, CRNA


Marijuana will not fix the opioid epidemic

Marijuana has been used for reported medical purposes for thousands of years when the plant had THC content of 0.5 to 3%. The most common reported medical use is for pain. Several states and the District of Columbia have some form of legalized marijuana, with many states having legalized for recreational use. There has been […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, District Of Columbia, Pain Management, Meds, PA NP, CRNA


A call for the end of routine opioid use after wisdom tooth removal

We are writing as a parent and a dentist to spread a message to parents and dental health care providers across Canada: there are alternatives to prescribing opioids after wisdom tooth removal. Removing wisdom teeth is considered by many as a rite of passage for teenagers. It is one of the most common surgical procedures […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Canada, Pain Management, Medications, Primary Care, Meds, PA NP, CRNA


Using probiotics in children: a pediatrician’s take

The over-the-counter sale of probiotics is a huge industry. They are heavily promoted on social media as a cure-all for a wide variety of ills. Probiotics are live cultures of what are often called “good bacteria,” and there are solid physiological reasons for recommending them. But, and this is a huge but, actual clinical data […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Gastroenterology, Meds, PA NP, CRNA


Countering misinformation about flu vaccine: Why it’s so hard

Many Americans hold beliefs about the flu vaccine that are at odds with the best available scientific evidence. For example, a recent study found that more than two-fifths, or 43 percent, of Americans believe that the seasonal flu vaccine can give us the flu. Scientific research strongly suggests that this is not true. Because most […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Meds, PA NP, CRNA


Qualifying conditions for medical marijuana

An excerpt from The Medical Marijuana Guide: Cannabis and Your Health. Despite the fact that the U.S. Department of Health and Human Services applied for a patent on cannabinoids as neuroprotectants and antioxidants in 1999 and was granted that patent in 2003, cannabis is still Schedule I. This means it is deemed to be of no […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, U S Department of Health and Human Services, Meds, PA NP, CRNA


Seasoned medical professionals prescribe new medicines sparingly

I prescribe heartburn medicines every day. There’s a gaggle of them now — Prilosec, Nexium, Prevacid, Protonix — to name a few. As far as experts know, their primary effect is to reduce the production of stomach acid. This is why they are so effective at putting out your heartburn fire. In simple terms: no […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Gastroenterology, Meds, PA NP, CRNA, Prilosec Nexium Prevacid Protonix


The insanity of American health care prices played out in this one, real oncology appointment

The oncologist had prescribed Xgeva hoping it would strengthen her bones while also delaying the progression of Angela Kahn’s breast cancer. But Kahn (a pseudonym) couldn’t get over the price of the drug. Before the oncologist had a chance to ask how she was feeling, she blurted out that the medication cost “$15,000 a shot.” […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Kahn, Meds, PA NP, Public Health & Policy, Oncology/Hematology, CRNA, Angela Kahn


The recent fish oil and vitamin D studies: Go beyond the headlines

Results of a much-anticipated trial on fish oil and vitamin D generated conflicting headlines recently. Some stories declared good news about the popular supplements. Reuters wrote that fish oil “can dramatically reduce the odds of a heart attack while vitamin D’s benefits seem to come from lowering the risk of death from cancer.” The Washington Post reported […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Washington Post, Medications, Reuters, Cardiology, Meds, PA NP, CRNA


Beware the hazards of over-the-counter (OTC) pain medications

A 30-year old male patient was recently admitted to my service via the emergency department. He came in complaining of abdominal pain and dark tarry stools. He mentioned a recent fall resulting in knee pain for which he had been taking 400 mg ibuprofen four times daily. He underwent upper GI endoscopy and was diagnosed […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Gastroenterology, Meds, PA NP, CRNA


3 ways pharmacists can change your prescribing habits

As the health care landscape evolves, health care provider roles continue to shift. Industries recognize the power of collaboration and the strength of communication between different providers; among those, the pharmacist and the physician. Unfortunately, doctors and pharmacists have historically had strained relationships. In many cases, communication suffers, which can lead to adverse drug events […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now...
Tags: Health, Medications, Primary Care, Meds, PA NP, CRNA


Don’t miss this adverse drug reaction when tapering benzodiazepines

“Alice Woods” is dying of metastatic breast cancer, but she cares little for awareness efforts like pink ribbons and catchy hashtags like #stage4needsmore. You see, Alice has akathisia due to an adverse effect from discontinuing Klonopin — a condition that has caused her far more suffering than her terminal cancer. It has also prevented her […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Alice, Meds, PA NP, CRNA


Suboxone for pain makes sense. Why don’t more doctors prescribe it?

Many patients who end up in Suboxone treatment have chronic pain. They were originally prescribed other opiates and ended up addicted to them. Skeptics argue that is just substituting one opiate for another. But that isn’t quite accurate. More on that in a bit. In my seven years of prescribing Suboxone for opiate addiction, I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pain Management, Primary Care, Meds, PA NP, CRNA