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New York. USA
Monday, July 23, 2018

POLICY

Why this physician doesn’t prescribe pain medications

It may seem strange that a gastroenterologist like me does not prescribe pain medicines. Let me rephrase that. I don’t prescribe opioids or narcotics. I write prescriptions for so few controlled substances that I do not even know my own DEA number. You might think that a gastroenterologist who cares for thousands of patients with...

Are patients really the problem?

"Doctors are not the problem. Patients are." Anyone who has ever thought the above statement is true has not tapped into the vast well of knowledge and intellect found in their own patients. Training patients to be better patients brings the joy of medicine back into your practice. All of us, at one time or another,...

Explore the behavioral factors behind antibiotic misuse

None of us wants to live in a world without access to lifesaving antibiotics. No patient should be subject to an allergic reaction or organ dysfunction from these drugs. No one wants to contract a potentially deadly form of diarrhea, claiming roughly 30,000 lives a year in the U.S., that can take hold after antibiotics wipe...

Forget what you’ve heard. Direct primary care is here to stay.

Much has been written in recent weeks about the failure of direct primary care giant and pioneer Qliance. Much of the conversation has examined the reasons for their closing and the negative impact it will have on the direct primary care movement. Questions have been raised about the longevity of the movement, with many...

Health reform: It’s time for Congress to grow up and do their jobs

Health – /helTH/ – The state of being free from illness or injury Care – /ker/ – The provision of what is necessary for the health, welfare, and protection of someone or something. System – /’sistəm/ – A set of things working together as parts of a mechanism or an interconnecting network. It’s not keeping us Healthy,...

We need a more comprehensive approach to investigating medical mistakes

From the wrong diagnosis to the incorrect medication, medical mistakes kill as many as 250,000 people annually in the United States — and injure thousands more. This figure could be much higher, considering there’s never been an actual count of how many patients experience preventable harm. We only have an approximate figure, which may...

The oral contraceptive’s PR problem

Recently in Missouri, a bill was proposed that would ban women on oral contraceptives (OCP) from working. In the world of politics, the use of contraceptives has been discussed ad nauseam, often without medical consideration. As physicians, in order to continue to uphold our Hippocratic Oath: "First do no harm," it is imperative that...

Health reform should simplify our health system. Here are some ideas.

We are a nation divided. Our two major political parties agree on essentially nothing. Republicans cannot agree even amongst themselves how to proceed on health care reform. It is demoralizing that even though U.S. health care has sunken to last among developed nations, our elected leaders are unable to envision or agree upon...

Physician spouse speaks out against dangers of prescription opioids

The impact of the opioid crisis struck home within the Missouri physician community on Dec. 15, 2014. That’s the day when, just two months shy of his 30th birthday, Derek succumbed to an opioid overdose. The news was devastating for his mother, Kelly O’Leary, a longtime volunteer with the St. Louis Metropolitan Medical Society...

Are pharma gifts to doctors a red herring?

Physicians are influenced by marketing. That's no surprise. So are most consumers, as evidenced by television and radio commercials, billboards, pop up ads and targeted ads for drugs on your computer screen. Big Pharma markets not only to physicians, but also directly to consumers. In a recent Washington Post op-ed, Dr. Nicole Van Gronigen made...

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