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Trump’s budget proposal does nothing for the opioid epidemic
https://www.vox.com/policy-and-politics/2019/3/11/18260152/trump-budget-opioid-epidemic-2019 Comment; Interesting title right after the release of the Mueller report, while other articles have praised his committment to the crisis. Building the wall will also help...
The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI): a multicentre case-control study
https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30048-3/fulltext Comment; Wow! Frightening! Cannabis potency continues to increase and the rate of new episode of first time psychosis is increasing even faster. This IS a public health problem as it...
Role of the Hospital in the 21st Century Opioid Overdose Epidemic The Addiction Medicine Consult Service
https://journals.lww.com/journaladdictionmedicine/Abstract/2019/04000/Role_of_the_Hospital_in_the_21st_Century_Opioid.5.aspx Comment; It's an interesting idea to have an addiction medicine inpatient consult service, it would need to be offered to patients, not...
Aspiring Doctors Seek Advanced Training In Addiction Medicine
https://www.npr.org/sections/health-shots/2019/03/19/695690652/aspiring-doctors-seek-advanced-training-in-addiction-medicine Comment; It's great that these residents in Family Medicine have such an easy avenue into addiction medicine fellowships. I learned in the...
Recent advances in our understanding of mast cell activation – or should it be mast cell mediator disorders?
https://doi.org/10.1080/1744666X.2019.1596800 Comment; Excellent overview of the evolving state of understanding of Mast Cell Disorders as well as lists of the Symptoms divided by Organ Systems, Co-Morbid conditions involving mast cells, Triggers of Mast Cells with...
How addiction treatment falls short, and what is being done about it
https://www.bostonglobe.com/metro/2019/03/09/how-addiction-treatment-falls-short-and-what-being-done-about/uxTDEXczRm7OxNnPoYJgnL/story.html Comment; Medication Assisted Treatment is the gold standard for care. Sad that treatment centers try to avoid it! CRAIG F....
Why Less Is Always More in the Treatment of Alcohol Use Disorders
https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2727381 Comment; There is a move afoot to define alcoholism based on an amount of alcohol consumption. This is doomed to fail. It's the behaviors associated with addiction that define addiction! Alcohol...
Study finds that parents often permit e-cigarette use in homes and cars with children
https://www.eurekalert.org/pub_releases/2019-03/mgh-sft030519.php Comment; I'm not totally against E-Cigarettes. They can be used to help folks STOP smoking when patients are properly taught & motivated. MGHfC study suggests parents may perceive e-cigarette vapor...
Initiation and Rapid Titration of Methadone in an Acute Care Setting for the Treatment of Opioid Use Disorder
https://journals.lww.com/journaladdictionmedicine/Abstract/publishahead/Initiation_and_Rapid_Titration_of_Methadone_in_an.99384.aspx Comment; I'ved used accelerated dosing to initiate methadone in the past with good results, giving a double dose for a week then...
Outcome Differences in Neonates Exposed In-Utero to Opioids Managed in the NICU Versus Pediatric Floor
https://journals.lww.com/journaladdictionmedicine/Fulltext/2019/02000/Outcome_Differences_in_Neonates_Exposed_In_Utero.13.aspx Comment; Unsurprising that pediatric NAS stays would be shorter than NICU stays; NICU patients usually have more comorbidities Lembeck, Amy...
For the Cherokee tribe in western North Carolina, America’s drug problem hits home
https://www.charlotteobserver.com/news/state/north-carolina/article226289940.html Comment; Interesting that Harrah's Casino, profiting on one form of addiction is at least contributing treatment for another form. Simply giving money to young people without strings...
Marijuana legalization is winning the 2020 Democratic primaries
https://www.vox.com/policy-and-politics/2019/3/5/18250374/marijuana-legalization-2020-president-campaign Comment; I disagree with the idea of marijuana legalization as it's being pushed. The Netherlands has the best policy; only for use after age of 25 which is when...
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