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To Save Lives, Empower the Addiction Treatment Workforce
https://morningconsult.com/opinions/save-lives-empower-addiction-treatment-workforce/ Comment; There's a big need for addiction treatment in this country. I agree. There is also a need to get patients to the providers who are able to provide care. These providers...
Good News: Opioid Prescribing Fell. The Bad? Pain Patients Suffer, Doctors Say.
https://www.nytimes.com/2019/03/06/health/opioids-pain-cdc-guidelines.html Comment; Another review of the ongoing problem. Pain patients continue to suffer. Physicians continue to fear repercussions from enforcement agencies such as the DEA & State Medical...
National Trends and Long-term Outcomes of Liver Transplant for Alcohol-Associated Liver Disease in the United States
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2720757 Comment; Interesting that more Alcohol Liver Disease transplants than Hepatitis C transplants are being done. Unfortunately, the long-term survival isn't that great--transplants being done...
Values and the purpose of the FDA | 3.12.2019
https://www.asam.org/asamw-editorial-comment/asam-weekly-editorial-comment/2019/03/12/values-and-the-purpose-of-the-fda-3.12.2019 Comment; Electronic Nicotine Delivery Systems (ENDS) can also be used quite successfully to promote cessation in a properly motivated...
United loses in court on behavioral health coverage rules
https://www.modernhealthcare.com/law-regulation/united-loses-court-behavioral-health-coverage-rules Comment; I am so sick and tired of managed care organizations (MCO's) getting away with denying payment for care--AFTER the care has been provided. Robbing providers...
“Mom, When They Look at Me, They See Dollar Signs”
https://www.motherjones.com/crime-justice/2019/02/opioid-epidemic-rehab-recruiters/ Comment; I like the statement "Phase 2 of the opioid epidemic" with treatment centers sprouting where opioid over-prescribers had been. Deadly serious problem in need of regulation.
Association Between Long-term Opioid Use in Family Members and Persistent Opioid Use After Surgery Among Adolescents and Young Adults
https://jamanetwork.com/journals/jamasurgery/article-abstract/2726600 Comment; no surprises here; family history of opioid abuse implying that the genes for addiction are in the patient is linked with double the rate of addictive use after exposure of an opioid-naive...
University of Guelph researchers uncover why environmental cues make drug addiction extra hard to beat
https://www.eurekalert.org/pub_releases/2019-02/uog-uog022719.php Comment; I've always thought of drug use as damaging the brain, not strengthening specific memories, but it makes sense... A new study by University of Guelph researchers reveals for the first time that...
A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy
https://www.nejm.org/doi/full/10.1056/NEJMoa1808779?query=TOC Comment; As I've been telling my patients right along--the pharmacokinetics of E-Cig's are a lot more similar to cigarettes than patches or other forms of nicotine replacement. E-Cig's WITH COACHING are...
War on e-cigarettes: Hong Kong intends to jail vaping offenders. But will it make people quit?
https://www.cnn.com/2019/02/18/asia/hong-kong-vaping-ban-intl/index.html Comment; Great question, more to be revealed... Nicotine is THE most addicting substance available by many regards. At the same time however, properly motivated folks can use vaping as a good way...
Growing Marijuana Industry Struggles To Attract Employees Of Color
https://www.npr.org/2019/02/21/695999248/growing-marijuana-industry-struggles-to-attract-employees-of-color Comment; Interesting! I hadn't thought much about it, but would expect that folks of color would be more deeply involved in this industry. Sira Naturals...
Mitigating Health Risks of Prescription Drugs Lessons From FDA Oversight of Opioid Products
https://jamanetwork.com/journals/jama/article-abstract/2725216 Comment; The idea of ever-more regulation really makes me bristle! I don't see the benefit. Ameet Sarpatwari, JD, PhD1; Gregory Curfman, MD2Author...
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