Blogs Written by Dr. Oenbrink

Marijuana legalization is winning the 2020 Democratic primaries

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 the prefrontal cortex–the part of the brain most affected by pot, is fully developed. I think the democratic party has gone to far to the left and may disappear.

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To Save Lives, Empower the Addiction Treatment Workforce

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 already register with the federal government. Why doesn’t the federal government put together a directory of providers able to accept patients and list that on a database that prospective patients can access? Why isn’t financial access/incentive available to get those patients the care they need? I have a 275 patient waiver and few patients. Furthermore, treatment of pain patients does NOT count toward the cap on addiction patients allowed to each provider. This fact is not well known. Change is needed.

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Good News: Opioid Prescribing Fell. The Bad? Pain Patients Suffer, Doctors Say.

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 Boards–rightfully so! They have a license to protect and families to support, if they lose their license, ALL of their patients lose a provider! Enforcement agencies are not well known for leniency and understanding. The system sucks. More abused opioids come from illegitimate sources now, yet practitioners continue to underprescribe due to justified (historically) fear!

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National Trends and Long-term Outcomes of Liver Transplant for Alcohol-Associated Liver Disease in the United States

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 before established recovery lead to relapse to alcohol abuse and burning through livers that could benefit others. Now we know. What happens next?

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Values and the purpose of the FDA | 3.12.2019

Electronic Nicotine Delivery Systems (ENDS) can also be used quite successfully to promote cessation in a properly motivated patient with appropriate clinician input. SWITCH (NOT alternate!) to vaping and gradually decrease use. In appropriately motivated patients with other adjunctive measures (acupuncture works great!) can be very successful in helping patients attain long-term abstinence from nicotine.

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United loses in court on behavioral health coverage rules

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 and harming patients under the guise of “keeping costs down”. The largest buildings in cities have the names of banks and insurance companies on them. The reason? That’s where the (dishonest) money is!

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Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood

Interesting that this metanalysis shows increased risk of depression & suicidality but NOT anxiety disorders for early adopters of cannabis. So many folks in our society have depression issues… Is it wise to let these under-developed pre-frontal lobes be exposed to such a positive predictor early in life before they have the full ability to “just say now” as evidenced by the inhibition ability found in a normal pre-frontal cortex?

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Breaking the Silence

So good to hear an academic residency director honestly disclosing the “sordid past” of her genetic makeup! Will the state medical board attack her too?

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Blogs Written by Dr. Oenbrink

image002 Dr. Raymond Joseph Oenbrink

417 Biltmore Avenue, Doctors Park # 2A, Asheville NC 28801

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