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 writte…
Category: Meds
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 b…
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 th…
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 …
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…
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 paradi…
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 reve…
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 beha…
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, med…
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 t…
