Category: Meds

The way U.S. drug makers price their products is legal, but it’s not moral

While walking through the duty-free at Dulles International Airport in Washington, DC, I happened upon the price tag of an imported French purse. Looking around, I wondered how many travelers could afford a $2,000 handbag.At the gate, I found a seat and logged on to the internet, where I happened upon a story about the […]

How pharmacists lost control of their profession and why you should care

An excerpt from The Pharmacist is a Whore: How Pharmacists Lost Control of Their Profession and Why You Should Care. The day patients became customers was a black day for us all. Don’t get me wrong, pharmacy has always been a service profession, and we take that very seriously. However, by virtue of our degree in […]

The answer to your prior authorization problem is simpler than you think

Prior authorizations (PAs) have become increasingly burdensome for providers — they contribute to 92 percent of care delays and an estimated 77 million are submitted manually each year. In fact, the process has become so burdensome that many physicians get fed up with the process end up writing for less-effective prescriptions because they know the […]

Inaccurate penicillin allergies worsens antimicrobial resistance

September 28, 2018 marks 90 years since Sir Alexander Fleming discovered penicillin as an effective antimicrobial which would soon save millions of lives. He warned soon afterwards that unless we used penicillin judiciously, we would see antibiotic resistance, and he was right. With decades of inappropriate antibiotic prescribing, we have dug ourselves a deep hole […]

Tips to help you afford medications

A doctor writes prescription, pharmacist fills prescription, insurance covers prescription. Simple, right? But that’s not the way it works anymore. Some changes are good. Gone are the cryptic abbreviations and illegible handwriting — replaced by computer printed scripts, or better yet scripts magically transmitted via the ether. But along with fewer errors there’s even less transparency on pricing […]

It’s time to change how we regulate methadone

In 2016, dispatchers in my hometown of Mansfield — a Rust Belt city in rural North Central Ohio — fielded over 363 overdose-related police calls. The community organized an opiate response team, created to help individuals following an overdose, which could only respond to those experiencing their second overdose. Around the country, small towns and […]

Kratom: harmless herbal supplement or dangerous drug?

What is it? Kratom is a powdered herbal supplement derived from the leaves of a tropical evergreen tree that is native to Southeast Asia and is usually taken orally but can also be brewed into teas. It is commonly used by consumers as an alternative medicine to self-treat opioid addiction and chronic pain.  The leaves […]

We should all care when patients get too many Z-paks

Many people seem to believe that the Z-pak possesses magical qualities. Patients come in requesting it for the common cold, because it worked for them in the past. Not only do many believe it cures the common cold, but they think it can treat any infection. Have a urinary tract infection? Just ask your doctor […]

The problem with first-person reporting of unproven interventions

Houston Chronicle reporter Craig Hlavaty recently treated readers to a first-person account of getting an intravenous (IV) vitamin infusion inside a van parked outside his house. The article, “Feeling the drip, drip, drip of the mobile IV craze,” related how a needle was inserted into his arm, “just where a tattooed lightning bolt strikes.” Hlavaty extolled the […]

The double-edged power of the medications we prescribe

My patient, a rugged sixty year old with massively muscular forearms, gray chest hair at the V of his denim shirt, and a voice that suggested years of liquor and unfiltered cigarettes, lowered his voice and leaned forward. “I’m not usually scared of anything, but for three nights now, ever since I started taking the […]