My perspective on scientific publications has been greatly affected by my experience with this blog and social media in particular.  The ability to serve as author, reviewer, advertiser and marketer can be easily achieved in this space thanks to the power of self-publishing.  But with this new platform comes new responsibilities and for those of us who chose to work with people daily, perhaps none is as great as maintaining ...

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shutterstock_118348960 Quick!  Can you name the leading cause of accidental death in the United States now?  It is prescription drug overdose.  Since 2009 death from legally prescribed narcotics has led auto accident deaths as the number one cause of accidental death in the United States.  More than 15000 die now annually. On October 5, 2012 the Wall Street Journal on its front page published ...

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oprah I am sure Oprah had spectacular ratings for her Lance Armstrong interview and so, in the spirit of truth-telling, I have another mea culpa show for Ms. Winfrey to consider: vaccine safety. Until Jenny McCarthy got major air time the link between vaccines and autism was relatively fringe. But with Oprah in September of 2007 McCarthy, and by extension Andrew Wakefield, the ...

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shutterstock_125966744 Colorado and Washington state have legalized the recreational use of marijuana. I thought this would take longer to legislate, especially with the recent backlash from the federal government about medical marijuana. Eighteen states (including California, Alaska, Vermont and Oregon) allow marijuana to be used for medical reasons, but have restrictions on which conditions can be treated with it, which don't necessarily correlate ...

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shutterstock_76923238 Am I an apologist for the pharmaceutical companies?  I don’t think so, but others may disagree based on some sympathetic Whistleblower posts that have appeared in this blog.  It is without question that the drug companies have been demonized and portrayed as rapacious gangs of greed who seek profit over all.  Haven’t you come across the pejorative term, Big Pharma?  Linguistical note:  ...

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In 1804, Frederich Serturner experimented with opium and created something new—morphine—named after the Greek god of sleep and dreams, Morpheus. More than 200 years later, at least 8 million Americans fall asleep at night under the influence of an opioid. Every morning, 40 of them don’t wake up. As described in a previous article on this subject, the United States is in the grip of a prescription opioid disaster: with 2 million ...

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Use of generic drugs has the potential to reduce annual consumer spending on prescriptions by billions.  A study published in the New England Journal of Medicine and discussed in the New York Times' Economix blog in 2012 looked at Medicare Part D expenditures and correlated them with drug prescribing patterns. The regions of the United States with the highest Medicare expenditures were those where ...

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051512_papelbon Former Boston Red Sox closing pitcher Jonathan Papelbon may have opened up a can of worms with his remarks about his frequent use of the injectable anti-inflammatory drug Toradol (ketorolac) during his time with the Red Sox. Papelbon, who now plays for the Philadelphia Phillies, told ESPNBoston.com that several Red Sox players were frequently injected with the drug:

"It was kind of ...

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For as long as I can remember I have tended to develop a bad cough nearly every time I get sick in the cold and flu season. I’m not sure if I have a minor tendency to bronchospasm or if my years of passive smoke exposure as a child somehow damaged my lungs. Who knows, but I seem to have the tendency for every URI become a lingering brohchitic cough. In ...

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shutterstock_110115209 One of the true joys of being a primary care doctor is partnering and educating patients to make the best decision for themselves and their families. Though they may not always agree with what I have to say, at least I know I’ve done my best to give them the information they need to be informed. What follows are common conversations I ...

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