As an addiction psychiatrist, I have seen marijuana do far more harm than good. So with the medical use of marijuana in Massachusetts now legal under state law, what should physicians do? Recently, I attended a chilling presentation from Dr. Kevin Hill, an addiction psychiatrist at McLean Hospital, at a meeting of the Massachusetts chapter of the American Society of Addiction Medicine on the topic “Medical Marijuana: What is the Proper ...

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Not long ago I noted a certain older patient's name on my schedule. I really dreaded seeing her. It's not that I dislike her--in fact she's one of my favorite patients. It was just that I hated the prospect of seeing her looking as poorly as I knew she would. She'd been through so much: an accident resulting in devastating injuries followed by painful surgeries, and, worst, in the middle ...

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What being mindful will reveal to us Research shows numerous benefits to meditation: it reduces stress, increases positive emotion, and even treats acute pain. Commonly, meditation involves focusing on one’s breathing as a way to anchor one’s attention in the present moment. Practitioners are also frequently taught to separate their experiences (breathing, pain, thoughts) from their judgments about them. Thus, with respect, for ...

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As I walk onto any one of the locked psychiatric units at our hospital I am immediately struck by the hum of intense activity. It’s like the startling feeling of stepping out of an air-conditioned apartment into the steamy height of a New Haven summer. Across from the nurses’ station, a psychologist interviews a patient retelling the story of constant childhood molestation as rivulets of mascara run down her cheeks. ...

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It’s that time of year when third year medical students are grappling with anxiety as they prepare their residency applications.  Those uncertain feelings of ambivalence can only be assuaged by a successful “match.”  Critical to recruitment committees, but often overlooked by students, are the influential personal statements. Everybody coming out of medical school has a long list of accomplishments and abilities.  The competition is steep.  A powerful narrative has the potential to ...

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When I grow up, I want to be a drunk I want to wake up feeling restless and uncomfortable. It’ll be neat to drag myself out of bed to open that first bottle of wine. I’ll drink all of it within an hour. Then I’ll go to the liquor store. The guy behind the counter will know that, everyday, I will buy a pint of vodka from him. He will look at ...

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Brought to you by MedPage Today. 1. Fee Data May Deter Docs from Ordering Labs. Displaying the cost of a test to providers at the time of ordering led to a modest decrease in the number of orders for laboratory studies placed over a 6-month period. 2. Abdominal CT Scan May Double as Bone Study. Abdominal CT scans done for other indications could ...

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Forget Angry Birds and other mobile apps that do a great job of helping you waste time. And set aside for now the apps that help you find information and practice clinical medicine more efficiently. It was only a matter of time before mobile apps would be developed that can actually help you prevent physician burnout. Here are my two favorite free mobile apps to help you lower stress and create ...

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Patricia Wen's front page story, "Children's Access to Mental Health Care is Growing," in which she describes the "co-location" of mental health care services in pediatric practices, brought me back to the summer of 2011 when I attended a meeting of a working group of the Massachusetts Chapter of the American Academy of 
Pediatrics (MCAAP.) The task of this working group, a subgroup of the MCAAP task force on mental ...

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A recent report stating that one in 50 school children carries an autism diagnosis appears to confirm anecdotal evidence that we are experiencing an increase in the autism rate. But there are a number of things that should be considered in a discussion of these findings -- and leading that discussion should be methodology. These new data from the CDC's National Center for Health Statistics (NCHS) are culled from a ...

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