PROP ’s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have “secretly written” the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDC’s review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain Guideline had been widely misapplied (4 0) and joined the FDA in a call against forced opioid tapers (42, 43, 45), PROP doubled down on its rhetoric (46), dismissing legitimate concerns about potential harms in a performative manner (75) that encouraged their ongoing misapplication, while assailing PROP’s critics (76, 77). All of this has occurred as PROP members have repeatedly concealed relevant conflicts of interest, including key conflicts that should have been disclosed during the process of drafting the CDC Pain Guidelines (48-54).Given this, at a minimum, PROP should no longer enjoy a prominent role in guiding future opioid policy in the United States. This is a particularly urgent concern, as Roger Chou has been linked to authorship of CDC ’s New Pain Guidelines, which have not yet been released to the public (78). Chou’s involvemen...
The rate at which suicide and mental health challenges are plaguing our society tells me it ’s time for business leaders to reinvest in rebuilding our human infrastructure, writes Kevin McCain.
Abe Oudshoorn, Tanya Benjamin, Tracy A. Smith-Carrier, Sarah Benbow, Carrie Anne Marshall, Riley Kennedy, Jodi Hall, C. Susana Caxaj, Helene Berman, Deanna Befus Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.- People experiencing homelessness are uniquely vulnerable to the impacts of a pandemic, such as COVID-19. Therefore, governments across Canada have been implementing a patchwork of responses to address the needs of those who are homeless at this time. The purpose of this study is to both compile and assess the varying responses by exploring the breadth of actions presented i...
Has anyone ever intentionally placed one? I’ve always wanted to place one for those sicker patients we’re afraid to put asleep. For people who have “carefully titrated” them in marginal patients, what were the boluses you’ve been doing? And finally how do you place them? Do you use the same big tuohy needle and the epidural catheter?
ConclusionThere is no association between early initiation of adjuvant chemotherapy and post-operative complications including wound healing. Early initiation of chemotherapy ( ≤ 7 days) is feasible in unilateral WT or high-risk neuroblastoma patients who are otherwise doing well without resulting in a preponderance of wound healing complications.
ConclusionIn the follow-up of children and adolescents with CCM during the first UK lockdown using telemedicine we found that over half had stable health conditions. Patients needing additional care could not be predicted by the severity of their disease or their bowel function alone.
Sad case here: Suicide [Naturopathic "Doctor"] Young woman with suicidal thoughts. Takes her husband's gun, holds it to her head. Tells family, they try to help her but she is resistant to hospitalization. Sees a naturopathic doctor, apparently there was no screening for suicidality. Dies by suicide several weeks later. Husband sues multiple providers (psychiatrist who had seen her months before, social worker, naturopathic doctor). Everyone eventually ends up settling.
A new"rapid expert consultation" has identified"actionable guidance" that state and local decision-makers can use to communicate with the public.Medscape Medical News
Three faculty members of theDavid Geffen School of Medicine at UCLA have been elected to the National Academy of Medicine, among the highest honors in the fields of medicine and health.New members are elected by their peers through a process that recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.The honorees are:Dr. Helena Hansen, professor of psychiatry and biobehavioral sciences. She co-chairs the medical school ’s Research Theme in Health Equity and Translational Social Science, which cultivates research collaborations between social and biomedica...
After a Covid-19-related delay, UNC Rex Healthcare has announced its new hospital in Holly Springs will open Nov. 1.
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