Profound ST depression in II, III, aVF
Conclusion:Type II MI probable due to hypoxia and tachycardia from resp arrest and amphetamine use. Whether the ST Depression on the ECG represents ischemia or not is uncertain, but it does not represent acute coronary syndrome.===================================MY Comment, by KEN GRAUER, MD (7/26/2023):===================================The most interesting aspects of today ’s case are: i) The tale told by the 6 ECGs; and, ii) The surprise finding of positive troponins! The Sum is More than Each of its Parts:If we look back at the initial ECG&nb...
Source: Dr. Smith's ECG Blog - July 27, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Thinking on Your Feet Well: Building Adaptive Expertise in Learners Using Simulation
On this episode of the Academic Medicine Podcast, Sam Clarke, MD, MAS, and Jon Ilgen, MD, PhD, join host Toni Gallo to discuss the importance of teaching adaptive expertise to prepare learners for the types of complex cases they will encounter in clinical practice. This conversation also covers what adaptive expertise is, how simulation can be used to foster this skill in learners, and the complementary relationship between performance-oriented cases and adaptive cases in health professions education.
This episode is now available through Apple Podcasts, Spotify, and anywhere else podcasts are available.
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Source: Academic Medicine Blog - July 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast adaptive expertise medical education medical students residents simulation Source Type: blogs
CADDAC ’S ADHD And Substance Use Disorder Peer-Led Support Groups
This is great news by CADDAC and Health Canada to create ADHD and substance use disorder peer-led support groups in the fall. They’re looking now for peer support facilitators now with lived experience who are willing to be trained and run them. Will be offered a stipend for their time.
Hope people with ADHD ask their MLAs to get provincial health departments to create ADHD and substance use disorder (SUD) peer-led support groups too.
ADHD people are 4-8 times + more likely to have SUD. Provinces should also require ALL rehabs to screen for ADHD.
Every BC rehab I’ve asked at community events in Vancouver does n...
Source: Adult ADD Strengths - June 10, 2023 Category: Psychiatry Authors: Pete Quily Tags: ADD / ADHD Addictions Source Type: blogs
Arizona Governor Hobbs Makes the Right Call by Vetoing Fentanyl Mandatory Minimums Bill
Jeffrey A. SingerToday Arizona Governor Katie Hobbs vetoedSB 1027, which would have placed a mandatory minimum of 10 years in prison on the first offense, and 15 years on the second offense, for anyone convicted of possessing, distributing, transferring, selling, or manufacturing heroin, fentanyl, or fentanyl analogs. In 2006 Arizona voters passedProposition 301, imposing mandatory minimum prison sentences for possessing, transferring, selling, distributing, or manufacturing methamphetamine. This did nothing to decrease meth ‐related deaths.Meth ‐related drug deaths per 100,000 increased nationally...
Source: Cato-at-liberty - April 11, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
The Iron Law of Prohibition: Introducing “Tranq”
Jeffrey A. SingerTheWall Street Journalreports that the veterinary tranquilizer xylazine, which users calltranq, has been increasingly reported among drug overdose victims, particularly on the East Coast. This very potent tranquilizer has been mixed in with illicit fentanyl which, in turn, is often mixed in with other illegal drugs such as cocaine and methamphetamine. The sedative properties of the drug greatly enhance the narcotic effects of opioids. Therefore, the drug cartels have been adding it to opioids to reduce the dose of opioids necessary to create a high. The enhanced potency allows the cartels to smuggle i...
Source: Cato-at-liberty - February 13, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Senators Bennet and Collins Have Their Hearts in the Right Place, But Their Eyes on the Wrong Target
Jeffrey A. SingerSenator Susan Collins (R ‑ME) wrote anop ‐ed for Seacoastonline this week expressing her concerns about skyrocketing drug overdose deaths. According to the most recentdata from the National Center for Health Statistics, 90 percent of opioid ‐related overdose deaths involve illicit fentanyl, and 15 percent involve diverted prescription pain pills. In her column, Senator Collins expressed pride in a proposal aimed at reducing overdoses that she co‐sponsored with Senator Michael Bennet (D‑CO). Unfortunately, while the legisla tion was well‐intended, it placed too much emphasis on educ...
Source: Cato-at-liberty - February 9, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
DEA Seizes Record Amounts of Fentanyl in 2022
Jeffrey A. SingerAxiosreports that the Drug Enforcement Administration seized 379 million doses of fentanyl in 2022, which included 50.6 million fentanyl ‐laced counterfeit prescription pain pills and more than 10,000 pounds of powdered fentanyl (which can be mixed in with cocaine, methamphetamine, and heroin or used to make counterfeit prescription pain pills). AsDavid J. Bier and I wrote recently, the vast majority of these drugs are seized at legal border crossings, mostly smuggled in by U.S. citizens working for Mexican drug cartels.In its December 20announcement, the DEA stated:“In the past year, the ...
Source: Cato-at-liberty - December 21, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Nitazene Overdose Deaths on the Rise —The Iron Law of Prohibition Cannot Been Repealed
Jeffrey A. SingerLast week the Tennessee Department of Healthreported that overdose deaths from synthetic opioids classified asnitazenes have increased four ‐fold between 2019 and 2021. Nitazenes, like fentanyl and its analogs, aresynthetic opioids that were originally developed to treat pain. They are anywhere from 10 to 20 times more potent than fentanyl. As with overdoses from fentanyl and other opioids, overdoses from nitazenes can be reversed by administering naloxone, although the antidote might need to be given repeatedly to the victims.The first nitazenes were developed in the late 1950s by the Swiss drug make...
Source: Cato-at-liberty - September 23, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
“Prohibition Theater” and “The Iron Law of Prohibition”
Jeffrey A. SingerA May 18 opinion column in theWall Street Journal by Joseph Grogan and Casey B. Mulligan titled “Fentanyl Overdose Rates Are Rising Fast” argued that to better address the overdose crisis, the Biden administration should tighten border security, give law enforcement better tools to combat the drug trade, toughen sentencing, and add illicit fentanyl and its analogs (easily created in clandestine labs) to the Drug Enforcement Admini stration’s Schedule 1 (“no currently accepted medical use and a high potential for abuse ”), joining cannabis, LSD, heroin, MDMA (“ecstasy”) and other drugs wi...
Source: Cato-at-liberty - May 31, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Why MDMA-assisted psychotherapy may become an FDA-approved treatment for PTSD within 2 years
This article was originally published on The Conversation.
To Learn More:
Study: Psychedelics can promote neural plasticity in the prefrontal cortex and expand pathways for mental health
FDA-approved, Cybin-sponsored clinicial trial to measure ketamine’s impact on the brain via Kernel Flow neuroimaging helmet
The post Why MDMA-assisted psychotherapy may become an FDA-approved treatment for PTSD within 2 years appeared first on SharpBrains. (Source: SharpBrains)
Source: SharpBrains - December 21, 2021 Category: Neuroscience Authors: The Conversation Tags: Brain/ Mental Health antidepressants Cannabidiol cannabis CBD Ecstasy MDMA MDMA-assisted psychotherapy neural plasticity Physical assault post-traumatic-stress-disorder psilocybin PTSD Sexual assault street drugs substance-ab Source Type: blogs
My Unpublished Letter to the Editor on the Tragic Drug Overdose Report
Jeffrey A. SingerOn November 18 theWall Street Journalran a front page story entitled “Drug Overdose Deaths, Fueled by Fentanyl, Hit Record High in U.S. ” It reported on provisional data from the Centers for Disease Control and Prevention that reveal a heartbreaking 100,306 drug overdose deaths for the 12 months running through April 2021, a 29 percent increase over the previous 12 month period.Thereport released by the CDC on November 17 stated that 75,673 of the more than 100,000 overdose deaths were opioid ‐related, up from 56,064 the previous year. The remainder of overdose deaths involved cocai...
Source: Cato-at-liberty - November 23, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Alcohol, Smoking, Drugs: How Technology Can Help
The global statistics on substance use are disquieting. Globally, about 3 million people die every year from alcohol abuse. Tobacco kills up to half of its users – over 8 million people annually. And the UN’s 2021 World Drug Report estimated that around 275 million people used drugs worldwide in 2020, while over 36 million people suffered from drug use disorders.
Disruptive technologies could act only as additional tools for managing preventive or reactive treatment for both victims and physicians next to therapy. Alcohol content-measuring wristbands, smart lighters, nicotine tracking wearables, stop smoking apps, virt...
Source: The Medical Futurist - July 15, 2021 Category: Information Technology Authors: berci.mesko Tags: E-Patients Future of Medicine Future of Pharma Health Sensors & Trackers Portable Medical Diagnostics Security & Privacy Telemedicine & Smartphones Virtual Reality alcohol digital health Innovation smoking technology VR health Source Type: blogs
I'm for it . . .
but it isn ' t going to happen, at least not this year. I got the following from the Drug Policy Alliance:Today, on the 50th anniversary of Nixon declaring the “war on drugs,” Reps. Bonnie Watson Coleman and Cori Bush haveofficially introduced the Drug Policy Reform Act, a bill to federally decriminalize ALL drugs that they unveiled earlier this week at the press conference the Drug Policy Alliance hosted. DPA has been a strategic partner on the development of this legislation and will be actively advocating for its passage in Congress. DPA ’s Executive Director, who is currentlytestifying before the House...
Source: Stayin' Alive - June 17, 2021 Category: American Health Source Type: blogs
Senators Portman, Whitehouse, and Klobuchar Think They Know Better Than The CDC About How To Treat Acute Pain
This study came one year after a largerstudy of more than 568,000 “opioid‐naïve” patients treated for acute postsurgical pain from 2008–2016 found a total “misuse” rate of 0.6 percent.The press report onCARA 2.0 issued by Senator Portman ’s office states the three‐day limit is recommended by the CDC in its 2016Guideline for Prescribing Opioids for Chronic Pain (recommendation number 6). But these guidelines were aimed at treatingchronic pain, and were based on what the CDC stipulated was very limited evidence. The CDC also emphasized the guidelines were meant to be suggestive, not prescript...
Source: Cato-at-liberty - February 16, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Going After Scapegoats Is Easier Than Confronting The Truth
Jeffrey A. SingerYesterday the Department of Justicefiled suit against the giant retailer Walmart, accusing it of fueling the opioid crisis by encouraging its pharmacists to fill prescriptions –legally written by health care practitioners licensed by the Drug Enforcement Administration–they should have suspected of being inappropriately prescribed.The Justice Department seems uninterested in the fact that there isno correlation between the number of opioid prescriptions and the non ‐medical use of prescription pain reliever or the development of opioid use disorder. And while the number of opio...
Source: Cato-at-liberty - December 23, 2020 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
