How Maunakea Teaches Us to Practice Medicine
This study clearly highlights the need for Western-trained doctors to begin acknowledging and respecting each Indigenous community’s traditional knowledge and beliefs. Not working harmoniously with cultural traditions and what patients are comfortable with will erode trust and limit the health outcomes of patients.
Dr. Kim Tallbear (Sisseton-Wahpeton Oyate), a genomics researcher and Associate Professor of Native Studies at the University of Alberta, has helped build a framework to model how Indigenous thought and concepts from Western science can come together. First, we must find ways in healthcare to “resist colo...
Source: The Health Care Blog - August 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Arc Health Brooke Warren Hawaii Kana Oiwi Maunakea Phuoc Le traditional knowledge traditional medicine western medicine Source Type: blogs
Pediatric Bookends, Part 1: Letter To The Secretary of NCDHHS Regarding Randolph Hospital
8/21/2019Mandy Cohen, M.D., MPH,Secretary, NC Department of Health and Human Services2001 Mail Service CenterRaleigh, N.C. 27699-2000Re: Randolph Hospital, Asheboro“I sat with my Anger long enough . . . until she told me her real name was Grief.”-UnknownDr. Cohen,A friend of a friend connected me to Sam Hedrick – who advised that if I composed a letter and e-mailed it to her, it would be put into the hands of the Secretary. This finished product is three weeks later than planned . . . because I briefly faltered . . . wondering (for good reason), “What IS the point?”. But I had to do MORE than ...
Source: Dr.J's HouseCalls - August 21, 2019 Category: American Health Source Type: blogs
Respecting ‘ Sober Curious ’ Without Minimizing Alcoholism and Addiction
Somewhere in the drunken mess of 2002, I was curious to try the combination of vodka and Klonopin. Ditto, I was a curious little kitten when it came to what could possibly happen if I took acid and ecstasy at the same time! I was curiouser and curiouser about everything, from trying heroin to trying to buy cocaine instead of paying my rent. That’s the sort of curious that kept me in trouble for the better part of two decades, but curious to quit drinking because I just needed a break from partying and how it was affecting my life? Uh, not so much.
Trendy, Cool, and Not Dying
If you don’t know what the “sober curious...
Source: World of Psychology - August 17, 2019 Category: Psychiatry & Psychology Authors: Psych Central Guest Author Tags: Addiction Alcoholism Disorders Publishers Recovery Substance Abuse The Fix alcohol use disorder sober sober curious Sobriety substance use disorder Source Type: blogs
Can digital Cognitive Behavioral Therapy (CBTi) become the universal first-line treatment for insomnia?
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Pear Therapeutics’ digital insomnia therapeutic will put FDA’s PreCert framework through its paces (MobiHealthNews):
“Prescription digital therapeutics company Pear Therapeutics announced late last week that it has filed an FDA marketing authorization for Somryst, its digital cognitive behavioral therapy for the treatment of adults with chronic insomnia and depression.
While an approval from the agency would mark the third authorized prescription digital therapeutic for Pear — behind reSET for substance use disorder and reSET-O for opioid use disorder — the Somryst application is also the first product...
Source: SharpBrains - August 13, 2019 Category: Neuroscience Authors: SharpBrains Tags: Cognitive Neuroscience Health & Wellness Technology CBT CBTi chronic insomnia cognitive-behavioral-therapy depression digital cognitive behavioral therapy digital therapeutics FDA Pear Therapeutics pharmacotherapies Precertificat Source Type: blogs
‘I Apologize for What You Are About To See’
By HILARY HATCH, PhD
The growing movement to include the patient voice in medicine through
Motivational Interviewing, patient-reported outcomes, social determinants of health
and shared decision-making
One day in 2011, as a part of my research on ways
to improve patient-provider communication about health behaviors, I was
shadowing Dr. G., a talented young internist with a cheerleader demeanor. He marched
through 12 afternoon patient appointments with confidence and purpose. But when
he saw the name of the last patient on her schedule, he turned pale, faced me
and said, “I apologize for what you are about to see....
Source: The Health Care Blog - August 13, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Psychology Hilary Hatch motivational interviewing patient-reported outcomes Phreesia Social Determinants of Health Source Type: blogs
Dear emergency department clinicians: a letter from administration
Dear emergency department clinicians: We at the top of the administrative and regulatory chain understand that you deal with enormously complicated mental health and substance abuse patients all the time. Your resources are limited, and the demands placed upon you are growing. As such, we (the anointed and well-meaning) wish to offer you some guidelines […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 12, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/edwin-leap" rel="tag" > Edwin Leap, MD < /a > < /span > Tags: Conditions Emergency Medicine Psychiatry Source Type: blogs
When Mom is the victim of cyberbullying
A few months ago, I realized it was time to have a conversation with my tweenage son that I had been dreading. It wasn’t where babies come from. It wasn’t about death or illness or substance abuse. My son, always sensitive and inquisitive, was sitting next to me Googling random things. Then he Googled his dad, and […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 8, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/rani-alexander" rel="tag" > Rani Alexander, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs
Why Do I Have to Keep Using More to Get High?
When using drugs or alcohol, you may start to find that you need to keep using more to get high than you did when you first started. When a couple of glasses of wine used to get you plenty drunk, you’re finding that you need a full bottle or even more. This is called building tolerance and can cause some damaging effects to the body, including leading to addiction and death.
Using More to Get High: Building Tolerance
According to the National Institute on Drug Abuse, tolerance occurs when the person no longer responds to the drug in the way that person initially responded. Stated another way, it takes a higher dose of t...
Source: Cliffside Malibu - July 17, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Alcohol Alcoholism Drug Treatment Substance Abuse alcohol addiction alcohol dependence alcohol dependency alcohol detox alcohol disorder drug addiction drug addiction recovery drug addiction treatment Source Type: blogs
Based Solely on Quotes from Anti-Tobacco Groups, Big Tobacco Tells America's 3 Million Nonsmoking Vapers They Would Be Healthier Going Back to Smoking
The tobacco industry is taking advantage of a rare and unprecedented marketing opportunity being offered to it by none other than the anti-tobacco movement. Based solely on statements made by tobacco control organizations,Big Tobacco (@BigTobaccoUS) is urging America ' s 12 million vapers (3 million of whom do not use cigarettes at all) to return exclusively to smoking in order to protect their health.Cleverly, Big Tobacco is not making any statements of its own. It is simply relying on statements already made by anti-tobacco groups. For example, Big Tobaccostated: "Mostpublic health experts agree thatvaping is dangerous a...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 17, 2019 Category: Addiction Source Type: blogs
Will Congress Finally X-Out the " X " Waiver?
Members of Congress are growing more appreciative of the benefits of Medication Assisted Treatment in addressing the overdose crisis. Two bills presently under consideration —one in the Senate and one in the House—are the latest evidence of that awareness. Medication Assisted Treatment for opioid use disorder is one of the most widely-accepted and least controversial of the tools in the harm reduction tool box. The strategy involves placing the patient on an orally-administered opioid that binds with enough opioid receptors to prevent painful withdrawal symptoms while, at the same time, not producing cognitive impa...
Source: Cato-at-liberty - July 16, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
New Organization Forms to Confront the Epidemic of Popcorn Lung
Prompted by the statements of anti-tobacco groups throughout the country claiming that vaping causes popcorn lung, a new organization was launched this past Thursday to confront this new and alarming epidemic among young people. The organization is called the American Popcorn Lung Association (APLA) and it has aTwitter feed (@LungPopcorn)." Popcorn lung " is a serious, progressive lung disease that is technically known as bronchiolitis obliterans. The disease results in obstruction of the smallest airways in the lung. The disease is irreversible and can be fatal. A lung transplant is the only definitive treatment. The most...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 15, 2019 Category: Addiction Source Type: blogs
PTSD: Dealing with the Boom of July 4th
With the summer in full swing. Many of us are looking ahead to July 4th, planning time away from work and looking forward to a well needed break. For most Americans, Independence Day reflects a day of fun, having barbecues with close friends and family, eating wonderful food and rejoicing at night under the fireworks. For some Americans, however, fireworks and crowds are a major trigger for Post-Traumatic Stress Disorder, inducing flashbacks, hypervigilance and sweating, among other symptoms.
While in the general population, approximately 7-8% of people have PTSD at some point in their lives, this number increases to 10% i...
Source: World of Psychology - July 3, 2019 Category: Psychiatry & Psychology Authors: Jessica Koblenz, PsyD Tags: General PTSD Self-Help Trauma 4th Of July Combat Veteran Fireworks Hypersensitivity triggers Source Type: blogs
Alcohol: Is It The Gateway Drug?
The Gateway Drug Theory
According to the US National Library of Medicine National Institutes of Health, The Gateway Drug Theory suggests that licit drugs, such as tobacco and alcohol, serve as a “gateway” toward the use of other, illicit drugs. Many people usually correlate this theory with prescription medication becoming a gateway to other dangerous opioids such as heroin or fentanyl, but there is some research to suggest that alcohol can be a gateway drug as well.
Some of the many gateway drugs include:
Alcohol
Marijuana
Prescription medication
Tobacco
How is Alcohol a Gateway Drug?
Alcohol is legal and ...
Source: Cliffside Malibu - July 2, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Alcohol alcohol abuse alcohol treatment alcohol treatment center alcoholism gateway drug Source Type: blogs
The Second-Hand Harms of Drinking
What Are Second-Hand Harms of Drinking?
An addiction to alcohol doesn’t just affect the person with the addiction. In fact, about one-fifth of adults in the United States have experienced some form of harm due to someone else’s behavior while drinking. These behaviors are ripple effects from the addiction and are known as second-hand harms of drinking. According to a study published in the Journal of Studies on Alcohol and Drugs, this adds up to nearly 53 million adults experienced at least one harm in 2015 attributable to someone else’s drinking in the past year.
Abusive Behavior
One of the biggest second-ha...
Source: Cliffside Malibu - July 2, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcoholism alcohol abuse Alcohol Awareness Month alcohol consumption alcohol disorder alcohol problems alcohol treatment alcohol use alcoholics Alcoholics Anonymous second-hand harms Source Type: blogs
How Do I Pick the Right Facility?
How Do I Pick the Right Facility for My Addiction?
Finally making the decision to get help for your addiction is a huge, difficult step. Admitting you have a problem and expressing the desire to want to fix it is life-saving. Almost as difficult as making the decision to go to a facility is trying to pick the right facility. There are so many factors to consider, and finding the right facility can make all the difference in your long-term sobriety and recovery. As you do your research, we’ve compiled the most important points for you to keep in mind.
Staff and Accreditations at the Facility
When you are picking a facilit...
Source: Cliffside Malibu - June 22, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Addiction Treatment and Program Resources Behavioral Addictions Complementary Therapies Comprehensive behavioral treatment Drug Rehab Information Holistic Treatment Protocols Sober Living and Aftercare Substa Source Type: blogs
