AI Screening for OUD
My guess: Superior nagging by the AI, in the form of alerts and reminders, resulted in better physician follow through.
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The Power of Drug Company Marketing
…a number of years ago, the Institute of Medicine set forth guidelines intended to reduce the influence of advertising on how physicians prescribed medications… to date, relatively few physicians have actually adopted those guidelines.
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Odds & Ends
…they may have purchased what they believe to be cocaine, or methamphetamine, or heroin, any or all of which may have been ‘cut’ with fentanyl or another uber-potent synthetic opioid, in sufficient quantity to overcome their tolerance and put them in imminent danger of death.
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Back in Court — Pill Mill edition
A lone physician was found to have prescribed more than 500,000 doses of prescription opioids to assorted patients in little more than two years of medical practice.
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Physician or Vending Machine?
…some patients feel ‘gypped’ if they don’t leave the office with a prescription. And respond with a bad review on the patient satisfaction survey.
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A Disturbing Trend in Prescribing
This in spite of the fact … that these drugs can and often do interact harmfully with one another. And regular users are at elevated risk for misuse, abuse, dependence, and/or addiction.
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Death Letter
The researchers were interested in whether receipt of such a letter would cause the physician to be more cautious in prescribing in future. The answer: It did.
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MDs Confronting SUDs
I imagine it takes a special kind of practitioner to push aside the barriers in the system to get to the SUD that lies underneath, even when he or she knows it’s there.
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A Problem in Prescribing?
…no more than 7.4% of overdose patients had received a prescription for naloxone following an overdose. That covers both the initial visit and any follow-up contacts the hospital required.
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Hospital Consults — Are They Worth It?
I asked a number of the attending docs if they’d spoken with the patient about the problem, and was startled by how rarely the answer was yes.
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Self-Disclosing
…with any helping relationship, I think it’s best to restrict self-disclosure to situations where you believe it will advance the goals of treatment.
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Doctors and Alcohol Disorders
Definite progress has been made, but there are still plenty of examples of people who fall through the cracks in the healthcare system.
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Prescription for Violence
I heard one man exclaim in a packed hospital waiting room. “It’s her damn job. She took an oath.” I was struck by his sense of entitlement. And I could envision how, enhanced by withdrawal and desperation, it could turn violent.
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