The CDC reports that drug overdose death rates (from all causes) are up 29.4% over the last 12 months most likely reflecting so-called “deaths of despair” as the SARS-COV2 pandemic continues unabated. This probably represents death from illicit drug abuse often times laced with fentanyl – a cheap but super-potent synthetic opioid frequently mixed with heroin […]
Update: National Drug Overdosage Deaths Up 29.4% Read More »
In 2009 the Obama Administration championed the development of the HITECH Act. Among its many ramifications were the development of “meaningful use” parameters intended to provide financial incentives through health care insurance reimbursement (Medicare, Medicaid) for health care entities to adopt technological advances to make health care more accessible and affordable. The HITECH Act accomplished this through
NC CSRS Gateway Integration De-mystified Read More »
HBO has released a documentary of evolution of the opiate crisis in a 2 part series “The Crime Of The Century”. Consider it essential material for any health care provider who prescribes opioids…
It Was The Crime Of The Century Read More »
This is my second post of the ongoing studies of prescription opioid therapy in dentistry through a joint effort between the University of Michigan Schools of Medicine and Dentistry and their collaboration through the Michigan Open Prescribing Engagement Network. In my first installment, I reviewed and provided some criticism of research regarding the risk of overdose
Treating dental pain with opioids linked to higher risk of overdose in patients & families A new study published in The American Journal of Preventative Medicine is showing a link between the prescribing of opioids after a dental procedure and overdosage not only in patients but also their families. The big data study was undertaken as an
University Of Michigan Study Read More »
NSAIDS May Impair Host Defenses The preference for the use of non-opioid analgesics for pain should now be obvious. However as the option of public COVID-19 vaccination is now widely available in many states, practitioners should be cautioned about the routine use of NSAIDS for pain relief where their treatment may overlap a patient’s vaccination window.(1) NSAIDs inhibit cyclooxygenase (COX) which plays a
Analgesia & COVID Vaccination Read More »
FDA, States Weigh In On Prescribing Naloxone with Opioids On July 23, 2020 the FDA issued a Drug and Safety Communication to recommend providers include a prescription for naloxone (Narcan) to those patients who are considered to be at increased risk of opioid overdose. Further, states such as South Carolina which are seeing spikes in opioid overdoses are
FDA, States Advise Naloxone Read More »
Quantity/Frequency of Opiate Prescribing Has Limitations I received an unusual telephone call yesterday from the office of a military JG yesterday with an all too frequent inquiry. Apparently one of the doctors at her installation had taken a recent Oldwell Consulting’s opiate compliance course, and had referred her to us. She described piecemeal a scenario where
How Much Is Too Much Read More »
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