Regulatory Compliance

Overdose Deaths Are Falling. So Why Didn’t We Change Course Sooner?

Federal data show that U.S. overdose deaths declined through most of 2025—marking the longest sustained drop in more than twenty years. Roughly a 20% year-over-year reduction is not statistical noise. It is real movement. And it raises an uncomfortable question: If progress is possible now, why was it politically impossible before? Policy Is Not Neutral. […]

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Why Our Practice Does Not Delegate CSRS (PDMP) Queries

Recent changes to North Carolina’s Controlled Substances Reporting System (CSRS) now permit licensed delegates, including registered dental hygienists, to run PDMP queries on behalf of a supervising prescriber. While this option may be appropriate in certain institutional or high-volume environments, our practice has made a deliberate decision not to delegate CSRS access. This decision reflects

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Dentistry Unplugged: The Drill Down 25:1 (05/08/2025)

In our debut podcast, Mysty Blagg Esq of Poyner Spruill, Sean Kurdys of Old Well Consulting, and Chris Roberts DDS of North Wilkesboro, NC join Dr David Lambert to discuss topics of current interest: We continue to monitor the progress of SB599. While it’s sponsors tout the objective of making the NC Dental Board less

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Hard Pass: ADA – Mayo Clinic’s “Well-Being Index” Assessment Tools Is A “No Go”

Organized dentistry continues to promote the idea of “wellness” so much so the American Dental Association has partnered – along with it’s state components – with the Mayo Clinic to make available to members it’s “Well Being Index” mental health awareness self assessment tool. The elective assessment is offered freely – and ostensibly “anonymously” –

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Leaning Out: Moral Injury III

For our 3rd installment on moral injury, Dr Jenny Byrne MD PhD describes an encounter with a female medical student who weighed her vocational path against perceived work-life balances. The concept of “leaning out,” where individuals reduce professional engagement to balance personal priorities, is increasingly observed in healthcare worldwide. This trend aligns with millennial values

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Early Checkout – Moral Injury II

For the next in our series of literary installments on moral injury, Jenny Byrne MD PhD highlights it’s ever expanding nature in healthcare, which is driving many providers to retire early, often in their 50s. Providers face mounting student debt, lower-than-expected salaries, and systemic issues that strip them of autonomy, respect, and pride in their

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Welcome To “The Clown World”

This begins a series of blog posts hopefully to highlight belief systems affecting healthcare seemingly in disarray…legislative boondoggles…proverbial tails wagging the dog. In a previous post, I proposed data that demonstrated the lack of evidence of the need for more continuing education – a la the “MATE Act”. Yet seemingly politicians ostensibly fawning for the

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The Disrupted Physician

In November 2015, a personal tragedy shattered Dr Ann Phelan-Adams, leading to months of grief, trauma, and a toxic mix of alcohol, antidepressants, and sedatives. With the support of family, friends, and therapists, she slowly recovered, but her medical board accused her of being impaired due to substance abuse and mental illness, threatening her license

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