Monday, July 10, 2017

Which Arm of the Trial Would You Pick?

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For years, critics of opioid guidelines have argued that the absence of evidence on long term efficacy of opioids wasn't a sufficient re...
Wednesday, July 5, 2017

Detox and Marshmallows: Dealing with Addiction

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On Monday, NPR's Morning Edition ran two pieces back-to-back that while ostensibly not intended to be related, nonetheless struck me as...
Wednesday, June 21, 2017

Will Opioids Kill the AHCA?

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As a small group of Senators toil away in secrecy on an effort to recast a sixth of the American economy, one of the sticking points in the ...
Monday, June 12, 2017

Want to Decrease Disability by 53%?

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According to a recent issue of Health Affairs, all we have to do is completely eliminate five risk factors: smoking, obesity, diabetes, high...
Tuesday, April 11, 2017

Demanding Better Psychotherapy

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Psychotherapy is undergoing a veritable revolution.  And if you're not paying attention, you could miss opportunities to change attitude...
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Tuesday, March 28, 2017

US System Lags in Back Pain Treatment

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The US healthcare system is, in a word, dysfunctional.  We know this.  Many of us have experienced it first hand.  We spend a lot and have r...
Monday, March 20, 2017

A Way to Fix a Drug Problem Without More Drugs?

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Like many of my colleagues here at PRIUM and acquaintances outside of PRIUM who focus on chronic pain day in and day out, I get all manner o...
Tuesday, March 7, 2017

What's Past is Not Prologue: Formularies Differ by State

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I've recently heard predictions regarding California's forthcoming formulary that are based on the experience of Texas over the last...
Monday, February 27, 2017

What if We Hypothesized Instead of Diagnosed?

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The 19th century Romantic poet John Keats was also trained as a physician.  And it's his definition of a "man of achievement" ...
Monday, February 20, 2017

Narrative Does Matter: Self-Guided Opioid Weaning

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Perhaps it's obvious.  I write blog posts with regularity, I consume news voraciously, and I've never met a microphone I didn't ...