Category Archives: Meds

CBD: What is it? A former DEA agent explains.

16 Shares Share Tweet Share What is CBD? Cannabidiol or CBD for short is made from either the marijuana plant that contains tetrahydrocannabinol (THC) or hemp which contains little to any THC. “Hemp-derived” means that the CBD generally contains less than 0.3% THC while “marijuana-derived” contains higher amounts of THC. It is THC — and … Continue reading

Many questions remain about medical marijuana

6 Shares Share Tweet Share On a daily basis, patients of mine come in for office visits complaining of wear and tear injuries, as well as aches and pains, and their methods of dealing with chronic pain. As we all know, aging is a part of the normal life process. For instance, as we approach … Continue reading

Using the Avengers to explain how cancer treatments work

30 Shares Share Tweet Share In a recent talk I gave for colleagues, I ventured outside the box. I searched for a metaphor to make cancer treatments easy to understand. Around the same time, it so happened my kids decided we needed to re-watch all of The Avengers movies at home. (In order, of course). Here’s where … Continue reading

Take the naloxone challenge

292 Shares Share Tweet Share Last week I took the naloxone challenge. I walked up to a pharmacy window, waited in line, and requested naloxone from the pharmacist. She showed a supportive but knowing look, and I became acutely aware of the four people in line behind me. After giving her my name and date … Continue reading

Treating depression with ketamine: We need incremental treatment for depression

2 Shares Share Tweet Share Recently, the Food and Drug Administration approved a nasal spray version of the drug Ketamine, named Spravato (esketamine), for use as a supplement to oral antidepressants taken by adults living with treatment-resistant depression. The announcement was accompanied by a flurry of media excitement as Spravato is the first medication for … Continue reading

Why staying ahead of your pain with opioids is the wrong advice

38 Shares Share Tweet Share I often hear the mantra, “You must stay ahead of your pain, or else.” The president of the American Academy of Pain Medicine, states a common mistake people make, is waiting too long to take pain medication. By the time you’re in pain, you’re starting from behind the eight ball. “It … Continue reading

A patient’s opposition to the anti-opioid movement

525 Shares Share Tweet Share I recently read an article — “California Doctors Alarmed As State Links Their Opioid Prescriptions to Deaths” — that infuriates and frightens me I’m furious that doctors are being persecuted for opioid prescriptions written years ago, and frightened that my doctor here in California may be pressured to stop prescribing … Continue reading

How to increase your HPV vaccination rates

655 Shares Share Tweet Share As chair of general pediatrics for a large medical group, I knew our HPV vaccination rates back in 2016 were low, but didn’t completely understand why. I’m here to share how we figured it out, and how we improved. The first task was to understand the barriers, and we went … Continue reading

America has seen medical marijuana before: This is what we learned (and forgot)

3K Shares Share Tweet Share Very few things in the universe are 100 percent good or 100 percent bad. Cannabis is perfectly ordinary in having a mixture of good qualities (medical benefits) and bad qualities (medical risks). The people who want to make money – lots of money, by the way – from selling marijuana do a perfectly fine … Continue reading

The consequences of celebrity endorsements in health care

0 Shares Share Tweet Share “Try this,” whispers Kate Winslet as I wander past the Lancôme counter. “Your glowing skin will thank you.” The consequences of a celebrity endorsement are seemingly harmless when it comes to revamping a makeup routine, but what happens when this type of advertisement seeps into the world of health care? … Continue reading