When Words Are Not Enough

Almost 1 year into the pandemic, the day finally came when I could welcome patients back to meet in person. For a little over a decade, I have cared for the mental health of healthcare professionals. After nearly a year of telehealth, one by one I welcomed nurses, physicians, physical therapists, nurse practitioners, pharmacists, social … Read more

Cannabinoids in Medicine: Limitless Hope or Hype?

What is the role of cannabinoids as an intoxicant and in medical applications today? This was the question addressed by Dieter Braus, MD, psychiatrist and neurologist at Vitos Clinic Rheingau in Eltville, Germany, at the DGIM Congress 2022. Dampening the Dopamine System Regardless of the type of substance-dependent addiction — whether alcohol, opiates, nicotine, or … Read more

Small Steps to Improving LGBTQ+ Patient Care

Legislation around LGBTQ+ education in schools made headlines recently after Florida Governor Ron DeSantis passed the “Don’t Say Gay” bill, as it’s come to be called by many. The legislation bars teachers and school systems from mentioning or instructing students in kindergarten through third grade on issues around sexual orientation and gender identity. And with … Read more

No More Autopilot Opioids After Cesarean Delivery

A group of clinicians is hoping to prompt a rethink of how opioids are prescribed to new mothers after cesarean deliveries after finding that sending patients home with smaller prescriptions led to dramatic drops in use of the drugs. In research scheduled to be presented Saturday at the 2022 annual meeting of the American College … Read more

The Problematic Use of Tramadol Is Increasing in France

This article was originally published in French on Univadis. Key Takeaways According to French addiction surveillance data compiled from 2013 through 2018, the problematic use of tramadol is increasing in France, even though prescription levels remain stable. The rate of dependence among patients treated for pain seems high, and tramadol could become the opioid analgesic … Read more

Top Drug Official Wants New Approach to Abuse Crisis

When a chemical spill left 300,000 West Virginians in need of clean drinking water and a public official they could trust, Rahul Gupta, MD, MPH, was there. When the March of Dimes needed a voice to fight legislation that threatened to gut healthcare for pregnant women, Gupta was front and center. Dr Rahul Gupta, MD … Read more

Juvenile Fibromyalgia Is Associated With Brain Changes

Juvenile fibromyalgia is associated with reduced volume in one region of the brain, according to a recent study. The findings were similar to those in patients with adult fibromyalgia, which suggest the importance of early diagnosis and treatment. The study was published online January 25 in Arthritis and Rheumatology. Adolescent Brain Development Juvenile fibromyalgia is … Read more

Microdosing Psychedelics: Untapped Potential in Psychiatry?

In her month-long memoir, A Really Good Day: How Microdosing Made a Mega Difference in My Mood, My Marriage, and My Life (Knopf, 2017), author Ayelet Waldman turns herself into a one-woman experiment. Over a single month she takes one tenth of a recreational dose of LSD every third day. She plots her emotions, her … Read more

Sexual Dysfunction Overlooked in Women With Diabetes

Among patients with diabetes, women are just as likely as men to suffer from sexual dysfunction, but their issues are overlooked, with the narrative focusing mainly on the impact of this issue on men, say experts. Women with diabetes can experience reduced sexual desire, painful sex, reduced lubrication, and sexual distress, increasing the risk of … Read more

Shoulder Arthritis Surgery: Depression Complicates Care

Patients undergoing primary reverse shoulder arthroplasty (RSA) for their glenohumeral osteoarthritis (OA) had more complications of care and higher hospital costs when they also had a diagnosis of depression, new data show. The abstract was presented Thursday at the American Academy of Orthopedic Surgeons (AAOS) 2022 Annual Meeting. Researchers, led by Keith Diamond, MD, an … Read more