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Update in Primary Care: Depression in Primary Care May Actually be a Vitamin D Deficiency

BACKGROUND Major depressive disorder (MDD) is a significant worldwide health problem, and often seen in primary care with comorbid medical problems such as hypertension, chronic pain, cardiovascular disease, diabetes, asthma, and others. There is a high instance of patients seen in primary care to where depression is either contributing to the physical health ailments, sequela…

Quote of the Century: Dwight D. Eisenhower

“Soldiers, Sailors, and Airmen of the Allied Expeditionary Force! You are about to embark upon the Great Crusade, toward which we have striven these many months. The eyes of the world are upon you. The hope and prayers of liberty-loving people everywhere march with you. In company with our brave Allies and brothers-in-arms on other…

News Flash: Chiropractor Charged

Benjamin Zimberoff Darrow, 48, a licensed Chiropractor from Daly City, California, pleaded not guilty to several federal charges on Monday, May 20, 2019. Charges include insurance fraud, the unlicensed practice of medicine, illegal laboratory markup, and the theft of over $100,000. He faces up to two years in prison.  Prosecutors claim Darrow engaged in illegal…

Kratom: The Down and Dirty

First came Spice1, then Bathsalts,2then Krokodil,3and now Kratom.4  All considered designer drugs by the National Institute of Drug Abuse (NIDA) and all with significant risk factors that today’s physicians need to be aware. Emergency room physicians and psychiatrists especially, but all physicians need to be aware as with the earlier designer drugs Spice and Bathsalts, Kratom…

The Loss of Physician Respect

Physician Burnout—Over 54% of physicians experience it. In fact, the WHO now officially recognizes work “burnout” as an occupational phenomenon. The syndrome is included in the agency’s handbook of medical diagnoses, which guides health professionals around the world. Symptoms of burnout include: feelings of exhaustion, cynicism about one’s job, and difficulty doing the job successfully. Burnout is defined…

Quest: You’ve Been Breached!

Remember to shred ANY piece of information from a patient or you will be personally fined! On the other hand, there is this: Quest Diagnostics Says Up to 12 Million Patients May Have Had Financial, Medical, Personal Information Breached So, to reiterate, doctors are screwed for any HIPAA mistake they make but for these breaches:…

Forget the Beef. Knock off Meat Substitute is Worse Than No Beef (An Exposé on the AANP Position Statement: Quality of Nurse Practitioner Practice)

It’s bad enough not having any beef on one’s burger, but trying to pass off a knock off substitute as the real thing is sinful. Trying to pass of poor quality, outdated studies, or studies lacking power as quality evidence is analogous to trying to pass off beef substitute as the real thing.  Take for example…

We’ll Get to You When We Can…

The word is that more patients are tired of waiting in increasingly crowded ER lobbies, and are leaving Against Medical Advice (AMA) in greater numbers.  Kaiser Health News is reporting a 57% increase in patients leaving AMA in the past 7 years from California ER’s.  One physician observed, “Most patients are sick but not critically ill,”…