Doctors http://nhpr.org en From Scrubs to Songwriting http://nhpr.org/post/scrubs-songwriting-0 <p>Here at Word of Mouth, we receive dozens of unsolicited albums each week to be reviewed for potential segments on the show. So what, you may ask, enticed me to pop <a href="http://www.davidfriedenbergmusic.com/#!home/mainPage">David Friedenberg&#39;s </a>newest album into my computer and give it a good long listen? It may have been the letter enclosed in the CD case, addressed to Laura Knoy, that suggested she might find this new and &quot;more political&quot; album interesting. Tue, 07 Aug 2012 18:42:19 +0000 10310 at http://nhpr.org From Scrubs to Songwriting The Prose of a Practitioner http://nhpr.org/post/prose-practitioner <p><a href="http://en.wikipedia.org/wiki/Literary_magazine">Literary journals</a> offer aspiring writers a window into the process of professional publishing and immersion in the community of writers. They are a mainstay of MFA programs, and as well as a number of graduate and post-grad programs in the sciences. We wanted to know more about the creative lives of America’s future practitioners after leafing through<a href="http://geiselmed.dartmouth.edu/lifelines/"><em> Lifelines</em></a>. That’s Dartmouth Medical School’s arts journal. Tue, 24 Jul 2012 14:47:21 +0000 Virginia Prescott 9382 at http://nhpr.org The Prose of a Practitioner Closeted MD http://nhpr.org/post/closeted-md <p>The American medical community may be discouraging gay and lesbian doctors.</p> Tue, 08 May 2012 14:47:39 +0000 Virginia Prescott 4389 at http://nhpr.org Closeted MD Doctors have feelings, too http://nhpr.org/post/doctors-have-feelings-too <p>A doctor and columnist gives insight into a new study which reveals just how often doctor's massage the truth with their patients.</p> Mon, 09 Apr 2012 16:34:03 +0000 Virginia Prescott 3010 at http://nhpr.org Doctors have feelings, too Doctors Urge Their Colleagues To Quit Doing Worthless Tests http://nhpr.org/post/doctors-urge-their-colleagues-quit-doing-worthless-tests Nine national medical groups are launching a <a href="http://choosingwisely.org/">campaign</a> called Choosing Wisely to get U.S. doctors to back off on 45 diagnostic tests, procedures and treatments that often may do patients no good.<p>Many involve imaging tests such as CT scans, MRIs and X-rays. Stop doing them, the groups say, for most cases of back pain, or on patients who come into the emergency room with a headache or after a fainting spell, or just because somebody's about to undergo surgery.<p>A child with low belly pain and suspected appendicitis? Don't rush her to the CT scanner. Wed, 04 Apr 2012 12:45:00 +0000 Richard Knox 2953 at http://nhpr.org Doctors Urge Their Colleagues To Quit Doing Worthless Tests Lawmakers Consider State Monitoring of Prescription Drugs (Again) http://nhpr.org/post/lawmakers-consider-state-monitoring-prescription-drugs-again <p>New Hampshire has one of the worst prescription drug abuse problems in the country. The state <a href="http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6101a3.htm">now ranks 5th in the nation</a> for percentage of residents who abuse medications such as percocet, vicodin, and oxycodone, according to the Federal Centers for Disease Control. The problem is especially alarming among young people. New Hampshire has the second highest rate of 18-25 year olds who abuse prescription drugs in the nation.</p><p>Danielle Fiore , 24, says she was addicted to painkillers for most of her childhood.</p><p>&quot;I had fractured my ankle and I was prescribed vicodin and it felt good. I was ten or eleven,&quot; she says. &quot;As time went on I would get something else hurt or a toothache or something and I would get more painkillers. I have a bunch of teeth missing because I would complain and get them pulled so I would get pain killers.&quot;</p><p>Currently New Hampshire has no <a href="http://www.pmpalliance.org/" target="_blank">prescription drug monitoring program</a>. The program, which is up and running in 48 other states, is initially funded through federal grants. The proposal to create a centralized prescription database that doctors and law enforcement could check to track so called &quot;doctor shoppers&quot; has been defeated several times in the state Legislature. A <a href="http://www.gencourt.state.nh.us/legislation/2012/SB0286.pdf" target="_blank">new bill</a> is now being considered this session and its sponsor Senator Majority Leader Jeb Bradley, R-Wolfeboro, is hopeful that there is enough support for a statewide prescription monitoring program this time. He cites the growing number of overdose deaths in the state from prescription drugs. In the last decade overdose deaths from these medications have <a href="http://des.nh.gov/organization/commissioner/pip/publications/wmd/documents/unused_medicine.pdf" target="_blank">more than tripled</a><a href="http://des.nh.gov/organization/commissioner/pip/publications/wmd/documents/unused_medicine.pdf">.</a></p><script type="text/javascript" src="http://public.tableausoftware.com/javascripts/api/viz_v1.js"></script><div class="tableauPlaceholder" style="width: 554px; height: 369px;"><noscript><a href="#"><img alt="Dashboard 2 " src="http:&#47;&#47;public.tableausoftware.com&#47;static&#47;images&#47;Pr&#47;PrescriptionDrugs&#47;Dashboard2&#47;1_rss.png" style="border: none" /></a></noscript><object class="tableauViz" height="369" style="display: none;" width="554"><param name="host_url" value="http%3A%2F%2Fpublic.tableausoftware.com%2F" /><param name="site_root" value="" /><param name="name" value="PrescriptionDrugs/Dashboard2" /><param name="tabs" value="no" /><param name="toolbar" value="no" /><param name="static_image" value="http://public.tableausoftware.com/static/images/Pr/PrescriptionDrugs/Dashboard2/1.png" /><param name="animate_transition" value="yes" /><param name="display_static_image" value="yes" /><param name="display_spinner" value="yes" /><param name="display_overlay" value="yes" /></object></div><div style="font: 8pt/normal verdana, helvetica, arial, sans-serif; padding: 0px 10px 0px 0px; width: 554px; height: 22px; color: black; font-size-adjust: none; font-stretch: normal;"><div style="padding-right: 8px; float: right;"><a href="http://www.tableausoftware.com/public?ref=http://public.tableausoftware.com/views/PrescriptionDrugs/Dashboard2" target="_blank">Powered by Tableau</a></div></div><p>Data source: <a href="http://doj.nh.gov/medical-examiner/" target="_blank">NH O</a><a href="http://doj.nh.gov/medical-examiner/" target="_blank">ffice</a> of the Chief Medical Examiner</p><p>&quot;There are <a href="http://doj.nh.gov/medical-examiner/documents/drug-deaths.pdf" target="_blank">more people dying because of abuse of prescription drugs that are legal than automobile accidents</a>, he says. &quot;We ought to have a tool to try to sort out the legal use of these drugs and the appropriate use and those that aren&rsquo;t.&quot;</p><p>For those who oppose a statewide prescription drug database privacy is a major issue. Rep. Neal Kurk, R-Weare, says such a program goes against the Granite State&#39;s core philosophy.</p><p>&nbsp;&quot;This is New Hampshire, this is the &#39;Live Free or Die&#39; state, &quot; says Kurk.&nbsp; &quot;One of the major reasons this bill has not been adopted is because most people feel it&rsquo;s the independent philosophy,&nbsp; personal responsibility philosophy that prevails and that government should be small and not interfere with people&rsquo;s lives.&quot;</p><p>Many of the state&#39;s <a href="http://nh-ipa.com/" target="_blank">independent pharmacists</a> are also against a monitoring program because they worry they will end up footing the bill. The database would be drawn from pharmacy records. Rick Newman, a lobbyist for the New Hampshire Independent Pharmacy Association, says the small business people he represents will be end up carrying the burden of the costs of such a database.</p><p>&quot;I can&rsquo;t sit here as anyone with any kind of intelligence and disagree that&rsquo;s there&#39;s a problem with people abusing prescription drugs in this country, of course there is,&quot; says Newman. &quot;The question becomes whose burden is that? We can&rsquo;t pass laws to put the burden on the small business person because they happen to be one part of the pipeline.&quot;</p><p>Emergency room doctors and those that treat pain say they are often confronted by patients who may be faking symptoms to get narcotics for their addiction or to sell on the street.</p><p>&quot;I want people who have legitimate pain to get the proper pain medications that they need,&quot; say Dr. David Heller, an emergency room physician at Portsmouth Hospital.&nbsp; &quot;But I don&rsquo;t want to feed somebody&rsquo;s addiction and I don&rsquo;t want to write a prescription for drugs that are going to be sold to my kids or my kid&#39;s friends.&quot;</p><ul><li><a href="https://s3.amazonaws.com/s3.documentcloud.org/documents/287741/nh-drug-deaths-1995-2010-2.pdf" target="_blank">NH Drug Deaths 1995 - 2010</a> (ppt 236 kb) provided by the office of the Chief Medical Examiner</li></ul><p> Mon, 30 Jan 2012 21:26:50 +0000 Rachel Gotbaum 1576 at http://nhpr.org Lawmakers Consider State Monitoring of Prescription Drugs (Again)