The confusing policy surrounding the buprenorphine X-waiver

In the waning days of the Trump administration, a surprising announcement came down from the Department of Health and Human Services (HHS) that the barrier required to write buprenorphine prescriptions for opioid use disorder would be lifted via reform of the so-called “X-waiver.” The X-waiver is a rare regulation in American medicine that requires an…

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The world needs more hope-givers. Be that person.

He stood silently. His eyes fixed on us, immaculately dressed in a dark three-piece suit adorned with a gold watch and chain, hair meticulously groomed, a brightly colored bow tie centered perfectly on a freshly starched white shirt, wire collar stays in place, black wing-tip shoes glistening. Gold cuff links and military-like, sharply creased pants,…

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Numb from the news? Understanding why and what to do may help

In the spring of 2020, the pandemic catapulted many of us into shock and fear — our lives upended, our routines unmoored. Great uncertainty at the onset evolved into hope that, a year later, a semblance of normalcy might return. Yet not only do people continue to face uncertainty, but many of us have also…

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As the world creates a new normal, we must do the same in medicine

Abundance is defined as “the state or condition of having a copious quantity of something” or “plentifulness of the good things of life: prosperity.” The massive havoc of the pandemic causes us to shrink in the face of human frailty, morbidity, and mortality rather than feel expansive and abundant. Even the vaccine efforts are enveloped…

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Life in a rural emergency department during COVID [PODCAST]

“I am grateful that I work in a small rural hospital that is like a family. I am grateful that my organization has done everything in its power to protect us… but I hope we can do better. I hope medical workers have enough left within them to give their all for the coming months.…

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When the teen with depression and anxiety is yours

Every week, I see a teen with depression and/or anxiety. Sometimes that teen is mine. And while I can certainly opine over the lack of mental health resources for our children and teens — you have to be a certain age, you have to have certain insurances, if you’re uninsured or underinsured, you can see…

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PCPs could counter virtual plans by increasing telehealth visits

Primary care physicians already have a lot of competition from retail clinics, urgent care clinics and telehealth services that cater to consumers. Now they’re facing a new threat from the “virtual primary care plans” that insurance companies have launched recently. These are health plans that prioritize virtual visits with doctors hired by telehealth services over…

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Racial disparities and early-onset colorectal cancer: A call to action

Colorectal cancer (CRC) is the second leading cause of death from cancer in both men and women in the US. Thanks in large part to increased screening of those over age 50 in last decade, overall CRC rates have been falling among the general population. However, the incidence of CRC among younger individuals in the…

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