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A Doctor Speaks Out About Ageism In Medicine

Ageism-01

(KHN Illustration/Getty Images Plus)

Society gives short shrift to older age. This distinct phase of life doesn’t get the same attention that’s devoted to childhood. And the special characteristics of people in their 60s, 70s, 80s and beyond are poorly understood.

Medicine reflects this narrow-mindedness. (more…)

Therapy Works!

Thank you. I’m so glad that I could help!

 

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The Destiny of Lesser Animals

With winter soon approaching, I would like to take this moment to remind people of our most important social responsibility… Thank you for remembering the less fortunate.

By Veronica Emilia Nuzzolo, M.Ed., Ph.D.

Homeless in the winter

Homeless in America

“Get a job, is the comment most often hurled at homeless individuals as they panhandle their way through the streets of our cities. Some are addicts, some are mentally impaired, some are just temporarily down on their luck, some are veterans, and many are targeted. By far the most painful to see are the veterans some with missing limbs. So, the next time you see a homeless person and you start thinking, get a job, just stop and count your blessings that you have a roof over your head because it is only by the grace of god that you are not homeless.” National Homeless Organization (2009).

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A Monthly Shot for Opioid Addiction: An Option For Some

On average, 44 people in the United States die every day from an overdose of opioid prescription painkillers. These drugs — such as Vicodin, Percocet, codeine, and morphine — reduce the brain’s recognition of pain by binding to certain receptors in the body. With continued use, a person can develop a physical dependence on these drugs, such that withdrawal symptoms occur if the drug is stopped. These drugs can also cause a “high.” Both of these effects contribute to addiction — that is, the loss of control around the use of a drug, even though it causes harm to the person. Addiction to opioid painkillers is the biggest risk factor for heroin addiction.

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“BUYER BEWARE” When It comes to Addiction Treatment

APR 25, 2018 / BY ALEXANDRA PLANTE, MA / NO COMMENTS

Substance use disorders affect millions of Americans, and overdose is now the leading cause of accidental death in the United States. The need for treatment and recovery services has never been greater. This increasing demand has led to rapid growth in the number of detox and treatment service providers, which has burgeoned into a $35 billion a year industry. Most of these service providers work hard to provide honest, quality care to save lives.
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Working on Addiction in the Workplace

When unaddressed, alcohol and other drug use disorders in the workplace are costly and dangerous for organizations, as well as individuals. There are many good examples of successful programs and resources available that can help, and with over 22 million Americans currently in recovery from alcohol and other drug use disorders, creating a drug-free workplace is entirely possible.
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Fentanyl: The Dangers Of This Potent “Man-Made” Opioid

As we watch the devastation of the opioid crisis escalate in a rising tide of deaths, a lesser known substance is frequently mentioned: fentanyl. Fentanyl’s relative obscurity was shattered with the well-publicized overdose death of pop star Prince. Previously used only as a pharmaceutical painkiller for crippling pain at the end of life or for surgical procedures, fentanyl is now making headlines as the drug responsible for a growing proportion of overdose deaths.

So what is fentanyl and why is it so dangerous?

Fentanyl is a synthetic opioid, meaning it is made in a laboratory but acts on the same receptors in the brain that painkillers, like oxycodone or morphine, and heroin, do. Fentanyl, however, is far more powerful. It’s 50-100 times stronger than heroin or morphine, meaning even a small dosage can be deadly.
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Is Addiction a “Brain Disease?”

There are many good reasons to emphasize the biological underpinnings of substance use disorders. Perhaps most important, the biologic basis of this chronic disease is a strong argument for parity: that is, treating (and funding treatment for) addiction on par with other “biologic” diseases.

The stigma and shame of addiction has much to do with the perception that people with substance use disorders are weak, immoral, or simply out for a good time at society’s expense. Understanding that addiction impairs the brain in many important ways may reduce such stigma. What’s more, the specific type of brain dysfunction may help identify a range of effective interventions and preventions. For example, during adolescence, the brain is at its most plastic — and vulnerable. This is a time when caution and intervention may prove most valuable. The earlier the drug exposure or trauma to the brain, the greater the damage.
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BINGE DRINKING CONTINUES TO RISE — PARTICULARLY AMONG WOMEN AND SENIORS

Women usually welcome news that the gender gap in pay or leadership positions is closing. But lately we’ve been learning that women are also gaining parity in another respect: alcohol consumption. A new study from researchers at the National Institutes of Health indicates that the rate of drinking in general, and binge drinking in particular, is rising faster among women ages 60 or older than among their male contemporaries.

When the researchers analyzed data from National Health Interview Surveys from 1997 through 2014, they found that the proportion of older women drinkers increased at a rate of 1.6% a year, compared with 0.7% for older men. Binge drinking (defined as imbibing four or more drinks within two hours) increased by 3.7% annually among older women, but held steady among older men. The results were reported online March 24, 2017, by Alcoholism: Clinical and Experimental Research.

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