Harm Reduction

EPIC is arguably THE electronic health record system in the US with the most significant market share (56% of all patient records). Countless millions of federal money have passed into their corporate coffers during our transition to digital record keeping. Artificial intelligence, which is more sizzle than steak, at least medical care has been held out as a grail where the data held in electronic health records could be fashioned to improve medical care. A study from JAMA updates us on that particular marriage.
I never really got into fishing, although I have many friends and family who love it. While it’s not the reason I don’t fish, I was surprised to find out recently how hazardous it is – according to statistics, fishing accounts for about 80,000 injuries every year in the US alone, [1] and that doesn’t even get into things like drowning, electrocution, and so forth. And when we look at the dangers of commercial fishing, things get even worse. Reading that chapter made me wonder why any sane person would ever pick up a rod and reel and go anywhere near the water. 
Sometimes an article cries out for attention. This one did because it is a great example of association, not causation. Which did come first, the medication or the loneliness?
There’s no doubt that obesity is a growing global problem. It lies at one end of the spectrum from its less-discussed – but equally malnourished – polar opposite: hunger. Given that some argue that defining obesity as a disease will change the trajectory of the problem for the better, it’s time for a closer examination.  
I was taking out the trash and recycling the other day, and as I was dumping things into the cans-and-bottles bin and the paper-and-cardboard bin, I started thinking about radioactive waste. Because who doesn’t, right? And in particular, I was wondering yet again why the US disposes of our spent fuel rather than trying to get every bit of utility out of it. We used to – we just stopped. Odd.
Dr. Bloom has written eloquently and often about individuals with chronic pain, caught-up in opioid guidelines designed to reduce the deaths due to drug overdoses. But many, if not most of those deaths, are due to despair. Wouldn’t it be better to treat this problem and ease the guidelines on individuals in chronic pain that are “collateral damage?”
Discussing our mortality is tricky business. Few of us jump into the discussion, even when it’s increasingly important near the end life. So it’s easily understandable why the carbon footprint from the disposal of one’s remains doesn’t always land on most people’s list of worries.
Twenty-six million children and 480,000 buses travel over 6 billion miles every school year. Add to this mix, many children can have asymptomatic COVID-19 and could act as transmitters, creating a possible superspreader event. But at least one study says not so fast.
This will come as a shock to you; it did for me. As a physician, not everyone followed my advice. In fact, some people sought second opinions choosing other paths and other physicians! Why would that be?!
Susan Goldhaber resurrected this long-forgotten issue, so let’s take another look. Having spent a good portion of my time at Brookhaven National Laboratory working on the National Acid Precipitation Assessment Program (NAPAP), I come with a certain amount of nostalgia. My disclaimer: since this work was on behalf of the Department of Energy, I confess to being more interested in BTUs than aquatic life. 
The picture tells the story. 'Nuff said.
Those of us who are non-millennials may remember back to the 1970s, 1980s, and 1990s when the hottest environmental issue was acid rain. In fact, acid rain generated as much controversy and international conflicts as the big environmental issue of today, climate change, with scientists, policymakers, and politicians engaging in heated battles over this issue.