Harm Reduction

It's a drive to end tobacco smoking. New nicotine delivery systems from the FDA's "low to no" nicotine cigarettes, as well as JUUL's nicotine vaporizers, are getting a lot of media attention. As a physician, I use the scientific evidence and my experience in counseling my patients. Here's what you should consider. 
H.R. McMaster Sr. was a resident of a senior living facility in Philadelphia that provides a host of supportive services. Reportedly, while receiving care there he suffered a stroke. An investigation is now underway into the death of the father of the former National Security Advisor.
There's simply no benefit to supplemental Calcium or Vitamin D for the patient who is well. So why do we continue to waste our money on these supplements? The US Preventative Services Task Force again weighs in to recommend against their use. 
It's one thing for Gary Bettman to be on the wrong side of a health issue as important as concussion-caused brain damage. It's quite another for the National Hockey League Commissioner to go on America's largest sports-talk radio station and be incorrect about the underlying science. But the medical experts swiftly straightened him out.
Baby aspirin is prescribed for many people who, as it turns out, will experience no benefit. It results from the difficulty in reconciling population studies with the patient in front of you. Doctors end up broadening the groups. Call it "Indication Creep."  
It's no surprise that drug traffickers are quite creative about distributing their products. Recently, the Drug Enforcement Agency and Homeland Security pounced on an operation that used Donald Duck and Winnie the Pooh objects to disguise illegal shipments.
K2, a dangerous synthetic cannabinoid product – also known as spice, synthetic marijuana, legal weed or fake weed – is wreaking havoc in Illinois and hospitalizing dozens.   In Illinois, synthetic cannabinoids have killed two and hospitalized fifty-six for extreme bleeding. This toll is expected to rise. Believing they are like "pot" or "marijuana" is the public's first mistake.
The history of societies and climatic change have much to teach about fragility and resilience. Will we look to our past to envision our future?
I had the distinct pleasure of being a reviewer for the 2018-2019 Community Grants program for Komen this Fall. This is what I learned.
The coverage of the Uber-caused fatality in Arizona continues to mislead us about our autonomous future. And since aircraft's history of automation can tell us about the likely path forward, why aren't we listening?
The U.S. Preventive Services Task Force just recommended that all light-skinned children beginning at the age of six months receive skin-cancer prevention guidance. That's a stark shift from its 2012 recommendations when the panel advised this training start at age 10.
In service of their ideological agenda, the "abstinence-only" nicotine religion is perfectly happy to withhold potentially life-saving e-cigarettes from smokers. If a few million smokers have to die along the way, those are casualties they're willing to accept in pursuit of their nicotine-free utopia.