premature death

Today, the political and media landscapes seem laser-focused on polarized, wide brush policy no matter the context. You don’t need to look very far to appreciate this reality. Restricting opioid prescribing for all causes in all situations is but one example where deeper discussion into the complexities of addiction get no platform and rare consideration. The problem is, when we lose the nuance, we lose the battle. Getting nuance to be in vogue is a challenge in our soundbite, instant gratification culture, and, sadly, adversely impacts real world solutions. This is reaffirmed by a work published in JAMA that underscores burden of disease is widely discordant at the state level.   

We know this....

Singer Selena Gomez just published to her Instagram account that she was the recipient of a kidney transplant. The 25 year-old previously revealed her Lupus diagnosis and attributed this latest development to complications of that condition. Last year, she told People other side effects she struggled with included depression, anxiety and panic attacks.

Her story must resonate to many as these facts alone provide some insight into the chronic and complex nature of this disease. I will shortly address the complicated clinical course of patients with more severe disease along with the wide spectrum of severity individuals experience.

But, first, in Selena Gomez’s own...