October 2019, Volume XXXIIi, No 7
Labeling and medicating children
A new epidemic
Prior to my election to the Minnesota House of Representatives in 2010, I served on my local school board for 16 years. During that time, I developed an interest in the increasing practice of labeling and medicating children who showed signs of Attention Deficit Hyperactivity Disorder (ADHD)
October 2019, Volume XXXIIi, No 7
interview
Optimizing medications for patients
Terry McInnis, MD, MPH
President and Co-Founder, GTMRx Institute
cover story One
Labeling and medicating children: A new epidemic
By Rep. Glenn Gruenhagen and Christopher M. Foley, MD, ABIM
Prior to my election to the Minnesota House of Representatives in 2010, I served on my local school board for 16 years. During that time, I developed an interest in the increasing practice of labeling and medicating children who showed signs of Attention Deficit Hyperactivity Disorder (ADHD). I learned that the procedure used to diagnose these children was primarily based on a series of questions from educators, which then resulted in a subjective judgment call and a recommendation to a physician to prescribe psychotropic medications.
cover story two
Minnesota Mobile Medical Teams: A statewide disaster safety net
By Donald Sheldrew, MSW, LICSW
It is a sunny, summer day in Minnesota with storms predicted for later in the day. The sun starts to be covered by clouds, which eventually turn dark and look full of rain. There is thunder and lightning in the distance. As the storm moves towards the community, the tornado sirens start.
Public Health
The MN FEET program: Birth disparities and prenatal mercury exposure
By Kate Murray, MPH; Jessica Nelson, PhD, MPH; and Courtney Jordan Baechler, MD, MS
The jar of skin lightening cream looked innocuous enough, but investigators found that merely opening its lid released enough mercury vapor to create unsafe living conditions in the home. Using a Lumex portable mercury detector, partners with the MN FEET program (Minnesota Family Environmental Exposure Tracking)
The Supreme Court’s Albrecht decision: Unclear implications for adverse reaction warnings
By Elie Biel, JD
Ten years ago, the U.S. Supreme Court held that a drug manufacturer would not be liable under a state-based failure-to-warn theory if “clear evidence” showed that the FDA would not have approved the patient-plaintiff’s preferred product warning label.
Neurology
Epilepsy: Evolving diagnosis and treatment options
By Tim Feyma, MD
Epilepsy, like so many medical conditions, is a mix of scientific truths and curiosities, diagnostic clarity and confusion, treatment successes, and profound treatment failures. The word “epilepsy” derives from the Greek verb epilambanein, meaning to be seized, to be overwhelmed by surprise.
The “Million Hearts” initiative: Addressing heart attacks and strokes
By Stanton Shanedling, PhD, MPH
Preventing one million heart attacks and strokes over five years is a powerful call to action—one that was taken on in 2012 by the U.S. Department of Health and Human Services, and co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) under the Million Hearts initiative.
Oncology
Prostate Cancer Research: A promising new class of drugs
Prostate cancer kills 30,000 men in the United States every year. Of those patients, many live with the disease for five to 15 years prior to dying from it. Others live to their normal life expectancy while receiving treatment for advanced prostate cancer, and then die of other causes.
Behavioral Health
“Flip the script” on opioids and pain management : Starting difficult patient conversations
It’s time to change the narrative around opioid therapy and pain management in Minnesota to better support patients dealing with pain. The Minnesota Department of Human Services (DHS)’s “Flip the Script” education campaign is intended to do just that. The campaign is designed to support health care professionals treating patients in pain,
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