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By Dr. Paul Kivela

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Month: December 2017

Medically Sound

With Dr. Paul Kivela

Efficacy and Safety of Intranasal Esketamine in Depression

  December 31, 2017

This small randomized double blind study examined the effects of intranasal ketamine in the treatment of resistant depression  published December 27, 2017  by Ella J. Daly, MD1 et al in JAMA Psychiatry and found significant improvement of depressive symptoms.  Depression was assessed by the Montgomery-Åsberg Depression Rating Scale total score, and was observed after 1 week with intranasal esketamine, and compared… Read More


Michelin Starred Restaurants in Napa Valley

  December 11, 2017

In 2017, there are currently seven Napa Valley restaurants that have earned  Michelin Stars.  The most famous is French Laundry. Napa  La Toque – One Michelin Star 1314 McKinstry St Napa, CA 94559 (707) 257-5157 Chef Ken Frank is considered a pioneer of ‘California Cuisine’ and he is famed for his foie gras and rare… Read More


Gwinnett invests $2.9 million to address psychiatric boarding

  December 11, 2017

    Georgia based Gwinnett Medical Center has developed an innovative solution in response to the growing  number of psychiatric patients coming into its two hospitals’ emergency departments.  They noted an annual increase of 20% over the last several years while only having a 1% overall increase in total ED visits. In response to this… Read More


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