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By Dr. Paul Kivela

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Medically Sound

With Dr. Paul Kivela

Medically Sound

With Dr. Paul Kivela

As Overdoses Climb, Emergency Departments Begin Treating Opioid...

  October 16, 2018

A JAMA Medical News & Perspectives published June 5, 2018 discusses emergency departments who have engaged in helping with opiate addiction and the challenges as very few communities have adequate resources.  The 8 hour course to prescribe Suboxone, the paperwork, and the limits on the number of prescriptions is a problem as well as the stigma to… Read More


Electric Scooters are here to stay: Uber &...

  June 8, 2018

  The ride-hailing giant Uber is looking to get in on the scooter business, the news website Axios reported Thursday. Scooter companies say the simple vehicles are a cheap, efficient way to provide “last mile” transportation solutions, for trips that are too long to walk but too short to warrant a car ride. In that… Read More


Doctors fear mental health disclosure could jeopardize their...

  May 1, 2018

Medicine is grappling with rising levels of physician burnout, one of the factors driving high rates of depression and suicide in the profession. But physicians who suffer from mood disorders are often reluctant to seek treatment — in part because it might jeopardize their license to practice. For instance, in one survey, around 1 in… Read More


Physicians spend the majority of their time on...

  January 16, 2018

Clinicians spend 6 out of 11 hours a day working with EMRs. And yet, a majority say they could be using the technology better and need more training. Tom Tonkin, Ph.D. Principal, Change Management and Transformation Thought Leadership & Advisory Services Cornerstone OnDemand Source: Event Registration… Read More


Cancer mortality rates have decreased nearly 25% since...

  January 5, 2018

According to the “To Your Health” January 2018 report from the American Cancer Society (ACS), the US’ “overall cancer death rate declined 1.7 percent in last year on record 2015.” The data indicate that “overall, the cancer death rate has dropped from 215.1 per 100,000 population in 1991 to 158.6 per 100,000 in 2015.” This means… Read More


Antitrust Lawsuits Target Blue Cross and Blue Shield

  November 29, 2017

Lawsuits advancing in federal court in Alabama allege that the 37 independently owned Blue Cross and Blue Shield health insurers, which cover about a third of Americans, are functioning as an illegal cartel. Source: Antitrust Lawsuits Target Blue Cross and Blue Shield… Read More


By the Numbers: Malpractice Hits Nurses, Too

  November 20, 2017

New report sheds light on five years of cases against NPs.  The bottom line is that malpractice claims are hitting Nurse Practitioners.  This trend sheds light on the expansion of practice of NPs Doctors aren’t the only ones who get to worry about malpractice. A report from insurance firm CNA, in partnership with the Nurses… Read More


MESA New value-based insurance alternative to high-deductible plans

  October 5, 2017

Insurers and employers are increasingly moving to high-deductible health plans to control costs but this is not necessarily good for the healthcare system nor patients.  Now a new alternative is being proposed called the Medical Episode Spending Allowance ( MESA ) plan. According to a University of Minnesota recent study: The number of American workers… Read More


No More Gas Cars; General Motors Announces an...

  October 4, 2017

In an October 2017 issue of Wired  General Motors announced it is ending its relationship with gasoline and diesel and that it is working toward an all-electric, zero-emissions future. which starts with two new, fully electric models in 2018—then at least 18 more models by 2023. In recent months, Volvo, Aston Martin, and Jaguar Land… Read More


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