Side by Side

Posted by & filed under Noah's Notes.

Congress has now released the American Health Care Act (AHCA), their proposal for replacing the Affordable Care Act (ACA), or what is commonly referred to as Obamacare. There are some very important distinctions and in order to be informed about policy that impacts all of our lives and it’s helpful to be explicit about the… Read more »

Pay Back

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On January 30, 1 week after his inauguration, President Trump issued sweeping Executive Orders which, among other things, blocked the entry of citizens from 7 predominantly Muslim countries for 90 days, barred all refugee entry for 120 days and indefinitely barred refugees from Syria. The response to this action has been dramatic and plays itself… Read more »

Facing Addiction in America

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On November 17 The U.S. Surgeon General, Dr. Vivek H. Murthy released the first ever Surgeon General’s report addressing substance abuse and addiction. Entitled “Facing Addiction in America” this remarkable 500 page document summarizes all that we know about this disease and its treatment and creates a hopeful roadmap for the future. As General Murthy points… Read more »

Risks of Proton Pump Inhibitors

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The overproduction of stomach acid and our sensitivity to it is one of the most common reasons people visit a doctor’s office.  Of course, many lifestyle choices contribute to that as well (overeating, obesity, smoking, alcohol use, to name a few). Drugs that suppress acid production have been blockbusters for a long time.  In 1990… Read more »

How Doctors Spend Their Time

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Doctors, nurse practitioners and physician assistants who work as primary care providers have always been busy and through much of the history of modern medicine, that busy-ness was balanced by a high level of job satisfaction, well above average compensation, and a position of esteem in society. But over the past decade that balance has… Read more »

Hepatitis C

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Hepatitis C is a very important cause of liver disease and damage in the US and across the world. Once infected, 80% of people will develop chronic infection and 20% of those will develop cirrhosis, and the risk of developing cancer of the liver is also increased.  75% of those who develop cirrhosis will die… Read more »

We Can Do More

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Over the past 20 years the rate of teenage pregnancy has steadily declined, and with that trend the rates of pregnancy termination have declined as well. This is a success largely fueled by the availability of contraception and improved patient education. Yet the U.S still has a teen pregnancy rate 7 times higher than that… Read more »

Maine Opiate Collaborative – Law Enforcement Task Force

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Last month I reviewed the recommendations of the Prevention and Harm Reduction task force of the US Attorney’s Maine Opiate Collaborative.  This month I will share the recommendations of the Law Enforcement task force of the collaborative, which was made up of representatives of law enforcement agencies spanning the state. And let me preface this… Read more »

Maine Opiate Collaborative

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Last fall, U.S. Attorney Thomas Delahanty, Attorney General Janet Mills and Commissioner John Morris formed the Maine Opiate Collaborative following Senator King’s roundtable forums on opiate abuse and the governor’s forum on the same topic. The Collaborative consisted of three task forces:  Prevention and Harm Reduction, Law Enforcement and Treatment.  Each of these task forces,… Read more »

An Overview of Naloxone

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Naloxone (Narcan) is a life-saving antidote for opioid (heroin, oxycodone, fentanyl and others) and PCHC is committed to making it as widely available as possible. With 272 opioid overdose deaths in 2015, a 31% increase from 2014, we are faced with our most significant public health challenge in decades and we must respond at all… Read more »