The leading causes of death in the United States (U.S.) are heart disease and strokes.…
Author: Emma Yasinski
I am a freelance science and medical journalist, fascinated by how the scientific process leads to incredible discoveries, but also can lead to publication bias leaning toward positive findings and minimizing negatives. With a bachelor’s degree in neuroscience from Lafayette College and a Master’s in Science and Medical Journalism from Boston University, I’ve written about clinical trial transparency, organ donation, and basic molecular biology for publications like The Scientist, The Atlantic, Undark.org, Kaiser Health News, and more. At MedShadow, I research and write about the sometimes unexpected ways that medicines can affect us, and what we can do if and when it does.
Regular “MedShadow” readers are likely familiar with the idea of deprescribing—the process of reducing the number or dose of drugs a person is taking. “MedShadow” has written about the phenomenon before. But, while the idea of taking fewer medications is simple, the real world process of deprescribing, while balancing risks versus benefits, is complicated. Some medications have withdrawal symptoms, and tapering may take time. The Therapeutics Initiative at the University of British Columbia (UBC) is hosting a series of webinars with healthcare professionals sharing real-life stories about their own patients whose medications they were able to reduce, and what happened…
Angela Tong, BscPharm, ACPR, met her patient, a woman in her 20s, when she’d just overdosed on acetaminophen. The overdose was not her first. Tong is a clinical pharmacist at Fraser Health Authority, a hospital system in Canada. She treated the woman as she stayed at the hospital for several months. The woman had just started a new job as a medical assistant, but the stress quickly became overwhelming. She listed her symptoms to Tong. “She felt really anxious. She feels sleepy during the day, but she had trouble sleeping at night. There are lots of voices in her head,…
Regular MedShadow readers are likely familiar with the idea of deprescribing—the process of cutting down on medicine and reducing the number or dose of drugs a person is taking. MedShadow has written about the phenomenon before. But, while the idea of taking fewer medications is simple, the real world process of deprescribing while balancing risks versus benefits is complicated. Some medications have withdrawal symptoms, and tapering may take time. The Therapeutics Initiative at the University of British Columbia (UBC) is hosting a series of webinars with healthcare professionals sharing real-life stories about their own patients whose medications they were able…
Regular MedShadow readers are likely familiar with the idea of deprescribing—the process of reducing the number or dose of drugs a person is taking. MedShadow has written about the phenomenon before. But, while the idea of taking fewer medications is simple, the process of deprescribing while balancing risks versus benefits is complicated. Some medications have withdrawal symptoms, and tapering may take time. The Therapeutics Initiative at the University of British Columbia is hosting a series of webinars with healthcare professionals sharing real-life stories of their own patients whose medications they were able to reduce, and what happened when they did.…
MedShadow recently posted an article in which a journalist investigates his own sleep apnea diagnosis and ends up forgoing expensive machinery and learning that sleeping on his side was all it took in his case to keep his oxygen levels stable through the night. In the Kaiser Health News article, author Jay Hancock describes an “expensive testing prescription cascade” including an at-home test and two separate nights in a sleep lab testing for different characteristics of the condition. Testing is not the only cascade in medicine. In recent years, researchers have started to identify “prescription cascades”—situations in which a patient…
How a Pharmacist Can Help You Manage Medicines
Pharmacists are working in many locations, not just behind the counter at the drugstore. Clinical pharmacists are in hospitals, assisted-living facilities and more, and they can play an important role in helping you and your loved ones manage your medications, reduce side effects and be healthier. MedShadow spoke to Chad Worz, Pharm.D, CEO of the American Society of Consultant Pharmacists (ASCP), which partners with TaperMD. TaperMD is a tool that evaluates medical risk and the role of different types of pharmacists and how they may help reduce side effects and ensure that your medicines are both safe and effective. MedShadow:…
Early in Dee Mangin’s career as a primary-care physician, she noticed that many people, especially older adults, were prescribed large numbers and doses of drugs, which, in some cases, might actually be detracting from their health rather than improving it. Then, she realized that even when polypharmacy (being prescribed five or more medications simultaneously) was recognized as a problem, there wasn’t any systematic way to help patients and healthcare providers assess which medicines might be most effective in a lower dose or discontinued altogether. Mangin is an MBChB (the New Zealand equivalent of an MD) and DPH (doctor of public…
Shalamar suffered from chronic insomnia. She couldn’t fall asleep after her late-night shifts as a server at a New York City bar. To address the insomnia, she sought advice from a psychiatrist who prescribed pills and told her to take them both at night and in the morning. She thought it was odd that she would need to take a pill to help her sleep during the day, but her doctor said that is how the medicine worked. She followed the doctor’s recommendations, though. “It did help me to sleep. I slept like a rock,” she says. What her doctor…
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