Author: Emma Yasinski

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…

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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,…

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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…

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Heat Exhaustion & Heatstroke Yet another heat wave is “baking” the U.S. and is expected to last all week. And this is just the first full week of summer. In 2022, thousands of people died from heat-related causes in Spain, Portugal United Kingdom, the United States, and India. Extra-high temperatures are perilous for everyone, but they are even more so for the elderly, people who need electric medical equipment and for those on medications with side effects that can increase their sensitivity to heat. You may need to take extra caution to remain safe when the heat rises. Heat exhaustion is…

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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.…

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Antipsychotic side effects may include excessive gambling, impulsive behavior, and even suicidal ideation, according to several black box warnings the Food and Drug Administration (FDA) has slapped on the drugs over several years. Still, the drugs haven’t been removed from the market. That’s because they’re a crucial class of drugs despite the risks, as the psychosis they treat can be exceptionally dangerous. Here’s what you need to know. What Are Antipsychotics? Antipsychotic drugs are used to treat psychosis, a situation in which a person loses touch with reality.  “Here in my room, I have a smoke detector,” says Maximilian Huhn,…

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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…

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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:…

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​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…

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A common side effect of antipsychotic medications is that they can cause users to gain weight. Now researchers believe they have found a way to counteract that weight gain. Scientists from the University of Texas Southwestern Medical Center discovered that serotonin 2C receptors interacting with antipsychotic medications for schizophrenia and depression leads to the increase in weight. Similar side effects occur with other metabolic changing drugs, such as many types of birth control and thyroid medications. According to the study, published in the Journal of Clinical Investigation, many people who use antipsychotics have found that after using these drugs for…

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