Workers Seeking Productivity in a Pill Are Abusing A.D.H.D. Drugs – NYTimes.com

A 2013 report by the federal Substance Abuse and Mental Health Services Administration found that emergency room visits related to nonmedical use of prescription stimulants among adults 18 to 34 tripled from 2005 to 2011, to almost 23,000.

via Workers Seeking Productivity in a Pill Are Abusing A.D.H.D. Drugs – NYTimes.com.

“It is necessary — necessary for survival of the best and the smartest and highest-achieving people.”

Poisoning Deaths Involving Opioid Analgesics — New York State, 2003–2012

Comparison of opioid analgesic-related mortality between those enrolled or not enrolled in Medicaid shows considerably higher death rates and a more rapid increase in mortality among Medicaid enrollees. The consistently higher age-adjusted death rates for poisonings involving opioid analgesics among Medicaid enrollees (after stratifying data by sex) suggest that differences in age and sex distributions do not underlie these Medicaid/non-Medicaid differences. Other factors, such as the greater prevalence of mental illness and substance abuse in the Medicaid population (6), might contribute to the observed differences.

via Poisoning Deaths Involving Opioid Analgesics — New York State, 2003–2012.

Maybe the title should be Socioeconomic Status and Death.

On call 24-7? How to take your life back

underwritingsolutionsllc:

Perfectly bad advice. A single employee never changes The Boss nor does a single employee change company culture.

Originally posted on Fortune:

Dear Annie: Would I be committing career suicide if I asked my team leader to back off a little? When I started this job five months ago, I assumed that, since he has three small children and a wife who also works full-time, my boss would honor my need for some personal time on evenings and weekends.

Boy, was I wrong. Right from the get-go, he has texted and emailed me at all hours of the day and night, and several times I’ve been handed a project on a Friday that has to be finished by Monday, so the weekend is shot. My coworkers, who have all been here a lot longer, seem to be used to this, but having essentially no downtime is starting to get to me. Now that I’ve been putting up with it for a while, is it too late to speak up and set some…

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Lawyers Smell Blood in EMR – Computerworld

One recent lawsuit involved a patient who suffered permanent kidney damage when he was given an antibiotic to treat what was thought to be an infection resulting in elevated creatinine levels. The patient was also suffering a uric kidney stone, which precludes the use of the antibiotic. Because of the complexity of the EHR, none of the attending physicians noticed the kidney stone.

Detracting from the EMR’s validity was the fact that a date related to a previous intravenous drip was repeated over and over on all 3,000 pages of the record.

While his physicians claimed they’d documented his care properly, the EMR was so complex and filled with repetitive data, the judge found it in inadmissible. “When an electronic medical record is printed out, the amount of repetitive data in it is ridiculous,” Klein said. “Attorneys are having conferences on how to attack EMRs.

“All these cases were from top vendors. We’re talking about well-established ones used at Kaiser [Permanente], at the VA… and academic institutions,” Klein continued. “These are not rare cases. These are common things.”

“We’ve seen 92-year-old women getting diagnosed as crack addicts because of drop down menus.”

via Lawyers smell blood in electronic medical records | Computerworld.

In my daily work I see more f**k ups in electronic medical records than I’ve seen my entire career.  Et tu?