Thank you for publishing the summer 2018 Kansas City Medicine edition highlighting the impact of the opioid crisis. The Center for Practical Bioethics recognizes that the lives ravaged by addiction and the lives destroyed by pain are both major U.S. health concerns. The moral obligation to serve and protect the interests of persons whose lives are devastated by the misuse of opioid medications weighs heavily upon society as do our duties to serve the millions of those who live with debilitating chronic pain.
Physicians Needed to Provide Specialty Care to Uninsured Patients Through Metro Care, Wy Jo Care. Programs coordinate care; each physician determines the number of cases to accept. Nearly 175,000 people in the Kansas City metropolitan area—8.4 percent—are uninsured.1 That means when a medical crisis arises, they are likely to have to delay care or take on potentially crippling debt. You can help meet this need by donating a few hours a month to the Medical Society’s charitable care programs, Metro Care in Missouri and Wy Jo Care in Kansas. Both programs operate under the Kansas City Medical Society Foundation.
Retirement usually brings time for travel, grandchildren and hobbies, along with new ventures such as second careers or nonprofit volunteering. But perhaps in retirement you miss collaborating with medical colleagues, and would like to interact with other physicians about current medical issues or other matters of interest. If so, the Retired Physicians of the Kansas City Medical Society have something for you.
Join experts from the Kansas City Medical Society to discuss restrictive covenants and the impact on continuity of care and competition. There is a lot of chatter on the medical community about restrictive covenants. Anything from geographic impact, length, the timing of signing the contract and enforceability. The Kansas City Medical Society is bringing experts together to discuss these covenants and what they mean to your practice and their impact on patients.
Marijuana Is Not a Prescription Medicine Information Briefing from the Kansas City Medical Society THREE PROPOSALS will go before Missouri voters on the November 6, 2018 ballot to legalize the use of marijuana for medical purposes. This document from the Kansas City Medical Society is designed to inform the public about these proposals, what is known and not known about the effects of marijuana, and the considerations on why we and other physician organizations recommend voting against these proposals.
We love to hear stories of how the Kansas City Medical Society, via the work of the Kansas City Medical Foundation changes lives. Our partners at El Centro, recently put some of our stories in their newsletter. We are happy to see ways we are having an impact in the greater Kansas City community.
An Alternative to the Hospital Emergency Room for Persons with Substance Use Disorder or Severe Mental Illness By Lauren Moyer, LSCSW, LCSW Kansas City assessment and triage center provides short-term stabilization for up to 23 hours. In cities across the country, individuals with behavioral health issues routinely present at emergency departments or even worse are jailed. Such interventions rarely, if ever, change behavior or resolve a crisis.
Opioid-Related Deaths in the Kansas City Area - Jackson County Medical Examiner's office points to oxycodone, heroin, fentanyl as the leading cause. Opioids are a class of drugs that include the illicit drug heroin as well as the prescription pain relievers oxycodone, hydrocodone, codeine, morphine, fentanyl and other synthetic analogues just to name a few. Opioid drugs, typified by morphine, produce their pharmacological actions, including analgesia, by acting on receptors located on neuronal cell membranes. The presynaptic action of opioids to inhibit neurotransmitter release is considered to be their major effect on the nervous system. Deaths are usually attributed to respiratory depression.
Last year, for the first time ever, the number of women entering medical school in the United States surpassed the number of incoming men. Compare that to 1970, when barely 5 percent of American doctors were women. It’s easy to conclude from this headline-making news that women have reached full equality in the profession, but medical school matriculation is only the beginning of the story.
Medication-First Approach to Treating Opioid Use Disorder Many studies show the effectiveness of medications over abstinence; primary care practices can provide treatment. By Doug Burgess, MD In the United States, drug overdoses, the majority of which are related to opiates, kill around 64,000 people every year.1 If current trends continue for the next five to six years, the number of drug overdose deaths in the 21st century will approach one million people. Present-day drug overdose deaths exceed those numbers seen during the peak of the HIV/AIDS epidemic. However, unlike the HIV/AIDS epidemic, deaths related to drug overdose have not fallen, even though highly effective treatments exist (Fig. 1). In fact, recent data indicates that from 2016-2017, deaths related to drug overdose have increased by 22% over the previous year.