The Last Day of the Guarantee

A box of prescription drugs sat forgotten in the back closet of a retail pharmacy long enough that some of the pills predated the 1969 moon landing. Sealed bottles, original containers, never opened. Diet pills under brand names nobody has spoken aloud in forty years. Barbiturates. A four-ingredient headache compound. Every one of them was at least twenty-eight years past the date stamped on the label, which meant that under every rule governing American pharmacy, they were garbage. Lee Cantrell, who helps run the California Poison Control System, looked at the box and saw an experiment nobody could afford to run on purpose. He called Roy Gerona at the University of California, San Francisco, a chemist who had grown up in the Philippines watching people take outdated medicine and get better anyway. Gerona ran the contents through liquid chromatography and mass spectrometry. The results were published in the Archives of Internal Medicine on October 8, 2012, under a title that gives away nothing: “Stability of Active Ingredients in Long-Expired Prescription Medications.”

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Healthcare Hell: First Come, Last Served

We know the healthcare industry is broken, but one thing that has always been a mistaken mainstay in keeping our misbegotten minds and bodies in fit form — is the need to wade into an endless cesspool while attending a doctor’s office. Nay, the cesspool is not our infirm friends and brethren, but the very soggy pond in which we are all left to rot, in situ, for an appointment that shall never arrive.

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When Doctors Fire Patients

There is a fantastic new move afoot in the medical community where doctors are taking control of the healthcare debate and firing their patients — not because they have the wrong insurance, but rather because they think they know more than their doctors.

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The Grocery Store Society and the Loss of Professional Vocabulary

In case you don’t already know it — we live in a consumerist society in the USA — and that’s a terrible notion for everyone in this nation, because we’ve become this messy ganglia of customers looking for the best price and never the better value.

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Love Your Patients: A Necessary Bedside Manner

When I teach my Public Health students and when I hold Grand Rounds sessions with medical students, the issue of patient interaction is always a hot topic. Many scientific minds see the world in clinical terms because it helps remove the heat of emotion from the diagnosis and the healing.

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