When pregnancy is the cost of getting medical care

When was the last time you used heroin?  In the past have you injected heroin or any other drugs?  Are you currently using drugs besides opiates like methamphetamines, cocaine, benzodiazepines or alcohol?

After two years of family medicine residency, I ask these questions like they are questions that everyone asks in a casual conversation with a patient.  Although these types of interviews are customary for me, I recognize that it takes …

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