Roneet Lev, MD
Roneet Lev is an emergency physician.
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Latest articles
Drugs and prescribing
The standard treatment for methamphetamine poisoning is "sedate and wait." There is no antidote to methamphetamine; instead, we typically aim to cover up the unwanted symptoms. We prescribe our favorite sedative, Ketamine or a B52 cocktail (Haldol 5, Ativan 2,…
The standard treatment for methamphetamine poisoning is “sedate and wait.” There is no antidote to methamphetamine; instead, we typically aim to cover up the unwanted symptoms. We prescribe our favorite sedative, Ketamine or a B52 cocktail (Haldol 5, Ativan 2, Benadryl 50), and often multiple dosages are required to control the agitation and ensure the safety of both the patient and …
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A game-changer in methamphetamine treatment
Conditions and diseases
Timmy's eyes were rolling side to side in his head as his limp body did not respond to his mother's calling. He was rushed to the hospital and admitted to the ICU. The 4-year-old ate one of his mother's cannabis-infused,…
Timmy’s eyes were rolling side to side in his head as his limp body did not respond to his mother’s calling. He was rushed to the hospital and admitted to the ICU. The 4-year-old ate one of his mother’s cannabis-infused, rainbow-sherbet-flavored gummies and ended up with marijuana poisoning and in a coma. There is no antidote to THC, the psychoactive chemical in cannabis, so Timmy had to wait and detoxify …
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Candy weed: no protection for marijuana child poisoning
Physician voices
Independent physician groups and solo physicians have been the historic bedrock of medical practice. While it is true that there is intense pressure on the single-physician group, and this market is shrinking, independent physicians are here to stay. Some single…
Independent physician groups and solo physicians have been the historic bedrock of medical practice. While it is true that there is intense pressure on the single-physician group, and this market is shrinking, independent physicians are here to stay. Some single practice physician groups may merge with larger groups, some physicians will break off from the large contract groups, but there is no plan on them becoming extinct.
Independent physician groups have …
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5 myths about emergency physician groups
Physician voices
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. While opioids are effective pain medications when used in the proper setting, concerns arise when the patient’s condition…
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. While opioids are effective pain medications when used in the proper setting, concerns arise when the patient’s condition lasts longer than three months, and prescribing more medication does not necessarily result in better pain control.
Building a strong doctor-patient rapport can help facilitate conversations with patients …
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Prescribing opioids safely: How to have difficult patient conversations
Physician voices
CMS announced that they will remove questions related to pain from the hospital consumer assessment of health care providers and systems (HCAHPS), commonly known as patient satisfaction survey. This means that hospitals would continue to use the questions to survey…
CMS announced that they will remove questions related to pain from the hospital consumer assessment of health care providers and systems (HCAHPS), commonly known as patient satisfaction survey. This means that hospitals would continue to use the questions to survey patients about their inpatient pain management experience, but these questions would not affect the level of payment hospitals receive. This is a big victory for patients and the house of medicine.
Here …
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The story behind removing the satisfaction score barrier from safe prescribing
Drugs and prescribing
The news media is hooked on the opioid prescription drug abuse story. Every day, it seems, I read a new announcement: The CDC has issued guidelines for prescribing opioids for chronic pain. The FDA has announced immediate-release pain medications will…
The news media is hooked on the opioid prescription drug abuse story. Every day, it seems, I read a new announcement:
- The CDC has issued guidelines for prescribing opioids for chronic pain.
- The FDA has announced immediate-release pain medications will need to have “black box” warning labels about the risk of addiction, abuse, overdosing and even death.
- The White House has requested $1.1 billion in its 2017 budget to combat
…
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What I learned about prescription drug abuse from San Diego
Physician voices
Emergency medicine physicians: Could these be your cases? A 35-year-old presents with shortness of breath and numbness to the legs. CXR and EKG are normal. She is discharged to see her doctor in two days, but is found dead at…
Emergency medicine physicians: Could these be your cases?
- A 35-year-old presents with shortness of breath and numbness to the legs. CXR and EKG are normal. She is discharged to see her doctor in two days, but is found dead at home. Autopsy reveals a dissecting aortic aneurysm.
- A 15-month-old is triaged to fast track and seen by a physician assistant for fever, lethargy,
…
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Tips to avoid medical errors in the emergency department
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