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Take a close look at the number of opioid pills you’re prescribing

Tia Powell, MD
Medications
October 15, 2018

Recently, a generally healthy friend of mine had two small, unrelated surgeries over the course of a few months. For the first, a small operation on his hand, he received a prescription for 30 oxycodone pills. He used one the night after surgery, to make sure pain wouldn’t wake him. Over the next few days he used a few over the counter acetaminophen tablets for his modest discomfort, and then …

Read more…

Take a close look at the number of opioid pills you’re prescribing

The fine line between dementia, sex, driving, and money

Tia Powell, MD
Conditions and Diseases
August 24, 2018

How do we balance freedom and safety for those with dementia, particularly in the risky domains of sex, driving and money?

In 2014, Henry Rayhons, a 78-year-old Iowan, was arrested because he allegedly had sex with his wife.

Wait. What?

The Rayhonses, both previously widowed, met while singing in a church choir. Over time, Mrs. Rayhons developed dementia and went into a nursing home. At one point, a roommate reported hearing …

Read more…

The fine line between dementia, sex, driving, and money

DTC genetic tests and the wilds of personal medical information

Tia Powell, MD
Conditions and Diseases
December 10, 2012

The other day I landed on the website of 23andMe. To my surprise, I learned that if I wanted to send the company a sample of my DNA, I’d have to swear under penalty of law neither to  collect my  sample nor mail it from New York State. That’s because New York State requires a laboratory license and direct interaction with a physician for mail order DNA testing.

New York, it …

Read more…

DTC genetic tests and the wilds of personal medical information

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