I have seen the prescribing cascade happen in clinical practice far too many times! One of those classic examples is heart failure. A patient is placed on a new medication that contributes to edema and heart failure. With a period of days to weeks, that patient is...
I’ve written thousands of recommendations to physicians and other healthcare providers throughout my career. I’ve gotten over the fear of failure so to speak, but there’s always still a little doubt in the back of my mind when a physician...
I’m working on a new book that I’m super excited about! I’m writing a book on drug interactions and hope to finish by the end of the year! I’m tackling the top 200 drugs plus those I consider very clinically relevant in practice. My hope is...
Insomnia is a sneaky condition that can lead to polypharmacy. Many of the medications used in the management of insomnia can work for a short period of time, but I’ve seen so many cases where the effects wear off over time. Always remember to do our due...
I’m saddened for some of my friends and colleagues who’ve recently lost their job. The recent move by HealthPartners in my own state hits close to home. HealthPartners is closing up 30 retail pharmacies and this means further tightening of the saturated...
