The castle has a roof, and no one has a clue…

  Well, that was pleasant/unpleasant. The castle needed a new roof, and it is fixed and makes the place look at least 500 years younger (it has made it less drafty, which needs to be fixed).  Memorial Day here was soggy and uneventful, even the hospital was quiet with a low census.  It is one …

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Just say no

Or why everyone relapses   As always, a patient presents to the ER with a dependence on prescription drugs. In the workup of the patient, I found the usual pattern with opiate prescribing. Use over time creates tolerance and starts an increased need for medication. In the current prescribing climate, we want the person to …

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