I don’t like to give prescription sleeping pills.  They are a great source of disappointment to me.  It is hard to think any of the prescription stuff that is not habituating, requiring higher and higher doses to get the job done.

I have been worrying about patients taking them, literally, for years and years. I remember one of those studies that they release to the media.  It happened shortly after we moved to the San Diego area about 2004 when I heard on the radio that people who used prescription sleeping pills just did not live as long as people who did not. Read more on Sleeping Pills Are Not The Best Things For Sleep…

Does medicine really work to cure people anymore? How can we do better? I’ve said before in public, “I’m angry and I can’t take it anymore.” I can’t believe it’s been 36 years since some good folks in France buttoned a black scarf trimmed with white bunny fur onto my shoulder and told me I was now a physician, with all the rights and privileges associated with that exalted profession.

Read more on Does Medicine Really Work to Cure People?…


I was trying to remember when prescription drugs were allowed to advertise on television (called “Direct To Consumer Advertising, or DTCA”).  Fortunately, I didn’t have to bust my memory cells – I just had to “Google it.”

1995. The year all HHHHell broke loose.  At least if you were a doctor.

Suddenly, patients could make their own diagnoses and prescriptions and just phone the order in to their doctor.  At least, that’s how most patients thought it should work.  And – hoo boy! – were they upset when it wasn’t quite that easy.

Comedian Dennis Miller has a hilarious line: “I divide medical practitioners into two camps. Those who will give me a scrip for Vicodin over the phone, and those who won’t.”

Hilarious if you aren’t a doctor, that is. Read more on RX Package Insert — Just Read It!…