Today on JailMedicine, I am happy to present a guest post by Dr. Bill Wright.As you may remember, Dr. Wright is the author ofMaximum Insecurity: A Doctor in the Supermax, which I reviewed hereand which you canpurchase here.
Correctional medicine attracts more than its share of argumentative and demanding patients. We all feel the tightening in our stomachs when finding certain names on the clinic schedule, anticipating the disputes that are almost certain to follow. It doesn’t need to be that way. Continue reading →
Today, I am adding more sites to the CFOAM page found at the top of the blog. Remember that FOAM stands for Free Online Access to Medicine and is a movement that seeks to utilize the full potential of the internet for medical education. In order to make it as FOAM, a web site must be free, provide useful education on a medical topic, and be easily accessible online. This can (and does) include audio podcasts, video lectures, and written articles and blogs. If the content is relevant to correctional medicine, well, that’s CFOAM: Correctional Free Online Access to Medicine. Today, I am adding three more CFAOM websites to the list. Continue reading →
Today’s post is an opinion piece. Personally, I think that skeletal muscle relaxers like cyclobenzaprine, methocarbamol and chlorzoxazone are over prescribed for acute and chronic musculoskeletal pain, both in the outside world but especially in corrections. The main reason for this, I think, is that prescribers misunderstand what muscle relaxers do. Contrary to their name, muscle relaxers do not relax muscles, at least as they are commonly prescribed. Muscle relaxers are sedatives, pure and simple, and should be prescribed with that fact in mind. Instead of telling patients (and ourselves) that “I am prescribing a muscle relaxer for you,” in the interest of full disclosure, we should be saying “I am prescribing a sedative for you.” Continue reading →