Author: GuidaBrown
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Prenatal Substance Exposure: A Neglected Health Crisis
Urine drug tests can be done for every patient in every hospital…but they aren’t. And that lack of testing everyone who is hospitalized could be considered discriminatory, especially when the group of patients all being tested, under the guise of not discriminating, is pregnant people, as if pregnant people are the only ones who may…
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Mandatory Reporting in Healthcare: The Prenatal Dilemma
Imagine that you’re a person working in the healthcare profession…perhaps a nurse or a doctor. And think about what caused you to go to school for all those extra years. Was it the desire to have lots of student debt? Maybe it was working all those hours, especially on weekends and holidays… Or perhaps it…
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When Medication Becomes a Hammer
I learned something new today…sort of. In part, CAPTA, the Child Abuse Prevention and Treatment Act, “provides federal funding and guidance to States in support of prevention, assessment, investigation, prosecution, and treatment activities and also provides grants to public agencies and nonprofit organizations, including Indian Tribes and Tribal organizations, for demonstration programs and projects” (childwelfare…
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What Should Prevention Look Like?
I recently attended a presentation by the phenomenal Ira Chasnoff, MD. (You can find out more about him at NTI Upstream.) Dr. Chasnoff was doing research in the field of drug-affected neonates in the early 1990s, when I first started my career in the field of addiction. I had to wait about 30 years to…
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PEth Screening: Essential Tool for Prenatal Alcohol Exposure Recognition
Look! The Finnish results are in, and it is clear that asking about alcohol consumption during pregnancy doesn’t yield accurate results. In fact, of the 3,000 samples tested, positive Phosphatidylethanol (PEth) results during pregnancy were 8.4% or 253 individuals, despite self-reporting alcohol consumption being as low as 1.9% in 2020 but as high as 14% in 2017.…
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Krabbe? Cancer? FASD?
We’re talking about screening for a lifelong condition that can’t be cured that conservatively affects 5% of the population…1 in 20 live births!
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Racial Disparities in Newborn Drug Testing and Prenatal Care
What would a pregnant person on the verge of delivering a baby say if she were asked if she has a history of drug abuse within the last 12-18 months? How about if she’s asked about her history of child abuse, neglect, or court-ordered placements of children outside the home? History of domestic abuse or…
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They’re Drunk On Your Dollars
People suffering from alcohol use disorder[…] were given alcohol – indeed, given alcohol to the level of intoxication – in the name of research.
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Addiction: The Disease Not Worthy of Intervention?
It is unconscionable for those with cancer, and it should be considered equally unconscionable for those with the other chronic, progressive, lethal disease.
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FASDs: Just Because We Don’t See Them Doesn’t Mean They’re Not There
Doctors can’t do it themselves. They need all of our help to educate about the harmful effects of PAE and diagnose FASDs.
Guided by Guida 