Our office will be closed Monday 01/26/2026. Anyone with an appointment, we will contact to reschedule when back in the office. Watch all our social media for updates.
Still having issues with our phones. If you have tried to contact the office and attempted to leave a voicemail, we may not have received it. Please continue trying to call. Our phones are working to the point where we can send and receive calls, but still having some issues.
New office growing pains! Our phones are down. The problem is being worked on, but as of right now we have no phones. Just a reminder we are at our new location at 119 Helmwood Plaza Dr.!
@drjohnm I’m and independent internist using a web-based EMR on a MacBook. Never had any issues all day. I’m surrounded by offices with employed physicians using Epic, their offices unfortunately ground to a halt.
We are open today, January 15th. If you have an appointment and need to covert to telehealth due to inclement weather call the office this morning: 270-763-0067.
Can we reach middle ground now, given recent meta-analyses? Would increase harmony.
1) Masking for anyone who would like, no mandates
2) End of vax mandates since 99.99% US by NIH Serohub has anti-spike antibodies (vax or infection)
3) Commission US bipartisan, calm, well-meaning
ASAM continues to receive reports from prescribers about difficulties their patients are having filling prescriptions of buprenorphine at pharmacies. If you have patients experiencing similar issues, consider completing this brief survey to let us know. ▶️ https://t.co/hruSSgSJA2
Remember all that media noise about #omicron hospitalizing young kids with severe covid? This paper concludes:
“Risks for severe clinical outcomes in children infected with Omicron variant were significantly lower than those in the matched Delta cohort”👇 https://t.co/G6rVhrD9U8
RAPID TESTS & FALSE POSITIVES: PCR tests have been criticized for picking up tiny amounts of clinically insignificant virus-large study "Of 623 total positive test results with rapid antigen tests, 385 (62%) were false positive"; each test has limitations
https://t.co/jrRAhuVJUq
Discussion of BA2 with Washington Post - what do we know? More transmissible; not more virulent; when media writes "evades immune response", please remember there are antibodies (evades more) and cellular immunity (doesn't evade T/B cells)
https://t.co/XFhw47Plex
So much confusion about Vaccine Efficacy vs. Effectiveness
For transmission/ mild symptoms/ severe disease/ hospitalization/ death
I clarify these concepts; relevant to kids vax 6mo-6yrs, boosters, Moderna, Pfizer, 4th dose
Long covid in kids systematic review 👇👇
15 of 21 studies had no control arm
Symptoms anywhere from 0 to 65%
Controls anywhere from 2 to 52%
Validity of outcomes of long covid in kids is "critically limited"
https://t.co/3dV8zwuyI9
#DYK that National Drug & Alcohol Facts Week runs from March 21-March 27 and aims to share facts that shatter the myths about drugs and drug use. Learn more by visiting https://t.co/myByQhRqE5
#NDAFW#ASAM#AddictionMedicine#TreatAddictionSaveLives
1/ Please BEWARE this pre-print from Hong Kong claiming that the Omicron BA.2 variant is not mild in kids. Basic epidemiology will tell you that the methodology is flawed & the conclusions go against everything we know about the Omicron variants
👉 https://t.co/UiuUSfkq99
Wastewater data | Oster on kids | 4th Dose EUA standard | Restrictions & mandates vs. focused vaccination/ boosting
Thoughts on where we are now 👇
https://t.co/gkIow4lgcI