Hepatitis A Virus (HAV) Infections in the United States

On June 15, 2018, NH DHHS issued a health alert regarding Hepatitis A Virus infections in the United States among persons who use drugs and persons experiencing homelessness.

NH DPHS Health Alert Network Key Points and Recommendations:

  • Health care providers should review the attached CDC HAN and provider recommendations related to HAV infections among persons who use drugs and persons experiencing homelessness.

Available: Four-section classification folders

June 20, 2018

We are changing our storage system. Does your office have a need for some 4 section classification folders? In excellent condition. Contact Joy Potter.

4 section classification folder

Vacant positions on the Board of Medicine and Medical Review Subcommittee

June 20, 2018
 

The Board of Medicine has two (2) vacant public member positions on the Board.

 

Report from the AMA Annual Meeting in Chicago

June 17, 2018

I just returned from attending my first AMA Annual Meeting. It was a great experience. Jim Potter, Bill Kassler (our AMA delegate), Georgia Tuttle (AMA Trustee), Stuart Glassman and I were in Chicago representing the Medical Society. 

Boundary Violations at our Southern Border

June 6, 2018

In this blog post my focus is on the horrific boundary violations that are occurring at our country’s southern border (boundary) involving children and their parents. I am so ashamed in general these days of our country policies regarding immigrants, but the more recent revelations of the policy of separating children, even infants, from their parents is just unbelievable. As physicians, let alone as humans, we know what damage this policy will cause to both parents and their children, and yet it is the policy of our government. I am so ashamed.

The concepts of boundary issues and boundary violations are very well known in my profession of psychiatry. Indeed, it is especially important for all physicians, indeed for everyone, to be attentive to boundary issues as we’ve seen in this era of sexual exploitation symbolized by the phrase “me too.” Boundary issues, however, occur in many different forms and at many different locations.

NH Insurance Department to Host Public Information Sessions on Health Insurance Networks

May 31, 2018

The New Hampshire Insurance Department will host two information sessions in June on the health insurance networks likely to be available on New Hampshire’s Marketplace in 2019. 

Health Alert: Synthetic Cannabinoid Associated Coagulopathy

On May 25, 2018,, NH DHHS issued a health alert regarding synthetic cannabinoid associated coagulopathy.

NH DPHS Health Alert NetworkKey Points and Recommendations:

  1. In 2014, New Hampshire experienced an increase in serious overdoses related to synthetic cannabinoid use: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/syntheticmarijuana.pdf
  2. Health care providers should review the attached CDC HAN and provider recommendations related to a new multistate outbreak of life-threatening coagulopathy

Another horrendous school shooting and no action as usual on gun control

May 23, 2018

Each morning when I drive to work I pass elementary, middle school and high school students walking to their respective schools in Portsmouth. The children are lovely, lively and fortunately safe for another day. They are walking in twos and threes, sometimes with parents for the very young, sometimes carrying basketballs or soccer balls. Not much of a care in their worlds, far from the fear that has enveloped so many schools and communities in our nation.

This latest mass murder, this time in Santa Fe, Texas, has come and gone, with no action expected on gun control, especially in the state of Texas. No action in New Hampshire either. Children (and resource officers and teachers) are the casualties, sacrificial lambs to our gun dominated society.

Health Alert: Tickborne Diseases in NH

On May 18, 2018,, NH DHHS issued a health alert regarding tickborne diseases in New Hampshire

NH DPHS Health Alert NetworkKey Points and Recommendations:

  1. Blacklegged ticks transmit at least five different infections in New Hampshire (NH): Lyme disease, Anaplasma, Babesia, Powassan virus, and Borrelia miyamotoi.

Health Alert: HIV and HCV in Persons Who Inject Drugs

On May 16, 2018,, NH DHHS issued a health alert regarding HIV and HCV in persons who inject drugs.

NH DPHS Health Alert NetworkKey Points and Recommendations:

  • New Hampshire is at high risk of uncontrolled HIV and Hepatitis C virus (HCV) transmission due to the opioid epidemic and injection drug use.
  • Providers should screen all patients who present to clinical care (regardless of the primary purpose of the visit) for substance use disorder, especially injection drug use.

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