Opinion

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Editorial …………………………..362
Pocket MBA
Deval (Reshma) Paranjpe, MD, FACS

Editorial …………………………..364
A voice of one
Richard H. Daffner, MD, FACR

Editorial …………………………..366
When the music stops
Andrea G. Witlin, DO, PhD

Editorial …………………………..368
‘Generation A’ comes of age
Anthony L. Kovatch, MD

Miller Time ………………………372
High-dose opiates and benzodiazepines in end-of-life care
Scott Miller, MD, MA, FAAHPM

Perspective………………………374
An ode to Planet Nine Pluto: A human hospice physician sharing a pet hospice experience
Keith R. Lagnese, MD, FAAHPM, HMDC

Perspective………………………380
A case for diversity in the Pittsburgh workforce
William Simmons, MD

Departments

Membership Benefits………..378
Society News …………………..383
• Pittsburgh Ophthalmology Society
• Pennsylvania Geriatrics Society – Western Division
Activities & Accolades………384

Articles

Feature……………………………..386
Moving physicians from burnout to wellness a priority for new PAMED President

Materia Medica …………………388
Bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy®)
Kevin Wissman, PharmD
Erica Wilson, PharmD, BCPS

Legal Summary………………..390
Opioid prescription guidelines: Are they mandatory?
Beth Anne Jackson, Esq.

Special Report ………………..392
Review of child deaths in Allegheny County, 2008-2017: Data and insights
Michael Freedman, MD, MPhil

Special Report …………………396
Harm reduction saves lives: The role of naloxone in reducing overdose deaths in Allegheny County
Alice Bell, LCSW