
Opinion

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