November 2019 Bulletin Now Available





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