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