< Previous28 MD-UPDATE SEND YOUR NEWS ITEMS TO MD-UPDATE > news@md-update.comNEWS porations, both tobacco and vaping producers such as Altria, and pharmaceuticals such as Novartis, are getting into marijuana, he said. In Freedman’s view, what is needed is more research and FDA approval, price controls, advertising restrictions similar to tobacco, and quality control. Citing the Pareto principle, he said that 80% of the use will come from 20% of the users, but the debate in the public space is very spirited. Marijuana: Medicine or Intoxicant? Mazloomdoost said that, in his opinion, calling marijuana medicine is disingenuous and misleading. He explained that medicine is a drug that is unsafe until it is proven safe; a supplement is safe until proven unsafe; and some substances are intoxicants that are unsafe but recreational and fall into the self-medicat- ing category, which he believes fits marijuana. “Nicotine has some medicinal benefits for certain conditions, but no doctor would pre- scribe it today,” said Mazloomdoost. More double-blind, placebo, clinical trials, more data, better control of quality and dos- age, and understanding the risks and benefits are needed before Mazloomdoost said he’ll call marijuana “medicine.” CBD OIL Nowhere is the adage “Let the buyer beware” more applicable than in the current rage of CBD supplements. Gill stated the five most common consumer issues from her findings: widespread use of CBD for a variety of reasons; consumers assume CBD is safe; product labels can misstate THC and CBD levels; there are limited state regulations; and federal regulations are confusing. Consumers are using CBD for stress, or anxiety, for joint pain, for better sleep, and for recreation. The majority, 63%, said CBD was “very or extremely” effective. Andrew Freedman spoke on Colorado’s experience with legalization Danesh Mazloomdoost, MD, Wellward Regenerative Medicine in Lexington, and a fellowship-trained anesthesiologist in pain medicine NOW ONLINEISSUE #124 29 Southern Psychiatric Association 2019 Annual Conference Clinical Issues and Psychiatric Leadership in a Changing World How effective are currently available computer programs and mobile apps for treating depression and other mental disorders? Jesse Wright, MD, PhD, an early adapter and developer of this treatment modality, presented evidence for the effectiveness of computer-assisted psychotherapy and identi- fied opportunities and barriers for its use in clinical practice. Antidepressants don’t work as well for adolescents. Besides only two FDA-approved medications, what are treatment options for adolescents? Randy Schrodt, MD, reviewed the latest research on the safety and efficacy of tran- scranial magnetic stimulation (rTMS) for depressed adolescents, as well as the clinical indications and expected outcomes for this population. If you line up the symptoms of menopause and depression side-by-side, would you recognize the difference? Louisville gynecologist Nancy J. Newman, MD, covered the intricacies of how the medical management of menopause interacts with the treatment of mood disorders in her presentation on “Menopause, Mood, and Management.” Anxiety disorders are the most prevalent mental health condition. Moving beyond SSRIs and benzodiazepines, Miriam Swope, MD, also described behavioral therapy options as simple as diet, exercise, and mood induction and as dramatic as rapid-act- ing ketamine for suicidal ideation and PTSD. What lessons in psychiatry can we learn from history? It turns out there are difficulties in applying modern criterion-based diagnostics to histori- cal figures, as David Casey, MD, pointed out in his presentation “The Psychiatric Cases of the Lincolns.” Kentucky have a shortage of psychiatrists and an access problem as well. Mary Helen Davis, MD, understands the challenges of getting integrated care started and provided a framework for the role of phy- sician leadership in developing a collaborative care team and the supervision of clinical care. Since its inception in 1935, the SPA annual meeting covers a scientific program of cut- ting-edge lectures and this year was no differ- ent. “We cover a broad range of lectures from historical perspective to neuromodulation, from women’s issues to care delivery, and from ethics to the impact of climate change,” accord- ing to Mary Helen Davis, SPA president. BY JAN ANDERSON, PSYD LOUISVILLE As MD-Update magazine’s mental wellness columnist, I relished the opportunity to hear firsthand the applied science shared by practicing clinicians from all over the south- ern region at the Southern Psychiatric Association’s annual conference at the Brown Hotel in Louisville on Aug 21-24. It was gratifying to see how many thought leaders, influencers, and innovators are medical practitioners right here in Kentucky. Here’s what I mean: Rebecca Tamas, MD, and Jan Anderson, PsyD Marian Swope, MD, Randy Schrodt, MD, David Casey, MD, and Ron Burd, MD Kathy Vincent, MD, Mary Helen Davis, MD, Nancy J. Newman, MD, Stephanie Eken, MD, and Marla Ward, MD Jess Wright, MD, Randy Schrodt, MD, David Casey, MD, Mary Helen Davis, MD, Barbara Fitzgerald, MD EVENTS30 MD-UPDATE Lexington Medical Society Foundation Golf Tournament Raises Funds for Area Charities RICHMOND The 30th annual Lexington Medical Society Foundation Golf Tournament was August 21, 2019 at the Boones Trace Golf Club in Richmond, Kentucky. Physicians and business leaders participated in the “shamble” format to raise money for central Kentucky charities such as Baby Health Services, Camp Horsin’ Around, Chrysalis House, Faith Pharmacy, God’s Pantry Food Bank, LMS Physician Wellness Program, Mission Lexington Free Medical Clinic, Radio Eyes, Ronald McDonald House, Surgery on Sunday, McDowell House Museum, and others. Golf committee members a include John Collins, MD, chair, Peggy Collins, Patrick Cashman, W. Lisle Dalton, MD, Tad Hughes, MD, Jon Maher, Susan Neal, MD, Susan Potter, BB&T, Jon Voss, MD, and Gil Dunn, MD-Update The LMS Alliance volunteers helped with registra- tion for the tournament. The Dean Dorton team included Porter Roberts, Stefan Henderson, Anjum Bux, MD, and Brandon Young. The ProAssuance Insurance team included John DeWeese, Guy Huguelet, Chip Farris, and Miller DeWeese. The BB&T team included Ski Bender, Colin Barber, Derick Walters, and Carl Smith, MD. The Lexington Clinic team included John McMullen, Ed Monroe, LMS Foundation Chair John Collins, MD, and Bruce Broudy, MD. John Stewart, MD, with BB&T team players Steve Randolph, Eddie Burkhart, and Jason Davis. Susan Neil, MD, Patti Elam, Carmel Jones, and Barbara Willard. EVENTSISSUE #124 31 Peggy and John Collins, MD, have guided the LMSF Golf Tournament for 30 years, raising over a half a million dollars for Central Kentucky health-based charities. Spenser Jones, MD, Beverly Games, James Joyner, MD, and LMSF Golf Tournament member Lisle Dalton, MD. The Baptist Health Lexington Medical Group team included Stephen Heet, Douglas Reed, Michael Kirk, MD, and Chase Hall. The Central Bank team included Mark Ruddell, Chris Thomason, Bradley Youkilis, MD, and Steve Jennings. The Kentucky Surgery Center team included Tad Hughes, MD, with Alberto Laureano, MD, Hameed Koury, MD, and Gregory Grau, MD. Ryan Stanton, MD, Baptist Health Lexington, with David Browning, PA, and Andrew Pacitti, DO. The Baptist Health Lexington team included John Voss, MD, with Rusty Page, MD, Ari Padmanabhan, MD, and Evan Bennett, PA. EVENTS32 MD-UPDATE Beer with a Scientist UofL monthly series informs and educates the public on diverse scientific topics LOUISVILLE “How in the (Brain) Health Are You?” was the topic of the monthly series created and coordinated by Levi J. Beverly, PhD, associ- ate professor at UofL and co-leader of the Experimental Therapeutics program. The September 12th event took place at Holsopple Brewery on Catherine Lane in Louisville. Samantha Cotton, PhD, MSSW, was the speaker. Cotton is program manager of Geriatrics Workforce Enhancement at the UofL Trager Institute. She is also director of the Alzheimer’s and Related Dementias program. Cotton addressed research that is narrowing possible causes of Alzheimer’s disease, preventative actions that individuals can take, and the importance of compassionate care and support of caregivers. As an example of compassionate care, Cotton spoke of the importance of understanding the “Why” behind repetitive questioning by Alzheimer’s patients. “Try to understand the emotions behind the behaviors and questions,” she said. “Often the emotions are fear and loss.” We Can Help Your Patients Quit Tobacco www. QuitNowKentucky .org TOBACCO CESSATION FEATURING: PhoneWebText • Free Coaching Support • Multilingual Services • Pregnancy Postpartum Protocols • Free NRT for uninsured coaching participants • Fax referral form or e/referrals at www.quitnowkentucky.org/providers 1 - 800 - QUIT - NOW 1 - 855 - DÉJELO - YA Robert P. Friedland, MD, professor UofL, chief, Laboratory of Neurogeriatrics, and Sam Cotton, PhD, MSSW, at Beer with a Scientist. PHOTO BY GIL DUNN EVENTS Issue #125 (December) IT’S ALL IN YOUR HEAD Neurology, Neuroscience, Ophthalmology, Pain Medicine, ENT, Psychiatry, Mental Health Issue #126 (February 2020) HEART, STROKE & LUNG HEALTH Cardiology, Cariothoracic, Cardiovascular, Pulmonology, Sleep Medicine, Vascular, Bariatric Surgery, Wound Care Issue #127 (April) INTERNAL SYSTEMS Endocrinology, Gastroenterology, Geriatrics, Internal Medicine, Integrative & Regenerative Medicine, Infectious Diseases, Nephrology Issue #128 (June) WOMEN’S & CHILDREN’S HEALTH OB/GYN, Women’s Cardiology, Oncology, Urology, Pediatrics, Radiology, Travel Medicine Issue #129 (September) MUSCULOSKELETAL HEALTH Orthopedics, Sports Medicine, Physical Medicine & Rehabilitation, PT/OT Issue #130 (October) CANCER CARE Oncology, Radiology, Hematology, Dermatology, Plastic Surgery Issue #131 (December) IT’S ALL IN YOUR HEAD Neurology, Neuroscience, Ophthalmology, Pain Medicine, ENT, Psychiatry, Mental Health *Editorial topics and dates are subject to change. 2019-20 EDITORIAL CALENDAR & OPPORTUNITIES SEND PRESS RELEASES TO GDUNN@MD-UPDATE.COM Gil Dunn, Publisher GDUNN@MD-UPDATE.COM 859.309.0720 (direct) 859.608.8454 (cell) To participate, please contactNext >