Medical Journal Houston Vol. 11, Issue 13, April 2015

Legal Affairs: OIG issues unfavorable advisory opinion on laboratory/physician practice arrangement, see page 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Leading Source for Healthcare Business News Special Report: Addiction April 2015 • Volume 12, Issue 1 • $3.50 A regeneration of addiction INSIDE ▼ Hippo “Crosstalk” may be vital to tumor suppression see page 16 INDEX ▼ Legal Affairs......................3 Financial Perspectives.......4 THA................................5 Integrative Medicine.........6 Hospital Headlines...........7 Moving On Up..................8 Physicians’ Forum.............9 Integrative practices for anxiety see page 6 . . . . . . . . . . . . By Matt Feehery, MBA, LCDC, Senior Vice President, CEO, Memorial Hermann Prevention and Recovery Center are aware of the power addiction has as it relates to our specialized areas of care. But the simple fact is that addiction has a major impact on our entire healthcare system and will continue to do so indefinitely if history repeats itself and the trends of addiction among different age groups continue. marijuana once a month, according to the Substance Abuse and Mental Health Services Administration. The irony in that statistic is that marijuana is more potent and harmful now than it was 20 years ago. Teens are less wary of marijuana at a time when it’s never been more harmful, which Old habits die hard, but for an increasingly alarming number of the nation’s 76 million Baby Boomers, their addiction habits didn’t die at all. They lay dormant and now are coming back to haunt. A Wall Street Journal story about a 58-year-old California man who had cleaned up his act following heavy marijuana and cocaine use in the 1970s, only to begin abusing opioids and alcohol after a knee surgery nearly 30 years later, illustrated the point. While baby boomers – those born the years 1946 to 1964 – are one of the leading age groups affected by addiction, according to the Centers for Disease Control and Prevention (CDC), the reality is addiction touches the old, young and those in between. As defined by the National Institute on Drug Abuse, addiction “is a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences.”  There is reason for concern about the recurrence of addiction among older Americans when one considers that in 2013 more than 12,000 deaths resulted from accidental drug overdoses, which is more deaths than car accidents, the flu, or pneumonia caused in that age group. Moreover, experts predict that more than 5.7 million people older than age 50 will be in need of substance-abuse treatment only five years from now. Many of us in the healthcare industry Addiction is not a phase The statistics, consequences, and actions surrounding addiction all suggest that it is not a phase. Addiction should not be treated as something people will grow out of or “go through.” Attitudes among teens are softening toward the negative effects of illicit drugs like marijuana. Nearly two-thirds of all surveyed by Monitoring the Future (MTF), an annual survey conducted by the University of Michigan that measures the use of alcohol, tobacco, and illicit drugs among 8th-, 10thand 12th-graders nationwide, said that they did not think regular use of marijuana was harmful. That is in stark contrast to 20 years ago, when only 35 percent held the same belief. In Texas, 71.4 percent of adolescents aged 12-17 perceived no great risk in smoking could be damning since one in six teens become addicted to marijuana compared to one in 11 who start using as adults. Additionally, a recent study submitted to the American Chemical Society, consistently found THC levels to be above 20 percent and sometimes upward of 30 percent in legally-sold marijuana in Colorado. The “old school” marijuana consistently had THC levels of less than 10 percent. Moreover, of the 600-plus samples of marijuana provided by certified growers and sellers in the study, many contained little to no cannabidiol (CBD), the medical component of marijuana. There is some good news. The MTF survey revealed an overall decrease in alcohol and tobacco use among teenagers over the last 20 years. However, the fact remains that Please see ADDICTION page 14 PRSRT STD US POSTAGE PAID HOUSTON TX PERMIT NO 13187