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WBEZ Morning Shift: ER Doctors To The NRA: Gun Violence ‘Is Our Lane’

This morning Dr. Khare was interviewed by Tony Serabia of the Morning Shift on WBEZ. You can listen to the entire interview here.

“A deadly shooting at Chicago’s Mercy Hospital on Monday has once again brought into sharp focus the country’s ongoing epidemic of gun violence.

A 32-year-old man fatally shot an emergency room physician in a domestic dispute outside the hospital, Chicago police said. He then entered the hospital and killed a Chicago police officer, who was responding to the call, and a pharmacy resident, who was stepping off an elevator.

The gunman also died in the shooting. It’s not yet clear whether he died of self-inflicted wounds or from police gunfire.

“Every shooting in America is a tragedy,” a Mercy Hospital spokesman said in a news conference. “And it is especially senseless when a shooting occurs in the healing space of a hospital.”

Dr. Alison Tothy, a pediatric ER doctor at the University of Chicago, and Dr. Rahul Khare, who worked in the emergency room at Northwestern Memorial Hospital for a decade, joined Morning Shift host Tony Sarabia to reflect on the role that ER doctors play in addressing gun violence.”

You Can Listen to the Entire Interview Here >>

What “Different” Looks Like in Medicine: A Day at Innovative Express Care

Dr. Rahul Khare, CEO and President of Innovative Express Care, has a passion for integrating cannabis into his practice.

His phenomenal team of clinicians, right in the heart of Chicago, offers a variety of cutting-edge treatments. From ketamine infusion therapy to medical cannabis consultations and certifications, along with primary care, urgent care, and pain management.

Being that his clinic is fairly close to Rush Medical Center, where I do congenital heart disease research during the day, I had the fortune of visiting his practice for a little investigative reporting on one of their cannabis clinic days.

In short, it was like nothing I’ve ever experienced at a doctor’s office.

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Rauner Has Signed a Bill Expanding Access to Medical Cannabis in Response to Opioid Epidemic

Opioid Cannabis Bill

Gaurav Dubey, MS and Rahul Khare, MD

Illinois, a state known for strict medical cannabis laws, just took a major step in easing those regulations and expanding access in an effort to combat the opioid epidemic. IL Governor, Bruce Rauner, has now signed Senate Bill 336 into law, which includes a major provision allowing patients to swap out their opioid narcotic prescriptions for medical cannabis access. Statistics from the IL Department of Health indicate almost 2,200 deaths in 2017 from opioids (up from 1,072 in 2013), with almost half being attributed to heroin (ILDPH, 2018). The expansion of the state’s medical cannabis program is the proposed solution to this crisis that is outlined in the bill.

Passing with unwavering bipartisan support across the IL house and senate floors, lawmakers desperately hope the bill will help quell the flames of the opioid endemic by dissolving prior sociopolitical and bureaucratic barriers to medical cannabis access. Additionally, it will offer a safer alternative to narcotic painkillers which are notorious for causing overdoses and deaths across the country in what is being called “the opioid alternative program”.

Currently, there are many requirements by the state to obtain a medical cannabis card, with fingerprinting and criminal background checks being one of the most restrictive and contentious regulations. However, in the new bill currently being signed into law by Gov. Rauner, this provision would go up in smoke, along with several others that make access to medical cannabis more difficult. Prospective patients applying to the traditional medical cannabis pilot program can expect lower wait times and will eventually have (estimated to start in January, 2019) immediate interim access to smaller amounts of medical cannabis (2.5g every two weeks) while their application for long term program membership processes with the state. Previously, patients had to wait 60-120 days to receive their medical cannabis cards, says the bill’s sponsor, IL democratic Sen. Don Harmon, quoted in a recent piece by the Herald Review.

Likewise, patients participating in the opioid alternative program can take qualifying forms from a physician straight to the dispensary and purchase 2.5 grams of cannabis every two weeks for up to 90 days, giving them access to the plant-based medicine for a similar length of time that they would be prescribed opioids (ILGA, 2018). Skeptics claim this is a dangerous step towards increased addiction towards cannabis and even opiates, however, the science suggests otherwise. Several recent studies have demonstrated the role of our internal endocannabinoid system in the perception of pain and the efficacy of cannabis in treating it (Lucas, 2012)(Fine & Rosenfeld, 2013)(Fanelli et al., 2017)(Corroon et al., 2017)(Haroutounian et al., 2016)(Vigil et al., 2017). Of course, the stark differences in mortality rates between cannabis and opioids are to be reckoned with by the opposition; to this day, cannabis has not been attributed to a single fatal overdose. Needless to say, the skyrocketing death tolls from opioid overdose help put the urgency for legislation like this into perspective. To read an in-depth, scientific review on how cannabis is combating the opioid epidemic, check out my article on The Medical Cannabis Community website here.

Policymakers and healthcare professionals alike hope increasing access to medical cannabis as an alternative to opioid narcotics could help mitigate the endemic here in Illinois. Legislation concerning medical cannabis in IL, as defined by the Compassionate Use of Medical Cannabis Pilot Program Act, restricts use to only those patients certified by their physician as having at least one of about 40 “debilitating medical conditions”. Currently, intractable chronic pain is not one of them. However, the new bill currently being signed into law allows for physician authorization to access to medical cannabis as an alternative to opioid painkiller prescriptions. Longitudinal and statistical analyses indeed confirm reduced opioid prescriptions, overdoses and deaths in states that have implemented successful medical cannabis programs (Bradford et al., 2018) (Vigil et al., 2017). It is likely a more expansive and streamlined program in Illinois may help reduce opioid mortality rates as well—at least that is the hope.

With elections looming in the near future, democratic candidate J.B. Pritzker leads recent polls and actively advocates for full recreational cannabis legalization. It is speculated that Rauner, a longstanding critic of cannabis, has signed Senate Bill 336 due to its political popularity among Illinois residents.  How effective this bill will be at battling the opioid epidemic here in Illinois remains to be seen. However, scientific and epidemiological data investigating cannabis for pain and cannabis programs on public health have shown to be promising.

If you are interested in getting your medical cannabis card, Innovative Express Care can help you get your card in the most efficient manner possible. We offer what nobody else offers:

  • No processing fees
  • We take insurance (most cost-effective way to get your card)
  • We guarantee our work
  • We can help you with the opioid alternative program (which will likely start in January, 2019)
  • Education on cannabis, including: THC, CBD, and terpenes
  • Continued care, even after you receive your card, to help you get the right strains

Don’t go to any other doctor’s office for your medical cannabis card. We will help with your entire process. Just fill out the form and we will call you within 2 business days. We offer patient appointments within 5 days.

Innovative Express Care Among the First in Chicago to Sync Health Data with Apple Health Records

Lincoln Park clinic known for marrying technology and healthcare to enhance the patient experience puts health data on iPhone for one-touch access to lab results, health history

Chicago – Innovative Express Care is now connected to Apple Health Records, allowing patients access to their personal health data via their iPhone. The primary and urgent care clinic located in Chicago’s Lincoln Park neighborhood, is among the early adopters using the new feature within Apple’s Health application, and is one of only a few clinics in the Chicagoland area on Apple Health Records to date.

Bringing technology and modern conveniences together to improve the health care experience has been a cornerstone of Innovative Express Care’s mission since the clinic opened in 2015. “Our goal is to make access to quality healthcare more convenient,” said Rahul Khare, MD, president and founder of Innovative Express Care. “From online scheduling, to virtual telemedicine appointments that save patients a trip to the clinic for a routine follow up or minor illness, we use technology in our everyday practice to enhance our patient experience. Connecting our electronic health record with the Health Records feature on iPhone was a natural fit for our practice.”

Patients who sign in to Apple Health, which comes installed on all iPhones and was updated with IOS 11.3, can easily retrieve their electronic health record, allowing them to see lab results, immunizations, medications, procedures and more. As more practices join Apple Health Records, patients will have the ability to organize and access health information, across many providers, in one convenient location. Aggregating health data helps patients effectively manage their health and may support better reporting of health history, thereby improving continuity of care.

“Being able to retrieve health data from your iPhone has many conveniences and is especially helpful for patients who come to us for urgent care needs and wish to share test results or a diagnosis with their primary care physician,” said Khare. “It is also great for college students who turn to us for health needs during the school year, but may see another provider in their hometown during the summer months.”

Innovative Express Care offers walk-in urgent care, primary care and telemedicine appointments. For more information on services provided, please visit https://innovativeexpresscare.com.

Physical Exams: A Healthy Start to the School Year

Come get your back-to-school physical and sports physicals done! Now only $50 per child.

Make an Appointment Today

 


Physical Exams: A Healthy Start to the School Year, Innovative Express Care

The first day of school may be weeks away, but it’s never too early to start thinking about getting your child in the right mental and physical condition for learning. And while your child may seem particularly healthy after a summer of running around and playing in the sun, a physical can be a great opportunity to identify any undetected problems and make sure that their development is on track.

Many parents assume that a “back to school” physical is only necessary for kids with chronic health problems, but this couldn’t be further from the truth. A doctor’s office is a safe place to discuss issues like bullying, drinking, smoking, drugs, sexual activity, and depression – any and all of which can greatly affect a child’s health. It’s important to have these more in-depth check-ins than the usual sports physical.

What does a routine physical involve?

The standard physical exam involves an assessment of hearing, eyesight, throat, lung, and abdomen health. For older children and teenagers, it will also usually include a personal discussion on social issues and any potential anxieties or stressors, particularly bullying and sexual activity.

You may be asked how long your child spends watching TV at home, what their diet consists of, and whether they partake in regular exercise. It is imperative that you answer these questions honestly. For kids 14 and up, the doctor will often ask the parents to leave the room so that the patient can feel comfortable giving candid answers to personal questions.

How should we prepare for the appointment?

There is no real preparation needed for a routine “back to school” physical besides making sure that your child is clean and dressed appropriately for an appointment with the doctor. For example, wearing a loose shirt and simple, easy-to-remove shoes is important because these garments will likely have to be taken off for physical measurements and checks.

In regards to older children and teenagers, please think about and get comfortable with the idea of the doctor asking you to step out of the room during a personal discussion. It can be difficult knowing that you are missing out on information about your child, but if it means that they are more likely to open up, you are advised to cooperate for the emotional health of your teenager.

Go Cubs, Go! Catch Dr. Khare, Catch!

 

Dr. Khare & The Cubs

Looks like Javy Baez isn’t the only one who has been slinging the leather this season…our own Dr. Khare managed to do the same at the Cubs’ pennant clinching game over at Wrigley field this past Saturday. Along with his son Dylan, he was able to snag the Contreras home run ball via a toss from Toles. Being such a good sport, Dylan and Rahul decided to give the ball back to Willson Contreras (in exchange for some great tickets to the World Series).

You can read the whole story from DNAInfo Chicago and Ariel Cheung.

Congrats guys and GO CUBS!

Leafly: Treating Medical Marijuana Patients in Illinois: One Doctor’s Perspective

MMJ in Illinois

Medical Marijuana in Illinois

Illinois’ medical marijuana pilot program is finally off the ground, with 25 dispensaries now operating in the state. Since the program’s November debut, medical marijuana in Illinois has recorded more than $1 million in sales. Some are worried, though, that the program could be in trouble before it’s had a chance to succeed due to low patient enrollment.

Our own Dr. Khare was recently able to sit down with Lisa Rough from Leafly, “The World’s Cannabis Resource” which connects patients with dispensaries and doctors to share his thoughts on the Medical Cannabis Pilot Program here in Illinois. He offers a variety of opinions and insights and we definitely think it’s worth the read!

Click below to read the full article.

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Image Source: Purple Diesel

Tips To Help You Shop For Safer Toys This Holiday Season

safer toysWith the holiday season just around the corner, stores will soon be stocking their shelves with eye-catching toys and rolling out deals to draw families from one store to another.

Among all the hustle and bustle of pre-holiday rush, many parents will not (understandably) have the time or focus to read the warning labels on the toys they purchase. This can be a dangerous oversight.

In order to prevent accidents at home, we have outlined three major tips for choosing safe, age-appropriate toys this holiday season.

 

1) Read the age guidelines.

Every toy manufacturer includes guidelines that identify which age group can safely use the toy in question. Make sure to check these guidelines every time. It only takes a second, and buying the right toys for the right ages will allow the child to play safely and you to have peace of mind.

 

2) Watch out for small parts.

It is developmentally appropriate for small children to put things in their mouth – it’s simply how they experience the world. Knowing this, it is your job as a parent, caretaker, and/or loved one to prevent playtime choking hazards. But how do you know which toys are safe for a young child and which are not?

Here’s an easy test: any toy that is able to fit through a toilet paper tube is too small for any child under 3 years old. And inspect each toy carefully before handing it over — toys that seem innocuous in the packaging and easily pass the toilet paper tube test may have parts that break off and become hazardous. For example, dolls and teddy bears often have easily removable buttons or eyes. This can lead to a swallowed part at best or a choking incident at worst.

 

3) Avoid toys with button batteries.

Steer clear of any toy with a button battery that can be easily accessed by a child. Button batteries are the squat single-cell batteries used to power toys, watches, and hearing aids (among other items); their small, round shape and poisonous contents pose a big risk for young kids. Toy cars, light-up jewelry, and remotes are common culprits, so make sure to check that each and every battery-powered toy you buy (or household item within reach) is child-proof.