Kratom piles up liver injuries; clinicians brace for DACA decision

Kratom: Botanical with opiate-like effects increasingly blamed for liver injury By Will Pass   Kratom-associated liver damage involves a mixed pattern of hepatocellular and cholestatic injury.   You can take the MDedge Podcasts survey by clicking here.   DACA lands before Supreme Court Physician organizations argue that access to health care would be demeaned if DACA-affected doctors and trainees were forced to leave the U.S.   Reappraise standard treatment of comorbid insomnia/depression Should you focus on treating the depression before tackling the insomnia?   Fentanyl-related deaths show strong regional pattern Overdose death rates for cocaine, heroin, and fentanyl are high in the East and low in the West.   Even low-dose steroids increase DMARD infection risk Concomitant use of low-dose steroids increases the risk of serious infections with antirheumatic drugs.   You can contact the MDedge Daily Medical News by emailing us at [email protected] or following us on Twitter at @MDedgeTweets.