From the Editor: The Shadow Curriculum of U.S. Medical Schools

BY MALACHI G. SHEAHAN III, MD MEDICAL EDITOR, VASCULAR SPECIALIST

Spend a morning in my clinic and it becomes clear that many U.S. medical schools have no formal training in vascular disease. Certainly the symptoms of PAD are never taught; otherwise, why am I being referred so many patients with spinal stenosis? Some days I would have more use for an MRI than for my vascular lab. Then again, reviewing the aftermath of patients “treated” by other specialties, maybe some are better off going undiagnosed.

From the Editor: OPIOIDS AND US: Designed to Fail

BY MALACHI SHEAHAN III, MD DEPUTY MEDICAL EDITOR, VASCULAR SPECIALIST

AIDS, the Vietnam War, whatever your preferred scale for measuring horrific events, the numbers from the opioid crisis are as grave or worse. And, once again, it is the young who are dying. How we got to this point is an unbelievable story of corporate greed, government incompetence, regulatory commission overreach, and, unfortunately, physician ignorance.