Medical Notes 19-05

Medical Notes this week…

Cancer deaths are continuing to decline. In fact, a report from the American Cancer Society trumpets a major milestone—cancer death rates have dropped every year for the last 25 years. Overall, they’ve dropped 27 percent since 1991… but some cancers are even more striking. For example, lung cancer death rates are down by 48 percent among men. Breast cancer death rates are down by 40 percent, and prostate cancer death rates have dropped by 51 percent.

Parents of teenagers are remarkably pessimistic that schools are keeping their kids safe. A study in the Journal of Community Health shows that 36 percent of parents believe their local high school is “highly likely” to have a shooter incident in the next three years. The study finds that the majority of parents are dissatisfied with the systems schools have in place to counteract gun violence.

Two drugs commonly prescribed for type two diabetes may significantly raise the risk for heart attacks. The drugs, sulfonylureas (sul-fon-eye-loor-ee-ahs) and basal insulin, are often prescribed when metformin doesn’t work. But a study in the journal JAMA Network Open shows that patients who take basil insulin are twice as likely to experience cardiovascular harm, and those taking sulfonylureas are 36 percent more likely to be harmed than patients taking newer second-line drugs. Experts say the results should prompt large scale changes in how type two diabetes is treated.

And finally… more than half of people who take medical marijuana for chronic pain admit they’ve driven while under the influence… and one in five users say they’ve driven while they were “very high” in the last six months. The study in the journal Drug and Alcohol Dependence surveyed medical marijuana users in Michigan… where recreational marijuana is also legal. Researchers say they’re troubled that users don’t think there’s much risk to driving under the influence of pot… but they admit they’re not sure how marijuana affects driving for people who use it every day.

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18-10 Segment 1: Overdoing School Lockdown Drills

Copyright: tomwang / 123RF Stock Photo


Due to the spike in school shootings over the last few years, people are becoming more concerned with the safety of students, teachers, and other individual’s on school campuses. Many schools have started taking cautionary measures by preparing students and teachers with the knowledge on how to remain safe in these incidents. In fact, more than 70% of schools conduct active shooter drills. However, there has not been a consensus on how to most effectively perform these drills, and some schools may be taking them a little too far.

In some cases, schools announce the drills, but sometimes they do not. Dr. David Schonfeld, Director of National Center for School Crisis and Bereavement at University of Southern California, explains that even if the drill is announced it can still be a stressful experience for students or teachers with traumatic past experiences. And, in realistic drills in which students and teachers are not aware, Dr. Schonfeld states that it can cause post-traumatic reaction, and even post-traumatic stress disorder. Active shooter education and drills are important for students and teachers to experience, but they must be taught at a speed that the students can handle and in a supportive environment.

How can schools be more effective in their execution of lockdown drills? Dr. Schonfeld discourages schools from using deception in their drills. He suggests that the most beneficial way to inform students and teachers is to begin with education courses on what to do in the event of a lockdown. Then, he believes that it is helpful to conduct a tabletop activity in which an adult talks about how they would deal with the situation, and help the students to make a plan, before eventually acting out the plan. Through these activities, students are able to acquire the knowledge they need to remain safe in these situations without having to endure a potentially traumatic experience.


  • Dr. David Schonfeld, Director of National Center for School Crisis and Bereavement at University of Southern California

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