opioidaddiction

I am thrilled to continue our podcast series on addiction, designed to meet the one-time, 8-hour training requirement introduced by the Consolidated Appropriations Act of 2023. This mandate applies to all practitioners registered with the Drug Enforcement Administration (DEA), and our series primarily focuses on the treatment and management of patients with substance use disorders.

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This week’s episode is on opioid use disorder and is the second in our series on addiction. We are once again joined by Dr. Michael Cummings.  Dr. Puder and Dr. Cummings discuss the history of opioids, the neurobiology of addiction, risk factors for opioid use disorder, and treatment options.

 

Link to blog here.

Kurt Metzger is a stand-up comic, writer, and host of the "Can't Get Right with Kurt Metzger" podcast.

www.kurtmetzgercomedy.com

Today I share one man’s journey into the depths of opioid addiction despair -- what happened, what it was like, and how he ultimately found a way out. His name is Dan Peres -- and it’s quite the story. Hardly a born media insider, Dan was an awkward, magic-obsessed adolescent. But his gift for the written word and shrewd eye for culture catapulted him to premature heights in the fast-paced world of glossy magazine publishing. At 24, he was covering catwalks in Paris as the European editor for W magazine. A few short years later he landed the coveted editor gig at Details magazine, the arbiter of all things cool and zeitgeist -- a post he held for 15 years. Along the way Dan nurtured a secret, seeking refuge in opioids to a salve profound imposter syndrome as he navigated the high-voltage netherworld of fashion designers, celebrities and media moguls. Like so many, it’s a relationship that began with a back injury and a prescription. A love affair that escalated to 60 pills a day, betrayal soon followed. A best friend that turned dark. And an addiction that took him places he never thought he would go, produced more instances of incomprehensible demoralization than he cares to remember, and eroded the moral fabric of his life. By a power greater than himself, Dan found a way out. Now 12 years sober, he recollects the vivid details of his experience in As Needed For A Pain -- a harrowing and at times humorous coming-of-age tale that offers a rare glimpse into New York media’s past (a time when print magazines mattered), dissects a life teetering on the edge of destruction, and chronicles what it took to pull back from the brink of an addiction that very nearly killed him. Today Dan shares his powerful tale from depravity to salvation. Even if the opioid epidemic hasn’t affected you directly, chances are someone in your life suffers. May this conversation open your eyes. Help you better understand the cunning, baffling and powerful nature of this disease. And provide hope to those that currently suffer -- because there is a solution. The visually inclined can watch it all go down on YouTube. And as always, the audio version streams wild and free on Apple Podcasts and Spotify. If you need help, seek out an A.A. meeting in your area here. Or call the Substance Abuse And Mental Health Services national helpline at 1-800-662-HELP. Thanks to my friends Amy Dresner (RRP #341) and Jeff Gordinier (RRP #453) for introducing me to Dan. And thank you to Dan for being so open and vulnerable. This conversation is a doozie. I'm better for having it. May it impact you similarly. Peace + Plants, Rich

The HOP gang interview Dr. Ryan Marino, an emergency room physician and toxicologist to learn more about the opioid crisis, the hype and hysteria around Fentanyl, and why naked pull-ups may be dangerous.Send your questions and comments to hopquestions@gmail.com, or leave a voicemail at 408-444-6623.

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America’s got an opioid problem. So where do we go from here? What can actually help people struggling with opioid addiction? We speak to Dr. Anna Lembke, Dr. Marvin Seppala, and a patient we call Mischa. UPDATE 04/17: We’ve adjusted a couple of lines of script in this episode to clarify the role of religion in Alcoholics Anonymous and Narcotics Anonymous. A previous version of this episode incorrectly implied that the 12 step philosophy considers addiction a sin and a “defect of character”. If you or someone you love is struggling with an opioid addiction, in the US you can call the Substance Abuse and Mental Health Services Administration's National Helpline: 1-800-662-HELP or visit their website. Check out our full transcript: http://bit.ly/2LB4kEo To find a list of our sponsors and show-related promo codes, go to gimlet.media/OurAdvertisers This episode has been produced by Rose Rimler with help from Wendy Zukerman, along with Shruti Ravindran and Romilla Karnick. Our senior producer is Kaitlyn Sawrey. We’re edited by Blythe Terrell. Additional editing help from Lulu Miller. Fact checking by Michelle Harris. Mix and sound design by Emma Munger. Music written by Bobby Lord. Recording help from Marissa Shieh and Julia Smith. For this episode we also spoke to Dr. Hilary Connery, Dr. Ben Davies, Prof. Linda Gowing, Dr. Laura Payne, Prof. Suzanne Nielsen, Prof. Tom McLellan, and Prof. Wayne Hall. Thank you so much for your help. And special thanks to the Rimler family, Devon Taylor, Sarah McVeigh Joseph Lavelle Wilson, and to everyone who spoke with us about their personal experiences with addiction and treatment. Selected readings: The White House report on combating drug addiction This study that followed about 150 people in NA This review on buprenorphine and other medicationsThis review on risk of death This survey that asked doctors what stopped them from prescribing buprenorphine Learn more about your ad choices. Visit podcastchoices.com/adchoices