The Curbsiders Addiction Medicine Podcast The Curbsiders Addiction Medicine Podcast

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

Credits





Producers: Shawn Cohen MD,  Kenneth Morford MD
Writer: Carolyn Chan MD MHS
Show Notes: Shawn Cohen MD
Infographic and Cover Art: Kenneth Morford MD
Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
Reviewer: Kento Sonoda MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Melissa Weimer DO MCR



Show Segments





Intro, disclaimer, guest bio 00:00
Guest one-liner 05:02
National Addiction Treatment Week  06:00
Case from Kashlak; Definitions 08:30
Starting methadone  11:01
Common methadone pitfalls 15:00
Buprenorphine precipitated opioid withdrawal  23:50
High-dose buprenorphine 32:20
Treating buprenorphine precipitated withdrawal 36:50
Low-dose buprenorphine 41:50
Maintenance dose of buprenorphine 48:15
ER buprenorphine 49:00
Take home points 53:31

Prevent opioid overdoses in your community! We discuss opioid overdose prevention and treatment so you can counsel patients who use substances on ways to decrease their risk of overdose. We discuss optimal ways to respond to hospital overdoses, ideal doses of naloxone, and how to monitor a patient experiencing an overdose clinically.  We’re joined by Dr. Alex Walley, MD MsC @AlexanderWalley (Boston University School of Medicine).

Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits





Producer: Natalie Stahl, MD, MPH
Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS
Hosts: Carolyn Chan, MD, MHS and Natalie Stahl, MD, MPH
Reviewer: Sarah Leyde, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: Podpaste
Guest: Dr. Alex Walley



Show Segments





Intro, disclaimer, guest bio: 00:00
Guest one-liner: 05:10
Case from Kashlak: 07:20
Overview of the Overdose Crisis: 08:13
Changes in Messaging for Fentanyl OD Prevention: 16:10
Naloxone formulations: 22:15
Dose and frequency of naloxone: 24:50
Counseling a patient on overdose response/prevention: 31:25
Good Samaritan Laws:  38:00
Responding to hospital overdoses: 40:45
OTC naloxone: 51:14
Take Home Points: 55:50
Outro: 59:19

Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot challenges patients may face.  We’re joined by Dr. Eleasa Sokolski, MD (Oregon Health and Sciences University) and Amelia Goff, MSN, FNP (Oregon Health and Sciences University).


Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

Credits





Producer: Era Kryzhanovskaya, MD
Show Notes, Infographic, Cover Art: Carolyn Chan, MD, MHS & Kenny Morford, MD
Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
Reviewer: Sarah Leyde, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Dr. Eleasa Sokolski, MD and Amelia Goff, MSN, FNP



Show Segments





Intro, disclaimer, guest bio:  0:55
Guest one-liner: 5:10
Case from Kashlak: 9:05
Buprenorphine and fentanyl:  10:20
Methods to start buprenorphine: 16:00
4-day low-dose buprenorphine protocol:  18:20
Buprenorphine formulations: 22:30
Counseling patients on low dose start: 26:10
Patient population considerations: 28:20
Troubleshooting;  30:15
Outpatient low dose starts:  36:55
Take Home Points:  45:14
Outro:  50:48

Gain insight into how racialized US drug policies, the War on Drugs, and media portrayals of substance use impact our patients in ongoing ways. Learn how you can take action and intentionally promote equity as a clinician! We’re joined by Dr Myra Mathis, @DrMyraMathis (University of Rochester Medical Center)

Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits





Producer, Writer, Show notes, Infographic, Cover Art: Katherine Mullins, MD
Hosts: Carolyn Chan, MD, MHS and Katherine Mullins, MD
Reviewer: Kento Sonoda, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Myra Mathis, MD



Show Segments





Intro 0:00 
Disclaimer 2:00  
Guest bio 3:30  
Episode Pearls 4:36  
Guest One-Liner and Intro 5:15 
Definitions (race and racism) 7:13  
The War on Drugs 9:09  
AntiDrug Abuse Act of 1986 11:47  
Fair Sentencing Act of 2010 14:10  
Policy in the Fentanyl Era 15:15  
Mass Incarceration + Downstream Effects 17:30  
Media Portrayals 19:24  
Current Treatment Landscape 23:29  
Disparities in Overdose Deaths 25:50  
The Parallel System of White Supremacy 26:41  
The Clinician’s Role: Advocacy on the Policy Level 27:40  
The Clinician’s Role: Advocacy on the Clinic Level 29:22  
Harm reduction 30:25 - 32:44

Learn about long-acting injectable (LAI) buprenorphine for the treatment of opioid use disorder with Dr. Ken Lee, an addiction medicine provider in Canada. We go over the basics of using LAI buprenorphine, tips and tricks for troubleshooting with patients as well as newer protocols that Dr. Lee and his colleagues use.  



Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | Swag! | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

Credits





 Show Notes, Cover Art, Infographics, Producer: Zina Huxley-Reicher, MD
Hosts: Carolyn Chan, MD, MHS and Zina Huxley-Reicher, MD
Reviewer: Payel Jhoom Roy, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Dr. Ken Lee



Show Segments





Intro, disclaimer, guest bio - 1:58
Guest one-liner - 4:15
Case from Kashlak; Definitions - 5:27
Injectable MOUD - 6:14
Plasma levels of buprenorphine - 7:14
Relative contraindications to LAI buprenorphine- 8:51
Tips for Patient Counseling - 12:28
Starting LAI buprenorphine - 16:01
Side effects of LAI bup - 25:45
Administering LAI bup - 29:06
Dosing Interval - 31:53
Other LAI considerations - 42:19
Take home points - 47:24
Outro - 49:18

Jumpstart your knowledge on how to counsel patients in primary care to help decrease their risk of returning to substance use! Learn how to help patients identify triggers, develop plans on how to navigate high-risk situations & so much more! We are joined by psychologist Dr. Eve Lasswell PsyD at the University of California San Diego!

Claim free CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

Credits





Producer: Era Kryzhanovskaya, MD
Show Notes, Infographics, Cover Art: Carolyn Chan, MD, MHS
Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
Reviewer: Kento Sonoda, MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Dr. Eve Lasswell, PsyD



Show Segments





Intro, disclaimer, guest bio 00:00
Guest one-liner  5:30
Case from Kashlak  8:25
Preparing for a visit 9:22
Pre - Planning At Risk Scenarios 17:25
Marlatt’s Framework 18:50
People, places, and things 22:55
Pearls and Pitfalls 27:30
Virtual Visits 31:50
Time Limited Visits 35:20
Mutual Support Groups  38:35
Sustained Remission 45:50
Substance Specific Tips 47:15
Take Home Points 49:20
Outro  53:30