buprenorphine or methadone associated with reductions in overdose *

Here's the conclusion of an interesting new paper: Treatment with buprenorphine or methadone was associated with reductions in overdose and serious opioid-related acute care use compared with other treatments. Strategies to address the underuse of MOUD are needed. Seems pretty straightforward, right? Buprenorphine and methadone protect patients from OD. But, I added an asterisk. Why? … Continue reading buprenorphine or methadone associated with reductions in overdose *

Recovery Celebrities?

Bill White has a great post on anonymity and advocacy. He examines the changing cultural context for anonymity and the different functions of anonymity. On anonymity as a spiritual principle: When AA literature speaks of anonymity as a “spiritual principle,” it does so out of a profound understanding of the importance of self-transcendence as the […]

One more thought on addiction as a terminal illness

Yesterday's post included some discussion of a NEJM piece on treating addiction as a terminal illness. The article prevented the very sad case of a woman with a long history of addiction, multiple treatment episodes, and a current case of endocarditis. The patient declined surgery and opted for hospice. The author presented this as a … Continue reading One more thought on addiction as a terminal illness

A poverty of ideas from experts

I spotted this article about what's missing from Philadelphia's approach to the opioid crisis. A few things leap out at me: 0 = number of times the word "recover" or "recovery" appear.The only treatments specifically mentioned were agonist medications, and the only treatment providers mentioned were primary care physicians, emergency departments, and methadone programs. The … Continue reading A poverty of ideas from experts

“People need the support of the recovery community AND the purpose of a job”

Thank goodness for Rob and Diane Perez. https://www.youtube.com/watch?v=YSf9cDXpVTY DV8 Kitchen was developed and operates as a second chance employment opportunity for people who are trying to redirect their lives. It's one thing to initiate recovery. A good treatment program can be pretty helpful with that, and a lot of people are able to do it … Continue reading “People need the support of the recovery community AND the purpose of a job”

Vaping and Gaslighting

The Washington Post recently published an editorial expressing concern about vaping. The original promise of vaping, that it could help adults ease off combustible tobacco, is being eclipsed by the damage being inflicted on young people. The status quo is unacceptable.Nicotine, highly addictive, has a deleterious effect on young people’s developing brains — exposure can reduce attention, … Continue reading Vaping and Gaslighting