Part of my job is teaching medical students about addiction and recovery, something I enjoy. Like others, I encourage future doctors to attend mutual aid meetings as part of their education. A couple of studies with this theme recently caught my eye. In the first, 138 medical students attended an AA meeting and then wrote … Continue reading Medical Students and AA
Pat Deegan reflects on her own experience an shares about the need for hope in recovery: He said, I should retire from life and avoid stress. I have come to call my psychiatrist's pronouncement a "prognosis of doom". He was condemning me to a life of handicaptivity wherein I was expected to take high dose … Continue reading Hope and Recovery
This will be my post in response to the NY Times' series on Suboxone. This post originally ran on 7/19/13 and addressed a lot of our concerns. * * * I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to … Continue reading What makes treatment effective?
Nearly one-third of U.S. veterans who are given psychiatric medications by their doctors do not have a diagnosed mental health problem Many vets given psychiatric drugs without diagnosis | Reuters Related articles Many Vets Given Psychiatric Drugs without Diagnosis (nlm.nih.gov) 30% of Vets Given Psych Drugs Have no Diagnosis (madinamerica.com) When "Psychiatric Survivors" Think They … Continue reading Sentences to ponder
I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to them as opioid replacement therapy, or ORT, for the rest of this post. One commenter who blogs for an ORT provider challenged my arguments that we should offer everyone the same kind … Continue reading What makes treatment effective?
Mark Kleiman, the Washington state pot czar, explains his use of "scare quotes" when writing about medical marijuana: Yes, cannabis has medical value for some people. And yes, the sustained effort of the federal government to make medical cannabis research as difficult as possible is a national disgrace. And then, on the other … Continue reading Why “medical” marijuana gets little respect here
Crain's Detroit has an article on the state's medical marijuana business from the grow side to the physicians. The article says that there have been 344,000 patient applications in the state since 2009 and that doctors often charge around $150 to certify patients, that's $51,600,000 in revenue for the docs. Here's a little from the … Continue reading Michigan’s medical marijuana business
This has gotten a lot of press. There's naloxone distribution doubt this will reduce overdose deaths. However, some pretty important questions remain: What happens after the overdose? What services/interventions might have prevented the overdose in the first place? The article references placing defibrillators in public places. What happens after someone is saved by one of those defibrillators? … Continue reading Dead addicts don’t recover, but…
I blogged before about the availability of opiates for pain management and the need to try to limit their diversion. While others have complained about draconian limitations on the prescribing of opiates and being too afraid to treat pain, I pointed out the explosion in opiate prescriptions and overdoses. It's a complex problem that demands a solution that balances the … Continue reading Balancing pain management and public health
Unreal. Someone's got an awful lot of faith in their diagnostic skills. Diagnosing ADHD with addicts in a detox unit? Really? And, now that it's published, it's "evidence". Rates of undiagnosed attention deficit hyperactivity disorder in London drug and alcohol detoxification units Background ADHD is a common childhood onset mental health disorder that persists into … Continue reading Diagnosing ADHD in detox?