Episodios

  • S2 Ep16: #27- Recap: ACAAM Lightning Round

    S2 Ep16: #27- Recap: ACAAM Lightning Round
    Aug 1 2024
    Spark your learning

    We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more!

    Claim CME for this episode at curbsiders.vcuhealth.org!
    Listening to this episode and completing CME, 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, Show Notes, Infographics: Carolyn Chan
    • Hosts: Carolyn Chan, MD. MHS, Shawn Cohen, MD, Kenneth Morford, MD, Natalie Stahl, MD MPHS
    • Reviewer: Sarah Leyde, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste

    Show Segments

    • 00:00 Intro, disclaimer
    • 03:00 Picks of the week
    • 07:00 Buprenorphine and hepatitis
    • 16:30 Ketamine for withdrawal
    • 24:00 Hepatitis B
    • 28:20 Tianeptine
    • 35:30 Hepatitis C treatment
    • 39:00 PETH
    • 47:40 Unintended phenobarbital consequences
    • 53:40 TBI and overdose risk
    • 58:00 Outro
    Más Menos
    59 m
  • S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP

    S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP
    Jul 25 2024
    Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).


    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

    • Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD
    • Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD
    • Reviewer: Payel Jhoom Roy, MD, MSc
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guests: Raagini Jawa, MD MPH and Tehya Johnson, NP

    Show Segments

    • Intro, disclaimer, guest bios - 01:42
    • Guest one-liners - 03:22
    • Case from Kashlak - 7:56
    • Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38
    • Xylazine test strips and other harm reduction strategies - 15:48
    • Natural history of xylazine wounds - 19:15
    • Creating a welcoming wound care environment - 21:05
    • Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18
    • Steps for wound care - 33:27
    • Frequency of wound care - 46:16
    • Pain control in the setting of dressing changes - 51:01
    • Route switching, harm reduction around injecting at the site of the wound - 52:20
    • When to refer to other wound care specialists/plastic surgery - 55:00
    • Take home points - 57:05
    • Outro - 1:00:17
    Más Menos
    1 h y 1 m
  • S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank

    S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank
    Jul 17 2024
    OTP yea you know me

    Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave

    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!

    Show Segments

    • Intro, disclaimer, guest bio
    • 5:00 Guest one-liner
    • 10:25 Case from Kashlak; Definitions
    • 11:19 Methadone pharmacology and evidence
    • 17:08 What an OTP feels like
    • 20:25 OTP intake
    • 24:45 Talking through methadone with a patient
    • 28:15 Personal impact of methadone
    • 30:20 Requirements at an OTP
    • 33:43 What your patient needs to access an OTP
    • 37:25 The line
    • 39:06 Dosing/Take homes
    • 44:48 Loss of take homes
    • 48:39 How to interact with an OTP as a PCP
    • 52:50 Methadone at STRs
    • 57:03 How to clinicians use their voice to improve things
    • 1:00:45 Take home points
    • 1:03:00 Plugs
    • 1:04:24 Outro
    Credits

    • Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD
    • Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
    • Reviewer: Payel Jhoom Roy MD, MSc
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Ruth Potee MD, David Frank PhD
    Más Menos
    1 h y 6 m
  • S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer

    S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer
    Oct 17 2023
    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
    Más Menos
    55 m
  • S2 Ep12: #23 Opioid Overdose Treatment and Prevention with Dr. Alex Walley

    S2 Ep12: #23 Opioid Overdose Treatment and Prevention with Dr. Alex Walley
    Sep 21 2023
    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
    Más Menos
    1 h
  • S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD

    S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD
    Sep 14 2023
    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
    Más Menos
    52 m
  • S2 Ep10: #21 Racism and Inequities in Addiction Medicine with Dr. Myra Mathis

    S2 Ep10: #21 Racism and Inequities in Addiction Medicine with Dr. Myra Mathis
    Sep 7 2023
    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
    Más Menos
    46 m
  • S2 Ep9: #20 Extending Knowledge of LAI Buprenorphine with Dr. Ken Lee

    S2 Ep9: #20 Extending Knowledge of LAI Buprenorphine with Dr. Ken Lee
    Aug 31 2023
    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
    Más Menos
    50 m