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المحتوى المقدم من The Curbsiders Addiction Medicine Podcast. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة The Curbsiders Addiction Medicine Podcast أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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S1 Ep9: #9 A Joint Conversation: Cannabis Use Disorder with Dr Deepika Slawek
Manage episode 339716497 series 3364610
المحتوى المقدم من The Curbsiders Addiction Medicine Podcast. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة The Curbsiders Addiction Medicine Podcast أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Partner with your patients to address cannabis use disorder. Learn how to talk through someone's motivations for cannabis use, treat cannabis withdrawal, address cannabis use disorder, and the eternal importance of harm reduction in cannabis use. Dr. Deepika Slawek @DeepikaSlawekMD (Einstein Medicine Bio) joins us on this can't miss episode!
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Manage episode 339716497 series 3364610
المحتوى المقدم من The Curbsiders Addiction Medicine Podcast. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة The Curbsiders Addiction Medicine Podcast أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Partner with your patients to address cannabis use disorder. Learn how to talk through someone's motivations for cannabis use, treat cannabis withdrawal, address cannabis use disorder, and the eternal importance of harm reduction in cannabis use. Dr. Deepika Slawek @DeepikaSlawekMD (Einstein Medicine Bio) joins us on this can't miss episode!
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1 S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan 1:06:45
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Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling ( UCSF ) and Maya Vijayaraghavan ( UCSF ). 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. We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Credits Producer/Writer: Era Kryzhanovskaya, MD Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD CME: Era Kryzhanovskaya, MD Infographic and Cover Art: Zina Huxley-Reicher, MD Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD Reviewer: Kento Sonoda, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD Show Segments 00:11 Intro, disclaimer 02:22 Guest bios 04:28 Guest one-liners 10:28 Case from Kashlak 11:55 Vape info and definitions 14:32 How to discuss vaping with patients 17:53 FDA authority over vapes 20:37 Development of nicotine (via vaping) use disorder 23:29 Questions to ask about use disorder 30:53 E-cigarettes for tobacco cessation 35:39 Exploring ways to quit smoking (+/- vapes) 39:53 Screening for vaping use disorder; research measures 43:10 Resources for e-cigarette cessation 45:33 Medication approaches 48:25 Behavioral supports for e-cigarette cessation 1:00:31 Take Home Points 1:05:08 Outro…

1 S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu 1:02:27
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From Recreational Use to Possible Therapeutic Interventions Learn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu ( Johns Hopkins Center for Psychedelic and Consciousness Research ) We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! 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! Show Segments Intro, disclaimer, guest bio Case from Kashlak; Definitions of hallucinogens and psychedelics Examples of hallucinogens and mechanisms of action Dosing strategies Risks of Use Psychedelic Assisted Therapy Outro Credits Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD Hosts: Shawn Cohen, MD and Kat Mullins, MD Reviewer: Kento Sonoda, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Albert Garcia-Romeu, PhD…

1 S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer 1:06:12
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Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque ( Yale School of Medicine ). We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! 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! Show Segments Intro, disclaimer, guest bio 0:00 Guest one-liner 3:10 Case from Kashlak 6:30 Epidemiology of alcohol-associated liver disease (ALD) 7:40 How does alcohol affect the liver? 11:11 Spectrum of ALD 13:10 Risk factors for ALD 16:13 Evaluating for ALD 19:35 When to refer to hepatology 33:08 Medications for AUD in patients with ALD 37:00 Monitoring liver tests for naltrexone 44:27 Optimizing treatment for patients who continue drinking 47:18 ALD and liver transplantation 50:45 Post-transplant care 1:00:15 Take-home points 1:02:30 Outro 1:04:56 Credits Writer and Producer: Kenneth Morford, MD Show Notes: Kenneth Morford, MD Infographic and Cover Art: Natalie Stahl, MD, MPH Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD Reviewer: Sarah Leyde, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Lamia Haque, MD, MPH…

1 S2 Ep16: #27- Recap: ACAAM Lightning Round 59:14
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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! We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! 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…

1 S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP 1:01:27
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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 Homeles s). We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! 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…

1 S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank 1:05:41
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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 We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM) ! 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…

1 S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer 54:35
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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…

1 S2 Ep12: #23 Opioid Overdose Treatment and Prevention with Dr. Alex Walley 1:00:27
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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…

1 S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD 51:59
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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…

1 S2 Ep10: #21 Racism and Inequities in Addiction Medicine with Dr. Myra Mathis 46:08
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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…

1 S2 Ep9: #20 Extending Knowledge of LAI Buprenorphine with Dr. Ken Lee 50:21
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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…

1 S2 Ep8: #19 Return to Use Prevention Counseling with Dr. Eve Lasswell, PsyD 54:39
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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…

1 S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand 1:02:37
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Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives, and how to counsel a patient prior to ordering the test. We’re joined by Dr. Timothy Weigand @TwToxMD ( University of Rochester Medical Cente r). 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: Natalie Stahl, MD, MPH Show Notes, Cover Art, Infographic: Carolyn Chan, MD, MHS Hosts: Carolyn Chan, MD, MHS, and Natalie Stahl MD, MPH Reviewer: Kento Sonoda, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Dr. Timothy Wiegand Show Segments Intro, disclaimer, guest bio 00:00 Guest one-liner: 05:17 Case from Kashlak: 09:42 Types of Urine Drug Testing (UDT): 10:37 Detection Window 22:07 Interpreting Opiates and Opioids UDT 25:26 Resources to Interpret UDT 39:20 False Positives 43:29 Discussing Results with a Patient 45:52 Interpreting UDT - Buprenorphine 48:47 Specimen Validity Testing 50:22 Saliva Testing 54:56 Outro 1:01:28…

1 S2 Ep6: #17 Caring for People with Criminal Legal Involvement and SUDs with Dr. Lisa Puglisi 1:04:54
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Learn to take a trauma-informed criminal legal history, tailor your MOUD prescribing to meet the needs of patients impacted by the criminal legal system, and advocate for high-quality care in the carceral system and the community. We’re joined by Dr. Lisa Puglisi, @pugleesa ( Yale 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 | Swag! | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Credits Producer, writer, show notes, infographic, cover art: Shawn Cohen MD Hosts: Carolyn Chan, MD and Shawn Cohen MD Reviewer: Sarah Leyde MD Showrunner: Carolyn Chan, MD Technical Production: Podpaste Guest: Lisa Puglisi MD Show Segments Intro, disclaimer, guest bio 0-3:50 Learning points 3:50-4:40 Case from Kashlak 4:40-5:51 Mass incarceration as context 5:51-7:45 Taking a criminal legal history 7:45-16:27 Addressing law enforcement in the hospital 16:27-18:00 Health risks of incarceration 18:00-24:39 Opioid Use Disorder and the criminal legal system 24:39-36:00 Documentation 36:00-39:53 Parole, probation, and advocacy 39:53-43:10 Transitioning home 43:10-46:42 Addressing law enforcement in the hospital part 2 46:42-49:45 MOUD when leaving the hospital 49:45-57:28 Take homes 57:28-59:05 Plugs 59:05-1:01:15 Guest one-liner, Picks of the Week* 1:01:15-1:03:43 Outro 1:03:43-1:04:54…

1 S2 Ep5: #16 Distilling Inpatient Alcohol Withdrawal with Dr. Shawn Cohen 57:09
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Distill the management of inpatient alcohol withdrawal down to its core with Dr. Shawn Cohen ( @ShawnCohen_MD , Yale University ). This episode is full of practical pearls, and we discuss the ins and outs of managing alcohol withdrawal in the hospital setting. Learn how to triage patients in the hospital, which benzodiazepines to select, the pathophysiology of alcohol withdrawal, and phenobarbital for the management of alcohol withdrawal. 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 Producer, writer, show notes, cover art, and infographic: Zina Huxley-Reicher, MD Hosts: Carolyn Chan, MD and Zina Huxley-Reicher, MD Reviewer: Payel Jhoom Roy, MD, MSc Showrunner: Carolyn Chan, MD Technical Production: Podpaste Guest: Dr. Shawn Cohen Show Segments Intro 0:00 Guest bio - 3:17 Case 1- 5:20 Alcohol withdrawal pathophysiology - 6:10 Kindling effect - 9:05 Diagnosing alcohol withdrawal and clinical withdrawal scales - 10:12 Severe alcohol withdrawal definition - 15:26 Triaging a patient - 16:50 Medication management for alcohol withdrawal syndrome- 19:37 Decisions between benzodiazepines and phenobarbital and formulation - 23:47 Choices of benzodiazepines in hepatic impairment - 26:30 Symptom triggered vs. fixed protocol - 28:10 Benzodiazepine resistant alcohol withdrawal - 33:33 Timeline of alcohol withdrawal syndrome symptoms - 42:38 ICU management of alcohol withdrawal - 46:27 Discharge planning and management of alcohol use disorder - 48:50 Take home points - 51:45 Lightning round- 53:43 Outro - 56:01…
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