Episodes

  • 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
    Show More Show Less
    55 mins
  • 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
    Show More Show Less
    1 hr
  • 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
    Show More Show Less
    52 mins
  • 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
    Show More Show Less
    46 mins
  • 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
    Show More Show Less
    50 mins
  • S2 Ep8: #19 Return to Use Prevention Counseling with Dr. Eve Lasswell, PsyD

    S2 Ep8: #19 Return to Use Prevention Counseling with Dr. Eve Lasswell, PsyD
    Aug 24 2023
    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
    Show More Show Less
    55 mins
  • S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand

    S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand
    Aug 17 2023
    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 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.

    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
    Show More Show Less
    1 hr and 3 mins
  • S2 Ep6: #17 Caring for People with Criminal Legal Involvement and SUDs with Dr. Lisa Puglisi

    S2 Ep6: #17 Caring for People with Criminal Legal Involvement and SUDs with Dr. Lisa Puglisi
    Aug 10 2023
    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
    Show More Show Less
    1 hr and 5 mins