POPULARITY
Cobra was our addiction. DSP is our Methadone.
A retrospective comparison of two state-funded smartphone-based contingency management programs with different incentives Drug and Alcohol Dependence This retrospective study compared outcomes for patients with stimulant use disorder enrolled in a smartphone-based contingency management program based on the amount of total incentives possible, either $75 (“low-value”) or $599 (“moderate-value”). The low-value program was based in New Jersey, funded through SAMHSA (which limited reimbursement to $75/patient at the time of implementation, which has since been increased), and rewarded completing drug testing, attending counseling visits, and completing CBT modules rather than abstinence over 16 weeks. The moderate-value program was funded by West Virginia's Medicaid managed care organizations, lasted up to 26 weeks, and largely rewarded negative drug screening results, with additional rewards for counseling and CBT modules. Patients in the moderate-value program submitted significantly higher rates of negative substance tests (36%, with an average of 3.2 negative tests) compared to those in the low-value group (24.7%, with an average of 24.8 negative tests). Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
Drew's story sounds less like a straight line and more like a lit fuse. Raised mostly in Utah, what started as early oxy use quickly escalated into heroin, methadone, benzos, and a life built around the chaos of selling drugs. But selling soon bled into something darker: robbing local heroin dealers at gunpoint, high-speed car chases, police raids, and eventually fleeing to California while living fully on the run.In California, the hustle only evolved. Pills moved online through Silk Road, bitcoin fortunes disappeared almost as fast as they came, ketamine entered the picture, and rapid detoxes became desperate attempts to outrun addiction without ever truly surrendering to recovery. Through all of it, Drew lived at full speed until a few serious injuries and and dark moments afterward finally forced him to confront what decades of chaos had cost him.Now sober since 2021, Drew has rebuilt his life from the ashes of addiction and violence. Today, he owns a men's mental health and substance use treatment center Sacred Journey, in San Diego and lives deeply rooted in a program of recovery. In this episode, Drew shares one of the wildest stories we've ever had on the podcast, but underneath the insanity is something even more powerful: proof that even the most self-destructive life can be rebuilt into one centered on purpose, service, and freedom.Connect with Sacred Journey Treatment Center on InstagramDM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
In this episode of the Medic2Medic Podcast, Steve sits down with Dr. Melody Glenn, a practicing physician who is triple board-certified in EMS, Addiction Medicine, and Emergency Medicine. Dr. Glenn serves as an Associate Professor at the University of Arizona, medical director for several rural fire departments along the U.S.–Mexico border, and Associate Program Director of an addiction medicine fellowship. Dr. Glenn is the author of Mother of Methadone, which highlights the groundbreaking work of Dr. Marie Nyswander and the history of methadone treatment.The conversation explores the intersection of EMS, emergency medicine, and substance use treatment, with a candid discussion about provider burnout, bias in healthcare, and the stigma that continues to surround addiction and those seeking treatment.Steve and Dr. Glenn also discuss her book. They examine how misinformation, fear, and policy failures have shaped the opioid crisis and what healthcare professionals can do differently moving forward. This episode is an honest and thoughtful look at compassion, accountability, and the role EMS can play in treating addiction as a medical condition.Subscribe to Medic2Medic wherever you get your podcasts and share this episode with someone who values honest conversations and better patient care.https://www.spreaker.com/episode/episode-326-dr-melody-glenn--71634995
Methadone Dose and Patient-Directed Discharge in Hospitalized Patients with Opioid Use Disorder JAMA Network This retrospective observational cohort study of 554 individuals examined rates of patient-directed discharge (PDD) among hospitalized patients with opioid use disorder who received methadone during the first 72 hours of hospitalization from July 2019 to June 2022. Higher doses of methadone were associated with a decreased rate of PDD. For each additional 10 mg of methadone received in the first 24 hours, there was a decrease in odds of PDD at 48 hours (adjusted OR 0.71). This study highlights the importance of adequate treatment of opioid withdrawal to reduce the risk of PDD. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
America Out Loud PULSE with Dr. Randall Bock – Percy Menzies challenges the dominance of methadone treatment, arguing that effective opioid antagonists like naltrexone were sidelined by institutional interests. He highlights missed opportunities in addiction care, advocating for patient autonomy, biological recovery, and a more flexible, evidence-based approach...
America Out Loud PULSE with Dr. Randall Bock – Percy Menzies challenges the dominance of methadone treatment, arguing that effective opioid antagonists like naltrexone were sidelined by institutional interests. He highlights missed opportunities in addiction care, advocating for patient autonomy, biological recovery, and a more flexible, evidence-based approach...
Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all of the episodes referenced in this episode. Please go back and give them all a listen. Segment 1- Recap and Facts 1st medical minute o April 29, 2016. Almost exactly 10 years ago. o Diverticulitis and Antibiotics by Dr. Chris Holmes 1000th Medical Minute o March 30, 2026 o Treatment of burns by Aaron Lessen o Edited by Ashley Lyons and published by Jorge Chalit Favorite sub-topics have included: o Cardiovascular topics- 150 episodes o Pharmacology- 97 episodes o Toxicology- 85 episodes o Neurology- 75 episodes The "Hunting for…" cinematic universe. -Michael Hunt o 399: Hunting for Pancreatitis o 424: Hunting for Measles o 432: Hunting for UTIs o 445: Hunting for the Endotracheal Tube o 455: Hunting for PeeCP o 460: Hunting for PE in Syncope o 487: Hunting for Epiglottitis Obsession with 1966- Chris Holmes o 120: The State of Sepsis in 1966 o 125: Old School CPR - 1966 o 138: Bromide Toxicity - 1966 o 147: GI Bleed - 1966 o 675: CHF like it's 1966 Favorite drug: naloxone/narcan (9) o 7: Heroin Overdose and OTC Narcan o 464: Narcan't? o 516: Narcan and Pulmonary Edema o 931: Naloxone in Cardiac Arrest Favorite disease state: Sepsis (13) o 22: Sepsis Sofa o 219: History of Sepsis o 244: Fever in Sepsis o 263: Early Antibiotics in Sepsis o 272: More on Temperature in Sepsis o 287: Sepsis Bundles o 544: C is for Sepsis Unhinged title combinations o 84: Hypothermia and Lightning Strike: Code Blue o 203: Wine, Milk and… Vaccines!? o 216: Roller Coasters and Kidney Stones o 299: Black Death, Lice, Math, and Pottery o 427: Cookie Dough is Delicious o 670: Operation Tat-Type o 695: Einstein and Cellophane o 777: Grass, weed and ancient Rome o 781: Foxglove, dropsy, and Salvador Dali o 959: The KLM Flight Disaster and Lessons in Healthcare Communication Most frequent contributors - Aaron Lessen- 192 - Don Stader- 84 - Jarod Scott- 83 - Peter Bakes- 53 - Samuel Killian- 45 - Dylan Luyten- 41 - Erik Verzemnieks- Dozens - Michael Hunt- 34 - Travis Barlock- 30 - Ricky Dhaliwal- 25 Top female voices o Rachael Duncan, PharmD o Rachel Beham, PharmD o Meghan Hurley o Gretchen Hinson o Suzanne Chilton o Katie Sprinkle Most listened to - 8. Podcast 835: Syncope Review - 7. Podcast 766: Truth about Tramadol - 6. Podcast 839: Causes of Pancreatitis - 5. Podcast 760: Why Fentanyl is the Worst - 4. Podcast 844: Dental Infections - 3. Podcast 846: Early Repolarization vs. Anterior STEMI - 2. Podcast 845: Hyperkalemic Cardiac Arrest - 1. Podcast 847: ECMO CPR Mini-game: who has actually seen our most rare diagnoses? o 18: Lemierre's Syndrome – Septic thrombophlebitis of the internal jugular vein after oropharyngeal infection leading to septic emboli. o 139: Locked-in Syndrome – Ventral pontine lesion causing quadriplegia and inability to speak with preserved consciousness and eye movements. o 144: Moyamoya Disease – Progressive stenosis of intracranial carotids with development of fragile collateral vessels causing strokes. o 221: Cotard Delusion (Walking Corpse Syndrome) – Psychiatric disorder where patients believe they are dead or do not exist. o 240: Pott's Puffy Tumor – Frontal bone osteomyelitis with subperiosteal abscess from sinusitis causing forehead swelling. o 277: Mucormycosis (Rhizopus) – Angioinvasive fungal infection in immunocompromised patients causing rapid tissue necrosis. o 293: Transient Global Amnesia – Sudden, transient loss of ability to form new memories that resolves within 24 hours. o 329: Hypokalemic Periodic Paralysis – Episodic muscle weakness due to intracellular potassium shifts. o 374: Iliac Artery Endofibrosis – Exercise-induced fibrosis of the iliac artery causing claudication in athletes. o 466: Subacute Sclerosing Panencephalitis (SSPE) – Progressive, fatal neurodegenerative disease from persistent measles infection. o 477: Postpolypectomy Electrocoagulation Syndrome – Transmural burn of the colon after polypectomy causing localized peritonitis without perforation. o 578: Brown-Séquard Syndrome – Hemisection of the spinal cord causing ipsilateral motor/proprioception loss and contralateral pain/temperature loss. o 697: Kounis Syndrome – Acute coronary syndrome triggered by allergic reaction causing coronary vasospasm or plaque rupture. o 973: Meningitis Retention Syndrome – Acute urinary retention due to sacral nerve dysfunction during meningitis. Segment 2- Individual Interviews Segment 3- Looking forward Segment 4- Trivia Podcast 38, what is significant about diphtheria and March 18th? o On March 18th, the Iditarod is run in Alaska to commemorate a sled dog team, led by Balto, that ran from Nome to Anchorage and back to provide children in Nome with the diphtheria anti-toxin serum. Podcast 52: Syphilis the Great Imitator. The study of Syphilis or "Syphilology" evolved into the field of what? o Dermatology Podcast 121: The Poor Man's Methadone. What is the poor man's methadone? o Imodium Podcast 136: James Lind, conducted the first clinical trial in 1747 and proved that what cure what? Hint: think vitamins. o Citrus fruits cure scurvy. Podcast #213: --- and Potatoes. What food has been shown to lower LDL? o Oats Podcast #216: Roller Coasters and Kidney Stones. A study used a model of a kidney and ureter with different sized stones and put it on ------ roller coaster in Disney World. o Thunder Mountain Podcast #261. ---- was introduced to treat ACE-inhibitor induced angioendema. but later, better-powered studies showed that it had no benefit compared to standard treatment. o Icatibant Podcast #304: ---. ---- was a formal medical diagnosis, and one that dates back to 17th century when soldiers had longing for home and melancholy with a constellation of symptoms including lethargy, sadness, disturbed sleep, heart palpitations, GI complaints, and/or skin findings for which the only cure was to return home. o Nostalgia Podcast # 351: Steakhouse Syndrome. What is steakhouse syndrome? o Impacted food bolus 2/2 esophageal stricture Podcast # 362: Giant Hogweed. What can Giant Hogweed cause. o Photosensitivity, severe blisters, and burns Podcast #398: Who is gonna fail your antibiotic plan? What vital sign abnormality at triage had the highest odds ratio for treatment failure for the treatment of cellulitis with antibiotics. o Tachypnea Podcast # 458: A Tylenol a Day Keeps the ---- Away? A recent study investigated the effect of scheduled IV acetaminophen on the incidence of ---- in post-CABG patients in the ICU o Delerium Podcast 554: Sleeping Away Alzheimer's. What is the difference between white noise and pink noise? o White noise is all the surrounding sound frequencies mixed together that your brain tunes down so you don't get distracted while you're sleeping o Pink noise, or deep soothing noises, is the accentuated bass sounds like falling rain or waves crashing your brain keys into while sleeping. o Pink noise during sleep has been shown to increase stage 4, creating more CSF washout of beta amyloid. Podcast 580: Origin of PPE. Why were rubber gloves invented? o The invention of surgical gloves are credited to surgeon William Halsted. He developed gloves because one of his assistants (and later wife), Carol Hampton, was having severe irritation due to a caustic pre-op disinfecting process. They developed the rubber glove for Hampton which garnered popularity, and by the early 20th century, half of surgeons were using rubber gloves. Podcast 587: Puppies Preventing Burnout? Puppies lower stress, what activity in that study increased stress? o Coloring, because they were denied a chance to play with a puppy Podcast 596: Weather Can be a Headache. What are the three weather events that can increase the frequency of headaches? o High temp o Low humidity o High air pollution Podcast 612: Origin of Vaccines. Guess both diseases. The potential of vaccinations was first observed in the late 1600s when Jenner observed people who had cowpox never contracted ----. Years later, Louis Pasteur inoculated chickens with ---- after his assistant accidently created the first live attenuated vaccine by creating a weakened bacteria when he left the bacteria out while he went on vacation o Smallpox, cholera Podcast 670: Operation Tat-Type. In 1951, Operation Tat-Type began tattooing adults with their ---- in an effort to prepare for ---- in the time of the Cold War and the Korean War o Blood type, rapid transfusions Podcast 695: Einstein and Cellophane. Albert Einstein had ----- as a middle-aged man. Dr. Rudolph Nissen, founder of the Nissen fundoplication, performed exploratory surgery for this pain and found a ---- - The only treatment for an AAA at that time was to----, causing a fibrotic response to prevent rupture - Einstein died 7 years after this surgery, likely from his leaking abdominal aortic aneurysm o chronic abdominal pain o AAA o wrap the vessel in cellophane Podcast 748: -----. Whale blubber, honey, home fermented foods, homemade wine (especially the wine made in prison), and improperly stored canned food can all contain the toxin o Botulism Podcast 777: Grass, Weed, and Ancient Rome. Wine and wormwood and white hellborn were used in ancient rome to treat ----. o Nausea, sea sickness Podcast 821: EKGs in Syncope. Travis suggests a mnemonic for remembering additional EKG findings to look for in syncope o WOBBLER § Wolff-Parkinson-White (WPW) § Obstructed AV node § Brugada syndrome § Bifascicular block § Left Ventricular Hypertrophy (LVH) § Epsilon waves § Repolarization abnormalities Podcast 890: Outdoor Cold Air for Croup A 2023 study, published in the Journal of Pediatrics, investigated whether a 30-minute exposure to outdoor cold air could improve mild to moderate croup symptoms before the onset of steroid effects. In what country was this study conducted. o Switzerland Podcast 925: Pediatric Tongue Entrapment. Case study of a peds patient with his/her tongue stuck in a drinking cap. What was the substance that finally set it free? o Table sugar Podcast 960: Frank's Sign - A Marker for Coronary Artery Disease. What is Frank's Sign? o Bilateral earlobe crease Thank you to all that make the EMM awesome! Hosted and editted by Jeffrey Olson MS4 | Additional editting by Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/ Join our mailing list: http://eepurl.com/c9ouHf
Bryan's story starts in New York, where skateboards, weed, and the raw energy of rebellion shaped his early identity. But what looked like typical teenage experimentation quickly became something others labeled as “a problem.” In the height of the 90s and early 2000s, Bryan was sent away to behavior-modification boarding programs meant to “fix” kids like him. Instead of changing him, those experiences carved in a deeper belief: something is wrong with me.That belief followed him straight into addiction.Oxy was the first opiate that hooked Bryan, and what came after was years of chasing a feeling he could never quite catch again. Methadone, Suboxone, cross-country moves between New York and San Diego, and eventually crack cocaine all became part of the cycle. There were moments that looked like escape, traveling through national parks, falling in love, even a trip to Italy, but the obsession to use never loosened its grip.After a suicide attempt brought him to his lowest point, Bryan found himself back where it all began: using again.But on April 1, 2022, something shifted.At a long-term medical treatment facility, Bryan finally found the space, structure, and willingness that allowed recovery to take root. Today, he's an active participant in a twelve-step program and living proof that even the longest detours can still lead you home.This episode is about mislabeling, survival, and what happens when someone finally stops trying to fix themselves and starts learning how to live.DM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
Three years on, Nadine Balmer returns to the Believe in People podcast, and her life looks very different.In this episode of Believe in People: Addiction, Recovery & Stigma, Nadine Balmer joins us to discuss long-term heroin recovery, ADHD, neurodiversity, identity, stigma, and rebuilding a life after addiction. Her first appearance became one of the most downloaded episodes of the series. This conversation shows what happened next.Now six years free from illicit substances following a 17-year heroin addiction, Nadine reflects on the reality of sustained recovery and what it takes to move beyond survival. She speaks openly about transitioning away from methadone, rebuilding trust with her family, and developing a strong sense of self, purpose, and direction.We explore how an ADHD diagnosis in recovery transformed her understanding of herself, and how neurodiversity and addiction intersect. Nadine explains why understanding the brain is critical, and how clarity, structure, and self-awareness have changed the way she lives her life.Three years ago, this was a story about survival. Today, it is a story about growth, identity, and evolution.This is what recovery can become.This episode offers practical insight for people in recovery, family members, frontline practitioners, and anyone interested in real stories of change.Search terms: addiction recovery podcast UK, heroin recovery story, ADHD and addiction, neurodiversity and addiction, long-term recovery, lived experience stories, peer support, trauma and recovery, substance misuse, Believe in People podcast.Click here to text our host, Matt, directly!
Rubicon - After years of addiction there was light at the end of the tunnel... Sharel Jones Narrates her story in the documentary "I Made It Out" Part 5
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices
A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition. Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day
Millions of people are addicted to opioid pain medication. Some use medication-based treatment for their addiction. But that has created a divide in the world of recovery. We listen to an excerpt from the latest Us & Them, exploring the difference between an early medication called methadone and suboxone, which is often used now. The post The Differences Between Methadone And Suboxone, This West Virginia Morning appeared first on West Virginia Public Broadcasting.
Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawWhen starting a Limited Liability Company (LLC) in Florida,an operating agreement is strongly recommended but not legallyrequired under the Florida Revised Limited Liability Company Act under Chapter605 of the 2025 Florida Statutes.What is an Operating Agreement?An operating agreement is a writtendocument that essentially serves as the LLC's Constitution, or governingdocument. An operating agreement prevents default statutory rules from applyingand helps avoid disputes. The operating agreement should align with theArticles of Organization and reflect the specific needs of the business.Before drafting an operating agreement, membersof an LLC should consider the purpose, membership structure, and managementstructure of the LLC. The purposes of an LLC may be broad for flexibility ornarrow for liability or conflict control concerns. The membership structureshould identify a single or multi-member structure and/or identify differentclasses of membership interests (for example: economic, voting rights, etc.).The management structure default for LLC's is member-managed, unless otherwisespecified. Some members may prefer manager-managed or board-managed structures,but can specify that distinction in the operating agreement.The Department of Justice defines methadone asa synthetic narcotic, dispensed in tablet, oral solution, or injectable liquidform. Methadone is legally used to treat narcotic addiction and relieve severepain, often in individuals who have cancer or terminal illnesses. A methadone clinic is a facility that providesmedication-assisted treatment (MAT) for individuals with opioid use disorders(OUDs), and the clinic specifically uses methadone as part of the treatmentplan.
Have you ever walked past someone sleeping rough, visibly unwell, clearly addicted to drugs, and written them off without a second thought? Today, I'm joined by Charlotte Seaman to explore one of most confronting addiction stories you will hear. From heroin and crack addiction to prison, psychosis, sex work, assault and homelessness, Charlotte's journey shows the brutal reality of severe drug addiction and the possibility of recovery when all hope feels lost. If you or someone you love is struggling with addiction, trauma, or relapse, this conversation may be the one that unlocks a door. Charlotte was born into a loving home, yet by the age of 11 she was already using drugs and being arrested. At 13, following a sexual assault, her life escalated rapidly into violence, incarceration, and heavy substance use. What followed was an 18-year descent through crack, heroin, injecting, snowballing, repeated prison sentences, homelessness, and eventually a full psychotic breakdown. This episode shows what it really looks like when drugs take everything.Together, Oliver and Charlotte explore the link between childhood trauma and self-medication, how addiction progresses when left untreated, and why mixing stimulants and depressants can become so compelling and so dangerous. Charlotte speaks openly about using heroin then methodone during pregnancy under medical supervision, smoking spice in prison, living on the streets, and the shame and guilt that followed her for years. This is an honest conversation about accountability, consequences, and forgiveness in recovery.Most importantly, this episode is about how Charlotte finally got clean and sober, the role recovery programmes played in saving her life, and what it means to rebuild after nearly two decades lost to addiction. Now over a year clean, Charlotte has become a recovery advocate with more than 100,000 followers online and has been recognised with a High Sheriff Award for turning her life around. Her story challenges stereotypes and offers hope to those who feel they have gone too far to ever come back.This is a difficult but deeply hopeful episode about responsibility and redemption without clichés. If you believe addiction is a moral failing, this conversation may change your mind. If you're struggling right now, it may remind you that recovery is possible — even after everything has fallen apart. Oliver is an ambassador for Alcohol Change UK, support here - https://tinyurl.com/5dt5773e Thank you to Gavin Sisters for sponsoring this episode! Visit -www.gavinsisters.co.uk use promo code SCHOOLOFROCKBOTTOM for 10% off! Podcasting is an expensive passion. To help me keep going, I'd really appreciate it if you could buy me a coffee, thank you! https://buymeacoffee.com/olivermason1Topics -0:00 Trailer & Intro 4:00 A rock bottom moment5:10 Alcohol and drugs from 117:45 Not feeling good enough 8:45 Charlotte goes off the rails 10:30 The aftermath of sexual assault 11:30 Charlotte goes to prison 12:35 Why did Charlotte commit assault and self-forgiveness?16:30 Smoking spice in prison18:00 Escalation to snowballs 20:00 Living on the streets 22:00 Using methadone during pregnancy 25:15 Methadone & Heroin withdrawal 28:30 Unmanageable & powerless 30:30 The internal snap33:00 Addiction leaves me vulnerable 34:00 Why sharing rock bottom moments saves lives!36:15 How Charlotte found recovery 39:00 Are you in recovery if you take Methadone?41:50 The 12 steps saved my life 43:00 Recovery is more powerful than addiction 44:15 Can ANYONE addicted to drugs make it back?!46:30 Abstince from EVERYTHING?!48:15 TikTok is Step 12?49:15 Charlotte wins The Sheriff Award51:45 An emotional but hopeful end Follow Charlotte Tiktok - https://www.tiktok.com/@charlottesrecoveringInstagram - https://www.instagram.com/charlotteseaman11Follow Oliverhttps://linktr.ee/olivermasonWatch/listen here YouTube - https://tinyurl.com/yb54peseApple - https://tinyurl.com/y3n2chk3
Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawThe Department of Justice defines methadone asa synthetic narcotic, dispensed in tablet, oral solution, or injectable liquidform. Methadone is legally used to treat narcotic addiction and relieve severepain, often in individuals who have cancer or terminal illnesses. A methadone clinic is a facility that providesmedication-assisted treatment (MAT) for individuals with opioid use disorders(OUDs), and the clinic specifically uses methadone as part of the treatmentplan.
In this episode Dr. Gillian Beauchamp sits down with Dr. Robert "Cole" Pueringer to discuss 3 key features of fentanyl which lead to high opioid tolerance. This high opioid tolerance can lead to more severe withdrawal syndromes and difficulty with initiating buprenorphine or methadone. Rapid inpatient methadone initiation may be more effective than outpatient initiation.
Expanding Access to Buprenorphine and Methadone: Global Perspectives and Policy Recommendations Substance Use and Addiction Journal This is a narrative review of methadone and buprenorphine regulations, prescriber eligibility, dispensing models, and coverage across eight countries: the United States, Canada, the United Kingdom, Russia, France, Iran, Australia, and Portugal. The study identified several key barriers to MOUD: requirements for daily supervised dosing, restricted community prescribing, and stigmatizing drug scheduling. The authors highlight policies that improved MOUD access without compromising safety such as: 1) community pharmacy dispensing supports in the U.K. and Australia, 2) liberal buprenorphine prescribing in primary care in France, and 3) decriminalization and expansion of low-threshold public health models in Portugal and Iran. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
Phases of play, the curse of Wenger, the World Cup draw, books, and a rushed Beatles pod. Join the Iron Filings Society: https://www.patreon.com/topflighttimemachine and on Apple Podcast Subscriptions. Get a 7-day full access free trial and pay for 10 months up front for the price of 12 if you like a bargain. Hosted on Acast. See acast.com/privacy for more information.
This week, we sit down with Janice, an author, advocate, and nearly 20 years sober, to unpack a story that begins in a family of dive bar owners and ends in a life built on purpose and spiritual transformation.Raised around alcoholism, Janice picked up drinking and smoking weed in middle and high school before joining the Marine Corps. When an injury derailed her military path, she was prescribed pain medications that opened the door to years of dependency. By her mid 30s, she found herself addicted to methadone until she made the terrifying decision to quit cold turkey. What followed was a profound and unexpected spiritual experience that became the turning point of her life.Today, Janice has almost two decades of sobriety, has written two powerful recovery books, and dedicates her time to helping people navigate surgery and pain management without narcotics. Her story is raw, honest, and deeply hopeful, and it serves as a reminder of what is possible on the other side of surrender.Find Janice's books and info about sober surgeries: https://www.sobrietyrocks365.com/DM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
For Ad Free shows go to:www.patreon.com/dopeypodcastDave kicks off the first-ever Wednesday Dose of Dopey talking about post-Thanksgiving food insanity, a brownie-topped cheesecake Linda brought home, and his evolving stance on cheesecake as a “real” dessert. He updates the Dopey Nation on the Dopey Fitness Challenge, his failed attempt at jogging with his dog Winnie that ends with him eating pavement, ripping his pants, smacking the dog in frustration, and then feeling guilty about it all week. Dave reads an email from Haley in Mississippi, who loved the Glenis and Billy Strings episodes and promises heavy dopey stories from homelessness, prison, and IV meth. He begs for more voicemails and then plays a chunk of Miles Davis's autobiography, where Miles describes sliding from snorting heroin into shooting it, realizing he has a habit, and sinking into a four-year “horror show” of heroin and cocaine in New York.Then Dave introduces Naughty God (Dakota), a heavily tattooed Instagram/TikTok/YouTube creator who built a big following rating nod videos “sportscaster-style.” Dakota tells his story: growing up between a sweet, young mom and a meth-addicted dad, starting drugs at 13 by snorting random pain pills he found in a friend's brother's room, and becoming the classic weed-identity kid with a pot-leaf MySpace. He forms the band LAW with his friend Jacob Nowell (Bradley Nowell's son, who now sings for Sublime), and they grow up playing shows in San Diego and Long Beach while having access to grown-up levels of partying. Dakota falls in love with cocaine in his mid-teens, then with speed, and his using gets him kicked out of LAW when Jacob gets sober and can't handle him showing up high to everything.After moving to Orange County, Dakota dives into selling and using coke in San Clemente, then adds Oxy 30s (“blues”), fentanyl pills, and heroin to his daily rotation. He and his tight crew—especially his best friend Robert—live in a constant loop of dealing, partying, and using. Over two months, Robert, Dakota's cousin, and three other friends all die from fentanyl. The losses break him: he has a mental breakdown, calls his grandma, and checks himself into a San Diego hospital detox, where he's put on 100mg of methadone and spends years on the clinic grind.Dakota talks about being on methadone for four–five years, barely using anything else, then deciding—with help from a therapist—that he'll never fully turn a corner if he stays on it forever. He tapers himself from 100mg down to 4mg over about a year, jumps off, and goes through a long, foggy, uncomfortable withdrawal. He's now about a year and a half off methadone, occasionally smokes weed, sees a therapist, plays bass in his band Somehow Unseen, and works on content. He and Dave riff on nodding (“my whole life”), nod techniques, fentanyl's short “legs,” and the economics of why heroin likely won't “come back” in a big way.Dakota explains how he built NaughtyGod into a fast-growing account by structuring it like a recurring “show” and inventing/collecting phrases like “Charm City Rainbow,” “Nodwalk Shuffle,” “Baltimore Street Yoga,” “Sheriff of Nottingham” to describe different nod poses. They talk about Instagram flagging and banning drug content, other junkie meme/recovery pages, and how both of them accidentally stumbled into helping people through content that started out as pure jokes and self-centered ambition. They agree to collab on a nod reel, and Dakota shouts out his band and pages.All that and more on a brand new WEDNESDAY Episode of the good old dopey show! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Dr. Melody Glenn was a burned-out emergency physician who had grown to resent the large population of opioid-dependent patients passing through her ER. While working at a methadone clinic, she realized how effective harm reduction treatments could be and set out to discover why they weren't used more broadly. That's when she found Dr. Marie Nyswander. In the 1960s, Dr. Nyswander defied the DEA and medical establishment to co-develop methadone maintenance as a treatment for heroin addiction. According to some addiction specialists, its discovery could be considered as monumental as the discovery of penicillin. Yet, it still carries a stigma today. As the United States continues to struggle with opioid and fentanyl use, Dr. Glenn shares Dr. Nyswander's legacy and important lessons that can be used in dealing with today's addiction crisis. Dr. Melody Glenn is an author and associate professor of addiction and emergency medicine at the University of Arizona. She graduated with her M.D. from The University of Southern California, completed her emergency medicine residency at Maricopa Medical Center, and earned her EMS fellowship from The University of California, San Francisco. Moderator Margaret Juhae Lee is the author of Starry Field: A Memoir of Lost History. She received a Bunting Fellowship from Harvard University and a Korean Studies Fellowship from the Korean Foundation in support of research for her book. Previously, she was an editor for the Books and the Arts section at The Nation magazine. Commonwealth Club World Affairs of California is a nonprofit public forum; we welcome donations made during registration to support the production of our programming. A Psychology Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. Commonwealth Club World Affairs is a public forum. Any views expressed in our programs are those of the speakers and not of Commonwealth Club World Affairs. OrganizerPatrick O'Reilly Learn more about your ad choices. Visit megaphone.fm/adchoices
The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Show notes at pharmacyjoe.com/episode1079. In this episode, I'll discuss the bioavailability of methadone. The post 1079: Time to rethink the conversion of oral methadone to IV? appeared first on Pharmacy Joe.
11/09/25The Healthy Matters PodcastS05_E03 - Addiction Recovery in Real Time - LIVE!With Special Guests: Dr. Lauren Graber and Dr. Charlie ReznikoffAddiction can come in a lot of different forms, and although the opioid epidemic has been at the fore of the conversation, we often forget that cigarettes and alcohol continue to claim the most lives. Truth is, 1 in 3 Americans is affected in one way or another by someone with a substance use disorder, which is to say that it's not just a problem for the individual with the condition. But how does one get addicted in the first place? Who's most at risk? And what can be done to help them?Addiction is not about willpower or a moral shortcoming, it's actually a complex medical condition that can affect the brain and body, and on the next episode of our show, we'll be joined by addiction medicine specialists Dr. Lauren Graber and Dr. Charlie Reznikoff to help us detangle the matter. Join us for an insightful conversation (in front of a live studio audience!) with two experts who have helped countless people find help and hope in recovery.Got healthcare questions or ideas for future shows?Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Get a preview of upcoming shows on social media and find out more about our show at www.healthymatters.org.
Why has America struggled so much to effectively manage the opioid use crisis? One of the answers, as you'll learn in this eye-opening episode of Raise the Line, is rooted in laws and attitudes from the early 20th century that removed addiction from the realm of medicine and defined it as a moral failing. “The federal Harrison Act of 1914 forbade any physician from prescribing opioids to people with addiction, so it became more the purview of law enforcement or behavioral health or religion,” says Dr. Melody Glenn, who regularly confronts the consequences of this history during shifts in the emergency department at Banner-University Medical Center in Tucson, Arizona. And as Glenn explains to host Caleb Furnas, the resulting stigma associated with addiction has extended to the treatments for it as well, especially methadone, despite its effectiveness. Drawing on her dual expertise in emergency and addiction medicine, Glenn dispels misconceptions that medication-assisted treatment merely replaces one addiction with another, and emphasizes that harm reduction is critical to saving lives. Her desire to break prevailing stigmas led her to discover the story of Dr. Marie Nyswander, who pioneered methadone maintenance therapy in the 1960s and is featured in Dr. Glenn's new book, Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern-Day Crisis. You'll leave this instructive interview understanding the roots of our flawed approach to addiction treatment, meeting an overlooked pioneer in the field, and admiring a devoted and compassionate physician who is following in her footsteps. Mentioned in this episode:Banner-University Medical CenterMother of Methadone book If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
About this episode: Buprenorphine is a highly effective medication used for treating opioid use disorder. But accessing this lifesaving prescription can be challenging. In this episode: Jeff Hom and Marlene Lira talk about the critical role of buprenorphine in reducing overdose deaths and the role pharmacies can play in improving access. Guests: Jeff Hom, MD, MPH, is the Medical Officer for Science and Policy in the Substance Use Services section of the San Francisco Department of Public Health. He is also a DrPH student in Health Policy and Bloomberg Fellow at the Johns Hopkins Bloomberg School of Public Health. Marlene C. Lira, MPH, is the Senior Director of Research at Workit Health, a multi-state telemedicine treatment provider for evidence-based addiction care, and a doctoral candidate in Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Pharmacy Barriers to Receiving Buprenorphine Among Patients Undergoing Telemedicine Addiction Treatment—JAMA Network Open Prescribing Buprenorphine By Telehealth: Lessons From San Francisco Amidst A Changing Regulatory Landscape—Health Affairs The New Federal Regulations Aimed Making Methadone More Accessible—And Less Stigmatizing—Public Health On Call (April 2024) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
Anna Nicole Smith transcended the laws of celebrity. She was a blonde sexpot who was famous for being famous, and that was reason enough for pop culture. People around the world recognized her Marilyn Monroe-esque curves filled out Guess jeans, and her squeaky baby speaking voice on The Anna Nicole Show. In the early 2000s, the FBI investigated her regarding an alleged hit she organized to take out her 60-year-old “stepson.” But when Anna Nicole and her grown son Daniel died under eerily sudden — and similar — circumstances, people started to wonder if the feds were barking up the wrong bombshell. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoicesSee omnystudio.com/listener for privacy information.
Anna Nicole Smith transcended the laws of celebrity. She was a blonde sexpot who was famous for being famous, and that was reason enough for pop culture. People around the world recognized her Marilyn Monroe-esque curves filled out Guess jeans, and her squeaky baby speaking voice on The Anna Nicole Show. In the early 2000s, the FBI investigated her regarding an alleged hit she organized to take out her 60-year-old “stepson.” But when Anna Nicole and her grown son Daniel died under eerily sudden — and similar — circumstances, people started to wonder if the feds were barking up the wrong bombshell. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
In this episode, we welcome Richard Wilson, CRNA to discuss Methadone use in anesthesia. Methadone, when used appropriately, can provide a smooth anesthetic and increase comfort levels in the hours after waking up from surgery. Richard discusses how Methadone has changed his anesthesia practice to increase positive outcomes for his patients.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
Don't Die are getting ready for Ohana fest, Bob & Elvis just played Norwood Fisher's 60th Birthday, don't email Bob just text, all the guys saw Oasis and had a blast, Methadone is back in force and they shoulda lowered the Flags to half mast for Redd Foxx. Come out to Ohana Fest! See you there! Start living!
Evaluation of a Novel Patient-Centered Methadone Restart Protocol
Dr. Chad McDonald is the Chief Medical Officer at InterCommunity (a not-for-profit, addiction and behavioral health leaning FQHC-LA in the Greater Hartford, CT area), where he has the privilege of helping people find hope and healing through recovery. Initially a family physician by training, Dr. McDonald became board-certified in Addiction Medicine after witnessing the impact of substance use disorders on people close to him. Today, he works alongside a dedicated team providing compassionate, whole-person care for individuals and families across Greater Hartford.In addition to his clinical and leadership work, Dr. McDonald serves as Connecticut's Physician Addiction State Champion with the Opioid Response Network and is an appointed member of the Health Information Technology Advisory Committee (HITAC), where he advocates for using health IT to reduce barriers to care and strengthen recovery supports.Dr. McDonald believes that recovery is possible for everyone and that access to care should never be out of reach. For anyone ready to begin their recovery journey—or for loved ones seeking help—InterCommunity offers medical detox, residential rehab, and outpatient programs. Learn more at https://www.intercommunityct.org/ ----Across the Web----
Host Dr. Shawn McNeil is joined by Dr. Robert Sherrick to discuss his new article Relationship Between Methadone Induction Dosing and Retention in Treatment in Opioid Treatment Programs featured in the July/August issue of the Journal of Addiction Medicine. Robert Sherrick, MD, DFASAM, is chief science officer for Community Medical Services, a company that serves patients through over 70 Opioid Treatment Programs in 12 states. He also has experience working at an inpatient addiction treatment facility, Pathways Treatment Center, treating all forms of substance use disorders and dual diagnosis patients. Dr. Sherrick has been providing medication treatment for opioid use disorder since 2003, initially in an office setting using buprenorphine and subsequently with methadone in Opioid Treatment Programs. He established a state-wide buprenorphine treatment program for VA Montana with extensive use of telemedicine. He is board certified in internal medicine and addiction medicine through the American Board of Preventive Medicine. He is past president of the Northwest Chapter of the American Society of Addiction Medicine (ASAM). - Article: Relationship Between Methadone Induction Dosing and Retention in Treatment in Opioid Treatment Programs
Quick summaries of articles 51-60. Enjoy! 51. Fun Activities and Recovery Acuff, S. F., et al. A brief measure of non-drug reinforcement: Association with treatment outcomes during initial substance use recovery. Drug and Alcohol Dependence, 256, 111092. 52. Buprenorphine-precipitated Fentanyl Withdrawal Thakrar AP, et al. Buprenorphine-Precipitated Withdrawal Among Hospitalized Patients Using Fentanyl. JAMA Netw Open. 2024 Sep 3;7(9):e2435895. 53. Methadone Vs. Buprenorphine Nosyk B, Et al. Buprenorphine/Naloxone vs Methadone for the Treatment of Opioid Use Disorder. JAMA. 2024 Oct 17. 54. High Daily Doses of Buprenorphine Axeen S, et al. Association of Daily Doses of Buprenorphine With Urgent Health Care Utilization. JAMA Netw Open. 2024 Sep 3;7(9):e2435478. 55. How Buprenorphine Works in Pregnancy Caritis, Steve N. MD; et al. A Pharmacologic Evaluation of Buprenorphine in Pregnancy and the Postpartum Period. Journal of Addiction Medicine ():10.1097/ADM.0000000000001380, September 2, 2024. 56. How Many Quite Attempts Does It Take? Fontes RM, et al. Beyond the first try: How many quit attempts are necessary to achieve substance use cessation? Drug Alcohol Depend. 2024 Dec 8;267:112525. 57. What is Recovery? Zemore SE, et al. Understanding the Shared Meaning of Recovery From Substance Use Disorders: New Findings From the What is Recovery? Study. Subst Abuse. 2023 Sep 15;17:11782218231199372. 58. Semaglutide for Alcohol Use Disorder (The RCT) Hendershot CS, et al. Once-Weekly Semaglutide in Adults With Alcohol Use Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2025 Feb 12:e244789. 59. Low-Dose Buprenorphine Initiation (Micro-induction) Suen LW, et al. Outpatient Low-Dose Initiation of Buprenorphine for People Using Fentanyl. JAMA Netw Open. 2025 Jan 2;8(1):e2456253. 60. Lisdexamfetamine for methamphetamine use disorder Ezard N, et al LiMA Investigator Group. Lisdexamfetamine in the treatment of methamphetamine dependence: A randomised, placebo-controlled trial. Addiction. 2024 Dec 19. --- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES. CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/ --- Original theme music: composed and performed by Benjamin Kennedy Audio editing: Michael Bonanno Executive producer: Dr. Patrick Beeman A podcast from Ars Longa Media --- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice. The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group. --- Email: addictionmedicinejournalclub@gmail.com Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club Instagram: @AddictionMedJC Threads: @AddictionMedJC YouTube: addictionmedicinejournalclub Twitter/X: @AddictionMedJC --- Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. Learn more about your ad choices. Visit megaphone.fm/adchoices
Melody Glenn, an addiction and emergency medicine physician with a flair for creative writing, joins Duane to share insights from her upcoming book, "Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern Day Crisis." Together, they unpack the legacy of Dr. Marie Nyswander, a trailblazer in methadone maintenance who reshaped addiction treatment. Dr. Glenn offers a candid perspective on her own journey in addiction medicine, revealing the transformative power of medications like methadone and buprenorphine. Despite their proven effectiveness, these treatments are met with skepticism, reflecting the broader challenge of integrating addiction medicine into mainstream healthcare.Our discussion takes a deep dive into the multifaceted nature of addiction, beyond mere physical dependence. We explore how methadone and buprenorphine provide a lifeline for individuals, helping them reclaim stability and repair relationships. The conversation also challenges the stigma of addiction, advocating for harm reduction strategies that prioritize individual empowerment over punitive measures. By recognizing people as experts of their own lives, we highlight the inefficacy of traditional abstinence-only models and underscore the importance of supportive systems for recovery. Dr. Glenn's insights serve as a powerful reminder of the need for compassionate, informed approaches in tackling substance use disorders.In this episode, you will hear:Dr. Melody Glenn previews her book, "Mother of Methadone," on Dr. Marie Nyswander's methadone work.Examining methadone and buprenorphine's impact on opioid disorder despite skepticism and stigma.Advocating for harm reduction over abstinence-only models, focusing on patient empowerment.Recognition of addiction as a treatable condition to combat stigma.Trauma's role in addiction and the need for supportive recovery systems.Barriers in addiction medicine, pushing for compassionate healthcare integration.Follow and Review:We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.Supporting Resources:Article Dr. Melody Glennhttps://www.drmelodyglenn.com/NovusMindfulLife.comhttps://www.theaddictedmind.com/community Episode CreditsIf you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Melody Glenn was a burned-out emergency physician who had grown to resent the large population of opioid dependent patients passing through her ER. While working at a methadone clinic, she realized how effective harm reduction treatments could be and set out to discover why they weren't used more broadly. That's when she found Dr. Marie Nyswander.In the 1960s, Nyswander defied the DEA and medical establishment to co-develop methadone maintenance as a treatment for heroin addiction. According to some addiction specialists, its discovery could be considered as monumental as the discovery of penicillin. Yet, it still carries a stigma today.Deftly weaving together interviews, media coverage, and historical documents, Glenn recovers Nyswander's important legacy and reveals how the forces of racism, fearmongering politicians, and misinformation colluded to set us back decades in our understandings of opioids.With Nyswander as her guide, Glenn also shares her journey through addiction medicine as she confronts her own personal and philosophical quandaries around bias, ambition, and saviorism in the medical field.As the US continues to struggle with opioid and fentanyl use in communities, Mother of Methadone is a powerful reminder of the ways biases have prevented doctors from saving countless lives. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her second book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released in 2026. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Dr. Melody Glenn was a burned-out emergency physician who had grown to resent the large population of opioid dependent patients passing through her ER. While working at a methadone clinic, she realized how effective harm reduction treatments could be and set out to discover why they weren't used more broadly. That's when she found Dr. Marie Nyswander.In the 1960s, Nyswander defied the DEA and medical establishment to co-develop methadone maintenance as a treatment for heroin addiction. According to some addiction specialists, its discovery could be considered as monumental as the discovery of penicillin. Yet, it still carries a stigma today.Deftly weaving together interviews, media coverage, and historical documents, Glenn recovers Nyswander's important legacy and reveals how the forces of racism, fearmongering politicians, and misinformation colluded to set us back decades in our understandings of opioids.With Nyswander as her guide, Glenn also shares her journey through addiction medicine as she confronts her own personal and philosophical quandaries around bias, ambition, and saviorism in the medical field.As the US continues to struggle with opioid and fentanyl use in communities, Mother of Methadone is a powerful reminder of the ways biases have prevented doctors from saving countless lives. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her second book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released in 2026. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine
In this episode, we explore how to choose between methadone, buprenorphine, and naltrexone for opioid use disorder treatment. With over 100,000 overdose deaths annually, how do we match the right medication to save each patient's life? Faculty: Smita Das, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Pharmacologic Management of Opioid Use Disorder Tailored Patient Assessment: A Key to Effective OUD Treatment
In this episode, we explore methadone maintenance therapy for opioid use disorder, covering dosing strategies, recent regulatory changes, and safety considerations. Why do so many patients fail on methadone despite its proven effectiveness, and how can proper dosing make the difference between recovery and relapse? Faculty: Smita Das, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Pharmacologic Management of Opioid Use Disorder Methadone for Managing OUD
Dopeywood!Note about ToddA voicemail from a listener in Mexico: “¿Qué pasó David?”Email about a guy sober off weed and a listener who relapsed on shrooms and weed.Dave reflects on the cyclical pain of relapse in the Dopey Nation.Jessie G Segment“I formed like a make-believe relationship with him [Chris].”Jessie first listened to Dopey while working hotel jobs in 2018.“Early recovery sucks no matter which way you cut it.”“I was doing kratom and still eating acid in sober living.”She felt totally alone — “My roommates were gone, I was just in my house.”“I had to threaten suicide one night to get help.”“I think I would make a fine crackhead.”“I was just in my room with my foils.”“I was on probation… and doing really well… but using at the same time.”“I ended up getting arrested in Scranton.”“The methadone detox was the easiest of my life.”“I got a new number and was like, perfect.”“I was living a double life — one part spiritual, one part crazy.”“I was like, just give me a fucking bag.”Describes traveling while using: “I could see in my mind's eye the hotel we were in.”“COVID made it easy to disappear.”“Kensington was a wake-up call.”“I want a real life.”Todd Curry Tribute with DK“He was just a spark, man… I love Todd a lot and I miss him.”“He personified fun. If fun was a person, it was Todd on drugs.”“Do you think I beat a dead horse with Todd? I just can't stop honoring him.”Dave introduces the term “Todd Shot” — Dopey Nation's version of a “God Shot.”DK agrees to come back next year with stories of getting high with Todd.Dave invites listeners to submit Todd memories or tributes.OutroReflections on the importance of recovery: “It's the greatest thing I have in my life.”Outro song: “One More” by Rocker T“Stay strong Dopey Nation and fucking toodles for Chris.”
Fentanyl vs. Heroin: "Trash high"—no legs, not the same rush, felt grateful when heroin disappearedFirst Shot: A friend made him do it for free—"Misery loves company"—then couldn't stopOD Stories: OD'd twice in one day—once behind the wheel on FDR, once after snorting Bronx bags, woke up in hospital, ripped tubes out, lied about asthmaMom's Heart Attack: 4 days after OD, mom has a heart attack from stressHustles: Selling weed, flipping Suboxone, scamming friends, "like a credit card"—balances, fronts, jugglingJam Band Scene: Heavy on acid, ketamine, nitrous, Calvin Klein (coke + K), LSD handling mishap at Camp Bisco led to paranoia for a weekMethadone Clinic Madness: Working in the clinic, finding crack pipes, wild characters, hustles in the waiting roomRecovery Pivot: Got clean after the ferry breakup, went to White Deer Run, cut methadone taper on day 3, Old Testament-level detox, started working the 12 steps, counselor Heath changed his lifeWorking in Treatment: From the methadone clinic to Ascendant, saw the whole spectrumWriting: Wrote Slingshot Diaries in Maryland, self-published hundreds of copies, found purposeReflection: Raw honesty, doesn't glorify but doesn't hide it either—“thank God for grace and mercy”
Note from Jeannine: Christina's story is one of my favorite all time episodes of the show. Just an incredible story of strength and resilience. This is an encore run of her episode, new episodes return next week after my TedX Talk! Thank you for being patient with me, I love you guys!TRIGGER WARNING******sex trafficking, domestic abuse, assault, SA and pregnancy termination My conversation today with Christina Garofalo will have you both laughing and crying. Christina is a survivor in the truest form of the word. I was blown away by her vulnerability, authenticity and the strength she has shown in escaping the world she was trapped in, making it back to her hometown and family in San Diego AND tapering down from an incredibly high dose of methadone (170 mL). Christina now has a sponsor, works steps, goes on twelve step retreats and does EMDR therapy - she has worked so hard to find healing, peace and safety and I am personally so proud of her.Connect with Christina on InstagramConnect with Christina on TikTokDM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
The amount of overdose deaths in the U.S. is staggering. And while addiction is a disease, there's no specific medical treatment or cure for it. Our guest this week points out that weight loss drugs and GLP-1s, or glucagon-like peptide-1s, which are used to treat type 2 diabetes and obesity, can be effective for helping people reduce cravings and consumption of drugs, alcohol and compulsive behaviors like gambling. Nick Reville is the cofounder and executive director of the Center for Addiction Science, Policy, and Research (CASPR). He joins WITHpod to discuss how he found his way into this research area, lessons learned from other health crises, innovations geared towards eliminating addictions at a widescale level and more.