Podcasts about Methadone

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

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/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

Justin Coleman speaks with Hester Wilson, Chief Addiction Medicine Specialist for NSW, and pharmacist Jillian Kanck about the medicines used in the treatment of opioid dependence. They explain how opioid dependence is diagnosed and discuss the advantages of long-acting buprenorphine, as well as the place of sublingual buprenorphine and methadone in treatment. Read the full article by Hester and Jillian in Australian Prescriber.

Oral methadone versus sublingual buprenorphine for the treatment of acute opioid withdrawal: A triple-blind, double-dummy, randomized control trial  Drug and Alcohol Dependence Researchers compared oral methadone to sublingual buprenorphine for the management of acute opioid withdrawal. Patients at an inpatient drug treatment center in India were randomly assigned to receive either methadone or buprenorphine titrated over days 1-3 to control opioid withdrawal symptoms. Over days 4-10 medications were tapered and stopped by day 11. Completion of treatment was similar in both groups (83% methadone, 82% buprenorphine). Both subjective (SOWS) and objective (COWS) withdrawal symptoms decreased during the treatment, however the buprenorphine group had significantly greater withdrawal symptoms than the methadone group (p=0.009) at the end of treatment (day 10). Opioid craving also decreased in both groups with no significant difference between groups. Authors conclude that methadone is a safe and effective alternative to buprenorphine for management of opioid withdrawal.   Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM  

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/american-studies

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

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/biography

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

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/public-policy

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/drugs-addiction-and-recovery

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

The Springfied Development Review Board denied a permit application from Acadia Healthcare to open a methadone clinic in a building downtown that houses family medical practices.

 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!

In this episode of EM Pulse, Dr. Daniel Hernandez, an emergency medicine and addiction specialist at UC Davis, joins the team to spotlight methadone—one of the original and still powerful tools for treating opioid use disorder (OUD). While newer medications like buprenorphine often steal the spotlight, methadone remains a critical option, especially in the era of fentanyl. Tune in for a practical conversation on when and how to initiate methadone in the ED, navigating regulatory barriers, arranging follow-up at opioid treatment programs, and managing pain in patients already on methadone. Whether you're new to methadone or looking to sharpen your approach, this episode offers real-world insights and actionable pearls  Have you started methadone from the ED? Share your experience with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Daniel Hernandez, Assistant Professor of Emergency Medicine and Assistant Director of the Addiction Medicine Fellowship at UC Davis Resources: CA Bridge ACEP/CA Bridge - Methadone Hospital Quick Start Liberate Methadone: An Introduction for the Emergency Medicine Physician By Terence M. Hughes, MD; Joan Chen, MD; and Utsha G. Khatri, MD, MSHP | on April 14, 2025 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

https://x.com/annielcrawford/status/1916992027771998322 Ethan Caughey https://youtu.be/qq75FCWLoUU?si=kZtaWz0pTErmRYBj  https://roddreher.substack.com/p/we-have-to-be-truthful-about-this  https://roddreher.substack.com/p/trump-saves-canada-liberals-from  https://www.maryharrington.co.uk/p/the-industrialisation-of-thought   ⁨@WhiteStoneName⁩  Salvation and Will (and Time) https://www.youtube.com/live/b3TPm2FfT7c?si=dgBwd2Gwjmy5jLj2  Matt C's randos https://youtu.be/KmcbNIDKzoM    Paul Vander Klay clips channel https://www.youtube.com/channel/UCX0jIcadtoxELSwehCh5QTg Midwestuary Conference August 22-24 in Chicago https://www.midwestuary.com/ https://www.meetup.com/sacramento-estuary/ My Substack https://paulvanderklay.substack.com/ Estuary Hub Link https://www.estuaryhub.com/ If you want to schedule a one-on-one conversation check here. https://calendly.com/paulvanderklay/one2one There is a video version of this podcast on YouTube at http://www.youtube.com/paulvanderklay To listen to this on ITunes https://itunes.apple.com/us/podcast/paul-vanderklays-podcast/id1394314333  If you need the RSS feed for your podcast player https://paulvanderklay.podbean.com/feed/  All Amazon links here are part of the Amazon Affiliate Program. Amazon pays me a small commission at no additional cost to you if you buy through one of the product links here. This is is one (free to you) way to support my videos.  https://paypal.me/paulvanderklay Blockchain backup on Lbry https://odysee.com/@paulvanderklay https://www.patreon.com/paulvanderklay Paul's Church Content at Living Stones Channel https://www.youtube.com/channel/UCh7bdktIALZ9Nq41oVCvW-A To support Paul's work by supporting his church give here. https://tithe.ly/give?c=2160640 https://www.livingstonescrc.com/give

Alan delves into a thought-provoking ethical dilemma presented in the Very Clinical Facebook group regarding pain management for a patient in recovery. Pain Management Dilemma: A detailed discussion of a Facebook post in "Very Clinical" about a patient in recovery on methadone who initially refused narcotics but later requested stronger pain medication after a procedure. Alan's Perspective on Recovery and Pain: Alan shares personal anecdotes about his own recovery journey and experiences with pain management, including his thoughts on harm reduction and the importance of personal responsibility in recovery. Ethical Considerations: The complexities of prescribing narcotics to a patient in recovery, the importance of open communication, and the value of consulting with other healthcare professionals (like the patient's pain management MD in this case). Alternative Pain Management: Discussion of alternative pain management strategies, such as injectable or oral steroids (dexamethasone). Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

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. 

This week on the teaser! We lost someone in our recovery meeting - it shook me to the core. Then we read a note from a Dopey Zoomer - then we get a crazy voicemail from Mick Popham about SMASH & GRAB Danny! Then we get to Doug!  Patreon: https://www.patreon.com/dopeypodcast DOPEY WEST! https://buytickets.at/thedopeyfoundation/1484803 Here is what AI Says: Notes for Dopey Podcast Patreon Teaser Episode