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Dopey: On the Dark Comedy of Drug Addiction
He Shot Blue Ecstasy, Boofed It & Went to Work: Jed Payne on Relapse, Lies, Shame & One Year Back

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Aug 12, 2026 81:44


Patreon is no ads and discounts for DopeyCon: www.patreon.com/dopeypodcast Episode summary Dave opens the Wednesday Dose of Dopey by responding to a listener who noticed he seemed a little off. He talks honestly about the pressure of producing five shows a week, his obsessive pursuit of Jason Mewes, the strange sadness that follows surrender, and what's coming together for DopeyCon. Then JD shares a terrifying story from his twenties: three sleepless days inside a Mississippi trailer with an ounce of cocaine, crack, beer, no food and almost no water. After a massive shot leaves him conscious but completely unable to move, his friend helps bring him back—only for JD to immediately smoke the biggest crack hit of his life. Dave remembers Annie Ellie and Brian “Hot Wheels” Connolly through comments from the Dopey Nation before welcoming back Jed Payne of Church & Other Drugs and Rehab Bromance. Approaching one year sober after years of concealed relapse, Jed talks about going from addiction counselor to treatment patient, sharing a room with former clients, working at a coffee shop with teenagers, and accepting the humiliation required to rebuild his life. He explains how CBD and “microdosing” became the beginning of his return to getting high, why clinicians in recovery need somewhere safe to struggle, and how easily helping addicts can replace doing your own recovery work. Then things get properly Dopey: Jed recalls shooting cocaine while a police officer stood beside the car, injecting a bright-blue ecstasy pill in a gas-station bathroom, boofing two more pills before work, rolling with his hands submerged in marinara sauce, and eventually passing out on the prep table. Jed and Dave also discuss 7-OH, smoke-shop opioids, Sublocade, coming off Suboxone, emotional recovery after relapse, staying present, and the small daily actions he is using to become a man of his word again. All that and STILL MORE on the newest Wednesday Dose of Dopey! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Breakfast with Refilwe Moloto
How harm reduction programmes can save more lives

Breakfast with Refilwe Moloto

Play Episode Listen Later Aug 12, 2026 12:45 Transcription Available


Lester Kiewit speaks to journalist Roger Young, who has spent 12 years on and off, living on the streets, battling his addiction. He explains how harm reduction can be harnessed to save more lives, but it has to be done consistently. Good Morning Cape Town with Lester Kiewit is a podcast of the CapeTalk breakfast show. This programme is your authentic Cape Town wake-up call. Good Morning Cape Town with Lester Kiewit is informative, enlightening and accessible. The team’s ability to spot & share relevant and unusual stories make the programme inclusive and thought-provoking. Don’t miss the popular World View feature at 7:45am daily. Listen out for #LesterInYourLounge which is an outside broadcast – from the home of a listener in a different part of Cape Town - on the first Wednesday of every month. This show introduces you to interesting Capetonians as well as their favourite communities, habits, local personalities and neighbourhood news. Thank you for listening to a podcast from Good Morning Cape Town with Lester Kiewit. Listen live on Primedia+ weekdays between 06:00 and 09:00 (SA Time) to Good Morning CapeTalk with Lester Kiewit broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/xGkqLbT or find all the catch-up podcasts here https://buff.ly/f9Eeb7i Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalkSee omnystudio.com/listener for privacy information.

Continuum Audio
August 2026 Sleep Neurology Issue With Dr. Karin Johnson

Continuum Audio

Play Episode Listen Later Aug 5, 2026 32:43


In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Karin G. Johnson, MD, FAAN, who served as the guest editor of the August 2026 Sleep Neurology issue. They provide a preview of the issue, which publishes on August 3, 2026. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Johnson is a Professor in the Department of Neurology at the University of Massachusetts Chan School of Medicine–Baystate and the Sleep Medicine Division Chief at Baystate Medical Center in Springfield, Massachusetts Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @drsleepykarin  Full episode transcript available here Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast.  Dr Albin: All right, welcome all. For the first time ever in the history of Continuum Audio, we are coming to you live from Chicago here at the AAN annual meeting. And now over to your host, the one and only editor-in-chief, Dr. Lyell Jones.  Dr Jones: Welcome, everybody. My name is Lyell Jones, editor-in-chief of Continuum, and I'm here today with Dr. Karin Johnson, and we're interviewing Dr. Johnson for the upcoming and recently published issue of Continuum on Sleep Neurology. We have been doing Continuum Audio for a while, but we're doing something different this time. As our listeners online can tell, we are recording this for the first time ever with a live studio audience at the American Academy of Neurology annual meeting in Chicago, Illinois. So, this is a fun experience for us. I hope it's been fun so far for you, Dr. Johnson.  Dr Johnson: Great to be here.  Dr Jones: It's great to have you. So, before we get into the interview, I do wanna introduce our team here for the live recording of the podcast. You've already heard Dr. Casey Albin's voice. Dr. Casey Albin is an associate professor of neurology at Emory University. Also serves as one of our associate editors at the journal and one of our Continuum Audio interviewers. So, she's going to be working the crowd today. Let's have a round of applause for Dr. Albin. And our guest of honor today is Dr. Karin Johnson. Dr. Johnson is a professor of neurology at UMass Chan Medical School and, Baystate Medical Center in Massachusetts. She is a world-renowned expert in sleep neurology and is the guest editor for the most recent issue of Continuum on Sleep Neurology. Dr. Johnson, welcome. Why don't you introduce yourself to our audience?  Dr Johnson: You did a great introduction, but I'm a clinical sleep medicine specialist. Spend my days seeing patients, taking care of people with narcolepsy, sleep apnea, restless legs, everything that comes my way. And then I have a side interest in doing sleep medicine advocacy, especially for permanent standard time.  Dr Jones: And we may get to that. I mean, that might be part of our conversation today. So, you've now read all of the articles in this issue, and it's a really great issue. There's a lot of new developments in sleep neurology. There are some updates for clinicians, people who see patients with sleep disorders that I think are, are timely and important updates. You have this unique view because you have just read all of these articles, really good articles by expert authors. When you read through these, Dr. Johnson, what was the biggest, what was the biggest thing that surprised you?  Dr Johnson: I think the biggest surprise for me is just so many changes in, in all of these articles. I realized how easy it was for us to make a journal that is so different from a few years ago. Whether it's Dr. Stahl's obstructive sleep apnea and new ways to think about endotyping sleep apnea that is gonna have treatment implications or the new treatments that are out there like tirzepatide, the changes that we're having with restless leg treatment. I particularly wanted to have a chapter on circadian neurology that Dr. Abbott did a great job really highlighting how if we think about the timing of when we give meds, the timing of when we eat, how that really can help neurological health, brain health, overall health, as well as mental health and cognition, especially as the AAN thinks about brain health as a whole, not just treating our patients, but how we can treat the population of people by improving sleep. I like how we hit on all these different areas in this issue.  Dr Jones: And I don't know how you managed to do it. They're just a small number of articles. We cover a lot of existing territory with well-characterized diseases, with new advances. But there's a lot of new stuff in sleep, and so somehow, it's all packed in there. It's really impressive. One of the things I was gonna ask you about was an evolution, and this has been a number of years now in how we manage restless leg syndrome. When I was training, it was all about dopamine agonists, and that was your first line. And over time, the evidence has supported moving away from that, and now we have more recent guidelines that have come out, and it's really the alpha-two delta-one calcium channel antagonists. How is that transition going? Do you still see people in practice who come in on dopamine agonists? How is that going? How's the field responding to that?  Dr Johnson: That's one of my most frequent restless leg consults. So even though it's been years since I have really initiated dopamine agonists in my patient, every day we get in people often on very high doses of dopamine agonists, and their doctors have just been escalating and escalating these meds over the years, and they come in with horrible augmentation. Their symptoms are much worse than they used to be, happening earlier in the day. And so, trying to get these patients off of these meds that are addictive, the way I like to teach about it is these dopamine agonists are the Fioricets of the sleep world. We know they work great, but in the long run, the patients are gonna be worse overall. And so, it's so hard to get people off these dopamine agonists, just like it's so hard to convince a headache patient that they don't need their Fioricet and that they're gonna be better off if we can get them off of it. What I think has really changed is we have more options to use. So, the alpha-delta-like agonists like gabapentin are now considered first line, but there's a lot of patients who they just don't work well enough with or they don't tolerate. And so, what do you do in that case? It's easy when that works, but and, when that doesn't work, we are being much more aggressive these days with iron replacement, potentially even trying to push ferritin levels in refractory patients up to three hundred, and using IV iron rather than just oral iron to get over the absorption issues to get the brain levels high enough. Motor stimulators, little cuffs that kind of go around the leg and stimulate the peroneal nerve in a certain way that not only can give people immediate relief, but also some data that suggests that over time it actually lessens their restless legs. We have agents like dipyridamole that work on the adenosine system in a sort of new novel pathway at addressing restless legs. And then the opiates, often meds like methadone or Suboxone can be used in some patients. But as we're getting more of these other options, often we don't need to go to those levels because we do have more to work with.  Dr Jones: So, the key point is lots of options. We're not starting with dopamine agonists anymore. And I think the fact that you're still seeing a lot of patients who have been initiated on that probably tells us there's an education gap field that we need to work on. So, another thing that I noticed reading through the issue was, and this feels like a change over the last few years, is the availability and the tendency to use in-home sleep apnea testing as opposed to formal, traditional in-lab. And that feels like a great new option, and maybe that increases and improves availability for patients who need access to the test. But how do you work through that?  Dr Johnson: So, I love in-home testing. We've been using it for over a decade. Other parts of the country where insurances didn't sort of mandate it are now being more mandated. I think the real change happened for a lot of places over the pandemic when labs closed down. But I think it's good because it brings a lot more patients to us. They get tested, they get tested quicker. People who would say, "I would never go into a lab. Oh, I'll do a home study." So, it just does bring more people in, and it gets them to treatment that they need that can really be life-changing. But it's not for everybody. The biggest people are people that have other bad pulmonary issues. If you're on oxygen therapy, you should not be getting a home study. That really should be a group of people that come in the lab. Similarly, if you have bad COPD, you probably should be getting a full in-lab study, so we can get more monitoring. Central sleep apnea is an interesting one. It can be very hard in some cases to differentiate the centrals and obstructive nature as well on a home study. Doesn't mean you can't do a home. So, if it's a person that just can't get an in-lab study easily, maybe you start with the home. If it looks purely obstructive, and you're all set, then you got an answer, and you can move on. But if you get back a home study that looks questionably central, they're gonna need to come into that lab. So, if you already know they're high risk because they're on narcotics, cause they have congestive heart failure, it's usually worth going straight to the lab. But again, you may consider a home study based on the patient. Patients that really cannot use the equipment can also be an issue. So, if they've had a debilitating stroke and have no one to help them put on that device, or cognitively they just can't handle the device, they're gonna be someone who's gonna benefit from coming into the lab and getting the help from the techs. So, those are the big populations that you might go starting for a home. And then the other thing that confuses a lot of people, the home is only for diagnostics. It really isn't for treatment. So, I have patients that say, "Oh, like, you can just titrate my CPAP with a home study." No. So if it's a treatment decision where they're not doing well on treatment, or I need to figure out do they need CPAP or BiPAP or IVAPS or one of these more complicated treatments, those are people that are gonna need to come into the lab to get that treatment portion of the evaluation.  Dr Jones: What a great summary. That's like everything I needed to know about who do I need to bring into the lab and who do I think maybe could do an at-home study. Really great. And speaking of devices, I think all of us who see patients in the room here and our listeners out there online have experienced patients, and this feels like a very recent phenomenon to me, are coming in with their commercial at-home wearable device. And they have printouts sometimes, and they show me their phone, and they give me some numbers that I don't really know how to interpret. Reading through this issue, I learned a couple of great new words. I learned about orthosomnia, right? So, people who become so preoccupied with their sleep, it keeps them awake at night, literally, right? I mean, it's a complete paradox. I learned about nearables, so things that aren't necessarily wearables that are just in the room while the patient is sleeping that monitor proxies for sleep quality, sleep stage, and other things. And I frankly, I'm not really sure what to tell patients. So, what do you tell patients who come in with all the data? Like, or how do you tell patients to use these?  Dr Johnson: I think these devices can go both ways. So, I do kind of say the pros and cons of these devices. I think for a lot of patients, they're empowering. It's getting them to think about sleep, to wanna know how good their sleep is. Are they getting enough sleep? So, if it's used in those ways, it's gonna be very helpful. I actually had a patient last week, and they noted that they're having big desats all night and could show me essentially an overnight oximetry data rather than me having to order it, and I had days of data, which sometimes can be too much. But in this case, it's like, oh, when he was on his side that night, he looked a lot better, so I can use that to give advice to the patient about particular treatments. He actually went down to Mexico, and a doctor friend gave him oxygen therapy while he was there randomly. And we could see on the nights that he had the oxygen therapy, it did really help his central sleep apnea pattern. And so that pushed us towards saying, "Let's qualify you for that up here in the States." So, I think in some cases it can give really important data. Now, I saw a posting on social media the other day of someone saying, "Can I get advice on how to improve my REM sleep? My tracker says I have no REM sleep, and I need to do something about it." There's really not data to support needing to do something about it. And so, I do think it can get some people on these wild goose chases, trying to get to a certain percentage of sleep. And these trackers, they're good in a lot of ways, but they're not perfect. He could be getting REM sleep that the tracker on him does not show. You want to relate it to what symptoms are they having. I think they can be very good for trying something out. So, let's say someone, has their tracker telling them they get five hours of sleep, and they try this intervention, and that helps them show that they got the seven hours of sleep, or they went from no REM to REM and it goes in the right direction. It can help give them that positive feedback that something they're trying, is working. But the absolutes for any given patient, it's hard to over-- What does it mean if it says you've got a 50% score versus a 70% score? That may or may not be meaningful in any given person, but again, they can compare themselves to themselves. If they were a lower score and now they're a higher sleep score because they did something that was meaningful, and that goes along with them feeling better, that can help give them that positive feedback to do something good.  Dr Jones: So, a little bit of a mixed picture.  Dr Johnson: Yeah.  Dr Jones: Sometimes they help. Sometimes they distract. Hopefully- Dr Johnson: And as a provider, sometimes it can be overwhelming because they're like, "Come look at my year's worth of data." And you're like, "No."  Dr Jones: Yeah.  Dr Johnson: You know, let me see one page or two pages of data and be like, "Yep, okay, I get it." Dr Jones: Just show of hands in the audience, who in the room wears a sleep device at night, like a ring or a, some kind of sleep monitoring app? That's about half the audience.  Dr Johnson: This is why they're here.  Dr Jones: So that's really helpful, and I think it is. You want to be supported by the data. You want to be supported by evidence and high-quality biometric evidence. Another big trend, and this has been a number of years in the making, is the understanding, Dr. Johnson, of the relationship between sleep physiology and neurodegenerative disease. One of the things I love about neurology is there's still so much left to learn about the normal physiologic functioning of the brain. So glymphatics and other aspects of sleep physiology that we didn't know about a decade or two ago. When you think about how that relationship has developed, sleep physiology, maybe sleep disorders and neurodegenerative disease, how has that changed your approach to talking to patients? Do you counsel patients differently now because of what we understand better about that?  Dr Johnson: Yeah, I mean, we are still limited with our data. We have so many studies that show the associations between whether it's not enough sleep, too much sleep, or having a sleep disorder like obstructive sleep apnea, and that being a risk factor for stroke or Alzheimer's or Parkinson's. But we still sort of lack the treatment trials that necessarily say, "If you treat obstructive sleep apnea, you're gonna have less dementia," or, "You're gonna be less likely to have that stroke." So, we have a lot of physiological studies, a lot of reasons why it makes sense, but we don't have that final, nail in the coffin to say, "If you do this, you'll definitely be better." So, we know certain groups are more at risk. If you have obstructive sleep apnea and you are symptomatic, you seem to have higher cardiovascular risk. If you have a person who's had a stroke and we find a milder case of sleep apnea, and they're someone that's totally asymptomatic. They say, "I sleep fine. I feel fine." There's not great data to say, "If you treat your sleep apnea, you're gonna be less likely to have a stroke." Now, if they come in and they're sleepy and their sleep apnea is really severe, and they have more hypoxic burden, which is also more connected with a lot of these risks, I'm going to say, "I think you are in the higher risk group of sleep apnea people who it's probably gonna be more likely to help your cardiovascular risk, your dementia risk." We can counsel them, and then it's really a personal decision. Some people are like, "No way. I'm never gonna use a CPAP machine, ever." And other people are like, "You know, my mom had a stroke. My dad had Alzheimer's. I want to do every possible thing I can to make it less likely that I have this outcome that I want to avoid." And so, you're going to take that in to, you know, do you want to try this treatment or not? It's a lot easier when you have outcomes that you can follow, like, "If I try CPAP, does my blood pressure get better? Do I stop having AFib attacks?" It's a lot harder when, will I or not get Alzheimer's ten years down the road or have that stroke?  Dr Jones: It's hard to get people to do things for kind of an abstract prevention down the road, but could be important. Are there trials going on that are going to assess this data?  Dr Johnson: Yeah. We currently have a big trial getting people right away, right after their stroke, on CPAP, and not only looking at prevention, but also looking at recovery outcome. It's been running for several years. Hopefully, we'll get enough data to close out the study coming up.  Dr Jones: We'll look forward to that.  Dr Johnson: Yeah.  Dr Jones: So, I'm really excited to get to our audience here, but before we do that, I do want to ask Dr. Johnson one more question. Dr. Johnson is famous for her advocacy for sleep in general, but specifically related to Standard Time. So, let's do a little experiment here. I didn't warn Dr. Johnson about this, so we'll see how she does. She does a ton of advocacy. She's a pro. So, pretend like we're in DC, and I'm a senator, and we just got in an elevator. You're going to give me your elevator pitch on what we should do.  Dr Johnson: So, you know, sleep is one of the few essential things in life. We need to eat, we need to drink, we need to have clean air, and we need to sleep and when we improve sleep, we can improve basically every outcome, whether it's academics, whether it's productivity, whether it's our physical health, our mental health. And the problem is we structure our lives in a way that really keep people, and especially our teenagers, from getting the sleep they need. And one of these structural things we do is permanent daylight savings time. Essentially, what you're doing is you're putting the sun out later, makes it harder to go to bed. I was just talking to someone, the sun's going down at 9:00, and you need to get your kid to sleep at 7:30, 8:00 so they can get the amount of sleep they need. That is almost an impossible task because their circadian rhythms are being pushed later, they can't fall asleep on time. Then you're setting their clocks an hour earlier, so when that alarm clock is going off at 6:00 AM in the morning, it's actually 5:00 AM in the morning. You're squeezing sleep from both sides, and it's basically impossible to get enough sleep. A lot of people think the only problem with daylight savings time is twice a year with the changes, and there are certainly harms related to that. So, a lot of people think if we went to permanent daylight savings time it would be better, and we got rid of those changes. What they don't realize is that permanent circadian misalignment by setting the sun more ahead, at 1:00 to 2:00 instead of at noon causes the sleep and circadian disruption all year round that leads to increased incidents of strokes, of heart attacks, of obesity, of cancer, of suicides, of depression, of worse academic grades. Again, pretty much every outcome you have there that relates to brain health, we have now data that shows that it's worse. And so, we can improve our lives if we can go to permanent Standard Time.  Dr Jones: You convinced me. How about that? If there were any skeptics in the room, I doubt there are any left. We only went to like the fifth floor there, and she... I'm like, "I'm voting for this. Whatever, whatever this bill is, I'm gonna vote for it." So, I'm excited to get to the audience here. Before we get to questions and answers, and we want you to get your questions ready for Dr. Johnson. I do have a couple of trivia questions. And we've been doing this for a little while now on the podcast. The first trivia question actually relates to arts and culture.  Dr Jones: What famous artist used transitions between sleep and wake states to inspire his art? Anybody know?  Guest Speaker 1: Is it Van Gogh?  Dr Jones: Not Van Gogh that I know of. There in the back.  Guest Speaker 2: Picasso.  Dr Jones: Picasso, not that I know of. Right here.  Guest Speaker 3: Salvador Dali.  Dr Jones: Salvador Dali. We have a winner. Thank you for your answer. So apparently, I read this. Salvador Dali would sit in a chair holding onto a metal key and wait until he fell asleep, and it would fall out of his hands and drop into a bowl, and it would wake him up. So, then he would pick it back up, and he would go in and out of sleep trying to generate hypnagogic hallucinations, basically, and he would use that to inspire his art. And you think about his art, maybe that kind of makes sense. All right, now I've got a neurology trivia question. Okay, so maybe we're a little more comfortable with the neurology trivia in here. What is the center in the brain that is responsible for REM sleep atonia?  Guest Speaker 4: The receptor is for erection in the lateral hypothalamus.  Dr Jones: That is not correct. REM sleep atonia. Right here.  Guest Speaker 4: Emilio Malgona, Hyannis, Massachusetts. Dorsal raphe nucleus.  Dr Jones: We'll give you credit for that. Very good. Excellent. So, the-  Dr Johnson: Well, no. That's actually the serotonin. He's talking about another one.  Dr Jones: Oh, I thought I heard, I thought I heard-  Dr Johnson: You heard dorsal  Dr Jones: ... I heard dorsolateral tegmental nucleus of the pod.  Dr Johnson: Not quite.  Dr Jones: You get a prize anyway, sir, just for, just for answering. Thank you very much. All right. So, we're all warmed up here. So, Dr. Albin, what do you think? Should we get some questions from the audience?  Dr Johnson: All right, we've got some questions.  Guest Speaker 5: I have a statement and a question.  Dr Jones: Please tell the podcast your name again, sir.  Guest Speaker 5: Steve Spar, New York City. The tyranny of the morning people. You don't want people, you don't want the sun to go down too late because it'll keep people up longer. I spent my whole life fighting people like you. I am a nighttime person. Why do I have to go to sleep earlier? I want to go to sleep later. I want to wake up later. I don't want to wake up at 7:00 in the morning. I want to wake up at 10:00. There's a certain tyranny that we must use circadian rhythms of the majority, and it persecutes people like me who are night people.  Dr Johnson: So that is a great question.  Guest Speaker 5: What say you?  Dr Johnson: What say me is actually the harms of daylight savings time are actually to the night owls, and don't really affect the morning people. I can still go to sleep on time and get up on time without that pressure of needing to go to work. The night owl people, they can't fall asleep until later. They want to sleep in earlier, but we're forcing them to get up an hour earlier for work and school. And because we're doing daylight savings time, you're not getting the morning light you need, you're getting too much light at night, and you are more sensitive to a delay in your circadian rhythm, which makes you even more of a night owl and increase the degree of social jet lag. So, we actually see that the harms and risks of things like depression, cardiovascular risks are much greater in night owls than they are in normal people or morning larks. And this is again why the risks are the highest for our teenagers, who are essentially all night owls. You're making it harder for them to fall asleep on time. You're making them more and more of a night owl that it becomes more out of line with our standard social schedule. So, what we can do for a night owl is say to our schools, say to life that we want to change our society norms of getting up early. But that has nothing to do with daylight savings time. That has to do with how we make our schedule Dr Jones: All right, next question. And introduce yourself to the audience.  Guest Speaker 6: Sure. I'm Sanjay Rathi from New Haven area, Neurology. Movement disorders, Parkinson's disease, sleep disruptions, sleep-regulating REM, RBD issues, what are your recommendations? And as things get worse, what additional intervention should we do?  Dr Johnson: Yeah, I think it's hard with a lot of our neurodegenerative disorders, it's a two-way sleep. The disorders themselves often worsen sleep quality, have decrease in their sort of circadian amplitudes, and so that can affect sleep ability. And so, trying to do the things that promote sleep, like getting lights down in the evening, keeping things dark and quiet, doing cognitive behavioral sort of therapies if that's needed can all be helpful. Very high incidence of obstructive sleep apnea or other sleep-disordered breathing, whether it's Parkinson's or other neurodegenerative disorders, so evaluating and treating that if need be. And some of these people, especially as they get later on, you may end up considering medication for insomnia because their underlying disorders was causing it and there's, and you're not going to CBTI your way out of it. We do have the new orexin antagonist sleep agents, which are more recommended for older people and probably safer agents than your Z drugs and some of the other sleep meds out there. So, some people should be on some of those meds if their sleep is so disrupted. I've seen some sleep studies where it's basically like wake, sleep, wake, sleep, wake, sleep all night long. And it's like, wow, you really cannot sustain sleep, and we think it's not just a behavioral thing. I think it is part of their underlying Parkinson's and underlying disorders that can really cause major sleep disruption.  Dr Jones: It's a great question. Before we get more from the audience here, Dr. Albin, I'm just curious, you know, you got some questions from online. Don't know if any of those stood out to you. And the other thing is, I think about your practice, Dr. Albin, as a neurointensivist, there's some great content in this issue on how to maintain an adequate sleep environment in the hospital and the importance of that for the acute episode, maybe for some long-term outcomes. When I was reading the article, I didn't really didn't think about the ICU setting. That must be-- what do you do in the ICU?  Dr Albin: Well, we happen to have a question about just that. Dr Jones: Well, there you go  Dr Albin: From Dr. Manners of Baltimore, Maryland. "What meds should I be giving patients in the ICU or the inpatient setting to preserve or recalibrate their sleep-wake cycles? Is there anything that we can do besides just getting them out of bed during the day?"  Dr Johnson: Meds are always hard cause as sleep doctors, we're usually the last one to recommend meds. But there are situations and scenarios where meds may be appropriate. I can't say what's one better than the other, and some of the meds we have probably aren't even available as options in the hospital. So, the, you know, again, the orexin antagonist may be a good class to try to use, but they may not be an option. There was a good study that looked at empowering the patient and whether or not the ICU patients are empowerable. But they give a card to the patients in the hospital and say, "Tell your nurse to turn off my TV and my lights. Do I need all the blood draws all throughout the night, or can it be put off to the morning?" And trying to empower the patient to ask for these things and do some of the behavioral things. And they found that doing that did improve the duration of sleep, did reduce some of the number of awakenings that people ended up having at night. So, I think the ICU is a very particular population where there's a lot of things you can't get rid of. But certainly, turning on the lights, turning off the lights, and trying to limit noises as much as you can, in those night hours, trying to give some sense of a 24-hour day. The other thing is feeding is really important to circadian rhythms. I had a patient that had a brain bleed and, after it, she just her circadian rhythms were just off, and part of it was she was getting tube feeds through the night. So, one of the very first interventions we did was to move her timing of her feeding so that it wasn't in sleep, and that really did help make a difference in getting her back on a pattern, along with light therapy and other behavioral techniques as well.  Dr Jones: It's a great question.  Dr Albin: Absolutely. I mean, I think that validates just that we spend a lot of time actually asking like, "Can we feed people during the day?" Or, "Can we, can we limit the amount of baths that are happening at 3:00 in the morning?" We also had another one from the audience that came from Dr. Lavina Singla of Mississippi, and I think a lot of our patients are asking this question. Is melatonin addictive?  Dr Johnson: Is melatonin safe? Is melatonin addictive? I think with any sleeping aid, people become addictive to what they perceive is the outcome. So, if they said, "This got me to sleep, and now I'm sleeping great, I don't want to come off of it." And so, you get this to meds that are truly addictive, but even meds that aren't felt to have that addiction, there is certainly a behavioral change. And that's a lot of what cognitive behavioral therapy is working with these patients on, is challenging that belief of maybe it isn't the med, maybe it's your internal belief and your worry about doing this. One thing about sleep is sleep happens when you are relaxed and calm and not worried. When you're worried about thinking that thing you're worried about is whether or not you're getting sleep, then you don't sleep. In terms of melatonin, if you don't need to use it, I wouldn't use it. If you are gonna use it, I'd try to use as low doses as possible. Do we know all the risks? We don't know. And especially I think there are potentially more risks in a growing child than, maybe someone who isn't having the same sort of hormonal, needs and growth needs. But then again, if you have, let's say, a kid with autism and melatonin helps him sleep, I'd much rather use melatonin than a lot of other agents, and if that really changes their functionality, that probably is very good for them and better than having them not get sleep. So, I think you have to weigh each individual situation and combine it, especially with the behavioral approaches so that hopefully this is not a long-term addictive thing you're on.  Dr Jones: So, it's complicated. Sounds like it.  Dr Albin: Not a straightforward answer.   Dr Jones: I thought that was gonna be just this hard no, but I guess it is something you have to think about. So, I want to really take a minute here to thank Dr. Karin Johnson, who has been our interviewee for this episode of the Continuum Audio Podcast sleep issue just came out. Really want to encourage our subscribers, our listeners, and our studio audience here to enjoy it. Thank you, Dr. Johnson, for joining us today. I want to give a big round of applause to Dr. Casey Albin for managing this crowd. Thank you to our listeners. Thank you to our subscribers. Thank you to you all for coming today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.   

Champ Talk with Branden Hudson
Jessica Burke on Atlantic Recovery, Medication-Assisted Treatment, and Breaking Addiction Stigma

Champ Talk with Branden Hudson

Play Episode Listen Later Jul 29, 2026 50:55


Host Branden Hudson interviews longtime friend Jessica Burke, owner of Atlantic Recovery in Salisbury, Maryland, an outpatient medication-assisted treatment clinic opened February 1, 2018. Burke shares how her own progression from alcohol addiction (including DUIs, jail, and court-ordered IOP) to prescription opioid addiction led her to seek treatment and build a reliable, local program that lets patients maintain work and family life while receiving medications such as Suboxone, Zubsolv, Subutex, and Vivitrol, plus required one-on-one counseling and regular urine screens with visits tapering from weekly to monthly. They discuss withdrawal as a major barrier to recovery, respond to stigma that MAT is “legal drug dealing,” and emphasize individualized levels of care, boundaries vs enabling for families, and that addiction affects all walks of life. Burke provides Atlantic Recovery's location, website/socials, and notes calls route to her directly.00:00 Welcome And Housekeeping00:57 Meet Jessie Burke02:01 Atlantic Recovery Overview02:35 Why She Started03:15 What Makes It Different04:53 How Outpatient MAT Works09:56 From Alcohol To Opiates10:47 How Addiction Escalates13:40 Close Calls And Justifying18:26 Quitting Alcohol For Good21:15 Host Shares Sober Journey25:28 Sober Life Wins26:43 Suboxone Stigma Debate30:04 Withdrawal Reality Check32:06 Treatment Beyond Medication33:30 Clinic Challenges and Growth37:16 Advice for Parents41:12 Losses and Boundaries44:17 Future Vision and Politics47:56 Where to Get Help49:30 Final Message and Wrap

Dopey: On the Dark Comedy of Drug Addiction
Ghosts of ChrisMiss Past; He Left the Hospital Barefoot to Smoke Crack and Fentanyl: Relapse, Survival and Remembering Chris | Dopey Greatest Hits

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jul 23, 2026 136:25


Listen without ads on patreon: www.patreon.com/dopeypodcast Summary: This week on Dopey Greatest Hits, Dave marks the eighth anniversary of Chris O'Connor's death with a powerful replay about relapse, survival and the people addiction takes from us. Before the original episode, Dave reflects on his own recovery, restraint of pen and tongue, missing meetings and the uncomfortable truth that two things can be true at once. He also reads a brutally honest email from James D. DeHart about coming within seconds of buying meth after three years away from hard drugs. The original episode opens with Dave remembering Chris and listening back to the early years of Dopey—the jokes, interruptions and ordinary moments that preserved their friendship. A clip from Episode 100 becomes painfully prophetic as Dave and Chris casually discuss what their relapses might look like and whether either of them could die. Then Dopey legend DJ recounts the complete anatomy of his relapse after nearly two years sober. A new job and relationship slowly replaced meetings, sponsorship and honesty. Social drinking followed, then a drive past his old Detroit dope house. Within weeks, he was smoking crack and fentanyl daily, hiding drugs from his girlfriend and falling out in bathrooms. After mixing fentanyl, Suboxone, tequila, cannabis gummies and Ativan, DJ entered precipitated withdrawal and landed in a Detroit hospital. He left in undersized hospital scrubs and socks, found his way back to the dope spot and spent the day smoking crack and fentanyl in a blackout. He lost his clothes, wandered barefoot through Detroit, handed his debit card to a stranger and eventually surfaced dirty, disoriented and barely alive. His family found him, and he eventually returned to treatment. The episode also includes a classic exchanges between Dave and Chris, followed by a moving conversation with Chris's former sponsor, Dylan. They discuss sponsorship, psychedelics in recovery, the dangers of building a life and then neglecting the recovery that made it possible—and the authenticity, curiosity and independence that made Chris unforgettable. All that and way more! on this Ghosts of ChrisMiss Past episode! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dopey: On the Dark Comedy of Drug Addiction
Atrocious weed, cocaine psychosis, shooting puddle water, smuggling heroin into Jamaica, Jerry Garcia, recovery, and remembering Chris - Total Replay 37

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jul 20, 2026 77:46


Listen without ads on patreon - www.patreon.com/dopeypodcast SUMMARY This week on the Dopey Total Replay, Dave returns from his summer hiatus and previews the family's Pacific Northwest adventure, the upcoming Patreon Zoom, and the big decision facing DopeyCon: Friday night at the SVA Theatre or Saturday at the old church.   Then we travel back to Dopey Episode 37 for a classic conversation with Dave and Chris. They talk about sponsorship, working the steps, honesty, spirituality, and the strange miracle of one addict helping another. Dave tells the story of Jerry Garcia using a radio interview to summon drugs after the Grateful Dead's package went missing in Philadelphia, plus tales of John Lennon's psychedelic excess and Paul McCartney's alleged plan to smuggle Owsley acid inside camera equipment.   Things get progressively dopier as Dave remembers stealing fried chicken and vodka at a company party, while Chris describes shooting cocaine in Anguilla, hallucinating benevolent Rastas hiding in the bushes, chasing an imaginary car around an abandoned house, and eventually being rescued from Saint Martin by his brother.   Finally, Dave recounts smuggling six bundles of heroin into Jamaica, burning through nearly everything, passing out on Valium during a press trip, and repeatedly sneaking into first class while withdrawing on the flight home. Beneath all the insanity, Dave and Chris reflect on the possession of addiction, the freedom of sobriety, and the strange comfort of no longer needing drugs to feel safe.   Stay strong, Dopey Nation, and fucking toodles for Chris.   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dopey: On the Dark Comedy of Drug Addiction
Dabbing Crack and Tar with Duane Betts, Allman Brothers Month, Dopey's Greatest Hits

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jul 16, 2026 99:29


Listen without ads at 8$ a month or up on patreon: www.patreon.com/dopeypodcast SUMMARY This week on Dopey Greatest Hits, Dave officially declares July to be Allman Brothers Month and revisits one of his favorite interviews—with Duane Betts, guitarist, songwriter and son of the legendary Dickey Betts. Before the interview, Dave talks about his lifelong love of “Blue Sky,” reflects on a difficult Patreon Zoom and reminds himself of one of recovery's hardest lessons: restraint of pen and tongue. Papa Smurf contributes an incredible story about selling mushrooms in an Allman Brothers parking lot, getting grabbed by undercover cops and escaping after an oblivious hippie accidentally distracts them. A listener named Jeff also shares a disastrous Phish adventure involving craft beer, moonshine, cocaine, getting lost outside the venue while “Maze” played in the distance, wandering through a locked campground and receiving a possession charge that ultimately introduced him to AA. Then Dave sits down with Duane Betts for an intimate and wide-ranging conversation about growing up inside the Allman Brothers family, touring with his father, living at Cher's Malibu home, learning guitar on the road and finding his own musical identity. Duane opens up about Hodgkin lymphoma, discovering Dilaudid after surgery, the Malibu party scene, Molly, cocaine, crack, black tar heroin and a gram-a-day opiate habit. He recalls smoking heroin-and-cocaine speedballs, flipping a car after scoring drugs, waking up beside a friend who had overdosed and nearly dying after a massive cocaine hit. He also describes arrests, drug court, treatment, Suboxone, relapse, touring with Dawes and eventually finding lasting recovery. Now more than seven years sober, Duane talks about meeting his wife in Jackson Hole, staying grounded through music, hiking, yoga and connection, and continuing the Allman Brothers legacy through his solo work, Palmetto Motel and the Allman Betts Family Revival. It is a story about rock-and-roll history, inherited addiction, devastating loss, recovery and finding a life filled with music, gratitude and purpose. Allman Brothers month continues!   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dopey: On the Dark Comedy of Drug Addiction
Credit for Crack, Duster Debackle! Endless Ecstasy! & (some) Recovery Truths Tuesday Teasee!

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jul 14, 2026 19:58


FULL EPISODE ONLY ON: www.patreon.com/dopeypodcast   STRAIGHT AI SUMMARY: This week on Dopey Tuesday, Dave checks in fresh from another brutally sweaty workout with his new trainer, who thankfully traded emo music for N.W.A. and Biggie. Dave talks about embracing the Dopey fitness challenge, surviving leg day, walking miles in the summer heat, and learning a little humility while trying to get back into shape.   Since he's banking episodes before heading out on vacation, Dave changes things up by reading the Just For Today meditation on humility and reflects on what it means to accept getting older, staying teachable, and laughing at himself.   Then come the classic Dopey stories. James D. Hart sends in an unforgettable tale from his crack-smoking days in Cleveland, where his favorite dealer—nicknamed "400"—fronted him more and more drugs until James eventually disappeared owing him exactly $400, making for one of the funniest addict coincidences imaginable.   Dave follows with a voicemail from longtime Dopey Nation member Amy, who recalls taking what she thought was cocaine after a night of ecstasy at a Lower East Side club, waking up alone after closing time, and walking across Manhattan as the sun rose—one of those strange, lonely New York mornings only addiction can produce.   Finally, Dave teases an exclusive Patreon interview with Workit Health's Max, diving into medication-assisted recovery, recovery stigma, and why the conversation around Suboxone and recovery still needs to evolve.   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dopey: On the Dark Comedy of Drug Addiction
Michael Todd of Coheed and Cambria — Robbing Pharmacies, Heroin, Oxy's, Kicked out of band, Suicide, Shame & Radical Acceptance - Dopey Replay!

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jul 9, 2026 96:55


NO ADS on PATREON: www.patreon.com/dopeypodcast This week on Dopey! Dave opens in a reflective mood before vacation, trying to practice gratitude while also admitting how ridiculous and uncomfortable it feels. He gives thanks to the Dopey team, Dopey Nation, the people who helped with the film festival, and talks about being sober, scrambling to get shows done, House of the Dragon, and crying on the Long Island Railroad while watching the Knicks finals mini movie. Then Dave gets into revenge, resentment, recovery, redemption, and the dangerous romance of “getting back.” He plays a wild voicemail from a Scottish Dopey listener coming off opiates, who tells a story about buying a house, snorting heroin before move-in day, doing coke, champagne, and Ritalin while moving furniture, crashing a van, watching his friend get arrested, and then finishing the move on a days-long stimulant binge. Then it's a classic Dopey replay with Michael Todd, former bassist of Coheed and Cambria. Michael tells the story of going from prescription painkillers on tour to OxyContin, heroin, shooting coke and dope, leaving the band, rejoining clean, relapsing, smuggling heroin across the country in Gobstopper boxes, robbing a pharmacy in Massachusetts, getting arrested, losing the band for good, dealing with cancer, shame, probation, relapse, Suboxone, and surviving a suicide attempt. It's one of the rawest Dopey conversations ever: rock stardom, addiction, shame, survival, recovery, and Dave's newly coined phrase — radical gratitude. PLUS MORE!!!! MORE! MORE!   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

You Must Be Some Kind of Therapist
221. Ryan Rogers: Gas Station Opioids, Faith-Based Recovery, and Honest Therapy

You Must Be Some Kind of Therapist

Play Episode Listen Later Jul 6, 2026 73:09


My friend Ryan Rogers returns to the podcast for our third conversation. He's an addictions counselor in Texas, host of Reality Therapy, and now the author of two books — The Woke Mind and his new release, The Carpenter's Recovery, a Christian guide to 12-step recovery. We start with what's being called "gas station heroin": a chemical called 7-OH, extracted from kratom, that's roughly thirteen times stronger than morphine and sold legally next to the 5-Hour Energy drinks at the checkout counter. Ryan walks me through how legal loopholes have produced a generation of accidental addicts, including church kids and high-conscientiousness adults who'd never touch illegal drugs. I share my own "little old lady" story — how my elderly mom was given a 10mg THC gummy by her stoner massage therapist — as a warning to anyone navigating this new landscape with vulnerable elders. From there we go into cannabis-induced psychosis, cannabis use hyperemesis disorder, fentanyl displacing heroin, and what's actually working in addiction treatment. Ryan explains why he wrote a Christian recovery book and why naming Jesus in AA meetings still gets people shut down. We close on the state of the therapy field: woke ideology, AI psychosis, the rise of niche experts over licensed therapists, and why "live your truth, king" is the worst possible response to a client telling you they're about to relapse.Follow Reality Therapy podcast | Follow Ryan on X @ryanmcrogers[00:00:00] Start[00:02:06] Gas Station Heroin: What Is 7-OH?[00:05:55] Kava, Feel Free, and Designer Drugs[00:11:25] How 7-OH Hits the Opioid System[00:14:30] The Little Old Lady THC Gummy Story[00:25:30] Methadone vs. Suboxone for Detox[00:35:56] The Carpenter's Recovery: A Christian Approach[00:40:32] Why AA Pushes Back on Christianity[00:48:15] Reality Therapy and the State of the Field[00:53:42] AI Psychosis and the Future of Therapy[00:58:40] Tough Love and "Live Your Truth, King"[01:04:30] Honoring Who Teenagers Are BecomingROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2026 to take 50% off your first month.PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCoursesPRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission.ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 3 DE JULIO

Jay Fonseca

Play Episode Listen Later Jul 3, 2026 22:39


- 118 escuelas bilingües en PR Gobierno dice tiene superávit de 635 millones No hay break para sacar a la Junta dicen los expertos - El Nuevo Día Legislatura propone que CRIM tenga que publicar propiedades por embargar para que se puedan poner en el mercado de compra de vivienda - El Vocero Informe federal advierte que reconstrucción eléctrica de PR está demasiado segmentada - Noticel Vivienda contrata a jefe de OGPE bajo FEI - Jay Fonseca PR Siempre innovando y con los mejores beneficios, MCS Personal Directo te ofrece cubiertas accesibles para que cuides de tu salud y la de los tuyos.Con una amplia red de proveedores de más de 15,000 médicos de libre selección. Reembolso de hasta $40 mensuales por membresía a un gimnasio o por un entrenador personal debidamente certificado. Asistencia en el hogar para servicios de cerrajería, plomería y electricidad de hasta $350 por evento hasta 4 veces al año.¡Únete HOY a la gran familia de MCS!¡Salud que completa tu vida! Llama al 787.945.1259 y oriéntate.Endoso pagado#mcs#incluyeauspicio Abel Nazario niega gestiones con agricultor y cuadrarle reunión con gobernadora - Noticel Menos conserjes escolares, supuestamente 40% menos - El Vocero La semana que viene se va jefe de fiscalía federal - El Nuevo Día Sujeto trató de meter 356 pastillas de Suboxone a la cárcel federal - El Nuevo Día Más cargos contra sujeto que era asesor legislativo y a la vez empresario por los donativos legislativos a quebrada Margarita - El Nuevo Día Guerra por contratos de seguridad en el gobierno - El Nuevo Día Irán despide hoy al Ayatollah Ataques de Rusia contra Ucrania dejan 30 muertos - Reuters Gobernadora pide explicaciones la Junta de libertad bajo palabra - El Vocero Archivada querella contra Ferraiuoli - El Vocero Canadá tendrá sus NBA en juego que PR no tendrá a Alvarado - Metro  2,295 muertos por terremotos de Venezuela Se espera mega bajón de precios del petróleo, Citi dice que a 60 el barril - Bloomberg Peligroso químico en aeropuerto de Aguadilla Se casa Taylor Swift y Travis Kelce - Washington Post  • ⁃ Trump chotió plan de Israel para matar nuevo liderado de Irán 

Dopey: On the Dark Comedy of Drug Addiction
Tales From the Psych Ward with Amy Dresner - Epilepsy, Grief, Recovery & Staying Alive When Sobriety Still Sucks

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jun 24, 2026 118:16


FILM FEST TIX: https://buytickets.at/thedopeyfoundation/2216905 PATREON: www.patreon.com/dopeypodcast workithealth.com/dopey This week on Dopey Wednesday,! We begin with a Father's Day rant about dads texting each other, calls his father Alan live on the show, argues about masculinity, the Knicks championship, post-Knicks withdrawal, the Dopey Film Festival, and whether Seymour is allowed to come. Dave also reads Patreon and Spotify comments about Todd's sister Allie, Todd's apartment, Dopey socks, and listener reactions. Then the episode shifts into a live Workit Health/Dopey event with the great Amy “Dopey Dres” Dresner, author of My Fair Junkie. Amy talks brutally and hilariously about long-term recovery when life does not magically become beautiful: losing her father, mother, and cat in a short period of time, checking herself into a psych ward with ten years sober, surviving suicidal ideation, epilepsy, seizures, brain meds, isolation, grief, and the nightmare comedy of American healthcare. Dave and Amy get into harm reduction, MAT, 12-step recovery, writing through trauma, being funny in the middle of misery, shame, forgiveness, isolation, suicidal thoughts, and why connection is still the only real way out. It's classic Dopey: funny, dark, honest, messy, sad, useful, and somehow hopeful. All that and more on a weird new dopey! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dopey: On the Dark Comedy of Drug Addiction
Nikki Sixx on Heroin, Sobriety, Mötley Crüe, The Heroin Diaries & Recovery | Dopey Greatest Hits

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jun 18, 2026 114:19


Film Festival: https://buytickets.at/thedopeyfoundation/2216905 Patreon: www.patreon.com/dopeypodcast This week on Dopey Greatest Hits,! Dave dusts off one of the biggest episodes in the show's history as the Dopey Patreon votes Nikki Sixx of Mötley Crüe to the top of the poll. Before the interview, Dave celebrates Ray Brown's legendary “Home Sweet Heroine,” reflects on working Step Eight with a sponsee, and shares another gratitude story involving his father. Then Jules the Cocaine Bear delivers a classic disaster tale involving cocaine, drunken party crashing, a switchblade, British police, and a miraculous escape from drug charges. Kimber King joins the show to react to comments from her replay episode, discuss Wednesday Zoom antics, laugh about bizarre drug combinations, promote Safe Spot, and celebrate the Knicks' championship run. The two revisit old stories and joke about everything from meth vapes to foot fetishes and Suboxone flavors. The centerpiece of the episode is Dave's epic conversation with Nikki Sixx. Nikki discusses twenty-plus years of sobriety, fatherhood, moving to Wyoming, writing The First 21, and how creativity replaced addiction. He opens up about childhood trauma, being introduced to drugs at an early age, selling “chocolate mescaline,” discovering heroin, and surviving the darkest years chronicled in The Heroin Diaries. Nikki reflects on Mötley Crüe's forty-year journey, his friendships with Aerosmith and the Rolling Stones, the monster of addiction that never dies, and why he continues to share his story in hopes of helping others. The interview finishes with a rapid-fire rock and roll quiz before Dave signs off after his dog nearly attacks an Amazon delivery guy. PLUS MORE!!!!!                 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Addiction in Emergency Medicine and Acute Care
What's The Latest With Kratom?

Addiction in Emergency Medicine and Acute Care

Play Episode Listen Later Jun 15, 2026 33:46 Transcription Available


Kratom is being sold like a simple plant, but the way it's packaged, concentrated, and marketed in 2026 can turn it into something much closer to an opioid problem hiding in plain sight. We're taking you through a practical, clinician-friendly update drawn from a talk I gave to local therapists and drug and alcohol counselors, especially as the political and regulatory landscape shifts and bans and enforcement efforts expand in places like California.We break down what kratom is (Mitragyna speciosa), why it can feel stimulating at low doses, and why higher doses bring opioid-receptor effects that can lead to tolerance, dependence, and withdrawal. We also cover what kratom overdose can look like, why mixing kratom with fentanyl, alcohol, or THC raises risk, and why naloxone still belongs in the conversation even when the data is often limited to case reports.Then we get real about how people actually encounter kratom today: smoke shop “strain” menus, euphoric promises, and an online retail experience that's faster and easier than getting medical care. The most important update is potency. Extracts are changing the game, and 7-hydroxymitragynine (7-OH) may be sold under the kratom label while acting like a far more powerful opioid. Finally, we lay out treatment pathways we use in addiction medicine, including comfort meds, tapering, Suboxone or methadone, and long-acting injectable buprenorphine (Sublocade/Brixadi) that can help some people step down without a brutal withdrawal.If this helped you understand kratom, share it with a colleague or a friend, subscribe for more practical addiction medicine, and leave a review so more people can find the show.To contact Dr. Grover: ammadeeasy@fastmail.comTo see the podcast's ranking on millionpodcasts.com: https://www.millionpodcasts.com/addiction-medicine-podcasts/

Tales From The Trip!
The Absolute Horror of Suboxone

Tales From The Trip!

Play Episode Listen Later Jun 8, 2026 17:54


These are some absolutely precautionary Suboxone stories...

Trudge Report
Ep. 121 - Speedom of Freach: The Crutches of Addiction and Freedom from Bondage

Trudge Report

Play Episode Listen Later Jun 4, 2026 62:36 Transcription Available


Welcome back to this week's episode of Trudge Report. Thank you for supporting the show.We kick things off going around the horn with some long-awaited sunshine for the Ohio boys. Danny celebrates his 42nd birthday, softball season, new jobs, grilling weather, and a few proud parenting moments as the guys share updates on family life. From there we take a detour into Dave Matthews Band weekend. Corey and Shawn recap the concert experience, rare songs, setlists, and the disappointment of missing a longtime favorite. This leads into a spirited discussion about the juncture where music and politics meet, and if this should even be the case. Do musicians have a right to use their platform on stage however they want for their political views or should they just play music and rock out? How much political rhetoric is too much or any at all? We then shift into the recovery segment and pick up where last week's conversation left off. The guys take a deep dive into Vivitrol, Suboxone, maintenance medications, and the difference between staying alive and finding lasting freedom through a spiritual experience. We discuss whether recovery tools can become crutches, the role of personal responsibility, and what it actually means to address the underlying problem rather than simply removing the substance. At the end of the day helping people stay alive long enough to find a better way remains something we can all stand behind.Without action, gratitude is just a pleasant emotion  - anonymousDon't forget to like, share, rate, and download the podcast on all of your listening platforms. Check out and subscribe to our YouTube channel, @trudgrereportpod, for other content surrounding sports and trending topics. Trudge on good people. Contact the Guys:Instagram: @trudgereportpodFacebook: Trudge ReportTikTok: trudgereportpodYouTube: @trudgereportpod 

FORward Radio program archives
Single Payer Radio Dr Murphy Suboxone 5-29-2026 final

FORward Radio program archives

Play Episode Listen Later Jun 2, 2026 58:04


Single Payer Radio Dr Murphy Suboxone 5-29-2026 final by Forward Radio

FORward Radio program archives
Single Payer Radio | Dr Murphy Suboxone for Opiate Addiction | 5-29-2026

FORward Radio program archives

Play Episode Listen Later Jun 1, 2026 58:04


Dr. Pat Murphy is back with more information on using Buprenorphine (Suboxone) for Opiate Addiction and the need to change the prescribing rules for Physicians in Kentucky through legislation.

Dopey: On the Dark Comedy of Drug Addiction
Dopey 583: Kidnapped at 11, Running Naked from the Cops on Meth, Heroin, Crack, Human Trafficked, Redemption with Keta Loren

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later May 15, 2026 181:03


LISTEN WITHOUT ADS ON PATREON: www.patreon.com/dopeypodcast Summary: Dave opens the show talking about Susan's eighth birthday and the family trip to Music on the Mountain in Ludlow, Vermont for the Phoenix and Divided Sky festival featuring Karina Rykman, Eggy, Anders Osborne, Daniel Donato, Natalie Cressman, Jennifer Hartswick, and members of Dogs in a Pile. Dave talks about trying to get the entire crowd to sing Happy Birthday to Susan and gives updates about Patreon, Narcan and fentanyl test strip giveaways, YouTube support, and the upcoming Dopey Short Film Festival sponsored by Mountainside Treatment Center. Dave reads a heartbreaking email from a listener celebrating nearly 60 days sober after quitting freebase coke, Xanax, and Suboxone while grieving the loss of his beloved dog Hesh. Dave reflects on his own fears about losing Winnie and spirals into thoughts about mortality, dogs, and a brass Winnie lamp he bought Linda for her birthday. Ben Croxton calls in with a classic IV Dopey story involving Googling “where to buy heroin in Atlanta,” instant meth psychosis at a job site, a dude hiding in a closet all day, and a cocaine-induced hallucination involving a kangaroo and imaginary police cars. The main interview features Keta Lauren and quickly becomes one of the darkest and most powerful Dopey stories in recent memory. Keta talks about growing up in extreme poverty in Northern California with a schizophrenic addict father and alcoholic mother, bouncing through foster homes, fighting constantly, and eventually landing in California Youth Authority “gladiator school.” She recounts horrific trauma including her father accidentally causing a house fire that killed four of her siblings after leaving a candle burning while gambling. Keta describes getting kidnapped while hitchhiking at age 11, doing meth as a child, surviving brutal YA prison fights, a devastating ATV accident that nearly killed her, and eventually falling into LA drug culture, sex work, heroin addiction, and trafficking. She explains how manipulation, survival, and trauma blurred together while trying to escape dangerous situations and abusive relationships. The conversation shifts toward recovery as Keta talks about finally hitting an emotional and spiritual bottom after years of heroin and meth addiction. She describes seeing herself deteriorate physically and mentally, eventually surrendering and finding treatment after a religious TV preacher bizarrely spoke directly to her situation. She later discusses relapse, AA and NA, psychedelic healing with psilocybin and ayahuasca, bipolar disorder, trauma therapy, and her belief that recovery can take many different forms. The episode closes with Trinity from the Beach reflecting on the interview playing a vulnerable acoustic cover of “Good So Bad” while apologizing for missing Dopey Zoom to record it. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Marty Griffin and Wendy Bell
Marty Griffin Show Hour 02 050126

Marty Griffin and Wendy Bell

Play Episode Listen Later May 1, 2026 36:18


Andy Sheehan (KDKA) joins the show to discuss "Suboxone. "Addiction and prisoners

Conversing
America's Rehab Scandal, with Shoshana Walter

Conversing

Play Episode Listen Later Apr 14, 2026 56:01


Investigative reporter Shoshana Walter has spent a decade uncovering how America's $53 billion rehab industry exploits the people it claims to help. Her debut book, Rehab: An American Scandal, follows four people through a system of unpaid labour, unregulated programs, and treatment that fuels relapse. "Just because people aren't dying doesn't mean they're not still suffering, doesn't mean their families and communities aren't still suffering." In this episode with Mark Labberton, Walter reflects on the human cost of America's failed treatment system. Together they discuss court-ordered rehab as unpaid labour, the deadly paradox of thirty-day programs, faith-based facilities exempt from oversight, racial disparities in the opioid crisis, the treatment gap for mothers, and why recovery capital and low-barrier care offer a more promising path. Episode Highlights "If indentured labour could be considered a form of addiction treatment in the US today, then how common is that? What does the rest of our treatment landscape look like?" "Someone who goes to a thirty-day program and finishes it is much more likely to overdose and die in the year following treatment than someone who didn't complete that program at all." "Without that recovery capital, it's almost as much of an obstacle as the addiction itself." "Our treatment system is not serving the people the way that it should. And we could be helping people so much more than we actually are." "That exploitation is not transformative." About Shoshana Walter Shoshana Walter is an investigative reporter for The Marshall Project covering criminal justice, health care, and child welfare, and the author of Rehab: An American Scandal (Simon & Schuster, 2025). She was lead reporter on the podcast American Rehab at the Center for Investigative Reporting. A 2018 Pulitzer Prize finalist, she has won the IRE Medal, the Livingston Award, the Knight Award for Public Service, and the Murrow Award. Based in Oakland, California. Learn more and follow at shoshanawalter.com and @shoeshine on X. Helpful Links and Resources Rehab: An American Scandal (Simon & Schuster, 2025) simonandschuster.com/books/Rehab/Shoshana-Walter/9781982149826 Shoshana Walter's website shoshanawalter.com The Marshall Project themarshallproject.org/staff/shoshana-walter American Rehab podcast podcasts.apple.com/us/podcast/reveal-presents-american-rehab/id1539955572 Show Notes America's rehab crisis: a $53 billion industry failing patients Court-ordered participants making products for KFC, Popeye's, Walmart—without pay Faith-based programs exempt from licensure, barred from providing medical care "That exploitation is not transformative." Sixty thousand people a year performing uncompensated labor in rehab Thirty- to sixty-day insurance limits fueling relapse and overdose "Someone who goes to a thirty-day program and finishes it is much more likely to overdose and die in the year following treatment." Chris Koon: eighty hours/week of manual labour, compensated with a pack of cigarettes April Lee: could only access treatment by getting herself arrested Accidental overdose: leading cause of death among pregnant and postpartum women Dr. Larry Ley: early Suboxone prescriber arrested by the DEA Wendy McIntyre: lost her son to overdose, became a reform crusader More than one million US overdose deaths since the epidemic began Racial shifts in overdose from white communities to black and brown communities Recovery capital: community, housing, job training as foundations for change "Without that recovery capital, it's almost as much of an obstacle as the addiction itself." Bridge Clinic at Highland Hospital: low-barrier model keeping people in care Mobile distribution, street medicine, peer navigators "We could be helping people so much more than we actually are." #RehabAnAmericanScandal #OpioidCrisis #AddictionTreatment #RecoveryCapital #HarmReduction #InvestigativeJournalism #Suboxone #ShoshanaWalter Production Credits Conversing is produced and distributed in partnership with Comment magazine and Fuller Seminary.

Dopey: On the Dark Comedy of Drug Addiction
Tuesday Patreon Teaser: Gas Station Heroin: Kratom, Withdrawal & Losing Everything with Heart Attack Doug

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Apr 7, 2026 37:47


DopeyWood Tickets: https://www.showclix.com/event/dopeywood-2026 FULL SHOW ON PATREONL www.patreon.com/dopeypodcast ON THE TEASER: Heart Attack Doug  AGAIN! For a chaotic Tuesday episode filled with tangents about music, meetings, and listener feedback. The tone shifts when Dave reads a detailed email from a listener addicted to 7-OH, a potent kratom extract sold in gas stations. What starts as a mild experiment quickly escalates into full dependence, with increasing tolerance, daily use in the hundreds of milligrams, financial strain, secrecy, and failed attempts to quit—even with Suboxone. Dave and Doug react with concern, noting the growing number of similar stories and questioning how such substances are widely available. They emphasize treatment, honesty, and community support, while pushing back against stigma—highlighting that addiction can take many forms, regardless of the substance. LISTEN TO THE WHOLE THING ON PATREON!     Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Hopeaholics
A Life Built on Lies, Addiction, and Broken Trust with Tony Johnson | The Hopeaholics Podcast

The Hopeaholics

Play Episode Listen Later Apr 3, 2026 72:43


A Life Built on Lies, Addiction, and Broken Trust with Tony Johnson | The Hopeaholics PodcastIn this episode of the Hopeaholics Podcast, Tony Johnson shares his raw and unfiltered story of addiction, manipulation, crime, prison, and recovery, opening up about growing up with childhood neglect in Seattle, getting shot, chasing money and power through drug dealing, and spiraling into Xanax, pills, and heroin. He speaks honestly about living a double life filled with lies, burning bridges, stacking felonies, losing relationships, and hitting rock bottom before his adopted mother's tough love and a life-changing Narcotics Anonymous meeting pushed him toward recovery. Tony also discusses accountability in behavioral health, the dangers of fentanyl, rebuilding trust, faith, and using his past to help others escape addiction, delivering a powerful message about responsibility, redemption, and choosing a new path when everything feels lost. Throughout the conversation, he reflects on the mindset that kept him trapped in addiction, the importance of honesty in recovery, and the daily discipline required to stay sober and grounded. This episode highlights the reality of consequences, the power of community, and the role of faith and purpose in long-term recovery.#thehopeaholics  #redemption #recovery #AlcoholAddiction #AddictionRecovery #wedorecover #SobrietyJourney #MyStory #Hope #wedorecover #treatmentcenter #natalieevamarieJoin our patreon to get access to an EXTRA EPISODE every week of ‘Off the Record', exclusive content, a thriving recovery community, and opportunities to be featured on the podcast. https://patreon.com/TheHopeaholics Go to www.Wolfpak.com today and support our sponsors. Don't forget to use code: HOPEAHOLICSPODCAST for 10% off!Follow the Hopeaholics on our Socials:https://www.instagram.com/thehopeaholics https://linktr.ee/thehopeaholicsBuy Merch: https://thehopeaholics.myshopify.comVisit our Treatment Centers: https://www.hopebythesea.comIf you or a loved one needs help, please call or text 949-615-8588. We have the resources to treat mental health and addiction. Sponsored by the Infiniti Group LLC:https://www.infinitigroupllc.com Timestamps:00:01:07 - Tony Johnson introduction and welcome to the podcast00:02:05 - Love language and words of affirmation discussion00:11:28 - Childhood neglect and first exposure to weed in Seattle00:21:50 - Getting shot and deciding to chase money and power00:22:25 - Trauma from drug dealing and discovering Xanax00:28:08 - Getting ran over and becoming addicted to pills and heroin00:29:14 - Felonies stacking up and going to prison00:31:01 - Marriage destruction, prison time, and Suboxone charges00:32:00 - Adopted mom's tough love and rock bottom realization00:54:19 - First Narcotics Anonymous meeting and feeling at home00:55:15 - Addiction mentality and making amends in recovery01:09:20 - Responsibility in behavioral health and fentanyl crisis message01:10:40 - Closing thoughts and sharing God's message

Chasing Heroine: On This Day, Recovery Podcast
NY Teen Behavioral Modification Bootcamp, Chasing Opiates, Surviving a Home Invasion and Falling Asleep UNDERWATER after a Crack Bender & Finally Finding Lasting Sobriety in San Diego with Bryan B

Chasing Heroine: On This Day, Recovery Podcast

Play Episode Listen Later Apr 2, 2026 138:57


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!

Chasing Heroine: On This Day, Recovery Podcast
PART TWO: Methin' Around at It's Finest; Pockets Rifled during an OD, Homemade Rigs, the Most Helpful Cop on Earth, FINALLY Recovery with the Assistance of Suboxone and Therapy

Chasing Heroine: On This Day, Recovery Podcast

Play Episode Listen Later Mar 29, 2026 52:09


Today is Part Two of our interview with NodPod member, Joey Rakisits. Joey's story is SO inspiring - he did the rounds of alllll the things dope fiend, modifying cars, getting involved in criminal activity, staying in motel rooms, basically running amok in all the ways we addicts can run amok - and now he's CLEAN! Multiple prison terms, county time, again - ALLL the things. Today we pick up Joey's story with a near fatal overdose and his ultimate journey to get to a suboxone clinic with two therapists that changed his life. Clean now since September 20, 2021, we hope you enjoy Joey's episode at much as we did! The article about the homicide is ⁠HERE⁠DM 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 Dental Hacks Podcast
Very Dental: Two Years to Life with Dr. Tiana Hall

The Dental Hacks Podcast

Play Episode Listen Later Mar 6, 2026 46:41


In this episode of the Very Dental Podcast, Alan sits down with Dr. Tiana Hall at the 2026 Voices of Dentistry meeting in Gilbert, Arizona, to explore the unique world of correctional dentistry. Tiana shares her transition from private practice and volunteer work to her current role as a prison dentist in Utah, explaining how the move helped her navigate professional burnout by trading administrative stress for a predictable schedule and a collaborative medical environment. The conversation dives into the clinical and logistical realities of working behind bars, from managing patient security and "speed-walking" through the campus to the specific challenges of treating rampant decay and "Suboxone mouth" caused by medication-assisted treatment.  Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, 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! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. 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 "VERYSHIP" you'll get free shipping on 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!  

West Virginia Morning
The Differences Between Methadone And Suboxone, This West Virginia Morning

West Virginia Morning

Play Episode Listen Later Feb 26, 2026


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.

Dopey: On the Dark Comedy of Drug Addiction
Dopey Wednesday: Deck the Hall's with Mom's Suboxone! Kevin McEnroe Returns! Mushrooms Epiphany! Blended Family Wedding Miracle!

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Feb 25, 2026 81:39


Listen without ads at www.patreon.com/dopeypodcast Dopeywood 2 tickets https://www.showclix.com/event/dopeywood-2026 Today on Dopey Wednesday! Dave (still shaking off a cold, snowed in on Long Island) pays tribute to Larry (“Crosstalk Larry”) — a beloved meeting  guy who recently passed away. Larry was a kind, positive soul who yelled “keep coming!” at every meeting's end, welcomed newcomers, collected the basket for personal contact, showed up in hospitals and court, attended three DopeyCons and the Margaret Cho show, and lost his son to murder years ago. Dave reflects on missing Larry's kind heart and vows to try to be kinder. Lots of Spotify Bob talk! The main talk is a powerful, emotional return with Kevin Jack McEnroe (author, former nightlife figure, son of Tatum O'Neal). Kevin opens up about his family's addiction legacy: Tatum's lifelong struggles (childhood coke from Ryan O'Neill, celebrity enabling, stroke/coma in 2020), Ryan's estrangement, Kevin's own heroin/coke/vodka spiral, liver failure, treatment, Suboxone, and the infamous Christmas visit where Tatum smoked weed in the hotel room while Kevin was newly sober. He shares the deck-the-halls-with-mom's-Suboxone story, codependency/survivor guilt, boundary-setting (“I can't keep convincing you to live”), and how the stroke/facility humility saved her life. Kevin reflects on being a bad liar, ring secrecy with Fern, Sergio the blind heroin dealer, and how recovery brought peace, blended-family wedding moments, and hope.  All that and MORE! on a brand new Wednesday episode of that good old Dopey Snow - i mean show. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

A Mediocre Time with Tom and Dan
903 - Don't Call Me Crying

A Mediocre Time with Tom and Dan

Play Episode Listen Later Feb 19, 2026 108:12


Show intro and theme music return Ross McCoy joins on the couch Dan warns mics are hot before going live Podcast gear vs traditional radio console Old Yamaha NG-166CX-USB mixer in studio Raising faders slowly to avoid pops and ego boosts Hosts wanting louder mics for control Avoiding over-modulation and rough faders Radio mic on off buttons and forgetting to flip them Purpose and criticism of cough buttons Extra hardware in the signal chain hurting audio Tom coughing on air joke Athlete representing another country at the Olympics Eileen Gu competing for China despite U.S. upbringing American born skier with Chinese mother Alleged 6 million payment and citizenship questions Debate over loyalty vs financial incentive Athletes switching countries for better qualification odds Comparisons to paid World Cup teams like Qatar Pro sports money moves vs Olympic idealism Hypothetical selling out to another country Character rant about fiat currency vs gold Joke about tipping with a worthless dollar Taking foreign money framed as capitalism Media framing silver medals as failures Hostile coverage and death threats debate Would you move for 6 million Social media rewarding money driven controversy Influencers chasing cash and outrage Buying Olympic medals as investments joke Medals not solid gold and ribbon quality complaints Human rights criticism vs athletes taking money Precious stones vs gold value debate Diamonds and artificial scarcity comparison Curling cheating controversy over double touching the stone Canada vs Sweden slow motion replay dispute Any force is force argument Rules matter even if impact is tiny Intent vs accidental second touch debate Denial despite video evidence Calm nations arguing apocalypse joke Elite athletes controlling micro movements Hypothetical micro spins and huffing to influence outcome Uri Geller micro movement reference Curling stones sourced from Ailsa Craig granite Unique dense water resistant granite claims Artificial scarcity and monopoly jokes MLB special mud myth comparison Rare materials vs marketing hype debate Caller confirms rarity and 600 per stone estimate Robot test comparing Olympic vs cheap stones Tradition of curling resisting change Ram Dave Boat Gambling Invitational March 31 Port Canaveral Hosted on Victory Casino Cruise Sponsors Mo DeWitt, Pyro Spot, Elite Vintage Apparel, Marshall Bone Construction 25 entry includes meal, dessert, drink voucher, free drinks while gambling, 20 slot credit Contact Ross McCoy to reserve Gambling begins shortly after leaving port Chef Ed pushing tater tots onto menu Praise for Victory Casino Cruise food Gambling addiction and chicken salad jokes Prep kitchen below waterline Music break and Ram leaves to catch boat BoJack Horseman praised but very dark Stranded boat memory eating Subway during fight Lethal Weapon nostalgia and Speed rewatch Kids finding older action movies slow Shower and counter sex jokes Paying handyman in Suboxone bit Facebook Marketplace reactions on listings Laugh emoji as vigilante justice against flippers Not caring if buyers resell for profit Re gifting etiquette without drama Camping chair left at swim class and claimed Finders keepers joke Stop drop roll discussion and viral fire clips Gasoline prank jumping into lake speculation Teen fireball stunt burning hair and hand Lying about barbecue accident Friend could have gone to jail if filmed Another stunt burning legs Reflection on chasing attention with danger Jackass style content saturation Father son stunt content idea Hesitation to post TikTok content Plug for Ross McCoy interviews BDM show perks and appreciation Upcoming hip surgery anxiety and recovery plan Fear of temporary leg issues after surgery Schedule changes and fake drama joke Uncertainty about returning next Wednesday ### Social Media [https://tomanddan.com](https://tomanddan.com) [https://twitter.com/tomanddanlive](https://twitter.com/tomanddanlive) [https://facebook.com/amediocretime](https://facebook.com/amediocretime) [https://instagram.com/tomanddanlive](https://instagram.com/tomanddanlive) Tom & Dan on Real Radio 104.1 Apple Podcasts: [https://podcasts.apple.com/us/podcast/a-corporate-time/id975258990](https://podcasts.apple.com/us/podcast/a-corporate-time/id975258990) Google Podcasts: [https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkLnBvZGJlYW4uY29tL2Fjb3Jwb3JhdGV0aW1lL3BvZGNhc3QueG1s](https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkLnBvZGJlYW4uY29tL2Fjb3Jwb3JhdGV0aW1lL3BvZGNhc3QueG1s) TuneIn: [https://tunein.com/podcasts/Comedy/A-Corporate-Time-p1038501/](https://tunein.com/podcasts/Comedy/A-Corporate-Time-p1038501/) Exclusive Content [https://tomanddan.com/registration](https://tomanddan.com/registration)

Love Anarchy
Ep. 241 - Recovering From Addiction: Healing Without Judgement

Love Anarchy

Play Episode Listen Later Feb 18, 2026 49:45


Send a textIn this deeply honest and illuminating conversation, host Andrea Atherton welcomes special guest Tyler Blandin, a substance abuse counselor with over 20 years of professional and personal recovery experience. Together, they explore one of the most misunderstood truths in addiction treatment: you cannot force someone into recovery. With compassion and clinical insight, this episode unpacks the painful reality individuals face when they desperately want change. Tyler shares how true transformation begins with willingness, and how attempts to control or coerce often deepen shame and resistance rather than inspire healing.Andrea and Tyler also address the vulnerable question so many quietly ask: How do I know if I'm an addict or alcoholic? They clarify the difference between problematic use and addiction, discuss the emotional and behavioral markers that often go unnoticed, and demystify how programs like Alcoholics Anonymous and Narcotics Anonymous actually work. Together, they gently dismantle common misconceptions about 12-step recovery, revealing the spiritual, communal, and accountability-based foundations that have helped millions find lasting sobriety.This episode also courageously confronts the cultural punishment model still embedded in how society responds to addiction. Andrea and Tyler examine the stigma surrounding medication-assisted treatment, particularly the shaming that can occur in some recovery spaces for those taking Suboxone. They explore how self-help communities can both save lives and, at times, unintentionally perpetuate harm. If you have ever loved someone struggling with addiction or questioned your own relationship with substances, this conversation offers clarity, hope, and a call toward more compassionate recovery pathways.Tyler Blandinhttps://emotionalnightmarespodcast.buzzsprout.com/30-minute Consultation with Andrea https://www.andreaatherton.com/booking-calendarAndrea Atherton Websitehttps://www.andreaatherton.com/Love Anarchy Websitehttps://www.andreaatherton.com/podcasthttps://loveanarchypodcast.buzzsprout.comLove Anarchy Facebookhttps://www.facebook.com/loveanarchypodcast/Andrea Atherton Facebookhttps://www.facebook.com/andreaatherton-17/

Cut To The Chase:
Are Fast Food Chains Lying to You? Inside the Lawsuits Against Burger King, Arby's, Hardee's & More | Anthony Russo

Cut To The Chase:

Play Episode Listen Later Jan 21, 2026 30:21


Ever wonder why fast food ads look so different from the food you get from the drive thru? You're not the only one feeling deceived. In fact, some consumers may actually be eligible for reimbursement. In this episode of Cut to the Chase: Podcast, host Gregg Goldfarb is joined by attorney Anthony Russo to expose how fast food giants may be misleading consumers through deceptive advertising. From burgers that appear up to 35% larger in ads to questionable ingredient and labeling claims, Russo breaks down the class action lawsuits targeting companies like Burger King, Arby's, Hardee's, and even major candy brands. This conversation exposes the most popular food styling tactics, the legal "eye test," and consumer protection laws that are holding corporations accountable. Whether you're curious about class actions, false advertising, or your rights as a consumer, this episode will give you a behind-the-scenes look at some of the most high-profile lawsuits in fast food history. What to expect in this episode: Details on class action lawsuits against Burger King, Arby's, Hardee's, and others The "eye test" standard courts use to evaluate misleading advertising How food styling can become deceptive What class certification means and how consumers could be compensated Why most false advertising cases never make it to court How fast food lawsuits are reshaping consumer protection law How false advertising lawsuits could change the way food is sold in America Russo's work beyond fast food, including major mass tort cases like Suboxone litigation   Stay tuned for more updates, and don't miss our next deep dive on Cut to the Chase: Podcast with Gregg Goldfarb!   Subscribe, rate, review, and share this episode of the Cut to the Chase: Podcast!   Resources: Visit Anthony Russo's website: https://therussofirm.com  Connect with Anthony on LinkedIn: https://www.linkedin.com/in/anthony-j-russo-jr-9124656    This episode was produced and brought to you by Reignite Media.  

The Zac Clark Show
Should You Take Drugs in Recovery? A Top Addiction Doctor Explains

The Zac Clark Show

Play Episode Listen Later Jan 20, 2026 45:51


In this episode, Zac sits down with Release Recovery's Chief Medical Officer, Dr. Michael McCormick, for a candid, nuanced conversation about one of the most controversial questions in recovery: can drugs ever help sobriety?Together, they break down three major categories of medications – benzodiazepines, stimulants, and opioid medications like Suboxone, methadone, and Vivitrol – and explain how each works in the brain, why they can be both lifesaving and dangerous, and how clinicians decide, case by case, when medication is part of recovery and when it becomes a risk.Dr. McCormick challenges black-and-white thinking about “being sober,” addresses the stigma many people face in the rooms of recovery, and shares how careful monitoring, individualized care, and real behavioral change are essential if medication is used at all.This is not a pro-drug or anti-drug episode – it's an honest, clinically grounded exploration of the gray area where medicine, addiction, and recovery meet.Connect with Zachttps://www.instagram.com/zwclark/https://www.linkedin.com/in/zac-c 746b96254/https://www.tiktok.com/@zacwclarkhttps://www.strava.com/athletes/55697553https://twitter.com/zacwclarkIf you or anyone you know is struggling, please do not hesitate to contact Release Recovery:(914) 588-6564 releaserecovery.com@releaserecovery

The Zac Clark Show
ASK ME ANYTHING: The Questions Everyone Has About Sobriety

The Zac Clark Show

Play Episode Listen Later Jan 13, 2026 40:33


In this Ask Me Anything episode, Zac kicks off 2026 by answering real questions from the community about sobriety, recovery, and mental health.Zac shares honest, grounded insight on topics people are often afraid to ask about – including California sober, medication-assisted treatment like Suboxone, dry January, cravings, acceptance, and whether a relationship with alcohol can ever truly change. He breaks down why recovery isn't one-size-fits-all, why community and purpose matter more than labels, and how autonomy plays a critical role in lasting change.The conversation also speaks directly to partners and loved ones: how to support someone in sobriety, how to recognize when drinking may be a problem, and why taking care of yourself is essential when someone you love is struggling.If you're sober, curious about sobriety, supporting someone else, or just trying to make sense of it all, please give his episode a listen.If you're struggling, you don't have to do it alone.Connect with Zac https://www.instagram.com/zwclark/ https://www.linkedin.com/in/zac-c-746b96254/ https://www.tiktok.com/@zacwclark https://www.strava.com/athletes/55697553 https://twitter.com/zacwclarkIf you or anyone you know is struggling, please do not hesitate to contact Release Recovery: (914) 588-6564 releaserecovery.com @releaserecovery

Mr. Joe's Bipolar Podcast
Navigating Optimism (S8E103) 11-17-2025

Mr. Joe's Bipolar Podcast

Play Episode Listen Later Nov 18, 2025 48:47


Mr. Joe speaks about substance abuse, and his intense addiction with Suboxone. He delves into the concept of optimism, and how he struggles with negative thoughts. Please support Mr. Joe, as I continue along on my lifelong podcast journey… https://donate.stripe.com/bIY7vS00WaFfdrydQR Mr. Joe has also started microdosing therapy and highly recommends SoulCybin. They have an incredible selection of products and blends! Be sure to visit… https://soulcybin.org/mrjoebp and enter coupon code MRJOEBP to save 15% off your order right now!  Additionally, if you would like to browse some amazing chocolate bars, various strains of mushrooms, and dozens of other microdosing products, visit PolkaDot by clicking Mr. Joe's personal link… https://gasstash.com/ref/1000/  

New Books Network
Shoshana Walter, "Rehab: An American Scandal" (Simon and Schuster, 2025)

New Books Network

Play Episode Listen Later Nov 8, 2025 40:35


In Rehab: An American Scandal (Simon and Schuster, 2025), Pulitzer finalist Shoshana Walter exposes the country's failed response to the opioid crisis, and the malfeasance, corruption, and snake oil which blight the drug rehabilitation industry. Our country's leaders all seem to agree: People who suffer from addiction need treatment. Today, more people have access to treatment than ever before. So why isn't it working? The answer is that in America—where anyone can get addicted—only certain people get a real chance to recover. Despite record numbers of overdose deaths, our default response is still to punish, while rehabs across the United States fail to incorporate scientifically proven strategies and exploit patients. We've heard a great deal about the opioid crisis foisted on America by Big Pharma, but we've heard too little about the other half of this epidemic—the reason why so many remain mired in addiction. Until now. In this book, you'll find the stories of four people who represent the failures of the rehab-industrial complex, and the ways our treatment system often prevents recovery. April is a black mom in Philadelphia, who witnessed firsthand how the government's punitive response to the crack epidemic impeded her own mother's recovery—and then her own. Chris, a young middle-class white man from Louisiana, received more opportunities in his addiction than April, including the chance to go to treatment instead of prison. Yet the only program the judge permitted was one that forced him to perform unpaid back-breaking labor at for-profit companies. Wendy is a mother from a wealthy suburb of Los Angeles, whose son died in a sober living home. She began investigating for-profit treatment programs—yet law enforcement and regulators routinely ignored her warnings, allowing rehab patients to die, again and again. Larry is a surgeon who himself struggled with addiction, who would eventually become one of the first Suboxone prescribers in the nation, drawing the scrutiny of the Drug Enforcement Administration. Together, these four stories illustrate the pitfalls of a system that not only fails to meet the needs of people with addiction, but actively benefits from maintaining their lower status. They also offer insight into how we might fix that system and save lives. More of Shoshana's work: - Her reporting on hospital drug testing - Her reporting on moms reported to child welfare authorities for taking medication-assisted treatment during pregnancy - The American Rehab podcast Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her new book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released next year. 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

New Books in American Studies
Shoshana Walter, "Rehab: An American Scandal" (Simon and Schuster, 2025)

New Books in American Studies

Play Episode Listen Later Nov 8, 2025 40:35


In Rehab: An American Scandal (Simon and Schuster, 2025), Pulitzer finalist Shoshana Walter exposes the country's failed response to the opioid crisis, and the malfeasance, corruption, and snake oil which blight the drug rehabilitation industry. Our country's leaders all seem to agree: People who suffer from addiction need treatment. Today, more people have access to treatment than ever before. So why isn't it working? The answer is that in America—where anyone can get addicted—only certain people get a real chance to recover. Despite record numbers of overdose deaths, our default response is still to punish, while rehabs across the United States fail to incorporate scientifically proven strategies and exploit patients. We've heard a great deal about the opioid crisis foisted on America by Big Pharma, but we've heard too little about the other half of this epidemic—the reason why so many remain mired in addiction. Until now. In this book, you'll find the stories of four people who represent the failures of the rehab-industrial complex, and the ways our treatment system often prevents recovery. April is a black mom in Philadelphia, who witnessed firsthand how the government's punitive response to the crack epidemic impeded her own mother's recovery—and then her own. Chris, a young middle-class white man from Louisiana, received more opportunities in his addiction than April, including the chance to go to treatment instead of prison. Yet the only program the judge permitted was one that forced him to perform unpaid back-breaking labor at for-profit companies. Wendy is a mother from a wealthy suburb of Los Angeles, whose son died in a sober living home. She began investigating for-profit treatment programs—yet law enforcement and regulators routinely ignored her warnings, allowing rehab patients to die, again and again. Larry is a surgeon who himself struggled with addiction, who would eventually become one of the first Suboxone prescribers in the nation, drawing the scrutiny of the Drug Enforcement Administration. Together, these four stories illustrate the pitfalls of a system that not only fails to meet the needs of people with addiction, but actively benefits from maintaining their lower status. They also offer insight into how we might fix that system and save lives. More of Shoshana's work: - Her reporting on hospital drug testing - Her reporting on moms reported to child welfare authorities for taking medication-assisted treatment during pregnancy - The American Rehab podcast Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Her new book, Addiction, Inc.: Medication-Assisted Treatment and America's Forgotten War on Drugs, will be released next year. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

Dopey: On the Dark Comedy of Drug Addiction
Dopey 554: Homeless, Shooting Speedballs in Neck, 69ing in Cab with Fried Chicken, RJ Elizarraz

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Oct 24, 2025 174:51


www.patreon.com/dopeypodcast This week on Dopey! Dave opens the episode feeling sick, dreading his upcoming dental implants, and joking about painkillers, nitrous, and Tylenol PM. He congratulates longtime dopes Margaret Hernandez (36 years sober) and Mattie Veach (recovering from cancer surgery), prays for the Knicks, and introduces guest RJ Elizarraz, co-host of Against All Odds with Rachel Slocum and founder of Oak Forest Recovery.Before diving in, Dave reads Spotify comments from the Brace Belden episode — about therapy, high memories, Suboxone, and more — gives shoutouts to listeners, and pushes the legendary Dopey socks. He jokes about how each platform reacts differently: Patreon loves him, Reddit hates him, Facebook doesn't care.He plays an old Miles Davis clip about Charlie Parker doing drugs and sex in a taxi while eating fried chicken, and finds the recovery moral in it — acceptance is the key. A listener named Nathan from San Francisco sends a disgusting classic: at 12 he cooked and ate his own poop hoping it would make DMT. It didn't. He puked, got bullied, overdosed, and finally got sober. Dave laughs, calls it top-notch Dopey storytelling, and awards him socks. Then comes the main interview with RJ Elizares. They record in RJ's Westlake Village home — complete with an infrared sauna, cold plunge, and jade crystal massage bed. RJ also runs a marketing agency for medical clients and has a 13-year-old daughter.RJ tells his story:Grew up in Westlake, straight-edge nerd playing video games and paintball.Swore he'd never do drugs, then caved at 15 after a best-friend betrayal.Smoked weed with his stepbrother, laughed hysterically at Maury Povich, devoured frozen peas, and instantly became “the stoner.”Started selling weed and stealing paintball gear; pulled off a heist from an optometrist's back-room store until his stepbrother turned him in for the reward.Skipped school, bribed attendance clerks with weed, got caught high at a parent meeting, expelled.At continuation school, excelled while high, manipulated teachers, and got expelled again for lying.Ran away on a dirt bike, sold weed full-time, then transferred to another continuation school where a rival stabbed him in the arm with a pencil for “selling on his turf.”Graduated early by testing out, kept selling, moved out, and lived off weed money.With his girlfriend (later the mother of his daughter) did ecstasy, coke, Xanax, mushrooms, pills — everything but heroin.She overdosed on ecstasy and stopped breathing before being revived — a turning point moment. 

Dopey: On the Dark Comedy of Drug Addiction
Dopey 552: Brace Belden Returns! Molestation, Poppers, Nitrous, Heroin, Charlie Kirk and Recovery!

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Oct 17, 2025 128:29


This Week on Dopey! Dave opens with a cocaine-barroom parody and rolls into updates: DopeyCon afterglow, Spotify/iTunes comments, LA travel nerves, and sponsor shout-outs. Listener Archie checks in with a salvia-in-underwear saga; another listener writes about rock-salt shrooms and missing the Dead's final Jerry show; “Chip” reports nearly a year sober and reflects on denial. Then Brace Belden (Truenon) sits down in Dave's new DIY studio for a sprawling hang: meetings vs. therapy, analysis and trazodone dreams, the weird science of memory, and a brutally honest tour through sex + drugs (boofing Suboxone film, poppers, Whippets/“galaxy gas,” meth, DMT, Quaaludes, coke dick, Hunter Biden-level decadence). They spar on politics without picking teams (meetings in “Trumpy” rooms, why rhetoric isn't the whole story), react to the Charlie Kirk assassination video, and play a relapse thought experiment (weed→benzos→opiate math vs. “new Research Chemicalss”). They close with Chrome-mags diplomacy drama, a rapid-fire “this or that,” Truenon live show plugs, and Dave's mural/Patreon notes before the end of another edition of that 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.

The Dental Hacks Podcast
AME: Harm Reduction

The Dental Hacks Podcast

Play Episode Listen Later Oct 6, 2025 28:26


Alan discusses the significant differences between his intensive, abstinence-based path to recovery in 2002 and the current standards of addiction treatment. Prompted by renewing his DEA license and taking a required CE on opiate prescribing, Alan contrasts his successful, disruptive model (therapy and 12-step programs) with the modern focus on Medication-Assisted Treatment (MAT), such as buprenorphine (Suboxone), and harm reduction. He grapples with his past skepticism of these newer methods but shares a patient's story and discusses the Sinclair Method (using naltrexone for alcohol recovery) which have opened his mind to various effective ways of getting well. Alan invites listeners to discuss these evolving approaches in the Very Dental Facebook group and the smaller, recovery-focused group, Dentists That Don't. Some links from the show: Drink Your Way Sober, by Katie Herzog The Sinclair Method Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," "Gary," "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!

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Dopey: On the Dark Comedy of Drug Addiction
Dopey 551: Recovering from Grief with Amanda Petrusich, Phish, Metallica, Bob Dylan, Suboxone, Rolling Stone, New Yorker

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Oct 3, 2025 121:33


dopeycon tix:https://buytickets.at/thedopeyfoundation/1765668Patreon:www.patreon.com/dopeypodcastA new kind of Dopey! A kinder, Gentler Dopey? Me and New Yorker Rock Critic, Amanda Petrusich sit down to discuss recovering from grief. Amanda lost her husband suddenly during covid from a random seizure. Hear how Amanda got through it raising their one daughter, Nico alone. Plus some of Amanda's experiences covering Phish, Aerosmith, Nick Drake, Bob Dylan and more!Plus Ben Croxton's shooting story(but not how you think), a horrible kratom death, and me basking in the adulation of being included in Rolling Stone Magazine! Plus a bunch of other stuff - all here!Also More on this Dopeycon Eve's offering 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.

Here & Now
Undercounted: Treatment options limited as drugs flow into U.S. jails

Here & Now

Play Episode Listen Later Oct 3, 2025 26:38


Statistics show about 60% of inmates have a substance abuse disorder, yet drugs are commonly smuggled inside U.S. jail facilities, contributing to overdose deaths in custody. And when jails have treatment options like methadone and Suboxone, there often aren't enough to go around. Here & Now's Peter O'Dowd reports from a jail in Albuquerque, New Mexico.And, Richard Graham died of an overdose in a Louisville, Kentucky, jail. As his family mourns the loss, they're looking for answers. And so is the city; In 2022, Louisville Metro Council launched an investigation after a spike in overdose and suicide deaths. O'Dowd talks with Richard Graham's family and Louisville jail officials about why overdoses are so common and what can be done to curb them.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Dopey: On the Dark Comedy of Drug Addiction
Dopey 550: The Anesthesiologist Who Shot Adrenaline and Fentanyl, Dr. Jason Giles, Hitler, Freud, Halsted, Addiction Recovery

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Sep 26, 2025 158:45


This Week on Dopey! We are joined by Oro Recovery Medical Director - Dr. Jason Giles! We also read old comments and hear from a few dopes in the dopey nation. Then Dave interviews Dr.  Giles—twice board-certified in addiction medicine (via ABAM then ABPM), previously board-certified in anesthesiology and pain medicine, and a recovering opioid addict. He grew up in Santa Monica with a severely alcoholic father, fell into the second-wave ska/mod scene (Vespa, sharkskin suits, amphetamines), dropped out of high school, then clawed his way through community college to Berkeley, volunteering at the Berkeley Free Clinic and falling in love with medicine.He explains anesthesia's demands (no pain, no memory; muscle relaxants; airway control), the human connection of pediatric anesthesia, and the hope-work of pain management. In 1999, curiosity and stress led him to divert fentanyl: he edited paper records, carried a 2 mL syringe for a month, then IV-used with sterile technique. After a six-week gap he used again, convincing himself he could “handle it.” Use escalated to daily “after work,” leaving him in daytime withdrawal. The department chair paged him about missing fentanyl; instead of punishment, he offered help and a path into California's 5-year diversion program (treatment, meetings, testing). Giles detoxed cold turkey, went to AA (first meeting mostly doctors), found he wasn't unique, and built long-term sobriety (nearly 26 years by his telling), learning service and vulnerability through treatment feedback groups.With sobriety he finished residency, married, had a son, worked in cardiac anesthesia and pain, and then moved into addiction treatment (Malibu), where his science and lived experience met the work. He and Dave range widely: purpose/mission as a recovery engine; Bill W., boomerangs and ants; truth-serum myths; Halsted (cocaine→heroin), Freud letters, Hitler's amphetamines/opioids (book Blitzed), kratom (mixed withdrawal profiles), benzos vs. opiates (benzo withdrawal = fear), intraoperative awareness & memory, Suboxone vs. abstinence (cast/training-wheels framing), fentanyl's dominance (counterfeit pills; heroin now rare), and whether fentanyl appears in non-opioid street drugs (he says he's seen it). ALL THAT AND MUCH MORE ON A BRAND NEW EPISODE OF THAT GOD 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.

The Doctor Patient Forum
Why Pain Patients Became the Villains of the Opioid Crisis - Episode 58

The Doctor Patient Forum

Play Episode Listen Later Sep 18, 2025 93:36


Why are pain patients treated like criminals, while people on Suboxone are celebrated as brave survivors?This isn't just stigma, it's a system. One that quietly rewrote the rules of who deserves compassion... and who gets discarded.In this video, we introduce a lens called Critical Drug Theory, based on Critical Theory, which helps explain how power, identity, and moral narratives shape public policy. It's a way to understand why people with addiction are often seen as victims in need of care, while stable pain patients are labeled as privileged or problematic, even when both need medication.We break down how these narratives gained power, how they've influenced opioid policy, and why the system was rigged to treat pain relief as dangerous, but daily addiction treatment as virtuous.This video gives language to something many patients have felt but couldn't name. It's not political, and it's not a conspiracy. It's just the truth about how we got here and who got hurt along the way.

Harford County Living
Podathon For Recovery: Sarah's Road to Recovery

Harford County Living

Play Episode Listen Later Sep 8, 2025 55:50 Transcription Available


Sarah opens up about starting opioids at 20, a rapid slide to heroin, pregnancy on methadone, jail, and the drug court program that helped her turn it around. After a later Xanax relapse during COVID, she did the work—therapy, structure, and service—and is now certified and working as a counselor at a maintenance clinic. This candid conversation with Wendy Beck and Rich Bennett shows what sustainable recovery really looks like—and why hope matters. Sponsored by Rage Against Addiction Guest Bio:  Sarah is a Harford County native, mom, and recovery professional. After entering opioid use at 20 and escalating to heroin in 2012, she experienced jail and drug court, achieved long-term abstinence from opiates and cocaine (since Sept. 27, 2016), overcame a benzodiazepine relapse in 2020–2021 (clean since Nov. 4, 2020), earned her Peer Recovery Specialist credential and ADT approval, and now counsels patients at a medication-assisted treatment clinic. Main Topics: ·         Podathon for Recovery: 12 Days of Hope benefiting Rage Against Addiction·         Starting opioids at 20; rapid progression from pills to heroin (2012)·         Pregnancy on methadone, stigma, and learning MAT safety·         IV use, crack/cocaine, legal consequences, and visible decline·         Jail detox and entry into Drug Court; Judge-led accountability·         Long-term sobriety from opiates/cocaine; COVID-era Xanax relapse and dangers of benzo withdrawal·         Therapy, boundaries, routines, fitness, and gratitude as core recovery tools·         Working in recovery: peer support vs. clinicians; women-specific needs; mom guilt and shame·         Maintenance meds (methadone/Suboxone): misuse stigma vs. real stability·         Parenting conversations about peer pressure and openness with kids·         Burnout prevention for recovery workers (self-care, phone boundaries, weekly therapy)  Resources mentioned: ·         Donate to Rage Against Addiction ·         Center for ASend us a textDonate HereRage Against AddictionRage Against Addiction is a non-profit organization dedicated to connecting addicts and their familiDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showRate & Review on Apple Podcasts Follow the Conversations with Rich Bennett podcast on Social Media:Facebook – Conversations with Rich Bennett Facebook Group (Join the conversation) – Conversations with Rich Bennett podcast group | FacebookTwitter – Conversations with Rich Bennett Instagram – @conversationswithrichbennettTikTok – CWRB (@conversationsrichbennett) | TikTok Sponsors, Affiliates, and ways we pay the bills:Hosted on BuzzsproutSquadCast Subscribe by Email

The Adam and Dr. Drew Show
Classic #881: Don't Put Your Sombrero On My Keys

The Adam and Dr. Drew Show

Play Episode Listen Later Jun 26, 2025 34:54


Adam and Dr. Drew discuss a drawing featuring Adam's phrase “Don't Put Your Sombrero On My Keys” and the resulting racism allegations, explaining the joke's intent. Drew shares troubling news he received, then they take calls about America's addiction to altered states and the new injectable Suboxone.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dopey: On the Dark Comedy of Drug Addiction
Dopey Teaser: Kraboxone, Mid-Century Meth, Magic Mind, Mushrooms, the Stash Word Disaster & the Dopeywood Debrief

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Jun 10, 2025 11:17


Dopey: On the Dark Comedy of Drug Addiction
Dopey 233: Tripping Balls at Camp Bisco, Calvin Klein Cocktails, LSD Meltdowns, and Methadone Clinic Madness: Zach's Wild Ride

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later May 30, 2025 137:34


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”

Dopey: On the Dark Comedy of Drug Addiction
Dopey 523: Dr. Nzinga Harrison's Brother Got Life for a Murder He Didn't Commit

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Mar 21, 2025 114:18


This week on Dopey! In one of the possibly most powerful and emotional episodes of Dopey ever, Dr. Nzinga Harrison returns to the show to tell a story she's never shared before—despite being around the show for over five years. Her older brother, Kofi (aka Debo), has spent the last 30 years in prison for a triple homicide he didn't commit. This episode is about injustice, resilience, heartbreak, and family—and how one letter from the foreman of the jury might change everything.

Dopey: On the Dark Comedy of Drug Addiction
Dopey 520: Jail Stories: Smuggling Subs, Smoking Deuce, and a Vagina Full of Dope: Lenny's Release and Return! Heroin, Cocaine, meth, recovery

Dopey: On the Dark Comedy of Drug Addiction

Play Episode Listen Later Feb 28, 2025 116:52


This week on Dopey! Rejoice Lenny from the Beach is Free! Lenny from the Beach returns from being locked away! Hear all about his time away in Long Island's Jail System and then upstate for more time incarcerated before SHOCK treatment! Hear all the ins and outs of institutional living and the nature of incarcerated recovery! PLUS a crazy meth fishing voicemail and Dopey emails! All that and more on this brand new version of the good old Dopey Show!Patreon: www.patreon.com/dopeypodcastMargaret Cho/Dopey Love/Live Tickets: https://publictheater.org/productions/joes-pub/2025/d/dopey-podcast-live/Here is what AI Says: