Continual use of drugs (including alcohol) despite detrimental consequences
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In episode 54 of Going anti-Viral, Dr Ellen Eaton joins host Dr Michael Saag to discuss the treatment of substance use disorder in an in-patient setting. Dr Eaton is an Associate Professor in the Department of Medicine and Division of Infectious Diseases at the University of Alabama at Birmingham (UAB). Dr Eaton provides and update on a recent termination of a Center for Disease Control and Prevention (CDC) grant that provided overdose prevention education and treatment. She discusses the impact that a recent executive order on unhoused individuals that may have on access to care. Dr Eaton addresses a recent “bad batch” alert warning of contaminated street drugs leading to serious overdose events, and the most common reasons that people are admitted for in-patient care and review treatment of substance use disorder-related infections. They review acute withdrawal in the hospital and Dr Eaton shares her ideal response to substance use disorder in a hospital setting. Finally, Dr Saag and Dr Eaton look forward to the next 10 years of care for people with substance use disorder.0:00 – Introduction1:19 – Update on current issues including access to naloxone and a recent executive order on unhoused individuals4:43 – Update on recent “bad batch” alert regarding serious overdose events7:27 – The most common reasons why people are admitted for in-patient care 11:03 – Treatment of substance use disorder-related infections particularly where prolonged antimicrobial therapy is needed and discussion of the use of a PICC line16:07 – Treatment and preventing acute withdrawal in the hospital including administration of buprenorphine21:46 – The ideal response to substance use disorder in a hospital setting27:00 – How treatment of substance use disorder may improve in the next 10 years__________________________________________________Produced by IAS-USA, Going anti–Viral is a podcast for clinicians involved in research and care in HIV, its complications, and other viral infections. This podcast is intended as a technical source of information for specialists in this field, but anyone listening will enjoy learning more about the state of modern medicine around viral infections. Going anti-Viral's host is Dr Michael Saag, a physician, prominent HIV researcher at the University of Alabama at Birmingham, and volunteer IAS–USA board member. In most episodes, Dr Saag interviews an expert in infectious diseases or emerging pandemics about their area of specialty and current developments in the field. Other episodes are drawn from the IAS–USA vast catalogue of panel discussions, Dialogues, and other audio from various meetings and conferences. Email podcast@iasusa.org to send feedback, show suggestions, or questions to be answered on a later episode.Follow Going anti-Viral on: Apple Podcasts YouTubeXFacebookInstagram...
Kristin is winding down her ADHD & addiction series for now with a discussion about the comorbidity rates of substance use disorder (SUD) for ADHDers. She's covering the potential for stimulant misuse, why treating the ADHD first is crucial for SUD recovery, and how to approach treatment with a focus on harm reduction. Plus, Kristin has a new enemy (it's always nice to have something to hate), Grace is a responsible planner for once (kinda), and we introduce a BOD that just may be the new autistic superhero of a generation. References: SAMHSA Advisory Challenges of Treating ADHD with Comorbid Substance Use Disorder: Considerations for the Clinician Stimulant treatment for attention-deficit hyperactivity disorder and risk of developing substance use disorder | The British Journal of Psychiatry | Cambridge Core Drug Scheduling The Complicated Relationship Between Attention Deficit/Hyperactivity Disorder and Substance Use Disorders - PMC Randomized Controlled Trial of Osmotic-Release Methylphenidate with CBT in Adolescents with ADHD and Substance Use Disorders - PMC Substance Abuse Treatment with Comorbid ADHD: A Clinician's Guide 14 Kakapo Facts - Fact Animal KAKAPO Adult male 'chinging' call to attract females
Dr. Derek Bast, is a board-certified family medicine physician with a passion for helping people who battle substance use disorders.
Dr. Vinod Rao (Massachusetts General Hospital, Boston) join AJP Audio to discuss predicting the relative risk of patients with an ADHD diagnosis developing a later stimulant or substance use disorder based on the method of prescription, in person or via telehealth. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the August issue of the Journal. 00:07 Rao interview 01:53 Stimulant use disorder versus substance use disorder 02:59 Cohort size and incidence of SUDs 04:28 Length of clinician engagement in non-profit versus for profit hospital systems 05:18 Patient cohort 06:20 Potential difference in mechanism between prescribing practices 07:35 Continued use of telehealth 08:43 Limitations 10:03 Further research 11:17 Kalin interview 11:24 Rao et al. 15:41 Mahjani et al. 19:59 Zhang et al. 25:11 Sha et al. 29:33 Gao and Olfson Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Every 19 minutes, someone in America dies from a drug overdose. 70% of street drugs now contain fentanyl. This isn't the opioid crisis of the 2000s. This is far worse. Dr. Roger McFillin sits down with Richard Taite one of the most recognized voices in addiction treatment. If you've followed addiction treatment or the opioid crisis over the past two decades, you've probably seen him. He's been featured on HBO's Real Time with Bill Maher, ABC's Nightline, CBS This Morning, and Entertainment Tonight. He was the addiction expert featured in the award-winning documentary 'Prescription Thugs.' He's one of the most recognized voices in addiction treatment in America. Richard's journey is as raw as it gets. As the original founder of Cliffside Malibu, ultimately becoming the most elite rehab in America; today he's back to fight an even deadlier epidemic as Executive Chairman of Carrara Treatment Wellness & Spa. Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here
In this podcast, Jen announces the rebranding of her podcast from Maneely Consulting to The Recovering Family, focusing on helping families with substance abuse issues. She outlines five principles for creating unbreakable boundaries: the Exchange Principle, emphasizing equal exchanges in financial, time, and energy; the Action Principle, stressing the importance of actions over words; the Present Principle, urging focus on the here and now; the Love Principle, advocating for loving communication; and the Joy Principle, highlighting the need for self-care and joy. She also promotes her nonprofit's donation-based services and encourages listeners to visit therecoveringfamily.org for more information.
Today's guest is Taylor Wiggins, DNP, RN, a CDI leader with over a decade of nursing experience and background in risk adjustment and outpatient documentation strategy. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form! CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/outpatient-cdi-substance-use-disorders) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Sunday, July 20, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Respond to the 2025 CDI Week Industry Survey by July 18! (https://www.surveymonkey.com/r/2025-CDI-Week-Industry-Survey) Download the 2025 CDI Week official poster and fact sheet! (http://bit.ly/40kbeEx) Apply to speak at one of ACDIS' 2026 events, including the 2026 ACDIS Conference, by July 21! (https://bit.ly/4jLYDkr) Get suggestions for session topics at the 2026 ACDIS conference! (https://bit.ly/42WIBiu Register for ACDIS Encore: Clinical & Coding Online, happening August 12-14! (https://bit.ly/3SKItN6) Submit your articles to the September/October edition of the CDI Journal (focused on how CDI impacts all areas of healthcare) by Friday, August 1! (https://www.surveymonkey.com/r/CDI-journal)
Substance use disorder is largely identified by the difficulty to control consumption, its impact on our ability to function in our daily tasks and relationships, and the lengths we will go to obtain it. Join Dave and Greg as they discuss the disorder, various types of substances that are used, and thoughts on what make this such a problematic disorder for those who suffer from it.
Send us a textSarah sits down with Addiction Medicine expert Dr. Carolyn Chan on this latest episode. Dr. Chan has great tips and tricks for how to care for patients with substance use disorders (SUD) inpatient and outpatient. No matter what kind of provider you will be, SUD will be a part of your patients' lives! Look out for the discussion on RIP TEAR and how you can approach every patient encounter involving substance use disorders with confidence and respect. Dr. Chan has her own podcast, @The Curbsiders Addiction Medicine! Take a listen to their great talks too! UC's Hoxworth Addiction Recovery Clinic: https://med12.uc.edu/depart/intmed/residency/internal-medicine/the-way-we-learn/resiliency
In many clinical contexts, substance use disorder is oftentreated separately from posttraumatic stress disorder. Yet, these conditions commonly co-occur and are reciprocally determinant, meaning that the outcomes of a course of treatment for either condition might depend upon treating theother. On this episode, Dr. Sudie Back talks about the importance of treating co-occurring PTSD and substance use disorder simultaneously, and the prolonged exposure treatment, COPE, she developed with her colleagues to manage both disorders. Dr. Sudie Back is a professor, and the director of the NIH-sponsored DART research training program, in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina. She is also a psychologist at the Ralph H. Johnson VA Hospital.
In the "Medicare Advantage Minute" we learn that some politicians have opined that MA plans might be overdue for an overhaul! Welcome to the party! The "Your Medicare Benefits 2025" segment teaches us how Medicare is likely to cover Mental Health & Substance Use Disorders. Are you worried about having a medical emergency while you are on vacation? I review an article that presents strategies for spending less while enjoying life more. Finally, a personal friend of mine had been paying $800 for quarterly refills of his expensive drug. On vacation in St. Maartin he acquired a refill for $230. After I gave him another source he reported his best result at $156 for a 90 day source. Maybe I can help you, too! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers. Official website: https://www.MedicareForTheLazyMan.com.
Q-BANK: https://patreon.com/highyieldfamilymedicineIntro (0:35),Definitions (1:37),Alcohol (2:45),Opioids (9:47),Stimulants (14:32),Tobacco (16:16),Cannabis (18:59),Benzodiazepines (19:59),Hallucinogens (21:23),Phencyclidine (21:15),Inhalants (23:03),Club drugs (23:59),Practice questions (26:37),