Suboxone Treatment over Fifteen Years

I have teased this…. a description of Suboxone treatment over fifteen years, described in 183 pages as I grew to treating 279 and eventually 300 patients on buprenorphine medications. In those early days I battled many different forces. Insurance companies Read more…

VA Gets it Right and Wrong on Buprenorphine

The Veterans Administration recently released guidelines for chronic pain that recommend using buprenorphine if opioids are indicated. That idea has some validity, but the VA, and commenters, get much of the issue wrong. Buprenorphine is a very potent opioid, a Read more…

DEA, Let Them Have Adderall!

I specialize in treating addiction and other psychiatric conditions. A clear connection has been established in the literature between addictive disorders and attention deficit disorders. The exact reason for the association can’t be proven, but I see a process where Read more…

A Return to Normalcy

Many people looked for a return to normalcy when they pulled the Biden lever in 2020. Since then we changed the English language, encouraged young children to explore their pre-pubertal sexuality through gender-changing hormones or surgery, and committed ourselves to Read more…