In the first part of this series I described my experiences working in methadone-assisted treatment, including aspects of that industry that, in my opinion, warrant serious consideration. In the second part I described steps that potential patients can take that Read more…
I described how seeking methadone-assisted treatment for OUD can lead to a lifetime dependency. Informed patients can take steps to reduce that risk of life-defeating attachment. Clinics could do the same, although doing so may harm the business model of Read more…
I know. Nothing brings out the boo-birds like a negative story about methadone. For the record I agree with you that methadone treatment, properly provided, is a vital and life-sustaining weapon against opioid overdose deaths. But too often, methadone treatment Read more…
I’ve spent 15 years treating addiction, mostly to opioids. I’ve worked in residential treatments, methadone programs. I have testified in cases related to overdose deaths. I know the harm that is possible from excess opioid precribing or use. But I Read more…
In The Sun Also Rises, Hemingway’s character Mike described becoming bankrupt in two ways – gradually and then suddenly. That line is validated in finance, healthcare, social sciences, and technology. Earlier posts in this blog, continuing a narrative that began Read more…
COVID played havoc in our lives for almost three years. Besides killing over one million Americans and many others around the world, COVID, assisted by politicians, led to needless division among Americans. As I wrote my last couple posts, I Read more…
I like to write because it clears my thoughts akin to the journaling often recommended by therapists. I compare writing to psychotherapy, where telling one’s story helps a person sort things out. AODA counselors often do supportive therapy, mirroring and Read more…
As one last self-obsessed post about my health, I’m doing much better. I have been back in the office for a few weeks now. I’m not splitting the atom after all; all I have to do is sit and listen. Read more…
I’ve been slow to adopt new technologies for doctor such asn electronic medical records and electronic prescribing. I’ve been in the front edge of tech since the mid-1980’s, when I wrote my grad school thesis on a ‘Mac’ that had Read more…
On Sundays I like to listen to my favorite podcasts. I’ve shared my favorite investing podcasts, including Financial sense and Macro Talk. The first of those has paid and free content, and every other week the end of the free Read more…
I have decided to set up a second blog. I love writing, even if nobody reads what I write. And I don’t want to confine myself to medication-assisted treatments, as this blog was intended when I started it 15 years Read more…
So sorry to promise and not deliver. “But you PROMISED!” I know. I screwed it up. But I made it better – honest! The Forum is back, this time for sure… on a secure server with SSL. Seriously!! It is Read more…