Get Help. Get Buprenorphine, Not Methadone.

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…

Don’t Spend A Lifetime In Treatment

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…

Methadone Treatment Can Become a Lifetime Curse

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…

Pain treatment becomes more rational

Pain Treatment Becomes More Rational

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…

On Getting Sick Two Ways

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…

Modern is Better, Right?

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…