Pharmacists, Do Better

This is a ‘bone to pick’ post. Yesterday a patient who has done well on buprenorphine for the past 6 years shared his pharmacy experience. His experience is typical of whatI hear far too often. I understand that pharmacists are overworked and understaffed, but the complaints I hear so often Read more…

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 might help them avoid spending their entire lives attached to 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 some companies. People entering treatment, follow this advice so you 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 that methadone treatment, properly provided, is a vital and life-sustaining weapon against opioid overdose deaths. But too often, methadone treatment can become a lifetime curse. This is long because the story is 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 also hope that some day, pain treatment becomes more rational. Read more…

SuboxForum is….. Back! THIS time for SURE!

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 free, and asks for NO personal information. I noticed that Read more…

Psychotherapies in Addiction Medicine

One of my favorite aspects of addiction medicine is the relationship that I am allowed to build with my patients. The relationships are different than in other areas of psychiatry, where the doctor is always working to maintain a certain distance from patients. Too far and the psychiatrist won’t build Read more…

No Zone No Longer

Got rid of ‘zone’. Too confusing with the new URL. Please be aware, because up until now typing in suboxonetalkzone.com would get you here. In short, a ‘suboxone hater’ labelled me as a ‘spam site’ with Google in 2015, and my searches went way down. I am going to disconnect Read more…

The Internet…Now I Remember!

I’ve mentioned that I’m getting better, and it is amazing how the body heals. We take it for granted that if you sew two edges of skin together or splint a broken bone, the surfaces will usually connect and create an even stronger scar or bone than before. THAT is Read more…

Kroger Plays Doctor

I haven’t written here for a long time. I’m reminded of an old joke my dad would tell (over and over!) about the mom who took her kid to the doctor over and over because he wouldn’t talk. Finally, on his 15th birthday, he yelled out “I hate angelfood cake!” Read more…