What Did I Screw UP and get CTEPH? Pt. 4

I am ready to get to a few hypotheses of my own.  Why did I get CTEPH, the finale.  I welcome all readers to comment below, especially if you have ideas about this strange illness. My primary question: How Did I Mess Up My Body and Get CTEPH? Funny how Read more…

Why Did I Get CTEPH pt 3: The Null Hypotheses

The Null Hypothesis WARNINGNERD ALERT. NERD ALERT.Only #2 Pencils Beyound This PointWARNING– I REALLY liked this post. I was actually proud of it, and proud of how I explained the null hypothesis. My wife, on the other hand, called it ‘boring.’ Go figure. I am sorry for you folks who Read more…

Tissue removed from pulmonary arteries

Why Did I Get CTEPH? Pt 2: Now What?

After my diagnosis, my new pulmonologist said “if I was in your shoes. I’d get to San Diego”. That initiated a flurry of research about my illness and my options. I even went to Twitter and learned my account was suspended in 2018 for selling Rayban sunglasses. I don’t know Read more…

Tissue removed from pulmonary arteries

Why Did I Get CTEPH? Pt. 1: Emergency!

That question hits me often – especially as the father of three. Why did I get CTEPH, a rare problem that might be more common than we think? I sometimes call myself a medical scientist. I do that because the most important thing one learns while getting a PhD is Read more…

Addiction Treatment, Science, and Dead Rats

In my last post I teased that I would write about fake science.  I’ll try to make it interesting. The internet allows everyone to do research about symptoms and treatments for any condition. If not for need for prescriptions, people could act as their own doctors.  But a huge dose Read more…

Make Sleep Meds Work For You

I’ve been busier than I like, and haven’t had as much time for posting.  But I spend a lot of time answering emails from my patients, and some of my responses may be useful for others.  Below I’ll share my answer to a patient who has been unable to get Read more…

Counseling Schmounseling

I just noticed a couple of my recent posts….  these people have it wrong, and that person has it wrong.  One of these days I really need to print something positive and uplifting.  But not today. Excuse the self-flattery, but I like to think of myself as a physician scientist.  Read more…

The Opioid Dependence Big Picture

First Posted 1/16/2014 Below, internet colleague Paul Dessauer shares his extensive knowledge of opioids in comments about my naltrexone post. His comments were particularly interesting in that they provide evidence that at least someone is aware of the big picture about addiction to heroin and pain pills. In my post about naltrexone, Read more…

New Bupe News Section

Wanted to take a second or two to point out a new section to the blog, called ‘Bupe News’.  You’ll see the link at the tope of the page, along with an ever-growing list of links.  The point, of course, is to keep y’all reading, since Google knows EVERYTHING, including Read more…

Buprenorphine Regulations and Unintended Consequences

First Posted 8/28/2013 I realize that I am halfway through a post called ‘Suboxone Abuse Part I’.  This is poor form, but I am now going to get halfway through a second topic before finishing the first one.  Sorry. I recently came across a problem relating to the new healthcare Read more…

An Interview with the ATTC

For those who missed it, I recently provided some opinions about buprenorphine treatment for The Bridge, a journal produced by the Addiction Technology Transfer Center Network.  The discussion was published in The Bridge Volume 4, Issue 3, and is copied below. Question 1. The introduction to buprenorphine treatment in the Read more…

Brain Surgery or Suboxone?

Originally posted 12/31/2012 Today I read about the stereotactic brain surgery used to treat opioid dependence in China over the past ten years.   The procedure is relatively straightforward; the patient’s skull is clamped in place while small holes are drilled, guided by computerized, 3-dimensional maps of the brain.  Probes are inserted deeply Read more…