Traders: Back Below the 100 Day Moving Average

As you stock folks know, the biggest print of the month came out at 7:30 AM CDT. I’m SHOCKED! We didn’t get rid of inflation yet! I grew up in the 70’s so I wasn’t surprised. I remember my dad cursing ‘that darn inflation’ for about six years. I don’t 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 Office

Some announcements… Telemed appointments start next week Monday. Please let Nancy know if you prefer telephone or zoom or something else… if something else, you should email me soon so I make sure to have it on my end. I personally prefer phone, after doing both. I like screens for Read more…

Writing coaches?

Some of you kindly people have suggested I write a book. Some of you know I attempted that once 15 years ago…. still have it somewhere. A collection of posts and essays and frankly I don’t like it that much. I come across way too angry, about almost everything. Maybe 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…

Little Things make a Difference in Healthcare

A quick one if I don’t get distracted. Ooops… there it goes. First I’ll admit that I’ve been frustrated by needing oxygen. It isn’t just the hoses, batteries, and loud machines… it is going upstairs to get from the tank to the bedroom concentrator and racing to turn it on, Read more…

Apologies and Hypoxia

Sorry for the break. The past two days have been busy, and (as I keep complaing) everything is so hard. Those of you who have had surgery know this, but this is my first real surgery since tonsils in Kindergarten (when they gave me a little tractor in the OR Read more…

Repiratory Alkalosis and the Surgical Experience

I see I wrote a bit earlier this year. I do remember wanting to comment on ‘why fentanyl is so dangerous’ because I kept hearing on the news the damage was because of the ‘potency’. That’s probably related in that users do not know how much they are taking, but 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…

Ending Constipation from Suboxone and Buprenorphine

Constipation is one of the few potential side effects caused by buprenorphine medications, including Suboxone Film and Zubsolv. Fortunately, ‘binding up’ can be managed by making minor changes to your lifestyle. Constipation from buprenorphine is caused by activation of mu opioid receptors in the small and large intestine, reducing the Read more…

Stopping Buprenorphine in Three Steps

Readers will sometimes ask for my thoughts about buprenorphine. I’m always happy to respond, time permitting. I’ve described how my patients taper off buprenorphine in prior posts, but the interest out there warrants revisiting the topic. Most people who become dependent on opioids become very fearful of withdrawal. That fear Read more…

Suboxone Forum Upgrade

Regular readers know that I’m a psychiatrist and addiction doc – not a computer guy. When I started writing about Suboxone and buprenorphine twelve years ago, there were few other people writing about the medication. Of course heroin addiction was just taking off, and fentanyl was confined to operating rooms. Read more…