Revisiting Bedside Manner

I will share a post from 2009. It was one of my first, about 13 years ago, when I first started treating psychiatric conditions. I have always been interested in addiction as well as other conditions, but I resented employers’ efforts to pigeon-hole me because of my ‘history.’ Oh, that Read more…

Congress Acts on Opioid Dependence (ugh)

I won’t weigh in on the upcoming election, for fear of being barraged with insulting tweets by one candidate or ‘offed’ by the other.  But the current opioid dependence crisis provides a great chance to learn whether you stand on the side of ‘limited government’ or the alternative. The TREAT Read more…

Leadership on Opioids

Anyone who proposes an easy solution to the overdose epidemic is either a simpleton or a politician.  But far too many people entrusted with the power and responsibility to set priorities decry the number of overdose deaths, then stigmatize and demonize every effort to save lives.   “Suboxone can be diverted.”   “Someone might Read more…

Kratom, Recovery, Elections

I received a question about Kratom, and searched for a earlier post about that plant/substance.  That post came shortly after Obama’s inauguration, after someone wrote to compare his experience at that event to his experience taking opioids.  Funny how every ‘high’ has its own ‘morning after!’ That Post: On a Read more…

Clean Enough

In regard to my last post… There are many directions that we could take as we review that message.  My overall impression, as I read the letter, was of a person struggling to accept the reality of his condition.  Over and over, the person repeated the same behavior, starting Suboxone, Read more…

An Addict's Story

I received the following email last week.  I considered trimming it down, but the story is well-written and describes a history that is similar to that of many of my patients.  As usual, I will write a follow-up post in a week or so. Dear Dr. J, I have read Read more…

Short-Timers

Another question from a reader: The current blog brings up the notion of long term use of Bupe or short term detox.  You say you are a fan of long term use, and that is clearly a good thing when the patient is one headed back to a drug culture Read more…

Uncoupling of analgesia, tolerance, and euphoria from mu-agonists using buprenorphine

I presented this topic at the Atlanta meeting of ASAM a couple weeks ago.  There are too many slides, but the historical stuff was just too fascinating to leave out.  I wanted to demonstrate,  by lining it up on the side, how time has compressed the most critical discoveries to Read more…

Bathtub Tragedy

I was never a huge Whitney fan, but nobody can debate the beauty and power of her voice.  Also beyond debate is that she deserved a better ending than the one she found, alone in a bathtub, while ‘friends’ were partying a few floors away.  Xanax and other benzodiazepines, combined Read more…

Do Interventions Work?

It has been a while, it seems, since I’ve checked in.  I’m at the point in the life cycle of a ‘blogger’ where I feel like I’ve said most of what I came here to say… so help me out by sending your questions, particularly those with broad implications, and Read more…

Winehouse

By now, everyone who knows of Amy Winehouse is aware of her tragic death. I’ve always liked her music. So much music these days has been digitally processed and reprocessed, and assaults the senses– I’m thinking of Lady Gaga, for example, whose ‘Edge of Glory’ would be pretty boring in Read more…

Clean Enough?

Yesterday I received the following e-mail: Hi Dr. Junig, Please let me first say – Suboxone SAVED MY LIFE. I was down and out until 2 years ago, when I began using Suboxone. Now, having completed all the pre-req’s for medical school with nothing less than straight A’s, I find Read more…