Tough Choice

I have been struggling with part II, primarily because there are no easy answers to the situation. I realize that I could easily criticize whichever path a doctor suggests for our imaginary patient. As an aside, I believe that a major reason for the lack of sufficient prescribers of buprenorphine Read more…

Mean Streak

I guess I do get irritable sometimes…  but I’m getting better at controlling my anger as I get older.  One cool thing about a blog is that I can go back and see what I wrote years ago.  In this case, I was looking for a post about telling the difference  between opioid Read more…

Chapter 4: The Disease of Addiction, pt. 1

The universal nature of addictive experience What I enjoy the most about having a presence on the internet is receiving comments from people from around the world.  The writers describe the same progression of symptoms that characterize opioid dependence, a disease that affects people from all cultures and socioeconomic groups. Read more…

Anxiety, step-work, and gratitude

One of the primary insights that I want addicts to gain from reading this blog is the similarity between their own thoughts, feelings, and pattern of use and the thoughts and patterns of use of other opiate addicts.  We are all dealing with the same beast, we have all felt Read more…

Publishers, Agents, Nonprofit Owners or Accountants

I am in need of some help from the people listed in the title– so if you have connections, help me out.  I am adding this sentence to the front of this post after rambling too long, as I’m afraid that the person I need won’t get to the important Read more…

How long to take Suboxone? Seven years?

‘Seven years’ refers to a scrape over on SuboxForum.com with a moderately disturbed woman from Roselle, Illinois…  Those of you who haven’t visited are really missing some good action!  We also have a new ‘Q and A’ section that I think will be a hit.  Please visit and register, but Read more…

Opiates as the Other Man

This gentleman answered my post about the limits of will power. I feel for him– I moved his post up here because it describes what happens when one partner falls in love with narcotics. As I read the post, about his wife slowly checking out with opiates and then with Read more…

The Foolish Pharmacist

Today I had a follow-up visit with a patient who takes Suboxone.  She is a 55-y-o married woman;  I remember when I first ‘met’ her during a frantic telephone call to my practice about 5 months ago.  At the time, she was on a high dose of pain medication from Read more…