The Curbsiders Addiction Medicine Podcast

Dr. Ayesha Appa discusses person-centered care when treating infectious endocarditis in injection drug users. The importance of multidisciplinary teams, treatment strategies, and patient-centered history. The challenges of counseling patients on safer injection practices and treatment options for opioid use disorder and infectious endocarditis are also explored.

Manage opioid use disorder in pregnancy. Learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the postpartum period. We are joined by Dr. Mishka Terplan, on Twitter @do_less_harm (Friends Research Institute). Segments Intro, disclaimer: 0:00 Guest bio: 3:00 Case from Kashlak: 5:28 Opioid Use in Pregnancy: 6:17 Approach to a patient: 12:21 Medication Options for OUD During Pregnancy: 13:09 Neonatal Abstinence Syndrome: 25:46 Dosing Considerations: 29:28 Psychosocial Interventions: 38:02 Reporting / Notification Requirements: 39:32 Postpartum care: breastfeeding: 48:04 Take home: 52:12 Lightning Round: 55:22 Outro: 57:39 Claim free CME for this episode at curbsiders.vcuhealth.org! Writer, Producer, Show Notes, Infographic, Cover Art: Kat Mullins, MD Hosts: Carolyn Chan, MD, MHS and Kat Mullins, MD Reviewer: Kento Sonoda, MD Showrunner and CME: Carolyn Chan, MD, MHS Technical Production: Podpaste Guest: Mishka Terplan, MD

Put on your Primary Care Cat-Hat We are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this episode, they answer burning questions submitted by listeners. We cover topics such as targeted naltrexone, increasing buprenorphine doses, treating kratom dependence, and so much more!  Claim free CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | Swag! | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Credits Producer, Show Notes:  Kenneth Morford, MD Infographic and Cover Art: Carolyn Chan, MD, MHS Hosts: Carolyn Chan MD, MHS, Shawn Cohen MD, Kenneth Morford MD, Natalie Stahl MD, MPH Reviewer: Payel Jhoom Roy, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste

Tackle smoking cessation by offering your patients evidence-based treatment options. We discuss pharmacotherapy, mindfulness, and practical tips on how to manage short-acting nicotine replacement therapy to help your patient stop smoking. We are joined by Dr. Panagis Galiatsatos from Hopkins (@Panagis21).

Integrate motivational interviewing into your busy practice, and learn the basic principles of cognitive behavioral therapy. This episode highlights common psychosocial interventions for individuals with substance use disorders. After this episode, you will feel empowered to connect patients to these evidence-based resources. We’re joined by Dr. Carla Marienfeld, MD from UCSD, @DrMarienfeld who gives us practical ways to counsel patients on these interventions, as well as bring them into the busy clinic setting. 

Dr. Deepika Slawek, an internist and addiction medicine specialist at Montefiore Medical Center, dives deep into cannabis use disorder. She emphasizes the importance of partnering with patients to explore their motivations for cannabis use. The discussion highlights harm reduction strategies and the complexities of cannabis dependency, particularly in relation to mental health. Dr. Slawek shares insights on effective communication and the need for empathy in treatment, making it clear that addressing cannabis withdrawal is vital for successful recovery.

Challenge stigmatizing terms and level up your patient-centered language! Learn how to create an inviting environment to discuss substance use and substance use disorders (SUDs), how our word choices directly affect patient care and a three-step approach to taking a comprehensive SUD History. Let’s RIP-TEAR it up with our expert, Dr. Jeanette Tetrault from Yale University (@jtetrault17).

With this buprenor-FINE episode, you’ll become a master at office-based treatment of opioid use disorder with buprenorphine. We’ll cover the efficacy of buprenorphine, a guide to starting it, and what to think about when continuing therapy in a person-centered way. We’re joined by Dr Christine Soran, (UCSF) the medical director of the oldest buprenorphine clinic in the country - The OBIC in San Francisco.

Decrease your anxiety managing sedative-hypnotic use disorders! By the end of this episode, you will have practical tips on how to discuss benzodiazepine use, plan a taper, and support your patient throughout the process. We’re joined by Dr. Ximena Levander, @XimenaLevander (OHSU).

Dr. Paxton Bach, Co-Medical Director at the British Columbia Centre on Substance Use, delves into stimulant use disorder. He discusses the intricacies of stimulant consumption and effective patient communication. Key topics include recognizing signs of 'overamping,' managing stimulant intoxication in emergency settings, and the role of contingency management in treatment. The conversation highlights harm reduction strategies and the importance of a supportive environment for patients on their recovery journey.