Medical Relapse Trap
That is not the doc’s fault, and frankly, it isn't really James’, either. It’s what happens where addiction rules. If not at that moment, then the next.
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Opioid Vulnerability
There’s no blood test, no scan to aid diagnosis. Knowing intellectually that one in ten will succumb is very little help; it has no practical value in terms of predicting an individual outcome.
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Getting Drugs From Docs Part Three: Prevention
Try thinking of the interaction between drug seeker and practitioner as type of negotiation where the two parties have very different goals.
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Getting Drugs From Docs Part Two: The Targets
There are just too many different forms of manipulation for any of us to be uniformly good at identifying them on the fly.
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Getting Drugs From Docs Part One: The Manipulators
One sign of vulnerability: the place tended to be too busy or too slow.
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Doctors in Denial
Here was a physician who regularly committed an assortment of crimes without considering himself a criminal. To his way of thinking, he was the victim.
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Stigma Behind the Stethoscope
There’s no shortage of stories among nurses and doctors about a friend or family member who went through treatment and relapsed, perhaps many times.
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Opioid Prescribing in an Opioid Epidemic
Just tracking alone seems to significantly reduce reliance on opioids.
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In the News: Notes from the Epidemic
It’s no accident (physicians) choose this often challenging work, and it genuinely bothers them when they can’t relieve a patient’s discomfort.
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Drug Seeking in the ER
It becomes easier to dash off a prescription for Oxy than to argue with a determined patient.
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Open the Buprenorphine Tap?
Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.
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Doctors and Addiction
If by chance the patient didn’t fit the physician’s preconception of an addict– he or she was a respected member of the community, for example– then the doctor often fell into the enabler role.
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Insomnia: The Medication Dilemma
Insomnia is at the top of the list of common problems for both active addicts and the newly recovering, and sleeping meds can pose risks.
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