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Trapped: Understanding Addiction
Ahana Wokhlu
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Hello everyone! Sorry for the delay, and thank you for coming back.
In this episode, I talk to Dr. Noel Vest about his journey through addiction, incarceration, and, ultimately, recovery. Dr. Vest discusses the early influences on his drug use, his first experiences with drugs and alcohol, and how his addiction landed him in prison. He goes on to describe his path to recovery through education in prison and beyond and explains how finding one’s passion and committing oneself to a cause can lead to a lifetime of fulfillment.
Dr. Noel Vest is an Instructor in the Department of Psychiatry at the Stanford School of Medicine and an advocate for social justice issues and public policy concerning prison reentry. His research focuses on the intersection of mental health and substance use disorders. He is also involved in several initiatives, like Unlock Higher Education, that promote opportunities for formerly incarcerated individuals.
Learn more about Dr. Vest at https://profiles.stanford.edu/noel-vest.
Follow @noelvest on social media.
Here is a link to the "Spiritual Experience" Dr. Vest referenced during the interview.
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, I discuss addiction in the LGBTQIA+ community with Dr. Brian Hurley, Medical Director of the Division of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health and President-Elect of the American Society of Addiction Medicine Board of Directors. Dr. Hurley reviews the data we have on the prevalence of use disorders in sexual and gender minorities, what risk factors might predispose individuals to the development of an addiction, and why engaging with patients in a respectful and inclusive manner is essential to successful treatment.
Dr. Hurley is board-certified in psychiatry, addiction psychiatry, and addiction medicine, and he has previously served on the board of GLMA: Health Professionals Advancing LGBT Equality and as the chair of the LGBT Advisory Committee to the American Medical Association’s Board of Trustees.
Learn more about Dr. Hurley at https://www.asam.org/about-us/leadership/board-of-directors/biography-brian-hurley
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
Medical professionals bear an enormous responsibility taking care of patients and are often held to a higher standard than other members of society. However, they are human and are therefore also susceptible to the development of addiction, especially given the stresses they are placed under. In this episode, I speak with Dr. Michael Sprintz about substance use disorders in healthcare professionals. Dr. Sprintz is triple board-certified in anesthesiology, pain medicine, and addiction medicine and has struggled with addiction himself, giving him a unique understanding of this topic. He talks about why he first started using substances and how accepting who he was and being authentic was key to his long-term recovery.
Dr. Michael Sprintz is a physician, entrepreneur, author, consultant, public speaker and a national expert on the intersection of chronic pain and addiction. He received training at top tier institutions including Johns Hopkins Hospital and MD Anderson Cancer Center. Dr. Sprintz founded the Sprintz Center for Pain and Recovery, located in Texas, in 2013 and at the same time started a software company, Cellarian, which automates medical documentation to give providers more quality time for their patients. Dr. Sprintz has consulted for organizations in the pharmacology, biotechnology, and medical device spaces. He is currently on an FDA advisory committee and is also active in local and national medical societies, working to create and support policies that help patients and providers become their own best advocates and re-engage and protect their healthcare relationships.
Learn more about Dr. Sprintz at https://drsprintz.com/
Learn about the Sprintz Center for Pain at https://www.sprintzcenter.com
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, Colonel Christopher Perry, M.D. discusses the prevalence of substance use disorders in military personnel, which substances are most commonly misused, and how addiction is managed in those actively serving. He reviews the importance of screening for and treating use disorders, especially given the high rates of suicide in this population.
Dr. Perry is the Chief Medical Officer for Madigan Army Medical Center on Joint-Base Lewis McChord, Washington. He has extensive experience in treating addiction in military personnel and was a member of the VA/DoD Work Group, which established comprehensive guidelines for the management of substance use disorders in military personnel and in veterans.
Learn more about Colonel Perry at https://www.linkedin.com/in/christopher-perry-a1298321/
Access the VA/DoD Clinical Practice Guidelines at https://www.healthquality.va.gov/guidelines/MH/sud/VADoDSUDCPGProviderSummary.pdf
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
An estimated 50 million adults suffer from chronic pain in the U.S., which can interfere with their ability to work, take part in normal activities, or enjoy life. The treatment of chronic pain is complex, even more so if a person struggles with a coexisting substance use disorder. In this episode, I speak with Dr. Gregory Rudolf about the various treatment options for chronic pain, the problem of opioid-induced hyperalgesia in patients on long-term opioids, and how a holistic approach with active patient participation yields the best results.
Dr. Rudolf works in a multidisciplinary pain management specialty clinic at Swedish Health Services in Seattle. He is board certified in pain medicine, addiction medicine, and medical acupuncture. He is also certified and residency-trained in family medicine and brings a longitudinal, whole-person perspective to his work with patients who suffer from chronic pain and substance use disorders. He is the current chair of the American Society of Addiction Medicine Pain and Addiction Committee and the President of the Washington Society of Addiction Medicine. He is also on the clinical faculty of the University of Washington School of Medicine.
Learn more about Dr. Rudolf at https://schedule.swedish.org/doctors/pain-medicine/wa/seattle/gregory-rudolf-1871524728
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, Dr. Jadene Wong discusses Neonatal Abstinence Syndrome, also commonly referred to as Neonatal Opioid Withdrawal Syndrome (NOWS), which describes the withdrawal symptoms an infant experiences after exposure to opioids in the uterus. Dr. Wong reviews which factors increase the risk for developing withdrawal, how to diagnose NOWS, and why avoiding bias while maintaining the mother-infant dyad is essential in treatment.
Dr. Wong is a Clinical Associate Professor of Pediatrics at Stanford University School of Medicine and Neonatal Hospitalist at Lucile Packard Children’s Hospital. She served as the Newborn Clinical Lead on the task force for the joint CMQCC/CPQCC Mother & Baby Substance Exposure Initiative.
Learn more about Dr. Wong at https://profiles.stanford.edu/jadene-wong
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, Dr. Ryan Jackman gives us an overview of addiction in Rural America. He compares the rates of substance use and overdose deaths between urban and rural areas and reviews what factors might contribute to the development of use disorders in rural communities. Dr. Jackman also discusses the unique challenges rural areas face in obtaining treatment and how we can draw upon the strength and resiliency of their people to overcome some of these barriers.
Dr. Ryan Jackman is a board-certified family medicine and addiction medicine physician who practices in Grand Junction, Colorado. He is the medical director of St. Mary’s Integrated Addiction Medicine clinic and the project director for a HRSA funded Rural Communities Opioid Response Program serving Western Colorado. He has special interests in graduate medical education and increasing access to medical care in rural locations has received training awards from the National Institute on Drug Abuse (NIDA) in 2016 and the Colorado Health Foundation and Denver Foundation in 2017 to implement tele-addiction medicine in Western Colorado.
Take a look at some of resources Dr. Jackman referenced:
https://www.cdc.gov/nchs/data/databriefs/db403-H.pdf
https://www.cdc.gov/mmwr/volumes/68/wr/mm6817a3.htm
https://opioidmisusetool.norc.org/
https://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1015&context=ruhrc_reports
https://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1014&context=ruhrc_reports
https://www.countyhealthrankings.org/app/colorado/2021/measure/factors/134/data
Learn more about Dr. Jackman at https://doctors.sclhealth.org/provider/Ryan+K.+Jackman/1617603
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, Dr. Helena Hansen talks about how she became involved in researching the role of race in addiction and drug policy. She discusses the impact of unequal drug criminalization and mass incarceration on communities of color and how media portrayal and treatment of use disorders have differed between racial groups. She also explains the importance of a comprehensive, culturally responsive treatment approach to addiction.
Dr. Hansen is a psychiatrist and anthropologist and serves as Co-Chair of the Research Theme in Translational Social Science and Health Equity at the David Geffen School of Medicine at UCLA. She has published widely in clinical and social science journals and is the recipient of several awards. In addition, she has written two books with one forthcoming and co-developed the concept of structural competency.
Learn more about Dr. Hansen at https://socialmedicine.semel.ucla.edu/helena-hansen/
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, I am joined by Dr. Michael Fingerhood, Associate Professor of Medicine and Public Health at Johns Hopkins University and Chief of the Division of Addiction Medicine at Johns Hopkins Bayview Medical Center. Dr. Fingerhood explains why older individuals may develop a use disorder and how it can go unrecognized due to preconceived impressions of the elderly. He also reviews how to screen patients in a nonjudgmental way to identify individuals who use substances but may not be aware of the risks or may be ashamed to talk about their use.
Dr. Fingerhood has created multiple community programs for the treatment of opioid use disorder and is currently serving on the Board of Directors for the American Society of Addiction Medicine. He has also received the Health Equity Leadership Award from the Baltimore City Health Department and has co-authored over 60 research papers.
Learn more about Dr. Fingerhood at https://www.hopkinsmedicine.org/profiles/details/michael-fingerhood
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/
In this episode, I talk to Dr. Snehal Bhatt about the use of psychedelics in the treatment of substance use disorders. Dr. Bhatt was one of the principal investigators for an exciting study demonstrating the ability of psilocybin to reduce heavy drinking in patients with alcohol use disorder. He reviews the history of psychedelic use in medicine, discusses their future therapeutic potential, and goes over the results of his psilocybin trial.
Dr. Bhatt is the Chief of Addiction Psychiatry and Professor of Psychiatry and Behavioral Sciences at the University of New Mexico School of Medicine. Dr. Bhatt’s work focuses on improving access to addiction treatment in communities across New Mexico, novel pharmacological treatments for substance use disorders, and medical education.
Read Dr. Bhatt’s study at https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2795625
If you enjoy what you hear, please feel free to contribute at www.trappedunderstandingaddiction.com to support harm reduction efforts.
Social media:
https://twitter.com/trappedcast
https://www.instagram.com/trappedcast/