S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP

Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).

We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!



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Credits

• Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD
• Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guests: Raagini Jawa, MD MPH and Tehya Johnson, NP

Show Segments

• Intro, disclaimer, guest bios - 01:42
• Guest one-liners - 03:22
• Case from Kashlak - 7:56
• Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38
• Xylazine test strips and other harm reduction strategies - 15:48
• Natural history of xylazine wounds - 19:15
• Creating a welcoming wound care environment - 21:05
• Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18
• Steps for wound care - 33:27
• Frequency of wound care - 46:16
• Pain control in the setting of dressing changes - 51:01
• Route switching, harm reduction around injecting at the site of the wound - 52:20
• When to refer to other wound care specialists/plastic surgery - 55:00
• Take home points - 57:05
• Outro - 1:00:17