Episodios

  • S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt

    S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt
    Mar 24 2025
    Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)

    Claim 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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Credits

    • Written, produced, show notes, cover art and infographics by: Shawn Cohen MD
    • Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD
    • Reviewer: Kento Sonoda MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Stephen Holt MD

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    1 h y 2 m
  • S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan

    S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan
    Aug 22 2024
    Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF).

    Claim 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.

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

    Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Credits


    • Producer/Writer: Era Kryzhanovskaya, MD
    • Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD
    • CME: Era Kryzhanovskaya, MD
    • Infographic and Cover Art: Zina Huxley-Reicher, MD
    • Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD
    • Reviewer: Kento Sonoda, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD

    Show Segments

    • 00:11 Intro, disclaimer
    • 02:22 Guest bios
    • 04:28 Guest one-liners
    • 10:28 Case from Kashlak
    • 11:55 Vape info and definitions
    • 14:32 How to discuss vaping with patients
    • 17:53 FDA authority over vapes
    • 20:37 Development of nicotine (via vaping) use disorder
    • 23:29 Questions to ask about use disorder
    • 30:53 E-cigarettes for tobacco cessation
    • 35:39 Exploring ways to quit smoking (+/- vapes)
    • 39:53 Screening for vaping use disorder; research measures
    • 43:10 Resources for e-cigarette cessation
    • 45:33 Medication approaches
    • 48:25 Behavioral supports for e-cigarette cessation
    • 1:00:31 Take Home Points
    • 1:05:08 Outro
    Más Menos
    1 h y 7 m
  • S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu

    S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu
    Aug 15 2024
    From Recreational Use to Possible Therapeutic Interventions

    Learn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu (Johns Hopkins Center for Psychedelic and Consciousness Research)

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

    Claim 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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Show Segments

    • Intro, disclaimer, guest bio
    • Case from Kashlak; Definitions of hallucinogens and psychedelics
    • Examples of hallucinogens and mechanisms of action
    • Dosing strategies
    • Risks of Use
    • Psychedelic Assisted Therapy
    • Outro

    Credits

    • Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD
    • Hosts: Shawn Cohen, MD and Kat Mullins, MD
    • Reviewer: Kento Sonoda, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Albert Garcia-Romeu, PhD
    Más Menos
    1 h y 2 m
  • S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer

    S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer
    Aug 8 2024
    Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine).

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

    Claim 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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Show Segments

    • Intro, disclaimer, guest bio 0:00
    • Guest one-liner 3:10
    • Case from Kashlak 6:30
    • Epidemiology of alcohol-associated liver disease (ALD) 7:40
    • How does alcohol affect the liver? 11:11
    • Spectrum of ALD 13:10
    • Risk factors for ALD 16:13
    • Evaluating for ALD 19:35
    • When to refer to hepatology 33:08
    • Medications for AUD in patients with ALD 37:00
    • Monitoring liver tests for naltrexone 44:27
    • Optimizing treatment for patients who continue drinking 47:18
    • ALD and liver transplantation 50:45
    • Post-transplant care 1:00:15
    • Take-home points 1:02:30
    • Outro 1:04:56
    Credits

    • Writer and Producer: Kenneth Morford, MD
    • Show Notes: Kenneth Morford, MD
    • Infographic and Cover Art: Natalie Stahl, MD, MPH
    • Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD
    • Reviewer: Sarah Leyde, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Lamia Haque, MD, MPH
    Más Menos
    1 h y 6 m
  • S2 Ep16: #27- Recap: ACAAM Lightning Round

    S2 Ep16: #27- Recap: ACAAM Lightning Round
    Aug 1 2024
    Spark your learning!

    We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more!

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

    Claim CME for this episode at curbsiders.vcuhealth.org!
    Listening to this episode and completing CME, can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

    Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Credits

    • Producer, Show Notes, Infographics: Carolyn Chan
    • Hosts: Carolyn Chan, MD. MHS, Shawn Cohen, MD, Kenneth Morford, MD, Natalie Stahl, MD MPHS
    • Reviewer: Sarah Leyde, MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste

    Show Segments

    • 00:00 Intro, disclaimer
    • 03:00 Picks of the week
    • 07:00 Buprenorphine and hepatitis
    • 16:30 Ketamine for withdrawal
    • 24:00 Hepatitis B
    • 28:20 Tianeptine
    • 35:30 Hepatitis C treatment
    • 39:00 PETH
    • 47:40 Unintended phenobarbital consequences
    • 53:40 TBI and overdose risk
    • 58:00 Outro
    Más Menos
    59 m
  • S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP

    S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP
    Jul 25 2024
    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)!



    Claim 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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    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
    Más Menos
    1 h y 1 m
  • S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank

    S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank
    Jul 17 2024
    OTP yea you know me

    Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave

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

    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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Show Segments

    • Intro, disclaimer, guest bio
    • 5:00 Guest one-liner
    • 10:25 Case from Kashlak; Definitions
    • 11:19 Methadone pharmacology and evidence
    • 17:08 What an OTP feels like
    • 20:25 OTP intake
    • 24:45 Talking through methadone with a patient
    • 28:15 Personal impact of methadone
    • 30:20 Requirements at an OTP
    • 33:43 What your patient needs to access an OTP
    • 37:25 The line
    • 39:06 Dosing/Take homes
    • 44:48 Loss of take homes
    • 48:39 How to interact with an OTP as a PCP
    • 52:50 Methadone at STRs
    • 57:03 How to clinicians use their voice to improve things
    • 1:00:45 Take home points
    • 1:03:00 Plugs
    • 1:04:24 Outro
    Credits

    • Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD
    • Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
    • Reviewer: Payel Jhoom Roy MD, MSc
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Ruth Potee MD, David Frank PhD
    Más Menos
    1 h y 6 m
  • S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer

    S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer
    Oct 17 2023
    Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).

    Claim 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 | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

    Credits

    • Producers: Shawn Cohen MD,  Kenneth Morford MD
    • Writer: Carolyn Chan MD MHS
    • Show Notes: Shawn Cohen MD
    • Infographic and Cover Art: Kenneth Morford MD
    • Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
    • Reviewer: Kento Sonoda MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Melissa Weimer DO MCR

    Show Segments

    • Intro, disclaimer, guest bio 00:00
    • Guest one-liner 05:02
    • National Addiction Treatment Week  06:00
    • Case from Kashlak; Definitions 08:30
    • Starting methadone  11:01
    • Common methadone pitfalls 15:00
    • Buprenorphine precipitated opioid withdrawal  23:50
    • High-dose buprenorphine 32:20
    • Treating buprenorphine precipitated withdrawal 36:50
    • Low-dose buprenorphine 41:50
    • Maintenance dose of buprenorphine 48:15
    • ER buprenorphine 49:00
    • Take home points 53:31
    Más Menos
    55 m
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