Blogs

Rapid Detox’s Don’t Work Stop It

Rapid Detox’s Don’t Work Stop It

Hey everyone, Hey this keeps coming up… “I just want to do a rapid suboxone detox”. Guys, i get it, we live in a world of instant gratification right? My obese patients just want the quick weight loss thing and THEEEEN they’ll be cool. My diabetics just want to go...

Safe  Sites for Heroin Injection

Safe Sites for Heroin Injection

So the latest and craziest chatter right now is safe sites for heroin injection. (THANKS Marty for bringing up this topic) So as usual there are lots of pros and cons with everything and heroin injection sites are no different. On the pro side it offers a safe and...

NARCAN Get It But Not The EVZIO

NARCAN Get It But Not The EVZIO

Remember how the epipen increased their price to such a crazy hi level that no one could afford it? Well one of the companies that creates naloxone called EVZIO is now doing the same thing. They just jacked the price up to 4000 bucks for one unit. Do not get me wrong...

Which Is Better? Methadone Or Suboxone???

Which Is Better? Methadone Or Suboxone???

So for a long time I really did believe that Suboxone was the only way to go. That was before even I, an addiction specialist, began to learn more about methadone treatment. I began to read, learn and experience while serving as medical director that methadone is a...

Should We Treat Patients With Addiction

Should We Treat Patients With Addiction

So imagine you have finally taken the courage to begin treatment with methadone or Suboxone. You have mustered up the courage to walk in the door and say I have a problem, can you help me out? We get going on the methadone, we are increasing the dose, you are using...

Suboxone Implants??

Suboxone Implants??

Hey guys, so there is a lot of hype out there about these implants that will solve all of your problems right? Like with any new product there are always pros and cons. Most of us just want cheaper, simpler, easier, and more convenient but definitely the cheaper is...

Addiction Rotations

Addiction Rotations

So have you guys heard what is next? You know how we call this the opioid epidemic? So what happens when patients cannot get a hold of opioids and no doctor is willing to treat their chronic pain legitimately? ( By the way legitimately means with all non-opioid...

Fentanyl Guys

Fentanyl Guys

Fentanyl Guys Hey everyone. So looks like fentanyl is now making it to our own beautiful state of Colorado. I have just seen it in my clinic a few times. Keep in mind that the stuff is mixed in with everything else that is used in so you will never be able to sort it...

Spice Or Death…????

Spice Or Death…????

Are you sure you actually know what’s in the stuff you are smoking? Keep in mind that “synthetic cannabinoids” are actually NOT a natural kind of plant. The stuff you smoke is actually just some random plant stuff they found in their backyards the drug itself (the...

Gabapentin Danger

Gabapentin Danger

So…. looks like gabapentin that we use a LOT for withdrawals and for mood disorders might actually be precariously dangerous with taken with all the opioids and benzos. Kentucky has classified it as a schedule 5 and is now on the PDMP. The longer we go the more...

What Is Trump Suggesting??

What Is Trump Suggesting??

The Death Penalty??? Really???? I thought the opioid crisis WAS the death penalty. Now he is suggesting another one. Why doesn’t he realize that many of the folks that get addicted do so from medical prescriptions and not heroin? Is he failing to recognize the simple...

HEROIN vaccine !!!

HEROIN vaccine !!!

Scripps is doing it again and is going to town on their new invention, the HEROIN vaccine. Its passed a lot of the testing and is soon ready for human trials. How does it work??  The vaccine basically forces the immune system to make antibodies that attack the heroin...

Addictions

Addictions

TREATING PATENTS WITH ADDICTIONS WITH THE RESPECT AND HONOR THEY DESERVE So many of my patients come to me with my business card in hand. The card is very worn and old, frayed at the corners and dirty. I ask them how long they have had it and they will often respond:...

Startling Thoughts and Stats

Startling Thoughts and Stats

My professional history leading to becoming board certified in addiction medicine. Why have I chosen addiction medicine? Why choose to spend 10 years training in a field in order to help patients with substance use disorders, opioid dependence, methamphetamine...