Colorado MAT Part 1: Understanding Addiction & Opioid Use Disorder

Colorado MAT Part 1: Understanding Addiction & Opioid Use Disorder

  1. Addiction is widely misunderstood by the public and by many healthcare providers. It is not taught in most medical schools.
  2. Combating the opioid epidemic will require providers to understand Opioid Use Disorder (OUD) and its treatment.
  3. Addiction is a chronic, relapsing disease with extraordinarily high morbidity and mortality. It is the transition from controlled to impulsive and compulsive drug intake.
  4. Physiologic dependence is just one aspect of addiction. The behavioral and social derangements seen in addiction are the major source of harm for people with substance use disorders.
  5. Addiction is not a personal failure of will. The role of genetics and environment are enormous.
  6. It is more useful to think of addiction as a kind of "brain failure." Dopamine and different dopaminergic systems are severely affected by drug use, resulting in chronic changes and even death to areas of the brain.
  7. We do not stigmatize patients with diabetes or CHF for life choices contributing to their disease, nor do we refuse them care or make their care conditional on their behavior. We treat them.
  8. Opioid use disorder is a treatable disease. It is time that ED providers start treating it.

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Episoder(1146)

Podcast 515: Non-Accidental Trauma

Podcast 515: Non-Accidental Trauma

Contributor: Jared Scott, MD Educational Pearls: Non-accidental trauma (NAT) to children is commonly missed by medical providers Try to remember TEN-4-FACES as a useful aide for concerning patterns t...

1 Nov 20194min

Podcast 514: Pain Control While on Naltrexone

Podcast 514: Pain Control While on Naltrexone

Author: Don Stader, MD Educational Pearls: Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder.  Naltrexone is a full mu-opiate receptor antagonist, making acu...

30 Okt 20192min

Podcast 513: Plague

Podcast 513: Plague

Author: John Winkler, MD Educational Pearls: The plague (black death) is caused by the Yersinia Pestis bacteria. This bacteria is spread by fleas and carried by rats. It is very contagious and only n...

27 Okt 20192min

Podcast 512: Abstinence is Bad, mmmkay?

Podcast 512: Abstinence is Bad, mmmkay?

Author: Don Stader, MD Educational Pearls: Abstinence from substances such as tobacco or alcohol are effective strategies to achieve long term sobriety However, abstinence is not an effective strateg...

22 Okt 20194min

Podcast 511: Ebola Treatment

Podcast 511: Ebola Treatment

Author: Rachel Beham, PharmD Educational Pearls: There are currently many Ebola vaccines that are being studied, and one (recombinant VZV-Ebola vaccine) is currently being used in Africa. This vaccin...

17 Okt 20194min

Podcast # 510: Ebola

Podcast # 510: Ebola

Author: John Winkler, MD Educational Pearls: There is a new outbreak of Ebola in The Congo. This is likely due to civil war and rebel attacks on healthcare workers in the area. Ebola is now spreadin...

16 Okt 20193min

Podcast 509: Circadian Rhythm and Shift Work, From Z to Z

Podcast 509: Circadian Rhythm and Shift Work, From Z to Z

Contributor: Jared Scott, MD Educational Pearls: Sleep deprivation and disturbed sleep cycles increases the risk of many acute and chronic medical issues such as motor vehicle accidents, diabetes, ca...

12 Okt 201915min

Podcast 508: Are you with child?

Podcast 508: Are you with child?

Contributor: Chris Holmes, MD Educational Pearls: In ancient Egypt, pregnant women would urinate over barley and wheat seeds to help determine the sex of thier fetus, as well as if they were pregnant...

10 Okt 20194min

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