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

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

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Avsnitt(38)

S3 Ep26: #536 Q&Apalooza: Your Addiction Questions Answered!

S3 Ep26: #536 Q&Apalooza: Your Addiction Questions Answered!

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospita...

17 Aug 1h 17min

S3 Ep25: #533: What’s the Tea on Kratom?

S3 Ep25: #533: What’s the Tea on Kratom?

Familiarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by...

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S3 Ep24: #528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein

S3 Ep24: #528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein

Become the Medetomi-Dean of AdmissionsStep up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency...

8 Juni 1h 18min

S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar

S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short...

17 Nov 20251h 13min

S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin

S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine u...

17 Nov 202558min

S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin

S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skil...

16 Juni 20251h 25min

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

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 th...

24 Mars 20251h 1min

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

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 abo...

22 Aug 20241h 6min

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