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Heroin and opiate prescription pain medication addiction is a massive health problem that is pandemic and now threatens an entire generation of young people, aged 21-35, their families and their friends. From 2009 to 2013, Arizona deaths from heroin and prescription opiates (Percocet, Oxycodone, hydrocodone, etc) overdose have doubled and now claim the life of almost two young people per day. Nationally, more deaths now occur as a result of drug overdose than from automobile accidents. Dr. W ...
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Compass Opioid Stewardship Program Podcast

Iowa Healthcare Collaborative

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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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Compass Opioid Stewardship Clinical Cases

Iowa Healthcare Collaborative

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The Compass Opioid Stewardship Clinical Cases podcast aims to provide clinicians with practical skills for managing patients on chronic opioid therapy. This 11 part podcast series introduces a framework to approaching clinical encounters with legacy patients on long term opioid therapy. Episodes highlight clinical patient scenarios through roleplaying and are followed by a discussion of the science, structure and pertinent clinical skills by Board Certified Addiction Medicine physician Dr. D ...
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Compass Opioid Stewardship Expert Spotlight

Iowa Healthcare Collaborative

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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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The Companion

Zach Schwartz, Kyle Baker and Jimmy Steidl

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Varje vecka
 
Three lifelong friends argue about everything from sports to music to life in a humorous and explicit way, while being joined by frequent guests to discuss their laughable college lives.
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1. Jahnya - Wait 2. Aáyanna - Wont Cry 3. Essosa - Waste My Time 4. Zenesoul - Pain, no Percocet 5. Drake -I m The Problem 6. Aliah Sheffield - Boo The Fool 7. Buddy Vonn - Love & BS 8. Grace Weber - Lonely 9. T - Royal - Touch Me 10. Jastin Martin - Why Not 11. Ebony Riley - Save Me 12. kiana ledé - Same Type 13. Keitian - Bullshit 14. Maeta - S (EX) 15. Chenayder - Save U 16. Layton Greene - Spin Again 17. Kiana Ledé - If You Hate Me 18. Ash B - Grown 19. Aqyila - Addicted 20. Ann Marie - ...
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Audrey Hope, D.D. is an award-winning certified addiction therapist and holds a Doctor of Divinity degree, who uses her abilities as a clairvoyant psychic medium to heal patients from trauma. A multi-talented force in the healing arts for over 20 years, Audrey Hope’s gentle-but-firm approach in addiction and relationships gets to the ‘root of the r…
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Randal Lyons is a Doctor of Chinese Medicine, shamanicpractitioner, addiction recovery expert, and author. He was born and raisedin New York, studied Chinese Medicine and Core Shamanism inCalifornia, and now lives in Nova Scotia, Canada, with his wife and twocharismatic Siamese cats. He is also 29+ years sober and prior to that, his “field work” in…
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In this episode, Dr. Stader utilizes the principles of MI when navigating an encounter with Sam, a patient who just had a routine UA test positive for fentanyl, an opioid he is not prescribed. Dr. Barnett and Dr. Stader debrief the details of this case following the encounter including the delicate position a physician occupies when establishing pa…
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In this episode, Dr. Stader conducts a new patient encounter with George. Following the encounter, Dr. Barnett and Dr. Stader talk about the four key principles of motivational interviewing: empathy, discrepancy, rolling with resistance and supporting self-efficacy in patients.
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In this episode, Dr. Stader meets with Cindy, a fibromyalgia patient on longterm opioid therapy, to discuss decreasing her percocet following a DUI. Following the encounter, Dr. Barnett and Dr. Stader discuss the importance of pushing back against the innate urge to tell a patient the solution to their problem as it can lead to resistance.…
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In this episode, Dr. Stader introduces the OARS technique in an encounter with Paul who visits clinic regarding his surgeon’s wish for him to quit smoking pre-operatively. Following the encounter, Dr. Stader and Dr. Barnett dicuss how open questions, affirming patient sentiments, reflective statements and summarizing an encounter and assisting in m…
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Dr. Don Stader calls mentor Dr. Peter Barnett to vent about some feelings of burnout he is experiencing with his patients not wanting to follow directions and Dr. Barnett helps him reframe his mentality and offers up motivational interviewing as a potential strategy to employ with his patients resisting change.…
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Kay Sumner is an Emmy Nominated Producer and Film Director. She has three Emmy nominations and two People’s Choice awards as the Co-Creator and Producer for The Dog Whisperer with Cesar Millan. Her directorial debut is a critically acclaimed 54 min. documentary film entitled “SURVIVORS,” detailing real opioid stories of recoveries and losses. She, …
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1. Jahnya - Wait 2. Aáyanna - Wont Cry 3. Essosa - Waste My Time 4. Zenesoul - Pain, no Percocet 5. Drake -I m The Problem 6. Aliah Sheffield - Boo The Fool 7. Buddy Vonn - Love & BS 8. Grace Weber - Lonely 9. T - Royal - Touch Me 10. Jastin Martin - Why Not 11. Ebony Riley - Save Me 12. kiana ledé - Same Type 13. Keitian - Bullshit 14. Maeta - S (…
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Edwige Gilbert, Transformation Guide and Founder of New Life Directions, reinvents lives and creates fresh starts driven by a purposeful vision. As an international speaker and author of The Fresh Start Promise and Victim to Victorious, Edwige turns stress into success by clearing unwanted habits and behaviors, creating self confidence and exuberan…
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Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to chat with Dr. Heath McAnally, MD, to discuss the nuances between different opioid agents and how to choose between them to match your patient's needs. Tune in as we review the biological pain pathways and how the mu and kappa receptors are involved with different opioid agents and then…
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The journey of corporate professional and former CEO Roger Smith is an impactful tale of survival. As a youth, the tough-as-nails and inspiring young man overcame a life of homelessness and severe substance abuse to triumph in becoming one of the country's leading lights in the business world. His story is now shared in the critically acclaimed new…
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Leonard Lee Buschel marvels that he survived the first 44 years of his life… He still can’t believe that he didn’t get knocked off by drug dealers, thieves or the copious amounts of drugs he himself ingested. Or locked up for life in a U.S. or international prison. And then again, there were the near-death asthma attacks, open-heart surgery and the…
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Howard Schubiner, MD to discuss mind body medicine and the power of perception when it comes to pain. Dr. Schubiner discusses how the brain is responsible for much of the pain we experience and how we can harness this knowledge to reduce it after ruling out structural sources. Resources …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Kate Nicholson, JD, the founder of the nonprofit National Pain Advocacy Center whose mission is to advance the health and human rights of people in pain. Kate discusses her entry into the field of pain and her own journey developing and managing chronic pain and how she has used her expe…
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Summarized DSM-5 diagnostic categories and criteria for opioid use disorder Risks for opioid abuse and dependence among recipients of chronic opioid therapy: results from the TROUP study Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis
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Join Dr. Nelson; Housewives of New York star and countess, Luann de Lesseps; Actress and founder of Cthreefoundation.org, Claudia Christian; and addiction counselor, Gabrielle Loomis-Annett as they discuss the benefits of TSM while celebrating the grand opening of Deerhaven Gardens, the first in-patient alcohol treatment center in the US utilizing …
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Host Rachael Duncan, PharmD sits down with Alexis Ritvo, MD, an assistant professor at CU Anschutz School of Medicine Department of Psychiatry and Program Director at Addiction Psychiatry Fellowship at the University of Colorado to discuss all things benzodiazepines. Tune in to learn about tapering strategies, polypharma interactions and increased …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Andrew Herring, MD and Charles Hawthorne of CA Bridge to discuss healthy equity and disparities in the opioid epidemic. CA Bridge is a pioneering organization that expands access of evidence-based addiction care to those who use drugs across California, Andrew serves as the Director and …
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Danét Palmer is an author that suffered through abuse, heartache(s), and addiction. Her self image she developed as a result of the these experiences almost caused her to take her life. Her inspirational recovery is highlighted in her new book, "Baptized by love: How I found joy and never let it go." Her first book, "Coffee with the Divine" is a pr…
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In this episode, Dr. Stader and Anne chat about how her pain has improved and she is getting more out of life. Following their encounter, Don and Rachael circle back on the 8 pillars of opioid stewardship tying it all together and and talk about modifying the framework to fit individual patients. Show Notes: Benzodiazepine Deprescribing Algorithm C…
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In this episode, Dr. Stader introduces buprenorphine as a possible agent to help manage Anne's chronic pain. Following their encounter, Don and Rachael discuss the use of buprenorphine for chronic pain and how to effectively cross titrate a patient from other opioids to the safer agent. Show Notes: Buprenorphine and X Waivers IR Opioid Cross Taper …
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In this episode, Dr. Stader and Anne discuss how her taper is going and they agree on some adjustments. Following their encounter, Don and Rachael take a deeper dive into the specific mechanics of tapering fentanyl and Oxycodone. Show Notes: Opioid + Benzodiazepine Tapering How-To Guide Fentanyl 50 mcg TD Taper Example The Iowa Healthcare Collabora…
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In this episode, Dr. Stader broached his concerns with Anne's medication regimen and they discuss the mechanics of tapering her off some of her medications. Following their encounter, Don and Rachael dive into the collaborative framework for a taper using the BRAVO approach. Show Notes: Optimizing Patient Communication: The Key to a Successful Tape…
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In this episode, Dr. Stader talks with Anne about her sleep study showing sleep apnea and his concern for her medication regimen contributing to it. Following their encounter, Don and Rachael dive into the nuts and bolts of screening for sleep disordered breathing. Show Notes: 2021 BMJ Article Infographic: Diagnosing Sleep Apnea in Patients Taking …
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