#224 Hospital Addiction Medicine with Dr Melissa Weimer

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 13 July 2020

⏱️ 60 minutes

🔗️ Recording | iTunes | RSS

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Summary

Jump into an episode dedicated to hospital based addiction medicine, as we cover common scenarios hospitalists encounter. In this episode we talk to addiction medicine expert, Dr. Melissa Weimer @DrMelissaWeimer (Yale) about inpatient management of patients with substance use disorders. Topics include: the management of polysubstance withdrawal, approaching acute pain management for a person with opioid use disorder, and inpatient harm reduction strategies. After this episode listeners will gain new tools to help them best care for hospitalized patients with substance use disorders.

Credits

Writers and Producers: Carolyn Chan MD, Deb Gorth, and Nora Taranto MD
Cover Art and Infographics by: Carolyn Chan, MD
Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Carolyn Chan MD
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Melissa Weimer

Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!

Time Stamps

Intro, disclaimer, guest bio : 00:00
Guest one-liner: 03:00
Picks of the Week*: 08:20
Case from Kashlak: 10:30
Urine Toxicology Screens 11:30
Discussing Urine Toxicology Screens with Patients 13:20
Management of Polysubstance Withdrawal 16:16
Tapering Benzodiazepines 19:56
Acute Pain Management and Opioid Use Disorder 30:35
Active Drug Use in the Hospital 38:52
Harm Reduction 40:00
Discharges - Planned 43:43
Perioperative Buprenorphine and Methadone: 46:50
QT Prolongation and Methadone - 52:53
Outro 56:21

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only, and
0:06.9	the topics discussed should not be used solely to diagnose treat cure or prevent any diseases
0:09.6	or conditions.
0:10.6	For the more the views and statements expressed on the podcast are solely those of those,
0:12.2	and should not be interpreted to reflect the official policy or position of any entity
0:14.3	that's either on possibly cash like more hospital and affiliate outreach programs.
0:16.5	If indeed there are any, in fact there are none.
0:18.5	Pretty much we are responsible if you screw up, you should always do your own homework
0:20.3	and let us know when we're wrong.
0:31.0	Welcome back to the Curbsiders.
0:33.0	Hi, Carolyn.
0:34.0	Hey, how are you, Stuart?
0:36.0	It's been a while.
0:37.0	I'm okay.
0:38.0	So this is a weird one, guys, because you might notice that Matt is not here, and without
0:43.0	our anchor, the ship is just drifting at sea.
0:46.0	And you know, listen, we did great, and I, you know, I don't, I feel like too often when
0:51.0	you hear the term dead weight, it's heard as a negative, but I think we flew without
0:57.0	him dragging us behind, we actually soared, and we're finally put together in episode
1:00.0	I can be proud of.
1:01.0	So long live the Curbsiders.
1:03.0	Yeah, farewell, Wado.
	...

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