meta_pixel
Tapesearch Logo
Log in
The Curbsiders Internal Medicine Podcast

#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 14 November 2022

⏱️ 63 minutes

🧾️ Download transcript

Summary

With Carolyn Chan MD and Shawn Cohen MD

Conquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)!

Claim free CME for this episode at curbsiders.vcuhealth.org!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Acute pain in the patient on buprenorphine maintenance
  • Acute pain in the patient on methadone maintenance
  • Acute pain in the patient with opioid withdrawal
  • Standard buprenorphine initiation
  • Methadone initiation
  • Low dose buprenorphine initiation
  • Take-home points
  • Outro

Credits

  • Writer and Producer: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art and Infographic: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP
  • Reviewer: Fatima Syed MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Carolyn Chan MD and Shawn Cohen MD

Sponsor:
ExpressVPN

Visit expressvpn.com/curb to get and extra three months free.

Sponsor:
Southern California Permanente Medical Group

Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684.

Full transcript HERE

Transcript

Click on a timestamp to play from that location

0:00.0

The Curbsiders podcast is for entertainment, education, and information purposes only.

0:04.0

In the topics discussed, it should not be used to lead items, treat cure or prevent any disease

0:07.0

or conditions.

0:08.0

For the more that you've used, it's expressed on the podcast or solely to those of those, it should not be interpreted

0:10.0

for such an official policy or a position of any entity that's on the site or possibly catch

0:12.0

like more hospital and affiliate outreach programs.

0:14.0

Indeed, there are any, in fact, there are not.

0:16.0

Pretty much we are responsible if you screw up, you should always do your homework and let's know if we will.

0:22.0

Welcome back to the Curbsiders.

0:24.0

On tonight's show, I will be talking to two fantastic guests about how we can treat acute pain and the patient

0:31.0

with opioid use disorder, who's admitted to the hospital.

0:35.0

I, of course, am Dr. Matthew Frank Wato.

0:37.0

Unfortunately, tonight, without my fantastic co-host, Dr. Paul Nelson William.

0:42.0

So I will remind you that we are the Internal Medicine Podcast.

0:46.0

We use expert interviews to bring you clinical pearls and practice changing knowledge.

0:51.0

On tonight's show, I have a great conversation with Dr. Carolyn Chan and Dr. Sean Cohen,

0:58.0

who are going to tell us all about how to handle this.

1:01.0

Very common and very challenging problem in the hospital.

1:04.0

Patients who are both either in opioid withdrawal or at risk for opioid withdrawal

1:09.0

and also having an acute painful condition.

1:12.0

So they're going to tell us how to treat both those things.

1:15.0

And it's a really fantastic conversation.

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2025.