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The Curbsiders Internal Medicine Podcast

Addiction Medicine Series #1 Methadone for OUD w/Dr. Ruth Potee

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 7 July 2022

⏱️ 52 minutes

🧾️ Download transcript

Summary

Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital. We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter. She inspires us to be strong advocates for our patients.

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

Show Segments

  • Intro, disclaimer, guest bio 0:46
  • Guest one-liner 3:23
  • Case from Kashlak 5:00
  • Methadone for OUD 5:47
  • Methadone Dosing 16:35
  • 72 hour Rule 25:35
  • What is a methadone clinic 31:00
  • Methadone Checklist 35:44
  • QTc Prolongation and Methadone 39:15
  • Confirming Methadone Dose 43:17
  • Managing Missed Methadone doses: 45:20
  • Outro 50:40

Credits

  • Producer, Writer: Kenneth Morford, MD
  • Show Notes, Infographic, Cover Art: Zina Huxley-Reicher, MD
  • Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD; Kenneth Morford, MD
  • Reviewer: Shawn Cohen MD
  • Showrunner: Carolyn Chan, MD
  • Technical Production: Castos
  • Guest: Dr. Ruth Potee
The Curbsiders Addiction Medicine are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM is the proud home for academic addiction medicine faculty and trainees and is dedicated to training and supporting the next generation of academic addiction medicine leaders. Visit their website at acaam.org to learn more about their organization.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.


Transcript

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0:00.0

Hey everyone, I am so excited to finally be introducing our brand new Curbsider show on addiction medicine featuring long time curbsider dr.

0:09.7

Carolyn Chan and her friends in addiction medicine.

0:13.0

This is a fantastic series it's coming out weekly on its own channel for about a dozen weeks and it covers great topics like alcohol use disorder benzo use disorder stimulant use disorder opioid use disorder and you're about to hear.

0:26.8

The very first episode where we had a fantastic conversation about methadone I learned so much on this episode I learned so much from this series and I can't wait for you all to hear it so make sure you to subscribe to it in your podcast feeds enjoy.

0:44.2

Hey Kenny. Hey Carolyn are you excited to talk about the Galapagos of medicine tonight.

0:49.8

The Galapagos of medicine is like an otoscope.

0:54.1

Oh well you are in for a treat you are in for a treat today and everybody just welcome back to the curbsiders addiction medicine our new mini series on substance use disorders I'm Dr. Carolyn Chan and I'm joined today by my co host Dr. Kenny Morford and Dr. Matt Wato and tonight's episode you will not only learn about the Galapagos of medicine.

1:14.1

You will also learn about methadone for the treatment of opioid use disorder with Dr. Ruth Pote but before we get started with that Matt will you please remind our audience what we do on this show sure Carolyn well this is this is a curbsiders show so obviously it's going to be clinical pearls and practice changing knowledge and but this one just happens to be the addiction medicine podcast maybe because I don't know if there's another addiction medicine podcast but certainly this is the curbsiders addiction medicine podcast and I'm it's going to be a great deal of work.

1:44.1

I'm excited to be here is now a good time to summarize for the audience what we are going to learn about tonight. Yeah please I learned a ton audience because I was in the room here virtual room with a bunch of addiction medicine experts but I got to be the new been ask all these like what I thought were basic questions because and I feel so much more comfortable now if I were to have a patient in the hospital and needed to start methadone I feel like I would know exactly how to do that we talked about the pharmacology.

2:11.1

We talked a little bit out like the legality and some of the interesting history behind this and and we talk about what's a usual dose how do you get there how do you

2:19.6

titrated what do you monitor very practical stuff and just a passionate guest who just really just brought it and very excited for people to hear this and Kenny please tell us more about our guest tonight.

2:31.1

Happy to so we have a fantastic conversation with our guest doctor Ruth Pote so she is a family physician and addiction specialist who works in western Massachusetts.

2:42.1

She was a full scope family physician for 20 years with the focus on pregnancy reproductive health and pediatrics but she's been practicing full time substance use treatment for the last three years and she oversees for method on clinics a large urban office based opioid treatment clinic a jail based opioid treatment program and she trained

3:00.1

medical students residents and addiction fellows and she sees patients every day and a reminder just to everybody out there that this episode as our most of our episodes are available for free CME through BC health CE for all health professionals at the curbsiders.bco.health.org all you have to do is create an account and a special thanks to the American college of academic addiction medicine also known as a cam who are partnered with us to help support the curbsiders addiction medicine many series.

3:28.1

It came as the proud home for academic addiction medicine faculty and trainees and they are committed to supporting and training the next generation of academic addiction medicine leaders learn more about the organization at a cam dot org the curbsiders addiction medicine is for entertainment education and information purposes only.

3:45.1

The topics discussed should not be used to diagnose treat or prevent any diseases or conditions furthermore the views and statements expressed on this podcast or solely those of the hosts and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like Memorial Hospital in short we are responsible if you screw up please do your homework and let us know if we got something wrong.

4:05.1

Now let's jump in to learning more about Ruth. Thanks so much Ruth for being with us today and being on the show so why don't we get started with just a couple of rapid fire questions to get to know you a little bit better.

4:16.1

So can you please give us a one liner to describe yourself.

4:20.1

I'm a feminist and environmentalist and a massive composter I've converted my yard from a tightly mone lawn to a meadow and bird pollinating native plant meadow.

4:30.1

Amazing I've been obsessed with gardeners world so I'm learning all about composting right now.

4:35.1

Well so another thing that we're interested in since we are the curbsiders addiction medicine is if you could tell us some of your favorite aspects of working in this field of addiction medicine.

4:46.1

I've been a 23 year family physician I'm a full scope family doctor and I used to really take care of women and children in pregnancy and reproductive health issues and but I trained at Boston Medical Center so if you're training a Boston medical center you learn about addiction.

...

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