Addiction | Topics | Reflective Practice

The Fix (40min) Radiolab podcast: This episode we take a sober look at the throbbing, aching, craving desire states that return people (again and again) to the object of their addiction … and the pills that just might set them free.

Contributor: Francesca CiminoNovember 11, 2020Topics: Addiction / Guilt & Shame

A Doctor's Love Affair with Vicodin (25min) “Medicine is a land of opportunity for a drug addict.” Take Dr. Peter Grinspoon’s word for it. The Harvard-trained physician spent years abusing painkillers, infatuated with the feeling of euphoria that he got from the drugs. This is the story of his addiction and recovery.

Contributor: Francesca CiminoNovember 11, 2020Topics: Addiction / Impaired Physician

Contributor: Francesca CiminoNovember 28, 2018Topics: Addiction / Burnout / PerspectiveKeywords: addiction / alcohol / bias / genetic

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Contributor: Francesca CiminoNovember 1, 2018Topics: Addiction / Bias / Compassion FatigueKeywords: addiction / families / opioid / stigma

When drinking ruins your liver - should you qualify for a transplant? When patients develop alcohol liver disease, they are often forced to wait 6 months to prove they can abstain from alcohol before they will be considered for a transplant. Is that a fair amount of time? Is that a fair practice at all?

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Bias / Compassion Fatigue / Conflict / Provider-Patient RelationshipKeywords: addiction / bias / resource allocation / transplant

Withholding surgery: How gaps in policy fail people who inject drugs A recent New York Times article described a harrowing situation faced by some people who inject drugs and develop endocarditis, a life-threatening infection caused by bacteria that enter the bloodstream and settle in the heart. The article described doctors in Tennessee deciding whether to perform repeat costly heart surgeries on patients who were re-infected with endocarditis as a result of ongoing illicit drug use—and at times declining to operate. There are policy failures that are to blame, too, for how and why resources are allocated this way. This looks at those failures and how our bias influences both the policies and how they are applied.

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Background info / Bias / Provider-Patient RelationshipKeywords: addiction / bias / opioid / policy

Injecting Drugs can ruin a heart - how many second chances should a user get? A life-threatening heart infection afflicts a growing number of people who inject opioids or meth. Costly surgery can fix it, but the addiction often goes unaddressed.

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Bias / Compassion Fatigue / Guilt & Shame / Provider-Patient RelationshipKeywords: addiction / bias / ethics / resource allocation / surgery

The Fix (whole episode - 43min) This episode we take a sober look at the throbbing, aching, craving desire states that return people (again and again) to the object of their addiction … and the pills that just might set them free.

Contributor: Francesca CiminoOctober 1, 2018Topics: Addiction / Guilt & ShameKeywords: addiction / Drugs

Medical charts may be biased a quick article about how subtle differences in descriptions may convey bias from one provider to another.

Contributor: Francesca CiminoJuly 12, 2018Topics: Addiction / Background info / Compassion Fatigue / Provider-Patient Relationship / Racism

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