medication assisted treatment

Episode 30: Getting Wrecked with Dr. Kim Sue

Doctors are often blamed for prescribing America into the opioid crisis. Their reckless actions, relying on opioids to relieve just about every morsel of pain, ignited the deadliest overdose crisis in history, so we’re told. Of course, the narrative around doctors is much more complex than that.

But one truth is inescapable: Without doctors prescribing methadone and buprenorphine, and taking care of some of the most marginalized people in the health care system, like incarcerated women, there is no end to the crisis in sight. Meet Dr. Kimberly Sue, the medical director of the Harm Reduction Coalition, and a leader in addiction medicine. Dr. Sue wrote a new book, Getting Wrecked: Women, Incarceration, and the American Opioid Crisis. In this episode, co-host Zachary Siegel interviews Dr. Sue, and they talk about women’s self-determination, the brutality of incarceration, and they imagine a world where women are treated humanely, not criminalized. 

Buy Dr. Sue’s book: https://www.ucpress.edu/book/9780520293212/getting-wrecked
Follow Dr. Sue on Twitter: https://twitter.com/DrKimSue

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Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy, Pictures of the Floating World

Episode 19: Debunking Bupe Diversion Myths

If you ask many, many people whose lives have been upended by opioids, buprenorphine is a life saver. It can literally cut the risk of a fatal overdose by half or more in folks who have an opioid addiction. Also known as Subutex or Suboxone, buprenorphine is one of the three FDA approved medications to treat what’s formally known as opioid use disorder. It’s a partial agonist at opioid receptors, relieving cravings but with far less risk for overdose than other opioids like heroin, which are full agonists.

Zachary Siegel, Troy Farah and Christopher Moraff speak with Molly Doernberg, a grad student at Yale School of Public Health, who co-authored a recent paper called “Demystifying buprenorphine misuse: Has fear of diversion gotten in the way of addressing the opioid crisis?” which was published in the journal Substance Abuse last April. They discuss what buprenorphine is, why people take it, and why stigma and fears that buprenorphine may be used illicitly are actually contributing to more overdose deaths.



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Read Doernberg’s paper here: https://doi.org/10.1080/08897077.2019.1572052 and follow her on Twitter.

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy and Aaron Ferguson
Image Credit: Chris Moraff / Edit by Troy Farah