methadone

Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar

Over the past two decades, as fatal drug overdoses have risen precipitously, few professions have been hit harder by the crisis than the medical community. Physicians in particular have found themselves in the no-win position of being both blamed for the overdose crisis, which claimed more than 100,000 American lives in the past 12 months, while being tasked with containing it.

According to one dominant narrative, it was cavalier doctors who sparked the crisis in the first place, by overprescribing habit forming narcotic painkillers to millions of Americans after being softened up at lavish dinners and then duped by nefarious pharmaceutical reps using fudged data.

But that’s overly simplistic. For starters, it ignores the fact that the greatest spike in drug deaths came when doctors reigned in opioid prescribing after authorities started targeting so-called pill mills. This left tens of thousands of pain patients stranded and paved the way for the introduction of illicitly made fentanyl into the U.S. to fill unmet demands.

Narcotica co-host Christopher Moraff delves into this topic, asking how the medical community can work to restore trust from their patients who are justifiably suspicious of the U.S. healthcare system, speaking with doctors Ashish Thakrar and Ben Cocchiario, who both work for the University of Pennsylvania medical system in Philadelphia, a focal point of the overdose crisis. They cover everything from methadone prescribing to overfunding the DEA, all of it underlining the importance of patient autonomy.

Follow Ben Cocchiaro at UPenn
Follow Ashish Thakrar on Twitter @especially_APT

If you liked this episode, here are others you might enjoy:
Episode 46: Behind The Pharmacists’ Counter with Jessica Moreno
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective
Episode 30: Getting Wrecked with Dr. Kim Sue

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Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson
Music: Glass Boy / Nomad1
Intro voice: Jenny Schaye
Image: Stockvault // edit: Troy Farah

Episode 56: Drug Use During Disaster with Aaron Ferguson

Our planet is in crisis, plagued by an increase in wildfires, floods, hurricanes, freak storms and outbreaks of disease. As a result, we’re seeing more and more people isolated, left to fend for themselves, as the cracks in public infrastructure only seem to widen.

To use one prominent example, the state of Texas has been slapped with recurrent cataclysms and catastrophes of late, most recently the February winter storm that crushed the power grid, leading to food and water shortages, which left at least 111 people dead.

At Narcotica, we always wonder about what happens to people who use drugs whenever ecological disaster strikes. Co-hosts Zachary Siegel and Troy Farah talk with Aaron Ferguson, who works as an outreach provider in Austin, Texas and is also on the leadership team of the National Drug Users Union. (Aaron was also a our co-producer on the show for about 20 episodes and volunteered to help with sound editing this one as well!)

We discuss everything from the evolving drug trade in Texas to the cult-like mentality that can sometimes manifest in the addiction recovery community and much more.

You can follow Aaron Ferguson on Twitter: @sciencenotheism and watch The Methadone Manifesto, a recent webinar hosted by the Urban Survivors Union. Aaron also co-authored a piece in the National Academy of Medicine discussing some of the public health challenges addiction treatment services faced during the recent Texas storm.

Follow Narcotica on FacebookTwitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 18: Drug User Unions – The Rebirth of Harm Reduction with Jess Tilley and Albie Park
Episode 42: Supervised Consumption is an Essential Service

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Aaron Ferguson / Troy Farah
Music: Glass Boy / Suhov
Intro voice: Jenny Schaye
Image: Justin L. Flickr edit: Troy Farah

Episode 48: Moms And Methadone with Elizabeth Brico

Is there any class of people who receive more stigma, who get more shit and abuse for using drugs, than mothers? Probably not! For whatever reason, society really looks down upon mothers who use drugs. And too often, Child Protective Services use evidence of drug use, even prescribed drugs like methadone or buprenorphine, as a pretense for seizing children from parents, even when there are no signs of abuse or neglect.

At Narcotica, we believe in safe drug use no matter who it is. On this episode, Troy, Zach and Chris talk about how stigma against drug use is contributing to an overloaded foster care system, how so-called ‘fetal assault laws’ are used to control women and pregnant people, and the various ways the war on drugs can be used to dehumanize parents.

Our guest is Elizabeth Brico, a freelance journalist and author from the Pacific Northwest. Her work has appeared in Politico, Columbia Journalism Review, VICE, Undark and many others. She is also the mother of two little girls.

Follow Elizabeth Brico on Twitter @elizabethbrico

You can read some of Elizabeth’s work here: https://filtermag.org/motherhood-legally-terminated/

Sign Elizabeth’s petition to get her kids back: https://www.change.org/p/florida-department-of-children-and-families-reunite-the-brico-girls-ages-5-and-6-with-their-mama

If you liked this episode, here are others you might enjoy:
Episode 24: How To Get Abortion Pills
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 6: Speed Up, Slow Down Pt. 2 — Myth Evolution: From Crack Kids to Addicted Babies

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / A.A. Aalto
Image: Wacky Stuff // edit: Troy Farah

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

Follow Narcotica on FacebookTwitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!
Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-Producer: Aaron Ferguson
Music: Glass Boy, Pictures of the Floating World

Episode 23: Bring Back Prescription Heroin! with Travis Lupick

With perhaps the exception of fentanyl, no drug is seen as more dangerous or controversial than heroin. But when you look at decades of medical literature, it’s clear that heroin, also known as diacetylmorphine, is just another opioid, and it has a place in medicine. On this episode, Troy Farah and Zachary Siegel discuss the controversial idea of prescription heroin with Canadian journalist Travis Lupick, author of Fighting for Space.

You can follow Travis Lupick @tlupick Twitter here.

Follow Narcotica on FacebookTwitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Sticher and more. Tell your friends about us!

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