All I Want For Christmas Is Sobriety

All I Want For Christmas Is Sobriety

To choose nursing or medicine as a profession comes with the reality that, at some points in your career, you will likely be covering weekends and holidays. So when my children were young, I had to take my turns doing shifts on Thanksgiving and Christmas for many...
My Patient’s Most Shameful Secret

My Patient’s Most Shameful Secret

One of the most troubling aspects of my job as a medical addiction professional reared its head last week as I entered the exam room for a follow-up visit with Gordon.* Gordon has had a very successful career in banking. He is the 64-year old divorced father of three...
How Important Are The Medical Staff In An Opioid Detox?

How Important Are The Medical Staff In An Opioid Detox?

My patients, the struggles they have endured, and the efforts they have made to achieve sobriety inspire many of my blogs. But yesterday at work, I have to say, I was moved so much by my coworkers. A young man was with us for a simple accelerated opioid detox. He is...
How to Get Off Methadone with the Coleman Institute

How to Get Off Methadone with the Coleman Institute

I had the pleasure of seeing my patient Isabel (not her real name, but I love this name) in the office for her regular monthly Vivitrol injection. Vivitrol is a long-acting, injectable form of naltrexone. Naltrexone is an opiate blocker, also called an opiate...
Is Rapid Opioid Detox Really Too Good To Be True?

Is Rapid Opioid Detox Really Too Good To Be True?

I am going to change the details for my patient’s confidentiality, but the basic story is spot on. Alana, a beautiful 23-year-old woman who lives far away from Richmond, VA, convinced her mother to bring her to the Coleman Institute for Addiction Medicine to help her...