How Can I Get Off These Bloody Pain Medications?

How Can I Get Off These Bloody Pain Medications?

A recent publication by Health and Human Services (HSS) reports that opioid prescriptions in the US peaked at 255 million in 2012 and decreased to 191 million in 2017. Prescribers—and the rest of the world—have become well aware of the unanticipated consequences of...
Can I Really Be Addicted To Tramadol?

Can I Really Be Addicted To Tramadol?

If you think tramadol is a benign drug, think again. This past spring we met Frank, a middle-aged man from the southwest who was using large amounts of tramadol daily, originally for back pain. His doctor prescribed a certain amount, the rest he purchased online. He...
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...
A Moral Failing Or A Brain That Needs Healing?

A Moral Failing Or A Brain That Needs Healing?

For those of you interested in learning more about how addiction specifically affects the brain, I encourage you to watch Dr. Kevin McCauley’s movies and YouTube presentations. Dr. McCauley was an Air Force surgeon who became addicted to pain medications after he went...