IntNSA
IntNSA
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Видео

Invitation to IntNSA's 2024 Annual Conference
Просмотров 1005 месяцев назад
Francis Marion Hotel, Feb 27 - Mar 1, 2024, Charleston, South Carolina, see intnsa.org/schedule.
Recognizing and Responding to Opioid Overdose; Safety and Naloxone Training
Просмотров 2 тыс.11 месяцев назад
Recorded 17-July-2023, visit intnsa.org
JAN Journal Club, 12-July-2023
Просмотров 3911 месяцев назад
On Wednesday, July 12, th Journal Club discussed the article: Nursing Attitudes Toward Patients With Substance Use Disorders: A Quantitative Analysis of the Impact of an Educational Workshop Authors: Jackman, Scala, Nwogwugwu, Huggins, Antoine. Journal of Addictions Nursing 31(3):p 213-220, 7/9 2020. | DOI: 10.1097/JAN.0000000000000351
Journal Club Meeting, 2023-April-12
Просмотров 38Год назад
On Wednesday, April 13, the Journal Club discussed the article "The relationship between trauma and substance use among healthcare workers: A cross-sectional analysis," Hizimuzo T Okoli, PhD, MSN. This issue can be found in the Journal of Addictions Nursing, 34(1):80-88, January/March 2023.
Initiating Buprenorphine for Patients Using Fentanyl
Просмотров 1,9 тыс.Год назад
Presented by Brian Hurley, MD, MBA, DFASAM, FAPA, President-Elect; American Society of Addiction Medicine. Recorded 7-April-2023, visit intnsa.org/elearning-portal/virtual-classroom/. The United States is currently experiencing the worst overdose crisis in our history, driven by the increasing potency and variety of opioids, central nervous system depressants, and stimulants present throughout ...
Identifying and Applying Evidence Based Guidelines & Tools for Navigating the Opioid Epidemic
Просмотров 56Год назад
Identifying and Applying Evidence Based Guidelines & Tools for Navigating the Opioid Epidemic
Nurses’ Practices with People Experiencing Opioid Use Disorder, An IntNSA, PCSS Joint Hosted Webinar
Просмотров 486Год назад
The purpose of this presentation is to present the findings from a narrative literature review that was conducted to understand nurses’ practices with persons with opioid use disorder (OUD). Nurses are a sizable portion of the health care workforce; therefore, understanding their unique, disciplinary contributions for people with OUD is important. Twenty-one studies were included in the review ...
Journal Club Meeting, 2022-July-13
Просмотров 37Год назад
On Wednesday, July 13, the Journal Club discussed the article "Law Enforcement Perceptions About Naloxone Training and Its Effects Post-Overdose Reversal." Dahlem, Chin Hwa (Gina); Granner, Josephine; Boyd, Carol J. Journal of Addictions Nursing. 33(2):80-85, April/June 2022.
Opioid Facts and Figures
Просмотров 1,5 тыс.2 года назад
Opioid Facts and Figures, recorded 3-June-2022. Presented by Lauran Wirf, DO: Addiction Medicine Fellow; University of Colorado School of Medicine; Denver, Colorado. With the increasing prevalence of illicit fentanyl, it is important for healthcare providers to understand the new hurdles they may face in treatment of opioid use disorders. This session aims to improve the healthcare provider’s u...
Opioid Use Disorder in the Nursing Profession
Просмотров 5322 года назад
Presented by Kristin Waite-Labott, RN, BSN, CARN; April Lynn Lenzmeier, RN, DNP; Rachel Shuster, BSN, RN, CARN, CAAP. The American Nurses Association estimates that six to eight percent of nurses use alcohol or drugs to an extent that is sufficient to impair professional performance. Others estimate that nurses generally misuse drugs and alcohol at nearly the same rate (10 to 15 percent) as the...
Low-dose and Alternative Buprenorphine Induction Strategies
Просмотров 9 тыс.2 года назад
Low-dose and Alternative Buprenorphine Induction Strategies, presented by Joshua Bloom, MD. Recorded 22-Feb-2022. Objectives include: Implement low-dose buprenorphine induction as an option for individuals using illicit fentanyl or long-acting opioids. Appreciate limitations and cautions of low-dose induction. Clarify low-dose buprenorphine induction protocols in various practice settings. Visi...
Overdose Awareness Day: August 31, 2021
Просмотров 1202 года назад
John S. Silvani, RN CARN CAS LCDCII FIAAN, talks about opioid overdose in preparation for Overdose Awareness Day August 31t 2021.
Improving MOUD Delivery and Reducing Disparities in Rural Colorado
Просмотров 2172 года назад
Improving MOUD Delivery and Reducing Disparities in Rural Colorado. Rural counties are disproportionately impacted by the opioid epidemic across America, having limited services. Positive results from a 2017 pilot project to expand MOUD services into rural areas led to coordination of service expansion across rural Colorado through funding from Senate Bill (19)-001. This presentation will focus...
Methadone Then, Methadone Now, An IntNSA, PCSS Joint Hosted Webinar
Просмотров 3,5 тыс.2 года назад
Methadone Then, Methadone Now. This webinar will focus on Methadone Treatment as in a historical background beginning in the mid-1960’s through 2021 and discuss how a Methadone Treatment program in Cincinnati has dealt with the many changes in treatment. It will review the changing of treatment from using methadone as a medication replacement therapy to part of a bigger treatment that includes ...
JAN Journal Club Meeting, 2021-Jul-14
Просмотров 872 года назад
JAN Journal Club Meeting, 2021-Jul-14
Consortium Management 101, An IntNSA, PCSS Joint Hosted Webinar
Просмотров 5983 года назад
Consortium Management 101, An IntNSA, PCSS Joint Hosted Webinar
The Truth About Smoking | World No Tobacco Day 2021
Просмотров 1693 года назад
The Truth About Smoking | World No Tobacco Day 2021
JAN Journal Club Meeting, 2021-Apr-14
Просмотров 203 года назад
JAN Journal Club Meeting, 2021-Apr-14
JAN Journal Club Meeting, 2021-Jan-13
Просмотров 973 года назад
JAN Journal Club Meeting, 2021-Jan-13
Closing ceremony | IntNSA Virtual Global Conference 2020
Просмотров 553 года назад
Closing ceremony | IntNSA Virtual Global Conference 2020
IntNSA's First Virtual Global Conference | Opening Ceremony
Просмотров 4943 года назад
IntNSA's First Virtual Global Conference | Opening Ceremony
Accessing IntNSA's eLearning platform
Просмотров 2853 года назад
Accessing IntNSA's eLearning platform
Register for our FREE Global Virtual Conference #IntNSA2020
Просмотров 403 года назад
Register for our FREE Global Virtual Conference #IntNSA2020
JAN Journal Club Meeting, 2020-Jul-15
Просмотров 523 года назад
JAN Journal Club Meeting, 2020-Jul-15
JAN Journal Club Meeting, 2020-Apr-22 (audio only)
Просмотров 134 года назад
JAN Journal Club Meeting, 2020-Apr-22 (audio only)
Meeting State Requirements for Pain/Opiate Education for the NP and NP Students
Просмотров 3054 года назад
Meeting State Requirements for Pain/Opiate Education for the NP and NP Students
JAN Journal Club Meeting, 15-Jan-2020 (audio only)
Просмотров 414 года назад
JAN Journal Club Meeting, 15-Jan-2020 (audio only)
The Opioid Epidemic and Complications of Injection Drug Use
Просмотров 2,1 тыс.4 года назад
The Opioid Epidemic and Complications of Injection Drug Use
IntNSA 43rd Annual Educational Conference, Baltimore 2019
Просмотров 1404 года назад
IntNSA 43rd Annual Educational Conference, Baltimore 2019

Комментарии

  • @angiepriddy9828
    @angiepriddy9828 2 месяца назад

    I want to start a methdone clinic I am scared to death , been taking 10 oxycodone 15 mg daily an I’m ready to change my life

  • @johnsilvani1918
    @johnsilvani1918 3 месяца назад

    Great Job!

  • @darrellmorris3930
    @darrellmorris3930 8 месяцев назад

    Methadone saved my life. I think God and all of you involved in treatment. Thank you!

  • @jmorrison44601
    @jmorrison44601 9 месяцев назад

    Do you know how I stopped? I just stopped I did not use suboxone, methadone or anything else I just stopped taking the pills. I was not going to allow myself to get to the point where I was injecting, smoking, snorting pills or anything else I wanted my life back and it was a war let me tell ya it was a very painful 4 weeks but I did it and so can you as long as you want it all to end also for those who do quit your war is not over after those 2-4 weeks you still will deal with PAWS post acute withdrawal syndrome. You can be a year clean then suddenly one day you feel as though your in withdraw again, But suck it up because that is all in your head and it passes within a day. No one should be subjected to long term opiate maintenance programs, these are designed from the people who do not want to quit, so if your desire is to have your life back then it would make no sense to trade one drug for another would it?

  • @naseemrehman7000
    @naseemrehman7000 Год назад

    I foolishly did this once and was completely successful. Now I'm in day 2 of doing it again. It works. They just HAVE to be disciplined with the full agonist if it gets truly unbearable and be honest with themselves of what they can endure.

  • @Tloc111
    @Tloc111 Год назад

    Im on day 8 of microdosing. I took 16 mg this morning felt very woozy and chills so i smoked some fet after 45 mins. I think this made me feel better. Unsure how to continue. Im thinking of lowering buprenphorine dose to 12mg or lower

    • @naseemrehman7000
      @naseemrehman7000 Год назад

      Just a little too heavy. Only smoke what's absolutely necessary to abate any intensity. Don't have a sesh. Then let 12hrs pass and try 4mg and wait 4 hours

  • @kathytracy7952
    @kathytracy7952 Год назад

    What are people in real pain have to do I tried subokine for pain management and still in pain from severe arthritis and herniated disc

  • @TammylynnPuciata
    @TammylynnPuciata Год назад

    Methadone was a Terrible detox. The withdrawals went on and on for at least 90 days. Was on clinic for 13 years.

  • @scottnorris-tr8uq
    @scottnorris-tr8uq Год назад

    Suboxone is a life saver

  • @rolandocadena8264
    @rolandocadena8264 Год назад

    Sounds good 👍

  • @sandraratcliffe6453
    @sandraratcliffe6453 Год назад

    Subutex gave me my life back. I am totally sober, off the streets, and going to school. I was an IV using on and off 25 years. I get one shot a month and forget I am an addict. I can live a normal life around normal people. With methadone or suboxene everyday you remember your an addict when you take your medicine. You’re around other addicts once a day or a week picking up your medicine. You don’t feel sober just like a legal addict. Your newer far from temptation because those other addicts you see picking up your meds are more than happy to hook you up with illegal drugs and let you know so. Nobody around me now uses drugs or knows I use to. Thank you subutex for doing the impossible and giving me my life back.

  • @Mike-gc2hm
    @Mike-gc2hm Год назад

    10 to 20mg of oxy day Jesus how the f you get the money for all that

  • @Kerri303
    @Kerri303 Год назад

    Thank you so much for this video. I’ve been to multiple doctors Im down to 1mg of suboxone can’t get lower without being in extreme withdrawal and I can’t seem to find a Doctor Who will help me. They don’t know anything about Suboxone. They won’t give me comfort meds. I’ve seen three different doctors. I will not walk into another Suboxone doctors office I just won’t but getting under a milligram and not sleeping for days and going through those withdrawals with no comfort meds is hell and it’s unethical and you just shouldn’t have to go through this after being overmedicated for years you wanna get off of something and then you have no help at all it’s unbelievable you’re amazing and I wish there were more doctors like you out there that truly just want to help people be clean and free instead I think they get into the Suboxone industry to make money and that’s the bottom line here and so many people suffer because of it I would give anything to have a doctor like you!

  • @patricia7746
    @patricia7746 Год назад

    Thank You Dr. Blum.!!!! And All of the Doctors Who actually taking All the Addicts Seriously!!!

  • @ianlight91
    @ianlight91 Год назад

    1O MG OF MORPHINE IV IS SUPERDANGEROUS ,NOT EQUAL TO 30MG ORAL MORPHINE or even s/c 10mg morphine .

    • @jt1985
      @jt1985 Год назад

      ALL CAPS! SUPERDANGEROUS! Is it safe to assume that by s/c you mean subcutaneous (SQ or sub-q)? So, you disagree with the standard MME table?

  • @SAMEntalhealth
    @SAMEntalhealth Год назад

    And also something I do not understand in this video is that saying that more opiates will knock the buprenorphine off The receptors, have you ever heard of the Bernice method? It's when people use on top of microdosing buprenorphine all the way up until they can use up to 4 mg or 8 mg without going into precipitated withdrawal, which works. So i don't think more opiates will necessarily knock the buprenorphine off the receptors, but fill.in other receptors to stabilize the patient.

    • @sandraratcliffe6453
      @sandraratcliffe6453 Год назад

      That works. I went to jail on methadose and came out on subutex without getting sick. They slowly lower my methadose well microdosing suboxene before switching to subutex. I never got sick.

  • @SAMEntalhealth
    @SAMEntalhealth Год назад

    Haha I love how doctors will tell you in the emergency room they will give you more opioids to overcome the precipitated withdrawal. But on the streets an addict is told to never do that. The same way they get people off hardcore opiates in the hospital when given fentanyl or morphine for an accident, the same exact principal can go for the streets and Street opiates. The same tapering and weaning off method. This is why I made my RUclips channel, to explain to people that it is possible to do it in these so-called unorthodox ways

  • @roseannvarallo4133
    @roseannvarallo4133 Год назад

    I need help!! I'm scared to death to detox off of traq/Xylazine and I'm using a large amount daily! I'm extremely depressed and don't know what to do? I want to get clean but the withdrawal I experience is way too much for me! I sure could use some input?

  • @chadwilliams1815
    @chadwilliams1815 Год назад

    That's not "oxycodone" that's straight up fentanyl mixed with some other shit. Don't let them fool you doc.

  • @kostudas1
    @kostudas1 Год назад

    ΠΛΖ HEPL ME TO HAVE IT WITHOUT TO BE OBLIGATED TO GO TO PROGRAMS !!!!!!

  • @kevincorey922
    @kevincorey922 Год назад

    have a huge question for you well Subutex work for the Bernese method or does it have to be Suboxone

  • @shanenickles9751
    @shanenickles9751 Год назад

    I see all these quitters on here, I'm sorry to put it that way,but8 already 23 yrs in,onlevel 7 going monthly,always had a hard physical job.and I'm Definitely not getting any younger. Tell my question is why I go to life hurting. When there's no need,it took me years of driving 200 plus miles every day,week month.to give up my 170mg. For $12. I know just gonna due drugs agin because this life sucks & stressfull. Was addicted all my life since age 13.but they never took my kids Until last year at 41.me and wife of 24 yrs.had baby,I got Terminal brain cancer, lost wife in childbirth,after 1.5 yrs of chemo and radiation treatment, they took my only reasonto fight,because they afraid I might not be mentally able to care soon,but still no ssdi or disability check.so don't be a quitter and before you die take as many of them out as you can.#nomoreCPSkidnappers.

  • @MJP160
    @MJP160 Год назад

    How’s it going?

  • @kaylatroxell5816
    @kaylatroxell5816 Год назад

    I’m starting my detox off fentenayl Today. I have been extremely nervous about it. I have tried to get off it several times before with methadone… I have decided to try Subutex this time. I have tried the buprenorphine route one time before, and i went into precipitated withdrawal. It was one the worst things I’ve even gone though in my life. I have been scared to touch it sense. My desperation has grown. The fact that it has buprenorphine in it is exactly what I need. So when a craving comes I do not have the option to give in. Rest assured I am going to wait for 48 hours before I dose. And start with micro dosing. Im extremely nervous.

    • @MJP160
      @MJP160 Год назад

      How’s it going

    • @BVonBuescher
      @BVonBuescher Год назад

      How ya doin girl?

    • @sthl_slayer8183
      @sthl_slayer8183 Год назад

      @BenDo have you done this microdose yourself?

    • @MJP160
      @MJP160 Год назад

      @BenDo So Day 1: .25 twice Day 2 1 Day 3 2 Day 4 3 Day 5 4 Day 6 8 Day 7 16-Stop Fet

    • @MJP160
      @MJP160 Год назад

      @BenDo No I been using heavy the past two weeks. I’m not using Bup at all. I was on subs for 9 months and reloaded last month. Im spinning outta control fast. I can try once I wake up to slow down and do .25. I have subs on deck. I wish u could go to detox I know a good one in Massachusetts but I can’t right now. And when I W/D all times I have it hits me bad. I can’t eat or drink for days. Im a born again Christian “supposedly” and I was clean and sober once for 8.5 years. And here I am 40 and going through this nightmare again where everything is gonna fall apart.

  • @johnsilvani1918
    @johnsilvani1918 Год назад

    Excellent Work Dr. Lorman.

  • @joeglennaz
    @joeglennaz Год назад

    Is it profitable to start it in a tea treatment center in my local area I am in Phoenix Arizona?

  • @ReelX4U
    @ReelX4U Год назад

    This is a very important factor all buprenorphine users like myself, if you are involved in some accident which involves trauma. Buprenorphine Will Not In any Shape or Form Will Help WithPain, if you severe trauma. In fact, in fact it will not allow other narcotics not attached to the opiate receptors. This can become a real big problem for trauma suffers. From I know the opioid that can displaced Buprenorphine from the receptor is “Sufentanil”. I am speaking about 2nd obr degree burns, that was my trauma. Just to give you an idea the difference between 2nd Degree Burn and 1st degree burn is like night and day. Please don’t go through what I Went Through, let the doctor know right and tell them immediately that you are in a lot of pain and you take buprenorphine for maintenance purposes.

  • @bingiherb
    @bingiherb Год назад

    Axe Addict was almost there at 3mg ! He broke the number one rule when tapering , never go backwards . The "fun" doesn't start until you get to zero , pure hell for 30 days !!

  • @steve-tk5zv
    @steve-tk5zv Год назад

    Suboxon withdrawal nitemare! If you want to stay on suboxon rest of your life it’s fine withdrawal unbearable

    • @vivelachocha7440
      @vivelachocha7440 Год назад

      not true. taper slowly when you get to .25 and under then kratom helps. at that point you skip the severe symptoms and just sleep like shi and feel cold couple weeks. but it's tolerable. but trick is don't take the subs longer than needed to begin w. use for a month or two tops not years

  • @celtiberian07
    @celtiberian07 Год назад

    I am gonna try this next week I've waited 72 hours and got sick when I took subs . Usually I take 1-2mgs don't noice feeling better or worse and might take another 1-2mg and am thrown into pw horrible . I hope this works

    • @koranbred3512
      @koranbred3512 Год назад

      Good luck. I'm stuck in the same trap. Tried a few times and keep getting pw'd. Even tried taking Kratom to bring down my tolerance to no avail.

    • @celtiberian07
      @celtiberian07 Год назад

      @@koranbred3512 well I did a bag at midnight and took 4mgs of subs at 8 am so at 8pm will take another 4mgs if before or after I get sick will take something but as of now I am ok almost a week of Mico dosing with the subs . I will try to just do 8mgs of subs today and see how it holds me maybe I need more subs don't know but it's not making me sick I had to build up I did feel weird a couple times and did bag of dope hour latter but I think if I do 4mg and 4mgs today I will be ok

    • @celtiberian07
      @celtiberian07 Год назад

      The 4mgs made me half sick had runny nose eyes and had to 💩 couple times so I did couple bags I am gonna keep trying

    • @koranbred3512
      @koranbred3512 Год назад

      @@celtiberian07 keep at it bro. I just started on a .25 piece of a 4mg sub. Got no il feel from that so I will double down tomorrow. Don't rush it bro just play the tortoise game slow and steady.

    • @fronzlidz3814
      @fronzlidz3814 Год назад

      @@koranbred3512 - if we have to wait 72 or 80 hours or more, whats the point? We are almost thru it by then! Just rough it out then with comfort meds. Fkk the suboxone. Ill be honest, I only did sub once and i went into paws. Doc told me abstain for 24 hrs so I did. He gave me 4 mg, then 1 hr later at home another 4 mg and as soon as that hit me I went berserk. It was then I started the comfort meds and to be honest, I think they are what did it for me. I actualy slept after the paws calmed down on day 1, again on days 2 and 3. But every 4 hrs I had my gf give me my comfort meds. Clonodine, hydroxyzine, trazadone, were the biggest ones that I think let me sleep. Then I also had meds for nausea, ab cramping, and the runs bt i dont suffer much from those symptoms. So Im in the stage of planning my next attempt. I have everything. Subox, lyrica and even muscle relaxers plus all the comfort meds. So I just dont know how I wanna do this because the suboxone didnt work last time. But IDK if microdosing for a week or longer will help and then get it to work? What you think?

  • @AmandaPerez11
    @AmandaPerez11 Год назад

    If medications such as clonidine and gabapentin were used more widely and not so hard for patients to get to help with the induction transitioning would be tolerable and much easier even for an 18 month iv illicit fentanyl user but unfortunately for the user it is easier to find the street drug than the comfort medication I would give anything to get what I need to get through the detox/induction but unfortunately have not found a doctor that will give these two non opioid (non controlled in my state) medications that are only temporarily used. I've tried induction transition back to bupe many times with the bermese method but always go into precipitated withdrawal and cannot find a prescriber that gives what I know works for me to get through it. It is tolerable with those medications when they are given and its very sad so many dont see the light at the end of the tunnel because they want the pain/sickness to stop and the street drugs are easier to get than these simple bridge medications, I am surprised you did not mention xylazine being in illicit fentanyl across the country but this was a very well done video thank you for taking the time to do it and thank you for so much for helping your patients feel as comfortable as possible I wish more would follow in your footsteps.

    • @monto39
      @monto39 Год назад

      I really think a large part of what's missing in these studies is input from experienced users like yourself. I thought the 7 day regimen they described seemed a good bit too quick - especially for a methadone patient's transition. I spoke to a prescriber working for a clinic in Seattle that described a much slower transition. He was honest enough to admit that about 25-30% of the people experienced some fairly severe discomfort, but most did make it through transitioning successfully. He used Subutex for the induction as well. I hope you make it through, it sounds like you have the determination plus a good bit of knowledge

    • @fronzlidz3814
      @fronzlidz3814 Год назад

      Amanda - sorry to hear al youre going thru. I too cannot seem to escape premeditated withdrawals using suboxone to come off fentanyl. However, I have only tried the traditional induction. I am looking forward to the micro-dosing and hopeful but after seeing your post, I dont know? Can you explain your program ? The microdosing you did. Ive experimented taking small pcs of suboxone while using and seemed fine but I havent gone all in yet but soon I will. I have all the Rxs from Drs including Lyrica. If you were able to get Lyrica, how much would you be using for your symptoms?

    • @Kerri303
      @Kerri303 Год назад

      So sorry you’re having such a hard time finding comfort meds that you know would help! I understand. Been on suboxone for 10 years decided I was done Doctor wasn’t on board so I got my last script and tapered down to about a mg a day but I’m still struggling can’t get lower than a milligram without going through severe withdrawal and like you said, can’t find a Doctor Who will just give me some comfort meds. They think I’m just drug seeking it’s the opposite. I’m trying to get off the shit if you can just give me something for a couple weeks, so I can jump without putting me and my family through absolute hell it’s so unethical how this works there should be accountability. These doctors put you on the stuff years ago and they should have to help you get off of it when you’re ready they’re completely fine taking your money every month but when times get tough forget it! So did Gabapentin help you w withdrawal ?

    • @Kerri303
      @Kerri303 Год назад

      @Chris Mccue I have a script it’s been just sitting here for months what is a lot? I have 400 mg pills. Thanks!

    • @bettyivy763
      @bettyivy763 Год назад

      😢😢😢😢😢😢😢

  • @MikeyBAAZ
    @MikeyBAAZ 2 года назад

    suboxone helps with my pain

  • @robertkrimbel2544
    @robertkrimbel2544 2 года назад

    So I think this is the 1st one who gets it. I wish that I could find a doctor here in North Florida who would be willing to take these steps.

    • @joanncoopertroupe3506
      @joanncoopertroupe3506 2 года назад

      Same here i am in North Fla. I feel like a major Druggie asking to change anything in my pain mgmt .. i am age 64 been in pain treatment since my middle 40's..today age 64. i was wondering about this drugs try get off the opiates i take a every 12 hour one the 4 per day of hydrocodone 10-325 ...4 times a day. I am treated for Chronic wide spread pain .osteo arthritis. Nerve pain. I got to a legit pain mgmt Dr monthly.. i do pill counts urine screens.

    • @judithheard6079
      @judithheard6079 Год назад

      tampa they have the coleman institute

  • @Pokedawn100
    @Pokedawn100 2 года назад

    The fact that each state is different is unfair. Completely unfair. Your story about the CRNA is a perfect example of that. He would lose his license for 3 years. I have never heard a case where a nurse in the program was working again no less than 3-5yrs. Employers often charge nurses criminally. In some states a felony is a mandatory 10 yrs suspension. Big business hospitals do not care anymore about helping and saving a career. There NO program that can save that career. Considering it's 2022 now and opiate addiction is an epidemic these programs need revamped!

  • @Pokedawn100
    @Pokedawn100 2 года назад

    A lose-lose situation. The barriers are insurmountable. Assistance programs set nurses up for failure. Shame and guilt isn't why they contemplate suicide....it's the cycle of poverty and never ending dark clouds hiding each silver lining. For those few who are able to successfully complete the programs, employment becomes another hurdle for them. Nursing assistance programs exist because of the duty to help other nurses, but are set up so that it makes it extremely hard for these nurses to ever practice again.

  • @tanyajuarez8896
    @tanyajuarez8896 2 года назад

    Best video!!

  • @stevenbarton3438
    @stevenbarton3438 2 года назад

    I have been on opiate for several years large amount of opiates and I am ready to get off of room and and deal with my pain with some type of pain medication and it's a methadone can you give me a call address number or can I call you back at a later time

  • @charleswomack2166
    @charleswomack2166 2 года назад

    Addiction is a disease that infects about 10% of the US population. How can it possibly be prevented?? One can prevent Type 2 Diabetes.

  • @manicmurph
    @manicmurph 2 года назад

    It's still ridiculous that methadone is so cheap and clinics are charging people who make hardly any money 15 dollars a day. That's ridiculous. I'm in Cleveland and there is more clinics but it's still all about making money. I'm a fast metabolism and I been on 135mg and I've been on as low as 3mg (terrible withdrawal) I'm on 50 now and you get used to the dose and then you start getting withdrawals again early in the morning.

    • @ethanmedlen2013
      @ethanmedlen2013 2 года назад

      Not true you need to increase your dosage I too had the problem of waking up withdrawing I'm currently on 90mg

    • @manicmurph
      @manicmurph 2 года назад

      @@ethanmedlen2013 what part wasn't true? Now that you're on 90mg do you still get sick in the morning?

    • @Sandwich13455
      @Sandwich13455 2 года назад

      @@manicmurph up your dose,or take it twice a day but you should up your dose.

    • @manicmurph
      @manicmurph 2 года назад

      @@Sandwich13455 I did. Doctor gave me a 15mg increase. Now I feel good all the way till the next morning. I just wonder if I'll ever be able to get off this shit. I'm currently trying to get my takehomes back. I had to quit smoking weed but I think the take homes are worth it. Weed was giving me anxiety anyhow. I'll still smoke a little here and there like after I get my urine I'll take a couple hits but the take homes I need cause I'm sick of all the gas money and putting miles on my car.

    • @chrisreed26
      @chrisreed26 Год назад

      $18.00 a day here in Tampa,FL! Goes up each year like one's rent does!!

  • @LittleMissMeemers
    @LittleMissMeemers 2 года назад

    MAT is not very easy to access, in fact it seems like they make it unnecessarily difficult. It’s really a shame

  • @seanmckinnon4612
    @seanmckinnon4612 2 года назад

    I appreciate this talk being posted but some of the information is here is less than what is considered progressive or in line with the newer best practices.

  • @Davo2233
    @Davo2233 2 года назад

    It’s not anywhere near as difficult to swap from Methadone to SUBOXONE.. as you stated. That’s ridiculous Ive done it twice seamlessly!

    • @manicmurph
      @manicmurph 2 года назад

      How did you switch from methadone to subs? I heard it's rough cause you have to wean down really low then not take any methadone for a week. Lots of people go into precipitated withdrawal.

    • @paynekiller75
      @paynekiller75 2 года назад

      @@manicmurph At the MMT clinics I was at they made you go down to/be at 50mg of methadone (daily) before switching you over to suboxone. Everyone is of course different, but on average you'll have about 36 to 48hrs of rather slight withdrawal symptoms before comfortably acclimating to the suboxone. I've never heard of any MMT/MAT clinic making you be off methadone completely before suboxone... if true(?) that's just insane and really seems designed for failure. Just an FYI, as an Army combat vet, I've been a patient in/worked & volunteered at many MMT Clinics across California and Nevada for the last 25 yrs now.

    • @manicmurph
      @manicmurph 2 года назад

      @@paynekiller75 I figured when I was down to 3mg I would've been able to switch over to Suboxone but almost every doctor I called said I have to be off methadone for a week or I'd go into precipitated withdrawals. I've also heard that they could've started me at a really low dose of Subutex without the naloxone in it and slowly gave me more but I guess I'll never know now unless I start coming down off the methadone again. I thought the same thing about no methadone for a week. That would almost assure someone would go out and use. I don't have any dope hookups anymore cause I haven't fucked with it in years but I'd certainly be asking my dad for some of his Norco and perc 10's, and maybe even kratom again. It was so scary being that low and getting panic attacks 2-3 times a day and having them last for hours. I became suicidal for the first time ever. I know if I would've maybe had some benzos at the time it would've helped. I wasn't switching at my methadone clinic, this was other places and doctors that specialize in addiction and that told me I'd have to wait a week with no methadone. If there was actual real heroin around still I'd get a couple grams of that and just do that until I could get on the subs. The subs have their pros and cons and methadone has it's pros and cons.

    • @Sandwich13455
      @Sandwich13455 2 года назад

      @@manicmurph I swapped 20 mgs methadone for 8 mg suboxone, rattled for 4 days till I took 16mg of sub and fell asleep, woke up normal,friend swapped 60 mg methadone for 24mg of subs,took 8 days to sleep and woke up normal,crazy stuff.

    • @manicmurph
      @manicmurph 2 года назад

      @@Sandwich13455 no shit? They were telling me I had to be off methadone for a week and wean down as low as I could.

  • @Davo2233
    @Davo2233 2 года назад

    How could a patient be better for using a full agonist opiate like Methadone rather than a partial agonist opiate like SUBOXONE. That’s ridiculous. There is a ceiling effect on respiratory Depression ?

    • @seanmckinnon4612
      @seanmckinnon4612 2 года назад

      A lot of patients do better on methadone than buprenorphine.

    • @Davo2233
      @Davo2233 2 года назад

      Maybe, but 2/3rds of all MAT patients take Benzodiazepines. Being on a full agonist opiate like methadone, coupled with benzodiazepines, prescribed or not, ups overdose deaths at least 30%.Because, 30% of all full agonist opiate overdose deaths, when toxicology is done show benzos are present as well. Meaning respiratory depression is increased exponentially when you take benzos with methadone, heroin, fentanyl, oxycodone. SUBOXONE, being a partial agonist opiate is almost completely safe to mix with therapeutic doses of benzodiazepines.

    • @seanmckinnon4612
      @seanmckinnon4612 2 года назад

      @@Davo2233 can you provide a citation for that study that 2/3rds of oud patients being treated with methadone take benzodiazepines?

    • @paynekiller75
      @paynekiller75 2 года назад

      @@Davo2233 That statistic you fabricated is complete BS. Grow up

    • @Spoiledstoic
      @Spoiledstoic 2 года назад

      @@Davo2233 you sound mad lol.... Did methadone hurt your feelings?

  • @jlaleknas
    @jlaleknas 2 года назад

    This is a great presentation. Thank you!

  • @thehunterofdeath2180
    @thehunterofdeath2180 2 года назад

    Opioid is good for chronic pain as long you don't abuse it I took it for 12 years I stop it cus they cut everyone in new york I didn't had withdrawal at all thanks God I was doing better now I'm stuck in bed I use to use 2 prescription opioid. Now I'm suffering from chronic back pain n neck pain I got bulge disk disease n diabetes nerve damage it help me a lot so I stop it for a year but I was suffering to much n I got kids I had no choice to get back on then cus the government n politicians don't care about me I said fck it I buy it underground fck the doctor too the shot don't do sht to me at all I have to take care of myself have no choice n they work good those underground but I don't use it to get hight I use it so it take my chronic pain when it come i got family I want a little bit of my life

  • @user-ut5rm8fl1f
    @user-ut5rm8fl1f 2 года назад

    Thanks for the info! I am a retired family doctor who has been practicing MAT for 1.5 years. I am getting ready to be part of a new methadone clinic in the UP Michigan.

    • @pakman422
      @pakman422 2 года назад

      As a long-term methadone abuser/user/patient, I'm beyond thankful for you and every doctor or person who decides to be involved in the fight. Its nice to be reminded that there are compassionate people out there.

  • @nissivlogs9828
    @nissivlogs9828 3 года назад

    A reminder the God loves you and Jesus died for your. sins. 💓. ( not tryna force. )

  • @artbysh8636
    @artbysh8636 3 года назад

    Smoking i s very bad for health your speech is very impressive and informative.

  • @clairrowarth4710
    @clairrowarth4710 3 года назад

    I'm really just trying to look into and understand my struggle with a life time of mental health problems that i am only at the beggining of getting any help for and a lot of self distructive and a life time of punishing oneself. i have always truggled with substance abuse as another way to cope and be distructive. i was sexually abused as a child that lead to my first relationship with a violent narcissistic sociopath followed by 2 more equally abusive relationships. if it is possible for some advice what help i should find to get a assessment on my full mental state i would appreciate it and thank you for taking the time to read this also xxxxxxxx