Aug 9, 2021, 13:40 by admin admin

From 1988 to 1992, I was the medical director of the alcoholism and drug rehabilitation unit at a facility we’ll call Very Large Army Hospital (VLAH). Coincidentally, “Fred”, a high school classmate, an Army officer and a pediatric oncologist, was also stationed at VLAH. We were at opposite ends of the hospital. - Editor-in-Chief: Dr. William Haning, MD, DFAPA, DFASAM

Aug 9, 2021, 13:40 by admin admin

The Psychiatry Online piece below speaks to the relatedness of the experiences of mental health care workers, inclusive of those working with substance use disorders, to those of their patients. It served as a reminder to me, further stimulated by an ongoing discussion with the Senior Editor, about the importance of subjective experience in defining an illness state. - Editor-in-Chief: Dr. William Haning, MD, DFAPA, DFASAM

Aug 9, 2021, 13:40 by admin admin

1990 Marked the first reference to methamphetamine use by inhalation in Hawaii. A case study, involving a pneumonitis with severe respiratory compromise, made sparing reference to signs of intoxication. - Editor-in-Chief: Dr. William Haning, MD, DFAPA, DFASAM

Aug 9, 2021, 13:40 by admin admin

It was my intent this week to discuss the convergence of the infectious pandemic with drug use endemicity, centering on the Hawaiian experience with methamphetamine. I will defer that to next week. Let me focus instead on our obligation as healthcare professionals within the field of addiction, to take care of ourselves and of each other.

Aug 9, 2021, 13:40 by admin admin

Marie & Pierre Curie and Henri Becquerel supported an early theory of radioactivity with observations and refinements that also led to the isolation of radium. Leaving aside the impact of this on their respective healths - all suffered radiation sickness at various times, with Marie being the most frequently-identified of the three to die from it - their accomplishments famously required enormous obstinacy and persistence.

Aug 9, 2021, 13:40 by admin admin

This week’s lead article correlates substance use disorders (SUD), serious mental illness (SMI), and suicidal ideation (SI) with the COVID-19 pandemic. Similar findings have been remarked in the military population, during wartime, by medical thought leaders in stress disorders and suicide since before the time of Harry Stack Sullivan, in the hope of devising reliable screening instruments.

Aug 9, 2021, 13:40 by admin admin

Three of the articles reviewed emphasize COVID-19-related risk factors for addiction relapse. Featured prominently are the lack of interpersonal connections, absence of intimacy, and unavailability of feedback; in a single word, isolation.

Aug 9, 2021, 13:40 by admin admin

Those who are familiar with the superb program by Shankar Vedantam, on National Public Radio, "The Hidden Brain," a weekly interview and analysis of issues in neuroscience and behavior, may also be as accustomed as I in discovering how much I do not know [https://www.npr.org/podcasts/510308/hidden-brain ].

Aug 9, 2021, 13:40 by admin admin

In Stephanie Brown’s “Treating the Alcoholic” there is a section entitled “a psychological view of the 12 steps.” While paralleling the process of recovery - employing a 12-step model - with psychotherapy, she and George Vaillant have made the case for it being a maturational process.

Aug 9, 2021, 13:40 by admin admin

Owing in part to absence, I regret that this week’s commentary is abbreviated, limited to a short quotation. My choice of material reflects this week’s U.S. Presidential decision, which diverted clinical data needed for successful management of the COVID-19 pandemic away from the Centers for Disease Control and Prevention (CDC).

Aug 9, 2021, 13:40 by admin admin

The account of important events can be difficult enough in real time. A national pastime is watching the news and making fun of the various heads that are speaking. At the same time, we generally reserve a certain amount of sympathy for the difficulty of their vocation, and not merely for their performance anxiety.

Aug 9, 2021, 13:40 by admin admin

There is a common and grievous tendency to refer to the holiday just passed as “The Fourth of July,” when it is, in fact, “Independence Day”: a celebration specifically of the signing of the Declaration of Independence (plus or minus two days depending on whose account of the date you choose). Benjamin Rush, M.D., senior attending physician in the University of Pennsylvania and Surgeon General of the Continental Army, was very relevantly a signer of the Declaration of Independence of the nascent United States.

Aug 9, 2021, 13:40 by admin admin

July 1 has a democratizing effect for all program directors of residency training, in all specialties. For one brief week, we are equally humbled. All must pay homage to their minor deities, those institutional ones of scheduling and funding and quality assurance; and to the superordinate deities, the respective specialty boards, and the American College of Graduate Medical Education.

Aug 9, 2021, 13:40 by admin admin

ACAAM, the association of program directors in addiction medicine, thoughtfully provided certificates of acknowledgment to all of the recent fellowship graduates on June 4th. The acknowledgments included photographs of those about to graduate, and while this is a pretty mundane observation, I was seized by how youthful at least half of the faces appeared to be.

Aug 9, 2021, 13:40 by admin admin

In April, an ASAM task force was set up, chaired by Doctors Yngvild Olsen and Kelly Clark. The website that was constructed is conveniently arrayed, comprehensive, and exceptionally practical.

Aug 9, 2021, 13:40 by admin admin

For some years, Dr. Athanasiou, and before him, Dr. Miotto and I have tried to find a means by which to hold a journal club in addiction medicine that would span the continent. With over 50 fellowships in addiction medicine and a like number of addiction psychiatry fellowships, the call to share resources is less an opportunity than an obligation. The springboard for a universal journal club would in fact be this very weekly e-journal. It has the merit of conveying an overview of the literature in a condensed structure.

Aug 9, 2021, 13:40 by admin admin

In almost three millennia of historical record-keeping, humanity continues to vacillate between two poles: claims of special entitlements for one group over another; and imprecations to treat one another with equal regard. We seem to be an uncommonly stupid species, who cannot in all that time come to understand how central to universal happiness is the principle of universal respect.

Aug 9, 2021, 13:40 by admin admin

My custom of observing Memorial Day has been shared by fewer among my university and medical school colleagues as those with past military service age out of life, most of them more quietly than could the honorees. Memorial Day itself historically represented a tribute to those making the most obvious and most necessary contribution to defending a nation, dying in combat.

Aug 9, 2021, 13:40 by admin admin

The ASAM Webinair listed below (The ASAM National Practice Guideline 2020 Focused Update Webinar: Fundamentals), as well as this year’s ASAM Virtual Conference, oblige attention to the evolution in how we teach.

Aug 9, 2021, 13:40 by admin admin

It’s not so true that the COVID-19 pandemic confinement orders create more free time, as that they oblige even more time than usual, in front of a computer. So it has been that I find myself off on tangents of exploration, seeking the trails of topics and people, night after night.