The Curbsiders Internal Medicine Podcast

#224 Hospital Addiction Medicine with Dr Melissa Weimer

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Jump into an episode dedicated to hospital based addiction medicine, as we cover common scenarios hospitalists encounter.  In this episode we talk to addiction medicine expert, Dr. Melissa Weimer @DrMelissaWeimer (Yale) about inpatient management of patients with substance use disorders. Topics include: the management of polysubstance withdrawal,  approaching acute pain management for a person with opioid use disorder, and inpatient harm reduction strategies. After this episode listeners will gain new tools to help them best care for hospitalized patients with substance use disorders.

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Credits
  • Writers and Producers: Carolyn Chan MD, Deb Gorth, and Nora Taranto MD
  • Cover Art and Infographics by: Carolyn Chan, MD
  • Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Carolyn Chan MD
  • Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Dr. Melissa Weimer
    • Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
    Time Stamps
    • Intro, disclaimer, guest bio : 00:00
    • Guest one-liner:    03:00
    • Picks of the Week*:   08:20
    • Case from Kashlak:  10:30
    • Urine Toxicology Screens 11:30
    • Discussing Urine Toxicology Screens with Patients  13:20
    • Management of Polysubstance Withdrawal 16:16
    • Tapering Benzodiazepines   19:56
    • Acute Pain Management and Opioid Use Disorder 30:35
    • Active Drug Use in the Hospital 38:52
    • Harm Reduction 40:00
    • Discharges - Planned 43:43
    • Perioperative Buprenorphine and Methadone: 46:50
    • QT Prolongation and Methadone - 52:53
    • Outro 56:21
      • ...more
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