Captain Hooked: The Addiction Project

By Dr. Wiplove Lamba & Jean-Paul Michael

Join addiction psychiatrist Dr. Wiplove (Wip) Lamba and addiction case manager Jean-Paul (JP) Michael as they explore the multifaceted world of substance use, addiction, and recovery. Working in the e... more

Download on the App Store

Download on the App Store

Get it on Google Play

FAQs about Captain Hooked: The Addiction Project:

How many episodes does Captain Hooked: The Addiction Project have?

The podcast currently has 65 episodes available.

Captain Hooked: The Addiction Project episodes:

May 25, 2023 #143 Riding the Wave: Learning from Portugal's Progressive Drug Policy and Its Relevance to North American Policy
Dive into an enlightening 30-minute journey as we unearth the paradigm shift in Portugal's drug policy - a revolution that radically challenged global drug norms over two decades ago. In a world grappling with the adverse effects of drug prohibition, Portugal courageously paved a new path, decriminalizing all drugs and pivoting to a public health approach.
In this deep-dive episode, we uncover the layers of Portugal's innovative strategy. From its commitment to harm reduction to its groundbreaking shift away from criminal punishment, we assess the real-world outcomes of such an approach. Has drug decriminalization led to rampant drug use, or has it produced a decline in drug-related deaths and HIV rates? How have Portugal's bold measures influenced its social fabric and public health outcomes?
We further explore the often contentious yet vital subjects of safer supply, involuntary treatment, and drug legalization - topics making waves in North America's current policy debates. Safer supply initiatives are being implemented in various jurisdictions, providing regulated and less harmful substances as an alternative to dangerous street drugs. Involuntary drug treatment programs, which compel individuals into treatment against their will, are a controversial strategy being contemplated by several jurisdictions. And then there's the ultimate frontier - drug legalization, a step further from Portugal's decriminalization model and an option being seriously considered in some North American regions.
Join us as we reflect on the lessons from Portugal's pioneering journey and discuss their potential application in the North American context. Our mission? To foster an informed dialogue that could shape the future of drug policy across continents. Let's challenge the status quo together.
DISCLAIMER:
This podcast is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast.
The hosts and producers of this podcast disclaim any liability, loss, or risk, personal or otherwise, that may be incurred as a result, directly or indirectly, of the use or application of any of the information, advice, or discussions presented on this podcast.
Chapters:
0:00 - Introduction
2:11 - Dr. Wip Discusses Previous Policy Development Processes
4:45 - The Arrival of Fentanyl and Its Impact
7:10 - Understanding Decriminalization
12:35 - How Can One Obtain Drugs Under Decriminalization?
14:30 - The Influence of Portugal's Policies on Decriminalization
15:22 - Comparing Canadian and Portuguese Drug Policy Models
19:43 - Is Fentanyl Present in Portugal?

REFERENCES
1. Hughes and Stevens 2017
https://kar.kent.ac.uk/13325/1/BFDPP_BP_14_EffectsOfDecriminalisation_EN.pdf.pdf
2. Drug Policy in Portugal: The Benefits of Decriminalizing Drug Use is the second in a series of reports by the Open Society Global Drug Policy Program
https://www.opensocietyfoundations.org/uploads/52ff6eb9-76c9-44a5-bc37-857fbbfedbdd/drug-policy-in-portugal-english-20120814.pdf
3. Greenways - white paper Drug Decriminalization in Portugal: Lessons for Creating Fair and Successful Drug Policies
https://www.tni.org/files/publication-downloads/greenwald_whitepaper.pdf
ABOUT THE CHANNEL:
Join addiction psychiatrist Dr. Wiplove (Wip) Lamba, addiction case manager and former addict Jean-Paul (JP) Michael, and their guests as they explore topics related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment, and recovery. Wip and JP share their passion and curiosity for their field, with JP working daily in a renowned inner-city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic endeavours.
...more
33min
April 23, 2023 #142 Addiction Case Review: Jeremy Whitter D.O.B. 01/20/1995 SOC: Methamphetamine, Gamma-hydroxybutyrate (GHB)
Fictional Patient Information
Name: Jeremy Whitter
Date of Birth: 01/20/1995
Sex: Male
Sexual Orientation: Bisexual
Occupation: Unemployed
Address: No fixed address
Marital Status: Separated
Chief Complaint
Chest pain and insomnia; patient reports not having slept for three days.
Social History
1. Crystal methamphetamine (meth) user: Reports smoking meth approximately 6 days a week
2. GHB user: Reports using GHB 2-3 days a week, mainly in the context of having sex with other men
3. Separated from wife due to intimate partner violence on three occasions
4. Child: 4-year-old daughter named Christina; currently not allowed contact with her due to pending criminal matters and involvement with child protective services
5. No reported alcohol or tobacco use
Physical Examination
1. Vital signs: Blood pressure: 155/100 mmHg, Heart rate: 120 bpm, Respiratory rate: 26 breaths/min, Temperature: 98.4°F (36.9°C), Oxygen saturation: 94% on room air
2. General: Alert, agitated, and appears exhausted
3. HEENT: Pupils equal, round, and reactive to light; no icterus; oral mucosa dry
4. Lymph nodes: No cervical, axillary, or inguinal lymphadenopathy
5. Chest: Bilateral crackles in lower lung fields
6. Cardiovascular: Tachycardic, regular rhythm, no murmurs or gallops
7. Abdomen: Soft, non-tender, no organomegaly or masses
8. Extremities: No edema or cyanosis
9. Neurological: Normal strength and sensation in all extremities, no focal deficits
10. Skin: Scattered excoriations and scabs on arms and legs, consistent with "meth sores"
DISCLAIMER:
The content of this medical podcast, including all patient names, health records, and case studies, is purely fictional and has been created solely for educational purposes. Any resemblance to actual persons, living or dead, or to any real-life medical situations, is entirely coincidental.
This podcast is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay seeking it because of something you have heard on this podcast.
The hosts and producers of this podcast disclaim any liability, loss, or risk, personal or otherwise, that may be incurred as a result, directly or indirectly, of the use or application of any of the information, advice, or discussions presented on this podcast.
This is a mock patient role-play. JP is playing the case worker, and Wiplove is playing the psychiatrist, collaborating on a mock case that was presented to the emergency department.
Chapters:
0:00 Introduction
1:10 Case manager presents the case
2:23 Patient's unmet needs
4:17 Dr. Wip gives an overview
6:50 Dr. Wip reviews the medical chart
8:40 JP asks Dr. Wip for advice on the next steps
13:58 Dr. Wip provides guidance on the best way to interview
17:48 Dr. Wip summarizes the case
22:10 Dr. Wip demonstrates how motivational interviewing can be effective
27:10 Helping your patient become the best individual they can be
28:15 What happens in the shadows
32:55 Why JP brought this case forward for review
37:30 Hear your patient's plan first
38:40 The disappearing drugs
ABOUT THE CHANNEL:
Join addiction psychiatrist Dr. Wiplove (Wip) Lamba, addiction case manager and former addict Jean-Paul (JP) Michael, and their guests as they explore topics related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment, and recovery. Wip and JP share their passion and curiosity for their field, with JP working daily in a renowned inner-city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic endeavours.

#Addiction
#Psychotherapy
#Caseworker
#Healthcare provider
#education
#Psychiatry
#recovery
#Crystal meth
#GHB
#Addiction case review
#Party and play
#Children's aid society
#Motivational interviewing
#Case Management
...more
44min
March 29, 2023 #141 Kevin Nash's Family Tragedy: A Comprehensive Look at Alcohol Withdrawal Dangers
A huge thank you to the Nash Family and @ @KliqThis Podcast for their incredible efforts in raising awareness about the dangers of alcohol withdrawal. Despite their immense grief, they have selflessly dedicated their time to helping others.
https://youtu.be/mMA4beCxR8w
CHAPTERS:
0:02 Loss of son to alcohol withdrawal
2:55 Detox history
4:15 Medical clearance explained
6:32 Risk factors for alcohol seizures
8:02 Kevin Nash's story
10:10 Tristan Nash's role in @kliqthis podcast
11:25 High-risk factors for seizures
12:33 PAWSS (Predictor of Alcohol Withdrawal Severity Scale)
16:05 Alcohol seizures from reducing drinking
17:55 José R. Maldonado on withdrawal symptom severity
19:50 Tristan Nash's history with alcohol complications
21:20 Kevin Nash's decision to quit drinking
24:14 Awareness of addiction medicine
26:45 Gabapentin in alcohol withdrawal management
29:20 Kevin Nash's take on clonazepam
30:52 CIWA Scale
36:30 Kevin Nash on society's portrayal of alcohol
42:50 Dr. Wip's summary
SUMMARY:
In this video, we discuss the heartbreaking impact of alcohol withdrawal complications on the Nash family and explore safe, medically supervised detox methods. As we share the Nash family's story, we also cover general information about alcohol withdrawal, including risk factors, symptom timelines, treatments, and the unpredictability of symptoms for those dependent on alcohol and benzodiazepines.
REFERENCES:
Robert Meyers' book on helping a loved one quit drinking: https://www.smartrecovery.org/get-your-loved-one-sober-alternatives-to-nagging-pleading-and-threatening/
Clinical guide for primary care providers on alcohol use disorder: https://cep.health/clinical-products/alcohol-use-disorder/
Comprehensive clinical guide to alcohol use and withdrawal: https://www.bccsu.ca/wp-content/uploads/2021/01/AUD-Guideline.pdf, https://www.bccsu.ca/alcohol-use-disorder/
UpToDate on alcohol withdrawal management: https://www.uptodate.com/contents/management-of-moderate-and-severe-alcohol-withdrawal-syndromes
PAWSS literature: https://www.psychdb.com/_media/addictions/etoh_pawss_score_maldonando_.pdf, https://academic.oup.com/alcalc/article/50/5/509/198370?login=false
Alcohol withdrawal timeline article: https://onlinelibrary.wiley.com/share/CIIRKMK7DIVBFJK5PW42?target=10.1111/ane.12671
DISCLAIMER:
This video is for informational purposes only and is not medical advice. Consult your healthcare provider or visit the nearest emergency department for clinical guidance.
ABOUT THE CHANNEL:
Join addiction psychiatrist Dr. Wiplove (Wip) Lamba, addiction case manager and former addict Jean-Paul (JP) Michael, and their guests as they explore topics related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment, and recovery. Wip and JP share their passion and curiosity for their field, with JP working daily in a renowned inner-city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic endeavours.
...more
45min
March 20, 2023 #140 CHAT GPT-4 & Addiction Medicine Physician Face-Off: Who Reigns as the Ultimate Medical Expert?
With the Surge in ChatGPT-4 AI Popularity, We Put It to the Test Against Our Resident Expert, Dr. Wiplove Lamba: Discover Who Emerges as the Ultimate Medical Authority!
In light of the recent exponential growth in interest surrounding ChatGPT-4 AI technology, we have embarked on an exciting experiment, pitting this groundbreaking technology against our esteemed resident expert, Dr. Wiplove Lamba, a board-certified addiction medicine physician. To ensure a fair and well-structured discussion, Jean-Paul Michael will be moderating and refereeing this extraordinary event.
Please be advised that the content of this video is not meant to be taken as direct medical advice or clinical instruction. Rather, our goal is to increase awareness and stimulate conversation around the field of addiction medicine. This episode, like all the content on our channel, is designed to inform, educate, and inspire dialogue on this critical subject, ultimately benefiting both healthcare professionals and the general public. Join us for this thrilling exploration into the realm of AI and human expertise, as we uncover the strengths and limitations of each in the world of addiction medicine.
CHAPTERS:
0:00 Introduction
2:05 1st Question ‘as of September 2021, is there a FDA-approved medication specifically for the treatment of cocaine use disorder?’
6:05 2nd Question, ‘Why is it dangerous to inject tap water into your veins?’
8:55 3rd Question, ‘Is there evidence that addiction can be genetic?’
12:07 4th Question, ‘Can methadone be addicting?’
16:10 5th Question, ‘Can Warnicke syndrome be cured?’
22:20 6th Question, ‘For elderly patients going through alcohol withdrawal, which is safer, Valium, or lorazepam, and why?’
25:54 7th Question, ‘Why is opiate withdrawal, so problematic for expecting mothers?’
27:25 8th Question, ‘Which medication has a higher likelihood of overdose, Methadone or Suboxone?’
29:46 9th Question, ‘Does the overdose reversing drug naloxone, provide any benefit to patients that are overdosing from crystal meth or benzodiazepines?’
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
...more
37min
March 09, 2023 #139 Exploring the Controversial Debate on Free Drugs - Addiction Professionals Share Their Insights
Dr. Wiplove Lamba and Case Manager Jean-Paul (JP) Michael review a video from Vice Media
(https://youtu.be/D-THhAW4MWk), which focuses on the fentanyl-related overdose deaths in North America and one possible solution. The video explores compassion clubs, particularly DULF (Drug User Liberation Front), and its co-founder Eris Nyx (dulf.ca).
Please note that the content of this video should not be taken as direct medical advice or clinical instruction.
CHAPTERS:
0:00 Introduction
0:45 Why this video is important
2:16 Clip 1: Overdoses and Fentanyl
3:15 Narcan at the shelter
4:26 Clip 2: Free Heroin and Meth Overdose Risk from Fentanyl
6:20 Benefits of predictable Fentanyl concentrations
8:13 The role of addiction medicine
9:40 Worries about unintended consequences
10:40 Figure: Public Health U
11:50 Who can join the compassion club
12:30 Harm reduction, safer supply, and palliative care
15:14 Managed Alcohol Program (MAP)
17:50 Legal substances are the most deadly
19:05 Clip 3: This S*!t is Real
24:45 Clip 4: The Future - A Liquor Store for Drugs?
26:30 Addiction medicine works
27:52 Latest DULF press release from Jan 30, 2023.
Special thanks to VICE for all the amazing content !!!
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
#Addiction
#Psychotherapy
#Caseworker
#Healthcare provider
#education
#Psychiatry
#recovery
#DULF
#cocaine
#methamphetamine
#Heroin
#safe supply
#Vice
#decriminalization
...more
39min
March 03, 2023 #138 Addiction Professionals Weigh in on Matthew Perry's Views on the Corrupt System
Dr. Wiplove Lamba and Jean-Paul Michael went through Matthew Perry Audiobook, ‘friends, lovers, and the big terrible thing’ on his recovery journey. It was a moving and powerful experience. They learned about early attachment trauma, substance use, and the internal and extremely dangerous life threatening struggles he has faced.
They also learned about his experience in various treatment programs he attended and his near death experience.
While both Wip and JP do not work in private treatment centers, some of the items brought up were extremely interesting and relevant to addiction practice in general. We are hoping to promote discussion and bring awareness to all things relating to addiction medicine and recovery, both from the practitioner and patient perspective. While we both believe in and practice harm reduction approaches when the patient prefers or if it is indicated, it did not come up in the book or in our dialogue around these quotes.
We found 8 clips from his audiobook and one text passage of his treatment with ketamine transcribed below
The content should not be taken as direct medical advice or clinical instruction.
CHAPTERS
0:00 What this podcast is about - matthew perry’s memoir and quality of addiction care
1:04 friends, lovers and the big terrible thing memoir. - why JP picked this book
1:55 why Wip likes memoirs
2:08 what it was like reading the book
3:43 JP and Wip as armchair clinicians
4:46 clip 1. What do you do when the patient knows more than the Counsellor
8:05 can phenobarbital help infants.
8:27 clip 2. Matthew perry and phenobarbital
Wip is not a neonatologist and tried to share the answer in general terms.
-phenobarbital is used in adults for medical detoxification.
-phenobarbital has been and is used in neonates for some conditions but Is not currently used for Colicky infants. Wip cannot speak to the treatment MP received as an infant
10:29 - can one pill lead to an addiction?
11:07 clip 3 the first time MP took Vicodin
14:07 should doctors give 40 Vicodin to the hotel room?
16:08 what makes buprenorphine special?
17:00 is buprenorphine just good for detox?
17:30 detox is contraindicated for opioid use disorder - why.
18:48 does buprenorphine make you feel dead inside?
19:24 clip 4. Matthew perry buprenorphine quote
20:04 clip 5 MP smoking quote
Context for clip 5. - if you are able to stop smoking, you are more likely to be successful with the other drugs.
Here is the next paragraph “… complete rebuilding of a man. I didn't
know this man, but he seemed to be a nice guy, and it looked like
he had stopped beating the shit out of himself with a baseball bat finally.
I was very eager to see who this man was!”
22:08 discussion about ketamine and treatment in Switzerland
From page 2 of chapter “Interlude: dead” See below for quote.
“So they’d give me hydrocodone-as much as
I could actually feel-which turned out to be 1,800 milligrams a day.
To put that in perspective, if you broke your thumb, and had a kind doctor,
he or she would probably prescribe you five 0.5-milligram pills.
Not enough to put a dent in this guy.
...”
27:07 clip 7 - MP’s turning point. - fear of colostomy bag.
Fear and avoidance vs approach behaviour vs path to get there.
32:17 importance of hope
33:24 clip 8 Corruption of the system
35:27 final thoughts
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
...more
38min
March 01, 2023 #137 Murdaugh Case: Addiction Experts Answer Viewer Comments and Questions
A follow up to our episode #136 on ‘Alex Murdaugh: '$50,000 per week drug habit?', Addiction Professionals offer their insights’ https://youtu.be/A19RS7IOMYo We attempt to address some of our viewer’s addiction medicine related questions and comments. 0:00 Thank you for your curiosity 1:18 Why this followup podcast? 2:23 wouldn’t someone’s family know? 5:02 substance use changes the brain 6:23 does the brain recover from drug use? 7:17 when does the brain improve after using drugs 9:11 how much opioids can someone use without dying? (Depends on the persons tolerance) 12:03 let’s do the math - morphine equivalents (NOTE: we did not talk about cross tolerance or current guidelines for pain. Please consult an expert before making a switch.) 13:40 prescribed injectable hydromorphone dosing 15:50 how high doses of opioids were people prescribing for pain? 17:53 shame and addiction 20:40 can you look like a drug user 23:13 what does withdrawal look like (https://youtu.be/2M6jkWutyh0 ) 24:10 weed vs opioids 26:00 counterfeit oxycodone pills? 26:55 Where was Wiplove in his med school class? 27:40 stigma with word addiction 29:55 buprenorphine access and micro-dosing 30:38 you don’t have to stop opioids to start buprenorphine 32:19 thank you for the comments, the feedback and the views Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael attempt to offer their insights on Alex Murdaugh Trial, where it has been claimed that Mr. Murdaugh spends $50,000 per week on his substance use, Addiction Professionals offer their insights. (State of South Carolina v. Richard Alexander Murdaugh is an ongoing American criminal case in the South Carolina Circuit Court in which Murdaugh is accused of the murders of his wife and their 22-year-old son a year and a half earlier.) Main study for injectable hydromorphone as treatment ; https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2512237 Slow release oral morphine vs Methadone; https://bmjopen.bmj.com/content/9/4/e025799 Simple cartoon on tolerance; https://youtu.be/29Z0qLB8sEc https://youtu.be/xmLfddvdSXk https://youtu.be/2M6jkWutyh0 Website with BC guidelines for pain; https://www.bccsu.ca/opioid-use-disorder/ Morphine conversion tables; https://www.oregonpainguidance.org/opioidmedcalculator/ https://www.med.unc.edu/aging/wp-content/uploads/sites/753/2018/06/Analgesic-Equivalent-Chart.pdf https://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/palliative2_-_pain_equianalgesic.pdf https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf NOTE. THE TABLES ABOVE AND IN OUR PODCAST WE DO NOT TALK ABOUT DOSE ADJUSTMENT AND CROSS TOLERANCE Microdosing buprenorphine guide https://www.metaphi.ca/wp-content/uploads/ED_OUD_MicrodosingInfo.pdf Canada overdose death rates from opioids; https://health-infobase.canada.ca/substance-related-harms/opioids-stimulants/maps Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. The content should not be taken as direct medical advice or clinical instruction. #Lived experience #PWID #addiction #recovery #Captainhooked #wiplove lamba, #jean-paul Michael #addiction medicine, #alex murdaugh #OD #court TV #People magazine #oxycodone #opioid addiction #opioid use disorder, #Maggie murdaugh #murder #double murder #SHAME
...more
35min
February 18, 2023 #136 Alex Murdaugh: '$50,000 per week drug habit?', Addiction Professionals offer their insights
Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael attempt to offer their insights on Alex Murdaugh Trial, where it has been claimed that Mr. Murdaugh spends $50,000 per week on his substance use, Addiction Professionals offer their insights.
State of South Carolina v. Richard Alexander Murdaugh is an ongoing American criminal case in the South Carolina Circuit Court in which Murdaugh is accused of the murders of his wife and their 22-year-old son a year and a half earlier.
0:00 introduction
1:24 Why are we talking about a murder trial on an addiction podcast
3:20 How much can someone spend on an addiction?
5:18 Could Alex Murdaugh have likely obtained OAT (opiate agonist therapy) without consequences
8:33 Drug tolerance
13:08 Long acting opioids versus short acting opioids
16:53 Why might Alex Murdaugh need to be spending $50,000 per week
18:48 Is it possible that he spent $50,000 per week on opioids?
20:15 why would someone choose oxycodone over other less expensive medications?
20:59 South Carolina drug regulations and legality
21:56 Does substance use does not lead to double murder
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
The content should not be taken as direct medical advice or clinical instruction.

#Lived experience
#PWID
#addiction
#recovery
#Captainhooked
#wiplove lamba,
#jean-paul Michael
#addiction medicine,
#alex murdaugh
#buster murdaugh
#court TV
#People magazine
#oxycodone
#opioid addiction
#opioid use disorder,
#Maggie murdaugh
#murder
#double murder
#chasing the dragon
...more
28min
February 16, 2023 #135 Psychiatrist learns about drug use and how to make a hospital “harm reduction” capable
Dr. Wiplove Lamba is trying to figure out where to start in terms of making an organization harm reduction capable. This is a QnA session, likely the first of many, as we try to figure out what is harm reduction, what’s needed and where to a start.
In previous podcasts, Addictions case manager and former addict Jean-Paul (JP) Michael provides a brief overview of harm reduction as it pertains to addiction care for individuals that use substances. Additionally, he covered the 6 principles of harm reduction:
1. Humanism
2. Pragmatism
3. Individualism
4. Autonomy
5. Incrementalism
6. Accountability without termination
*[ Harm reduction principles for healthcare settings Mary Hawk, Robert W. S. Coulter, James E. Egan, Stuart Fisk, M. Reuel Friedman, Monique Tula & Suzanne Kinsky Harm Reduction Journal volume 14, Article number: 70 (2017)]
https://www.toronto.ca/community-people/health-wellness-care/health-programs-advice/services-provided-by-the-works/
JP would like to acknowledge some of the amazing mentors he has had in the field of harm reduction: Nicole Kirwan, Nadia Wali, Dr. Alex Caudarella, Dr. Wiplove Lamba, Dr. Tim Guimond, and Dr. Erin Lurie.
0:00 teaser
1:00 why this topic
1:40 what are the barriers in large organizations
5:00 why should a hospital offer harm reduction
6:00 what is harm reduction
8:00 how do you inject drugs
9:03 you are in a hospital after all …… [to get medical care]
11:21 what wiplove has learned so far
11:55 helping people be more comfortable
14:38 Wip learned harm reduction helps people complete medical care and key are is helping the person remain comfortable. Also structural barriers to overcome.
15:34 naloxone rules and dispensing vs administration (no such thing as a bad question)
19:50 JP administers naloxone
21:10 can the trainer administer naloxone
21:51 Wip summarizes what he’s learned as he is trying not to forgot. Then asks more questions about naloxone.
25:20 Wip asks what are the key items offered for harm reduction. JP makes sure Wip knows that it’s not a checklist. It’s a process.
27:42. JP checks Wip’s privilege for the quality of the stiches he got.
31:22 JP’s experience as a health care provider getting medical care. And how the experience changes when they find out substance use history
35:29 Wip realizes why his patients hate getting blood work and what can help.
37:58 how to train people in harm reduction
Constant, ongoing, recurring and mandatory ar ground level.
40:20 does calling people out work in harm reduction training
41:30 they write people off
44:10 Maybe it’s not just attitude shift, maybe some people don’t know the steps
46:06 unintended consequence of opioid de-prescribing
47:11 you need someone with lived experience on your team
53:40 JP closing comments
55:40. Summary of What Wip learned. Thanks JP!!
Important to Keep people for medical care
Treat people like a human being
Hell then be comfortable
Look at structural barriers
How to train people and organizations.
Captain Hooked Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
The content should not be taken as direct medical advice or clinical instruction.
#Addiction
#Caseworker
#Healthcare provider
#Healthcare provider education
#captainhooked
#Psychiatry
#addiction medicine
#safe supply
#harm reduction,
#fentanyl
#drug policy
...more
58min
February 06, 2023 #134 Tribute to Temple Grandin
Addiction psychiatrist Dr. Wiplove Lamba saw a podcast about Temple Grandin and her current goals of helping people find a specific trade that really allows them to excel.
This inspired him to go through her autobiography.
https://www.amazon.com/Autistic-Brain-Thinking-Across-Spectrum/dp/B09HVDV578/ref=mp_s_a_1_13?qid=1675286221&refinements=p_27%3ATemple+Grandin+PhD&s=books&sr=1-13&text=Temple+Grandin+PhD
He also picked a book for projects and crafts to help people learn how to think first principles of building things.
https://www.amazon.com/Calling-All-Minds-Create-Inventor/dp/1524738220/?_encoding=UTF8&pd_rd_w=Mw089&content-id=amzn1.sym.a6902a35-db15-41bc-b73e-8acb54939e9e&pf_rd_p=a6902a35-db15-41bc-b73e-8acb54939e9e&pf_rd_r=143-5086412-7545661&pd_rd_wg=ZwyKV&pd_rd_r=b76d297d-bea5-4249-bc6a-88f35e384fd5&ref_=aufs_ap_sc_dsk
Wiplove picked up the books from the public library using the “Libby” app
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
The content should not be taken as direct medical advice or clinical instruction.
...more
10min

FAQs about Captain Hooked: The Addiction Project:

How many episodes does Captain Hooked: The Addiction Project have?

The podcast currently has 65 episodes available.