Episode 9: The Overdose Crisis Meets COVID19, is "Self-Care" Really a Thing?

Join Sean Fogler and Bill Kinkle as they return to discuss the difficulty of working on the front lines at the intersection point of the overdose crisis and the coronavirus pandemic. The team tries to tackle the difficulties many of our friends who suffer with problematic substance use and experience homelessness deal with, many of which have been exacerbated by COVID19.

Sean and Bill also dig deep into the concept of "self-care" and debate its utility in the current climate. Of course they also talk about health professional monitoring programs and how their control and discrimination have prevented valuable clinicians from serving during the pandemic.

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@HPIRPodcast

www.healthprosinrecovery.com

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https://www.facebook.com/groups/1461031774049631/

Episode 8: The Untapped Resource: Family with Patrick Doyle

Join our hosts as we chat with our good friend Patrick Doyle from Family Addiction Coaching as we discuss the role of the family in a person's recovery. Often the family is excluded from treatment and viewed either as "co-dependent" or "enabling" therefore, seen as a liability. However, many health professionals who struggle with substance use have deep seeded relationships with their families, spouses and children. How do we begin to change the culture and see the family as a critical element to long term recovery? Listen as we discuss about the most ignored, but valuable resource a person brings.

About Patrick Doyle:

Patrick Doyle has been working with both Families and Individuals suffering from substance use disorders, depression, and other behavioral health issues for thirty years. He earned a Masters of Social Work degree in 1986 from Boston College, and is a Licensed Independent Clinical Social Worker in Massachusetts. Patrick follows the NASW Code Of Ethics.

Patrick is a qualified Substance Abuse Professional according to U.S. D.O.T. regulations.

In addition to working as a senior clinician at employee assistance programs, Patrick has provided coaching in his independent practice. Patrick served for several years as Substance Misuse Consultant for The Boston Red Sox organization.

Contact Patrick:

You can follow Patrick on Twitter @PatrickDoyle_35.

https://familyaddictioncoach.com

Family Addiction Coaching with Patrick Doyle podcast:

https://familyaddictioncoach.com/podcast/

Follow Health Professionals in Recovery at @HPIRPodcast

Find us on the web at:

www.healthprosinrecovery.com

Episode 7: Is This What Prelapse Feels Like? Relapse Prevention

Join the team in this episode as they take a deep dive into one of the most abstract concepts a person in recovery faces. Often relapse prevention plans are manufactured on an assembly line and delivered with no consideration for the individual. The factors that potentially jeopardize our recovery can be subtle and undetectable. Sean and Bill embark on a transparent discussion regarding Bill’s recent close call, how he avoided disaster, why sustained recovery requires an individual to understand themselves well, the importance of peer support, and the role of the family. We hope you enjoy this episode and it offers something useful for either your own recovery planning or the patients you care for.

Follow us on Twitter: @HPIRPodcast

www.healthprosinrecovery.com

Sean Fogler: [email protected]

Bill Kinkle: [email protected]

Episode 6: Health Professional Monitoring Programs

This episode we are hosted by Zachary Siegel of Changing the Narrative and the Health in Justice Action Lab where we discuss physicians health programs and other professional monitoring programs. The panel consists of Health Professionals in Recovery hosts Sean Fogler and Bill Kinkle, Dr. Peter Grinspoon of Harvard University, and Leo Beletsky of Northeastern University School of Law.

Links:

Practicing What We Preach-Ending Physician Health Program Bans on Opioid-Agonist Therapy

https://www.nejm.org/doi/full/10.1056/NEJMp1907875

https://www.npr.org/sections/health-shots/2019/09/06/757990241/for-health-workers-struggling-with-addiction-why-are-treatment-options-limited

https://khn.org/news/doctors-and-nurses-with-addictions-often-denied-a-crucial-recovery-option/

Witnessed Urine Drug Screens in Drug Treatment: Humiliating and Harmful

https://filtermag.org/urine-screen-drug-treatment/

Twitter:

Leo Beletsky @LeoBeletsky

Zach Siegel @ZachWritesStuff

Peter Grinspoon @Peter_Grinspoon

Sean Fogler @sean_fogler

Bill Kinkle @billkinkle

Episode 5: Why Do We Hate Drug Users? Stigma

In this episode of Health Professionals in Recovery we shift from having a guest and recorded a lecture given by Bill Kinkle to an audience of first year medical students during their fifth week of training. Bill spoke to them about recovery, stigma, race, the war of drugs, physician health programs, treatment, and advocacy through the lens of his own personal experience.

Bill explains how our nation’s policies surrounding drugs combined with television, film, and print media have shaped how we think about people who use drugs. Moreover, our unconscious bias directly impacts how we care about our patients as well as how we view ourselves when we develop substance use disorders. Through this exploration Bill explains how his experiences have fueled his advocacy on several fronts.

Due to several references to slides during the talk the video files can be found here:

https://vimeo.com/360056804

or

https://www.youtube.com/watch?v=AXQSoozee78&feature=youtu.be

This episode we welcome Andrew Kessler to the show to discuss an important aspect of recovery and one that is often forgotten, policy.

Andrew D. Kessler, JD, is founder and principal of Slingshot Solutions LLC, a consulting firm that

specializes in behavioral health policy. His clients, past and present, include the International

Certification and Reciprocity Consortium (IC&RC), the California Consortium of Addiction Programs &

Professionals (CCAPP), and Faces and Voices of Recovery. With 20 years of policy experience- and over a

decade in behavioral health- Kessler is a fixture in circles that advocate for substance abuse treatment,

prevention, and research. He collaborates frequently with congressional offices, the White House Office

of National Drug Control Policy, the National Institute on Drug Abuse (NIDA), the Substance Abuse and

Mental Health Services Administration (SAMHSA), and other federal actors. Kessler has written

legislation and report language adopted by both the House and Senate Appropriations Committees, and

has presented orally before such bodies as the Scientific Management Review Board, the National

Conference on Addictive Disorders, and the College on Problems of Drug Dependence. He received his

Bachelor of Arts in 1993 from Washington University in St. Louis. In 1999, he graduated from American

University’s Washington College of Law, where he received multiple awards and recognition for his legal

analysis and moot court arguments. He lives in Fairfax, Virginia, with his wife and two children.

Andrew can be reached at:

www.slingshotsolutions.net

Twitter: @slingshotDC

We welcome Rachel Shuster to the show for episode 3. Rachel shares with us her story of addiction, recovery, and life now as a Certified Addictions Registered Nurse serving patients struggling with the same disorder she has overcome. Rachel leaves us with some serious hope and encouragement.

About Rachel:

Rachel Shuster is a registered nurse and a person in recovery from a substance use disorder. As a high-achieving high schooler and college student, she never imagined that she, like many, would fall victim to the destruction of mind- and mood-altering substances. Following what some may consider a relatively short period of substance use, she has since found her individualized path to sustained recovery and now works as a Certified Addictions Registered Nurse (CARN), helping people in the Greater Pittsburgh Area in reaching their recovery goals as well, particularly those with an opioid use disorder. Recognizing that secrets die in the light, she is passionate about sharing her story, but is also interested in advocacy, evidence-based practice, harm reduction, and policy change within the addictions field.

Rachel graduated from Waynesburg University in 2012 with her Bachelor of Science in Nursing (BSN). Upon graduation, Rachel worked in critical care for over 4 years prior to her switching specialties to addictions nursing following her personal journey through addiction to recovery. Since, she has attained her certification in addictions nursing and has spoken at various nursing schools as well as a high school in the Pittsburgh area.

Twitter: @mynameisrachel

“There are two things you don’t want to have as a doctor – addiction or mental illness,” he said. “You become ostracized. People don’t line up saying, ‘I hear you’re sick, I want to help.’ As my girlfriend says, there are no casseroles.” Luther Philaya, MD.

Our first guest on Health Professionals in Recovery is Dr. Luther Philaya. Dr. Philaya is a board certified family physician who has also practiced emergency medicine, and is in long term recovery from a substance use disorder. ( 10/11/2012). He describes his journey as a voyage unlike any other, filled with loss, discovery and survival, ultimately leading to resilience and a renewed passion for his fellow human beings, including his patients.

He balances the science and art of medicine but truly loves the art. He has recently launched a new practice that aims to deliver primary care for persons in recovery; It’s a practice where recovery is celebrated, there’s no stigma, and patients are supported and lifted up. From abstinence to harm reduction, every individual and every path is supported.

Each individuals health and wellness is a priority. I read many testimonials which are amazing. Dr. Philaya has written extensively on his recovery journey and the challenges healthcare professionals face when they struggle with mental health challenges, substance use disorders, and legal challenges. He has volunteered with the Salvation Army and works with other professionals who struggle.

Our interview with Luther touches on every aspect of being a health professional who struggles with substance use, including the steep climb to enter recovery, which seems to be missing a plateau. Sit back, get a cup of coffee, and enjoy our interview with our friend, Luther Philaya.

Dr. Philaya can be reached at:

https://drluthermd.com/

Follow him on twitter @luther_philaya

Dr. Philaya's writings

https://www.kevinmd.com/blog/post-author/luther-philaya

https://drluthermd.com/category/in-the-news/

The first episode of Health Professionals in Recovery introducing our hosts and providing a road map of shows to come. More information can be found at

www.healthprosinrecovery.com

Twitter: @HPIRPodcast

Sean can be reached at: [email protected]

Bill can be reached at: [email protected]

Panel discussion moderated by Jeanmarie Perrone, MD discussing opioid use disorder and current emergency medicine interventions. Initial case presentation by Emily Moin MS4. Panel participants, Nicole O'Donnel, CRS and William Kinkle , RN, EMT-P.

Recorded 4.2.19 at the Perelman School of Medicine at the University of Pennsylvania.

Contacts:

Jeanmarie Perrone, MD: @JMPerroneMD

Emily Moin: @eemoin

William Kinkle: @billkinkle