Higher Potency of Fentanyl Affects Addiction Treatment, Screening

As fentanyl-related overdose deaths continue to increase, clinicians should take note of the important differences that set the drug apart from the other drugs of misuse — and the troubling reality that fentanyl now contaminates most of them. “It would be fair to tell patients, if you’re buying any illegal drugs — pills, powder, liquid, … Read more

‘New Kid on the Block’ May Help Relieve PTSD, Panic Disorder

A digital intervention may offer a new and effective treatment option for panic disorder (PD) and posttraumatic stress disorder (PTSD), new research suggests. The 28-day home-based treatment, known as the Capnometry Guided Respiratory Intervention (CGRI), uses an app-based feedback protocol to normalize respiration and increase patients’ ability to cope with symptoms of stress, anxiety, and … Read more

Me, My Spouse, and COVID

I watched you in the garage, with your wipes and your mask, your gloves and bottles of sprays and potions. I admired your fealty to CNN’s Dr Sanjay Gupta as he demonstrated the proper technique for disinfecting groceries. I watched sterile protocol being broken and quietly closed the garage door. Dr Alison Hero I listened … Read more

First Known Opiate Biomarker Shows Fentanyl’s Effect on Brain

Fentanyl depresses breathing about 4 minutes before symptoms of distress are evident at a dose that is 1700 times lower than that needed for sedation, new research shows. This new information comes after researchers identified a unique EEG signature produced by fentanyl, the first known biomarker of an opiate’s effect on the brain. By monitoring … Read more

I Missed It: Coping With Medical Error

Thursday Night It was 9 o’clock at night when my phone rang. I didn’t recognize the number but decided to answer it anyway. It was my doctor. “Chase, I got your labs back and you have a critically low level. I spoke with someone at the hospital, I think I know what is happening, but … Read more

They Call It ‘Tranq,’ and It’s Making Street Drugs More Dangerous

Approaching a van that distributes supplies for safer drug use in Greenfield, Massachusetts, a man named Kyle noticed an alert about xylazine. “Xylazine?” he asked, sounding out the unfamiliar word. “Tell me more.” Tapestry Health Systems nurse Katy Robbins hands bottles of water to Kyle as he visits the harm reduction mobile unit in Greenfield, … Read more