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The Compass Opioid Stewardship Clinical Cases podcast aims to provide clinicians with practical skills for managing patients on chronic opioid therapy. This 11 part podcast series introduces a framework to approaching clinical encounters with legacy patients on long term opioid therapy. Episodes highlight clinical patient scenarios through roleplaying and are followed by a discussion of the science, structure and pertinent clinical skills by Board Certified Addiction Medicine physician Dr. D ...
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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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The Compass Opioid Stewardship Program aims to combat the opioid epidemic through education. The program aims to accomplish the following goals: 1. Educate and provide outreach to outlier prescribers of opioids about best practices for prescribing opioids 2. Educate and provide outreach to outlier prescribers of opioids about non-opioid pain management therapies 3. Reduce the amount of opioid prescriptions prescribed by eligible prescribers
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A Small Dose

A Small Dose

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A Small Dose is a podcast aimed at arming you with information about medication so you can make the best decisions about your health. Learn how your medication effects your body with these mini summaries of different drugs each week
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Join Food 4 Thought by Dark Cancer Productions for a journey into self-awareness and social impact. Explore your actions and their consequences, and learn how small changes can shape a brighter tomorrow. Challenge your perspective and engage in meaningful conversations. Subscribe to my Patreon for early access to content before it goes live. Find us on YouTube: @darkcancermedia
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In this episode, Dr. Stader utilizes the principles of MI when navigating an encounter with Sam, a patient who just had a routine UA test positive for fentanyl, an opioid he is not prescribed. Dr. Barnett and Dr. Stader debrief the details of this case following the encounter including the delicate position a physician occupies when establishing pa…
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In this episode, Dr. Stader meets with Cindy, a fibromyalgia patient on longterm opioid therapy, to discuss decreasing her percocet following a DUI. Following the encounter, Dr. Barnett and Dr. Stader discuss the importance of pushing back against the innate urge to tell a patient the solution to their problem as it can lead to resistance.…
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In this episode, Dr. Stader introduces the OARS technique in an encounter with Paul who visits clinic regarding his surgeon’s wish for him to quit smoking pre-operatively. Following the encounter, Dr. Stader and Dr. Barnett dicuss how open questions, affirming patient sentiments, reflective statements and summarizing an encounter and assisting in m…
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Dr. Don Stader calls mentor Dr. Peter Barnett to vent about some feelings of burnout he is experiencing with his patients not wanting to follow directions and Dr. Barnett helps him reframe his mentality and offers up motivational interviewing as a potential strategy to employ with his patients resisting change.…
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Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to chat with Dr. Heath McAnally, MD, to discuss the nuances between different opioid agents and how to choose between them to match your patient's needs. Tune in as we review the biological pain pathways and how the mu and kappa receptors are involved with different opioid agents and then…
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This podcast episode will delve into the topic of the four most dangerous opioids: fentanyl, hydrocodone, carfentanil, and tramadol. Fentanyl is a powerful synthetic opioid that is 50-100 times more potent than morphine. It is often added to other drugs, such as heroin, cocaine, and methamphetamine, making it even more dangerous. Overdose deaths re…
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In this episode of the podcast, we will be exploring one of the most dangerous opioids: Oxycodone. Oxycodone is a semi-synthetic opioid that is commonly prescribed for moderate to severe pain. Despite its medical uses, oxycodone can be highly addictive and has been responsible for a significant number of opioid overdoses in recent years. When taken…
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In this episode of the podcast, we will be exploring the topic of opioids. What are they and what do they do? Opioids are a class of drugs that are commonly used to treat pain. They work by binding to specific receptors in the brain and spinal cord, reducing the perception of pain and producing feelings of pleasure and euphoria. Some of the most we…
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In this episode of the podcast, we will be discussing the topic of drugs, also known as narcotics. We will explore the definition of drugs, their effects on the body, and the different types of drugs that exist, including prescription drugs, over-the-counter drugs, and illegal drugs. We will discuss the dangers of drug use, including the potential …
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How do you think on a day-to-day basis, and how have your emotions affected your everyday decisions? Has it been good, bad, or both? Or do you regret your actions? In this episode of the podcast, we will explore the differences between emotional and logical thought processes and their impact on decision-making. Emotional thought processes are drive…
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Howard Schubiner, MD to discuss mind body medicine and the power of perception when it comes to pain. Dr. Schubiner discusses how the brain is responsible for much of the pain we experience and how we can harness this knowledge to reduce it after ruling out structural sources. Resources …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Kate Nicholson, JD, the founder of the nonprofit National Pain Advocacy Center whose mission is to advance the health and human rights of people in pain. Kate discusses her entry into the field of pain and her own journey developing and managing chronic pain and how she has used her expe…
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Host Rachael Duncan, PharmD sits down with Alexis Ritvo, MD, an assistant professor at CU Anschutz School of Medicine Department of Psychiatry and Program Director at Addiction Psychiatry Fellowship at the University of Colorado to discuss all things benzodiazepines. Tune in to learn about tapering strategies, polypharma interactions and increased …
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Hosts Don Stader, MD and Rachael Duncan, PharmD sit down with Andrew Herring, MD and Charles Hawthorne of CA Bridge to discuss healthy equity and disparities in the opioid epidemic. CA Bridge is a pioneering organization that expands access of evidence-based addiction care to those who use drugs across California, Andrew serves as the Director and …
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Welcome to the Learning Styles Podcast! In this episode, we will be discussing what learning styles are, how they can impact our learning process, and how they can even affect our day-to-day lives. Learning styles are simply the ways in which individuals process and retain information best. There are various models and theories on learning styles, …
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"Join us for a thought-provoking episode where we explore different approaches to learning. From traditional classroom settings to self-directed methods, we'll dive into the pros and cons of each approach and discuss what might work best for different learning styles. Our expert guests will share their personal experiences and provide insights on h…
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In this episode, Dr. Stader and Anne chat about how her pain has improved and she is getting more out of life. Following their encounter, Don and Rachael circle back on the 8 pillars of opioid stewardship tying it all together and and talk about modifying the framework to fit individual patients. Show Notes: Benzodiazepine Deprescribing Algorithm C…
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In this episode, Dr. Stader introduces buprenorphine as a possible agent to help manage Anne's chronic pain. Following their encounter, Don and Rachael discuss the use of buprenorphine for chronic pain and how to effectively cross titrate a patient from other opioids to the safer agent. Show Notes: Buprenorphine and X Waivers IR Opioid Cross Taper …
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In this episode, Dr. Stader and Anne discuss how her taper is going and they agree on some adjustments. Following their encounter, Don and Rachael take a deeper dive into the specific mechanics of tapering fentanyl and Oxycodone. Show Notes: Opioid + Benzodiazepine Tapering How-To Guide Fentanyl 50 mcg TD Taper Example The Iowa Healthcare Collabora…
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In this episode, Dr. Stader broached his concerns with Anne's medication regimen and they discuss the mechanics of tapering her off some of her medications. Following their encounter, Don and Rachael dive into the collaborative framework for a taper using the BRAVO approach. Show Notes: Optimizing Patient Communication: The Key to a Successful Tape…
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In this episode, Dr. Stader talks with Anne about her sleep study showing sleep apnea and his concern for her medication regimen contributing to it. Following their encounter, Don and Rachael dive into the nuts and bolts of screening for sleep disordered breathing. Show Notes: 2021 BMJ Article Infographic: Diagnosing Sleep Apnea in Patients Taking …
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In this episode, Dr. Stader educates Anne about naloxone and why its appropriate in her situation. Following their encounter, Don and Rachael dive into a deeper discusison of harm reduction and how to appropriately broach the subject to patients. Show Notes: Naloxone for Patients on Chronic Opioid Therapy The Iowa Healthcare Collaborative presents …
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In this episode, Dr. Stader and Anne discuss her medication list and some of their adverse side effects. Following their encounter, Don and Rachael dive into medication risks arising from opioids and certain co-prescribed medications. Show Notes: 2020 Opioid + Sedative Use in COPD Study 2017 Bzd and Z-drug Review The Iowa Healthcare Collaborative p…
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In this episode, Dr. Stader meets again with Anne after reviewing her history and new pain tracking documents and starts to reframe pain to her. Following their encounter, Don and Rachael dive into the biopsychosocial approach and pain psychology. Show Notes: Behavioral Medicine for Pain: Resources for Clinicians and Patients Pain Management Algori…
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In this episode, Don and Rachaeldiscuss informed consent and what tools to use for risk stratification and monitoring. Informed Consent and Controlled Substance Agreements Screening Tools for Pain and Opioid Risk Management Risk Management: Putting it All Together The Iowa Healthcare Collaborative presents the Compass Opioid Stewardship Clinical Ca…
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In this episode, Dr. Stader gets to know Anne better and introduces his principles of opioid stewardship to her and how it will look. Following their encounter, Don and Rachael discuss the importance of therapetutic alliance and using evidence-based tools to track her treatment and pain. Show Notes: Compass Opioid Prescribing + Treatment Guidance T…
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In this episode, Dr. Stader meets Anne, a chronic pain patient new to his practice and they review her medical history. Following their encounter, Don and Rachael discuss the lack of longterm efficacy of opioids for pain management and their safety risks. Show Notes: Opioid Risks and Side Effects The Iowa Healthcare Collaborative presents the Compa…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Dr. Emily Einstein, PhD, chief of the Science Policy Branch for the National Institute on Drug Abuse (NIDA). This episode ranges from policy issues at NIDA and plans to implement actionable interventions to improve care for those suffering from addiction to in-depth biology of addict…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Stanford pain psychologist Dr. Heather Poupore-King, PhD to discuss the intersection of pain, opioids and sleep. This episode addresses the biopsychosocial approach to health and highlights how relevant it to how pain and opioids affect your sleep and how sleep quality and quantity c…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Director of the NIH's Helping End Addiction Longterm (HEAL) Initiative, Dr. Rebecca Baker, Ph.D. In the podcast we discuss the opioid crisis, health disparities and scope of HEAL Initiative. Dr. Baker shares her insights into how the NIH has prioritized efforts to better understand a…
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Hosts Dr. Don Stader and Dr. Rachael Duncan, PharmD sit down with Tom Bowen to discuss his personal journey through dealing with chronic pain. Tune in to hear Tom's story and how he learned to live with his chronic pain by changing his perspective and utilizing invaluable self-directed pain management techniques. Tom is an active advocate for patie…
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Dr. Steven Wright joins us to explain how to best manage patients with OUD in the primary care setting. Tune in to learn how to counsel patients with OUD and responsibly incorporate buprenorphine, naltrexone and methadone into your practice in this eighth installment of the Compass Opioid Stewardship Program lecture series. Feel free to contact Dr.…
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In this episode of Food 4 Thought, we dive into the world of Mediation Skills. Our expert guest will discuss the importance of effective communication and active listening in resolving conflicts and creating mutually beneficial solutions. From understanding different conflict resolution styles to tips on staying neutral as a mediator, this episode …
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