Non-medical use of opiates has been called an “epidemic” by CDC Director Thomas Frieden and “an urgent public health crisis” by former US Attorney General Holder. Local and national leaders and media headlines echo and highlight this concern. How did we get this way? What drives this “epidemic?” This presentation will be a historically based look at the medical use of opiates, especially in American society. It will focus on the development and use of narcotic medications against the background of the three opiate epidemics in America. The presenter will discuss the history of opiates in medicine, opiate addiction as a brain disease, issues in the use of opiates to treat chronic pain and the medical treatment of addiction.
Distance CE: If you are unable to attend and want MCBAP and NAADAC CE credit, distance CE credits are available for a small fee at dawnfarmeducation.com.
Handout: Opiates And Medicine Handout 2015
September 2015 Slidecast:
September 2015 Audio:
September 2014 Video:
Related Reading Suggestions:
Brand, Paul and Philip Yancy. “Pain; the Gift Nobody Wants.” Harpercollins Publisher; 1st edition (October 1993)
Lee, Marion et al. (2011) “A Comprehensive Review of Opiod-Induced Hyperalgesia.” Pain Physician, 14:145-161.
Olds, James (1956) Pleasure centers in the brain. Scientific American. 195: 105-116.
Portenoy, R.K.and K.M. Foley. (1986) “Chronic Use of Opiod Analgesics in Non-Malignant Pain: Report of 38 Cases.” Pain, 25:171-186.
Porter, J and H. Jick. (1980) “Addiction Rate in Patients Treated With Narcotics.” New England Journal of Medicine, 302:123.
Poses, Roy M. ( December 17, 2012) “The ‘King of Pain’ Recants – Pharmaceutical Paid Key Opinion Leader Admits It Was All ‘Misinformation’” Health Care Renewal.
Mitra, Sukanya. (May/June 2008) “Opiod-Induced Hyperalgesia: Pathophysiology and Clinical Implications.”
White, William W. “The Trajectories of Opioid Addiction.” Blog and New Postings; August 14, 2015.
About the presenter:
Jeffrey Berger, MD, FASAM.
Dr. Berger is a native of the Detroit Area. Following high school graduation, he attended Wayne State University, where he earned a Bachelor’s Degree in German language and literature. He studied medicine, also at Wayne State University. Following medical school he completed training in Internal Medicine and is a Board Certified Internist. Early in his career as a physician, he became interested in Addiction Medicine. He began working at Henry Ford Hospital’s Maplegrove Center in 1983, becoming certified by the American Society of Alcoholism and Other Drug Addiction (now the American Society of Addiction Medicine) in 1984. He began working at Brighton Center for Recovery in 1998, and served as the Medical Director until November 2014. Dr. Berger is now the Chief Medical Officer for Guest House, a Michigan-based, lay operated treatment center that has cared exclusively for Catholic clergy and religious suffering from alcohol, drug and process addictions.