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ADDICTION IS NOT A MORAL FAILURE Dr. Stephen Loyd S.O.A.R. University of Tennessee, Knoxville Knoxville, Tennessee
Transcript
Page 1: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

A D D I C T I O N I S N O T

A M O R A L FA I L U R E

D r S t e p h e n L o y d S O A R

U n i v e r s i t y o f Te n n e s s e e K n o x v i l l e K n o x v i l l e Te n n e s s e e

Leonardo da Vinci ldquoVirgin on the Rocksrdquo

Leonardo da Vinci

ldquoWe have to be fearless about changing our mind based on new informationrdquo

Seventy

T

Seventy

Seventy

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 2: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Leonardo da Vinci ldquoVirgin on the Rocksrdquo

Leonardo da Vinci

ldquoWe have to be fearless about changing our mind based on new informationrdquo

Seventy

T

Seventy

Seventy

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 3: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Leonardo da Vinci

ldquoWe have to be fearless about changing our mind based on new informationrdquo

Seventy

T

Seventy

Seventy

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 4: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

T

Seventy

Seventy

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 5: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Seventy

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 6: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

The First 7

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 7: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Brain Healing Takes Time

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 8: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

The Second 7

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 9: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

The Third 7

Porter and Jick Letter- Ground Zero To the Editor Recently we examined our current files to determine the incidence of narcotic addiction in 39946 hospitalized medical patients who were monitored consecutively Although there were 11882 patients who received at least one narcotic preparation there were only four cases of reasonably well-documented addiction in patients who had no history or addiction The addiction was considered major in only one instance The drugs implicated were meperidine in two patients Percodan in one andhydromorphone in one We conclude that despite widespread use of narcotic drugs in hospitals the development of addiction is rare in medical patients with no history of addiction Jane Porter Hershel Jick MD Boston Collaborative Drug Surveillance Program

Boston University Medical Center Waltham MA 02154

Seventy

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 10: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

rdquoEveryone has a plan until they get punched in the facerdquo

-Mike Tyson

Seventy

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 11: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Medications to Treat Opioid Addiction

Medication Brand names

Bupr norphin

Bupr norphin and nalo middoton ubo on reg (und r tongu fihn) Zub ol (R) ( tabl t ) Buna ailreg ( h fihn)

G n ri

ivitr lreg (inj tl n)

th r nd d-r I a bupr norphin formulation p t d to om to n1ark t

T

Seventy

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy

Page 12: Addiction is Not a Moral Failure - University of Tennessee systemtennessee.edu/wp-content/uploads/2019/08/Loyd-Chronic... · 2019-08-29 · ADDICTION IS NOT A MORAL FAILURE. Dr. Stephen

Contact Information

bull Stephen Loyd MD bull Check out our Website wwwseventyx7org bull infoseventyx7org bull Like our Facebook page and give us a follow on Twitter

Addiction is treatable treatment works and people recover

SeventyX7org

f

Seventy


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