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#6: Lori Regenstreif - Navigating Addictions and Vulnerabilities
Manage episode 476896581 series 3659058
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In this episode, we delve into the complexities of addiction, treatment, and the balance between agency and intervention with Dr. Regenstreif, a family physician and national expert on addiction medicine. Dr. Regenstreif shares her experiences from working in inner-city Hamilton to the Northwest Territories, discussing the history and impact of opioid prescribing, the rise of fentanyl, and effective harm reduction strategies like naloxone distribution and supervised injection sites. The discussion also touches on the broader social issues intertwined with addiction, such as poverty and mental illness, and explores the contentious topic of decriminalizing drugs. Join us for an in-depth conversation on how to support vulnerable individuals while navigating the intricate landscape of addiction treatment.
00:00 Introduction: Balancing Autonomy and Support for Vulnerable Individuals
00:22 Concerns About Government Intervention in Vulnerabilities
00:40 Introducing Dr. Regenstreif: Expert in Addiction Medicine
01:20 The Evolution of Safe Supply in Addiction Medicine
01:41 The Impact of Purdue Pharma and OxyContin on Addiction
03:13 The Rise of Methadone Clinics and Business Models
04:17 The Emergence of Fentanyl and Its Consequences
07:00 Harm Reduction Strategies: Naloxone and Supervised Injection Sites
10:02 Trials and Evidence for Safe Injection Sites
17:36 The Shift in Homeless Population and Substance Use Disorders
22:15 The Role of Prescription Opioids in Addiction
23:57 Revisiting the Opioid Crisis
24:47 The Shift to Heroin and Fentanyl
26:09 Challenges in Pain Management
27:27 Harm Reduction and Decriminalization
28:58 Patient Autonomy and Tough Love
36:20 Legalization and Its Impacts
39:34 The Future of Addiction Treatment
42:46 Concluding Thoughts on Addiction Policy
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit shawnwhatley.substack.com
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