Dear Patient

The Risks of Opioid Use

Dear Patient,
In this episode I cover the Risks of opioids, specifically the risks of opioids themselves, but I would also the risks of how you use opioids. This information is not meant as a scare tactic but rather as a way for you to inform yourself and understand the risk of ongoing opioid use. If you every would like to seek help, remember, the medical community is here for you. YOU ARE NOT ALONE.
Dr. John Keenan Fanning
P.S. I need to thank Dr. Landon Berger for his contributions to this podcast. Without his amazing guidance and suggestions this podcast would not have been possible! Additionally I owe thanks to Dr. Kathryn Dong who provided useful edits for this episode.
P.P.S. Here are some resources if you want more information:
Opioid numbers in Canada: The continuous opioid death crisis in Canada: changing characteristics and implications for path options forward – The lancet https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(23)00011-X/fulltext. Published: February 03, 2023   DOI:https://doi.org/10.1016/j.lana.2023.100437
US Statistics of Opioid deaths in the States: EM Clerkship – “Opioid use disorder – what you do matters” https://www.emclerkship.com/opioid-use-disorder-what-you-do-matters/
Good simple infographic about Medication strength: https://www.pbm.va.gov/AcademicDetailingService/Documents/Pain_Patient_FentanylCarfentanil_IB101137.pdf
Get your drugs tested: https://getyourdrugstested.com/

How Opioids Work

Dear Patient,
In this episode I cover how opioids work. I focus on 3 big effects including 1) how they are pain killers, 2) how they can make you feel good, and 3) how they can make you stop breathing. This information is meant as a starting place to enable you to become your best self. Remember, YOU ARE NOT ALONE.
Dr. John Keenan Fanning
P.S. I need to thank Dr. Landon Berger for his contributions to this podcast. Without his amazing guidance and suggestions this podcast would not have been possible! Additionally I owe thanks to Dr. Kathryn Dong who provided useful edits for this episode.
P.P.S.
Study showing no difference in pain between opioids and non-opioid alternatives: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00404-X/fulltext
Mayo Clinic on Opioid use: https://www.mayoclinic.org/diseases-conditions/prescription-drug-abuse/in-depth/how-opioid-addiction-occurs/art-20360372

The Link Between Isolation Trauma and Substance Use Disorder

Dear Patient,
In this episode I talk about the HUGE link between past traumas, isolation and substance use disorder. I hope this makes you recognize that if you are someone who has experienced trauma in your past it is okay to ask for help. Further I want to stress that there is help out there if you ask for it. Remember, YOU ARE NOT ALONE!
Dr. John Keenan Fanning
P.S. I need to thank Dr. Landon Berger for his contributions to this podcast. Without his amazing guidance and suggestions this podcast would not have been possible! Additionally I owe thanks to Dr. Kathryn Dong who provided useful edits for this episode.
P.P.S. Here are some resources if you want more information. I have included some medical paper references, I have included these for completion.
Number of Canadian users: Canadian Statistics website - https://www150.statcan.gc.ca/n1/pub/82-003-x/2021012/article/00002-eng.htm
Number of American and Worldwide users: https://www.ncbi.nlm.nih.gov/books/NBK448203/
Citation from website: Azadfard M, Huecker MR, Leaming JM. Opioid Addiction. [Updated 2023 Apr 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448203/
The former governor declares loneliness an epidemic: https://www.forbes.com/sites/bryanrobinson/2023/05/06/us-surgeon-general-cites-loneliness-as-serious-mental-health-hazard-in-new-report/?sh=29b5225d1adc
Everything you think you know about Addiction is Wrong TED talk: https://www.youtube.com/watch?v=PY9DcIMGxMs
Increased opioid Use during pandemic: https://covid19-sciencetable.ca/sciencebrief/the-impact-of-the-covid-19-pandemic-on-opioid-related-harm-in-ontario/
Citation from website: Friesen EL, Kurdyak PA, Gomes T, et al. The impact of the COVID-19 pandemic on opioid-related harm in Ontario. Science Briefs of the Ontario COVID-19 Science Advisory Table. 2021;2(42). https://doi.org/10.47326/ocsat.2021.02.42.1.0
CDC website cited study saying 15x more likely to suffer with multiple ACE’s: https://www.cdc.gov/injury/priority/index.html
CDC REFERENCED PAPER - Swedo, E. A., Sumner, S. A., de Fijter, S., Werhan, L., Norris, K., Beauregard, J. L., Montgomery, M. P., Rose, E. B., Hillis, S. D., & Massetti, G. M. (2020). Adolescent Opioid Misuse Attributable to Adverse Childhood Experiences. The Journal of Pediatrics, 224, 102-109.e3. https://doi.org/10.1016/j.jpeds.2020.05.001
CDC REFERENCED PAPER - Stein MD, Conti MT, Kenney S, Anderson BJ, Flori JN, Risi MM, Bailey GL. Adverse childhood experience effects on opioid use initiation, injection drug use, and overdose among persons with opioid use disorder. Drug Alcohol Depend. 2017 Oct 1;179:325-329. doi: 10.1016/j.drugalcdep.2017.07.007. Epub 2017 Aug 5. PMID: 28841495; PMCID: PMC5599365.

Introduction

Dear Patient,
This episode is an introduction to my podcast, and covers a a description of the 4 C’s of addiction. Remember, YOU ARE NOT ALONE.
Dr. John Keenan Fanning
P.S. I need to thank Dr. Landon Berger for his contributions to this podcast. Without his amazing guidance and suggestions this podcast would not have been possible! Additionally I owe thanks to Dr. Kathryn Dong who provided useful edits for this episode.