Medical Consequences

Although many have been describing the new street drug W-18 as an opioid, and although illegal drug manufacturers have been using it as a fentanyl substitute, recent news suggests that it is most likely not an opioid. What Is W-18? W-18 was originally found in drug products in Sweden in 2014 and later in Canada…

The children’s rhyme makes it seem so simple: first comes love, then comes marriage, then comes the baby in a baby carriage. Of course this perfect image isn’t always a reality. The hope and expectation is a happy, healthy, bouncing little baby in your arms, but what happens when something, God forbid, goes wrong? Alcohol…

There has been much debate on whether or not ecstasy, also known as methylenedioxymethamphetamine (MDMA), is capable of causing susceptibility to infection. The evidence of infection is suggestive, but not entirely conclusive. Researchers have been studying the immune cell responses of rodents exposed to ecstasy. In these experiments, there seems to be a reduction in…

Panic and confusion about the opioid endemic are causing the rapid spread of misinformation throughout the United States. Here we debunk some of the most common misconceptions about opioid abuse, especially as it relates to chronic pain.   1. “Addiction” is the same as “physical dependence” or “tolerance.” Addiction is a disease made up of…

What is binge drinking? Binge drinking is a popular form of excessive alcohol use, which the National Institute on Alcohol Abuse and Alcoholism defines as “a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or above.” For a typical American adult male, this translates to drinking 5+ servings…

Physicians are being asked to change their practices and their mentalities regarding prescription painkillers. Opioids have revolutionized the way we treat pain in America, but they have also brought on a plethora of dangers and negative consequences. Doctors need to consider each patient’s addiction risk factors and medical needs thoroughly before pulling out the prescription…

The CDC recently released their guidelines regarding opioid prescriptions for individuals with chronic pain. The opioid endemic is, of course, concerning and requires immediate attention, but not in the form of restricting access to treatment. Individuals with chronic pain need and deserve appropriate care; they should not be forced to jump through hoops for their…

Addiction is a difficult disease to define. When does therapeutic drug use cross over into abuse? What is the difference between frequent social drinking and alcohol use disorder? Should comfort-seeking drug use (such as mild-sedative ingestion before bed every night) be considered a disorder? The Diagnostic and Statistical Manual of Mental Disorders (DSM) has acknowledged…

Substance-use exerts a large amount of physical stress on the human body. Drugs take precedence over basic necessities during active addiction, so health often falls by the wayside. Malnourishment, for example, causes the body to function improperly due to a lack of essential nutrients. Some drugs create the illusion of “fullness” so the body doesn’t…

Dream Journal Volume XXXV / December 2015 Note from Dr. B. The holidays can be a difficult time for individuals in recovery: frustrating family members, crazy Christmas parties, stressful shopping trips, etc. You don’t have to let the season get you down though! There are plenty of ways to stay centered and sober during the…