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    Health & Fitness

    AMERICAN DIAGNOSIS with Dr. Céline Gounder

    “American Diagnosis” is a conversation about some of the biggest public health challenges across the United States, with insights on topics from teen mental health to opioids and gun violence highlighting the voices of experts and people on the ground working for the health of their communities.

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    Latest Episodes:
    S2E10 / The Opioid Overdose Crisis / What Comes After You Survive an Overdose? / Jonathan Goyer May 04, 2018
    Show notes

    Naloxone can save the lives of drug users from deadly overdose, but what happens after someone survives an overdose? Does naloxone give users a false sense of security, encouraging them to use more? Guests: Jonathan Goyer, manager of Anchor MORE at the Providence Center, a drug recovery program, and advisor to the Rhode Island governor’s overdose taskforce; and Dr. Julie Donohue, a professor at the University of Pittsburgh School of Public Health. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E9 / The Opioid Overdose Crisis / Sharing Opana & Syringes in Small Town Indiana / Carolyn Wester, Will Cooke, Wayne Crabtree Apr 20, 2018
    Show notes

    Opioid abuse is affecting small towns across the U.S. in unprecedented ways. In 2015, Austin, Indiana was ground zero for one of the biggest HIV outbreaks in U.S. history -- the end result of sharing Opana and syringes. Guests: Bekki, a resident of Austin and mother to an injection drug user who got HIV; Dr. Will Cooke, the only doctor in Austin; Wayne Crabtree, Director of the Office of Addiction Services at Louisville Metro Public Health and Wellness; and Dr. Carolyn Wester, the Medical Director for HIV, STD and Viral Hepatitis at the Tennessee Department of Health. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E8 / The Opioid Overdose Crisis / Drugs to *Treat* Addiction? / Paul Neudigate, Barbara Broers, Mark Tyndall, Paul Cherashore Mar 15, 2018
    Show notes

    Medications can play an important role in helping people recover from addiction. And sometimes, those medications can be the very drug they’re trying to quit. We talk about medication-assisted treatment -- from methadone and buprenorphine to heroin and hydromorphone. Guests: Dr. Mark Tyndall, Director of the British Columbia Center for Disease Control in Canada and TEDMED 2017 speaker; Paul Cherashore with the Philadelphia Overdose Prevention Initiative; and Dr. Barbara Broers, Director of the Dependency Unit at the University of Geneva, and Vice President of the Swiss Federal Commission for Drug-Related Affairs and of the Swiss Society for for Addiction Medicine. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E7 / The Opioid Overdose Crisis / A Safe Space to Use Drugs / Linda B. Rosenthal, Liz Evans, Mark Miloscia, Patricia Sully Feb 21, 2018
    Show notes

    What if we gave drug users a clean, safe place to use? out of the alleys and off the streets? Could that be the first rung on the ladder to recovery? Or would we be creating magnets for drug-related crime? Guests: Liz Evans, co-founder of Vancouver’s InSite, the first supervised consumption site in North America; Linda Rosenthal, New York State assembly woman representing the 67th district in Manhattan and TEDMED 2017 speaker; Patricia Sully a staff attorney for the Public Defender Association and coordinator of VOCAL Washington; and Washington State Senator Mark Miloscia, who’s trying to block the opening of such sites in his state. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E6 / The Opioid Overdose Crisis / Cops as Social Workers? / Amy Kroll, João Castel Branco Goulão, Kris Nyrop Feb 21, 2018
    Show notes

    What if the criminal justice system emphasized housing and social services over crime and punishment? Guests: Amy Kroll, administrator for re-entry services in Allegheny County, Pennsylvania; Dr. João Castel-Branco Goulão, the national drug coordinator for Portugal and the architect of Portugal's drug policy; and Kris Nyrop, national support director for Law Enforcement Assisted Diversion (LEAD). | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E5 / The Opioid Overdose Crisis / Adverse Childhood Experiences (ACEs) / Daniel Sumrok, Gabor Maté, Nora Volkow, Phillip Fiuty Jan 17, 2018
    Show notes

    In the 1990s, researchers recruited 17,000 adults to answer questions about childhood stressors and trauma and their health. What does this groundbreaking research -- the Adverse Childhood Experiences (ACEs) study -- show us about how to treat substance abuse? Guests: Phillip Fiuty, Coordinator for Harm Reduction Programs at Santa Fe Mountain Center, and in recovery from substance abuse; Dr. Daniel Sumrok, Director of the Center for Addiction Science at the University of Tennessee Health Science Center in Memphis; Dr. Nora Volkow, Director of the National Institute on Drug Abuse at the National Institutes of Health, and #TEDMED 2014 speaker; Dr. Gabor Maté, expert on addiction, stress and childhood development, co-founder of Compassion for Addiction, former physician with the Portland Hotel Society and Insite in Vancouver, Canada, author of In the Realm of Hungry Ghosts, and a Holocaust survivor. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E4 / The Opioid Overdose Crisis / Is There Fentanyl in My Drugs? / Daan van der Gouwe, Carl Hart, Tino Fuentes Jan 17, 2018
    Show notes

    Could we save lives by offering drug users anonymous purity testing of their drugs for adulterants and dangerous cutting agents like fentanyl? Guests: Dr. Carl Hart, Chair of Psychology at Columbia University, author of High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society, and #TEDMED 2014 speaker; Daan van der Gouwe, a researcher at the Trimbos Instituut in the Netherlands; Tino Fuentes, freelance harm reduction consultant, former Director of Syringe Access and Naloxone programs at St. Ann’s Corner of Harm Reduction in New York City, and former heroin dealer and user. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E3 / The Opioid Overdose Crisis / The Rise of Fentanyl / Carole Rendon, Christopher Tersigni, Denise Paone, Thomas P. Gilson, Mark Kinzly Jan 17, 2018
    Show notes

    How has the rise of fentanyl led to a spike in drug overdose deaths? And why would anyone want to take or deal in such a deadly drug? Guests: Mark Kinzly, co-founder of the Texas Overdose Naloxone Initiative, staff member with the Austin Harm Reduction Coalition in Texas, board member for the National Harm Reduction Coalition, and former heroin user; Carole Rendon, former US attorney for the Northern District of Ohio and a partner at Baker Hostetler LLP; Dr. Thomas P. Gilson, medical examiner for Cuyahoga County, and executive director for the Cuyahoga County crime laboratory; Christopher Tersigni, Assistant Special Agent at the Drug Enforcement Administration (DEA); Dr. Denise Paone, Senior Director of Research and Surveillance at the Bureau of Alcohol and Drug Use Prevention, Care and Treatment at the New York City Department of Health and Mental Hygiene. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E2 / The Opioid Overdose Crisis / Neonatal Abstinence Syndrome (NAS) / Chris Miller, Debbie Richmond, Lisa Carter Jan 17, 2018
    Show notes

    Is neonatal abstinence syndrome (NAS) -- babies whose mothers used opioids in pregnancy and who go into withdrawal after birth -- is another form of intergenerational violence? And how can a community stop the cycle? Guests: Lieutenant Debbie Richmond, specialist in child abuse investigations at the Bristol Tennessee Police Department; Lisa Carter, CEO of Niswonger Children's Hospital in Johnson City, Tennessee; Ashlie Harrod, nurse educator with the Sullivan County Health Department in Tennessee; Chris Miller, Chief Patient Experience Officer of Mountain States Health Alliance's Washington County Market, and the adoptive father of a baby boy with neonatal abstinence syndrome. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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    S2E1 / The Opioid Overdose Crisis / Is Addiction A Brain Disease? / Candice Shelby, Carl Hart, Nora Volkow, Owen Flanagan Jan 17, 2018
    Show notes

    Is addiction a brain disease? a moral failing or lack of willpower? or neither? And why does it matter? Guests: Prof. Owen Flanagan, expert on the philosophy of mind and psychiatry, ethics and moral psychology at Duke University, and in recovery from substance abuse; Dr. Nora Volkow, Director of the National Institute on Drug Abuse at the National Institutes of Health, and #TEDMED 2014 speaker; Dr. Carl Hart, Chair of Psychology at Columbia University, author of High Price: A Neuroscientist's Journey of Self-Discovery That Challenges Everything You Know About Drugs and Society, and #TEDMED 2014 speaker; Prof. Candice Shelby, professor of philosophy at the University of Colorado, and author of Addiction: A Philosophical Perspective. | insicknessandinhealthpodcast.com | glow.fm/insicknessandinhealth | #Opioid #Opiate #OpioidCrisis #OpioidEpidemic #MentalHealth #MentalIllness #Suicide #Depression #Trauma #ACEs #Abuse #Addiction #DrugAddiction #SubstanceAbuse #OpioidAbuse #Overdose #NAS #Heroin #Fentanyl #Oxycontin #Oxycodone #Percocet #Vicodin #HarmReduction #Methadone #Buprenorphine #Suboxone #Subutex #MAT #OST #HIV #HCV #HepC #NeedleExchange #SyringeExchange #SIFs #SupervisedConsumption #SupervisedInjection #Enable #Diversion #LEAD #Reentry #Faith #Religion #12step #AA #NA #Abstinence #BlackLivesMatter #BLM #Equity #Disparities #HealthDisparities #MedHum #MedHumChat #NarrativeMedicine #HealthHumanities #SocialMedicine #SocialJustice #SDoH


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