Drug Dealer MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop
Anna Lembke, MD
Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it’s built on well-meaning doctors treating patients with real problems.
In this Conversations About Ethics, Dr. Anna Lembke will uncover the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don’t know how to treat it, connections to treatment are lacking, and insurance companies won’t pay for rehab.
This conversation is for anyone whose life has been touched in some way by addiction to prescription drugs - whether those who have struggled personally or those who are providing care on the front lines. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.
Also join us for our luncheon keynote on Finding Balance in a Dopamine-Saturated World. Details.
Anna Lembke, MD, received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University School of Medicine. She completed a residency in Psychiatry, and a fellowship in mood disorders, both at Stanford, and is currently Associate Professor and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She has published over 50 peer-reviewed articles, chapters, and commentaries, and is author of the book: Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop (Johns Hopkins University Press, November 2016).
CME: The UT Health San Antonio School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The UT Health San Antonio School of Medicine designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Physician Assistants (AAPA), American Academy of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC) accepts certificates of attendance for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Healthcare professionals receiving a certificate of attendance should consult with their licensing board for information on applicability and acceptance.
This activity is pending approval of ethics credit.
CEU: The Ecumenical Center is an approved provider of continuing education by the State of Texas for the following: LPC, LMFT, LCDC and Social Workers. The lunchtime seminar provides 2 Ethics Continuing Education Unit, and the evening keynote provides 1 Ethics Continuing Education Unit.
This resource list brings together websites, videos, audio recordings, books, and articles to supplement the workshop and lecture.
Anna Lembke, MD
Stanford University Profile
Drug Dealer, M.D.: Misunderstandings and Good Intentions Fueled Opioid Epidemic
NPR Audio Interview with Transcript
Drug Dealer, MD
TEDx Stanford Presentation
Drug Dealer, MD: A Look at the Opioid Epidemic
Stanford Medicine Podcast
Drug Dealer, MD: How Doctors were Duped, Patients Got Hooked, and Why It's So Hard to Stop
Book by Anna Lembke, MD
San Antonio Public Library lib.tx.us
Qualitative Study of Treatment-Seeking Heroin Users in Contemporary China
Addiction Science & Clinical Practice 2015
Time to Abandon the Self-Medication Hypothesis in Patients with Psychiatric Disorders
American Journal of Drug and Alcohol Abuse November 2012
Briscoe Library ..
Use of Opioid Agonist Therapy for Medicare Patients in 2013
JAMA Psychiatry September 1, 2016
Weighing the Risks and Benefits of Chronic Opioid Therapy
American Family Physician June 15, 2016
Why Doctors Prescribe Opioids to Known Opioid Abusers
New England Journal of Medicine Perspective October 25, 2012
Babies Fall Victim to the Opioid Crisis
National Geographic September 2017
Discussing Opioid Risks With Patients to Reduce Misuse and Abuse: Evidence From Two Surveys
Annals of Family Medicine November/December 2016
Increases in Drug and Opioid-Involved Overdose Deaths- United States, 2010_2015
Morbidity And Mortality Weekly Report December 30, 2016
More Teens Show Up in ERs Addicted to Opioids
NBC Today Show September 15, 2017
American Academy of Family Physicians Website
Opioid Addiction Facts & Figures
American Society of Addiction Medicine Datasheet
National Institute on Drug Abuse Webpage
World Health Organization Information Sheet
Stretching the Scope: Becoming Frontline Addiction-Medicine Providers
New England Journal of Medicine Perspective August 24, 2017
What Science Says To Do If Your Loved One Has An Opioid Addiction
FiveThirtyEight July 19, 2016
Addicts Next Door
New Yorker June 5 & 12, 2017
America's Opioid Epidemic and its Effect on the Nation's Commercially-Insured Population
BCBS: Health of America Report June 29, 2017
Americans are Hoarding a Massive Black Market Supply of Opioids
CNBC September 13, 2017
Inside a Killer Drug Epidemic: A Look at America's Opioid Crisis
New York Times January 6, 2017
North American Opioid Epidemic: Current Challenges and a Call for Treatment as Prevention
Harm Reduction Journal May 12, 2017
Prescription Opioid Addiction Treatment Study: What Have We Learned
Drug and Alcohol Dependence April 1, 2017
Prescription Opioid Poisoning Across Urban and Rural Areas: Identifying Vulnerable Groups and Geographic Areas
Addiction January 2017
Recommendations for the Prevention, Detection, Treatment and Management of Prescription Opioid Analgesic Dependence: Outcomes From the Opioid Analgesic Dependence Education Nexus Meeting
International Journal of Mental Health and Addiction 2016
Safer and More Appropriate Opioid Prescribing: A Large Healthcare System's Comprehensive Approach
Journal of Evaluation in Clinical Practice July 14, 2017
Texas Matters: How Bad Is the Opioid Crisis In Texas?
Texas Public Radio Interview
Annual Surveillance Report of Drug-Related Risks and Outcomes: United States, 2017
CDC National Center for Injury Prevention and Control Report
Opioid Overdose: Preventing and Reducing Opioid Overdose Mortality
United Nations Office on Drugs and Crime Publication
Opioid Use Disorders
Child and Adolescent Psychiatric Clinics of North America July 2016
Prescription Opioid Abuse in Chronic Pain: An Updated Review of Opioid Abuse Predictors and Strategies to Curb Opioid Abuse: Part 1
Pain Physician February 2017
Prescription Opioid Abuse in Chronic Pain: An Updated Review of Opioid Abuse Predictors and Strategies to Curb Opioid Abuse: Part 2
Pain Physician February 2017
Prescription Opioid Use Among Adults with Mental Health Disorders in the United States
Journal of the American Board of Family Practice July-August 2017
Risk Factors for Opioid Overdose and Awareness of Overdose Risk Among Veterans Prescribed Chronic Opioids for Addiction or Pain
Journal of Addictive Diseases January-March 2016
Shifting Blame: Buprenorphine Prescribers, Addiction Treatment, and Prescription Monitoring in Middle-Class America
Transcultural Psychiatry August 2016
Treatment Utilization Among Persons with Opioid Use Disorder in the United States
Drug and Alcohol Dependence December 1, 2016
You Present like a Drug Addict: Patient and Clinician Perspectives on Trust and Trustworthiness in Chronic Pain Management
Pain Management August 2016