OPIOIDS

The Palm Beach County Medical Society (PBCMS) is extremely concerned about the impact that opioid addiction has on the community and subsequently has developed several resources to help educate physicians and patients to help them navigate the growing opioid epidemic. This website contains some of these resources. PBCMS also advocates on behalf of Palm Beach County physicians and patients to ensure that opioid-related legislation takes a common sense, patient centered approach.

What are opioids?

Opioids (oh-pee-oyds) are powerful pain relievers your doctor can prescribe to manage acute and chronic pain. If you misuse opioids or do not take them correctly, they can cause overdose and even death.

How do opioids work?

Opioids block pain signals in the brain. Many opioids are available in short- and long-acting forms. Opioids change the chemistry of the brain and lead to drug tolerance, which means that over time the dose needs to be increased to achieve the same effect. Opioid addiction can cause life-threatening health problems, including the risk of overdose. Overdose occurs when high doses of opioids cause breathing to slow or stop, leading to unconsciousness and death if the overdose is not treated immediately. Both legal and illegal (ie. heroin, carfentanil) opioids carry a risk of overdose if a person takes too much of the drug, or if opioids are combined with other drugs (particularly tranquilizers called benzodiazepines). 

Interviews with physicians regarding their personal experiences with addiction and recovery.  

Local physician tells his story about his road to recovery. October 2021

Dr. Brent Schillinger and Dr. Abbey Strauss interviewing Dr. Richard Morgan speaking about his personal experiences suffering from opioid use disorder and his subsequent recovery journey.  Dr. R Morgan, My Addiction and Recovery July 2021  

Peter Grinspoon, MD His Addiction and Recovery March 2021 

A Physician Speaks About His Own Addiction and His On-Going Recovery  Sean Fogler, M.D., discusses his history and recovery. Dr. Folger addresses key mental health needs for physicians, professional attributes that can impede recovery, stigma, personal connections, how he maintains recovery, addiction as a disease, etc., all done with sincerity, candor and hope. Jan 2021   

Opioid Videos

Doctors and Opioids Dec 2021

PBCMS Services Opioid Task Force Sept 2021

Opioid Podcasts  

New Releases 

Is it OK to give patients larger quantities of suboxone and methadone without close monitoring? Tara Gomes, epidemiologist in Ontario, Canada, speaks to enlightening research that says this is good clinical practice in stabilized patients suffering from opioid use disorder. The project was partially in response to COVID caused travel restrictions. Her research showed that this strategy reduced barriers and the fears of increased overdoses were unfounded. Click here to listen to the podcast. May 2022

Click here for the newest PBCMS podcast as Emergency Medicine specialist Steven Keehn, DO speaks about the Addiction Stabilization Unit, a 24/7 local emergency room designed specifically to deal with patients suffering from all aspects of substance use disorder. May 2022

One of the bravest, smartest writers anywhere, Maia Szalavitz, speaks about the untold story of harm reduction, a simple idea with enormous power.  Maia's latest book is Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction April 2022

Click here to listen as Elizabeth Evans, PhD is speaking about the reduction of incarceration recidivism following administration of buprenorphine for opioid use disorder in the prison setting. March 2022

On a newly released PBCMS podcast Lori Ann Post, PhD speaks about practicing with a balanced pain management approach in the context of the opioid epidemic. Click here to listen. February 2022 

Lori Ann Post PhD speaks with us about a new JAMA study she authored which reveals that older Americans are the ignored victims of the opioid crisis. Click here to listen. Feb 2022

Luke Elms, MD a general surgeon from Orlando Health, speaking about ERAS which is Enhanced Recovery Around Surgery and the responsible use of opioids and other pain control methods in the perioperative setting. Jan 2022

Hiring Recovering Physicians with Steve Chambers, MD Dec 2021

Buprenorphine in the Perioperative Period with Lynn Kohan MD Nov 2021

The Strategy of High Dose Buprenorphine in the Emergency Room Setting with Andrew Herring, MD Nov 2021

Opioid Use Disorder and Pregnancy, Special Dilemmas with Kay Roussos Ross, MD June 2021  

Physical Therapist Jeffrey Frankart New Opioid Minimizing Approaches to Pain Management. April 2021  

Drug Use Screening SBIRT with Bertha Madras, MD, Brent Schillinger, MD and Abby Strauss, MD Nov 2020  

Robert Stutman "Opioid use Disorder and COVID-19" June 2020

Opioid Addiction Treatment Resources

Addiction Treatment Center Checklist

Opioid Addiction Treatment:  A Guide for Patients, Families and Friends

What to do if your adult friend or loved one has a problem with drugs

National Institute on Drug Abuse 

Substance Abuse and Mental Health Services Administration (SAMHSA)

Opioid Crisis – Palm Beach County’s Response

Screening Brief Intervention and Referral to Treatment (SBIRT)
A Step-By-Step Guide for Screening and Intervening for Unhealthy Alcohol and Other Drug Use 

Palm Beach County Medical Society/HERC Opioid Task Force presented an Opioid CME Educational Program for Physicians on Saturday, November 2, 2019. Below are presentations from the program.

Collaboration with Pharmacists on Pain Management.pdf Erin Dorval, PharmD

Opioid Use Disorder OUD.pdf Aldo Morales, MD