Search found 24 matches

by mattkeene
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

Tell me if I am reading this correctly...but on page 30 of the proposal citing some of the needed criteria to go to 200 patients is: "employment, or a contractual obligation to treat patients in a setting that has the ability to accept third party payment for costs in providing health services, incl...
by mattkeene
Mon Sep 21, 2015 9:25 am
Forum: Clinical Use of Buprenorphine
Topic: Patient cap being lifted?
Replies: 80
Views:

I get profoundly furious when I read articles or policy proposals that vilify cash pay clinicians. I've been blessed in that I have not taken any insurance for General psychiatry in well over a decade. At this stage of my career, my only clinical practice is dedicated to 100 Bup/Nal patients. I comm...
by mattkeene
Mon Apr 27, 2015 10:55 pm
Forum: Clinical Use of Buprenorphine
Topic: Induction
Replies: 30
Views:

My norm is: 1. See new patient 2. Call the next day to see how they are doing and answer any questions 3. See them again 7 days after first appointment 4. See them again 7 days later. If both f/u visits have negative opiate use and no issues with Bup, then 5. See them 2 weeks later.If they still wer...
by mattkeene
Mon Mar 17, 2014 11:24 am
Forum: Clinical Use of Buprenorphine
Topic: duration of treatment with buprenorphine
Replies: 72
Views:

NoDrugs...I would point out the difference between addiction and dependence. With the "drug dealer" dose escalates, jobs, relationships, and often lives are lost. With OMT, at least with Bup, dose either remains the same or decreases, folks return to work, family dynamics improve, and lives are save...

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