Zachary Sager's guest appearances

Zachary Sager

Louisville Lectures Internal Medicine Lecture Series Podcast

GeriPal

Scott Bauer

BJ Miller

Chris Stewart

Andy Cohen

Aaron Kesselheim

Louise Aronson

Charles Moore

Eric Baker

Haider Warraich

Lewis Cohen

Stephanie Rogers

Tim Anderson

Patrick McKenzie

Jessica Zitter

Susan Block

OwlTail

Katie Fitzgerald

Janet Ho

Buprenorphine.  It’s been around for a long time but is acting like the hot new kid in town.  Just look at this year’s AAHPM meeting, where it felt like every other session was talking about how hot buprenorphine is right now.  But does this drug really live up to the hype? On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). We try to cover a lot in a 45 minute podcast, but if there is one take-away, it's that all of us who prescribe opioids should learn how to use buprenorphine and that we should all sign up for a DEA X-waiver at www.getwaivered.com or at www.buprenorphine.samhsa.gov (now you can treat up to 30 patients without completing the additional educational training, so signing up takes about 5 minutes).  And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder:   Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness   Learn about using the low dose buprenorphine patch:    Low-Dose Buprenorphine Patch for Pain - Fast Fact  Learn about how to initiate buprenorphine:    Sublingual Buprenorphine Initiation: The Traditional Method  - Palliative Care Network of Wisconsin Low Dose Initiation of Buprenorphine: A Narrative Review and Practical Approach  Good review on buprenorphine for pain  Understanding Buprenorphine for Use in Chronic Pain: Expert Opinion 

Buprenorphine.  It’s been around for a long time but is acting like the hot new kid in town.  Just look at this year’s AAHPM meeting, where it felt like every other session was talking about how hot buprenorphine is right now.  But does this drug really live up to the hype? On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). We try to cover a lot in a 45 minute podcast, but if there is one take-away, it's that all of us who prescribe opioids should learn how to use buprenorphine and that we should all sign up for a DEA X-waiver at <a href="http://www.getwaivered.com" rel="nofollow" target="_blank">www.getwaivered.com</a> or at <a href="http://www.buprenorphine.samhsa.gov" rel="nofollow" target="_blank">www.buprenorphine.samhsa.gov</a> (now you can treat up to 30 patients without completing the additional educational training, so signing up takes about 5 minutes).  And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder:  <ul> <li><a href="https://pubmed.ncbi.nlm.nih.gov/33685244/" rel="nofollow" target="_blank">Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness </a></li> </ul> Learn about using the low dose buprenorphine patch:  <ul> <li><a href="https://www.mypcnow.org/fast-fact/low-dose-buprenorphine-patch-for-pain/" rel="nofollow" target="_blank"> Low-Dose Buprenorphine Patch for Pain</a> - Fast Fact</li> </ul> Learn about how to initiate buprenorphine:  <ul> <li><a href="https://www.mypcnow.org/fast-fact/sublingual-buprenorphine-initiation-the-traditional-method/" rel="nofollow" target="_blank"> Sublingual Buprenorphine Initiation: The Traditional Method  - Palliative Care Network of Wisconsin</a></li> <li><a href="https://pubmed.ncbi.nlm.nih.gov/34954746/" rel="nofollow" target="_blank">Low Dose Initiation of Buprenorphine: A Narrative Review and Practical Approach</a></li> </ul> Good review on buprenorphine for pain <ul> <li><a href="https://pubmed.ncbi.nlm.nih.gov/31917418/" rel="nofollow" target="_blank">Understanding Buprenorphine for Use in Chronic Pain: Expert Opinion</a></li> </ul>

Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

Dr. Sager presents Delirium and how common it is through various statistics before explaining the Delirium DSM- 5 Criteria. He then discusses the many paths that lead to the development of Delirium and why that makes it so difficult to treat as well as the diagnosis of Delirium and the different risk factors involved like dementia, immobility, sensory impairment, etc. While treatment is hard to come by, Dr. Sager discusses the different treatments available.Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.Disclaimers©2016 LouisvilleLectures.org

Dr. Sager presents Delirium and how common it is through various statistics before explaining the Delirium DSM- 5 Criteria. He then discusses the many paths that lead to the development of Delirium and why that makes it so difficult to treat as well as the diagnosis of Delirium and the different risk factors involved like dementia, immobility, sensory impairment, etc. While treatment is hard to come by, Dr. Sager discusses the different treatments available. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 <a href="http://LouisvilleLectures.org" rel="nofollow" target="_blank">LouisvilleLectures.org</a>

Delirium with Dr. Zachary Sager

In a discussion with listeners, Dr. Sager through Bipolar Disorder by first explaining the DSM Criteria from Manic Episodes to Bipolar Depression. Dr. Sager presents how to diagnose Bipolar Disorder as well as the different treatments and how to make an educated decision for when to begin treatment based on the individual patient.   Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.Disclaimers©2016 LouisvilleLectures.org

In a discussion with listeners, Dr. Sager through Bipolar Disorder by first explaining the DSM Criteria from Manic Episodes to Bipolar Depression. Dr. Sager presents how to diagnose Bipolar Disorder as well as the different treatments and how to make an educated decision for when to begin treatment based on the individual patient. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 <a href="http://LouisvilleLectures.org" rel="nofollow" target="_blank">LouisvilleLectures.org</a>

Bipolar Disorder with Dr. Zachary Sager