{"id":11992,"date":"2017-01-23T15:29:59","date_gmt":"2017-01-23T23:29:59","guid":{"rendered":"https:\/\/www.gasdetection.com\/?page_id=11992"},"modified":"2017-01-23T15:31:11","modified_gmt":"2017-01-23T23:31:11","slug":"fake-news-comes-addiction-treatment","status":"publish","type":"page","link":"https:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/","title":{"rendered":"Fake News Comes To Addiction Treatment"},"content":{"rendered":"<p><!--image--><a href=\"http:\/\/www.canstockphoto.com\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-11994\" src=\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg\" alt=\"addiction treatment\" width=\"300\" height=\"220\" srcset=\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg 300w, https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1-50x37.jpg 50w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p class=\"hndtop5\">January 23, 2017<\/p>\n<p class=\"hndtop1\">Fake News Comes To Addiction Treatment<\/p>\n<p>By Michael D. Shaw<\/p>\n<p>The notion of &#8220;fake news&#8221; and its effect on the public has been widely publicized. One problem with the clarion call to end the supposed plague of fake news is that it is nearly impossible to define the term. The plain fact is that any human-based description of any particular event will necessarily be &#8220;tainted&#8221; by the perspective of the describer. Few statements, other than the time and numerical designations of the weather conditions, can be free of narrator&#8217;s bias.<\/p>\n<p>However, most people would agree that for a fake news story to be effective, it would have to include a few unassailable facts\u2014which could then be conflated with other assertions in such a manner as to promote the false narrative. This basic technique can be enhanced in several ways. One tactic is to quote a recognized authority, who might now be commenting on a field outside of his expertise.<\/p>\n<p>Which brings us to an <a href=\"https:\/\/www.washingtonpost.com\/national\/health-science\/im-a-doctor-who-wants-to-treat-addiction-but-the-rules-wont-let-me\/2017\/01\/13\/faaa6ee4-d2b0-11e6-9cb0-54ab630851e8_story.html?utm_term=.a2362a691533\">article<\/a> that recently appeared in the <em>Washington Post<\/em>, entitled &#8220;I\u2019m a doctor who wants to treat addiction, but the rules won\u2019t let me.&#8221; In the print edition, the title was &#8220;I can&#8217;t prescribe a vital drug.&#8221; The author is Douglas Jacobs, a resident physician at Boston&#8217;s Brigham and Women&#8217;s Hospital, who also contributes to the <em><a href=\"http:\/\/healthaffairs.org\/blog\/author\/djacobs\/\">Health Affairs<\/a><\/em> blog.<\/p>\n<p>Jacobs relates the frustration and sadness he experienced when treating &#8220;Mr. B.,&#8221; a heroin addict, in a primary care clinic. Regulations, you see, prohibit Dr. Jacobs and his attending physicians from prescribing a wonderful drug (buprenorphine) that could treat his patient&#8217;s addiction. Mr. B. had already tried methadone\u2014generally regarded as the gold standard for opiate addiction treatment\u2014but it had not worked for him.<\/p>\n<p>True enough, completion of an 8-hour online course is required to allow docs to prescribe any Schedule III &#8211; V substance (including buprenorphine) as used in addiction treatment. For the record, methadone is a Schedule II substance, and a different course must be completed. One might ask why no physician within Jacobs&#8217; clinic has been certified. After all, the sad spectacle of oxycodone-addicted chronic pain patients being essentially forced into heroin abuse\u2014by limiting their access to oxycodone\u2014is hardly a big secret.<\/p>\n<p>Recall that heroin was originally introduced in 1898 as a powerful pain medication, with the added advantage of not being as addictive as morphine. These days, it is relatively cheap and available as a street drug.<\/p>\n<p>People addicted to opiates will develop an increased number of opioid receptors in the brain. Withdrawal occurs when these receptors are left inactivated, and is only relieved by consuming more opiates. Buprenorphine is a so-called partial opiate agonist, in that it activates the receptors, but does not provide much of a high\u2014compared to full agonists such as heroin. More than that, buprenorphine is &#8220;stickier&#8221; than heroin, in that it preferentially binds the receptors and keeps the full agonists away.<\/p>\n<p>All good, right? Wrong, and this is where Jacobs inexplicably goes off the rails. Does he not realize that drug abusers&#8230;abuse drugs? And, make no mistake, buprenorphine can surely be abused if injected. That&#8217;s why, in 2002, the FDA approved the use of pain drug suboxone for addiction treatment. Suboxone combines buprenorphine with naloxone (a silent or neutral antagonist), in a 4:1 ratio. If suboxone is injected\u2014instead of taken sublingually as it should be\u2014withdrawal symptoms will rapidly occur. Since 2013, this combination drug has been available as a generic.<\/p>\n<p>We can speculate as to why Jacobs did not mention suboxone, universally accepted and known as a medicine for addiction treatment. If one pill of buprenorphine is dispensed at a time, in the presence of a physician, abuse is not possible. And, in many treatment scenarios, buprenorphine without naloxone is dispensed during the early phases (induction), when the patient is under careful supervision.<\/p>\n<p>Fair enough, but at some point, the patient should be transitioned to administering his own meds. Otherwise, such therapy would have no advantage over methadone. So&#8230;what was Jacobs thinking? Did no one edit his article?<\/p>\n<p>I guess that&#8217;s why they make you take that 8-hour course.<\/p>","protected":false},"excerpt":{"rendered":"<p>January 23, 2017 Fake News Comes To Addiction Treatment By Michael D. Shaw The notion of &#8220;fake news&#8221; and its effect on the public has been widely publicized. One problem with the clarion call to end the supposed plague of fake news is that it is nearly impossible to define the term. The plain fact&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":111,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"hnd-page.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.5 (Yoast SEO v22.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fake News Comes To Addiction Treatment - Interscan Corporation<\/title>\n<meta name=\"description\" content=\"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fake News Comes To Addiction Treatment - Interscan Corporation\" \/>\n<meta property=\"og:description\" content=\"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"Interscan Corporation\" \/>\n<meta property=\"article:modified_time\" content=\"2017-01-23T23:31:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/\",\"url\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/\",\"name\":\"Fake News Comes To Addiction Treatment - Interscan Corporation\",\"isPartOf\":{\"@id\":\"https:\/\/www.gasdetection.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage\"},\"image\":{\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg\",\"datePublished\":\"2017-01-23T23:29:59+00:00\",\"dateModified\":\"2017-01-23T23:31:11+00:00\",\"description\":\"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.\",\"breadcrumb\":{\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage\",\"url\":\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg\",\"contentUrl\":\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Interscan In The News\",\"item\":\"https:\/\/www.gasdetection.com\/interscan-in-the-news\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Magazine Articles\",\"item\":\"https:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Fake News Comes To Addiction Treatment\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.gasdetection.com\/#website\",\"url\":\"https:\/\/www.gasdetection.com\/\",\"name\":\"Interscan Corporation\",\"description\":\"Your Gas Detection Headquarters on the Web\",\"publisher\":{\"@id\":\"https:\/\/www.gasdetection.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.gasdetection.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.gasdetection.com\/#organization\",\"name\":\"Interscan Corporation\",\"url\":\"https:\/\/www.gasdetection.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.gasdetection.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/InterscanLogoHead-x2.png\",\"contentUrl\":\"https:\/\/www.gasdetection.com\/wp-content\/uploads\/InterscanLogoHead-x2.png\",\"width\":385,\"height\":126,\"caption\":\"Interscan Corporation\"},\"image\":{\"@id\":\"https:\/\/www.gasdetection.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/x.com\/mds1_t\"]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Fake News Comes To Addiction Treatment - Interscan Corporation","description":"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/","og_locale":"en_US","og_type":"article","og_title":"Fake News Comes To Addiction Treatment - Interscan Corporation","og_description":"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.","og_url":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/","og_site_name":"Interscan Corporation","article_modified_time":"2017-01-23T23:31:11+00:00","og_image":[{"url":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg"}],"twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/","url":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/","name":"Fake News Comes To Addiction Treatment - Interscan Corporation","isPartOf":{"@id":"https:\/\/www.gasdetection.com\/#website"},"primaryImageOfPage":{"@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage"},"image":{"@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage"},"thumbnailUrl":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg","datePublished":"2017-01-23T23:29:59+00:00","dateModified":"2017-01-23T23:31:11+00:00","description":"Article reveals the misleading depiction of addiction treatment, giving false impression of the use of buprenorphine. Misleading article appeared in WaPo.","breadcrumb":{"@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#primaryimage","url":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg","contentUrl":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/addiction_treatment1.jpg"},{"@type":"BreadcrumbList","@id":"http:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/fake-news-comes-addiction-treatment\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Interscan In The News","item":"https:\/\/www.gasdetection.com\/interscan-in-the-news\/"},{"@type":"ListItem","position":2,"name":"Magazine Articles","item":"https:\/\/www.gasdetection.com\/interscan-in-the-news\/magazine-articles\/"},{"@type":"ListItem","position":3,"name":"Fake News Comes To Addiction Treatment"}]},{"@type":"WebSite","@id":"https:\/\/www.gasdetection.com\/#website","url":"https:\/\/www.gasdetection.com\/","name":"Interscan Corporation","description":"Your Gas Detection Headquarters on the Web","publisher":{"@id":"https:\/\/www.gasdetection.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.gasdetection.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.gasdetection.com\/#organization","name":"Interscan Corporation","url":"https:\/\/www.gasdetection.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.gasdetection.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/InterscanLogoHead-x2.png","contentUrl":"https:\/\/www.gasdetection.com\/wp-content\/uploads\/InterscanLogoHead-x2.png","width":385,"height":126,"caption":"Interscan Corporation"},"image":{"@id":"https:\/\/www.gasdetection.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/x.com\/mds1_t"]}]}},"_links":{"self":[{"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/pages\/11992"}],"collection":[{"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/comments?post=11992"}],"version-history":[{"count":0,"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/pages\/11992\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/pages\/111"}],"wp:attachment":[{"href":"https:\/\/www.gasdetection.com\/wp-json\/wp\/v2\/media?parent=11992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}