Addiction Toxicology Case Conference - January 2021

Case 1
A 27-year-old M presents to the ED with cellulitis from IVDU. He had relapsed with fentanyl and cocaine in April 2020 as a month Rx his pharmacy changed to delivering all medication early in the COVID-19 pandemic and his Rx was “stolen”. He’d gone without buprenorphine/naloxone for several days and, unable to contact his clinic, he’d used heroin/fentanyl then was, “just back at it....” Interested in getting back into treatment and restarting buprenorphine/naloxone as soon as possible.

Case 2
A 38-year-old M is interested in getting help for stimulant and opioid use but the inpatient program he’d wanted to enter is “holding admits due to a COVID19 outbreak,” and there is a two-week wait for either telemedicine or on-site evaluation at the county treatment program in a rural part of the state. After 3 days of trying to “detox at home,” he presents to the Emergency Department because, “I didn’t know what else to do.” Patient is in florid opioid withdrawal with rhinorrhea, tearing, yawns repeatedly, has vomiting and diarrhea and is extremely anxious and restless.

Series Moderators

• Timothy J. Wiegand, MD, FACMT, DFASAM (ACMT/ASAM Expert), Director of Toxicology and of the Toxicology Consult Service, University of Rochester Medical Center, Rochester, NY  
• Gloria J. Baciewicz, MD (ASAM Expert), Medical Director, Strong Recovery; Professor of Clinical Psychiatry, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY

Panelists

• Arianna Sampson Campbell, PA-C (Guest Expert) Director, Co-Principal Investigator, California Bridge, Placerville, CA
• Frank J. Edwards, MD, FACEP (Guest Expert) GME Research Director, Associate Designated Institutional Official, Arnot Health Graduate Medical Education, Arnot Ogden Medical Center, Elmira, NY
• Eric J. Hill, CADC-I (Guest Expert) Substance Use Navigator, Emergency Department, Marshall Medical Center, Placerville, CA
• Nicholas Nacca, MD (ACMT Expert) Assistant Professor Emergency Medicine, University of Rochester Medical Center, Rochester, NY
• Ross Sullivan, MD (ACMT/ASAM Expert) Director of Medical Toxicology, Upstate University Hospital; Director, Upstate Emergency Medicine Opioid Bridge Clinic; Medical Director, Helio Health, Syracuse, NY

About The Series: The ACMT/ASAM Addiction Toxicology Case Conference webinar series discusses Addiction/Toxicology cases in an interactive fashion featuring experts from Addiction Medicine, Addiction Psychiatry, and Medical Toxicology.

This webinar is open to the public.