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05038aam a2200649 i 4500 001 C74865D8F4DE11E6B5721789DAD10320 003 SILO 005 20230510010042 008 160309s2016 mdu b 001 0 eng 010 $a 2016010031 020 $a 1421421402 (pbk. : alk. paper) 020 $a 9781421421407 (pbk. : alk. paper) 035 $a (OCoLC)944408451 040 $a DLC $b eng $e rda $c DLC $d YDXCP $d BTCTA $d OCLCF $d BDX $d UOK $d ABG $d YDX $d GK8 $d AMH $d VP@ $d OCLCO $d GZN $d JVX $d OCLCO $d IUL $d OCLCO $d IAQ $d OCLCO $d CZA $d OCLCO $d OCLCA $d AZT $d OCLCO $d CASUM $d OCLCO $d CUT $d MZ5 $d OCLCO $d UPM $d OCLCO $d ON9 $d FM0 $d OCLCO $d SILO 042 $a pcc 050 00 $a RM319 $b .L46 2016 060 4 $a QV 95 082 00 $a 615.7/83 $2 23 100 1 $a Lembke, Anna, $d 1967- 245 10 $a Drug dealer, MD : $b how doctors were duped, patients got hooked, and why it's so hard to stop / $c Anna Lembke, MD. 264 1 $a Baltimore : $b Johns Hopkins University Press, $c 2016. 300 $a xi, 172 pages ; $c 22 cm 504 $a Includes bibliographical references and index. 505 0 $a What is addiction, who's at risk, and how do people recover? -- Prescription drugs as the new gateway to addiction -- Pain is dangerous, difference is psychopathology : the role of illness narratives -- Big Pharma joins Big Medicine : co-opting medical science to promote pill-taking -- The drug-seeking patient : malingering versus the hijacked brain -- The professional patient : illness as identity and a right to be compensated -- The compassionate doctor, the narcissistic injury, and the primitive defense -- Pill mills and the Toyota-ization of medicine -- Addiction, the disease insurance companies still won't pay doctors to treat -- Stopping the cycle of compulsive prescribing. 520 $a "Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it's built on well-meaning doctors treating patients with real problems. In Drug Dealer, MD, Dr. Anna Lembke uncovers the unseen forces driving opioid addiction nationwide. Combining case studies from her own practice with vital statistics drawn from public policy, cultural anthropology, and neuroscience, she explores the complex relationship between doctors and patients, the science of addiction, and the barriers to successfully addressing drug dependence and addiction. Even when addiction is recognized by doctors and their patients, she argues, many doctors don't know how to treat it, connections to treatment are lacking, and insurance companies won't pay for rehab. Full of extensive interviews--with health care providers, pharmacists, social workers, hospital administrators, insurance company executives, journalists, economists, advocates, and patients and their families--Drug Dealer, MD is for anyone whose life has been touched in some way by addiction to prescription drugs. Dr. Lembke gives voice to the millions of Americans struggling with prescription drugs while singling out the real culprits behind the rise in opioid addiction: cultural narratives that promote pills as quick fixes, pharmaceutical corporations in cahoots with organized medicine, and a new medical bureaucracy focused on the bottom line that favors pills, procedures, and patient satisfaction over wellness. Dr. Lembke concludes that the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered"--Provided by publisher. 650 0 $a Analgesics 650 0 $a Medication abuse 650 0 $a Physician and patient 650 0 $a Drugs $x Prescribing 650 0 $a Drug abuse 650 7 $a Analgesics $2 fast $0 (OCoLC)fst00808271 650 7 $a Drug abuse $2 fast $0 (OCoLC)fst01430217 650 7 $a Drugs $x Prescribing $2 fast $0 (OCoLC)fst00898867 650 7 $a Medication abuse $2 fast $0 (OCoLC)fst01432065 650 7 $a Physician and patient $2 fast $0 (OCoLC)fst01062819 650 7 $a MEDICAL / Education & Training. 650 7 $a MEDICAL / Public Health 650 12 $a Inappropriate Prescribing. 650 12 $a Prescription Drug Misuse. 650 22 $a Analgesics 650 22 $a Ethics, Clinical. 650 22 $a Malingering. 650 22 $a Pain $x drug therapy. 650 22 $a Physician-Patient Relations. 941 $a 10 952 $l GZPE631 $d 20240305013453.0 952 $l GEPG771 $d 20210722053647.0 952 $l LAPH975 $d 20200529011627.0 952 $l YEPF572 $d 20200204091659.0 952 $l TYPH572 $d 20200110073602.0 952 $l OVUX522 $d 20191214015221.0 952 $l IBAX173 $d 20180307030012.0 952 $l TCPG826 $d 20170518010612.0 952 $l GAAX314 $d 20170302010043.0 952 $l PNAX964 $d 20170218010739.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=C74865D8F4DE11E6B5721789DAD10320 994 $a Z0 $b HL6Initiate Another SILO Locator Search