Compassion in the Midst of Addiction ... Why the Future of Medicine Is About Kindness and Compassion

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  • COMPASSION IN THE

    MIDST OF ADDICTION

    A Doctor's Journey of Turning

    Grief Into Education"

  • I a sk tha t you …empath ic dur ing th i s

    presenta t ion

    “I have no conflict of interest in giving this

    presentation and I am not getting paid to do it”

    However,

  • This presentation today is dedicated to my son

    Adam and my colleagues (couple) son’s Alext

    Galatea and to all of those whose legacies (in

    fighting the disease) we will spend the rest of our

    lives trying to show that they are bigger than their

    short life span. It is also dedicated to all those young

    people everywhere especially Rams in Recovery who

    struggle every day with the burden of the disease,

    and of staying in recovery.

  • http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwj95e37tr3RAhWBcCYKHXeuCjoQjRwIBw&url=http://likesuccess.com/topics/659/compassion-and-empathy&bvm=bv.144210762,d.amc&psig=AFQjCNEwFDh2zwvoO4viJiOMP7Bb3Nr8oQ&ust=1484338539718979

  • OBJECTIVE!!

    Change the narrative about “Addiction”

    Through

    Practice of Compassion. i.e…

  • A case for compassion

    • In faiths

    • In Humans

    • In medicine

    Why in addiction?

    My own journey with compassion

    Why Compassionate is needed to treat addiction

    My Personal journey.

  • FORMAT OF CONTENTS

    Readings

    Stories (case presentations)

    A Prayer

    • No singing……(Friday, Saturday and Sunday came to early..

  • “There is a beauty all around us. We may

    just have to rise high to be able to see it”

  • COMPASSION IN

    FAITHS

  • “When Jesus landed and saw a large

    crowd, he had compassion on them

    and healed their sick.” Matthew 14:14

    “When he saw the crowds, he had

    compassion on them, because they were harassed and helpless, like sheep without a shepherd.” Matthew 9:36

    https://www.biblegateway.com/passage/?search=Matthew+14:14&version=NIV https://www.biblegateway.com/passage/?search=Matthew+14:14&version=NIV https://www.biblegateway.com/passage/?search=Matthew+14:14&version=NIV https://www.biblegateway.com/passage/?search=Matthew+9:36&version=NIV https://www.biblegateway.com/passage/?search=Matthew+9:36&version=NIV

  • “Because of your great compassion you did not abandon

    them in the wilder ness. By day

    the pil lar of cloud did not fai l to

    guide them on their path, nor the pil lar of f ire by night to shine on the way they were to take .” NEHEMIAH 9 : 19

    https://www.biblegateway.com/passage/?search=Nehemiah+9:19&version=NIV https://www.biblegateway.com/passage/?search=Nehemiah+9:19&version=NIV https://www.biblegateway.com/passage/?search=Nehemiah+9:19&version=NIV

  • “It is a mercy from Allah that you were gentle with

    them. If you had been rough or hard of heart, they

    would have scattered from around you. So pardon

    them and ask forgiveness for them, and consult with

    them about the matter. Then when you have reached

    a firm decision, put your trust in Allah . Allah loves

    those who put their trust in Him. “ (Sura Al’Imran,

    159)

  • “Then will he be of those who believe,

    and enjoin patience, (constancy, and

    self-restraint), and enjoin deeds of

    kindness and compassion.” (Surah Al-

    Balad, 17

  • COMPASSION IN “US”

  • Leigh Tremaine - Finding Inner Wellness

    https://www.youtube.com/user/leightremaine https://www.youtube.com/user/leightremaine https://www.youtube.com/user/leightremaine https://www.youtube.com/user/leightremaine

  • COMPASSION IN US

    “Compassion is a natural instinct within all of us,

    but it is stifled when we lack mindfulness and are

    mot present to life. This is why the practice of

    compassion results in numerous health benefits

    for the givers as well as the receivers of

    compassion…...

  • COMPASSION IN US

    ....Compassion is ultimately the

    embodiment of realization that all life is

    one continuum, and that what benefits the

    authentic wellbeing of others also benefits

    ourselves”.

  • COMPASSION IN

    MEDICINE

  • Why the Future of Medicine Is

    About Kindness and Compassion

    BY JENNIFER DOBNER

    JULY 07, 2015. SAN FRANCISCO, CA

    – in: Dignity Health

    COMPASSION and MEDICINE

    Jennifer Dobner is a Salt Lake City-based independent award-winning

    journalist and writer and a regular contributor to Reuters, The New

    York Times, WebMD, and NBC’s Today Show.

  • COMPASSION IN HEALTH

    CARE

    “What if the future of medicine comes not only

    from advancements in science and technology,

    but also from something simple and intuitive --

    something that draws on both the deep roots of

    the human experience and early medicine. What

    if it comes from compassion?”

  • Dr. James Doty, a neurosurgeon, and the director and founder of the Center for Compassion and Altruism Research

    and Education (CCARE) at Stanford University

  • “At the beginning of medicine, when our

    knowledge was frankly limited or absent,

    what is it that we were able to provide?.....It

    was not cure. It was not intervention. The

    only thing we could provide was care and

    comfort.”

  • “Compassion isn't entirely gone from

    health care -- those working in the

    profession are still driven by a desire to

    ease suffering -- but in practice, it's a tenet

    that seems to have been lost or pushed

    aside over time”.

  • "We've become enamored with the technology

    and the power of science," he says. "Certainly,

    they've had a huge impact on health and health

    outcomes. But we also have seen the result of

    negating that and what we have learned is that

    there is immense power to demonstrating

    compassion and caring to individuals who are ill."

  • "I always tell people that while science

    and technology have probably saved

    millions of lives, the fact of the matter

    is that kindness and compassion have

    probably saved more," says Doty

  • Lack of understanding of addiction (ignorance) is the

    root of stigma that is associated with addiction

    Stigma associated with addiction has lead to lack of

    compassion to patients affected with addiction

    Stigma and lack of compassion surrounding

    addiction are barriers to appropriate diagnosis and

    Treatment

    WHY COMPASSION IS

    NEEDED IN ADDICTION?

  • So, Why Compassion in

    Medicine is lost when it

    related to addiction ?

  • CAP PROFILES

    Assistant Professor of Psychiatry and Behavioral

    Sciences Program Director for the Stanford University

    Addiction Medicine Fellowship, and Chief of the

    Stanford Addiction Medicine Dual Diagnosis Clinic

    https://med.stanford.edu/ https://med.stanford.edu/profiles https://med.stanford.edu/profiles http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=imgres&cd=&cad=rja&uact=8&ved=0ahUKEwjjqoWxyb3RAhVGRiYKHRqgAiEQjRwIBw&url=http://books.google.com/books/about/Drug_Dealer_MD.html?id=FqfhDAAAQBAJ&source=kp_cover&psig=AFQjCNHVAUe2hinqmesya-PPHmqQX9OfuA&ust=1484343716627405

  • “……, doctors are not educated in the treatment of

    addiction. Only 20–30% of primary care physicians feel

    “very prepared” to detect risky substance use, yet 80% feel

    “very prepared” to tackle hypertension or diabetes. Even

    psychiatrists are poorly trained in screening and treating

    substance use disorders, and they often turn away patients

    with addiction. Among practicing doctors, less than 1%

    identify as addiction medicine specialists.”

  • “What happens when primitive defenses like denial no

    longer work, for example, when the prescription drug–

    monitoring database shows overt drug-seeking, and the

    doctor is forced to acknowledge that she has been

    supplying drugs to an individual who has been misusing

    them? At this point, the doctor is unmasked as nothing

    more than a gatekeeper of goods and services, or worse

    yet, a drug dealer, and she experiences a narcissistic

    injury…

  • ….. A narcissistic injury strikes at the heart of her sense of

    competence and self-esteem. It is extremely painful to

    experience, and the reaction is primordial, reflexive, and

    hostile. Jim’s doctor’s reaction—his unbridled rage and

    rejection of Jim