Concierge Medical Care

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The Artistic Medium

Opioid Use Disorder is a disease of stigma and punishment. Opioid Use Disorder as a metabolic disease and the effectiveness of long-term buprenorphine is not commonly well understood.

Our practice has patients who have been with us for years, who are willing to teach you. Using the model of The Sixty Minute Interview, videos have been made which are entirely anonymous. Showing only the physician is the requirement of anonymity.

The Professional Goals

  • To understand the effectiveness of long-term buprenorphine treatment in opioid use disorder.

  • To understand Opioid Use Disorder as a metabolic disease.

  • To understand the Experience of Illness with Opioid Use Disorder in prior and current American treatment modalities.

  • To share the unique soul of each of our anonymous patients.

Our Patients

Our patients lead normal lives over the course of years after long-term buprenorphine treatment. These Tennessean patients have generously and anonymously offered their insight and experience with long-term buprenorphine treatment to anyone who is afflicted with Opioid Use Disorder. The Conway Clinic offers this video library as a resource of education and understanding.

This video library demonstrates the longitudinal course of individual patients and their experience with treatment over years to decades. In both scope and longevity, our library will be a unique national resource, a testament to the established practice of Tennessee’s ongoing contribution to medicine.

 Robert December 3, 2018 

Robert is a successful middle-aged businessman and entrepreneur with a forty-year duration of opioid use disorder. He began cocaine and pills at age 17. He progressed to heroin at age 27. His use of heroin continued for several decades. He continued to work and support his family during this entire time. After an ultimatum from his wife, Robert describes his induction phase on buprenorphine from high dose heroin. Robert ends with a summary of his clinical course on long term buprenorphine treatment. His income has dramatically increased.

Jane February 1, 2019 

Jane is a middle-aged woman of privilege. She is well educated and has been continuously employed in a licensed profession. Jane has access to the best medical care. She is a devout Christian who lives her faith.

Jane’s only disease is Opioid Use Disorder. Her illness began twenty years ago after opioid treatment for dental work. Jane experienced immediate euphoria, which she describes as “really, really liking it.” In the early stages of her disease, her use was infrequent. Her illness progressed. After 10 years, a relative took her aside and expressed his concern. Jane entered the region’s elite dual diagnosis psychiatric hospital for a 28-day treatment. The hospital had resort-like qualities. Jane states that she was taught the “tool kit of abstinence treatment.” Jane remained abstinence for one year until she was exposed to opioids in home with a family member who had a prescription for a legitimate medical purpose. Jane struggled and suffered in silence for the next four years.

Jane has been in remission with buprenorphine maintenance treatment for five- and one-half years. She has experienced no suffering. She has had no complications. She has been feeling progressively better over the years. Her clinical course is typical for successful treatment of a chronic, lifelong metabolic disease.

Susan February 1, 2019 

Susan is a middle-aged woman who is well educated and employed in a licensed profession. Her work with the disadvantaged provides an enduring benefit to her clients and to her community. Her work is a living testimony to her faith as devout Christian. 

Susan is a faithful wife with gifted children who are academic stars. 

Her opioid use disorder began in her mid-thirties after a course of chronic opioid treatment by her physician for a legitimate medical purpose. Her opioid use disorder took an accelerated course, with two admissions in rapid succession to her region’s elite dual diagnosis psychiatric hospital. Susan continued to work during this entire time while keeping her illness and suffering unknown to all other than her immediate family. 

After failure with her abstinence-based treatment, Susan began on buprenorphine maintenance treatment. Susan’s disease has been in remission for five- and one-half years with buprenorphine maintenance treatment.

Listen carefully to Susan’s suffering under abstinence-based treatment and to her success under long term buprenorphine maintenance treatment. Listen carefully to Susan’s current understanding of opioid use disorder and try to obtain guidance from Susan.