Daniel Sumrok MD DFASAM FAAFP ABPM

Bass Fishing,Addictions Consultant.
Disrupter.
Not the Drug.
It's the Trauma.

Filter broken.
[email protected]
Grad WVU 81/Marshall School of Medicine 84

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

Having recently survived a brutal peer review process and coming out the other side with a publication that identified childhood trauma as driving relapse in addiction,I will say ot almost drove me to drinking.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@DanLairdMD @MoogieMonsters 100%

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@stephenwpatrick @NEJM It's not the drug du jour.
It's the trauma that is under recognized and treated.
ACE study.
Heart disease,cancers,lower reso illnesses ,accidental deaths, hypertension/stroke,suicide/depression.
US causes of death.
Substances = the dotted lines inter trauma/outcome.
Not a drug.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@DrGRuralMD @jewishbroke I used to ride my horse to the hospital and tie it to a light post when I would round on weekends.
When another doc parked his white Caddilac next to the light one day my horse took a giant green steamy dump on his pearly white hood.
Still living that down.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@DrGRuralMD @jewishbroke A local farmer came in w a laceration on his forehead.
It required a couple of sutures.
His wife wrote a check to me and in the memo his wife wrote"Nicky Joe cow attack".

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@KeithNHumphreys Kentucky Fried Chicken

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@tal7291 @facesofpainproj @WHoward1373 Love to.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@DrGRuralMD Bupropion should not be mixed w ethanol.
I just DCd a patient who had a sz after mixing ethanol and wellbutrin.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@sarah_ziggy Yes.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@chitra_mdmba Same happened to a resident I know.
They actually want her to pay back her salary.
Why is the health of health care providers less important than money?
Because we have decided that profit is the higher power?

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@VPrasadMDMPH Truth.
Rock it ,V!

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

The cool part to me is the reduction in relapse risk w each visit.
I was not surprised by my colleagues finding the linear link to relapse after 40 years of thinking about trauma and risky behaviors.
Trauma/SUD treatment must be seen as a chronic disease model.
Treatment works.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

Adverse childhood experiences predict opioid relapse during treatment ... https://t.co/TUBCYZBVMl

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

https://t.co/esWgwRBYKK

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@JanWiderman @carterlbarnhart Jan,
In Sept my seven coauthors and I from Univ of Tennessee College of Med and from Univ of Memphis.
Published in Journal of Addictive Behaviors on opiates relapse.
We found a linear link between relapse and ACE score.
We also found a reduced risk with every visit to clinic.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@JanWiderman @carterlbarnhart I use the ACE questionare on tbe first visit as oart of the review of systems.
Every patient completes it in the waiting room with all the ROS stuff.
Then we go over it question by question.
It starts the conversation.
They consistently underestimate their trauma.
Revealing.

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@realDonaldTrump Your dishonesty and contacts with enemy agents drew the attentiin of the intel community.
You are the problem.
Not the CIA,FBI and law enforcement community.

[Kyle Griffin @kylegriffin1]

Rep. Frederica Wilson to Betsy DeVos: "I've had some honest disagreements with my friends in the Republican party about how to move education forward but I've never, not one time, believed that they were out to destroy public education until I met you."

[Daniel Sumrok MD DFASAM FAAFP ABPM @DanielSumrok]

@carterlbarnhart Thanks.
Jane did a great job describing the work.
Let's shift a paradigm from
"What's wrong with Johnny?"
to "What happened to Johnny?"
Let's build resilience to save lives and families and communities.

[Maxine Waters @RepMaxineWaters]

Melania, we agree. Children are off limits. Tell your husband to #bebest and go enroll himself in anger management instead of attacking such a brilliant and courageous teenager fighting for climate change. @GretaThunberg we got your back!