In the first half of episode five, Levi and Brandon interview Dr. Anthony Miller.  The episode focuses on opiate use disorder. Levi, Brandon, and Dr. Miller discuss the risks of sustained opiate consumption, causes and treatment options for opiate use disorder, relapsing, and societal views on addiction. 

Dr. Miller received a Bachelor’s degree in Biology from Goshen College and a Medical degree at the University of Iowa with a residency in Psychiatry. Dr. Miller is a practicing psychiatrist and the medical director for addictive disorder services at the VA. Dr. Miller is an expert on opiate use disorder and supports Veterans managing substance use disorders. 

The VA provides substance use treatments for Veterans. They accept both self-referrals and referrals by another specialty or primary care provider. Possible treatment options include medications, counseling, and therapy. For specifically opiate use disorder treatments, many Veterans begin treatment in outpatient with inpatient treatment opportunities available. 

Following the opioid epidemic, the VA is dedicated to opioid safety and discovery of the safest options for long-term pain management. The VA conducts research, gathers resources, and explores treatment options to improve the safety of pain management treatment plans.  Click the link to learn more about the VA’s opioid safety initiative.  

In the second half of the episode, Levi and Brandon welcome Dr. John Wemmie to explore and break down the science behind addiction itself. Dr. Wemmie is a staff psychiatrist and director of research for behavior health at the Iowa City VA, and he is a Roy J. Carver Endowed Chair of Psychiatry and Neuroscience. 

Dr. Wemmie is an Iowa native, growing up in West Burlington. His career in research began at Central College in Pella where he received his Bachelor’s degree in Chemistry, and he went on to receive his MD, complete a residency in Psychiatry, and a PhD in Physiology and Biophysics at the University of Iowa. 

Dr. Wemmie’s current research focuses on the role of brain pH and acid-sensing ion channels (ASIC) and behavior and brain function. The nucleus accumbens, found in the basal forebrain, is related to reward and reinforcement and has been found to relate to addiction. The abundancy of ASIC channels in the nucleus accumbens has driven research to explore the connection between the biological and genetic factors on substance use disorders. Click the link to learn more about Dr. Wemmie’s research. 

The VA currently has its own independent research department, the Office of Research and Development, which funds researchers to explore Veteran specific related issues. The VA research program has and continues to make advancements in both Veteran healthcare and general healthcare, with some of the top researchers and physicians at the forefront of that research. Eligible participants can volunteer in clinical trials and studies to contribute to the advancements of the VA’s research.  

Listeners should also listen to episode four, where they talk with Veteran Trever Siver and Henry Uken about their own experience with substance use disorders.