All the Questions You Had About Opioids But Were Afraid To Ask: A Podcast with Mary Lynn McPherson

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GeriPal - A Geriatrics and Palliative Medicine Podcast 46 min 4 speakers 3 chapters transcribed 5 hours ago
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What is the background and purpose of Mary Lynn McPherson’s new opioid conversion book?

Eric Widera 0:00
Welcome to the Jerry Pal podcast. This is Eric Quadera.
Alex Smith 0:03
This is Alex Smith. And Alex, who is our guest today? Today we have a palliative care superstar.
Eric Widera 0:11
Guru
Alex Smith 0:12
Guru superstar on the line. All of her sessions at the annual academy meeting, AHPM Hypna, are packed, sold outstanding Ramonly. Welcome to the Jerry Powell Podcast, Lynn McPherson. Lynn is a professor at the University of Maryland, School of Pharmacy and Program Director of the Masters of Science and Palliative Care at the University of Maryland. Thank you so much for joining.
Mary Lynn McPherson 0:34
Thank you for having me. It's a pleasure to join you two rock stars.
Eric Widera 0:37
I am so excited about this podcast. I love going to every one of your sessions. I learn a ton. Thank you,
Mary Lynn McPherson 0:43
especially the good jokes, right?
Eric Widera 0:46
And I'm actually really excited because I just finished reading your book, Demystifying Opioid Conversion Calculations, A Guide for Effective Dosing, that just came out. Is that right, Lynn?
Mary Lynn McPherson 0:56
It did about a week ago.
Eric Widera 0:57
Wonderful. So we'll talk a little bit about the book, but before we go into the meat of this podcast, Lynn, do you have a song request for Alex?
Mary Lynn McPherson 1:04
Well, I'm a big fan of Huey Lewis in the news. I want a new drug.
Eric Widera 1:08
Good choice.
Alex Smith 1:17
I want a new drug. They won't make me sick. Wanna won't make me crash my car, won't make me feel three feet thick. I wanna new drug They won't hurt my head. Wanna won't make my mouth too dry, won't make my eyes too red. One that won't make me nervous, wondering what to do. One that makes me feel like I feel when I'm with you. When I'm alone.
Eric Widera 1:53
Alex alone with his opioids.
Mary Lynn McPherson 1:55
Wow. Move over Huey, you nailed it.
Eric Widera 1:59
That was great, Alex. Well done. Very
Bruno Satin 2:01
good. Thank
Eric Widera 2:02
you. I'm always impressed. Um every time another new drug or another new song. Um and you just It's a good challenge. Good challenge. Well then um a very big thank you for coming on and um uh we're gonna be talking a little bit about um opioids during this time and opioid conversion calculations and a little bit about your book. Uh before we kind of jump into this, uh let's talk for a second about your book. So w what I 'cause I I can only imagine the amount of work that you put into this book. Like w why did you do it? Um
Mary Lynn McPherson 2:37
Well, probably there's psychopathology at work here. But the whole thing started about ten years ago when I was searching for a good resource on opioconversion calculations and I kept beating my head on the table saying there's gotta be something out there and there wasn't. So I thought, well, you know what? Maybe I'll just do it. So I spent a year, every time I gave a lecture, I developed a survey instrument and I would give it to the audience saying, Do you think this is a great idea? What would you like to see included? And then uh uh coincidentally, uh um an editor from the American Society of Health Systems Pharmacists had emailed all the faculty at my school right before the holiday break. And said, Look, I'm gonna be in your building.
Mary Lynn McPherson 3:14
Does anyone have any good ideas for a book? So I wrote back and said, I do. Why don't you contact me in January? So she called me within about fifteen seconds and said, You can't do that to an acquisitions editor. And that's what got the whole thing started.
Eric Widera 3:29
Wonderful. How long did it take you to write the book?
Mary Lynn McPherson 3:33
way longer than the publisher would have liked. The first edition the first edition took about two years, I would say, um, because I I have a lot else going on. But um this was really hard to do because there's as you know very well know, there's very little consensus. And then with the second edition, which and I was longer getting that done that they would have liked as well. Uh but to my benefit, I think, and to the benefit of the book. Uh, we're finally getting better data about doing these calculations. So I think it significantly better informed the second edition. So I was really pleased with it.
Alex Smith 4:04
That's wonderful. I wonder if you could tell us like what's the number one most common question that you get about opioid conversions?
Mary Lynn McPherson 4:15
Well, I think there are always questions about methadone dosing. That's probably the drug that scares people the most.

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