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John R. Knight, MD, Discussant

JAMA. 2004;292:1351-1357.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR REYNOLDS: Dr L is a specialist physician in practice for several years who became addicted to hydrocodone. Dr L lives with his wife, who is also a physician, and his 2 young children.

Dr L was well until several years ago, when he was grieving after a stressful life event. He began taking antidepressant medication from the sample closet in his office. He stopped taking the medications after several months because he had no relief from his symptoms. Gradually, most of his grief symptoms resolved.

Some time later, Dr L became ill with an upper respiratory tract infection. Again, he self-treated his symptoms, this time with a cough syrup containing hydrocodone that he obtained from his office sample closet. The hydrocodone improved not only his cough but also his mood, and he began to take it regularly to get through the day, . . . [Full Text of this Article]

DR L: HIS VIEW

AT THE CROSSROADS: QUESTIONS FOR DR KNIGHT

Epidemiology

Where to Get Help

When a Colleague Needs Help

The Role of the Primary Care Physician

Treatment Options

Future Job Prospects for Dr L

Recommendations for Dr L

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Knight is Associate Director for Medical Education, Division on Addictions, Harvard Medical School, Boston, Mass, and Associate Director, Physician Health Services, Massachusetts Medical Society, Waltham.

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