In Rural Areas Without Pain Or Addiction Specialists, Family Doctors Fill In The Gaps

Dr. Angela Gatzke-Plamann didn’t fully grasp her community’s opioid crisis until one desperate patient called on a Friday afternoon in 2016.

“He was in complete crisis because he was admitting to me that he had lost control of his use of opioids,” recalls Gatzke-Plamann.

The patient had used opioids for several years for what Gatzke-Plamann calls “a very painful condition.” But a urine screening one week earlier had revealed heroin and morphine in his system as well. He denied any misuse that day. Now he was not only admitting it, but asking for help.

Gatzke-Plamann is the only full-time family physician in the central Wisconsin village of Necedah, population 916. She wanted to help but had no resources to offer. She and the patient started searching the Internet while still on the phone, trying to find somewhere nearby that could help. No luck.

https://www.npr.org/sections/health-shots/2019/12/30/786916670/in-rural-areas-without-pain-or-addiction-specialists-family-doctors-fill-in-the-