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RCORP - Rural Center of Excellence on SUD Prevention

Dr. Malcho's Story

April 15, 2024

April 15, 2024

Videos
Videos

Transcript

I'm Jade Malcho, I am a board certified emergency physician and board certified in addiction medicine. Patients that come to the emergency department who have opioid use disorder that have gotten to the point of wanting to seek treatment for opioid withdrawal, ended up coming to us for one reason or another in probably their worst day and they didn't know where else to go. And I think sometimes for emergency physicians we get frustrated, but we still see patients all the time who are an opioid withdrawal because these patients literally feel like they're dying. But when they feel so terrible and it's the weekend or it's the middle of the night and they really don't wanna use, they come to us and they wanna stop or something switched in their brain.

And then at that particular point in time they made a decision and they came to you. And you have the ability to be there at a critical moment to change their life. And if you meet them where they're at, at that point you can do that. Time is always in the back of our mind as a precious resource, and it doesn't always take that much time to take care of these patients but the small amount of time you spend with them, just make sure that it's...

Impactful in a way that is gonna leave them feeling like a human.

Transcript

I'm Jade Malcho, I am a board certified emergency physician and board certified in addiction medicine. Patients that come to the emergency department who have opioid use disorder that have gotten to the point of wanting to seek treatment for opioid withdrawal, ended up coming to us for one reason or another in probably their worst day and they didn't know where else to go. And I think sometimes for emergency physicians we get frustrated, but we still see patients all the time who are an opioid withdrawal because these patients literally feel like they're dying. But when they feel so terrible and it's the weekend or it's the middle of the night and they really don't wanna use, they come to us and they wanna stop or something switched in their brain.

And then at that particular point in time they made a decision and they came to you. And you have the ability to be there at a critical moment to change their life. And if you meet them where they're at, at that point you can do that. Time is always in the back of our mind as a precious resource, and it doesn't always take that much time to take care of these patients but the small amount of time you spend with them, just make sure that it's...

Impactful in a way that is gonna leave them feeling like a human.

Transcript

I'm Jade Malcho, I am a board certified emergency physician and board certified in addiction medicine. Patients that come to the emergency department who have opioid use disorder that have gotten to the point of wanting to seek treatment for opioid withdrawal, ended up coming to us for one reason or another in probably their worst day and they didn't know where else to go. And I think sometimes for emergency physicians we get frustrated, but we still see patients all the time who are an opioid withdrawal because these patients literally feel like they're dying. But when they feel so terrible and it's the weekend or it's the middle of the night and they really don't wanna use, they come to us and they wanna stop or something switched in their brain.

And then at that particular point in time they made a decision and they came to you. And you have the ability to be there at a critical moment to change their life. And if you meet them where they're at, at that point you can do that. Time is always in the back of our mind as a precious resource, and it doesn't always take that much time to take care of these patients but the small amount of time you spend with them, just make sure that it's...

Impactful in a way that is gonna leave them feeling like a human.

Jade, an emergency physician certified in addiction medicine, expresses the opportunity to make a difference. “You have the ability to be there at a critical moment to change [a patient’s] life,” she says. “And if you meet them where they are, you can do that.”

Dr. Malcho's Poster (PDF, 3.41 MB)

This HRSA RCORP RCOE program is supported by the Health Resources & Services Administration (HRSA) of the US Department of Health & Human Services (HHS) as part of an award of $3.33M in the current year with 0% financed with non-governmental sources.

The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS or the US Government.

As the Rural Communities Opioid Response Program (RCORP)-Rural Center of Excellence on SUD Prevention, UR Medicine Recovery Center of Excellence provides access to a wide range of resources on relevant topics. Inclusion in this document does not imply endorsement of, or agreement with, the contents by UR Medicine Recovery Center of Excellence or the Health Resources and Services Administration.  

© Copyright 2025 University of Rochester Medical Center

This HRSA RCORP RCOE program is supported by the Health Resources & Services Administration (HRSA) of the US Department of Health & Human Services (HHS) as part of an award of $3.33M in the current year with 0% financed with non-governmental sources.

The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS or the US Government.

As the Rural Communities Opioid Response Program (RCORP)-Rural Center of Excellence on SUD Prevention, UR Medicine Recovery Center of Excellence provides access to a wide range of resources on relevant topics. Inclusion in this document does not imply endorsement of, or agreement with, the contents by UR Medicine Recovery Center of Excellence or the Health Resources and Services Administration.  

© Copyright 2025 University of Rochester Medical Center

This HRSA RCORP RCOE program is supported by the Health Resources & Services Administration (HRSA) of the US Department of Health & Human Services (HHS) as part of an award of $3.33M in the current year with 0% financed with non-governmental sources.

The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS or the US Government.

As the Rural Communities Opioid Response Program (RCORP)-Rural Center of Excellence on SUD Prevention, UR Medicine Recovery Center of Excellence provides access to a wide range of resources on relevant topics. Inclusion in this document does not imply endorsement of, or agreement with, the contents by UR Medicine Recovery Center of Excellence or the Health Resources and Services Administration.  

© Copyright 2025 University of Rochester Medical Center