Really. It’s a question. How do I move past this? See, I’ve been a resident of Louisville, Kentucky for 27 years. I have always loved my city. Until today.

This afternoon State AG Cameron announced the only indictments in her case would be for the shots that went into other apartments that March night. No murder charges. No manslaughter charges. Actually nothing related to her death. As I sat in my office, I couldn’t believe it. Surely, I heard wrong. I was numb. Then I got angry. But tonight as I sit in my home, hearing sirens and watching Facebook…


AKA How My Checkbook Lost Weight

On March 17th of this year, our world changed. In the midst of a spreading pandemic, we went into quarantine. We settled in for an indeterminate amount of time. Everything closed — except Amazon.

As my world got smaller, my spending increased. It was nothing to get 5 packages a day. Anything that caught my eye which I could also rationalize as “essential” went in the cart. And some that were nowhere near essential went in, too. Many people talked of saving money during the quarantine. Not this girl. I shopped anytime of the…


This past week has been a rough one. All because of those little purple chains in the photo. What started out as a normal week almost turned fatal for me in a blink of an eye.

Monday, I noticed a small, painful bump in the bend of my leg. By Tuesday, I was running a low grade fever and the pain spread into my groin. Wednesday it hurt worse and my fever hit 102.6. I had my best friend look at the area Tuesday night and she told me we were going to the doctor Thursday. Because of the area…


There is no question. We are in the midst of a raging opioid epidemic. We are losing too many people to overdose every day. I have written about overdose treatment, but this is only an emergency response. Then what do we do? How do we treat the addiction so there is not another overdose? These are the questions we have to answer as a society or we will continue to lose our fight against opioid addiction.

I first heard about Suboxone during a presentation on its diversion in the community. Some early prescribers wrote Suboxone even when they suspected it…


My Unintended Superpowers

You may not think being the fat girl comes with superpowers. You would be wrong. It absolutely does. The problem is that they are superpowers no one wants. As I battle each day to lose the weight, I have noticed there are superpowers in being morbidly obese. The problem is, they are ones no one would want.

The power to be invisible.

The first superpower would be the power to be invisible. You would think that being over 300 pounds would make this impossible. But what I have found is that when it comes to love, promotions at work, people seeing the value in my…


I weighed in this morning and the number shocked me. I have been working on losing weight since January 7, 2018 and had lost 70 pounds. I felt better, looked better and my health improved. Then I got comfortable. I got complacent. And I gained some back this summer. That’s where I find myself today.

One of the things that had helped me lose 70 pounds was journaling. I had never been a journaler, but I found it kept me motivated and on track. Two and a half weeks ago I stopped journaling. While I have still been weighing in…


Ten Facts About Narcan

Our country is in the midst or a war on our home turf. Every day, we see new stories of lives lost to the opioid epidemic. I have now been volunteering with the Kentucky Harm Reduction Coalition for two years doing Narcan training and overdose prevention education around the state. There are many misconceptions about Narcan. Here are the facts.

  1. Narcan will reverse opioids, not just heroin overdose, but any opioid overdose. That includes fentanyl and carfentanyl but it may take multiple doses for these because they are stronger than heroin. That also includes prescription opioids (pain pills).
  2. I have…


One of the responsibilities of a healthcare provider is to continually reassess treatments and care models you are using to make sure you are giving the best possible care. When I first heard of Medication Assisted Therapy (MAT) for opioid use disorder, I wasn’t sure what to think. I now have an entirely different outlook.

Suboxone (Buprenorphine/Naloxone) has gotten a very bad rap because of its abuse by some very bad healthcare providers. But, after seeing MAT save lives and allow people to be successful in their recovery while also being able to do things like hold a job, work…


My son, my heart, in recovery and 90 days sober!

In 2014, I received a call from a local ER. My then 19-year-old son had overdosed on heroin. It was the first time I learned he was using heroin and I was floored. I had never known anyone who had used heroin and now my son was in a fight for his life from it. I rushed to the ER terrified of what I would find. Thankfully, he survived. It would be the first of 12 overdoses over the next 4 years. …


While most people see addiction as a disease that affects individuals, I am here to tell you that is enormously untrue. Sure, a person addicted to drugs is the one who needs recovery and treatment to control their disease. But many times the effects on the family are overlooked, undertreated or completely untreated. When a close loved one is in addiction, the entire family experiences their addiction. And the entire family is in crisis.

Five years ago, I received a phone call from a local ER. I needed to come quickly. My son was admitted and may not make it…

Sonia Rudolph

Family Nurse Practitioner working in Counseling, Addiction Medicine Nurse Practitioner, Associate Professor of Nursing, Ky Harm Reduction Coalition Board Member

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