Darryl J Gebien MD- On Addiction, Wellness & Stress/Opioid Crises

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Darryl J Gebien MD- On Addiction, Wellness & Stress/Opioid Crises Former ER doctor now practicing in community (Toronto, ON). SIDS researcher & author since 2022, re: diaphragm cramp-contracture respiratory arrest.

Other interests: reducing addiction and social isolation and loving my awesome kids & Juno The Adorable. Tackling isolation, substance use disorder and the toxic opioid epidemic...

Darryl is in long term recovery over 8 years from a near-fatal fentanyl addiction. He is also a physician who's done hard time in federal penitentiary. This puts him in a unique position akin to a soldier fighting in the trenches while simultaneously assisting efforts in the war room as a health care provider and public health advocate. It also enables him to share his harrowing, powerfully moving experiences incurred during active substance use, detox, jail, prison and finally recovery. Instead of victim he chooses victor with renewed hope, optimism and enthusiasm. Growing in into an unanticipated role he has been described by some to be a wounded healer. He is a compassionate and articulate communicator who speaks candidly with a healthy sense of humour and humility. In his journey he has rediscovered joy, happiness and love as well as his passion to help others.

Many thanks to Jim Richards (Radio Host), Mike (tech guy) and Ben Harrison of NEWSTALK 1010 AM radio in Toronto for thin...
04/01/2026

Many thanks to Jim Richards (Radio Host), Mike (tech guy) and Ben Harrison of NEWSTALK 1010 AM radio in Toronto for thinking of me to share my story and thoughts about a sensitive subject that affects most of us. Here's a link to today's interview about Tiger Woods' car crash, nodding off at the wheel, to and other substances; drawing from my own recovery story from .

It was hope and others that meant everything when I had nothing, sitting in jail for 18 days and then a brutal 2 years that followed, including 6 months of inpatient rehabs and finally finishing off the venture with 8 months of incarceration. All of which.... made me a better version of myself. Please be kind to those struggling with substances and alcohol. They are probably hurting in ways you have no idea about. Before recovery, unprocessed adverse events over my entire childhood had silenced and even isolated me, so, I'm pretty certain the same occurs with others. The self-medicating of substances is to numb the pain or distract from it. A "maladaptive coping strategy" as it's called in Psychiatry/Psychology.

I pointed out that those who feel EUPHORIC upon taking their first opioid (say for pain control) are at higher risk for addiction than those who do not experience this calming sense of peace and the melting away of life's stresses, including unprocessed psychological pain (say from bad breakups, betrayals by loved ones, or adverse experiences where one could not control or stem the thing that caused them great fear at an early stage in development, particularly those going back to childhood where there are no learned coping tools to employ).

That was me but I didn't realize until 7 years of recovery that my self-medicating could have bee related to the unresolved adverse childhood experiences that deeply affected me, even later shaping my personality and impairing my development. For example, something happened to me at age 7 or so when I learned what absolute fear tastes like. It only lasted about 3 seconds but changed me forever. That fear of not knowing what to do in an emergency compelled me to later become a medical doctor specialized in Emergency Medicine (to see all aspects of disease and physical trauma to avoid it ever consuming me again).

So, there are layers. Be kind, compassionate and open minded instead of a rudimentary, unrefined human being who jumps to judgement and scorn (really, to make them feel better about themselves it seems). Which version of you do you want to be?

  He shares his emotional story with Jim. The latest on Trump and the war in Iran   GUESTS: Dr. Dov Gebien - ER physician, addiction recovery advocate, and keynote speaker Sean Foley - professor of history at Middl...

Updated diaphragm-arrest flow diagram hypothesis in sudden infant death syndrome (         ). There are many factors tha...
12/23/2025

Updated diaphragm-arrest flow diagram hypothesis in sudden infant death syndrome ( ). There are many factors that contribute to diaphragm excitability.

A major medical discovery has emerged. It is based on "Patient 0", followed by an in-depth literature review that is not...
12/23/2025

A major medical discovery has emerged. It is based on "Patient 0", followed by an in-depth literature review that is not "compelling" but rather, convincing.

There are at least three major forms of diaphragm cramps (sustained painful spasms): spontaneous, seizures and trauma (winding injuries). To learn more, find my paper on PubMed: Uncovering Diaphragm Cramp in SIDS and Other Sudden Unexpected Deaths.

References available upon request.

12/10/2025

What is the mechanism of stomach butterflies?
1. Intestines
2. Stomach
3. Diaphragm

I’ve spent a lot of time learning about the sudden infant death syndrome mystery.  Sparked by an incredible case (“Patie...
05/18/2025

I’ve spent a lot of time learning about the sudden infant death syndrome mystery. Sparked by an incredible case (“Patient 0”), the evidence points to an unrecognized (or “novel”) cause: diaphragm cramp. It’s as simple as that. I’ve published 4 papers on this proposed silent baby killer but it will take time to prove.

This slide demonstrates how many (if not all) SIDS risk factors contribute to muscle spasms and cramps (prolonged spasms). For instance, we all know that muscles become cramped when dehydrated, unfit or fatigued, and with lactic acid buildup. Leg cramps are really common when sleeping. Why? Reduced blood flow to legs and lactic acid.

Male infants are at higher risk than females because of weaker respiratory muscles (become cramp-prone). For the same reason, younger infants compared to older experience work overload of diaphragm. This is evident as increased hiccups (which are generated by diaphragm spasms).

Rebreathing exhaled gases leads to respiratory acidosis; when there is acid buildup in the blood. This promotes spasms. Learning Point: Keep crib free of toys and pillows. Ensure bedroom is well ventilated. No co-sleeping with others!

Overheating also promotes spasms. Learning Point: Avoid over-bundling the baby. Use natural fabrics for bed linens and onesies to allow heat to dissipate and sweat to evaporate. No Polar Fleece.

Babies are exceptionally sensitive to absorbed ni****ne. No smoking in the house. But if for some reason you do, don't let the baby sleep upstairs (smoke rises, especially when house is heated in wintertime).

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