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

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 dog, 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.

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 “novel” cause: diaphragm cramp. It’s as simple as that. I’ve published 4 papers on it but it will take time to prove it. This slide demonstrates how many SIDS risk factors contribute to muscle spasms/cramps.

Proudly, our first scientific presentation re: diaphragm cramp respiratory arrests in sudden infant death syndrome ( ) a...
02/24/2025

Proudly, our first scientific presentation re: diaphragm cramp respiratory arrests in sudden infant death syndrome ( ) and other sudden unexplained deaths in all ages. 8th Annual Seattle Children’s Hospital and Microsoft’s SIDS Research Conference Summit. Seattle, WA, March 25-26, 2025.

Special thanks to my coauthor, Dr. Michael Eisenhut MD (Pediatric Consultant at Luton & Dunstable Hospital)!

02/08/2025

HOW (and why) TO TREAT CHILDREN WITH FLU AND COLDS:

The goal is to prevent respiratory complications of viruses that, from my research, infect the respiratory diaphragm and may cause it to fatigue and rarely fail (sudden respiratory arrest of the breathing pump).

• Give lots of fluids, including popsicles. Even ones with sugar, the goal is to get fluids into them to reduce acidosis (blood acidity).
• Give ibuprofen alternated every 4-6 h with Tylenol at full doses (reduces overheating, fluid & electrolyte losses, and possibly, diaphragm inflammation).
• Ensure bedroom is gently ventilated with a fan and slightly open window if possible (prevents rebreathing of pooled gases on mattress).
• Hiccups, sweats or colic could indicate worsening diaphragm fatigue (hiccups are generated by diaphragm spasms). See MD if these become frequent.

American Academy of Pediatrics JAMA Pediatrics National Association of Pediatric Nurse Practitioners

Alert: American Academy of Pediatrics JAMA Pediatrics Influenza-induced DIAPHRAGM MYOSITIS is responsible for respirator...
02/08/2025

Alert: American Academy of Pediatrics JAMA Pediatrics Influenza-induced DIAPHRAGM MYOSITIS is responsible for respiratory distress and apneas in children (similar to influenza-associated calf myositis). Although not specific to respiratory muscles, CREATINE KINASE levels could screen symptomatic children at risk for respiratory failure. This is based on over two years of research on novel diaphragm cramp-contracture ( ).

This Letter to the Editor provides additional information regarding the tragic case of a 6-month-old in Italy with respiratory syncytial virus who deteriorated and died unexpectedly from rapid respiratory insufficiency [...]

02/08/2025

Bad flu season. I posted here about looking for respiratory distress in children with . In rare cases, viral-induced diaphragm damage in young children can increase likelihood of respiratory failure.

To learn about emerging medical discovery in sudden infant deaths, see https://drdov.substack.com/p/companion-guide-opin...
02/06/2025

To learn about emerging medical discovery in sudden infant deaths, see https://drdov.substack.com/p/companion-guide-opinion-uncovering?r=2ixo9n Diaphragm cramp is the mechanism and the evidence supporting it is not compelling, but convincing. I've spent two years researching this and have four papers published (2 letters to editors and 2 review papers). This link takes you to my plain-English companion guide to the formal article that was published in October 2024.

A plain-English summary of an emerging medical discovery in sudden infant death syndrome. Spontaneous "diaphragm cramp-contracture" (DCC) is thought to induce silent respiratory arrests in children with critical diaphragm fatigue.

My first coauthored paper with SIDS guru, Prof Paul Goldwater MD, who's published more than 70 papers on sudden infant d...
02/03/2025

My first coauthored paper with SIDS guru, Prof Paul Goldwater MD, who's published more than 70 papers on sudden infant death syndrome! Peer reviewed and published online at the World Journal of Pediatrics.

We discuss how severe acidosis, sepsis and hyperkalemia (high potassium levels) might contribute to organ failure, including the heart and diaphragm.



Background Decades of mainstream SIDS research based on the Triple Risk Model and neuropathological findings have failed to provide convincing evidence for a primary CNS-based mechanism behind putative secondary dyshomeostasis (respiratory or cardiac) or impaired arousal. Newly revealed data indicat...

Snippet from the Patient's Perspective (re: emerging new SIDS discovery 2025): “One night when 7 or 8 years old while sl...
01/24/2025

Snippet from the Patient's Perspective (re: emerging new SIDS discovery 2025):
“One night when 7 or 8 years old while sleeping in bed alone, my mouth woke me up.
It opened on its own accord, involuntarily.
And when I tried closing it, it did it again, making me wonder, just who or what was in command of my now estranged body? Such an odd thing!
Then I bolted upright realizing I was gasping for air, like a fish out of water.
I couldn’t breathe in… at all.
There was an intense pain in my ribs that felt like a tight bearhug.
I was convinced my brother had picked me up under my arms from behind.
It hurt like hell when I tried inhaling...

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To read more, check out https://drdov.substack.com/i/154153808/patients-perspective-and-brief-discussion
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Just about every SIDS risk factor doubles as a diaphragm fatiguing factor. This supports the idea of diaphragm cramp in ...
01/06/2025

Just about every SIDS risk factor doubles as a diaphragm fatiguing factor. This supports the idea of diaphragm cramp in SIDS. It's like a cramp-prone fatigued limb or trunk muscle, worse when unfit (overworked), dehydrated, acidotic and hyperthermic.

With zero exaggeration, this is the best gift of all time for new parents after baby is born. Proceeds to cover publicat...
11/11/2024

With zero exaggeration, this is the best gift of all time for new parents after baby is born. Proceeds to cover publication fees and research.

This Digital Drawings & Illustrations item is sold by SIDSsafety. Is dispatched from United States. Listed on 11 Nov, 2024

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https://drdov.substack.com/

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