Punyamurtula Kishore

Punyamurtula Kishore
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  • Member Since
    May 28th, 2012
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  • Company
    International Sword and Shield
  • Position
    President and Founder
  • Industry
    Think Tanks
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  • School 1
    All India Institute of Med ...
  • School 2
    Bridgewater State University
  • School 3
    Andhra University
  • University
    Harvard Univeristy School ...


Future of Health Care, Community Oriented Primary Care,Public Sector Medicine, Innovations in Addiction Treatment

About Me

Punyamurtula S. Kishore, M.D., M.P.H., Medical Director About Punyamurtula S. Kishore, M.D., M.P.H., FASAM Dr. Kishore began his medical career as a family practice physician and then moved into a position as Acting Medical Director of Washingtonian Center for Addictions, the first organization in the U.S. to recognize addiction as a disease. Their philosophy was an early precursor to the Alcoholics Anonymous or 12-step program movement(http://silkworth.net/washingtonians/washingtonian_movement_comparison_aa.html). Since 1989, Dr. Kishore has treated more than 200,000 addicted individuals and their family members through his state wide practices in Massachusetts. He has been a member of the American Society of Addiction Medicine (http://www.asam.org/) since 1987. In 2010 Dr. Kishore was elected a Fellow of the Society. American Society of Addiction Medicine and the ASAM Board of Directors recognizes these elite professionals for special recognition as "Fellows" due to their significant contributions to the field of Addiction Medicine and work as outstanding, prominent, and distinguished professionals in the Medical Community. These professionals have been "uniquely" singled out for special distinction out of an estimated 1.5 Million physicians. He holds his Master’s Degree in Public Health from Harvard School of Public Health (http://www.hsph.harvard.edu/). He earned his Medical Degree at Andhra University in India. Dr. Kishore also holds Certificates in Forensic Psychology from Bridgewater State College. He was honored by the Boston Celtics through the “Heroes Among Us” award given to those individuals who have made an overwhelming impact on their communities.(http://www.nba.com/celtics/community/heroes_2004_11.html). Dr. Kishore is also the recipient of a national Compassionate Caregiver Award, Honorable Mention, from the Schwartz Foundation. He is the Founder and Executive Director of the National Library of Addictions in Brookline

Life Philosophy

Founder and Medical Director of 
Preventive Medicine Associates Incorporated Q: What is the most significant change you have seen in the treatment of addiction in the last decade? Dr. Kishore: Addiction treatment is becoming an integral part of everyday medical care. There has been explosive growth in drug use in our society. The addiction problem is currently at an epidemic level. The most significant change is the rapid growth in knowledge concerning the neuroscience of addiction. This better understanding gives hope for the development of more effective treatments. Q: What are some of the keys to successfully treating addiction? Dr. Kishore: Addiction is a biological, psychological, social and spiritual illness. Unless there are wrap-around services, the illness will not be treated effectively. This can be done through a variety of settings, such as the therapeutic community, medical home, accountable care organizations or other similar models. Adequately trained staff plays a major role in the success of treatment. Q: For years, Europe has had a very liberal approach to addiction treatment. Now, that seems to be changing. Do you think there has been a repudiation of the European treatment model? Dr. Kishore: You are absolutely right. Europe has adopted a very different approach to addiction treatment. Their system is more similar to the system we used prior to the enactment of the Harrison Narcotic Act in 1914. They have adopted concepts such as harm reduction and alternatives to complete abstinence earlier and more widely than we have in the States. They focus on the health of the community as a whole with programs like needle exchanges, drug consumption facilities and substitution therapies; they focus on hazardous use and harm reduction to a greater extent than we do. While allowing addicts to use heroin in ‘safe’ facilities or prescribing heroin to addicts to decrease the sale and consumption of illegal narcotics is an unusual approach to treatment, it is not dissimilar to methadone and suboxone replacing the illegal agent of abuse with a legal one. Replacement therapy certainly has its place and can save the lives of some individuals, but for a large percent of the population, sobriety maintenance is possible, and treatment strategies must be available for those who would like to get back to a drug-free life. Q: How much of an impact do you think health care reform has had and will have on the treatment of addiction in Massachusetts and nationwide? Dr. Kishore: Health care reform has laudable goals. Outcome-oriented, evidence-based medicine will go a long way towards creating a healthier population. When it comes to addiction, this might help improve access to substance abuse care. Q: What new developments in the treatment of addiction have you the most excited, and why? Dr. Kishore: The most exciting developments are: the Health Care Parity Bill, which has brought addiction treatment into mainstream medicine; recent advances and understanding in the science of addiction, which gives us hope for new pathways of treatment; the American Board of Addiction Medicine, which will hopefully improve the quality, quantity and caliber of the physician workforce; communities taking a more active role and society working together, thus leading to more humane care. Q: If you had not entered the health care field, what occupation do you think you would have pursued? Dr. Kishore: It’s hard to imagine being anything other than a doctor. I come from a family of physicians and spent my childhood watching my mother practice medicine. However, if I had to choose another profession, I would be a teacher or researcher. I love learning and sharing knowledge with others. Even in my practices and professional life now, I strive to educate my staff as well as the entire addiction community as often as possible. Q: Can you give us an overview of your long-term vision for Preventive Medicine Associates Incorporated (PMAI)? Dr. Kishore: I would like to make PMAI a teaching practice and have people take a genuine interest in prevention, as opposed to curative medicine. I would also like to develop cost-effective treatment programs and accelerate the flow of sophisticated medical care into the community. Q: What single message about addiction do you most wish to communicate to patients and their families? Dr. Kishore: This is a disease, a lifelong illness much like diabetes and hypertension. While there is still no cure, one can live with the disease. It takes hard work and daily effort, but sobriety maintenance is possible. Families play a critical role, and the most successful cases in my practices have been by patients with a strong family support system. These families need not always be relatives. They can also be families of choice who support and assist their loved ones during recovery and who educate themselves in the disease, so they can have a beneficial impact. Developing a positive support network is critical and can mean the difference between sobriety, a slip and full-blown relapse. Q: And to primary care physicians (PCPs)? Dr. Kishore: Addiction is often seen as a mental health issue to be treated in hospitals, rehabilitation facilities or by behavioral health specialists. The reality is that PCPs play the most critical role. It is a condition that often begins to develop in adolescence and then manifests itself in young adulthood. PCPs should learn to observe the signs of substance abuse and be skillful in its early treatment. They should not be afraid to ask questions and should educate all patients on every visit. While prevention may not always be possible, early intervention is. Identifying the illness early leads to a better chance of sustained sobriety. Q: What has been your biggest lesson learned during your health care career? Dr. Kishore: Health care is always evolving. You have to keep an open mind and constantly learn new and better ways to provide treatment to your patients. Doctors have to think outside the box and be willing to be the innovators. It is also critical to have more than one tool in your toolbox. While you may be treating one disease or working under one specialty

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