The nation’s opioid epidemic is changing the way law enforcement does its job, with police officers acting as drug counselors and medical workers and shifting from law-and-order tactics to approaches more akin to social work.
Over-prescribing is an enormous part of the problem in my opinion. I recently had my tonsils out and discussed with my doctor at length about NOT wanting opioids (for a variety of issues but mostly because they make me feel fucking disgusting) only to be told my only option for take home medication was a less potent opioid - which I still have half a bottle of left because I was prescribed 50 of them. I woke up in the recovery room to hear the nurse saying "okay, I'm giving you fentanyl for short term pain and dilaudid for long-term pain". I had to tell her three times not to give me any more. I had to stay overnight for observation and every single time the nurse came in to give me my 325mg of tylenol and shot of toradol I was reminded I could have up to 15mg of oxy whenever I wanted.
I thought the results were pretty interesting - but the scarier part to me was that they don't really seem to teach doctors how much pain meds someone would need for a particular surgery.
From a law enforcement perspective - I think I've seen an institutional change over the past four years or so. I think law enforcement is slowly starting to realize these people don't necessarily need to be caught up in the justice system but at the same time we don't always have the resources to help them. We see the same people over and over, and sometimes the person just escalates things to the point of having to be put in jail either because that's where they want to go or they've done something really criminal trying to get money for more drugs.
It's definitely a big community health issue.
Kazuya Mishima wrote:they can pry the bacon from my cold dead hand.
They also pushed colleagues to expand the use of non-drug options for chronic pain sufferers: physical therapy, acupuncture, cognitive behavioral therapy, healthier diets and increased exercise.
Five years into its initiative, Kaiser’s Southern California operation reports prescriptions of opioids have plunged.
Prescriptions of opioid pills such as Vicodin and Percocet in amounts greater than 200 tablets dropped from 2,500 a month to almost zero, according to the HMO. So, too, have prescriptions that include potentially dangerous combinations of muscle relaxants, anti-anxiety medications and opioids, as well as prescriptions of brand-name opioids in general.
Yup. They have to turn off the drug fountain and stop creating new addicts before anything substantial can be done down stream.
Kazuya Mishima wrote:they can pry the bacon from my cold dead hand.
I read that a few days ago, too. Extremely interesting.
At least they're taking a first step toward some data-driven guidelines.
“War is the remedy our enemies have chosen. Other simple remedies were within their choice. You know it and they know it, but they wanted war, and I say let us give them all they want.”
― William Tecumseh Sherman
Of coarse, if someone wants to use opioids for recreational purposes, should they have that right? Interested to see if there is an argument here from that perspective.
"Liberalism is arbitrarily selective in its choice of whose dignity to champion." Adrian Vermeule
This is just me: I am a Big Boy. I know when I'm in pain. And when the pain is great enough, I will take an opioid painkiller. It may make me mildly loopy, which is pleasant. When the pain subsides, I stop.
Who wants to tell me when I'm in pain that I can't have a painkiller? Or that I'm not really in pain?
*****
Conservatives totally forget Free Market economics when it comes to drugs. Uncontrolled quality? Skyrocketing prices? Overdoses? Extralegal dispute resolution? Drug Gangs? Young men destroying their futures with drug convictions? Cops kicking in doors without knocking? Hmm.
Wonder what causes all that? If only we could look to some experience in our past (say the 1930's) when we made a dangerous substance illegal, worsening the situation...but learned from our mistake, reversed course, legalized the substance, and learned to live with it.
Regardless of good intentions, Big Brother creates the Black Market. The OD's result from that.
PS - I had to snicker at the Flashbang in the Fentanyl stash house. Hilarious.
The best lack all conviction, while the worst
Are full of passionate intensity.
johno wrote:Conservatives totally forget Free Market economics when it comes to drugs.
just a friendly reminder, johno, that there are no "free" markets. markets have rules. with good rules, the market works. impose bad rules, the market has distortions. but always there are rules.
Big Brother creates the Black Market. The OD's result from that
.
really. are you saying we'd wouldn't have any od's if opioids were available as alcohol is? that strikes me as, uh, optimistic.
Really Big Strong Guy: There are a plethora of psychopaths among us.
Big Brother creates the Black Market. The OD's result from that
.
really. are you saying we'd wouldn't have any od's if opioids were available as alcohol is? that strikes me as, uh, optimistic.
Not all. Just the vast majority. Consider how much more likely an OD is when there is no quality control of the product...when a user thinks he's getting the same heroin he got yesterday, but instead gets fentanyl mixed with God knows what.
The best lack all conviction, while the worst
Are full of passionate intensity.
Opioid painkillers stimulate receptors in the brain and elsewhere to produce a powerful pain-numbing effect. They also lessen anxiety and depression—two common side-effects of intense pain. The sensation they induce is often described as euphoria. Some, such as morphine, are made from the opium poppy; others, such as oxycodone, are semi-synthetic or synthetic. They are highly addictive: even brief use can be followed by withdrawal symptoms. As a result, for most of the 20th century they were usually reserved for acute pain, after a serious accident or surgery, say, and palliative care, a branch of medicine dedicated to curbing the pain of those with illnesses such as cancer or AIDS.
But in the 1980s a series of papers by American researchers claimed that opioids could be used safely for longer periods. The evidence was slight, but, combined with a formidable marketing effort by drug firms, it led to American doctors prescribing opioids with abandon for chronic, non-terminal pain
It's about lead in fuel but otherwise it's pretty much the same story. Some corruptions are timeless.
Mao wrote:Political power grows out of the barrel of a gun. Our principle is that the Party commands the gun, and the gun must never be allowed to command the Party
I just had an abscessed tooth - then a dry socket after extraction - couldn't get anything prescribed without a struggle. So there is the reverse issue as well now. Finally was able to get 10 Hydrocodone and that was all. Thankfully it was enough to get me through but it could have been rough if it had gone on any longer.
We just got the happy news that we have at least a 100 new smoke heroin addicts in Uppsala (Sweden and it isn`t that big 200 000 something) and all people who claim to be youngsters/teens from the hazar people of Afghanistan.So,wouldn`t say opiate addiction is a white people addiction.With any luck we will ship them back to Iran where they arrived from (they claim that they are afghan refugees,but they arrived from Iran and I don`t believe our idiots in charge will do anything).
You`ll toughen up.Unless you have a serious medical condition commonly refered to as
"being a pussy".
Opioid painkillers stimulate receptors in the brain and elsewhere to produce a powerful pain-numbing effect. They also lessen anxiety and depression—two common side-effects of intense pain. The sensation they induce is often described as euphoria. Some, such as morphine, are made from the opium poppy; others, such as oxycodone, are semi-synthetic or synthetic. They are highly addictive: even brief use can be followed by withdrawal symptoms. As a result, for most of the 20th century they were usually reserved for acute pain, after a serious accident or surgery, say, and palliative care, a branch of medicine dedicated to curbing the pain of those with illnesses such as cancer or AIDS.
But in the 1980s a series of papers by American researchers claimed that opioids could be used safely for longer periods. The evidence was slight, but, combined with a formidable marketing effort by drug firms, it led to American doctors prescribing opioids with abandon for chronic, non-terminal pain
Opioid painkillers stimulate receptors in the brain and elsewhere to produce a powerful pain-numbing effect. They also lessen anxiety and depression—two common side-effects of intense pain. The sensation they induce is often described as euphoria. Some, such as morphine, are made from the opium poppy; others, such as oxycodone, are semi-synthetic or synthetic. They are highly addictive: even brief use can be followed by withdrawal symptoms. As a result, for most of the 20th century they were usually reserved for acute pain, after a serious accident or surgery, say, and palliative care, a branch of medicine dedicated to curbing the pain of those with illnesses such as cancer or AIDS.
But in the 1980s a series of papers by American researchers claimed that opioids could be used safely for longer periods. The evidence was slight, but, combined with a formidable marketing effort by drug firms, it led to American doctors prescribing opioids with abandon for chronic, non-terminal pain
This increase for whites was largely accounted for by increasing death rates from drug and alcohol poisonings, suicide, and chronic liver diseases and cirrhosis. Although all education groups saw increases in mortality from suicide and poisonings, and an overall increase in external cause mortality, those with less education saw the most marked increases. Rising midlife mortality rates of white non-Hispanics were paralleled by increases in midlife morbidity.
Feels like the behavior of a people who have lost their way and don't have the tools to cope with it.
Mao wrote:Political power grows out of the barrel of a gun. Our principle is that the Party commands the gun, and the gun must never be allowed to command the Party
Opioid painkillers stimulate receptors in the brain and elsewhere to produce a powerful pain-numbing effect. They also lessen anxiety and depression—two common side-effects of intense pain. The sensation they induce is often described as euphoria. Some, such as morphine, are made from the opium poppy; others, such as oxycodone, are semi-synthetic or synthetic. They are highly addictive: even brief use can be followed by withdrawal symptoms. As a result, for most of the 20th century they were usually reserved for acute pain, after a serious accident or surgery, say, and palliative care, a branch of medicine dedicated to curbing the pain of those with illnesses such as cancer or AIDS.
But in the 1980s a series of papers by American researchers claimed that opioids could be used safely for longer periods. The evidence was slight, but, combined with a formidable marketing effort by drug firms, it led to American doctors prescribing opioids with abandon for chronic, non-terminal pain
This increase for whites was largely accounted for by increasing death rates from drug and alcohol poisonings, suicide, and chronic liver diseases and cirrhosis. Although all education groups saw increases in mortality from suicide and poisonings, and an overall increase in external cause mortality, those with less education saw the most marked increases. Rising midlife mortality rates of white non-Hispanics were paralleled by increases in midlife morbidity.
Feels like the behavior of a people who have lost their way and don't have the tools to cope with it.
According to the Ohio Department of Health, the number of opioid-related deaths skyrocketed from 296 in 2003 to 2,590 in 2015 — a 775 percent jump over a 13-year period. These numbers include deaths involving prescription opioids, heroin and fentanyl, which is similar to morphine but is 50 to 100 times more potent.