Author: The Fix

  • California Says “No” to Mixing Marijuana & Alcohol in Public

    California Says “No” to Mixing Marijuana & Alcohol in Public

    California state regulators have drawn a line in the sand for businesses that wish to sell marijuana and alcohol in the same location.

    California state regulators have temporarily dashed hopes for bars and pubs where people can consume alcohol and marijuana at the same time, according to High Times.

    The Golden State issued an industry advisory on July 25, which listed frequently asked questions of the state’s Department of Alcoholic Beverage Control (ABC). The advisory drew a clear line in the sand between alcohol and cannabis in the state, making it illegal to sell the two together.

    “The MAUCRSA (Business and Professions Code section 26054) states that the holder of a license issued under the MAUCRSA ‘shall not sell alcoholic beverages or tobacco products on or at any premises licensed under this division,’” the memo stated.

    The ABC also says beverages that blend the two substances together, such as marijuana-infused cocktails or Canada’s newly infamous “cannabis beer” will be illegal in the state. Cannabidiol (CBD) is out of the question for ABC licensees, too.

    “It does not matter if the CBD comes from industrial hemp or from cannabis,” the memo said. “This also includes non-alcoholic beverage products and edibles. It is thus prohibited… regardless of source, in the manufacture or production of any alcoholic beverage, including using it in mixed drinks or cocktails.” 

    State regulators added that businesses licensed to sell alcohol won’t be allowed to permit their patrons to bring (and use) their own marijuana on the premises, either. No cannabis products, including vaporizers and edibles, can be consumed in public, under California law.

    “The restriction applies at all times, even after hours or during private functions,” the High Times story explained. “That means food, wine, and cannabis pairing events are not allowed at ABC licensed establishments.”

    Interestingly enough, California’s Cannabis Portal site observed that the memo’s guidelines won’t stop any of it from happening: “There are many bars and pubs that [currently] turn a blind eye to such behavior, and did well before recreational marijuana was legalized in California.”

    Additionally, the existence of Denver Initiative 300 (a pilot program that allows public pot consumption in Denver) suggests that attitudes could eventually shift in the opposite direction in California. 

    Since its legalization in November 2016, the laws around marijuana use have been as controversial as they have been somewhat ambiguous.

    While “there has been some lack of clarity” in how and where marijuana can be consumed, a Marijuana Moment article hinted that there is “perhaps a bit of willful ignorance” among businesses and entrepreneurs.

    Even the advisory itself says that it’s not the “be-all and end-all” on the subject and is, instead, meant to simply provide some better clarification: “This is not intended to be a comprehensive review of what may be permitted or prohibited,” the memo cautioned. “You should obtain independent legal advice before engaging in business involving either alcoholic beverages or cannabis, and you should not act in reliance on any information presented herein.”

    And while the ABC prohibits anyone from mixing alcohol and weed, there are no stipulations that prevent a person from holding licenses to sell both alcohol and cannabis.

    View the original article at thefix.com

  • Chuck Schumer: Feds Playing Yo-Yo With Funds To Fight Opioid Crisis

    Chuck Schumer: Feds Playing Yo-Yo With Funds To Fight Opioid Crisis

    Senator Schumer is pushing for the CDC to reconsider its decision to pull anti-opioid funding from New York City.

    Senator Chuck Schumer of New York is unhappy with a recent decision from the Centers for Disease Control and Prevention (CDC).

    Schumer says that last year, he added $350 million to a budget designed for the CDC to allocate funding to large cities including New York City, Philadelphia and Houston, Pix 11 reports.

    However, Schumer said, that funding was suddenly taken away with no reason provided.

    “Even more galling, New York City had already allocated this money,” Schumer said. “The CDC already said we’re going to send you this money.”

    According to the New York Daily Newsrather than be allocated to metropolitan areas, CDC officials say that a new federal policy dictates that the funds will be distributed between state offices.

    This, Schumer says, will set up cities like New York, Chicago and Los Angeles to get less funding than initially thought. 

    “There is simply no good reason for the feds to play yo-yo with critical federal funds that New York needs to beat back and address the opioid epidemic,” Schumer said in a statement. “By playing this dangerous and irresponsible game with these dollars, the federal government is setting an aberrant precedent and making a big mistake all at the same time.”

    Schumer added that the city already had plans for the funding.

    Pix 11 reports that New York City planned to use the federal funding for various programs, including one in which paramedics from the city’s fire department leave the opioid antidote, naloxone, in the homes of those with a history of substance use.

    Schumer says he plans to fight the funding takeaway, which he claims will affect the state as a whole.

    “Because when the city doesn’t get this money, the state has less money to go around,” he said. “New York City will have to now fight for state money, and that’ll hurt Long Island, hurt Westchester and frankly the whole state.”

    In a letter to CDC Director Robert Redfield, Schumer pushed for the organization to reconsider. 

    “As some of the nation’s largest localities, which are facing some of the harshest impacts from the current addiction and overdose crisis, it is imperative that CDC provide fair funding allocation mechanisms that effectively address public health needs,” he wrote.

    View the original article at thefix.com

  • Mackenzie Phillips Talks Addiction & "Orange Is The New Black" Role

    Mackenzie Phillips Talks Addiction & "Orange Is The New Black" Role

    “It was like, ‘Wow, I used to live this way.’ And now I get to act it out, and then walk away free and recovered. That in itself is magical.”

    Actress-turned-recovery counselor Mackenzie Phillips plays Barb, one of the “Little Debbie Murderers” on the Netflix series Orange Is the New Black.

    The One Day at a Time star, who beat drug abuse in the limelight and is now owner and director of Breathe Life Healing Centers in Los Angeles, said it was an “exciting challenge” to play Barb, who is “dying with untreated mental-health and substance-use issues.”

    “When I found out that [the character] was someone that struggles with a serious using problem, I was even more excited about it,” Phillips told People.

    Phillips has been in and out of rehab “more than several” times, and appeared on Celebrity Rehab in 2010. She’s now using her experience to help others.

    “I wanted to be on the forefront of this fight. I want to break the stigma. I want to be a part of hopeful healing,” she told The Fix in a 2016 interview. “I am enthusiastic and I am passionate about doing what I do today.”

    Phillips is grateful that she had access to treatment for her drug use—she acknowledged that many people, like her character Barb, do not. “I’ve had access to the best behavioral health care for my own addiction over the years. But someone who’s in prison or someone who doesn’t have the resources or the good insurance that I have, doesn’t have the opportunity,” she told People.

    A comprehensive treatment program is important to sustaining one’s recovery, she added. “So when you just take the substance out of the picture, all the behaviors are still in place and the only thing missing is the drug of choice. So real recovery comes through other channels, rather than just stopping using.”

    Phillips’ extensive experience with drug use came in handy on set. She described one instance where she had to revise a scene that didn’t ring true: “Being the expert drug snorter, I was like, ‘No, no, no, that’s not the way she should do it. Let’s cut the straw at an angle,’” she told Vanity Fair. “It was weird. It was like, ‘Wow, I used to live this way.’ And now I get to act it out, and then walk away free and recovered. That in itself is magical.”

    View the original article at thefix.com

  • Keith Urban & Other Celebs Offer Demi Lovato Recovery Advice

    Keith Urban & Other Celebs Offer Demi Lovato Recovery Advice

    Kelsey Grammer and Mackenzie Phillips are among the celebs who offered words of encouragement to the pop star.

    Pop star Demi Lovato is expected to make a full recovery after landing in the hospital last Tuesday for an “apparent overdose.” CNN reports from a source close to the singer that the next step will be to enter a recovery program.

    News of Lovato’s apparent overdose was especially striking; as the “Sorry Not Sorry” singer and Disney Channel alum has made a name for herself as a champion of mental health and recovery support. She celebrated six years of sobriety in March.

    Fellow celebs in recovery have offered words of encouragement as the dust settles from last week.

    While appearing on The Today Show in Australia, country singer Keith Urban, who has over a decade of sobriety, shared that it would benefit Lovato to have “good people around her and a willingness to want to live a different way if that’s what she wants to do.” He added, “It’s all up to her.”

    The “Blue Ain’t Your Color” singer spent time at the Betty Ford Center in Palm Springs, California in 2007 for alcohol. “I wish I’d gotten sober many years earlier than I did, but it is what it is,” he said in March.

    Kelsey Grammer, star of the classic sitcom Frasier, could also relate. “Forgive yourself. That’s about it,” he advised Lovato. “Somebody told me a long time ago, a pretty smart guy, [that] ‘Any kind of addiction is really the result of unsolved grief.’ And that has held true for me as I’ve gone through life ever since and that’s why I give that piece of advice.”

    Grammer said last summer that alcohol and drugs were his way to cope with a series of family tragedies, including the murder of his father during a home invasion.

    He was finally able to move on, with the help of the proper treatment. “I just put [that pain] where it is: in the past. But it’s a pain that you can always stumble into again—it’s with you 24/7, especially in the case of tragic death, and there have been a few of those. It’s just a part of life. Maybe I learned a little earlier than most, but it’s just the way it goes.”

    Actress and recovery counselor Mackenzie Phillips also put a word in. “You’re talking about someone’s life. You’re not talking about a breadwinner, you’re talking about a human being who’s struggling with a real, real problem. And so people need to just let her do her thing and get well.”

    View the original article at thefix.com

  • Language Sideways: The Poetry of Addiction

    Language Sideways: The Poetry of Addiction

    In what ways do current poems of addiction represent the minds of addicts in the throes of active disease as well as after the process of recovery’s begun?

    Something poet Sam Sax said in an interview for The Fix has me thinking about poetry and addiction. “Poetry for me,” he told writer Christian Arthur, “is the only medium I’ve found that can accurately mimic how the brain moves.”

    I’ve sensed this ever since I stumbled into poetry in my early 20s, and though I’ve written books of poems and have taught writing for years, Sax’s statement reminds me that poets use language in radically unexpected ways. Rather than communicating directly, poetry sidesteps logic in ways that may enervate or baffle. Because its language may seem sleight-of-hand (or even swindle), poetry is a medium well-suited to embody the multidimensional shifting and meandering that the mind enacts on a regular basis. But what may seem merely perplexing language that distorts reality may also be noted as presenting how the brain actually moves, with dizzying speed from present to past, reality to fantasy, hard fact to symbolic representation, all in a moment or, more likely, a split second.

    Got it, and now we’re good to go back to our double espresso lattes and the latest CNN infuriation, right? But not so fast, for my coffee-charged mind is cycling through thoughts faster than I can process them, and my news-cycle drenched brain—well, never mind the news. The brain on coffee gets us closer to poetry, at least in the sense that I wish to explore here in relation to Sax’s statement. How, I wonder, does poetry fare under the strain of the addictive mind? What are the ways that poems written by recovering addicts mimic the mental circuitry of addictive thinking, that snarled labyrinth of brain moves that torture every addict I’ve known, both before and after sobriety? In what ways do current poems of addiction represent the minds of addicts in the throes of active disease as well as after the process of recovery’s begun?

    * * *

    Since American poetry is presently enjoying what may well be its golden age, I push away a stack of books by familiar poets and take up three recent books by first-time authors. Though Anne Sexton, Robert Lowell, John Berryman, Charles Bukowski, Etheridge Knight, Jean Valentine, Gregory Pardlo, Cynthia Cruz, Nick Flynn, Maggie Anderson, and Joan Larkin—whose poems on alcoholism The Los Angeles Times described as “the finest ever written on the subject”—have much to tell us about how the addictive mind works, I wish to witness the mental machinations of those at the frontlines of sobriety.

    So I turn to the most recent debut poets issue of Poets & Writers magazine, where I find ten first books, at least three of which address the subject of addiction.

    To read Sam Sax’s Madness, William Brewer’s I Know Your Kind (both chosen for the National Poetry Series) and Kaveh Akbar’s Calling a Wolf a Wolf is to enter danger zones in which the only direction we have comes not from GPS, but from eyeballing how close we drive to the edge of a cliff. In these poems, the mind is vertiginous, and in many cases its language sidesteps reductive meaning in order to reproduce, in the reader’s mind, states of mentality pertaining to the addictive impulse. In each of these books, non-linear, sideways-moving language introduces us to harrowing inner worlds. Words swoop down without warning to initiate us in the experience of drug-induced psychosis or to the grief in watching a brother overdose. Lines come at us from around blind corners to ambush us with the minutiae of what detox feels like, from the inside out. Meaning strips us bare then retreats, and words act not as locatable comfort, but as ventriloquized ephemera, cast-off detritus of the unspeakable degradations and mysteries of the addicted mind.

    In its 79 pages, Madness (Penguin 2017) reveals a mind reeling from institutionalization, addiction to alcohol and painkillers, and the initial stages of recovery. Its concision may appear, at first, as imprisonment until you find that Sax’s language is liberating, untethered, and—dare I say it?—downright playful. You read these poems as interior landscapes. Though statements such as “i can only half-blame alcohol for my overdose / the other half is my own hand / that poured the codeine” (“On Alcohol”) occur, by virtue of Sax’s skill with wordplay and cadence, we’re invited to participate in a mind surveying its experience of an addictive trajectory that spans active withdrawal to whispered reprieve.

    The heft of his subject matter—inpatient mental illness, queer identification and sex as painkiller, an uncle’s cancer, and, of course, drug use—may seem weighty enough to crumple the reader into one of Sax’s finely-wrought pages. Yet the writing style renders Sax’s project one of resuscitation and, for this gay reader, affirmation.

    I have to work for it, though, and Sax gives nothing away cheap. Starting with a prefatory block of clinical language from the DSM-1 (1952), words, in and of themselves, cannot be trusted. “[T]his must be the way of things,” Sax writes in one of the four poems titled “Psychotherapy,” “—all signs pointing toward unknowable destinations.” In the mental states of addiction, nothing clear-cut will do. Sax’s speaker opts for a more chaotic approach. “i’ve begun to grow distrustful of sense,” he says in “On Syphilis,” “let there be madness in the text.” Linear meaning oppresses the mind the way disease oppresses the body, until there’s nothing for language to do but to burst out of its skin. That means, in the mind moving in these poems, out and up, into the freedom of wordplay.

    Linguistic play sets the reader on notice as to the liberties this book takes with documenting a mind that refuses to move in acceptably linear ways. Words rub against each other, a form of auditory intrigue. “[A]ll our white blood / cells an oven,” Sax writes in “Fever Therapy, “a coven of bees blushing,” the off-rhyme (eye rhyme) of “oven” and “coven” creating a kind of linguistic harmony. Elsewhere Sax puts into motion a series of two- and three-word morphing patterns—“comets” / “comma” and “boarding” / “boring” and “sickle,” “silk,” “sick” (“Diagnosis”); “ward,” “warden,” “wars” (“Willowbrook”); “city,” “family,” “ancestry” (“On Syphilis”)—chains of sound that please the ear and, in one possible interpretation, mirror the circularity of the speaker’s addictive mind. Rationality is turned on its side, and we are driven over it, roughshod.

    As I read, Sax’s cadence catches my attention as language becomes a percussive instrument drumming out the mind’s anguish. Punctuation, or its lack, emphasizes these poems’ rhythms, as well as their barrage of mental buzz. In Sax’s hands, driving cadences refuse logic while simultaneously giving rise to a clashing sonic beauty that articulates feeling (drowning? enclosure?) better than most narrative can. Take these lines, for instance, from “Transorbital Lobotomy”:

    in the fifties there were tens of thousands performed in the states

    sour mess. sour mash. mash-up. macerate.

    cut a rug. jitterbug. wonder drug. gutter. tug. suture. lacerate.

    erasure. erase. raced. deadened. dead end.

    How can writing about lobotomy sound so, um, appealing? So mentally alive? There’s more than meets the eye: an outpouring of mind that moves toward implying the panic and dis-ease of circular thinking, while simultaneously (and subliminally) encoding that which is sonically recuperative. In one of the main ways that Sax’s poems encode mental activity, sound, in and of itself, simultaneously embodies the horrors of addiction and enacts recovery.

    Recovery’s brain moves happen in William Brewer’s I Know Your Kind (Milkweed 2017), but differently. New York magazine calls Brewer “America’s poet laureate of the opioid crisis,” but even those like myself who have never taken recreational opioids might find familiar ground here. Addiction is addiction, and in “Oxyana,” the place Brewer defines as “[a] nickname given to the town of Oceana, West Virginia, after becoming a capital of OxyContin abuse,” the addictive mind proliferates. But it’s also where I experience a degree of skepticism with regard to Brewer’s poetics, for this statement seems more explicit than what I’ve come to hope for in poetry. My misgiving only increased as I read further: “Following a successful crackdown on prescription painkillers, heroin has now flooded the state. West Virginia has the highest fatal overdose rate in America, nearly three times the national average.” How, I wonder, can this factual language reach a state of epiphany that poetry is primed to offer? Explanation, my thinking goes, kills the spell that lyricism attempts to cast.

    Which is what I expect to happen in I Know Your Kind. Brewer’s emphasis on Oxyana feels narrow, literally confining. And I sense a further problem in Brewer’s first poem, “Oxyana, West Virginia,” which opens with a panoramic view that winds through the Alleghenies and arrives at the town where the action is. Does the addictive mind think this way—in aerial shots panning down from the ethers to land us in an Oxyana? This seems too staged to be a useful representation of the addictive mind in action.

    But in the book’s second poem, “Icarus in Oxyana,” a striking image leads me to the discovery of another way poetry renders how the brain moves: “Someone on the porch / who’d lost both his arms / chain smokes.” This single image–bold, bewildering, painfully true–clarifies the addictive mind at work. It allows me to settle into this book, an eye out for other potent images.

    And I find them: “waking up in an alley with a busted face, // teeth red and penny-sweet, the rain / coming down clear as gin” (“To the Addict Who Mugged Me”); “have held the still hive of his head, / have placed my lips against the shadow // of his mouth, screamed air into his chest” (“The Messenger of Oxyana”). And these, from “Detox Psalm”:

    With the waves’ jade

    coaxing, I heaved my every organ

    through my mouth, then cut a mouth,

    at last, in my abdomen and prayed

    for there to be something more divine

    than the body, and still something

    more divine than that, for a torrent

    of white flies to fly out of me,

    anything, make me in the image

    of the bullet, I begged, release me

    from myself and I will end a life.

    Language moves sideways here by creating literal impossibilities—heaving internal organs through the mouth—that are metaphorically accurate. Detoxing does feel like the body throwing itself out of itself, the skin all wrong. The detoxing body is its own enemy, and glad we would be, at the worst of it, to be our own bullet that ends the body’s dangers. Such is the power of Brewer’s imagery to carry the reader through the stages of addiction, partial recovery, relapse, and finally sustained recovery. Brewer’s images depict the emotional and mental rot at the foundation of addiction, the skewed thinking at the heart of the disease.

    In the work 2018 Pulitzer Prize winning poet Frank Bidart calls “an intensely inventive and original debut,” Kaveh Akbar’s Calling a Wolf a Wolf (Alice James 2017) is alive with images that render shifting mental states at dizzying speeds. Akbar’s poems shunt from one emotional state to another, giving a sense of mental motion more reminiscent of driving too fast on hairpin curves than of logical elucidation. We race to keep up with speakers who pay no heed to safety. In “Portrait of the Alcoholic with Withdrawal,” Akbar offers a description that veers from one image to another: “I can hardly picture any of it now / save the fox I thought / was in the grass but wasn’t // I remember him quiet / as a telescope / tiny as a Plutonian moon.” Dimension derails, and disproportion prevails as the poem’s narrator lurches from fox to telescope to a moon so far in space that we’re granted a sense of how distorted the mind is that’s lining up these improbable—and emotionally accurate—images of DTs. “It’s amazing what you can find / if you just dissect everything,” Akbar writes in another poem, followed by a tumble of images: “Once / I pulled a glowing crystal from my beard / and buried it in the earth. The next day / I went to the spot and dug up a silver trumpet.” These images aren’t locatable in a linear context. They lurch and undulate beneath the skin of sense, advancing a project that, as with both previous poets, incites a sense of skepticism in relation to the body. As such, Akbar’s images wobble, as if they’re about to topple headlong onto bloody pavement. It’s no wonder, given the sidewinder moves the mind in these poems makes, that Akbar admits, “When I wake, I ask God to slide into my head quickly before I do.”

    Because of Akbar’s linguistic bravura, it takes time for me to become aware of his use of topographical space representative of another way the mind moves. In the context of his poetry, empty space is not vacant; it connotes the unsaid, the impossible-to-say, the outer limits of implication. Every silence is an admission of not-knowing, a blow against hubris. Amid the linguistic swerves of Akbar’s poems, ample white space sometimes surrounds words, engulfs lines and whole stanzas in a silence that cordons off a kind of quiet amidst mental chaos. For showing brain moves in his poetry, silence is as meaningful as articulation.

    Akbar offers extra spaces between words (“my whole life I answered every cry for help with a pour   with a turning away” [“Calling a Wolf a Wolf (Inpatient)”], and he occasionally jettisons left-margin conventions in favor of lineage that moves across the page (“Portrait of the Alcoholic with Moths and River,” “The New World,” “Against Hell”). Though the silences of the intake interview embodied in “Drinkaware Self-Report” indicate physical and emotional distance between interviewer and interviewee, the majority of Akbar’s silences are indicative of commonalities. The space between the three-line stanzas that filter across the page of “Learning to Pray,” for instance, are silences of communion, of reaching toward something greater than the addicted self. The white space between the unrhymed couplets found in “Portrait of the Alcoholic with Relapse Fantasy” is tentative with an uncertainty suggesting a fragile state of mind.

    In Akbar’s best work, silence girds understatement, and what remains unsaid gives a sense that within the frantic place of the addictive mind lies a locus of calm. There, the mind doesn’t explain. It doesn’t offer delusion or false comfort. Yet it comforts, perhaps because open space is public space that has the potential to welcome us all. In its meaninglessness, it aspires to greater meaning, the way, say, our parks and canyons and monuments are open to everyone. Language can undercut commonality, but silent space knows no identity other than that of all. Silence is, in a word, collectivity. We is its pronoun, as in we are not alone. No matter how difficult may be the stages of overcoming addiction, Akbar’s silences imply, there are others with us. The silences I see in his poetry of addiction are perhaps the most hopeful of all the mental moves I’ve observed.

    * * *

    Poetry of the caliber of these three debut poets reminds me that the mind is not a linear muscle. How can it be that I so easily forget this? Wasn’t it just last week that a stain in my bathroom sink reminded me of the cigarette burn at the edge of my grandmother’s porcelain tub from forty-five years ago? Didn’t that image trail with it the smell of her Slavak cooking and her devotion, in absurdly equal proportion, to the L.A. Dodgers and As the World Turns? Standing in my apartment a few days ago, at the sight of a mar on my porcelain my mind catapulted back to four years before I took my first drink before ricocheting into a present that contains the seven years (this month) since I’ve had my last. It happened so suddenly that it shocked me.

    Which is frequently how our minds work. What sideways language does is enact this process, so that we can see it in action. It’s the conduit between our current and past selves, making us privy to states of being we might otherwise miss.

    Though the majority of Americans express intimidation and disinterest in poetry, I wonder if in doing so they aren’t inadvertently expressing a fear of language that moves the way the untethered mind does. Sideways language may nudge us to wonder if it’s not linear logic, rather than its sideways counterpart, that enacts distortion. Minds of addicts and non-addicts alike traverse multiple planes of experience simultaneously. Poetry, in enacting the mind in all its vicissitudes and pyrotechnics, its leaps and mental gymnastics, is an art that counters, not codifies, linear distortion. Shouldn’t we honor, rather than disparage, the depiction of mental states as we actually experience them, something that Sam Sax, William Brewer and Kaveh Akbar are teaching us to do?

    View the original article at thefix.com

  • How Do Babies Born To Mothers With Addiction Fare Over Time?

    How Do Babies Born To Mothers With Addiction Fare Over Time?

    A study explored the long-term development of babies that were born with neonatal abstinence syndrome.

    Every 15 minutes, a baby is born dependent on opioids in the United States. The number of infants born with neonatal abstinence syndrome (NAS), which causes the babies to experience withdrawal-like symptoms, has risen sharply during the opioid crisis, but researchers say that parents of children who are exposed to drugs in utero have reason to be optimistic. 

    “Most of these children do well, and they do within the normal range,” Dr. Stephanie Merhar, a neonatologist at Cincinnati Children’s Hospital, told NPR.

    Merhar led a study that examined the development of 87 two-year-olds who were born with NAS.

    They found that about 3% of the children had a lazy eye, and some scored just below average for cognitive, language and development skills.

    Overall, however, researchers found that opioids weren’t as harmful to a child’s development as other substances, including alcohol. 

    “It’s not like the fetal alcohol syndrome problem, where it really affects the brain,” Merhar said. “[Children with fetal alcohol syndrome] are at high risk of mental retardation and there are significant developmental delays.”

    This is reassuring for parents of opioid-exposed infants, especially since mothers using medication-assisted treatment like methadone are generally encouraged to continue the treatment even once they know they are pregnant. 

    However, Dr. Jonathan Davis, chief of newborn medicine at Floating Hospital for Children at Tufts Medical Center and chair of a Neonatal Advisory Committee for the U.S. Food and Drug Administration (FDA), says that more research is needed into the long-term prognosis for babies exposed to opioids in utero. He would like to see a national registry of babies born dependent on opioids so that researchers can track their long-term outcomes. 

    “How are these children going to function when they get to school?” said Davis. “How are these children going to speak, socialize and interact?”

    One of the most important indications for a child’s outcome can be whether their mother gets treatment for her opioid use, said Dr. Lauren Jansson, director of pediatrics center for addiction and pregnancy at Johns Hopkins Medicine in Baltimore. 

    “The one solid thing we can say about children who are exposed to substances prenatally is that their mothers need treatment,” said Jansson.

    Amanda Williammee is one of those mothers, and she has been lucky enough to connect with a North Carolina program that allows her two-year-old daughter to be in daycare while she gets treatment and counseling. Hendrée Jones is executive director of the program, called Horizons. 

    Jones said that many of the mothers in the program have a history of trauma and unhealthy family structures in addition to their substance abuse. That can make it nearly impossible for them to know how to parent. 

    “There’s often times an unrealistic expectation by society,” she said. “They’re supposed to automatically know how ‘be good mothers’—how to be nurturing mothers. That’s like trying to teach somebody algebra when they’ve never even had addition.”

    However, Jones recently led a three-year study of children exposed to opioids in utero, and said that these mothers have reason to be optimistic. 

    “The children through time tended to score within the normal range of the tests that we had,” Jones said.

    View the original article at thefix.com

  • Purdue Pharma Reportedly Worried About Losing Money To Rivals Amid Oxy Panic

    Purdue Pharma Reportedly Worried About Losing Money To Rivals Amid Oxy Panic

    A new report details the early rivalry among opioid drug makers who sought to follow in the profitable footsteps of Purdue Pharma.

    As Purdue Pharma came under fire from federal investigators for unscrupulous advertising practices, the company was reportedly concerned about losing market share to other drug manufacturers, according to internal documents. 

    “Market research as well as reports from the sales force indicates that methadone use is increasing in both the management of cancer pain and non-malignant pain due to its low cost,” an internal Purdue memo from 1999 said, according to a report by Kaiser Health News

    OxyContin was brought to market in 1996, and by 1999 Purdue was planning to expand sales into the non-cancer market, setting the stage for marketing practices that would later land the company in lawsuits across the country for false and misleading advertising.

    As part of the planned expansion, Purdue reportedly analyzed the market for pain medications in internal documents. 

    According to these internal documents, one competitor that Purdue was most concerned about was Janssen Pharmaceuticals, the maker of Duragesic, a fentanyl patch.

    Purdue noted that Janssen, a part of Johnson & Johnson, was making “slow but steady” progress in marketing the patches.

    In fact, Janssen tripled its advertising spending between 1998 and 1999 as regulators and clinicians first became aware of the dangers of OxyContin. Marketing materials from that time included the claims that the patch “has less potential for abuse than other currently available opioids.”

    By 2000, the Food and Drug Administration noted that Janssen had disseminated “false or misleading” advertising, including that safety claim.

    Despite Purdue’s own claims about the safety of its drugs, the company was allegedly quick to acknowledge the trouble that the competition was in. 

    “It has been reported that Janssen sales representatives are using improper techniques to capitalize on the negative press surrounding OxyContin tablets and the issue of abuse and diversion,” Purdue marketing materials noted in 2002. 

    At the same time, Purdue noted that methadone was claiming market share for pain patients, despite the 2006 FDA warning of deaths and dangerous side effects in “newly starting methadone for pain control and in patients who have switched to methadone after being treated for pain with other strong narcotic pain relievers.” 

    In a statement to Kaiser Health News, Janssen said that the marketing procedures for the fentanyl patch were “appropriate and responsible,” and that the company “acted quickly to investigate and successfully resolve FDA’s inquiries.”

    Janssen stopped “actively marketing” Duragesic in 2008. 

    Purdue has also denied false or misleading advertising, telling Kaiser, “We vigorously deny these allegations and look forward to the opportunity to present our defense” in a series of lawsuits. 

    View the original article at thefix.com

  • Woman In Recovery Gives Anonymous Surprise To First Responders

    Woman In Recovery Gives Anonymous Surprise To First Responders

    “We were all a little fried after Thursday night, and so getting that thank you note, it was the nicest thing anyone could have ever done for us,” said one EMT.

    Sometimes giving back is the best way to thank those around you—and that’s the route a woman in New Jersey took when she saw a group of six EMTs out for breakfast.

    According to CNN, the EMTs wrapped up their meal only to find it had already been paid for. The person who paid had left a note reading, “Paid, thank you for all you do! Have a great day!” It was signed “Recovering Addict.”

    Alyssa Golembeski, the captain of the Toms River First Aid Squad, said the waitress came to the table to inform them of the woman’s deed. 

    “EMTs do not eat light,” Golembeski told CNN. “We racked up a $77 bill.”

    Golembeski then asked the waitress if the group could thank the woman, but the waitress said she wanted to keep her identity private.

    “We were all a little fried after Thursday night, and so Friday morning, getting that thank you note, it was the nicest thing anyone could have ever done for us,” Golembeski said.

    The group shared a photo of the receipt on Facebook, in hopes that the woman may come forward. However, that has not happened yet. 

    “To the woman who paid our tab today at IHOP, thank you so much for paying for our breakfast,” the EMTs wrote. “This gift was amazingly thoughtful, and brought our table of tired EMTs to tears. We are so blessed to be able to serve you and everyone else who lives and works in the greater Toms River area. Good luck on your journey of recovery!”

    The post garnered more than 1,000 likes, 700 shares and 70 comments. 

    “I still thank the police officer who found me behind a store leaning against a dumpster,” one Facebook user wrote. “This was in 2005, we weren’t far from a hospital so he put me in his car and rushed me there himself. Him and his wife reached out to me afterwards and we remain close to this day. I know some people think we should just be allowed to die, but y’all work on us no matter what. I’m sober over 11 years now, I’m alive because someone in a uniform thought I was worth it. Thank you for what y’all do… Sincerely, thank you.”

    Commenters also offered their support to the anonymous woman. 

    “To the woman who is remaining anonymous, I hope you find the strength to keep going forward on your journey,” another Facebook user  wrote. “I will keep you in my prayers and hope that if you are reading this, that you know there are people who support you and hope to see you continue on you journey to recovery.” 

    Golembeski tells CNN she and her coworkers have two messages they would like to pass on to the woman.

    “First of all, thank you for buying our breakfast and for literally making my whole week,” Golembeski said. “I couldn’t stop smiling that entire day. Second of all, I just want to commend you for getting into recovery and for beating the disease that is addiction.”

    View the original article at thefix.com

  • Video: Activist Pours Fentanyl On Hands To Dispel Exposure Myth

    Video: Activist Pours Fentanyl On Hands To Dispel Exposure Myth

    Chad Sabora performed the experiment to reassure first responders that may be reluctant to perform CPR in the early moments of an overdose.

    Harm reduction experts are pushing back on what they believe is a dangerous myth circulating among emergency responders and the general public.

    Illicit fentanyl and its analogues are increasingly contaminating batches of heroin sold on the street, and contributing to skyrocketing overdose rates. Thanks to naloxone, people experiencing an opioid-related overdose have a fighting chance—if first responders get to them in time.

    There is a growing belief, however, that risk of exposure to these powerful synthetic opioids is so high that mere contact with an overdose victim’s sweat—or even inhaling a small amount of powder—is enough for a potentially fatal amount of the drug to get into the bloodstream.

    If true, first responders fearing exposure might be reluctant to perform CPR during the critical early moments of an overdose, so Chad Sabora, Executive Director of the Missouri Network for Opiate Reform and Advocacy (Mo Networks), decided to perform an experiment to reassure them.

    Sabora, in a video he posted on Facebook, took a bag of street heroin that he confirmed through a strip test contained acetyl fentanyl and carfentanil, poured the powder in his hand and waited.

    Moments later, the naloxone standing nearby stayed in its box, unused, and Sabora appeared to be exhibiting no signs of an overdose.

    “[This is] the same dope that has caused ‘overdoses’ in first responders,” Sabora told The Fix. He obtained the tainted batch from one of the participants of Mo Network’s syringe exchange and naloxone distribution programs, known as a “second-tier exchange,” where an active heroin user brings sterile needles and overdose reversal kits to hand out on the street.

    Sabora is the first person to attempt to deliberately overdose in order to show that the risk to first responders may be an overblown and even dangerous myth. As a former prosecutor and someone in long term recovery himself, Sabora brings a unique perspective to his work in advocacy.

    “This belief is validating people that don’t want to rescue users. I used to be in law enforcement, I know it’s a very difficult job, but we have to bring balance through education and awareness while still respecting the job they’re doing,” he said.

    Last spring, journalist and The Fix contributor Zachary Siegel, dedicated the entire first episode of Narcotica, a podcast he co-hosts, to dispelling the myth that fentanyl or its analogues can cause an overdose through skin absorption.

    “I spent weeks researching this phenomenon for [the episode]. Every toxicologist, pharmacist, physician, and researcher I spoke with said hands down, illicit powdered fentanyl is not skin-soluble,” Siegel tweeted.

    A lethal dose for fentanyl in humans is around 3 milligrams, so appropriate precautions are certainly recommended for anyone who may come in contact with the drug.

    But in a position statement published in the journal Clinical Toxicology by the American College of Medical Toxicology and the American Academy of Clinical Toxicology, the task force authors concluded that for inhalation exposure risk, “At the highest airborne concentration… an unprotected individual would require nearly 200 minutes of exposure to reach a dose of 100 mcg of fentanyl.”

    And for dermal exposure risk, “it is very unlikely that small, unintentional skin exposures to… [fentanyl] powder would cause significant opioid toxicity…”

    Sabora hopes the video will make an impact, but he admits, “there’s not much more I can do, but between myself, writers like [Siegel], and a lot of others out there, we’ll keep doing our best to hammer the truth home.”

    View the original article at thefix.com

  • How Rising Temperatures May Affect Mental Health

    How Rising Temperatures May Affect Mental Health

    A new article examined the grim link between high temperatures and suicide rates.

    Not only is climate change dangerous to the natural environment, one writer posits, it can negatively affect mental health as well.

    In a new article, Bloomberg columnist Leonid Bershidsky cites research that has found that rising temperatures can increase the likelihood of suicide.

    Most recently, a report by Marshall Burke and his colleagues of Stanford University, estimated that a “1 degree Celsius increase in average monthly temperature produces a 0.68% increase in the monthly suicide rate in the U.S.,” Bershidsky wrote. In Mexico, the resulting increase in the monthly suicide rate was even higher—2.1%.

    This year’s North American heat wave may have come and gone, while western Europe is predicted to be hit next with dangerous heat during the first week of August, average temperatures are on the rise.

    According to the U.S. Office for Coastal Management, the five warmest years on record in the United States all have occurred since 2006

    This research is significant given that average temperatures are predicted to continue to rise. According to the Office for Coastal Management, if we continue on this trajectory, by 2050, “the average American will likely see 27 to 50 days over 90 degrees (Fahrenheit) each year.”

    According to Burke’s research, this could have a grim impact on people’s mental health. His team calculated that a 2.5 degree increase in U.S. average temperatures by 2050 would increase the suicide rate by 1.4%, causing more than 14,000 more suicides.

    Bershidsky cites other research that came to similar outcomes, showing that hotter temperatures affected suicide rates.

    A report in 2007 from Lisa Page and colleagues at the London Institute of Psychiatry discovered that with “each degree above 18 degrees Celsius (64.4 degrees Fahrenheit), the suicide rate increased 3.8%.”

    But despite discovering these correlations, it’s still a mystery as to why exactly weather can affect people in this way.

    “While speculative, perhaps the most promising mechanism to link suicide with high temperatures is a psychological one,” wrote Page. “High temperatures have been found to lead individuals to behave in a more disinhibited, aggressive and violent manner, which might in turn result in an increased propensity for suicidal acts.”

    Bershidsky concludes that based on this research, communities should make a “better effort” to deal with the effects of climate change by investing in mental health support.

    During a heat wave, defined as a prolonged period of abnormally hot weather, it is advised to drink plenty of water and avoid strenuous activity during the midday and afternoon to avoid heat exhaustion or stroke, and to take care that the elderly, children and pets, especially, are kept out of the heat.

    View the original article at thefix.com