Category: Addiction News

  • Narcan Creator Working On Fentanyl "Antidote"

    Narcan Creator Working On Fentanyl "Antidote"

    The new formulation is reportedly five times stronger than Narcan and will last longer. 

    A stronger formulation of Narcan (naloxone) nasal spray, the opioid overdose antidote, is in the works, FOX Business reports. There’s a need for a stronger antidote, its developers say, to counter the rising use of fentanyl.

    Fentanyl is a synthetic opioid pain reliever said to be 50-100 times more potent than morphine. Though it is a pharmaceutical drug, illicitly-made fentanyl is said to have fueled rising rates of drug overdose deaths in the United States.

    Narcan nasal spray, which reverses opioid overdose, hit the market in early 2016 after receiving fast-track designation by the Food and Drug Administration. Now first responders, health workers, and laypeople across the U.S. are equipped with Narcan—but in some cases, the otherwise life-saving drug is not enough.

    “Narcan is not the 100% fail safe that people may think it is, it does not always work,” warned police officials in West Fargo, North Dakota, responding to the emergence of acryl fentanyl, a newer, stronger fentanyl analog, last year. These illicitly-made opioids may require multiple doses of Narcan.

    Roger Crystal, the creator of Narcan and CEO of Opiant Pharmaceuticals, is now working with the government to create a new opioid overdose antidote that will match the strength of increasingly potent fentanyl analogs.

    The new formulation, Nasal Nalmefene, will not only be stronger but will last longer. “The reason we think it could have advantages is because nalmefene is a drug itself [and] is stronger than naloxone. It’s five time stronger and it lasts longer,” Crystal told FOX Business.

    According to data released by the Centers for Disease Control and Prevention (CDC), fentanyl accounts for a significant portion of drug overdose deaths in the U.S. In 2016, opioids (prescription and illicit) accounted for 42,249 deaths out of total 63,632 drug overdose deaths in the U.S.

    The CDC also reported that “over half of people in 10 states who died of opioid overdoses during the second half of 2016 tested positive for fentanyl.”

    Crystal, who is working with the U.S. Health and Human Services Department, said they are aiming for FDA approval of Nasal Nalmefene by 2020.

    “Compounds like fentanyl, carfentanil and other synthetic opioids act for longer periods of time. The concern is that naloxone’s half-life doesn’t provide sufficient cover to prevailing amounts of fentanyl in the blood,” said Crystal in a past interview.

    Learn how to administer naloxone: How to Reverse an Opioid Overdose with Naloxone.

    View the original article at thefix.com

  • There Was Light A Mile Deep: Interview with Poet William Brewer

    There Was Light A Mile Deep: Interview with Poet William Brewer

    Someone contacted me when the book came out, who had very recently lost a parent to heroin. She said to me, and I’ve held on to this, “The poems gave me a feeling that I had a place to go.”

    The West Virginian landscape exists as one of the great splendors of North America, but beneath the canopies of spruce and maple and folded inside the canyons smolders a public health crisis whose effect has verged on apocalyptic for some communities, both spiritually and literally. Peddled by big pharma, opioids found special traction, furthering the hardships inherited from a history of economic injustice. Like new gears spinning a rusted machine.

    These conditions have sown a very human consequence, which looks out from the porch of William Brewer’s debut book of poems, I Know Your Kind, with lines like: “[I] have placed my lips against the shadow / of his mouth, screamed air into his chest, / watched it rise like an empire then fall.”

    Born and raised in West Virginia, the poet left Appalachia to pursue higher education, but his craft was drawn back towards the hills of his youth, rendering the anguish and ghosts that multiplied rapidly there in the mid-aughts when the state ranked as having the highest overdose rate in the country (it still does).

    With delirious imagery, Brewer uses natural subjects such as flies and logging to express deep emotions, at the same time accessing the past in order to help explain the unbelievable present. His poems have been published in The New Yorker, The Nation, American Poetry Review, and his chapbook Oxyana was selected by the Poetry Society of America for their 30 and Under chapbook fellowship.

    Then, last year Ada Limon selected I Know Your Kind as a winner of the National Poetry Series. A practice in empathy, the book illustrates not only the spirit of a place struggling to stand, but a cross-section of the epidemic timeline on a local level when the national media was just starting to grasp what was happening. Before the big policy responses. Despite all the graves already in the ground.

    Interviewed by The Fix, Brewer hikes into these “terrible truths” and cracks open the question of what drives someone to give themself to an artificial comfort, underlining that rural living can marginalize culturally and politically.

    Estimates place the number of people recovering in the United States around 25 million, and close to the same amount experiencing active substance use disorder. More than ever, there is a need for a strong literature to reflect this population, how we lived and how we want to live. I Know Your Kind stimulates our thinking about the prismatic possibilities of a modern addiction poetry.

    Note: This is sometimes a sad conversation, about suffering caused by substance use disorder. Seek out another interview if you’re unbraced.

    The Fix: Your book opens with the poem “Oxyana, West Virginia,” which establishes the setting of I Know Your Kind as a place where both splendor and suffering co-occur. Can you talk more about the relationship between the people and the land?

    William Brewer: Oceana is a small town in southern West Virginia, a blast site of the opioid epidemic. The nickname Oxyana refers to Oxycontin, the drug that took over. This poem takes the notion of a single place and applies it to multiple regions of the state to create a condensed fictional stage, to build out a landscape. Throughout the book, when I talk about one place, I’m talking about the whole state, because the problem is everywhere. The whole state is a kind of Oxyana.

    Now, with the idea of splendor and suffering, I think the word you used was co-occur—that’s absolutely right in West Virginia. It’s an immensely beautiful state, but it’s a state of contrasts. The ancient hills are beautiful, but that ancientness meant coal, which meant prosperity, but only for a very few until the mid-20th century. Coal, for much of its history, has meant a very hard way of living that has benefited very few. So the thing that gave West Virginia its prosperity is also the thing that has caused most of its destruction environmentally, economically, and to the physical well-being of its citizens.

    Now that the coal industry has died away, people are left in drained away communities, isolated from the outside world by the mountains and rivers, which also prevent jobs like manufacturing from coming in. The landscape becomes a beautiful prison.

    You often manipulate the symbol of light, twisting away from classic associations, or at least complicating them. For example, in “Overdose Psalm,” a tree is cut down and the line goes “Snow committing its slow occupancy, / filling the column like words, the light / saying in so few of them, like all terrible / truths, something here did not survive.” Besides being very very sad, it’s so resonant. How does light function in your book?

    In IKYK, I’m interested in exploring the power opiates have to mimic a kind of divine energy. They aren’t like psychedelics, which connect you to the feeling of a greater universe. Or amphetamines, which accelerate our reality. This is something simple: an optimism, a brightness, a luminosity, therefore light will function in the mind of the speaker as positivity, but for the reader the function is more sinister. Here, our feelings about beauty (which light is often in service of) become less straightforward than they seem.

    Writing has to look carefully at the way certain chemicals make people feel.

    We must recognize the ways substances make you feel fulfilled.

    Yes. And in the case of West Virginia, you have a largely poor, often isolated populace that is, in many respects, ignored by the rest of the country. When the outside world does engage with WV, it’s often through joke and insult. “Trash,” “Hillbilly,” “Did you marry your cousin?” “I’m surprised you wear shoes.” In her essay “The Fog Zone,” Leslie Jamison gets it right: “West Virginia is like a developing nation in the middle of America. It has so many resources and it has been screwed over again and again: locals used for labor; land used for riches; other people taking the profits.” With all that in mind, it’s suddenly a lot easier to understand how big unfulfillment can be as an idea, and how deep unfulfillment can function like a kind of pain. Through that pain comes the chemicals.

    What about the power dynamic between other parts of the U.S. and West Virginia? In your poem “Oxyana, West Virginia” you have those lines about river beds being wine glasses for the Roosevelts. It seems to me this dynamic could compound with the marginalization of the state, worsening the epidemic, distancing external aid.

    You’re absolutely right. That Jamison quote again. This is a place that gave everything to America during its rapid rise through the last century, and then when it was finished America turned its back on them. This was and continues to be a form of erasure. When people are told they don’t matter or feel like they don’t exist—that’s going to worsen a problem like the epidemic. The drug problem has been going on for over 10 years, but it’s only just now garnered attention. That’s in part because a lot of people—a lot—still don’t know WV is its own state. A few months back I was seated at a dinner beside an Ivy League graduate who kept referring to my home as Virginia, even after I corrected them multiple times.

    Yeah, that’s a completely different state.

    And when your country doesn’t know you exist, it’s like your suffering doesn’t exist. Then it’s like, who are they to tell you how you handle your suffering?

    All of this leads to the larger point, the key point about the book. IKYK is not about the opioid epidemic, and it’s not about WV, it’s about how these two subjects are bound together through a continuation of history. The history of WV is the history of massive industry making gargantuan profits off the lives of WV citizens. Timber, minerals, oil, coal, gas, and now: pharmaceuticals. They pumped 780 million pills into a state of 1.8 million people. By doing that, those companies, that industry, made a conscious choice: The lives of West Virginians aren’t as important to us as money; this is a population we can afford to kill.

    Leads me to think of “Daedalus in Oxyana.” There’s a line… “I gave my body to the mountain whole. For my body, the clinic gave out petals inked with curses.”

    I want to hear more of how you funneled real life places and people into this book. What was your research process like?

    The research was living and seeing the issue grow. The research arrived. But I don’t necessarily like that word, “research,” because it suggests I went looking for it. It’s more that the problem appeared. Things snowballed very quickly. Sometimes I didn’t realize it, other times I did. In conjunction, at one point someone came to my fiancée and me and told us they were a heroin addict and they were terrified. I got angry, thinking they got themselves into the mess and didn’t care about anyone else. Ten minutes later I realized this reaction was repulsive. I wrote the person off at their most vulnerable. A flip switched, and I realized this was something deeper I wanted to sit with and look at. That meeting between personal interrogation and social observation is how the book came to be.

    I like how the initial motivation for this book was a reaction to the stigma you had fallen into initially. You were like, “Wow, this is the way I think, so I’m going to do some work and examine it.”

    The disease of addiction has taken a toll on my family throughout my life and my parents’ lives, so I’ve seen how people come to reckon with it. I thought I had developed sophisticated responses, but in that moment those responses failed when presented with this new problem. I’d seen what alcoholism can do, and how as a culture we accept it as a problem. But we were turning away from opiate abuse and denying its reality, and I felt I needed to resist that turning away.

    I think it’s stunning for someone who hasn’t experienced addiction himself, how you put words to those unique feelings and moments. There’s a line from “Resolution,” “…I stood in the yard // and decided that sometimes / you have to tell yourself / you’re the first person // to look out over / the silent highway / at the abandoned billboard // lit up by the moon / and think it’s selling a new / and honest life.”

    There are details about the way of life that can accompany opioid use disorder, which echo the conversations I’ve had with people. “Leaving the Pain Clinic,” you write “…and though the door’s the same, / somehow the exit, like the worst wounds, is greater / than the entrance was. I throw it open for all to see / how daylight, so tall, has imagination. It has heart. It loves.” Like, how did these lines come to be in such striking detail?

    For me, the writing of a poem is an impulsive act. But there’s a lot of gestation and thinking that goes on behind the scenes, before I write—a lot of thinking. And there’s living that goes into them, too. When I was in college I had an accident that required some heavy surgery and a long rehab period. Opioids were a big part of that period, I was on them for a long time. The power of those drugs, what they could do, has remained vivid in my mind, and always will. That passage about daylight comes from that.

    In regard to the former passage: I’ve dealt with serious depression my whole life. Depression and substance abuse are often bedfellows. What depression can unleash in someone—hopelessness, dependency, fear, recklessness towards how we feel about our lives, suicidal impulses—can certainly be unleashed by substance use disorders, too, with the volume turned up to 11. To be clear, I do not mean in any way to suggest that depression and substance abuse are the same thing. Rather, what I mean to articulate is that I brought every bit of myself to every poem. This is not just a matter of aesthetics. It’s me doing my best to extend myself out, to say, “Dear Person X, the possibility that your pain may feel even remotely similar to my pain is why I’m trying to do my absolute best to recognize you in hopes that you may feel less alone, but even more importantly, so that you may feel loved. Loved.”

    I come from a spoken word community that preaches sticking to your own story. Personally, I think your book is an important addition to literature, both generally and in the addiction/recovery sub-genre. But throughout it you often speak through the persona of someone with substance disorder. I worry other poets will take this as license to do the same, without possessing the knowledge or respect you have for the subject. What are some potential hazards here?

    First, thank you for saying that. I appreciate it greatly and don’t take it lightly.

    While you come from a spoken word community, my literary life is rooted in fiction. The literary texts we had in my house were Herman Melville, Mary Shelley, Jane Austen, Nathaniel Hawthorne. They sat on a single shelf at the top of the stairs. I can still see them. Likewise, at school, literature = fiction. I read maybe two poems in high school, so my life in books began, and in many ways persists, through fiction, and so because of that, the root of my literary practice has always been—to use Roth’s (for better or worse) definition of fiction writing—“the crafting of consciousness,” with the understanding that this requires immense care, thought, patience, and humility. Do as much work as you can to get it right, and then do more. IKYK is very much a book that attempts to synthesize this quality of fiction, in addition to its immense capacity for world building and social examination, with poetry’s sense of deeply distilled emotional and psychological textures, its power to challenge language, and its unique ability to find unexpected connections. 

    As for other poets taking my work as license, I’m not sure what to say about that. It would seem to me that the potential for bad poetry, and bad poems about this subject, was there long before any of my poems came into the world. At the same time, for as long as that potential for faulty work has existed, there’s been a concurrent tradition of very valuable work being done in persona, poems by Bidart and Ai being just two gleaming examples (not to mention what has been done in fiction). So, maybe we could reframe the thinking in more positive terms, i.e. maybe this book can stand as an example of what persona can do? What the poem can do?

    What eats at me is how there aren’t a lot of poets writing about their personal experiences with substance recovery, at the level where they’re prominent within the poetry industry or community. Are these poets dead from overdoses? Did their time go towards using instead of writing? Or maybe they’re not writing openly because of stigma? Can you speak on the importance of us all lifting up and listening closer to people who have personal experience with these issues?

    I’m not sure about this, though it’s a wise question, one of huge importance. I don’t know of a clear answer. But it seems like the work you do in your day to day is connected to this and is very valuable. That’s something to be optimistic about. People have reached out and told me how they have brought my poems or the book into spaces like meetings, support groups, halfway houses, and that has been very humbling to hear. Just getting poems into spaces where maybe they’ve never been before—maybe that’s part of how we turn it around? As for the importance of lifting people up and listening closely—it is the most important thing. At the same time, the responsibility to write about this problem, which is now a national problem, shouldn’t rest solely on those suffering, should it?

    What do you hope your book accomplishes?

    Someone contacted me when the book came out, who had very recently lost a parent to heroin. She said to me, and I’ve held on to this, “The poems gave me a feeling that I had a place to go.” This was the greatest response I could have received. I hope that on a larger level, the book can extend the realities of the epidemic in WV to people who maybe had no idea what was going on, or didn’t believe it, or didn’t think it mattered—i.e. didn’t think the lives of West Virginians mattered.

    To graft onto that statement, I think the book is educational for people who don’t understand West Virginia, and how the opioid epidemic has taken root so deeply in this specific place.

    I surely hope so. That’s one of the book’s largest aims.

    I also want to add, while it’s a needed pursuit to write a place for pain to feel seen, it’s also necessary to create sites for recovering peoples to draw strength, hope, and triumph. What are some lines in your book that are doing this work?

    I think strength is an impulse that runs through much of the book—books about WV are inherently about strength. I think “Resolution” is a poem that leans toward a sense of hope or even triumph, even if it may be the first of a few failed attempts toward a larger triumph. Overall, though, I don’t think hope or triumph are large elements in the book, again this is because it’s a book about a specific situation in a specific place, and when I was writing it and editing it, things didn’t seem very hopeful or triumphant. I turned my book in to my editor in the fall of 2016. At that time, it felt like a situation that no one much cared about. The New Yorker hadn’t yet run its large profile about the state, the Charleston Gazette-Mail hadn’t yet run its now Pulitzer Prize-winning expose that gained national attention, Netflix’s Heroin(e) hadn’t yet been released, etc. etc. That said, I agree wholeheartedly that these sites and books are necessary, and I’m confident that they are coming, especially as our relationship to this epidemic, and our ability to help those afflicted by it, changes. So, while some of those elements may not be as present in my book, I don’t believe every book can or should do everything. Moreover, this subject, and its impact on our country, is vast. Perhaps, when it’s all said and done—if it’s ever all said and done—this book will be seen as one part of the larger record and discussion.

    Last question. What’s next for you? Anything that involves substance use disorder?

    I’m working on a novel that looks at the larger social, political, and economic networks that can be at play in making something like the opioid epidemic thrive in a place like West Virginia. I’m also working on a second book of poems about paranoia, suicide, and the idea of inherited death. And let me say thank you for taking the time to talk to me, your generosity toward the work, and for everything you do.

    More poems by William Brewer:

    “In the New World,” Southern Indiana Poetry Review

    “Oxyana, WV: Exit Song,” Diode Poetry

    Other interviews in this series about poetry and addiction:

    Lineages of Addiction: Interview with torrin a. greathouse, a Trans Poet in Recovery

    Addiction and Queerness in Poet Sam Sax’s ‘madness’

    Kaveh Akbar Maps Unprecedented Experience in “Portrait of the Alcoholic”

    View the original article at thefix.com

  • New Jersey May Require Depression Screenings For Students

    New Jersey May Require Depression Screenings For Students

    A new bill aims to address undiagnosed and untreated mental health issues in school-aged children. 

    Some New Jersey lawmakers are taking a stand against undiagnosed depression in youth by drafting a bill that would require annual screenings. 

    According to New Jersey 101.5, if the bill were to pass, students in New Jersey would have to be screened for depression about six times in the time leading up to high school graduation. 

    The bill comes in the wake of a recommendation from the American Academy of Pediatrics, stating that young people should be screened for depression each year. If passed, it would require that public school students in grades 7 through 12 be screened once per year. 

    “Tragically, far too few people that suffer from mental illness actually get diagnosed,” Assemblyman Herb Conaway (D-Burlington), primary bill sponsor and chair of the Assembly Health and Human Services Committee, said at a recent hearing, according to 101.5. “For those who screen positive, information will be sent to the parents and the parents can get their child the care that they need.”

    The screening would consist of a two-question survey and could be given by a “qualified professional” at public schools. By the bill’s definition, this means a school psychologist, school nurse, school counselor, student assistance coordinator, school social worker or physician.

    According to Conaway, parents would have the choice of opting out of the screening for their child, which current laws also allow for other types of physical health screenings. 

    While the intent of the bill is understood, there is still some opposition, according to 101.5

    Debbie Bradley, director of government relations for the New Jersey Principals and Supervisors Association, tells 101.5 that the potential passing of the bill would impact understaffing at schools even more. As such, combining the screening with annual physicals is an idea that has been broached.

    “Many of our members suggested that this system be integrated with the current annual physicals that many parents bring their students to,” Bradley said.

    Conaway reiterated the importance of the bill by citing a study that discovered the number of children and teenagers hospitalized for thoughts of suicide climbed more than 100% from 2008 to 2015. 

    If passed, the bill would allow for confidential data collection. The data would be forwarded to the Department of Education and Department of Health, then studied for statewide trends.

    View the original article at thefix.com

  • Smuggler Caught With Cocaine-Stuffed Liquor Bottles

    Smuggler Caught With Cocaine-Stuffed Liquor Bottles

    The three bottles contained over $100,000 worth of cocaine.

    A high-flying traveler had an abrupt come-down when authorities collared him at JFK Airport with $115,000 of blow stuffed into bottles of Baileys. 

    Akeem Rasheen Lewis allegedly flew into the Queens, New York airport on Sept. 28 with three bottles of liquor in his duty-free bag, according to Customs and Border Protection. But agents at the airport noticed that the bottles appeared to be tampered with, and they pulled Lewis aside to a private search room where they allegedly found three powdery packages wrapped in clear plastic. 

    “This seizure demonstrates the dynamic border environment in which CBP officers operate at JFK,” said Frank Russo, the agency’s New York Field Operations acting director. “Our officers are determined to adapt and respond to these threats in an effort to protect the American people.”

    Lewis was arrested and turned over to Homeland Security Investigations. 

    Though the boozy bust raised some eyebrows, it’s not the agency’s weirdest—not even by a long shot. 

    Customs and Border Protection officials routinely intercept drugs and other illicit supplies stashed creatively inside vegetables, vehicles and people. 

    In 2017, officials uncovered more than $30,000 of pot hidden inside a hearse traveling near Tombstone, Arizona (yes, really). That same year, they turned up 40 pounds of meth hidden in the bumpers of a car in Texas. In another bust, authorities found 80 pounds of pot and coke hidden inside buckets of grease near the Mexican border. 

    Then there were the cans of tuna and corn actually filled with seven pounds of blow, the shipment of lettuce covering 3,700 pounds of pot, the speaker box full of heroin and the shipment of key limes that were actually poorly disguised packets of marijuana. And that was all just in 2017. 

    One of this year’s juiciest border busts happened in the spring, when agents in Texas stopped a tractor-trailer hauling 41 pounds of heroin hidden inside a supposed shipment of tomatoes

    The 18-wheeler was trying to pass through the checkpoint at the Pharr International Bridge when drug-sniffing dogs got a whiff of something amiss. Inside, they found roughly $1.6 million of smack. 

    Even though there are some consistent favorites when it comes to smuggling, traffickers in recent years have branched out and gotten creative, turning to drones, catapults and air compression guns. And, to get around border walls and vigilant agents, smugglers have started using speedboats to zip over from Mexico and bring in clandestine supplies, according to a New York Times report last year.

    From 2011 to 2016, authorities detected more than 300 such attempts to traffic by sea—and that’s only the ones they caught. 

    View the original article at thefix.com

  • "Dilbert" Creator Addresses Son’s Apparent Fentanyl Overdose

    "Dilbert" Creator Addresses Son’s Apparent Fentanyl Overdose

    “If you don’t have any personal experience with opioid addiction, it doesn’t look like anything else you’ve ever seen,” Adams said.

    Cartoonist Scott Adams is grieving the loss of his stepson, who died of an apparent fentanyl overdose last weekend. On a live video stream Monday, Adams described the moment he found out about 18-year-old Justin’s death and the path that led his son to his demise.

    “Yesterday I got a call… from my ex-wife who told me that my stepson, the little boy that I raised from the age of two, was dead,” said Adams, better known as the creator of the Dilbert comic strip.

    “He died last night… in his bed from what appears to be a fentanyl overdose. I got to watch my dead, blue, bloated son taken out on a stretcher in front of his mother and biological father.”

    Justin had a fentanyl patch on his arm, Adams said. “Fentanyl probably killed my son yesterday.”

    Justin had struggled with his drug use for years. “We weren’t surprised, because he’d had a long battle with addiction since he was 14,” said Adams.

    A traumatic injury as a young man had changed him completely. “He had a very bad head injury when he was 14 from a bicycle accident. His behavior changed after the accident,” said Adams. “He sort of lost his ability to make good decisions… He lost his impulse control, he lost his fear.”

    His family couldn’t help him, Adams said, especially because was never ready to seek help. “He never wanted to get better. From the time he started doing drugs, he wanted to do more drugs and that’s all he wanted.”

    Adams described what it’s like to see a loved one lost in addiction. “If you don’t have any personal experience with opioid addiction, it doesn’t look like anything else you’ve ever seen,” he said in the emotional live stream. “It turns people into walking zombies who quite clearly are not in their own mind and are not in control of their actions.”

    Fentanyl is a pharmaceutical painkiller said to be 50-100 times stronger than morphine. Because of its high potency and the growing demand for opioids, an illicit market for fentanyl has emerged. It is said to have fueled the rise in opioid-related deaths over the years.

    In 2016, the Centers for Disease Control and Prevention (CDC) recorded 63,632 drug overdose deaths in the U.S.—42,249 of them involved prescription and illicit opioids, including fentanyl.

    Adams, who’s made a name for himself as a conservative pundit of some sort, goes on to “call for [the] execution” of the people who according to the U.S. government are to blame for the fentanyl crisis—Chinese suppliers.

    Adams stoically explains that executing “Chinese executives” of companies who produce and distribute illicit fentanyl “would be a great step.”

    View the original article at thefix.com

  • Intoxicated Birds Cause Trouble In Minnesota

    Intoxicated Birds Cause Trouble In Minnesota

    Bird experts blame seasonal migration for the abnormal behavior while others believe fermented fruit is the culprit.

    Are they two wings to the air or three sheets to the wind? 

    A northern Minnesota town has been plagued by drunk and disorderly birds wreaking havoc on the friendly skies over Gilbert. 

    But—believe it or not—it was the town’s police department that flagged locals to stop calling in about the two-winged town drunks.

    “The Gilbert Police Department has received several reports of birds that appear to be ‘under the influence’ flying into windows, cars and acting confused,” officers wrote on Facebook. “The reason behind this occurrence is certain berries we have in our area have fermented earlier than usual due to an early frost, which in turn has expedited the fermenting process.”

    Typically, the birds would have already migrated away by the time the berries are at their most boisterous-making. But even if there appears to be some potential Flying While Intoxicated violations underway, police asked citizens not to call for help—unless they see “Big Bird operating a motor vehicle in an unsafe manner” or “other birds after midnight with Taco Bell items.” 

    Short of that, the best approach is to wait patiently for the booze to wear off, police said, as birds tend to sober up quickly. 

    Despite the well-received note, some experts had their doubts, telling the New York Times that the berries may not really be to blame for the birds’ boozy behavior.

    Instead, they credited any avian-versus-window wrecks to big seasonal migrations passing through the town and said it would simply be too early in the season for fermenting fruit to be the culprit.

    “I think this week everybody is yearning for something that we can all laugh at together,” Duluth-based bird expert Laura Erickson told the Times. “Drunken birds sound funny, and they are funny.”

    Even if these particular birds aren’t drunk, there’s some evidence they can turn a little tipsy from fermented fruit, according to the Washington Post

    “They just get sloppy and clumsy,” long-time birder Matthew Dodder told the paper. “They have actually fallen out of trees on occasion.”

    Some species—like robins and thrushes—are more apt to engage in drunken debauchery than others. But, as yet, there’ve been no reports of birdies in barroom brawls. 

    View the original article at thefix.com

  • Are $1 Test Strips The Key To Curbing Fentanyl Deaths?

    Are $1 Test Strips The Key To Curbing Fentanyl Deaths?

    Harm reduction advocates are applauding a new study that examines whether the test strips proved beneficial to injection drug users.

    Fentanyl, the powerful opioid said to be responsible for exacerbating the opioid crisis, could be meeting its match: a $1 test strip that indicates the presence of fentanyl in street drugs.

    A group of researchers wondered, if drug users had free access to these test strips, would they adjust their drug use to avoid dying from fentanyl?

    They put together a research study, published in the International Journal of Drug Policy, that distributed test strips to 125 heroin users at a needle exchange program in Greensboro, North Carolina. They then distributed an online survey that revealed 81% of the heroin users had used the strips, with 63% reporting that their drugs tested positive.

    Those who saw that their drugs contained fentanyl were five times more likely to adjust the way they used the drug so they would not overdose.

    For example, they may have opted to snort it instead of injecting it, slowing down the rate at which it enters the bloodstream. Others opted to simply use a smaller dose.

    The results are in line with a study by Johns Hopkins University researchers that found that users who preferred to inject their drugs did want to know if fentanyl was present, and would take its presence into account when using.

    Proponents of harm reduction see the study as a positive step forward.

    “Harm reduction at its core is a scrappy self-made movement,” said Daniel Ciccarone, a UCSF professor and study co-author. “Syringe exchange and naloxone peer distribution came out of this movement and have gone mainstream. But the [test strips] need an evidence base in order to become the next intervention in this legacy.”

    Slowly but surely, test strips are making their way to being distributed alongside clean needles at needle exchanges. However, unlike clean needles, test strips are still considered paraphernalia and thus face some legal restrictions in their distribution.

    The District of Columbia and Maryland have already adjusted their laws to allow the distribution of test strips, and advocates are confident other cities will soon follow.

    But even if the legal jam were to be overcome, there’s another problem. That $1 price tag on each strip adds up. Critics say it’s more cost-efficient for users to simply act like all their drugs contain fentanyl instead of testing each and every dose, but that’s not good enough, said Jon Zibbell, RTI International public health analyst and study author.

    “That’s like saying, ‘Assume everyone you have sex with has chlamydia,’” Zibbell said, suggesting that most people don’t act on a risk unless they have concrete evidence it’s real.

    He hopes that the strips will lead to more cost-effective bulk testing methods, such as spectrometers that scan for fentanyl at every needle exchange site.

    View the original article at thefix.com

  • Ben Affleck Speaks Out After Completing Rehab Program

    Ben Affleck Speaks Out After Completing Rehab Program

    The Justice League star told fans on social media he just finished a 40-day rehab stint.

    Actor Ben Affleck took to Instagram on Thursday to tell fans that he’s just finished a 40-day stay in rehab for alcohol addiction treatment.

    “This week I completed a forty day stay at a treatment center for alcohol addiction and remain in outpatient care,” he wrote on Instagram.

    He credited family, friends and fans for providing the support he needed to complete his treatment program and being able to speak about it publicly.

    “The support I have received from my family, colleagues and fans means more to me than I can say,” he admitted in his post. “It’s given me the strength and support to speak about my illness with others.”

    Affleck said that while his family is a major source of strength for his ongoing recovery, fan support also helps to push him through.

    “So many people have reached out on social media and spoken about their own journeys with addiction. To those people, I want to say thank you,” he posted. “Your strength is inspiring and is supporting me in ways I didn’t think was possible. It helps to know I am not alone.”

    He hopes that his being open about recovery as a high-profile celebrity can help others find the courage to seek help.

    “As I’ve had to remind myself, if you have a problem, getting help is a sign of courage, not weakness or failure,” he wrote. “I continue to avail myself with the help of so many people and I am grateful to all those who are there for me. I hope down the road I can offer an example to others who are struggling.”

    Affleck sought help with the support of his estranged wife, actress Jennifer Garner. The two have three children that they are committed to co-parenting despite the soon-to-be-official divorce. She’s been pushing him to get help since last year, and continues to help him today. In fact, Garner was the one who drove him to rehab for this most recent stint, according to People.

    “I want to live life to the fullest and be the best father I can be,” Affleck wrote in a March 2017 Facebook post. “I’m lucky to have the love of my family and friends, including my co-parent, Jen, who has supported me and cared for our kids as I’ve done the work I set out to do. This was the first of many steps being taken towards a positive recovery.”

    View the original article at thefix.com

  • The Most Important Person in the Room

    The Most Important Person in the Room

    There’s no need to worry about my career, or lack of intimate relationships, or future, or even quitting nicotine. I’m taking it easy, I’m in my first year of sobriety.

    Every time I relapse I forget I am not God.

    I am no longer able to allow the darkness to bloom into the grand external circumstances I once did; when it does, while the bigger picture slowly darkens, there’s a life constantly poised to begin.

    I think that continuous sobriety is boring; I must, based on the evidence of my own life, of my own lies.

    Imagine this: You are playing soccer. You’re on defense, almost as far away from the goal as you can get but you take the ball from the other team, all the way through their offensive and then defensive line with intense speed. You’re in front of the goal now, with a wide open shot. You flub the kick. The ball rolls just a foot. The goalie grabs it. It was all for nothing. This is how I played soccer. 

    Imagine the beginning of the semester: You love beginnings and showing what you are capable of, so you get A’s and read everything for the first month or two. Then you lose interest, get bored maybe, stop paying attention. You let your grades dip until it gets scary, until a note gets sent home. And then you have to work your ass off to get back to maybe a B+ final grade. If you really pull it off you might get an A-. That is what kind of student I was. 

    It seems like I need others and myself to know that I am capable, but also that I can’t be counted on. I want you to know that I can win, but I won’t. I don’t want to be expected to. It’s been almost ten years since my first attempt at recovery. I’ve never been sober long enough to date, to move, to make any major life changes within the constraints of the program’s suggestions.

    I’m addicted to each part of the cycle – the descent into not giving a fuck, the bloody climb from the pyre of my own making. As I get too close or move too fast towards what I want, the part of me that knows I am not worthy of it, the part that’s sure I don’t want the responsibility of a better life screws me. There’s a lot of fragmentation.

    When we—and by “we” I mean my perception of you and the culture-at-large—when we look at a chronic relapser, our tendency is to look at the drug as the thing they can’t let go of – and it is, mostly. For those of us who know what the other side can hold and yet continue to throw the ships of ourselves against the rocks, chasing siren songs, the guilt and shame only add fuel to the orgiastic pull of destruction. 

    Shame is our primary emotion and perhaps our greatest addiction.

    I recall every slide toward rock bottom I created, every flail out, the night spent hurling my body into the door of the drunk tank with piss-soaked pants, finally settling down to bite off each fingernail and howl. And I remember what comes after; being so broken I would allow help, would allow others to love me; how my father would prove he cared by letting me use a lawyer from his firm for my DUI case, how a nice lady from a meeting paid my October rent, how friends brought me to look for a job. 

    I get a new boyfriend, a new job, everything working out until I find myself moving down the mountain too fast, and, turning the tips of my skis inward to slow down, I fall.

    And when I come back to recovery, it’s the same. Just a few people to believe that this time’s different. The climb feels like springtime, that’s why I make sure to do one at least every spring. In fact, looking back over the data, a bottom out in winter followed by a good 4-6 month sober stretch is my usual.

    I won’t take AA seriously until I have nothing else left and nobody left to talk to. Or at least, that’s how it used to be. Now it’s more of an internal emptiness, as the fear mounts that I may not get another shot to take the ball all the way up the field. Until I start to feel better, until my life starts to get bigger, until I’m in front of the goal again. I choke, over and over and over, and I climb back out, over and over and over. I raise my hand: “I have two days back,” and I get the applause, again and again. I’m the most important person in the room.

    There’s a sense that I will always be on the verge, never quite crossing the line into success. I want more, or do I? The cycle is a familiar distraction.

    There’s no need to worry about my career, or lack of intimate relationships, or future, or even quitting nicotine. I’m taking it easy, I’m in my first year of sobriety. And there’s always new people.

    I almost believe it. 

    This is the place where I used to blame my abusive mother, and believe me, I would really like to. She loved nothing more than to break me so that she could comfort my brokenness. But I’m an adult now. Once I was a victim, now I am a volunteer; now I have internalized my abuser. I have some of her weapons, and some I have added. I do it when I talk to myself, when I won’t get out of bed, when I couldn’t finish this article for a month.

    And at the same time I have a picture of three-year-old me, my inner child, and ten-year-old me, my outer child, on my refrigerator. I talk to them, too. I tell them they are good enough, worthy of love and happiness and all the things the rest of the world seems able to allow themselves to have. I hope that one day we’ll all believe it. 

    What if life on the other side of a year of continuous sobriety isn’t beyond my wildest dreams? No need to worry about that, I’ll probably never get there. My promise is an unopened present, though I have shaken the box more than a few times. Now, it’s possibly rotting.

    How do I change? When does my sobriety and not my ego, not my love of a pattern repeating, become the most important person in the room? Will this time be different? Every time is. Will it be different in the way that I need it to be? I don’t know. 

    If the first step is honesty, these words are my only hope. These are the thoughts I keep in the shadows, the patterns with which I choose to keep myself trapped, the self-victimization through which I am still waiting to awaken, still waiting to let down my golden hair for some knucklehead prince to save me.

    What if I could climb past the first plateau of growth in recovery and keep climbing? What if I could continue to work on sobriety on the days I don’t feel like I need it? What if I could stop wanting to be something and start working on becoming it? 

    Every time I come back, I remember that I am not God. That I don’t have to do it on my own, that nobody really cares if I’m happy besides me.

    I would say wish me luck, but I’ve had so much of that. Wish me consistency over time. Wish me willingness. I am tossed by the waves yet I do not sink; I have proven that. Wish me, to stay.

    View the original article at thefix.com

  • Artificial Intelligence System Aims To Identify Drug Thefts In Hospitals

    Artificial Intelligence System Aims To Identify Drug Thefts In Hospitals

    The technology is meant to be used as a tool to help administrators monitor employees and alert them to anything unusual. 

    A new artificial intelligence system will monitor hospital workers and assign them a score that indicates how likely they are to steal prescription drugs from their workplace. The technology will address the growing issue of healthcare workers diverting drugs from their place of employment. 

    “The technology calculates how unusual one’s behavior is versus peers in their department, as well as peers across other hospitals, and analyzes a number of underlying metrics and patterns to create an overall risk score,” said Kevin MacDonald, CEO of Kit Check, which developed the system. 

    Kit Check develops software for prescription drug management, and works with about 400 hospitals and other healthcare clients throughout the U.S. and Canada. The new system will assign employees an Individual Risk Identification Score (IRIS). This is calculated by looking at data from drug dispensing cabinets, electronic medical records and drug disposal records.

    “The IRIS dashboard then shows who has the most risk in ranked order so hospital personnel can focus on people who are showing risky patterns,” MacDonald said. “The technology allows an administrator to look at why a person is scored as unusually risky and shows the specific transactions that contributed to the risk score.”

    The technology is meant to be used as a tool to help administrators monitor employees and alert them to anything unusual. 

    “A person’s score can change over time, and it’s not a 100% certainty that a high score means a staff member is diverting medications,” MacDonald said. “There will be situations where a person’s patterns shifted in an unusual—but explainable—way, for example, temporarily getting assigned to a different department/pattern. IRIS allows hospital personnel to have that conversation, evaluate the available data, and move on to other staff members that represent high risk.”

    A Utah hospital reported that up to 4,800 patients may have been exposed to hepatitis C in 2015 through a nurse who diverted medications by swapping needles with narcotics for needles containing saline. Healthcare workers who steal medications is a growing problem, according to some healthcare professionals. 

    “I think we’re all trying to figure this out,” said Angela Dunn, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention (CDC).

    Scott Byington, president of the Utah chapter of the National Association of Drug Diversion Investigators, said that diversions from hospitals are likely to go unreported. 

    “A lot of the clinics or hospitals, when they catch employees doing theft, I would say more go unreported than reported,” he said. “All of a sudden somebody doesn’t show up for work and the rumor mill starts going. They’ll report it to us anonymously, usually, and when we go to investigate, (Human Resources employees) sometimes will just say, ‘We’re not going to release any information from that.’”

    Christine Nefcy, chief medical officer at McKay-Dee Hospital in Utah where the hep-C exposures occurred, said drug abuse is “rampant in communities across our country. Hospital personnel, hospital employees aren’t any different.”

    View the original article at thefix.com