Category: Addiction News

  • When the Obsession Isn’t Lifted

    When the Obsession Isn’t Lifted

    Before, when someone with 20 years would say “it’s still a day at a time,” I couldn’t really hear them. I do now.

    I was a typical low-bottom case. I was drunk most days, and a car wreck, an arrest, and a liver enzyme problem couldn’t pry me from my favorite thing to do. What would be the point of a life without alcohol? Now over five years sober, though, one thing astounds me even more than my abstinence. I don’t miss drinking. I hardly think about it. How can this be? Drinking was at the center of my existence. Surely sobriety would be a lifetime of longing for what I couldn’t have anymore, of feeling terribly excluded from the magical things I associated with its effects: wildness, fun, escape, adventure. Now it’s like, drinking? Oh right, that…

    In AA-speak, I had an “obsession” with alcohol, and that obsession has been “lifted.” The totality of this transformation was enough to make me, an atheist before this, feel a bit mystical indeed.

    Over the years I have come to realize that unfortunately this freedom from obsession does not characterize everyone’s recovery experience. I first noticed this when I was out to dinner with a friend from the program. Both of us had over a year sober. Our server began listing drink specials, as servers do, and my friend cut him off and demanded that he remove the cocktail menu from our table immediately. I felt embarrassed and confused. These were not the vibes of someone “placed in a position of neutrality.” Instead she was coming across as anxious and aggressive and she seemed to be feeling unsafe. We talked, and she said, “Yeah, for me, the obsession has not been lifted.” I was stunned. I thought, really?

    Keeping her anonymous, I brought this interaction up to other friends who had been sober for decades. They knew. They reminded me that Dr. Bob’s obsession lasted well into his third year. Bob wrote in the Big Book, “Unlike most of our crowd, I did not get over my craving for liquor much during the first two and one-half years of abstinence. It was almost always with me.” He notes in this passage that it used to make him “terribly upset” to see his friends drink when he “could not.”

    I have become attuned to this. While there are as many experiences of recovery as there are people in recovery–it’s a deeply personal path after all–perhaps two broad types emerge, one in which the obsession all but disappears, and another in which it remains even while abstinence is achieved and maintained. How can these not be vastly different?

    This seems like a big deal, yet the issue gets scant air time in shares. I suspect we don’t hear about this more in meetings owing to our strong unity, per the triangle of recovery, unity, and service. We are at our best when we are united, identifying with each other rather than comparing. On this matter of the obsession, perhaps we are divided. (Of course there may be many people in the middle, whose obsession has weakened but has not “been lifted” or “removed,” or whose obsession comes and goes. I don’t know.) Out of the thousands of meetings I’ve attended, this issue has emerged just a few times as a share theme. In those shares, people whose obsessions have remained have expressed gratitude for others’ honesty who shared this ahead of them, and relief at the permission they felt it granted them to share similarly. They shared not wanting to drag anyone down, not wanting to be an unattractive example to newcomers, and not wanting to be seen as a “bad AA.” They wondered if they were doing the program wrong.

    I imagine that, on the contrary, it must take an especially strong program to maintain sobriety in the circumstance of an obsession that endures. When I share about its being lifted, including writing this now, I feel a sense of survivor’s guilt. I worked the same 12 steps as everyone else, and my active disease was plenty strong. Just for me, abstinence was a prerequisite for the freedom from obsession that followed, but after that, the freedom from obsession made ongoing abstinence feel easy. Life can be hard. Last spring, my sibling got a life-threatening illness, and that was very hard. But I don’t find not drinking to be hard anymore. When I use the slogan “getting sober is a lot harder than staying sober,” that is what I mean.

    Olivia Pennelle’s recent article in The Fix,Is there Life after AA?” caught my attention. She wrote about wanting to leave AA and being tired of the “fear-based conditioning” that if she left, she wouldn’t stay sober. I identified with her experience, not because I wanted to leave AA (I didn’t), but because I too faced dire predictions when I wanted to reduce my time commitment to the fellowship. In my first four years sober I had been attending meetings almost every other day; making daily calls to sponsors (something like 1,500 total to my two consecutive sponsors); hundreds more calls to friends, acquaintances, and newcomers; taking around half a dozen sponsees through some stepwork (not all at the same time!); and fulfilling service commitments ranging from greeter to meeting chair to speaking in prisons and psych wards and what seemed like half the groups in my large metro area. My recovery felt solid, and I’d learned the difference between the program, which I could apply in my daily life, and the fellowship.

    I’d returned to grad school to become a psychotherapist. (Incidentally, while there I discovered that mental health professionals have studies and theories about why the obsession leaves some people more easily than others, having to do with particular co-occurring mental health issues. In the future, I hope to write about this too.) With more focus and energy, I felt ready to pursue the new career and other life goals including getting non-alcoholic friends and dating outside the fellowship. I found myself needing more time. Trust me, I did ask myself and a higher power within: Am I “drifting?” Am I “resting on my laurels?” Then as now, I relied heavily on meditation. In my depths, I knew this was not the case.

    Pennelle quoted someone who wrote to her, “I know lots of people who have left 12-step recovery. They are all drunk or dead.” When I reduced my involvement, some people made it clear how extremely dangerous they thought this was, and how worried they were. When I told a friend I was down to 1 to 2 meetings per week, she looked at me like I was out of my mind. My sponsor was distraught to be working with me in my new approach, and she couldn’t seem to talk about anything other than how my disease must be “tricking” me. I had affectionate feelings and a lot of gratitude towards her, but we couldn’t seem to see eye to eye on this. Eventually I referenced my obsession’s being lifted as part of my rationale for feeling safe cutting down on the time commitment. She then used almost the same words my friend used years before and said that for her “the obsession has not been lifted.” She added, “for some people, it never does.”

    Many considerations likely play into people’s decisions regarding how much or how little time they spend in the fellowship, but it stands to reason that the persistence or disappearance of the obsession factors into it. I have no wish to take chances. Sobriety is the most precious, important thing in my life. It is my life. This disease has killed at least five members of my extended family, and it’s got one immediate family member in prison. I have never once questioned that if I take so much as a sip, I take my life into my own hands, and I don’t want to die. I try never to take my recovery for granted. AA is still a part of my life, but it is “a bridge back to life,” and life was pulling me in another direction. I couldn’t be true to myself and continue at the same level of time commitment I had in my first few years. I didn’t want to let anything get between me and my recovery, including my program.

    “A day at a time” has become a spiritual way of life for me, a reminder to live in the present. In early sobriety it was “a day-at-a-time” quite literally. I struggled hard not to drink through the first 90 days and then some, thinking about drinking almost nonstop. As I remember it, the obsession only began to falter for brief spans in months four and five, when I would have these amazing moments of realizing, hey wait! It’s been a whole afternoon and I haven’t been missing it. What freedom! Though I was desperate, exhausted from sleeplessness, grieving the loss of the only coping mechanism I’d ever known and coming to see the wreckage and trauma for the devastation that it was, these gaps in the obsession spurred me on. Even beyond my first anniversary I was still a little shaky (figuratively that is, my actual shakes were long gone). Now there are just moments when a liquor ad will catch my eye, or I’ll have a twinge of nostalgia for my old life. I’m still an alcoholic, but these come very rarely and never amount to a craving. Not even close.

    Before, when someone with 20 years would say “it’s still a day at a time,” I couldn’t really hear them. I do now. Taking sobriety “a day at a time” can remain literal, for life. For some cutting back on involvement in the AA fellowship may indeed be a death wish. We share a common problem and a common solution, but we are different people with different lives and recoveries. However well-intentioned, using fear or guilt to coerce people into a level of time commitment that for them is no longer authentic or wanted may only alienate them and take them away from a level of commitment that is working well, or inhibit them from re-engaging should a need arise in the future. Accepting this doesn’t require being dismissive or doubtful of other people’s need for continuous, intensive involvement. Compassion, as always, is best. We must do what is right for our own selves, and, unto our own selves, be true.

    View the original article at thefix.com

  • Underlying Social Issues May Be Fueling The Opioid Epidemic

    Underlying Social Issues May Be Fueling The Opioid Epidemic

    “If we solve the [opioid] sub-epidemic, will there be another sub-epidemic that comes on its heels?” asks one expert.

    A new study has affirmed that there are underlying social issues when it comes to the opioid epidemic.

    The study, published Thursday (Sept. 20) in the journal Science, determined that drug overdose deaths have been increasing since 1979, well before opioid abuse began climbing in the 1990s. 

    According to researchers from the University of Pittsburgh, this could mean that rising overdose deaths are actually connected to “larger societal problems like alienated communities and an increasingly disaffected population.”

    During the study, researchers examined data from about 600,000 deaths categorized as drug overdoses from the National Vital Statistics System. In doing so, they discovered that the overdose deaths “followed an almost perfectly exponential trajectory” from 1979 to 2016.

    Researchers found that the overdose deaths doubled about every nine years, and that by 2016 it had increased to one death every eight minutes.

    “This smooth, exponential growth pattern caught us by surprise,” Dr. Donald S. Burke, senior author and dean of the University of Pittsburgh Graduate School of Public Health, told ABC News. “It can be hard to grasp what exponential growth really means, but you can think of it as a nuclear explosion: you start with 2 [deaths due to drug overdose], then 4, then 8, then 16, and so on.”

    Though the increase in overdose deaths was consistent, researchers did not find that there was any similar predictability when determining deaths from a specific drug.

    By utilizing a method called heat-mapping, researchers were able to plot overdose patterns across the country and found that while certain drugs were more prominent in certain areas, nearly every region showed an overdose “hotspot” for at least one drug.

    In doing so, the researchers came to the conclusion that overdose deaths have continued to increase even though the use of individual drugs has fluctuated over time.

    “It implies that there are other forces at work, besides the specific drugs,” Burke told ABC News. “The forces are broader and deeper than we thought, including social determinants of health and technological determinants of health.”

    Burke further explains, “The drugs have become cheaper over the years and their delivery systems have become more efficient… These factors increase drug availability. People are losing a sense of purpose in their lives and there has been dissolution of communities, making people more susceptible to using drugs—increasing demand.”

    While Burke agrees that treatment programs and availability of the overdose antidote naloxone are helpful for individuals, he worries that not enough is being done to address the underlying issues. 

    “If we solve the [opioid] sub-epidemic, will there be another sub-epidemic that comes on its heels?” Burke said. “If we don’t address the social determinants of health that underlie drug use and addiction, there’s a good possibility that the drug overdoses will start to emerge again.”

    View the original article at thefix.com

  • Why Hospitals Offer Treatment Referrals In Lieu Of Addiction Services?

    Why Hospitals Offer Treatment Referrals In Lieu Of Addiction Services?

    Only 5% of ER doctors work in hospitals that offer buprenorphine or methadone.

    A recent Huffington Post feature highlights a conundrum within the medical community’s response to the opioid crisis: emergency room patients with opioid use disorder who receive a dose of buprenorphine are twice as likely to continue treatment within the next 30 days than those who were referred to outside treatment facilities.

    Despite those statistics, a survey by the American College of Emergency Physicians (ACEP) found that only 5% of ER doctors work in hospitals that offer buprenorphine or methadone, of which there are less than 100 in the United States.

    The ACEP study, which polled 1,261 emergency physicians in 2017, found that 9 in 10 respondents felt that the number of patients seeking opioids had increased or remained the same during that year. But at many hospitals, patients seeking medical assistance for addiction-related issues are given the phone number for local clinics.

    Dr. Andrew Kolodny, co-director of the Opioid Policy Research Collaborative at Brandeis University, cites a number of reasons why this approach might be favored over administering buprenorphine or other opioid treatment drugs.

    Emergency doctors and nurses may have antipathy towards drug users, who are often in their worst possible states when arriving at emergency services, said Kolodny. Hospital administrators, too, may perceive such patients as poor insurance risks, especially those in states that have not expanded Medicaid; offering services beyond treatment referral could take up staff and available beds.

    Prescribing buprenorphine also requires a license from the Drug Enforcement Administration (DEA), and many physicians are not willing to complete the eight hours of clinical training required to receive it.

    But as the Huffington Post feature notes, a number of hospitals across the U.S., including 10 in Maryland and multiple locations in California and South Carolina, do offer addiction services, which typically entail screening by caregivers and an interview with a peer recovery coach to determine if the patient is willing to accept treatment.

    ER doctors and nurses will treat the patient’s most urgent medical needs, and then administer a dose of buprenorphine

    A 2017 study by the Yale School of Medicine found that patients with opioid use disorder who receive such a dose in an ER were twice as likely to be involved in some form of treatment a month later, compared to those who were not. Dr. Eric Weintraub, an associate professor of psychiatry at the University of Maryland School of Medicine, is a proponent of addiction services in emergency rooms, and now works to help other hospitals adopt that approach.

    “We’ve learned that certain places are conducive to engaging patients in treatment,” Weintraub told HuffPost. “One of them is the ER. The other is the criminal justice system. We need to grab those opportunities and offer patients effective treatment when they’re ready.”

    Currently, addiction treatment specialists are watching addiction services programs in Maryland and other locations to see if the approach proved effective over long-term periods. “If this movement… is successful and starts to become normalized nationwide, it could change everything,” said Kolodny.

    “If you really want to see overdose deaths come down in the United States, getting treatment with buprenorphine has to be easier and cheaper for people with substance use disorders than getting heroin or other opioids off the street,” he said. “And what could be easier than walking into an ER and getting started on buprenorphine?”

    View the original article at thefix.com

  • Pennsylvania Prisons Ban Books Due To "Drug Smuggling," Twitter Erupts

    Pennsylvania Prisons Ban Books Due To "Drug Smuggling," Twitter Erupts

    Pennsylvania Department of Corrections took to Twitter to defend the banning policy and were promptly ripped a new one by Twitter users.

    The Pennsylvania prison system got hilariously dragged on Twitter after officials claimed they’d intercepted a letter about drug-smuggling—when in fact the neatly-penned missive mentioned nothing of the sort. 

    The tweet and its aftermath are just the latest bizarre fallout from the alleged drug exposure incidents and subsequent book-banning policy that the Pennsylvania Department of Corrections defended in the first place. The letter, they said, was proof of the need for stricter book-sending policies to tamp down on drug trafficking into the facility.

    “Do you have any old books you read already? If so I want you to send them to me,” reads the inmate letter posted to Twitter on Sept. 14. Over the course of the next few lines, the missive-mailer explains how to game the system to send in used books as if they’re new, thus making it possible to get in a wider array of reading material for a lower cost.

    Nowhere in the 14 lines of writing does the letter mention drugs, or include instructions about how to conceal any type of material in the mailed-in books.

    “P.S. A dictionary would be lovely,” the prisoner scrawled in the margin with a smiley face.

    Nonetheless, prison officials spotted the literary subterfuge and saw something more sinister. In their tweet, the department described the note as “a letter from an inmate to family members describing how to smuggle drugs through a popular book donation program.”

    Twitter was not having it. 

    “That’s weird,” tweeted the Rhode Island chapter of the National Lawyers Guild. “Is ‘dictionary’ code for drugs? Many of my clients have asked for dictionaries over the years, and when I had actual dictionaries mailed to them, they did not ask me why I sent books instead of drugs. Please advise.”

    Another Twitter user wrote, “Ah yes, classic drug dealer lingo like ‘A dictionary would be lovely.’”

    Others joined in.

    “Do you know what a book is?” another user tweeted. More and more smart-alecky commenters piled on, ensuring the prison system’s tweet got soundly ratioed into Twitter infamy. 

    “Sir, I was promised a letter describing how to smuggle drugs & all I got was this lousy letter describing how to donate books,” tweeted another Twitter snarker. 

    The chain of unfortunate events that led to the Twitter dragging began a number of weeks ago after 57 prison staffers were sickened in a series of 28 alleged drug exposure incidents.

    In response, prison officials instituted a statewide lockdown in late August and shut down all mail. Afterward, prison brass linked it all to synthetic cannabinoid exposure—but experts told the Philadelphia Inquirer that it was more likely a “mass psychogenic illness.”

    “We see it all the time with law enforcement,” said Jeanmarie Perrone, director of medical toxicology at the University of Pennsylvania’s Perelman School of Medicine. “Police pull someone over and find an unknown substance. Suddenly their heart’s racing, they’re nauseated and sweaty. They say, ‘I’m sick. I’m gonna pass out.’ That is your normal physiological response to potential danger.”

    Another physician called the possibility of cannabinoid exposure through the skin “implausible.” But whatever caused the officers’ sickness, there’s been little doubt that the system—like prison systems in other states—has seen an uptick in K2 smuggling. 

    Accordingly, the Keystone State’s prisons announced plans to spend $15 million to up security with body scanners for visitation, digital mail delivery, drone-detecting equipment—and a shift to e-books.

    View the original article at thefix.com

  • Me, My Psych Meds & My 12-Step Recovery

    Me, My Psych Meds & My 12-Step Recovery

    Now that I have double-digit sobriety, I have no qualms about pulling aside people who disparage the use of psych meds in meetings.

    As I sat in my jail cell I had to question the admonition I got from an old-timer at a 12-step meeting I frequented.

    “If you trust your Higher Power enough, you don’t need psych meds.”

    Really? How well did that work for me? Prior to my psychotic break I wore my sobriety well. I had married the love of my life. My IT consulting practice was netting me a mid-six figure income. The custom house we bought and furnished was paid in full.

    Funny thing about alcoholics. When things are going well we want to fiddle with the recipe that got us there. Why do I need meds? After all, I have been symptom-free for years. I have never been manic in sobriety.

    For some reason the under-utilized abacus in my head couldn’t (or wouldn’t) do the math that me plus meds equaled sanity. That old-timer’s advice started to resonate. After all, I was a Higher-Power-trusting kind of guy. Never did it occur to me that maybe there was power and inspiration behind the development of the medications that kept me sane.

    A salesman at heart, I broached the subject of discontinuing meds with my wife—my wife who had never known me symptomatic.

    “I’m doing fine,” I said. “Just look at all these articles I found on the web about managing symptoms with vitamins and exercise.”

    I closed the deal and by August of 2009 I was med-free.

    All was well until it wasn’t. In November of that year my wife was hospitalized with COPD exacerbation. Talk about the need for a lung transplant and end-of-life-planning marked many of our conversations with physicians. Up went the anxiety level.

    As the stress level began to rise, the amount of sleep I was getting decreased proportionally. Funny thing about bipolar I disorder, nothing triggers mania like lack of sleep. Or so I learned later.

    Around January or February of 2010—the timeline gets a little distorted… a little racy—my response to my wife’s health condition was to pick up more clients, sleep less and work more. One of my clients, a large county government, went under investigation by the state’s Attorney General.

    The subject of the investigation? The contents of a database I maintained.

    The state wanted the unvarnished data. The county wanted it “scrubbed.” Stress bombs were being lobbed at my increasingly fragile state of mind.

    Somewhere in the spring of 2010 there was an audible snap. Distinguishing the seemingly real from the false got a little tricky. Paranoia replaced anxiety. Clients began pulling me into meetings to explain why I was sending late-night emails about Russian cell-phone hackers and suspicious activities on the part of my co-workers.

    Apparently, my explanations were none too satisfying. First there was a mandated two- week “vacation.” A week after I returned I guess no improvement was noted as the County Manager’s personal security detail escorted me from the premises. My monthly billing dropped by 75% at a time I was spending and gambling like, well, like someone in the midst of a full manic break. The bank accounts were drained and the credit cards began to max out.

    My wife reminded me of a promise to resume medication if she ever deemed it necessary… and she was definitely in a deeming-it-necessary mode. Funny thing about psych meds, the maintenance dose that had worked so well for years really wasn’t up to snuffing out full blown mania. I resumed my meds, but it was like trying to battle a raging forest fire with a squirt bottle.

    By May, loved ones were more than a little concerned. That came to a head in the aftermath of a pool party/cookout gone awry. For some reason I thought our guests needed to be greeted by the entire content of my garage spread across the front yard and folding tables piled high with $3,500 dollars’ worth of random magazines, toys, household goods, and an inordinate amount of Febreze from a 2 a.m. Walmart shopping spree.

    Twenty-four hours later there was a late-night visit from the local police to take me to a 72-hour psych hold my wife and daughters had arranged.

    Agnosognosia. A Greek term for lack of insight. The medical profession has reserved it to describe the phenomenon of people in the throes of mania denying that they are manic. I had it, but good. Four hours into my psych hold I pretended to be asleep and then put on a very calm front for the psychiatrist who had just come on shift to make the rounds.

    By hour six I was released, and my wife and daughter got a tongue-lashing from the doctor for wasting her time. I delighted in that, but not once did it occur to me that if I had to consciously act calm, maybe things weren’t quite right. Life at home got a little more strained.

    Five days later I agreed to be hospitalized. Then I reneged on my promise and decided to storm out of the house to underscore how healthy-minded I was.

    As I packed, among other things, a two-and-a-half-foot tall Buzz Lightyear action figure, a cloth “green screen” for shooting videos and manipulating the background, and a folded American flag. I also decided to pack an unloaded .22 pistol that was going to be the centerpiece of a yet unscripted cellphone video masterpiece.

    As I turned from my dresser to the duffle bag I was packing on my bed, my wife entered the room. The gun was pointed in her direction. She didn’t see a budding videographer; to her it was a little more “assaulty-ish.”

    A half hour later, I was cleaning the pool at an unoccupied rental house of ours where I had decided to camp out. Not five minutes into it, I noticed a helicopter directly overhead. In my paranoid and delusional state, I assumed the helicopter was there to film me in all my glory.

    Turns out, a very real S.W.A.T. team had encircled me and I wasn’t so delusional after all. My mugshot made the front page of our major online newspaper… in all my glory.

    Over the next six weeks in jail my symptoms subsided, my marriage was repaired, and I got a felony assault charge reduced to disorderly conduct. (I really couldn’t argue that I had been a little disorderly.)

    Still, I had one full year to learn how difficult it is to stay employable until that felony disorderly conduct was reduced to a misdemeanor. I am now very sympathetic towards sponsees who are trying to get back on track following incarceration.

    You guessed it. If I am still sponsoring, I am still active in 12-step recovery. It may not be for everyone, but it works very well for me.

    Now that I have double-digit sobriety, however, one thing has changed. I have no qualms about pulling aside people who disparage the use of psych meds in meetings. I share my story and explain rather firmly why they might want to reconsider that position.

    I am also not shy about sharing in meetings about an article from AA’s Grapevine magazine published in the 1970s when groups were first wrestling with the subject of psych meds. The home group in that story? Well, it arrived at a position that still holds true to this day: If advised to take psychiatric medication by a physician, you should not take one more, nor one less, than prescribed.

    Rick Bell, a bipolar alcoholic in recovery, holds a M.S.in Addiction Science and is completing a PhD in Psychology. He blogs at recoveryrules.com/blog.

    View the original article at thefix.com

  • How Drugs, Alcohol & Suicide Are Affecting The Average Lifespan

    How Drugs, Alcohol & Suicide Are Affecting The Average Lifespan

    A new CDC report has revealed some alarming changes in life expectancy trends.

    A new CDC report reveals that the average life expectancy in the United States is falling for the first time since 1993.

    Drugs, alcohol, and suicide are taking the lives of young Americans at rates so high that the U.S. life expectancy is being pushed down, according to the Centers for Disease Control and Prevention (CDC).

    The CDC’s National Center for Health Statistics (NCHS) has released a new federal report revealing that the U.S. life expectancy has dipped by about 0.3 years between 2014 and 2016.

    This breaks the pattern of steadily-rising life expectancy between 2006 and 2016, which saw growth from 77.8 years to 78.6 years. The causes for this drop in the general population, says the CDC, are rising drug overdose rates, suicide, liver disease, and Alzheimer’s.

    Drug deaths have been spiraling out of control over the past few years, killing 63,600 people in 2016.

    In 2016, liver disease surpassed HIV to take the dubious honor of being the sixth-highest cause of death for U.S. adults aged 25 to 44.

    Suicide has been on an upward trend for all demographics, including an alarming 9% increase in suicides by children from age 1 to 14 during the study period.

    While more men have died of overdose and suicide than women in the past, that gender gap is quickly closing. Drug overdose deaths jumped by about 19% for women aged 15 to 24 from 2014 to 2016. Suicide rates for young women have grown by a whopping 70% between 2010 and 2016.

    Deaths from Alzheimer’s disease have risen by 21%, and the CDC expects this number to grow larger as time goes on.

    However, the report wasn’t all bad news. Among Americans above the age of 65, deaths resulting from heart disease, cancer, and strokes have fallen.

    Drugs, alcohol, and suicide have been working to drive down life expectancy since 1993. While these increases may not seem like a big deal, Robert Anderson, chief of the mortality statistics branch at the National Center for Health Statistics, says we should be aware.

    “For any individual, that’s not a whole lot,” he told NPR. “But when you’re talking about it in terms of a population, you’re talking about a significant number of potential lives that aren’t being lived.”  

    View the original article at thefix.com

  • Restaurant That Sedated Lobsters With Weed Under Investigation

    Restaurant That Sedated Lobsters With Weed Under Investigation

    “I feel bad that when lobsters come here there is no exit strategy,” said the owner of Charlotte’s Legendary Lobster Pound.

    Would you like your lobster baked or stoned?

    A beloved eatery in Maine is drawing attention—from national press as well as from state investigators—for smoking up its crustaceans with cannabis before boiling them as part of a questionably effective effort to soothe the lobsters’ last moments. 

    “I feel bad that when lobsters come here there is no exit strategy,” Charlotte Gill, owner of Charlotte’s Legendary Lobster Pound, told the Portland Press Herald. “It’s a unique place and you get to do such unique things but at the expense of this little creature. I’ve really been trying to figure out how to make it better.”

    Of course, it’s not even clear how much lobsters can feel pain or if they can actually get high, and the whole endeavor raises some nagging legal—and scientific—questions.

    “I’m not aware of any actual studies on this and haven’t done any myself, though it sounds interesting,” Robert Bayer, director of the University of Maine’s Lobster Institute, told the Maine paper. “When you put them in boiling water, the primitive nervous system that does exist is destroyed so quickly they’re unlikely to feel anything at all.”

    But, earlier this year, Switzerland banned boiling lobsters in light of studies suggesting the pinchy shellfish might feel some pain. New Zealand nixed the practice almost two decades ago. 

    Gill is a licensed marijuana grower, so she’s been cultivating the crustaceans’ cannabis at home, according to the New York Times. But that effort raised red flags with the state health department, prompting regulators to send her a notice politely pointing out that the marijuana is supposed to be grown for her, not for her lobsters.

    At the same time, the Maine Health Inspection Program has launched an investigation into the Southwest Harbor restaurant and its “high-end lobster,” but as of Friday they hadn’t issued any findings.

    Despite the catchy name and the smoky additive, Gill offered reassurances that the plant’s active ingredient wouldn’t actually make it through to human consumers, after the animals are cooked. 

    “THC breaks down completely by 392 degrees,” she said, “therefore we will use both steam as well as a heat process that will expose the meat to a 420 degree extended temperature, in order to ensure there is no possibility of carryover effect.”

    View the original article at thefix.com

  • Backstreet Boy AJ McLean Inspired to Fight Addiction After Mac Miller’s Passing

    Backstreet Boy AJ McLean Inspired to Fight Addiction After Mac Miller’s Passing

    The pop star is throwing his weight behind a new line of home products made to help those struggling with addiction.

    The boy band singer is driven to stay sober and fight addiction with a new line of recovery products.

    Singer AJ McLean is leaning in to the fight against addiction following Mac Miller’s death. Having battled his own addictions in the past, McLean knows Miller’s struggles all too well.

    “I met him a couple of times at radio shows and he was a stand-up guy,” McLean told ET. “You would never know that he had a problem — but a lot of people had no idea that I had a problem. Addicts can hide it pretty well, so all my condolences go to his family and friends. He’s another one gone too soon.”

    McLean himself has two young daughters as motivation to stay sober, but Miller’s passing has given McLean a renewed vigor in combating addiction. He’s throwing his weight behind a new line of home products made to help those struggling with substance abuse, with a special focus on opioids.

    “With what recently happened with Mac Miller, people need to really understand how serious addiction is,” he remarked. “It’s a huge killer and you’ve just got to surround yourself with the right people, go to your meetings and get a sponsor. It’s a marathon, not a race. I’m getting involved with a pharmaceutical company that is going to be putting out some amazing products. One is an at-home opioid detox kit, non-narcotic because one of the biggest [causes of] deaths in the entire world right now is based on opioids.”

    In 2001, the Backstreet Boys stopped their Black & Blue tour to allow McLean to go to rehab for alcohol abuse treatment. He’s been open about his recovery process, fessing up to having relapsed on booze in the past during his recovery. To this day, McLean still does his best to attend at least five Alcoholics Anonymous meetings per week.

    These days McLean isn’t just staying sober for himself–he has his wife and two daughters, five-year-old Ava and one-year-old Lyric, to look after.

    “Having a family and looking my two girls in the eye every single night and every single morning —  they’re my lifeline,” he admitted. “They’re my everything. Them and my wife. So, I would never in a million years want to let them see me drunk or high or dead or in jail. I want to walk both my girls down the aisle … when they’re 35! As long as I can hold off on boys, I’m going to hold off on boys!”

    McLean’s schedule is pretty busy these days. Besides raising two daughters and backing a range of recover products, he’s also wrapping up work on a new Backstreet Boys album while also working on a solo country record.

    “I have been super busy trying to finish off my solo record, and this past week — I think, hopefully — we finished the Backstreet Boys record!” he told ET. “So, we can have it come out in October as planned, then tour around the world next year.”

    View the original article at thefix.com

  • Bringing Harm Reduction to Haywood County

    Bringing Harm Reduction to Haywood County

    The man in the camouflage shirt who emerges from the cabin is drawn and thin with circles under his eyes. He tenses at my presence, especially once Jeremy tells him I am there to write an article.

    It is a cloudy evening and mosquitoes patrol in full force as Nancy Bauman and I pick our way gingerly over trash-strewn ground, searching for syringes. Under a creekside bridge splashed with graffiti, a pair of neatly folded jeans, a plastic bag of food items, and a pair of shoes offer evidence of a homeless encampment.

    As we search, Nancy opens up about her life as a former injection drug user. She recounts how her only brother died of a heroin overdose shortly after returning from Vietnam. Her own struggle with addiction began through recreational drug use with homecoming soldiers, and years ago she lost her husband to hepatitis C infection. Drugs ruled much of her youth, but Nancy has spunk. She entertains me with tales of how she used to run an illegal syringe exchange program with two Catholic nuns in Los Angeles. 

    As I listen to Nancy, I am not putting much effort into the search for syringes. Truth be told, I feel guilty about picking through someone’s home and also for the assumption that a homeless person must also be an injection drug user. Under the bridge, Nancy and I find nothing but an overturned shopping cart, bits of trash, and a spoon. When the time comes to return to the health department, I feel relieved.

    Nancy and I drive back to the health department to rejoin the rest of the newly formed Substance Use Task Force of Haywood County, North Carolina. The community syringe pick-up event is the inaugural event for this group, which is comprised of public health employees, harm reduction advocates, law enforcement personnel and impacted citizens who hope to address the growing incidence of drug use in Haywood County. The dozen or so members are an eager bunch, well-intentioned but so far lacking clear direction on how to tackle such a complex problem. The group finds only two discarded syringes that evening; still, enthusiasm reigns.

    We are debriefed by members of the North Carolina Harm Reduction Coalition (NCHRC), which in spring 2018 hired three staff members for the area under a grant funded by the Aetna Foundation. Haywood County, and western North Carolina in general, is relatively new territory for NCHRC, which has more established programs in eastern and central parts of the state. In one sense, this is an advantage since advocates can draw on the experience of harm reduction programs in other counties. In another sense, it is a disadvantage. Few people in Haywood County have even heard of the term “harm reduction.” Appalachian residents, often tough and resistant to change, are not easily convinced and stigma against drug users runs deep. For the three new staff members, Gariann Yochym, Virgil Hayes, and Jeremy Sharp, the task of introducing harm reduction to Haywood County is both challenge and an opportunity.

    After the task force disbands, I join Jeremy Sharp to deliver supplies to participants of the mobile syringe exchange program he has helped establish. The clouds have rolled away and the sun is just beginning to set behind the backdrop of the Blue Ridge mountains. We drive past picturesque fields of hay bales and grain silos. The town is so pretty it almost looks painted. We pull up to a log cabin with a single tire swing swaying in the breeze under a tree.

    But the beauty ends here. The man in the camouflage shirt who emerges from the cabin is drawn and thin with circles under his eyes. He tenses at my presence, especially once Jeremy tells him I am there to write an article. As a peace offering, I put away my notebook.

    Jeremy delivers syringes and naloxone to the man and his wife, who emerges from the house. The wife gives a sobering account of her recent arrest for drug possession and the agony of opioid withdrawal she endured while in jail. She asks Jeremy for help getting Suboxone treatment for opioid use and he offers to connect her to his co-worker, Gariann, who can arrange an appointment. Jeremy is quirky but likeable, and the couple’s affection for him is clear.

    When we are back in the car and I have use of my notebook again, Jeremy admits that the stories of death and despair that he encounters on a daily basis can get to him. “I walk into people’s lives for 20 minutes to do an exchange and it can be overwhelming to hear even just a description of all the things they are going through,” he says. 

    “But,” he adds, brightening. “There is nothing like that first naloxone reversal.”

    The struggle to find hope in a grim situation is one that plagues other advocates as well. NCHRC’s Gariann Yochym, who connects Haywood County program participants to social services, lives this fight every day.

    At first glance, Gariann gives off strong hippie vibes. She hails from Asheville, North Carolina’s most notoriously liberal city, but was born and raised in the hills of West Virginia. She glides easily between country twang and the Queen’s English, comfortable in both worlds but fully belonging to neither. In that way, she is well-suited to the work in Haywood County, which necessitates a level of mastery in both progressive public health policy and rural resistance to change.

    Since arriving in Haywood County, Yochym has been laying foundational work to connect drug users to services that can help them improve their health. Introducing harm reduction to an often hostile political environment is not easy. When I first ask Yochym what she thinks of her job, she offers a sunny response: She loves to help people and make a difference. But with prodding, she admits that the work can be difficult.

    “Trying to build relationships and respect, sometimes I don’t know when I should bite my tongue or hold my ground,” she says. “It can be challenging to build new partnerships, but I think we all recognize the importance of working together to address these complex problems.”

    Haywood County is a microcosm of the challenges that harm reduction faces in general. Though the harm reduction movement has existed for decades, in many ways it is still the new kid in town, pushing back against centuries of punitive and abstinence-only approaches to drug use. Long a stronghold in northern states, harm reduction has more recently begun laying foundation in southern states, where politics can be antagonistic. For advocates, the constant dilemma of when to compromise and when to hold firm is exhausting. Bringing opposite sides together often means that neither gets what it wants, and advocates are criticized both for pushing too hard and not pushing hard enough.

    Virgil Hayes, who supervises the Haywood County staff and programs, also lives under this constant pressure. “Not everyone is where you would like them to be in terms of support for harm reduction,” he says as we talk over lunch at a small diner. “We need to understand that change is inevitable, but people need time to part ways with what they have always known.”

    Hayes seems to embrace the opportunity that Haywood County presents. “It’s been an adventure,” he says, smiling and shaking his head. I sense this is an understatement.

    Hayes sees his most important task as working to create a seat at the decision-making table for active drug users. Even in other parts of the state where harm reduction is more accepted, there is still a tendency for non-impacted professionals to speak on behalf of people who use drugs. However, while in other counties stakeholders may have already marked their territory and become resistant to new voices, Haywood County has the opportunity to invite those voices from the beginning. Hayes and his co-workers are actively working to do just that.

    Ultimately, the small team is game for the challenge of bringing harm reduction to Haywood County.

    “I am inspired by the way this community has come together and opened themselves up to our program,” says Yochym. “We have been welcomed with an incredible amount of hospitality and support from unlikely partners.”

    Hayes thinks that education will be key to getting people on board with harm reduction. “People’s hearts change when they realize everything is not what it seems,” he says. He hopes to draw attention and resources to rural counties, where the effects of drug use are often swept under the rug.

    “I want to show how this problem impacts all areas across race, gender, class and geography,” he says. “I want to pull the covers back and show the issue is just as bad here [as in cities] and to present solutions for what we are going to do to change it.”

    It is not easy being dropped into a geographically isolated area and launching a harm reduction program without much precedent or guidance, relying on intuition and experience to know when to compromise and when to stand your ground. It’s an even bigger challenge to fight centuries of stigma to bring active drug users to the decision-making table. But if anyone can do it, I think Haywood County can.

    View the original article at thefix.com

  • Why Positive Digital Habits for Kids Starts with Mindful Parenting

    Why Positive Digital Habits for Kids Starts with Mindful Parenting

    Why Positive Digital Habits for Kids Starts with Mindful Parenting

    When you ask your teen to put their phone away at the dinner table, how do they react? Negatively? And how about younger kids? Are tantrums often involved when they’re told their tablet time is up?

    If you’re concerned about how much time your children spend on screens, or are worried about how dependent they could become on their devices as they grow older, it’s time to do something about it. Rather than just asking your kids to follow healthier habits with their screens, you need to show them that you, too, take digital detox seriously. Expecting your children to log off but maintaining your negative screen habits is a paradox and something kids will cotton onto immediately. Instead, we believe that positive digital habits for children start with mindful parenting and leading by example.

    Mindful Parenting and The Age of Imitation

    At around one years of age, children begin to imitate what they see – an important step towards independence. In an article for Parents Magazine, Dr. Kessler, director of developmental and behavioural pediatrics at the Children’s Health Centre of St. Joseph’s Hospital, in Phoenix, offers, “as they copy the deeds of adults, toddlers realize, Wow! I can do this! Aren’t I great? I’ll try it again.” This means that parents of toddlers are under constant observation and have the opportunity to shape positive lifestyle habits. Make an effort to avoid using your smartphone around your toddler and younger kids when it’s not necessary.

    Mindful Parenting and The Turbulent Teenage Years

    Of course, it’s always easier to implement healthy habits and values from a young age, but this is not always possible and new challenges can arise during the turbulence of teenagehood. Recently, research around the need to address teen tech time and the impact screen overuse can have on mental health has been growing. For example, in a survey commissioned by Digital Awareness UK,  52% of school-age students have said that social media made them feel less confident about how interesting their life was and how attractive they felt. The virtual world also promotes a continuation of playground bullying, where bullies can act more anonymously, hiding behind their screens. According to the i-SAFE foundation, 1 in 3 have experienced cyberthreats online, but over half of young people surveyed do not tell their parents when such cyberbullying occurs.

    These statistics are just a few examples of many that highlight the need to showcase positive digital habits to our teens. Today’s digital culture is eroding our ability to just ‘be’. To let our minds wander and to face difficult emotions. Instead, we have learnt to equate moments of quiet with boredom that must be filled. We push down the thoughts and difficult conversations and turn to our digital devices for distraction.

    In MIT researcher Sherry Turkle’s book,  Reclaiming Conversation: The Power of Talk in a Digital Age, she confirms that, “If we don’t have experience with solitude – and this is often the case today – we start to equate loneliness and solitude. This reflects the impoverishment of our experience. If we don’t know the satisfactions of solitude, we only know the panic of loneliness.” In this sense, during the teenage years, it’s important that we use mindful parenting to in turn model a mindful relationship with technology. Create limits on tech time, especially during important family bonding and conversation moments, such as the dinner table. Treat teenagers with integrity and explain to them how technology can affect us. Be a role model when it comes to engaging in tech-free, creative and outdoors or exercise driven activities.

    Not just in looks, children are the product of their parents in personality and habits. By leading by example and being mindful of our own tech time, we have the opportunity to share with our children how to enjoy the incredible benefits of the online world, without screentime become damaging to their wellbeing and development.

    View the original article at itstimetologoff.com