Category: Addiction News

  • Anthony Hopkins On Alcoholism: I Was Disgusted, Busted & Not To Be Trusted

    Anthony Hopkins On Alcoholism: I Was Disgusted, Busted & Not To Be Trusted

    “I still cannot believe that my life is what it is because I should have died in Wales, drunk or something like that.”

    It may be hard for some to imagine Anthony Hopkins as anything but a talented actor, but at a recent LEAP (Leadership, Excellence and Accelerating Your Potential) conference he shared how his alcoholism and lack of passion in acting could have left him a failure… or dead.

    He revealed to an audience of high school and college students that he is incredibly thankful he was able to stop drinking when he did. He explained why he started in the first place.

    “Because that’s what you do in theater, you drink,” he said. “I was very difficult to work with, as well, because I was usually hungover.”

    Hopkins described himself in this era as “disgusted, busted and not to be trusted.” But at an Alcoholics Anonymous meeting, a woman offered him what became life-changing advice: “Why don’t you put your trust in God?”

    After taking the words to heart, Hopkins said he lost all desire to drink. If not for these transforming words, Hopkins believes his life would have turned out drastically different.

    “I believe we are capable of so much,” he told the audience. “I still cannot believe that my life is what it is because I should have died in Wales, drunk or something like that.”

    He also revealed that he grew up an “uptight loner” who was bullied and “not all that bright” when it came to his studies. He even admitted he went into theater because “he had nothing better to do.”

    Despite all these struggles, he’s managed to become an Academy Award-winning actor. He posted about his life philosophy in a Twitter post that featured a photo of himself with Dr. Bill Dorfman, the founder of the LEAP Foundation: “Live life as if it’s impossible to fail.”

    This isn’t the first time Hopkins delivered this message to an audience. In a 2017 appearance on Jimmy Kimmel Live, he expounded the virtues of persistence.

    “Keep going, never give up,” he said on the show. “We get questions in our head and little voices that put us down when we were kids. Get over that. That’s what I had to do—get over whatever troubles.”

    He mentioned that he keeps a photo of himself as a young boy on his phone, telling it, “We did okay, kid.”

    View the original article at thefix.com

  • Jackie Kashian: From Drunk Driver to Hero of This Story

    Jackie Kashian: From Drunk Driver to Hero of This Story

    I would love to just check out with booze. But whatever I want to check out from will still be there when I sober up – plus whatever drunken stealing, screwing or hitting I did while I was drunk will have to be fixed.

    Last summer, I had a 12-step sponsor who counted performing as a relapse: weed, alcohol, stand-up comedy. Those were the things I needed to stay away from. She promised I was building a foundation for a life “more profound than pussy jokes.” But that’s not a life I want. Without comedy, and before comedy, I never cared about my life enough to even want to stop drinking. This summer, my sponsor is a fellow comedian, but one who started comedy in sobriety. So I’m asking all my favorite sober stand-ups how they do comedy and stay sober. AT THE SAME TIME.

    On Jackie Kashian’s website, there is a page of the advice she was given in 1986 as a new comic. It ends with: “You are a sweet, intelligent, powerful, exuberant comic.” Watching her perform at the Portland Maine Comedy festival a few weeks ago, I couldn’t come up with a more fitting description, other than to add on what she’s gained through the years: powerhouse. And one she rarely mentions: sober. 

    I first came across Jackie when I moved to NYC three years ago and began listening to her second podcast, “The Jackie and Laurie Show.” Jackie and her cohost Laurie Kilmartin had been there, done that, and sold the t-shirts. They are authentic, wise, and most importantly, hilarious. I spent my first year in the city feeling invisible, drinking intermittently (I bombed at an open mic! Time to throw away seven months and GET WASTED!) and waiting for their next episode to come out.

    Her latest album may be called I Am Not the Hero of This Story, but she’s certainly a hero of mine. 

    The Fix: How did you get sober and continue to do comedy?

    Jackie Kashian: I stopped drinking and “got sober” after I got my second DUI. One in Minnesota and one in California. So they both counted as “first DUI’s” because different states and we do not—still to this day and counting—have a national ID card. I couldn’t go on the road for three months which helped me get a solid block of time of me not drinking at comedy clubs in town. I would go do sets, get a Diet Coke and last as long as I could after the show. It wasn’t that long because watching people you like get drunk is not attractive. And not getting drunk was not fun. 

    Note: no one else was psyched when I got drunk… just me. 

    When I first went back on the road I was terrified. I was doing a run of one-nighters in Illinois and ended up featuring the week with this guy (I can’t remember his name but it was a city and a name, like Boston Bill but it was Charleston Chuck). He was a real road dog guy in the fact that he only worked the road. His stand-up was good for the one-nighters and I was worried he was going to be one of those guys that encouraged shots and tried to get laid. Turns out… that guy? He was 15 years offa the booze juice. And he was super supportive. So he didn’t get drunk. He didn’t cheat on his wife after the show and we had a couple brunches that week. It made me realize that it could be done. It was an awesome coincidence that helped a lot. And a friend of mine who’s sober also sent me on the road (it was a three week run) with 21 envelopes, one to be opened each day. Inside was the name of a famous writer, comic or whatever person who was sober. That was inspiring too.

    What is the hardest thing about being sober in showbiz?

    The hardest thing about being sober around comics and showbidness is that I have a constant committee meeting in my head telling me I’d be further along if I partied with so and so. I’m sure if I wanted to sleep around, the meeting minutes would be about how I’d get more work if I slept with more random dudes. It’s not true by the way. When I stopped drinking I was mostly scared of not being funny anymore. It turns out that life is, actually, more absurd stone cold sober. 

    What is the best?

    The best thing about being sober is not being in jail for driving drunk. I’m sober so the things I get from not being drunk all stem from the fact that I drove drunk every night I drank. I never did have one shot and a beer. See how I didn’t just type one beer? I needed to add the shot. And I did stand-up at least four times a week and stand-up is most often in places with booze. So at least four nights a week I was drunk driving. The best results of not doing that… hell… let’s list them after not being arrested. I wake up without a hangover at a reasonable hour (let’s go with 9am because I’m a comic). Even if I screw around much of the day I can still be awake and writing and sending avails and asking for jobs and shows for two hours a day. That bare minimum of a work ethic gets me 40 weeks of work a year. 

    How do/did you deal with hanging around/with other comics?

    I don’t do late hangs and have recently just been organizing brunch hangs with comics. I love hanging with comics and comics love an 11am something. So I invite comics to meet me at a diner around 11am every week and we riff and bust each other and talk shop and eat eggs. It’s the best. 

    Advice for the chronically relapsing comic?

    Comics (and people, but comics a lot) are certain, because they’re so smart, that they can practice, think or work around the problems. I tried to stop drinking for a couple years before it took this time. I used to “practice” turning down drinks. Some woman once said to me a couple things: “Who’s offering you drinks in your mind?” She was right, because I was buying my own drinks. And “No is a complete sentence.” You don’t need to practice it. “No thank you” if you’re feeling polite.

    How do you feel about selling booze (part of the job of a comedy show) as a former heavy drinker?

    I am so interested in what everyone else is drinking. Saw a guy the other night at a comedy show – he had five glasses of wine. How do I know? I don’t remember counting them but hot damn, I was. I’m not a prohibitionist if that’s what you mean. I say, drink as long as you can. You’ll know if it’s screwing up your life. You know. I tell my nieces and nephews “if you treat it with the right amount of wariness you might last longer than me.” Unsaid is, “cuz yer probably a crummy drinker like me and will have to quit eventually.” Ah well.

    Anything else?

    Other than that… it’s a simple idea to not drink. But things that are simple are not easy, right? It’s like you’re banging your head against a door. It’s the right door but that doesn’t mean that your head doesn’t hurt. I don’t know if that analogy works. But maybe you get it. It’s a simple idea… but I have to remind myself all the time that I don’t drink. Because I would dearly love to check the fuck out and booze is really good at making that happen. But whatever I want to check out from will still be there when I sober up – plus whatever drunken stealing, screwing or hitting I did while I was drunk will have to be fixed. So I’ll have double the nonsense to fix. Sober is preferable to fixing double the nonsense. Best not have the drink.

    ***

    I spent some time last spring after my winter relapse (like an old familiar scarf that you’re also allergic to) introducing a joke about alcoholism by saying, “If you’re thinking of buying me a drink after the show, don’t!” But when I read Jackie’s answers to my questions, I realized that scenario was only happening in my mind. Nobody was thinking of buying me a drink after the show. Except for me, trying to put the responsibility on the audience.

    Recovery is not about running from all you love so you can hide away in a safe space with no triggers. That former sponsor who told me to stay away from comedy was a would-be photographer with almost ten years clean – and still not feeling ready to pursue that dream. Recovery is about taking away the thing that is slowing you down – the active addiction- so that all is left is to run towards what you love.

     

    Jackie is fond of saying: “Tonight I get to do my favorite thing in the world, stand-up comedy.” If you’re still searching for your passion, check out Jackie’s original podcast, Dork Forest. It’s 476 episodes of people talking about their favorite things in the world. 

    View the original article at thefix.com

  • How to Help Teens Embrace Mindfulness

    How to Help Teens Embrace Mindfulness

    How to Help Teens Embrace Mindfulness

    The Girl Guides recently hit the headlines for announcing the largest shake-up in its 110-year history. Among the 100 new badges and 700 new activities announced to form part of the new programme, a ‘Be Well’ section offers the chance to work towards badges in mindfulness and self-care. Around 50,000 girls were involved in shaping the new badges and activities.

    This movement highlights both a shift towards better awareness of the importance of self-care by young people themselves and the promotion of positive mental health by those around them. Digital mental health has been at the forefront of this conversation. The Good Childhood Report 2017 found that moderate use of social media was associated with higher levels of wellbeing. However, the same report also recorded strong links between excessive social media use (over four hours per day) and low wellbeing. Quoted in The Guardian, Sarah Brennan, chief executive of the charity Young Minds, highlights, “the rise of social media means they need to always be available, they may seek reassurance in the form of likes and shares, and they are faced with constant images of ‘perfect’ bodies or ‘perfect’ lives, making it hard not to compare themselves to others.”

    As adults turn to mindfulness to find better balance in the digital world and combat stress, we discuss how this practice could too help teenagers as they navigate some of the most challenging years of their lives under increasing digital pressure.

    How to Help Teens Embrace Mindfulness in 3 Steps

    1. Explain How Mindfulness Can Help Them

    When considering how to go about getting your child off their phone, lamenting how much time they spend online is probably going to backfire. To prove why it’s a good idea to have some tech downtime, it’s key to outline how mindfulness can help your teen. For example, studies have shown how mindfulness practice can reduce the symptoms of stress, depression and anxiety. Explain how acknowledging negative thoughts without judgement allows you to identify that they are not always true reflections of reality. You can also make mindfulness very relevant to the current chapter of their lives, their education. Other studies claim that students who meditate before tests and exams perform better than those who do not.

    2. Make Mindfulness Normal

    After explaining the benefits of embracing mindfulness, you need to practise what you preach. Take breaks from your own devices through digital detox and use meditation and mindful practices to deal with stressful situations. If you’re not doing it, why should they?

    3. Acknowledge That Mindfulness Isn’t Just About Meditation

    While mindfulness is commonly practiced through meditation, there are other ways to feel present which may be more appealing to teens. A great example is the recent trend for bullet journals. The bullet journal system is a way to rapidly record events, tasks and feelings in a dotted notebook. It was created by Ryder Carroll, a digital product designer from New York. Here, you’ll notice a trend with Silicon Valley’s elite. Some of the most tech-minded folk are the ones that feel the need to disconnect the most. Carroll has dubbed his system “the analogue system for the digital age.”

    Since he unveiled the concept in 2013, a community has blossomed, and many young people have run with the idea. On Instagram, #bulletjournal or #bujo will surface hundreds of images of impeccably neat and beautifully decorated dotted pages. It’s an offline hobby which allows users to enjoy creativity while being more aware of their day-to-day feelings. For teens, it could be a great way to express creativity while still taking part in a seemingly ‘trendy’ activity.

    Through explaining mindfulness, see your teens discover a better balance with their digital devices and improved digital mental health.

     

     

    View the original article at itstimetologoff.com

  • People With Depression Miss Fewer Days In Supportive Workplaces

    People With Depression Miss Fewer Days In Supportive Workplaces

    Researchers examined workplace policies and even varying gross domestic product for a recent global study on working with depression.

    People with depression miss fewer days of work if they are employed somewhere that supports them in their illness, a new study has found. 

    The study, published in The British Medical Journal, looked at workers in 15 countries. It found that workers with self-reported depression who have managers who support and assist them miss fewer days of work, lessening the economic impact of their disease.  

    “Working in an environment where managers felt comfortable to offer help and support to the employee rather than avoid them was independently associated with less absenteeism and more presenteeism,” the authors concluded. 

    Supportive workplaces might have formal policies for handling mental health issues, time-off policies that allow for mental health episodes, or a system for referring people to mental health care. All of these can result in fewer missed days of work and therefore a lower economic impact of depression. 

    “We know that supportive managers and workplace practices are associated with greater openness and disclosure, in addition to more positive attitudes towards employees with depression,” the study authors write. 

    In addition to looking at differing workplace policies, the study authors looked at differences in support for depression in countries with varying gross domestic product (GDP). In countries with lower GDPs, people with depression were more likely to miss days of work, possibly because there are fewer resources available than in countries with higher GDPs. 

    “Country contextual factors such as country GDP and financial resources can also influence the availability of support and potential for investment,” authors wrote.

    While this might be expected, study authors found that managers’ reactions to employees with depression were “at least as important” as a country’s GDP in predicting how often the employee would miss work. 

    Researchers also examined how social pressures impacted employees’ presence at work. They found that employees with depression were less likely to disclose their condition in Asian countries compared with Western countries, likely because of stigma around mental health in those places. 

    “Workplace policies and practices are likely to reflect broader sociocultural attitudes and beliefs about mental health and societal values about investment in prevention and support for people with mental health problems,” authors wrote.

    “This may influence workplace culture in relation to openness and comfort in discussing mental health issues. Previous research has shown that a cultural context which is more open and accepting of mental illness is associated with higher rates of help-seeking, antidepressant use and empowerment.”

    View the original article at thefix.com

  • Opioid Prescribing Varies Widely By Region, Study Shows

    Opioid Prescribing Varies Widely By Region, Study Shows

    In some states, patients were up to three times more likely to be prescribed opioids.

    Whether or not patients are prescribed opioids in the emergency room and how many of the pills they get varies widely by region, according to a new study, suggesting that despite increased awareness about the dangers of opioids there is still plenty of room to cut down on unnecessary prescribing. 

    According to Science Daily, researchers from the University of Pennsylvania School of Medicine examined insurance claims to see how patients presenting with sprained ankles were treated for pain.

    In some states, patients were up to three times more likely to be prescribed opioids. Researchers also found that people who received more opioid pills were five times more likely to fill an additional opioid prescription over the following six months. 

    “Although opioids are not—and should not—be the first-line of treatment for an ankle sprain, our study shows that opioid prescribing for these minor injuries is still common and far too variable,” said M. Kit Delgado, MD, MS, an assistant professor of Emergency Medicine and Epidemiology at Penn who led the study

    “Given that we cannot explain this variation after adjusting for differences in patient characteristics, this study highlights opportunities to reduce the number of people exposed to prescription opioids for the first time and also to reduce the exposure to riskier high-intensity prescriptions,” Delgado said. 

    The study examined more than 30,000 patient records and found that 25% were given opioids. 

    “Although prescribing is decreasing overall, in 2015 nearly [25%] of patients who presented with an ankle sprain were still given an opioid, a modest decrease from 28% in 2011,” Delgado said. “By drilling down on specific common indications as we did with ankle sprains, we can better develop indicators to monitor efforts to reduce excessive prescribing for acute pain.”

    Researchers found that there was a huge variation between states in the percentage of patients given opioids. For example, only 3% of patients received an opioid prescription in North Dakota, compared to 40% in Arkansas. If states with above-average prescribing were reduced to the average amount, 18,000 fewer opioids pills would be prescribed each year. 

    In addition, if all patients were given the smallest supply of opioids, usually 10-12 pills, there would be a significant reduction in the number of pills distributed. 

    “Simply making these amounts the default setting electronic medical record orders could go a long way in reducing excessive prescribing as our previous work has shown,” Delgado said, noting that the concept could be expanded to other areas of care.

    “It would be great to see analyses such as ours replicated in other settings, such as post-operative prescribing, where prescriptions are higher intensity. In these settings there may be greater opportunities to decrease transitions to prolonged opioid use by reducing excessive prescribing.”

    View the original article at thefix.com

  • A Brief History of Female Political Figures Being Abused Online

    A Brief History of Female Political Figures Being Abused Online

    A Brief History of Female Political Figures Being Abused Online

    Twitter is an excellent real time service for finding out what is happening right now. Mainly because of this, it has evolved into something of a social network for news, with journalists using it as an important source for finding out what public figures have to say.

    But alongside this has come an ugly underbelly. Anyone can set up an account on Twitter anonymously, and with that comes the world of trolling. Look at the comments beneath almost any politician’s or national newspaper’s account, and you’ll almost certainly find something unsavoury, perhaps hate filled or even with threats of violence. Facebook also often suffers from the same problem.

    Female political figures in Britain have suffered greatly from this trolling. While Twitter have assisted police in finding the people behind the threats, they seem powerless to stop such people making the threats in the first place. There are many clear examples where abuse has been reported on by national newspapers, and people have often targeted certain figures several times in separate incidents.

    Taking time to list all such occurences in detail could easily run into an article of book sized lengths. Here are a few examples of recent happenings to illustrate the problem. It is, unfortunately, a much bigger problem that some of these better known incidents alone.

    Stella Creasy vs. Wonga

    One female politician who has been on the receiving ends of extreme abuse is Labour MP for Walthamstow Stella Creasy. While abuse likely started before 2012, it was in November that year that the first report of a Twitter troll targeting Creasy was reported.

    Her vocal opposition to payday loan website Wonga led to a public attack, and a Guardian investigation found that an employee of the firm was using anonymous Twitter accounts to do so. One account called Creasy ‘mental’, ‘nuts’ and a ‘self-serving egomaniac’. While they were using a company computer, the troll was operating without Wonga’s knowledge and their identity was not revealed.

    New Banknote Debate Leads to Abuse

    In April 2013, the Bank of England announced that in 2016 it would release a new £5 note; Winston Churchill would replace prison reformer Elizabeth Fry on the back of the money.

    This would mean no women featured on any of Britain’s bank notes. Disappointed at the decision, journalist Caroline Criado-Perez began a campaign for the Bank of England to reconsider. Her campaign gained support from 35,000 petitioners and enough money for a legal challenge should the campaign be ignored.

    Stella Creasy also leant her support, organising a letter of 46 MPs to the Prime Minister. The Bank of England were open to the discussion, and in July they announced that they would feature Jane Austen on the back of new £10 note, which was due to come out in 2017.

    The campaign can be seen as a small victory for equality, but it’s big deal in some ways – legal tender is itself a form of media viewed by millions of people every day, and that a single English woman’s achievements wouldn’t be on one of the five banknotes is quite an oversight. There’s nothing particularly radical, or militantly feminist about this idea.

    ‘It’s All Just Satire’

    But people on Twitter did not take lightly to the campaign. While trolling was building throughout July, it reached its feverish height after the Bank of England had made their announcement. Both Criado-Perez and Creasy were then subjected to rape threats, at rates of nearly fifty such tweets an hour, with the former tweeting,  “I actually can’t keep up with the screen-capping & reporting — rape threats thick and fast now. If anyone wants to report the tweets to Twitter.”

    One of the tweets sent by troll Peter Nunn, read, “You better watch your back, I’m going to rape your arse at 8pm and put the video all over.” Nunn was later jailed for 18 weeks for a ‘campaign of hatred’ directed against Criado-Perez and Creasy, which took place from multiple accounts, even continuing when one was suspended.

    In the dock, he said about his rape threats to Criado-Perez, ‘I realise now that rape threats aren’t a compliment. I said you could take it as a compliment you are beautiful.’ Alongside this warped thinking was the excuse common amongst Internet conspiracy theorists, fake news publishers and trolls alike – it was all, of course, just satire.

    De-selection Threats After Syria Vote

    And all of this in 2012 and 2013: Twitter was not yet even ten years old, but it clearly had a serious attitude problem. But for every Peter Nunn locked away, there were thousands who went unreported, and yet countless more who Twitter and even the police would give up on. The hordes of trolls across social media weren’t done with Stella Creasy yet either.

    Even while deciding whether to go against Jeremy Corbyn and vote with the government on supporting military action in Syria in December 2015, she was subject to more online abuse. On the evening of the vote, she posted to Facebook:

    ‘its not really possible for me to keep up with the messages am getting on social media at present, but have just dipped in and seen some discussion about the protest march on Tuesday and also the abusive messages I have been receiving…’

    She later told Channel 4 News that after the vote, she received ‘12,500 tweets within a couple of days – 2,500 in the first day alone.’ She also spotted a comment left by Asim Mahmood, who wrote,

    ‘In my opinion any Labour MP who supports the killing of innocents in this way should automatically go through a trigger ballot for reselection. Anyone want to word a motion to that effect?’

    She responded: ‘Will continue to listen and reflect but want to be clear that one thing I will not do is be bullied by a sitting Walthamstow Labour councillor with the threat of deselection if I don’t do what he wants.’ This wasn’t just anonymous trolling, but pressure from councillors in her own party and constituency. In the event of the vote, when Creasy did vote in favour of military action, media reports of potential de-selection ran rampant.

    The Anxiety from Receiving Online Abuse

    Stella Creasy is quite a special case in UK politics for the number of separate incidents where she has been targeted by trolls.

    But, unfortunately, she is far from alone as trolls persistently target women involved with politics. Such online trolling lurches from a deep sexism, and an anger that any woman can be uninhibited and strong in stating an opinion. But even if vile physical threats can be dismissed, it is still clear that they will cause harm – this does not have to be physical.

    When public women receive thousands of such threats, this leads to deepening anxieties over how it could escalate. Creasy herself installed a panic button at her home, and she wrote in The Telegraph, ‘I can’t get the last year back or erase the inevitable personal impact of getting constant threats. Recently someone followed me from the tube to talk to me and I felt my heart in my mouth. Sadly and predictably this whole episode has made me more wary of strangers than I wish.’

    Gina Miller vs. the British Government

    A similar outcome lay in wait for Gina Miller, who challenged the authority of the British Government to invoke Article 50 and begin the nation’s formal withdrawal from the European Union.

    In November 2016, the High Court of Justice ruled in favour of Miller’s challenge to make the invocation go before a parliamentary vote. In an article for The Mail on Sunday, Miller wrote ‘Yes we must have Brexit – but not by mob rule.’ Yet she had been on the receiving end of online mob attacks since coming to prominence for the challenge.

    The typical complaints from Brexiteers remarked that the challenge was ‘undemocratic’ and that she was in it for her own interests as a hedge fund manager. But from there we depart into anonymous accusations of treason, and that Gina Miller should be hung, shot or gang-raped.

    Viscount Jailed for Abuse

    In January, Viscount Rhodri Colwyn Philips was arrested for three messages posted to Facebook between September and November. One read, ‘£5,000 for the first person to ‘accidentally’ run over this bloody troublesome first-generation immigrant.” He later added: ‘If this is what we should expect from immigrants, send them back to their stinking jungles.’

    Philips demanded to know why others accused of abusing Ms Miller were not in court, which is a fair point, given the thousands of accounts aiming abuse. But a thousand wrongs make no right and he was jailed for 12 weeks in July. Like Peter Nunn before him, the Viscount said his comments were ‘satire’.

    In August, it was reported that Miller was afraid to leave her home because of the threat of acid attacks. This is simply not a normal state of affairs, and like Creasy before her, these anxieties are clearly fuelled by online abuse.

    Social Media Vitriol

    The failure of social media to convey the nuances of meaning, through having no body language, tone of voice and even stripping the context of the person who said it, means a likely destination of online debate is fuming circular vitriol.

    We can see from television shows like Question Time, or even Prime Minister’s Questions, that it is very difficult to get people from different sides of the political spectrum to come to any agreement, and in some cases makes a valid point at all. On social media, this becomes nigh on impossible – a slanging match of points made in the illusion of real time, where the reaction of the other side delivers greater exasperation every time it arrives.

    But beyond this lack of healthy debate, there also remains a sickening underbelly of anonymous trolls – many of whom just seem to enjoy the act of being abusive. The solution here seems to be to make people who sign up to social networks more accountable through having clear identities. For instance, you’re less likely to be a troll with a verified profile picture.

    But this has Internet libertarians up in arms, because they believe identity should be protected. Meanwhile, the networks will do anything in the name of growth – so the more accounts, the better. In its current guise, it has become ugly.

    View the original article at itstimetologoff.com

  • Could Ketamine Replace Opioids In The ER?

    Could Ketamine Replace Opioids In The ER?

    A new study examined whether ketamine could work as an alternative to opioids for pain relief in an emergency room setting. 

    Ketamine could be a viable option for acute pain relief, working at least as well as morphine, according to a new medical review. 

    “Ketamine appears to be a legitimate and safe alternative to opioids for treating acute pain in the emergency department. Emergency physicians can feel comfortable using it instead of opioids,” Dr. Evan Schwarz, senior study author, said according to Medical News Today

    Schwarz led a team of researchers from the Washington University School of Medicine in St. Louis who reviewed the experience of 261 patients who were given only ketamine to treat their pain in the emergency room.

    The researchers found that ketamine was as effective as morphine for pain relief. There were no severe adverse affects reported, although ketamine did have a higher instance of minor adverse affects. Overall, however, the study authors concluded that ketamine is an effective pain relief tool. 

    “Ketamine is noninferior to morphine for the control of acute pain, indicating that ketamine can be considered as an alternative to opioids for ED short‐term pain control,” study authors wrote.

    Ketamine, which is a well-known party drug, was approved for medical use by the Food and Drug Administration (FDA) in 1970. Since then it has been used as an anesthetic. It is also sometimes used in conjunction with opioids for pain relief. However, the new study indicates that low-dose ketamine can provide pain relief even when it is used alone. 

    With more healthcare providers looking for alternative pain treatments that do not involve opioids, this is a promising finding. Ketamine is not addictive and does not cause respiratory depression, two conditions that are the main risk factors when using opioids to treat pain, particularly in older patients. 

    The study looked at a relatively small number of patients. However, authors said that its findings indicate that more research is needed into using ketamine as a potentially safer pain-relief option for acute pain. 

    “Opioids are commonly prescribed in the emergency department (ED) for the treatment of acute pain,” study authors wrote. “Analgesic alternatives are being explored in response to an epidemic of opioid misuse. Low‐dose ketamine (LDK) is one opioid alternative for the treatment of acute pain in the ED.”

    Ketamine has been showing promise for treating a variety of conditions. Earlier this year, ketamine nasal spray was shown to quickly reduce suicidal ideation in patients being treated in the emergency room.   

    View the original article at thefix.com

  • Massive Study On Driving High To Take Place In California

    Massive Study On Driving High To Take Place In California

    The study aims to give law enforcement more accurate parameters in which to determine a driver’s intoxication level after using marijuana.

    As marijuana gains legal status in more states, one of the central concerns among legal, law enforcement and medical professionals remains how cannabis use may impact driving.

    Studies vary as to whether driving under the influence of alcohol or pot presents more of a danger, which has prompted institutions like the University of California-San Diego to seek hard data on the subject.

    As High Times has reported, the school’s Center for Medicinal Cannabis Research (CMCR) is currently recruiting individuals to participate in its hands-on study of cannabis’ impact on driving, which requires them to ingest smokeable marijuana before using the center’s driving simulator.

    The goal is to provide both police and laboratories with more accurate parameters on which to determine a driver’s intoxication level after using marijuana.

    The study, which according to High Times, is the largest of its kind to date, requires potential candidates to make an initial appointment with researchers to determine eligibility.

    If accepted, the participant is paid $50, and returns for a full day assessment, during which they are given a joint to smoke; the study involves a variety of joints rolled on the site, as High Times indicates, and with varying amounts of THC, including ones with none of the psychoactive agent at all.

    Participants then use the center’s driving simulator and complete iPad-based performance assessments, which focus on memory, attention and motor skills. A field sobriety test is then given before blood and saliva samples are collected from them. Once all the data has been obtained, participants are paid an additional $180.

    The goal of the study is not to determine if one’s driving can be impaired by using marijuana, but rather, to determine the duration and level of impairment.

    “If you smoked this morning, are you impaired throughout the day?” said Tom Marcotte, co-director of the CMCR. “Are you impaired for a couple of hours? Or are you not impaired? We’re trying to answer that.”

    Ultimately, the researchers hope to improve field sobriety tests for marijuana use, which in their current form are used by law enforcement but considered unreliable in regard to determining THC levels in breath or fluid samples. In some cases, field sobriety tests cannot be used as evidence to determine whether a driver was impaired while behind the wheel.

    View the original article at thefix.com

  • Scientists On Marijuana's Health Benefits: We Need More Evidence

    Scientists On Marijuana's Health Benefits: We Need More Evidence

    “We don’t have evidence about many things marijuana is marketed for and we need to communicate that to the public,” says one doctor.

    Many Americans increasingly believe that marijuana has health benefits, even though there is little to no evidence one way or the other, Newsweek reported.

    Over 9,000 U.S. adults participated in an online survey, with 81% responding that weed had at least one medical benefit. From treating diseases like epilepsy and multiple sclerosis to providing some measure of relief from anxiety, stress or depression, the majority of Americans feel the drug is medically valuable.

    Not so fast, scientists say.

    “The public seems to have a much more favorable view [of marijuana] than is warranted by the current evidence,” the University of California San Francisco’s Dr. Salomeh Keyhani said in a study published in the Annals of Internal Medicine.

    Interestingly, because the Drug Enforcement Administration (DEA) categorizes weed as a Schedule I substance (alongside heroin and MDMA), researchers are limited in being able to research it at all.

    “[People] believe things that we have no data for,” Keyhani cautioned. “We need better data. We need any data.”

    In the absence of empirical data, she suggests, Americans are coming to their own conclusions about the drug.  

    “Cannabis is useful for neuropathic pain; it might be useful for nausea and vomiting for cancer and HIV, anorexia, and it might have use in refractory epilepsy in children, but those are very narrow indications,” Keyhani told MedPage Today. “We don’t have evidence about many things marijuana is marketed for and we need to communicate that to the public.”

    A 2017 Gallup survey reported that 45% of U.S. adults have tried marijuana once, while other surveys indicated that 22% of Americans regularly use it. With weed now legal in over half of the U.S. for medicinal purposes, marketing is becoming a huge factor in public perception, Keyhani observed.

    “It’s a multi-billion dollar industry, not regulated to the extent of tobacco or alcohol,” she said. “It seems every state is developing a regulatory structure itself. The conflict between federal law and state law has left an open space commercial entities can exploit.”

    Despite widespread support for marijuana, the survey revealed that 91% of Americans believe it carries risks. (Only 9% believed the drug has no risks.) The survey yielded some surprises, too:

    • 37% of Americans thought edible marijuana could prevent health problems. 
    • 50.1% agreed that marijuana was “somewhat addictive.”  
    • 25.9% said it was “very addictive.” 

    The average age of participants was 48 (“64% were white, 12% were black, 16% were Hispanic, and 8% were of other races”).

    Mount Sinai’s Yasmin Hurd said the results aren’t surprising so much as they highlight “the fact that scientists and clinicians don’t publish their studies in newspapers, so the general public isn’t really aware of the scientific evidence that might run counter to their beliefs.”

    View the original article at thefix.com

  • The Go-Go’s Talk Addiction, New Broadway Musical

    The Go-Go’s Talk Addiction, New Broadway Musical

    “We only had one tool in our box, and that was drugs and alcohol because there was just so much going on,” said guitarist Jane Wiedlin. 

    The Go-Go’s are back in action with a new Broadway musical and a fresh take on the band’s hectic heyday.

    In a recent interview with People, the LA-based band, known for pop hits like “Vacation” and “Our Lips Are Sealed,” reflected on coping with the onslaught of fame following the release of their debut album Beauty and the Beat, which went double platinum in 1981.

    “We only had one tool in our box, and that was drugs and alcohol because there was just so much going on,” said guitarist Jane Wiedlin. “It was so stressful. You were exhausted, so you’d have to pep yourself up and then you’d have to bring yourself down.”

    Aside from personal differences among the band members, problematic drug use also influenced the break-up of the band in 1985. Looking back, it was a much-needed break from the fast-paced lifestyle.

    “I felt really lost during that time. Now when I look back, I think, ‘Thank God all that happened, because I don’t think I would’ve ever grown up,’” said Wiedlin.

    “I felt I had just become consumed with being a Go-Go, and it took me years to find my identity,” said bassist Kathy Valentine. “It was a real gift because when we did start coming back and playing together, I was able to do it with so much more balance.”

    The Go-Go’s have reunited several times since their break-up to record new music and tour together. But this time, members like Belinda Carlisle and Charlotte Caffey are doing it sober.

    “I got sober. I put myself before all of it,” Caffey told People. “I needed my sanity more than I needed anything else. I was fighting for myself every day, and I’m very happy I did.”

    Last year, singer Belinda Carlisle addressed the extent of her cocaine use over the years. “After three decades of cocaine use, I can’t believe I’m not dead. I should actually look like the Phantom of the Opera with just two holes in the front of my face,” she said last August.

    Now, the band is gearing up for a revival, with a new Broadway musical Head Over Heels that debuted on Thursday (July 26) in New York City. The musical features hits by the Go-Go’s including “We Got the Beat” and “Cool Jerk.”

    View the original article at thefix.com