Category: Addiction News

  • Frustrated Pain Patients Meet With FDA About Opioid Access

    Frustrated Pain Patients Meet With FDA About Opioid Access

    A group of pain patients met at FDA headquarters to share their personal stories in a bid to get the agency to ease opioid restrictions.

    The FDA called a meeting in Washington, D.C. to listen to pain patients’ experiences of lacking access to opioids to manage their symptoms.

    A group traveled to the FDA’s headquarters outside the nation’s capital to ask the agency to ease restrictions that they say has made it harder for them to obtain opioids.

    NBC News reported on the stories of some of those who urged the FDA to consider what it is like to have acute or intractable pain and be unable to find relief.

    Dr. Sharon Hertz, director of FDA’s Division of Anesthesia, Analgesia and Addiction Products, told NBC of the informal meeting, “We don’t have expectations for what we are asking. If we thought we knew, we wouldn’t be asking.”

    The Patient-Focused Drug Development Meeting included harrowing stories of suffering. Sandra Flores has a condition called adhesive arachnoiditis, which is an inflammation of membranes in the brain, spine and nerve endings. She has repeatedly attempted to obtain the correct drugs for her pain.

    “I am seeing the true face of medicine,” Flores said. “Now they are throwing me in the trash.”

    FDA Commissioner Scott Gottlieb made an emphatic statement on the plight of pain patients without access to relief. 

    “Tragically, we know that for some patients, loss of quality of life due to crushing pain has resulted in increased thoughts of or actual suicide. This is unacceptable. Reflecting this, even as we seek to curb overprescribing of opioids, we also must make sure that patients with a true medical need for these drugs can access these therapies,” said Gottlieb, according to PatientEngagementHIT.

    The FDA does not regulate physicians’ prescribing habits; states do. As of now, 28 states enforce limits on opioid prescriptions, says data from the National Conference of State Legislatures.

    Although the FDA, CDC and most major medical institutions agree that limiting access to opioid prescriptions is a necessary step in fighting the opioid epidemic, they do not want intractable pain patients to suffer.

    Under the new regulations, many doctors have simply stopped prescribing out of fear of lawsuits. Flores has been unable to find a doctor that will take her on as a patient. “No doctors will fight. They just don’t want to get into trouble. They have forgotten the people that these drugs were made for.”

    Rose Bigham, speaking on behalf of the Alliance for the Treatment of Intractable Pain, said in the Washington meeting, “To the FDA—we are begging you. Correct the CDC’s egregious mistakes. The CDC recommendations have done irreparable harm to people in pain.”

    View the original article at thefix.com

  • Black Keys Collaborator Richard Swift's Cause Of Death Revealed

    Black Keys Collaborator Richard Swift's Cause Of Death Revealed

    The prolific musician battled alcohol addiction prior to his death. 

    The family of singer-songwriter and music producer Richard Swift confirmed that his death on July 3, 2018 was due to alcohol addiction. A post on Swift’s Facebook page confirmed that the 41-year-old died in a hospice facility in Tacoma, Washington one month after being hospitalized for hepatitis and liver and kidney distress.

    In addition to releasing several acclaimed solo albums, Swift performed and toured with the Black Keys, Wilco and the Shins, produced recordings by Damien Jurado and The Mynabirds, among others, and owned a recording studio, National Freedom, where artists like Sharon Van Etten and Guster recorded material.

    Swift was hospitalized in June for an undisclosed “life-threatening condition,” for which a GoFundMe page was established to offset hospital costs.

    After his death on July 3, Swift’s family, his label and Next Wave Management issued a joint statement on his official Facebook page to address questions about his passing. 

    The post’s authors confirmed that Swift suffered from alcohol addiction, which “ultimately took his life,” they wrote. With help from friends and family and the assistance of MusiCares, a foundation which provides medical and personal assistance to music industry figures, he had undergone “multiple stays” in rehabilitation facilities during the past two years, and was diagnosed with hepatitis and liver and kidney ailments in June 2018.

    According to the post, “multiple hospitals worked to help stabilize him over the course of that month, but his body was unable to heal, and per his wishes and with his family’s consent, he was moved to hospice care.”

    Swift died in the early morning of July 3, leaving behind his wife, Shealynn, and three children.

    A prolific and widely admired musician and producer, Swift began his recording career with two self-released albums that were reissued by the independent label Secretly Canadian as The Richard Swift Collection, Volume 1 in 2005.

    He issued a slew of solo work between 2007 and 2014, which featured contributions by Mark Ronson and Ryan Adams, among others, while also serving as a member of the Shins from 2011 to 2016 and as touring bassist for the Black Keys in 2014 and drummer for the Arcs. 

    Black Keys co-founder Dan Auerbach paid tribute to his friend with an Instagram post on July 3 that read, “Today the world lost one of the most talented musicians I know. I will miss you my friend.”

    View the original article at thefix.com

  • Nature as Power Greater

    Nature as Power Greater

    How would I turn “my will and my life” over to the Earth which, as beautiful and awe-inspiring as it is, surely doesn’t care whether I get clean or don’t?

    When I was early in 12-step recovery and trying to get my head and heart around Step Two (as if Step One hadn’t been mind-blowing enough) my sponsor asked me, after I was adamant that working with a traditional ‘God’ concept wasn’t going to cut it for me, to make a list of everything that was inherently more powerful than me. It was a long list.

    Yet abstract notions like ‘love’ or ‘the Lifeforce’ or even the collective power of the ‘rooms’ didn’t work for me either. I sat in the local park, still newly raw and wide-eyed from being clean for the first time in 20 years, and realized what I was searching for was all around me. Nature, Mother Earth, the whole ecosystem of which we are a part, was a Power Greater than myself which I could easily access. While I had been getting high and getting low, the grass had continued to grow, the flowers to bloom and the tides to turn. Somewhat tentatively I discussed this idea with a few people in my home group and found it wasn’t anything new – GOD was used an acronym not just for the oft-repeated Good Orderly Direction or Group of Druggies but also Great Out Doors. I had found my way ‘in’ to the spiritual aspects of the steps.

    But could this Power Greater restore me to sanity? How would I turn “my will and my life” over to the Earth which, as beautiful and awe-inspiring as it is, surely doesn’t care whether I get clean or don’t? The sanity part at least turned out to be completely practical. Using nature to restore mental and emotional well-being, including to treat addiction, is nothing new either. Rehabs have been offering wilderness therapy, animal-assisted therapies and restorative time in nature as part of their programs for decades, and recent research into the affects of eco-therapy bears this out. A recent study at the University of Essex in the UK that discovered higher rates of low mood in those that moved from ‘green’ areas into urban ones, and increased positive moods in those who did the opposite. Another British study found that the mood boost provided by time in nature was particularly pronounced for those who had been clinically depressed at the start of the study. The positive effects of time in nature on children with behavioral problems such as ADHD is also well documented. Nature is good for our mental health.

    What about ‘turning over my will and my life’? I was never comfortable with the religious language of Step Three, so I knew straight away that for me it was going to be about letting go of the need to control, relinquishing my ‘small self’ or my ego-driven insecure persona in favor of who I was – who we all are – at our core. Part of a greater whole, part of the web and flow of life. My new awareness of the natural world helped make this notion more tangible, grounded in the world I could see and touch around me. For nature, researchers are discovering more and more, is completely interconnected and growth relies on collaboration more than competition. The disconnection and isolation of addiction is in stark opposition to this natural interdependence. And so Step Three for me became – and largely still is – about letting go of my addiction and all that accompanied it and realizing my place in the Web of Life.

    Not everyone will share my idea of Nature as the ultimate Power Greater. Not every person in recovery feels the need for a Power Greater at all. Whatever our personal recovery journeys however, the healing power of nature is readily available to us all.

    Photo by Riccardo Chiarini on Unsplash.

    View the original article at thefix.com

  • Simon Pegg Details Alcoholism, Depression Battle: It Was Terrible, It Owned Me

    Simon Pegg Details Alcoholism, Depression Battle: It Was Terrible, It Owned Me

    “It’s like you have grown a second head and all it wants to do is destroy itself, and it puts that ahead of everything else—your marriage, children, your job.”

    Now feeling secure in his recovery, British actor Simon Pegg is discussing the years he spent hiding his drinking problem and depression from his family and friends.

    “One thing [addiction] does is make you clever at not giving anything away. People think junkies and alcoholics are slovenly, unmotivated people. They’re not—they are incredibly organized. They can nip out for a quick shot of whisky and you wouldn’t know they have gone. It’s as if… you are micro-managed by it,” he told the Guardian, while promoting his new film Mission: Impossible: Fallout.

    But one can only hide it for so long, he cautioned. “Eventually the signs are too obvious. You have taken the dog for one too many walks,” he said.

    Pegg’s secret battle with alcoholism and depression—“It was awful, terrible. It owned me.”—was even hidden from his best friend and collaborator Nick Frost. The two have starred in many films together, including Hot Fuzz and Shaun of the Dead.

    The actor, now 48, says he’s felt depressed since he was 18. He drank to self-medicate. “It’s like you have grown a second head and all it wants to do is destroy itself, and it puts that ahead of everything else—your marriage, children, your job,” he said.

    The worst of it—the “crisis years”—began during filming of Mission: Impossible III (2006).

    Even the birth of his daughter Matilda was not the turning point he’d hoped it would be. “It was the most cosmic experience of my life. I thought it would fix things and it just didn’t. Because it can’t,” he said. “Nothing can, other than a dedicated approach, whether that’s therapy or medication, or whatever.”

    That dedicated approach came a year later, when his drinking came to a head during a 2011 Comic-Con convention in San Diego. “I sort of went missing for about four days. I got back to the UK and just checked myself in somewhere,” he said in a June interview.

    At rehab, Pegg seized the opportunity to get well. “I got into it. I got into the reasons I was feeling that way. I went into AA for a while, too. I don’t think I would be here now if I hadn’t had help,” he told the Guardian.

    Now that he’s come out on the other side, he’s more comfortable discussing the times that he struggled.

    “I’m not ashamed of what happened. And I think if anyone finds any relationship to it, then it might motivate them to get well,” he said. “But I am not proud of it either—I don’t think it’s cool, like I was Mr. Rock ’n’ Roll, blackout and all that shit. It wasn’t, it was just terrible.”

    View the original article at thefix.com

  • Deeper Cleaning: How I Came to Accept My Mother’s Hoarding Disorder

    Deeper Cleaning: How I Came to Accept My Mother’s Hoarding Disorder

    About 50% of all hoarders have blocked access to their fridge, bathtub, toilet and sinks. 78% have houses littered with what could be deemed garbage. My chances of finding a spot to sleep were next to nil.

    For the second time in my life I was saying goodbye to my mother and moving to California, and this could have been a very sentimental moment if it we hadn’t found it so damn funny. With all of my worldly possessions packed up into two great Jenga towers of luggage, Mom and I were doing our best to control the fits of laughter while maneuvering these teetering carts of death toward the terminal. It was the irony that had finally gotten to us. There we were—wrestling with this stuff that could at any second escape our control and come toppling down on top of us—when for the past two months we had been living through a very similar scenario; but one that had been nowhere near as funny.

    And one where my mother’s life had been quite seriously at risk.

    My mom suffers from a clinical hoarding disorder. According to a recent survey by the National Alliance of Mental Illness (NAMI), about 5% of our entire planet’s population struggles with this condition typically characterized by the cluttering of a home with personal possessions to an often debilitating degree. A type of anxiety disorder, hoarding is still working its way into the medical books, but thanks to a steady stream of reality TV shows featuring the worst case scenarios of the condition, social awareness of hoarding has reached an all-time high.

    These were the shows that I YouTubed as I tried to better gauge the house that I had walked in on during a surprise visit to Mom’s. Compared to the episodes I watched, my mother and her hoard weren’t ready for primetime just yet—though at the rate she was going, next season was quickly becoming a strong possibility.

    Mom had turned her two bedroom, single level ranch style house of around 1,400 square feet into a storage unit, filling it up with everything from groceries on clearance to thrift store finds too good to let go. As toys, crafts, books, tools, plants, snacks, clothes, shoes, bags and boxes slowly rose to the ceiling, my mother’s home began to look like the bottom of an hourglass, only the sand was her stuff—and once filled up there’d be no easy reset.

    Once her cover was blown, so to speak, she felt the time had come to not only admit she had a serious problem but to finally accept some help dealing with it. And as fate would have it, Mom’s epiphany just happened to coincide with a major shift in my own life. After 15 years of working through my own addiction (drugs and alcohol) I was moving back to California, clean and sober. But, since there was a two-month gap between the lapse of my lease and the end of my teaching year, I just happened to need a place to live.

    So we came up with a plan.

    I would spend those final two months living at Mom’s house, helping her get the clutter under control. At the same time, we would go scouting for some professional help, agreeing that therapy to address the hoarding was in Mom’s best interest. We had a plan: by the time I left Connecticut, Mom would have regained a sturdy foothold on the road to recovery and I could move away, assured that I had done my part in helping.

    And it worked, too. Until it didn’t.

    In that previously mentioned survey by NAMI, about 50% of all hoarders have blocked access to their fridge, bathtub, toilet and sinks. 78% have houses littered with what could be deemed garbage. My chances of finding a spot to sleep were next to nil, though the toilet wasn’t too tough to get to. A garage sale seemed like the perfect solution for opening up some much needed space. Plus, instead of just throwing things out (and to be fair, a lot of Mom’s stuff did have some value) this would give my mother and me an opportunity to really start working together as a team, as opposed to simply strangling one another—which started to have its own appeal once we realized what we were up against.

    Hoarding is a disease based very much on feelings. Boston University Dean and Professor Gail Steketee LCSW, MSW, PhD, who has been studying the condition since the mid-1990’s concluded that “Hoarding may induce feelings of safety and security and may reinforce identity.”

    In other words, Mom’s things helped her feel safe.

    Her stuff was in many ways who she was.

    So emotions began to run high as we debated on what in the house could be sold. At first we were able to work for just a few hours before Mom had to quit, visibly shaken, promising better endurance for the next attempt. Sometimes a span of days would pass where no progress was made at all. Because my mother had the final say on every item’s fate, during these times of indecision there was little more for me to do than just sort through the piles. This part of the process was most challenging for me.

    Finding myself truly face to face with my mother’s disorder, I often spiraled into great bouts of anger and deep depression. Getting lost in the work for hours, I would start dissecting a section of the hoard, piece by frustrating piece, trying to make sense of it. It was during these times that I began to realize my mother was in the grips of a very serious and complex mental illness.

    Hoarding has been listed as a symptom of OCD for years. As defined by the Mayo Clinic, people who have obsessive compulsive disorder experience unwanted thoughts that incline them to perform an action repetitively—usually outside of their control—in hopes of alleviating stress, when in actuality the behavior is only compounding the discomfort.

    Did this explain the bags upon bags of clearance items and price-reduced canned goods? The gathered pile of expired and stale holiday candy? The drawers of zip ties, rubber bands and Tupperware lids. That infuriating metropolis of 7 Eleven cups always collapsing off the microwave. The balls of yarn, rolls of fabric, reams of paper, baskets of shoes. Bed sheets, power cords, energy drinks, sun catchers. Nesting shelves, cleaning fluids, shampoos and conditioners. Paper plates, napkins, condiments—bags of them. If I was disturbed while sorting them, I had to imagine what it must’ve felt like to always need more of them.

    But what I really needed was to seek out that professional help Mom had agreed to from the beginning. In addition to the increasingly alarming nature of the collected stuff, according to a report by Compulsive-Hoarding.com, “A hoarder’s problem will not be solved by someone else throwing away or organizing their possessions.”

    Another invaluable online resource, HoardingCleanup.Com, offered an impressive roster of psychiatrists and psychologists dealing specifically with the disorder. Fortunately, we found a local doctor with whom Mom felt comfortable with right off the bat.

    Then, suddenly, positive results were coming in from every front.

    Once the garage sales got started, they quickly gained momentum and we were setting up the driveway with Mom’s wares every Friday through Sunday. So by the time my departure date rolled around we had become old pros—and one hell of a team. There was nothing at the airport but sincere gratitude and a shared sense of accomplishment. We had done it! We’d beaten the monkey off of Mom’s back, shoved it in a box and sold it in front of the house for a dollar.

    No, fifty cents!

    Seventy-five!

    Okay, seventy-five, sold!

    Over the following months, as I worked on getting my own home together, I would check in with Mom to see how things were coming along. She continued with the garage sales until the weather no longer agreed. The therapy continued unabated. Her psychiatrist was big on baby steps, discouraging Mom from taking on too much at once. Instead, the piles were shrinking through consistency and perseverance, my mother showing him photos from week to week. Also, my father was visiting the house regularly so he was able to give me a report every now and again. 

    According to an article in Psychology Today, “willful ignorance” occurs when a person knows the truth, or at least fears it, but chooses to ignore it altogether. Turning a blind eye was an especially easy behavior for me to indulge in from 3,000 miles away, so I was flabbergasted when one night my father called and told me that Mom’s house had reverted to its previous state of congested disarray and that her hoarding was back with a vengeance.

    What an awful moment of deja vu. Were we really right back to where we had started, just like that?

    Though my 12-step meetings and sponsor helped calmed me down with some much needed perspective, for the first time in recovery I found myself resenting the solution that was being offered—which was, as always, acceptance. “God grant me the serenity to accept the things I cannot change,” blah blah blah.

    No.

    I refused to accept it. I would not sit idly by while my mother sat on the one spot she had left on her sofa, watching a TV she had to crane her neck around piles of junk to see—the same piles that were slowly but surely burying her alive. Somebody had to take charge of this mess. Who was responsible? I blamed her, her doctor, my father, myself. I blamed thrift stores, dollar stores, America, God.

    What went wrong? How could Mom go back to hoarding after such encouraging progress? This had been the strongest attempt at complete recovery from her disorder so far.

    There was a night I called Mom up ranting and raving, horrendously demanding to know exactly what was the problem—and her timid response to me, plain and simple was:

    “It’s hard.”

    That was a mouthful. And it’s actually the one thing all the research and professionals in the field agree on. Recovery from hoarding is incredibly difficult. The statistics tell us it’s downright unlikely. A study conducted by the Journal of Clinical Psychiatry on patients with various forms of OCD, including hoarding, found that after five years only 9.5% of hoarders achieved and maintained full recovery from their condition.

    But then this begs the bigger issue—and it’s where my eyes opened.

    When we’re looking at recovery from hoarding, are we also looking at recovery from OCD? This experience showed me that my mother isn’t just struggling against shopping and filling her house up with stuff—but she’s battling an obsessive-compulsive disorder. Unlike my substance abuse where complete abstinence from drugs and alcohol is the solution (though of course there’s lots more to it), my mother is dealing with a behavioral disorder. And when it comes to long lasting recovery, therapy continues to be the key.

    Compulsive-Hoarding.com told me that if a hoarder’s space is just cleaned out, “The clinical compulsive hoarder will simply re-hoard even faster and fill up their home again, often within a few months.” However, that NAMI survey showed that as much as 70% of hoarders responded positively to cognitive therapy.

    So Mom is on the right track.

    It’s just that the odds are not in her favor.

    But so far she’s beaten a lot of those odds, hasn’t she? My mother’s already admitted to having a problem when NAMI reports that only about 15% of all hoarders do so. And she’s in therapy where her recovery has the highest likelihood of success. How many attempts will it take before Mom finds long term recovery? Nobody knows.

    All I know is that recovery from hoarding seems to be an inside job and that’s the stuff that really needs to be worked through. Once I accepted that about my mother and her hoarding condition I knew the best thing to do was leave that work to her.

    Find info about hoarding here:

    https://namimass.org/hoarding-and-ocd-stats-characteristics-causes-treatment-and-resources

    View the original article at thefix.com

  • Does Teen Drinking Affect Metabolism?

    Does Teen Drinking Affect Metabolism?

    A recent study examined how underage drinking affected the metabolism of teens ages 13 to 17.

    In addition to it being illegal, underage drinkers now have another reason to refrain from drinking alcohol, as a recent study has determined that teenage alcohol use can negatively impact metabolism. 

    The study was based on a previous study done by the same team of researchers at the University of Eastern Finland, which found that drinking may decrease gray matter volume in teenagers’ brains. Researchers believe the decrease in gray matter and negative impact on metabolism may be connected. 

    “Despite [the participants’] alcohol use being ‘normal,’ their metabonomic profile and brain gray matter volumes differed from those in the light-drinking participant group,” Noora Heikkinen, a researcher from the University of Eastern Finland’s Institute of Clinical Medicine, told Newsweek.

    The recent study was published in the journal Alcohol and was a followup to a study in which data was collected on teens between the ages of 13 and 17 in eastern Finland. 

    The original data was collected between 2004 and 2005. At that time, the teens completed questionnaires about their hobbies, family life, lifestyle and substance use.

    Additionally, they took a test created by the World Health Organization which is designed to identify alcohol use disorders. Some of the questions had to do with how much alcohol they drank on a typical day of drinking and how often they consumed more than six drinks at a time.

    For the recent study, which was done between 2013 and 2015, researchers recruited 40 moderate-to-heavy drinkers and 40 light drinkers. The light drinkers had scored a maximum of two on the World Health Organization test, which meant they drank two to four times monthly.

    Moderate-to-heavy drinkers were those who had a score of four or more for males, or three or more for females. This meant drinking two to three or four or more times weekly.

    With those participants, researchers measured metabolism and the volume of gray matter in the brain.

    In doing so, researchers found that the moderate-to-heavy drinkers had undergone changes in their amino acids and how their energy was processed, when compared to the lighter drinkers. In heavy drinkers, there was also an increase in 1-methylhistamine levels, a substance connected to the amount of gray matter in the brain. 

    Heikkinen tells Newsweek that based on the findings, researchers believe histamine production rises in the brains of adolescents who drink heavily. 

    “This observation can help in the development of methods that make it possible to detect adverse effects caused by alcohol at a very early stage,” she said. “Possibly, it could also contribute to the development of new treatments to mitigate these adverse effects.”

    Heikkinen also added that some of the damage may be reversible if drinking is cut back. 

    “There is evidence that at least some of the changes are reversible if the heavy drinking is discontinued,” she told Newsweek. “Therefore all hope is not lost for those who have had their share of parties and binge drinking in the twenties. However, if the heavy drinking is continued for decades, there is a real chance that irreversible brain atrophy will result.”

    View the original article at thefix.com

  • Chronic Pain Patients Feel The Effects Of Arizona Opioid Legislation

    Chronic Pain Patients Feel The Effects Of Arizona Opioid Legislation

    “They told me because of the new law they had to cut me back. It just hurts, I don’t want to walk, I don’t want to… pretty much don’t want to do anything,” said one pain patient.

    New bipartisan legislation curbing the pharmaceutical use of opioids in Arizona has been put into action. In January, Arizona Governor Doug Ducey signed the Arizona Opioid Epidemic Act, calling it “vital to combat an epidemic felt statewide and across the nation,” according to Reuters.

    However, some chronic pain patients in Arizona are already feeling harmful effects as the law is put into place. NPR reported that although the act was not written around the issues of chronic pain patients, it negatively impacts them, as doctors who are worried about legal trouble curb their patients’ access to the pain-relieving drugs.

    Governor Ducey’s administration had stated that the law would “maintain access for chronic pain sufferers and others who rely on these drugs.”

    This is mostly true: restrictions are written to apply to new patients only. Some were exempted, such as cancer and trauma patients, and patients in end-of-life care.

    However, in practice, some Arizona doctors are pulling back hard on prescribing opioids for all of their patients.

    Dr. Julian Grove, president of the Arizona Pain Society and contributor to the act told NPR that, “A lot of practitioners are reducing opioid medications, not from a clinical perspective, but more from a legal and regulatory perspective for fear of investigation. No practitioner wants to be the highest prescriber.”

    Shannon Hubbard, Arizona resident and chronic pain sufferer (she has a condition called complex regional pain syndrome) had her opioid pain relievers reduced by 10 mg in April. “They told me because of the new Arizona law they had to cut me back,” she told NPR, saying that her pain was now terrible. “It just hurts, I don’t want to walk, I don’t want to… pretty much don’t want to do anything.”

    The legislation created regulations around opioid use, citing that 75% of those addicted to heroin began their use with an opioid prescription. The act includes a limited initial opioid prescription of five days, and for certain extremely addictive painkillers, set a maximum 30-day prescription.

    The law includes $10 million to be spent treating people with opioid addiction who are not insured and ineligible for Medicaid. The “Good Samaritan” provision allows immunity for those reporting an overdose.

    Dr. Cara Christ, head of Arizona’s Department of Health Services and contributor to the state’s opioid response laws, told NPR, “The intent was never to stop prescribers from utilizing opioids. It’s really meant to prevent a future generation from developing opioid use disorder, while not impacting current chronic pain patients.”

    Still, Shannon Hubbard is living with the effects of the law, and not the intentions.

    “What they are doing is not working,” she told NPR. “They are having no effect on the guy who is on the street shooting heroin and is really in danger of overdosing. Instead they are hurting people that are actually helped by the drugs.”

    View the original article at thefix.com

  • Are Dentists Still Overprescribing Opioids?

    Are Dentists Still Overprescribing Opioids?

    A new study examined the opioid prescription patterns of dentists who care for patients with private insurance. 

    While dentists have been writing a declining number of opioid prescriptions in the past few years, two new studies indicate that there still may be reason for dental professionals to take precautions when prescribing. 

    According to PEW Trusts, one such study published in the Journal of the American Dental Association in April examined the prescribing patterns among dentists who tended to privately insured patients. From 2010 to 2015, opioid prescriptions per 1,000 patients increased from 131 to 147, study authors found. 

    “The fact that we’re still prescribing opioids when we’ve demonstrated that nonsteroidals are as effective most of the time is a little disturbing,” Dr. Paul Moore, co-author of the analysis and professor at the University of Pittsburgh’s dental school, told Modern Health Care.

    The study found that the biggest increase—about 66%—was in those ages 11 to 18. The study also noted that for all age groups, almost one-third of the opioid prescriptions written were for visits that were not surgical in nature, for which study authors state non-opioids could also be effective for pain.

    According to Modern Health Care, an analysis of five studies in the Journal of the American Dental Association found that nonsteroidal anti-inflammation drugs like ibuprofen are effective for dental pain.

    The second study was published at the same time in the same journal, and examined outpatient care for Medicaid patients. Researchers found that from 2013 to 2015, nearly 25% of those patients filled a prescription for opioids. They also discovered that emergency department providers were more likely to give opioids to patients with dental issues.

    The study found that 38% of patients who sought care in an emergency department then filled an opioid prescription in comparison to 11% of those who went to the dentist.

    “Dentists are providing substantially less opioid prescriptions compared to their medical colleagues for pain treatment following a dental diagnosis in the Medicaid population,” study authors wrote. “When considering pain management for dental and related conditions, dentists should continue with conservative prescribing practices as recommended.”

    According to PEW Trusts, the results of the study come at a good time, as the American Dental Association recently released an interim policy on prescribing opioids.

    The policy lays out a number of guidelines for providers to follow and encourages continuing education about opioid use for dentists. It also states that dentists should follow the Centers for Disease Control and Prevention (CDC) guidelines about dosage and length of opioid prescriptions.

    View the original article at thefix.com

  • Jar Jar Binks Actor Reveals How "Star Wars" Backlash Affected His Mental Health

    Jar Jar Binks Actor Reveals How "Star Wars" Backlash Affected His Mental Health

    Ahmed Best made a surprising revelation on Twitter about how the Star Wars fandom’s response to his character led him to a dark place emotionally.

    When The Phantom Menace—the long-awaited Star Wars prequel—was released in 1999, a lot of fans were very disappointed, to say the least. And part of that disappointment was unleashed on the character of Jar Jar Binks.

    The internet trolling on the character was so severe that, Ahmed Best, the actor who played Jar Jar, even thought of suicide.

    Right as Episode One was being released, the internet and viral marketing were just starting to take off, and with countless trolls finding a new, and very public, way to unleash their venom, the character of Jar Jar got completely hammered.

    As Best told Wired, he had a hard time coming to terms with the backlash, as well as the fact that he was universally hated, while at the same time he was also mostly anonymous to the world without his CGI alien character.

    “It’s really difficult to articulate the feeling,” Best said. “You feel like a success and a failure at the exact same time. I was starting at the end of my career before it started… I had death threats through the internet. I had people come to me and say, ‘You destroyed my childhood.’ That’s difficult for a 25-year-old to hear.”

    On July 3, Best posted a photograph of himself and his young son overlooking a harbor on Twitter. “20 years next year I faced a media backlash that still affects my career today,” he wrote. “This was the place I almost ended my life. It’s still hard to talk about. I survived and now this little guy is my gift for survival.”

    Best’s candid revelation got a much different reaction from the net than his character Jar Jar did two decades ago. Frank Oz, the famed Muppet puppeteer who famously brought Yoda to life, told Best on Twitter, “I LOVED Jar Jar Binks. “I know I’ll get raked over the coals for saying that, but I just will never understand the harshness of people’s dislike of him. I do character work. He’s a GREAT character! Okay. Go ahead. Shoot. Gimme all ya got – but you’ll never make me change my mind.”

    Best’s confession comes on the heels of Kelly Marie Tran—who played the lambasted character of Rose Tico in The Last Jedi—leaving social media after being excessively cyberbullied as well.

    In her defense, Jedi director Rian Johnson tweeted, “Done with this disingenuous bullshit. You know the difference between not liking a movie and hatefully harassing a woman so bad she has to get off social media. And you know which of those two we’re talking about here.”

    If you or someone you know may be at risk for suicide, immediately seek help. Call the U.S. National Suicide Prevention Hotline at 800-273-TALK (8225).

    View the original article at thefix.com

  • Kat Von D Celebrates 11 Years Of Sobriety

    Kat Von D Celebrates 11 Years Of Sobriety

    The Los Angeles-based tattoo artist took to social media to celebrate her sober anniversary.

    Tattoo artist Kat Von D celebrated over a decade sober by sharing her milestone on social media.

    Today, I celebrate 11 years of sobriety,” she wrote across Twitter, Instagram and Facebook. “Every year I look forward to posting about my sober anniversary, in the hopes that someone out there in need of a way out from addiction might see this, and realize that you’re not alone. Sending you extra love today.”

    The Los Angeles-based tattoo artist, famous for appearing on Miami Ink and then her own show LA Ink, is vocal about her sobriety. She hopes that by putting herself out there, she can show that recovery is possible.

    “If anybody out there feels that they relate to me in any capacity and happen to be struggling, perhaps I can lead by example by showing that if I can do it, you can do it too,” she told The Fix in 2016. It’s her way of being of service.

    Here’s what she’s said about sobriety in past Fix interviews.

    Becoming sober in the limelight

    “I am grateful that I was on TV during the tail end of my drinking; the first season of LA Ink. I am glad that happened and that it was public because it shows people that you can change.”

    Change is possible

    “I definitely was a mess, but as human beings, we are all capable of change. We need to give ourselves that credit. I don’t look at a drug addict or somebody who has a drinking problem as hopeless. I believe everybody can evolve and find their path.”

    On creativity 

    “One of the biggest reasons for me to stop drinking was to preserve and protect my art… More than just having the chemical addiction, I was addicted to dysfunction. A lot of musicians and writers and poets from back in the day until now have used dysfunction as a muse. I don’t want to be that person anymore.”

    What it means to be sober

    “Looking back at my wild drinking days, I really never imagined that I would be excited about being sober. When you are on the other side of things, you have such a profoundly different perspective on life… Personally, being sober means that I operate better and I function better; I believe I am meant to be that way.”

    View the original article at thefix.com