Author: Justin Mckibben
This Monday Christ Forester, the offensive line coach from the Miami Dolphins, resigned from his position after 25 years in the NFL. Forester was one of the highest paid assistants in the league, even though he only became a Dolphins coach a year ago. His recent departure from the coaching staff comes only 12 hours after a video of him snorting a white powdery substance off an office desk went viral.
So what does this recent scandal tell us about drug abuse?
A Social Media Scandal
The 56-second video shows Forester himself appears to be filming while speaking into the camera. During the course of the video Forester states:
“Hey baby, miss you, thinking about you,” he says to the camera. He says he is about to go into a meeting and is “doing this before I go.”
Kijuana Nige, a Las Vegas model, first posted the video on Sunday to Facebook. It has since been deleted. At one point on the post to the social media site, Nige had stated people were upset with her actions “like I forced blown down this man’s nose” with the term “blow” being commonly known as slang for the illegal drug cocaine.
Screen-captured images of a post on Twitter with pictures from the video also show Nige stating:
“Those are his habits and he recorded himself and sent it to me professing his love.”
Kijuana Nige also claims that she used to date the Dolphins coach, and sources indicate the video was recorded sometime this year.
The Football Fall-Out
Other parts of the caption in the comments take on a more political tone, as Nige talks about posting the video and exposing the Dolphins coach as a way to respond to the backlash against black NFL players who are participating in protests of police brutality on the sidelines of football games.
The video was posted the same day that it was reported the Dolphins head coach Adam Gase has made it a team rule that players are required to stand for the Anthem. Apparently, players who do not wish to stand for the National Anthem on the Dolphins team must stay in the tunnel during the ceremony.
In her social media crusade, Nige has also implied that she has other videos she could make public. She states:
“They better leave ppl (people) like Colin Kaepernick alone before I pick off more of’ em”
Of course, this refers to the 49ers former quarterback who was the first player to take a knee and vocalize his reasons for protesting.
Following the growing controversy of the viral video, the Dolphins coach made a statement saying,
“I am resigning from my position with the Miami Dolphins and accept full responsibility for my actions,”…”I want to apologize to the organization and my sole focus is on getting the help that I need with the support of my family and medical professionals.”
The Dolphins also made a public statement that included:
“We were made aware of the video late last night and have no tolerance for this behavior.”
“Although Chris is no longer with the organization, we will work with him to get the help he needs during this time.”
While the Dolphins made it clear that they had accepted Foresters resignation immediately, they still say are going to support Forester in getting help, which may mean some addiction treatment or other recovery resources.
Exposing Drug Abuse
Of course, this isn’t the first time some form of public figure in the sports world has been exposed for drug use. Even coaches in high school, college or professional sports have been caught from time to time in some kind of drug scandal. In some cases, it is performance enhancing. Other times it is the recreational use of illicit drugs.
However, this is the only time (at least that I have ever heard of) that a viral video has shown an NFL coach in the act of consuming drugs. So it is a unique case.
Yet, when drug abuse is exposed in the media it actually reveals the best and the worst of our reactions to issues concerning drug abuse and addiction. Some people will immediately begin to demonize the individual. But the better side we get to see is that at least the Dolphins franchise has said they will support his efforts to get help. In a way, a story like this points again to the very real fact that anyone can struggle with drug abuse. Celebrities, decorated athletes, and even extremely successful professionals can struggle with substance use.
If we can accept an NFL coach has made a mistake but is willing to step down and get help, maybe we can show more compassion to those around us who need help; maybe we need to have more compassion for ourselves. Either way, instead of stirring up more contention and controversy let us support those who need a way out.
In recovery from drug abuse and addiction, we are all on the same team. It’s easy to see how substance abuse affects more than the average individual. Even celebrities and professionals can get caught in the grips. If you or someone you love is struggling, please call toll-free now.
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While the entire country has been impacted by this ongoing issue, more options for prevention and treatment have become paramount to changing the tides. Just this week Rick Scott, the governor of the state of Florida, proposed a strategy for fighting the opioid epidemic that has gained a lot of attention. Scott has decided to ask local lawmakers to impose a three-day limit on opioid prescriptions during the upcoming legislative session. This latest development is one new piece of recent initiatives to combat the opioid crisis.
Florida Governor Opioid Initiatives
During two press conferences on Tuesday, the Florida Governor announced a pushback on an abundance of opioid prescriptions, while also introducing other ideas for fighting addiction.
One of the initiatives Rick Scott is pushing is to require all health-care professionals who prescribe controlled substances to participate in the Florida Prescription Drug Monitoring Program, also known as the PDMP. This database involves health-care professionals to report important information on patients receiving powerful narcotic medications, including:
- Name of the doctor
- Patient name
- Prescription information after the prescription is filled
But this is not the last of Florida Governor Scott’s opioid initiatives. His office also plans to seek additional reforms such as:
- Fight unlicensed pain management clinics
- Requiring education on responsible opioid prescribing
- Creating more opportunities for federal grants
Scott apparently plans to put some more investments toward helping those already struggling. He is also pushing for more than $50 million for services including:
Part of this initiative is also boosting up the budget of the Florida Violent Crime and Drug Control Council.
At the moment the finer details of the Florida Governor’s proposals are not yet available. However, what it does tell us is that Scott is not ignoring the contribution Big Pharma makes in this current crisis. What we can tell from this outline is that Rick Scott says he is aiming to address prescription opioid pain medication, recognizing it as a key source of the growing problem.
Why 3 Days?
It has been reported time and time again that we should be paying attention to how powerful opioid medications impact rising addiction rates. Now the Centers for Disease Control and Prevention (CDC) has released a recent study showing how quickly someone could get hooked on these kinds of drugs. In this study it is shown:
- After three days of use, about 6% of patients were still using opioids a year later.
- Five days into use, about 10% of patients were still using opioids a year later.
- After 11 days of use, it jumps to 25% of patients still taking opioids a year later.
So it would seem that between 3-5 days, the chances of continued use almost doubled. Then between 5-11 days the chances of use more than doubled. This development may have helped inspire the idea to limit prescriptions to 3 days.
Back in March, Bradley Martin of the CDC, one of the study authors, told Vox magazine:
“There’s nothing magical about five days versus six days, but with each day your risk of dependency increases fairly dramatically,”
So while day 5 and day 6 may not be a dramatic leap over the edge, some may see this proposed limit as an attempt to at least slow a process down.
The Opposing Argument
The Florida Governor will probably face strong criticism, or at least skepticism, from crowds such as:
The opposition is still very real. This isn’t even the first time Florida lawmakers have seen something like this brought to the table. Just last year Florida legislatures quietly rejected an effort last year to impose a five-day cap on opioid prescriptions for acute pain.
Legislatures and doctors are the only concerns Florida Governor may have to tangle with in order to push this idea through. Other potential obstacles standing against this proposal include:
- Additional out-of-pocket co-pays that patients will incur
- The ability of patients with chronic pain and terminal illnesses to refill prescriptions
The Florida Society of Interventional Pain Physicians will discuss caps on prescriptions during a board meeting today. Dr. Sanford Silverman is a past president of the Florida Society of Interventional Pain Physicians. In regards to the 3 day limit he stated:
“We don’t think the cap is reasonable since it is a completely arbitrary number,”
“A better idea would be to mandate usage of the PDMP prior to writing an opioid for acute pain.”
Other states have created caps on prescriptions, although some may not seem as strict as the 3 day rule.
- Massachusetts limits the supply to seven days.
- New Jersey set it so that first-time prescriptions for acute pain cannot exceed a five-day supply. Also, patients being treated for cancer or under hospice care are exempt.
- Ohio caps distinguish between patients with chronic pain and those with acute pain.
At the end of the day, similar strategies may not be left up to the lawmakers. If pharmacies decide to impose their own limits on certain prescription drugs the Florida Governor might not have to push very hard to get the limits he is looking for.
CVS announced Friday that the company plans to:
- Limit the daily dosage of pain pills based on their strength
- Require the use of quick-release painkillers before extended-release opioids are dispensed
- Limit opioid prescriptions to seven days for certain conditions
This restriction will specifically apply to patients who are new to pain therapy.
Only time will tell how far Florida Governor Rick Scott’s new pitch will go, but it seems one thing people can agree on is that the opioid crisis does require some new approaches to prevention.
With more prevention we may be able to slow down the rising rates of opioid addiction. Meanwhile, the need for safe and effective treatment still means a lot for helping those already suffering. Real treatment resources matter. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Justin Mckibben
Back in September of 2013 doctors in Arizona were understandably alarmed after two potentially related cases of a now infamous flesh eating Krokodil drug appeared in the state, one of the first ever reports of the drug in America. That year doctors in Illinois also reported treating individuals suffering serious damage due to use of the corrosive recreational narcotic. Since then the drug has seemingly been absent from the front lines of the opioid epidemic in America. However, after a few recent reports, some are worried it might make a surprising comeback. This time, it appears Krokodil has resurfaced on the East Coast.
What is Krokodil?
The main ingredient in Krokodil is the drug desomorphine. It is a derivative of morphine that is 8 to 10 times more potent. Desomorphine was first patented in the United States in 1932.
The drug got its now notorious nickname from the Russian word for crocodile; due to the fact users often develop scale-like, green skin. Other permanent effects of the drug include:
- Speech impediments
- Erratic movement
Krokodil can be manufactured illicitly from products such as:
- Hydrochloric acid
- Red phosphorus
However, artificially producing desomorphine like this causes the drug to be dangerously impure. It contains toxic and corrosive byproducts from the home-made chemical combination. The rotting effect these chemicals have on the flesh is why many people call it the ‘zombie drug’.
Krokodil in Europe
As a recreational and injectable drug, ill-reputed and home-made Krokodil was first reported in the middle and eastern areas of Siberia way back in 2002. According to medical reports, it then quickly spread across Russia and other Soviet republics with a distressing impact on those it came into contact with. The drug became so popular because compared to the more mainstream opioids like heroin the high is much stronger and it was extremely cheap to produce. The drug is also highly addictive.
This drug has devastating effects on its users, who have an average life span of only 2 to 3 years after they start using. The chemicals within Krokodil literally rot and eat people away from the inside.
Krokodil Coming to America
In 2013 the leg of a young woman in Lockport Illinois named Amber Neitzel, 26 at the time, was photographed because of the intense damage Krokodil had done to her tissue. Most of the previous reports of Krokodil in the U.S. appeared mostly in the Southwest. Now one story has some worried it’s back and getting around.
An overdose patient found all but rotting alive in Manchester, New Hampshire last week told responders he believed he’d been injecting the drug Krokodil. In relation to the story, reporters spoke with Chris Hickey with American Medical Response, who said,
“It’s pretty much the dirty sister of morphine and heroin,’ Hickey said. ‘A lot of times, it’s cut with something like gasoline or the ground-up red phosphorus from the tips of matches or drain cleaner.”
“With someone who is literally rotting away in front of you it turns the stomach of even the most seasoned provider.”
The opioid epidemic is already affecting the vast majority of Americans in one way or another, whether they are struggling or someone they know, and most experts predict we still haven’t reached the pinnacle of the problem.
Already there are awfully hazardous synthetic drugs like fentanyl and carfentanil being slipped into the illegal drug trade through heroin and home-pressed prescription pill form. These two substances alone have supplied most states with a surge of opioid overdoses and deaths.
If Krokodil is really making a comeback, how much worse could the opioid epidemic get and how quickly will law enforcement, public health officials and communities be ready to respond? Will this be the deciding factor in pushing the overdose death rates to new and demoralizing peaks?
Drugs like these are far too real and costing far too many people their lives. There is another way, but it begins with taking action. Seeking safe and effective treatment can be a crucial step to changing your life. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Shernide Delva
These are just a few of the incentives doctors have received from prescription opioid companies. Did these goodies get you your last opioid prescription?
Could incentives be responsible for our current opioid epidemic?
That’s exactly what researchers set out to understand.
A recent report confirmed what many have suspected: doctors are receiving incentives from major opioid makers. In fact, one out of every 12 U.S doctors gets money, lunch or something else of value from companies that make opioid drugs, the study concluded.
Furthermore, companies are spending more time and effort marketing opioids to doctors than they are other less addictive painkillers. These finding will help understand why doctors have played such a major role in the opioid addiction crisis.
“A large proportion of physicians received payments — one in 12 physicians overall,” said Dr. Scott Hadland of the Boston Medical Center. “Tens of millions of dollars were transferred for marketing purposes for opioids.”
Dr. Hadland and colleagues went through databases from the Centers for Medicare and Medicaid Services, the federal government office that oversees public health insurance.
The 2010 Affordable Care Act includes the Physicians Payments Sunshine Act. This act required medical product makers to report any offerings or goodies made to doctors or to teaching hospitals. However, incentives are often disguised as something else.
“In some cases, they are money provided directly to physicians — for example, the speaking fees, the consultant fees and the honoraria. In other cases it is reimbursement for things like travel,” Hadland said.
On average, doctors get a single “payment,” usually a mean worth of $15 about once a year. Still, there are a select few doctors that are reaping the most benefits.
“The top 1 percent of physicians (681 of them) received 82.5 percent of total payments in dollars,” the team wrote in their report, published in the American Journal of Public Health.
These incentives could influence doctors to prescribe opioids to their patients:
“One of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” the study notes.
Between 2013 and 2015, the team found 375,266 payments totaling 26 million distributed to more than 68,000 doctors.
While larger fees mostly accounted for speaker fees, more leisurely incentives like food and drink accounted for 94 percent of the payments.
“I do think the practice is exceedingly common. Increasingly, medical schools are restricting the ability of pharma companies to come to speak to medical students and even faculty,” Hadland said.
With all this said, do small incentives really make a difference? After all, can a doctor really be bought for the price of a boxed lunch?
The research indicates that, yes, these little goodies do influence prescribing. Last year, a study revealed that physicians who accepted even one meal by a drug company were more likely to prescribe a name-brand drug to patients later.
This is not the first time investigations were conducted on possible incentives. After earlier controversies and studies, the Pharmaceutical Research and Manufacturers of America issued a voluntary code of conduct to curb the once widespread practice of handing out free mugs, prescription pads, and other swag covered in drug brand names.
Some cities and states especially hit by the opioid abuse epidemic have even sued drug makers saying their practices have helped fuel the problem. The CDC states doctors have contributed to the addiction crisis by prescribing opioids to too many patients. These prescriptions are often prescribed at high doses for too long which only increases the vulnerability to addiction.
The result is deadly.
There were more than 30,000 fatalities in the United States in 2015, the federal government said.
“I think that first and foremost we have known that one of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” said Michael Botticelli, former director of the White House Office of National Drug Control Policy, and now executive director of the Grayken Center for Addiction Medicine at the Boston Medical Center.
According to Botticelli, the answer is independent education, free of the need to promote a specific product.
“At the federal and state level (we may need to) move toward mandatory prescriber education to counteract industry’s influence over prescribing behavior,” he said. “Clearly, guidelines are not enough.”
For a long time, prescribing opioids was one of the first responses to pain management. Now other alternatives are being promoted such as pain management devices and holistic alternatives.
Botticelli agrees that while pain is a major problem, the answer is not more opioids.
“Yes, we want to make sure people’s pain is appropriately treated, but we know that longer and higher doses have significantly added to the addiction problem that we have in the United States,” he continued.
What are your thoughts? Did you know about these incentives? More studies are coming out revealing the back story to what led to the prescription opioid epidemic.
Opioid addiction has become a public health crisis. Now, more than ever is the time to seek treatment. Recovery is possible. You do not have to feel out of control. There is a solution. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135
Author: Shernide Delva
Overconfidence in Recovery:
Confidence is supposed to be an excellent quality. We are always told to believe in ourselves in every endeavor we pursue. Whether it is a sport or a school exam, having confidence is touted as the key to success. However, when it comes to addiction recovery, can too much confidence actually become harmful?
Overconfidence Can Lead to Relapse:
The reality is too much confidence is not great in recovery. While it is great to have confidence in your program, it is important to stay humble. The emotions that arise from overconfidence can block underlying issues. Having an overconfident mindset can hinder your recovery process. It is important to make recovery a priority regardless of how much time you have.
Why Overconfidence Encourages Relapse:
- Distorted Self-Image: A major part of recovery is staying humble. Overconfidence makes someone believe that they are not as bad as newcomers. They may start to feel they no longer need their program and start to ponder if they are an addict at all. Overconfidence encourages the belief that it is not a huge deal to have a drink or use casually, which is far from true for an addict.
- Irrational Thoughts: Overconfidence can lead an addict to believe they deserve certain rewards in conjunction to their success. They might feel they are worthy of a celebration. They quickly convince themselves that one drink is not going to hurt them because they are now “in control” of their addiction. This is risky behavior and can lead someone down a slippery slope.
- Complacent Behavior: This is when an addict starts to believe that their addiction is not nearly as bad as they once thought. They start believing that they can now live normally due to the length of time they have been sober. They think they are cured so they slowly stop going to meetings and stop thinking of themselves as an addict. This leads to new addiction or a relapse.
Signs of Overconfidence Include:
- Rejecting suggestions from others
- Seeking immediate results
- Belief in having all the answers
- Always seeing your situation as unique from everyone else
- Feeling that you deserve preferential treatment
- Feeling “healed” or “in control”
- Always wanting to lead instead of listening
It is crucial to understand that addiction will not simply disappear. Regardless of how long you have been sober, addiction can always creep up again. Addiction is not a curable disease; it is a manageable disease that does not have room for overconfidence.
How We Become Too Confident:
Overconfidence may be a trait acquired in recovery, or it can be a trait a person struggled with before sobriety. In fact, most addicts battle overconfidence their entire life. For example, those times you tried to use and thought no one would notice.
Sadly, this behavior can persist after recovery even after hitting rock bottom. Even those with no history of overconfidence can start to become overzealous in their recovery program. They start to believe that they are above the rest of their friends and family because of the work they have done in their recovery.
Consequences of Overconfidence:
When you act too confident, you hurt yourself and others. You hurt others who are still learning to trust the person you have become. You hurt yourself because overconfidence increases the vulnerability to a relapse. It is important to remember that recovery is something that takes effort every single day. Regardless of how much time you have, stay humble in your program. It is better to be safe than sorry.
Remember to support others struggling, and stay focused on your recovery. Overconfidence is not a quality anyone should strive for. Instead, focus on staying sober every single day. If you are struggling to stay sober, or are currently having issues with substance abuse. Please reach out. We want to help you get back on track.
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