Author: Justin Mckibben
The past week the country watched as yet another powerful natural disaster loomed overhead. Hurricane Irma had been measured as an intensely powerful Category 5 storm. By the time it reached Florida the storm was spanning at 400 miles wide. Winds topped over 130 miles per hour on Sunday. All this came only about a week after the devastation of Hurricane Harvey struck the state of Texas. Landing as a Category 4 on the west coast of South Florida, the dangerous winds of Hurricane Irma reached out to Miami and even West Palm Beach on the eastern coastline.
Areas have begun experiencing flooding, and there were even earlier reports of tornadoes picking up as more than 4.7 million homes and businesses across Florida lost power.
Shelters across the state had been utilized to help thousands and thousands of residents, while well over 30,000 evacuated from the Florida Keys ahead of the storm. As of Monday, Hurricane Irma had downgraded to a tropical storm with dwindled intensity as it nears Georgia. Resources are currently working diligently in Florida to assure the residents’ safety and restore power and clear roadways.
As the incident unfolds and recovery efforts begin, the recovery community of Florida stands strong as well.
Of course in a situation like this staying connected is crucial for everyone. Whether people choose to evacuate and travel outside the projected path, or if they stock up on supplies and fortify their homes, communication is key.
By staying connected people can get updates on the possible dangers that may still be present after the initial storm. They can also stay informed on relief efforts in their area if needed. Some may feel they are safely out of harms way after the perilous gusts and overwhelming rains have ceased. However, there are still residual risks that come after these storms.
Staying connected can be made even more difficult with power outages.
For the recovery community in South Florida staying connected has helped so many people keep track of their peers in the recovery community to provide support. Not only are accredited addiction treatment providers coordinating with local officials to ensure the safety of their clients and staff, they are also connecting with families and loved ones to help clients update their contacts about current conditions.
Meanwhile, people within the recovery community continue to check in with their peers. Many of us are dedicated to ensuring our friends in sobriety are safe and protected. In situations like this sometimes those in recovery also need someone to reach out to. These stressful times can be all it takes to push some individuals toward risk behaviors. In this case, relapse prevention maybe mean as much as staying connected through Hurricane Irma.
Service and Support
Supporting each other within the community is a vital piece of the recovery process, both in the aftermath of a natural disaster and in the addiction recovery community. When something tragic impacts so many lives people always band together to restore stability to family, friends and neighbors. First responders and volunteers try to help people clear out wreckage, provide food and other important amenities, and rescue those in need. Public officials coordinate with other organizations and community efforts to help repair what needs repaired and ensure citizens’ health and safety.
In short, great numbers of people commit to doing service to aid in the recovery.
In the world of drug and alcohol addiction, service to others and giving back can be a pivatol aspect of the recovery process. Men and women in recovery from addiction band together to provide each other with the means to be safe and supported. Recovering addicts and alcoholics volunteer themselves to working with those most in need, and they take on positions of service in order to ensure everyone has an opportunity to stay healthy and safe.
All this can be seen in South Florida after Hurricane Irma, when both aspects of the community (recovery and non-recovery) have worked independently and collaboratively to protect the people in need and support each other. Addiction treatment and mental health services have actively coordinated with first responders. Meanwhile, individuals offer assistance to their peers through meetings and service work. Sometimes something as simple as a ride to work a place to stay with power makes a huge difference.
Rebuilding after Hurricane Irma
Most of the eastern coastline was spared the brunt of the storms destructive power. Still, Hurricane Irma still managed to impact those farthest from the landfall. Palm Beach County alone experienced an estimated 375,350 power outages, while areas like Miami-Dade reached up to 623,820 outages.
So far there has been a great deal of effective restoration efforts after Hurricane Irma. All Florida highways are now open. Gas supplies are still struggling, but the state is coordinating with the Coast Guard and the Army Corps of Engineers to open ports for tankers carrying fuel. Now shipments to the tune of millions or gallons are flowing toward Port Everglades. Airports have reopened and curfews have either been lifted or shortened. Electrical companies are working diligently to restore services to the state, but that effort could be ongoing for some time.
The Florida Keys suffered a great deal of damage, and efforts to help revive the area are ongoing, thought this too seems like it will be an uphill battle for now. The fight today has become a mission for the return to normalcy for most Florida residents. Officials are hoping to get people back to work and get businesses back to serving their communities as well.
A Community in Recovery
For the addiction recovery community, getting back to helping those in need is also a priority. Getting people into safe environments that help their sobriety; pursuing further outreach efforts to those in active addiction who may be suffering now more than ever; support groups re-opening to be there for their members.
There is a strong presence in this area of those who are already experienced in bouncing back from devastation and desperation; the recovering alcoholics and addicts of South Florida. Some of us are used to going without amenities. In sobriety many of us are used to giving all we can to others. Now is definitely the time to put those unique experiences to good use.
Today, all of Florida recovers from the effects of Hurricane Irma. Those of us in addiction recovery should always be willing to give back to the community that has given us so much. We can find a way to volunteer some time, or make donations to support those with less than us. Now more than ever we should offer assistance to the addicts and alcoholics who still struggle. But don’t stop there. All of Florida is now a community in recovery. We are all in this together, so lets all be part of something to make it better. We will recover.
Our thoughts and prayers are with all those effected.
In the aftermath of Hurricane Irma the South Florida area is still home to one of the strongest recovery communities in the world. This is a community with a strong commitment to safe and effective treatment options. South Florida is full of amazing individual’s working hard to hold each other up. If you or someone you love is struggling with substance abuse or addiction, 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
In the past, we’ve talked about the potential of opioid vaccines. These vaccines could have a major impact on lowering a number of opioid overdose deaths. They could completely shift the direction of how we treat opioid addiction. However, is the future of opioids imminent or far, far away?
Sadly, it will be a long time before we see opioid vaccines available for widespread use. Experts all agree that although the future of opioid vaccines looks bright, the process of getting a drug into the market is a lengthy one and we should not hold our breath just yet.
Recently, Health and Human Services Secretary Tom Price mentioned opioid vaccines as an exciting new development in the war against opioid abuse.
“One of the exciting things that they’re actually working on is a vaccine for addiction, which is incredibly exciting,” Price said during a briefing about the drug epidemic.
However, experts say it won’t be made public for years… if ever.
The process of a drug going from the research phase to the production phase is a long, tedious process. Opioid addiction vaccines have not even begun human trials yet. Researchers would have to put drugs through phase one, two and three trials before submitting them for approval by the Food and Drug Administration (FDA), given that the trials are successful.
“He may be a physician, but he’s not terribly well-informed about addictions,” said Dr. Thomas R. Kosten, a psychiatry professor at the Baylor College of Medicine with a concentration in addiction vaccines. “I can’t imagine the vaccine would be on the market before the Trump administration is over.”
Dr. Kosten knows all about vaccines. He worked on cocaine vaccines for 16 years before deciding that it “just didn’t work well enough” to continue. Today, he is working on a vaccine for fentanyl, an opioid painkiller up to 100 times stronger than morphine. Fentanyl has been a major culprit for overdose deaths in the current opioid epidemic.
Those who previously used painkillers turn to heroin due to the lower price and easier access. Unfortunately, often heroin is not just heroin and instead is laced with powerful painkillers like fentanyl which make a user much more susceptible to an overdose.
Dr. Kosten hopes his work on the vaccine will pan out, but he wants to ensure people are not holding their breath. These things take time.
“There are no opiate vaccines that have been in people at this point,” said Dr. Kosten.
Even if the vaccine passes trials and goes into full-scale production, it would only be used therapeutically, not as a preventative measure.
“The purpose is not to “mass-immunize a whole bunch of kids,” Dr. Kosten said. “That’s not at all what they’re designed for.”
For now, the vaccine is proving to be effective in animal testing. However, this is not necessarily good news.
“Sometimes, the translation from animals is not necessarily the same in humans. So we have to do the human studies,” said Dr. Ivan Montoya of NIDA’s Division of Therapeutics and Medical Consequences.
The goal of the vaccine is to allow the body’s own immune system to combat opioids before they can reach the brain and take effect.
“We don’t have to modify the brain to produce the effect,” said Dr. Montoya. “You take advantage of your own immune system and prevent access of the drug to the brain.”
In the future, Dr. Montoya hopes to come up with a vaccine that can block the effects of a wide range of opioids including fentanyl, heroin, and OxyContin.
While the prospect of opioid vaccines sounds promising, we are still far away from this becoming a reality. Therefore, stating vaccines as an exciting solution to the opioid epidemic is a bit of a stretch for now. Instead, the focus should be placed on increasing access to treatment. With the right program, recovery is possible. If you are struggling with substance abuse, call now. Do not wait.
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
The controversy surrounding the Megyn Kelly Sunday Night show continues. The first investigation piece on drug addiction focused on issues plaguing the South Florida recovery community.
Now, Megyn Kelly returns to cover addiction treatment, and this time her show is highlighting another polarizing subject: harm reduction programs. On Sunday night, Megyn Kelly’s shows featured The Sinclair Method. The Sinclair Method is a harm reduction treatment program that allows patients who struggle with alcohol use disorder to continue drinking.
The segment introduces viewers to Marisa, a 25-year-old binge drinker. The crew follows Marisa around for day one of her introduction to The Sinclair Method.
First Marisa sees a doctor, who gives her a prescription. Shortly after taking the prescription, she has a drink. According to Marisa, her intense cravings to binge disappears.
“I feel like I could have another drink or not have another drink and be totally fine,” she tells the camera.
The apparent miracle pill is naltrexone, a commonly used opioid antagonist typically used to treat heroin addiction. However, under The Sinclair Method, the drug is used to treat alcoholism.
“The drug blocks pleasure receptors in the brain―a buzzkill,” Melvin explains in a voiceover. “And when combined with psychotherapy sessions, the theory goes, eventually the cravings go away.”
Essentially, the idea behind the program is patients take naltrexone before drinking and over time, the desire to excessively drink diminishes. For Marisa, the unorthodox treatment seems to have worked. Only three months after starting the treatment, she told NBC she had lost her drive to drink.
Still, this approach is far from traditional. The 12-step model of addiction promotes abstinence only treatment. The show highlighted an interview with Hazelden Betty Ford’s executive director, Chris Yadron.
“The 12 steps are crucial because it’s a spiritual program of recovery,” he told Melvin.
Dr. Mark Willenbring who once ran the NIH’s alcohol recovery research defended The Sinclair Method, added that 12-step approaches do not rely on modern science.
“We don’t send someone with diabetes to a spa for a month, teach them diet and exercise and then say, ‘Go to support groups, but don’t take insulin.’ I mean, that’s the absurdity of what we’re doing now,” he said. “We’re still providing the same pseudo treatment that we provided in 1950. And 85% of rehabs in the country are 12-step rehabs. People don’t have any choice.”
The tension between abstinence-based and harm-reduction approaches to treatment has created a long-standing controversy in the recovery community. Throughout the segment, tweets were displayed from people who were for and against harm reduction strategies.
“This is very troublesome to see that some doctors are giving people with a thinking disease a “magic” pill,” tweeted one user.
Others felt the treatment option provides another solution than the standard abstinence-only approach. We’ve seen harm reduction programs like Moderation Management receive massive criticism, specifically after the founder, Audrey Kishline, killed a 12-year old girl and her father while driving in an alcoholic blackout.
Overall, programs like these remain controversial and risky. It is best to get treatment to address the underlying issues behind your addiction. If you are struggling with mental illness or addiction, please call now.
CALL NOW 1-800-951-6135