Are You Safe in Surgery?

Are You Safe in Surgery?

Are You Safe in Surgery?

Surgical Instruments or Addict’s Tools?
Surgical Instruments or Addict’s Tools?

The problems of addiction affect people in every walk of life, including healthcare professionals, for whom access to controlled substances is easier. It’s easy to pass that off as a subset affected that doesn’t matter to anyone else, but consider the medical professional who feeds his addiction and ends up harming others.

The easiest access to addictive drugs is in the operating room. A new study in the Journal of the American Medical Association revealed that just under 1 percent of anesthesiologists in their residencies during the period 1975-2009 had substance use disorders, with narcotic painkillers as the drug of choice. During that time, 28 residents died from substance abuse.

Those may not seem like alarming numbers, but the picture gets scarier when the focus turns to other medical professionals and recent events. In New Hampshire, David Kwiatkowski was recently sentenced to 39 years in prison after he pleaded guilty to stealing medications and infecting at least 45 people with the hepatitis C virus.

Kwiatkowski worked as a cardiac technologist in 18 hospitals across seven states. He began stealing morphine from operating rooms to feed his own opiate addiction and was infected with hepatitis C. For a decade after he was diagnosed, he stole syringes, usually of the narcotic painkiller fentanyl, self-injected them and replaced the used syringes (now contaminated with his tainted blood) filled with saline for the patients.

Thus far, more than 12,000 people across many states have been tested, at least 45 have been infected and one woman died.  Hepatitis C is difficult to treat and can lead to other problems like fatigue and depression. Kwiatkowski kept moving from job to job and was not discovered until he worked in New Hampshire. At his sentencing, victims and family members were allowed to speak to say how their lives had been affected by hepatitis C since they had crossed paths with Kwiatkowski.

Addicted professionals can hurt many people, but so can anyone addicted to opiates. Do you or someone you love need help finding drug rehab for opiates? Call Recovery Connection at 866-812-8231 for help.

Sounding the Alarm on Crystal Meth

Sounding the Alarm on Meth

Sounding the Alarm on Crystal Meth

Sounding the Alarm on Crystal Meth

Meth Awareness Needed When Impact Is So Deadly

Sounding the Alarm on Meth
Sounding the Alarm on Meth

The calendar is full of awareness weeks and months, with different colored ribbons (pink for breast cancer) and even facial hair getting into the act (Movember mustaches for men’s cancers). Sadly, we’ve had to make room for another cause—we are in the middle of the inaugural Meth Awareness Week, November 30 to December 7.

Meth use may be declining, but it is still deadly.  Despite the notoriety from AMC’s “Breaking Bad,” most meth is made in Mexico and imported.  It is cheaper and may be purer than in previous years.  But the dangers of meth haven’t changed. People can get addicted quickly.

Meth is one drug that sucks in so many innocent bystanders. Children who are endangered by meth labs at home or end up in foster care. Age is no barrier, either. Police recently found an active meth lab inside a Florida condominium normally filled with seniors and seasonal residents.

Taking down meth labs isn’t easy. The state of Maine has had a record number of meth busts in 2013—18 so far, up from 13 in 2012. Each bust requires agents with specialized training, hazmat gear, containers and other equipment to remove the dangerous drugs and the chemicals. They can cost between $5,000 and $10,000 per bust and involve other agencies as well. Not to mention, the drug agency resources devoted to meth are not available to deal with other drugs of abuse.

Don’t think that the drug use is personal or doesn’t harm anyone else. Meth above all other drugs can harm many people along the way.

If you or someone you love is struggling with meth, Recovery Connection can help. We can find drug rehab for meth addiction and get you into treatment right away. Call us 24/7 at 866-812-8231.

Should You Go to Rehab Before the Holidays?

go to rehab thanksgiving

Should You Go to Rehab Before the Holidays?

Should You Go to Rehab Before the Holidays?

go to rehab thanksgiving
Read the Writing on the Wall

Holidays are filled up with things we have to do, whether we want to or not. People, parties and other events fill the days quickly. What if you are worried about a drug or alcohol problem—yours or a loved one’s? Do you have to factor that in? Will they show up, do something outrageous, steal something or get arrested?

Many people don’t want to think about facing a drug or alcohol problem during the holidays. It will be number one on the New Year’s resolution list, but everyone would rather hope for a pleasant holiday season. Family members go along, hoping against hope that this might be true. Is that worth it? What’s worse—a Thanksgiving or Christmas that’s a bit uncomfortable because someone finally went to rehab, or another holiday ruined by drinking or drugs, or worse—injury or death?

Choose the awkward over the ruined. If you need rehab, you can get it. You can be getting help and not pretending that you don’t need it, while messing things up for everyone around you. If a family member needs help, he or she can get it. You can get through the holidays knowing that he or she is safe and taking the steps to get better.

Come January, you may look back and think it wasn’t a great holiday season, but it could have been so much worse. The hard part of that first step is over and the help you asked for will be starting to work.

Recovery Connection can help make rehab happen. Call us any time 24/7 at 866-812-8231 to find the best drug or alcohol rehab center for you.

Drop That Last Vice: Quit Smoking

great American smokeout nicotine addiction

Drop That Last Vice: Quit Smoking

Drop That Last Vice: Quit Smoking

great American smokeout nicotine addiction
Get Beyond Smoking

November 21 marks the Great American Smokeout, the 38th time that the American Cancer Society has sponsored the day. ACS offers the day as a target for smokers to quit. For one day, but ideally, forever. The list of diseases that smoking causes is long and the list of conditions it worsens is even longer.

For some people struggling with addiction, smoking gets ignored. One reason is the attitude of ‘at least smoking is legal’ or ‘I’m giving up everything else; I gotta have something.’ Another reason (or excuse) is that people fear that trying to stop smoking during treatment will jeopardize the treatment. But is that really the case?

Studies say no. Most studies say that stopping smoking while treating alcohol or drug addiction does not endanger that treatment. Adding nicotine sobriety can even improve the chances that the patient will not relapse.

According to the Substance Abuse and Mental Health Services Administration, an 11-year study that looked back at people in addiction treatment found that half of those who died did so because of smoking-related causes, not because of the drugs or alcohol that sent them to treatment. That is twice the rate of deaths from nicotine in the general population and 1.5 times the rate of death by other addiction-related causes.

That should be a sobering thought. Many things about addiction can kill you:  The drugs or alcohol, specifically. The associated behaviors, like drunk driving or spending time with violent people or criminals just to get drugs. The diseases linked to smoking seem not to make the list, although they include lung cancer, emphysema, stroke and heart attack.

Make that final change, so smoking is not that ‘one last vice’ you hold onto. Every year there are more options to help you quit smoking—gum, patches, meds and now e-cigarettes, although the jury is still out on their dangers.

You’ve done a lot to help yourself. You’ve gotten treatment for drugs and/or alcohol and have learned a lot about yourself in the process, lessons that can help you quit smoking, too. Put those to use on November 21 and put down the smokes for good.

Cold Turkey Means Damaging Inflammation

quitting cold turkey or medical detox

Cold Turkey Means Damaging Inflammation

Cold Turkey Means Damaging Inflammation

quitting cold turkey or medical detox
Tapering Withdrawal Is Safer

Scientists are just beginning to learn more about long-term effects of inflammation on the body, and they can now add a new source for it: Quitting drugs cold turkey can increase levels of damaging inflammation.

Inflammation is the body’s immune system response to anything. If a mosquito bites you, the immune system inflames the skin, making it swell and itch. Overall, inflammation is a good response because it means your immune system is working to protect you. Chronic inflammation is another story, where the research is in its infancy.  Scientists are just beginning to learn how it affects health in the long run. Inflammation may be a contributing factor to heart attacks. Poor dental hygiene can lead to a permanent state of inflammation of the gums and affects heart disease risk. Inflammation may also increase the risk for certain cancers and Alzheimer’s disease.

Now a new study addresses what happens with quitting drugs cold turkey. Researchers at Georgetown University Medical Center studied animals addicted to morphine. Animals that were addicted to morphine were treated either with lower doses of morphine during withdrawal or had no treatment. Each group had opposite results. Those treated during morphine withdrawal had more protective proteins and fewer damaging inflammatory cytokines. Those made to quit cold turkey had more of those cytokines.

The animals that quit cold turkey also experienced mental decline. Physicians see mental disorders coupled with substance abuse all the time, a condition called dual diagnosis. But this study indicates that withdrawal can be a physical contributing factor to a mental effect. That may not be a surprising result. Recent studies on Alzheimer’s disease point to chronic inflammation as a contributing factor and possibly a trigger for the disease.

For people struggling with addiction, this new study seems to point toward professional treatment for substance abuse. Drug rehab programs begin with a medical detox to wean the patient off drugs safely. There’s no cold turkey when the right medications are used over a period of time, so patients stay comfortable and safe. At the same time, they can begin their rehab treatment, getting the tools they need to stay clean and deal with their lives in the outside world.

Toronto Mayor Admits Smoking Crack

Toronto mayor ford crack

Toronto Mayor Admits Smoking Crack

Toronto Mayor Admits Smoking Crack

Toronto mayor ford crack
Admitting What Everyone Knows

After months of denials, Toronto Mayor Rob Ford has admitted to smoking crack, in the latest chapter of a saga that puts the city’s residents in a place that seems all too familiar to loved ones of people struggling with alcohol or drugs.

In May, staffers from Gawker and the Toronto Star claimed to have seen a video of Ford smoking crack. For months, the mayor denied smoking crack and that any video existed. In October, Toronto police claimed to have the video. Now, in a brief press conference, Ford admitted to smoking crack cocaine “probably in one of my drunken stupors.”

The Canadian people and press have a good decade of Ford’s bad behavior behind them. Both the Toronto Star and the Globe and Mail have been keeping track of it. There have been repeated incidents of blunt language and poor choices, more disturbingly mixed with boorish behavior blamed on alcohol, bad driving and a 911call about a domestic situation. Just two days before the crack admission, on a radio show co-hosted with his brother, Ford promised to stop getting “hammered” in public and made a vague, general apology for mistakes. A caller later asked his brother to stop enabling Ford.

Ford’s crack admission included some grammatical parsing. He said in May he was asked “do you smoke?” which would not have the same answer as “have you smoked?” That situation may sound familiar to a lot of people. As do the words “Am I an addict? No.”

Denial, bargaining, promises to change have all been heard, along with people taking different sides. What’s support? What is tough love? It may be easier to watch the drama play out far away and with other players. Don’t let it be a part of your life any longer. Nothing will change until you make a move to change it. If you or are loved one are struggling with addiction, call Recovery Connection at 866-812-8231 and see how we can help you get the treatment you need.

Zohydro ER: Mixed Messages in FDA Painkiller Advice

Zohydro ER approved FDA

Zohydro ER: Mixed Messages in FDA Painkiller Advice

Zohydro ER: Mixed Messages in FDA Painkiller Advice

Zohydro ER approved FDA
For Severe Pain Only

The Food and Drug Administration has made two moves involving hydrocodone that can both help and hinder people addicted to painkillers. On October 24, the FDA recommended changing the restriction level of painkillers like Vicodin and Lortab, which contain the opioid hydrocodone combined with acetaminophen. The next day, the FDA approved a new extended-release, hydrocodone-only painkiller called Zohydro ER.

Hydrocodone is an opioid painkiller, much like oxycodone, although it has been treated differently. First, hydrocodone had only been sold in pills combined with other, non-opioid drugs like acetaminophen. The mixed dosage had been thought to be less addicting, although the use of acetaminophen can put patients at risk for liver damage if the drugs are used to excess. This combination meant that hydrocodone drugs were classified as schedule III by the Drug Enforcement Administration, which means they have ‘moderate to low potential for abuse.’  As schedule III drugs, they faced fewer restrictions (prescriptions could be called in, not written) and could be refilled more often.

The FDA is recommending that the hydrocodone drugs be moved from schedule III to schedule II, the grouping for oxycodone drugs and those with ‘high potential for abuse.’ If approved by the DEA, that change will make it harder for people to get and renew those prescriptions. That’s good news for people fighting opioid drug abuse, bad news for people with chronic pain.

The second drug approval is the flip side of that story. The FDA approved Zohydro ER, an extended-release, hydrocodone-only drug, which will be in schedule II, like oxycodone, as a chemical with high potential for abuse.  The FDA acted against the recommendations of an outside advisory panel, which voted 11-2 against approving the new drug. The drug is an effective painkiller, but the panel thought its potential for abuse far outweighed the advantages of approving another addictive drug.

The concerns come from the lack of abuse-deterrent technology for Zohydro. OxyContin helped usher in the current era of opioid abuse because its original formula could be crushed or snorted for a high. In 2010, a new formulation of OxyContin made it difficult to crush or liquefy. The FDA has drafted a statement requiring abuse deterrence for new painkillers, but it has not been finalized and Zohydro was approved without them.  Some doctors fear that Zohydro will become as abused as the original form of OxyContin.

Are you struggling with painkiller abuse? Call Recovery Connection at 866-812-8231 for help finding a drug rehab center today.

Kava and Kratom: Buyer Beware

kava kratom purple lotus bar

Kava and Kratom: Buyer Beware

Kava and Kratom: Buyer Beware

kava kratom purple lotus bar
No Magic Potion

A couple in Florida is suing a kava bar, claiming that the drinks they bought there got them addicted to kava and kratom. The Purple Lotus Kava Bar in West Palm Beach sells several drinks advertised as ‘kava with a little kick’ or ‘kava with a serious kick.’ Their website, which may not be up to date, doesn’t even mention using kratom. The couple is suing because they were not warned and want to be reimbursed for money spent on treatment to kick this addiction.

Kava and kratom are two substances that fall into a gray area. Both come from plants found in the South Pacific or Southeast Asia, where they have a long history of use. They are not controlled substances in most places, nor do they have legitimate medical uses.

Kava is made from the root of the plant and can be chewed, drunk in tea or taken in pill form. It has been used to reduce anxiety. Kratom comes from the leaves of its plant. At low doses it can be a stimulant, but higher doses have a sedative effect. Reports vary, as does the status of kratom. It is banned in some places, while at the same time is being studied for its potential use to wean people from opioid addiction.

The discussions about substances like kava and kratom range the same way that discussions on marijuana do, and opinions vary, depending on who has tried what. Some say the substances produce a small buzz and are no big deal. They may even reduce dependence on other drugs, like benzodiazepines or opioid painkillers. Others fear that the drugs are the next in line to be drugs of abuse, and the fact that they are legal makes it that much easier. The people suing the kava bar are good examples of that.

The message for kava and kratom may be the same as that for many emerging psychoactive substances (molly, synthetic marijuana, bath salts): You don’t know what you are getting and you don’t know how your body will react.

Are you concerned about addiction to emerging drugs of abuse? Recovery Connection can help. Call us at 866-812-8231 for help finding an addiction treatment center.

Pick Your Awareness Month Wisely

Brandon marshall mental health awareness

Pick Your Awareness Month Wisely

 

Brandon marshall mental health awareness
NFL’s Message Is Under Review

The latest issue involving the National Football League isn’t about a player being arrested for drunk driving (right now), but about a player with a troubled past trying to do the right thing and getting fined for it.

During last Thursday’s game, Brandon Marshall of the Chicago Bears chose to wear green shoes to support mental illness awareness. The game occurred during Mental Illness Awareness Week and on Depression Screening Day.

Right Idea, Wrong Colors

Sounds nice, but wearing colors that are not part of your team uniform or not officially approved by the NFL is a violation of league rules. And in October, approved colors mean pink, for Breast Cancer Awareness Month (BCAM). The NFL  has pink gear at every game—from towels to penalty flags, and donates a portion of the sales of pink merchandise to cancer research, although mostly to its own “A Crucial Catch” cancer awareness advertising.

Marshall wasn’t just trying to be different. He has been diagnosed with borderline personality disorder (BPD) after a number of incidents, including drunk driving, domestic violence and getting stabbed by his wife. He wanted to raise awareness, even though he knew he would face consequences. The NFL fined Marshall $5,250, which he paid, and he donated an equal amount to his own BPD charity. He then auctioned the green shoes and raised another $3,601 for charity.

Bad PR 7, NFL 0

This current incident is just another example of the NFL missing the mark. Its huge promotion for BCAM is facing backlash because very little of the money raised goes to cancer research. Meanwhile, a player with his own troubled past tries to raise awareness for a pretty big issue and gets fined. At the same time, the NFL is dealing with continued bad and even criminal behavior among its players and drunkenness at games that has made longtime season ticketholders head back home to their living rooms.

Perhaps the NFL can reconsider its awareness sponsorships. Mental illness and substance abuse are intertwined for many people who struggle with both and football players and fans are no exception. Putting those issues at the forefront for people who watch and play the game—some of whom drink a lot of alcohol while watching—could go a long way toward reducing the stigma of mental health issues and addiction.

Talk Therapy: The Medicine that Works Forever

talk therapy

Talk Therapy: The Medicine that Works Forever

Talk Therapy: The Medicine that Works Forever

talk therapy
Answers That Stick with You

There have been great accomplishments in treating mental illness. Many focus on medical advances, like the greater variety of drugs that can be used to treat depression, bipolar disorder and anxiety disorders. But treatments like talk therapy have come a long way too, with a lot less press, and sadly for some people, a lot less insurance coverage.

Everyone wants to take a pill and get better. Easiest solution, least work, problem solved. But talk therapy takes a longer view. Yes, you can deal with your immediate problems, but you learn why they are problems, why you view them the way you do. You might even learn to change your mind about them. It may take a while. Your therapist may suggest something and your immediate reaction is “I could never do that.” But the idea stays with you, shifts your thinking and becomes a possibility. Six months later, you’re ready to do that. A couple of decades later, you can’t believe you ever did anything differently.

For a lot of people, talk therapy goes hand in hand with medications. This can be especially helpful for dual diagnosis patients in addiction treatment. Meds can help get the patient stable, and a therapist can start to address all the issues with a mental health diagnosis and create a treatment plan. Don’t dismiss it right away. A therapist is on your side, even when they are suggesting something that makes you uncomfortable.

Here’s the best news about therapy and the least advertised: It keeps working long after you are done with it. You can’t say that about an antibiotic. The tools you gain in therapy can help you the rest of your life.