SUDs Have A Long Tail

If someone was sick enough at some point to have been hospitalized for treatment of an SUD, they’re statistically more likely to suffer from other diseases later in life.

Believe it or not, there’s a concerted effort underway in some quarters to rehabilitate the reputation of nicotine, of all things.

A prominent doctor takes a critical look:

Nicotine Is Mounting a Comeback in the Wellness Movement

Improving mood and increasing longevity are just some of the unfounded claims about this substance circling around the “natural” medicine corners of the internet.

The author: “As a pulmonary physician-scientist who studies nicotine addiction and the health consequences of tobacco and nicotine products, I am concerned about these claims." My partner Cecile is more direct: “What kind of eejits do they think we are?”

Underlying the campaign is a belief that most of the health consequences associated with tobacco are the result of the act of smoking, not of nicotine itself. Advocates propose other products such as pouches, where nicotine is absorbed through mouth tissue, as a safe, even health-giving alternative.

The good...

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A Patch for Prevention?

I can imagine some users — not all, but more than a few — will make use of the patch to facilitate further unaccompanied fentanyl use, confident now that they won’t inadvertently overdose. And being surprised when they did.

A Patch for Prevention?

I can imagine some users — not all, but more than a few — will make use of the patch to facilitate further unaccompanied fentanyl use, confident now that they won’t inadvertently overdose. And being surprised when they did.

Those Troubling OD Statistics

In recent months, samples have been  found with as much as 20% fentanyl content. It’s easy to see how this could increase both the total number of overdoses, and the percentage of victims who did not survive.

An Inside Look at Drug Court

Even today, the estimated cost for keeping someone under drug court supervision is in the range of $2500 to $4000 a year. Compare that to estimates of  $20,000 to as high as $50,000 (in some expensive states), simply to maintain someone in a cell for the same period.

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Nico Warriors

...nicotine has definite health consequences of its own. One major problem is that it’s addictive. Nicotine users develop tolerance and dependence, and a pronounced withdrawal syndrome that can be difficult to endure.

Nico Warriors

...nicotine has definite health consequences of its own. One major problem is that it’s addictive. Nicotine users develop tolerance and dependence, and a pronounced withdrawal syndrome that can be difficult to endure.

What We Can Learn from Estonia

...the situation has improved, mostly because of renewed efforts on the demand side. Estonia adopted harm reduction strategies used effectively in other countries,  such as take-home naloxone; ready access to MAT; and efforts to destigmatize drug use and drug users.

The Storytellers

One young man explained that he avoided speaker meetings because the “drunkalogues” he heard triggered in him an awful craving for a drink.

Drugs in Rehab: Part 2

I was reminded that patients’ own goals can easily diverge from, or even directly contradict, the presumed goals of the professionals who treat them.

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Rage-baited

From a counseling standpoint, it’s a time when we ought to be advising patients to restrict their social media activity, at the very least to selected forums and sites that support recovery goals

Is This Recovery?

...there are other folks out there like these— pretending to sobriety yet still secretly using, and hoping to avoid the sort of trouble that haunted them in the past.

Officers in the House

...with law enforcement agencies taking on vastly different roles, planning and practicing our response appears more important than in the past.

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A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

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