A drug test hits the headlines…

...simply holding up a sheet of paper with numbers purporting to be the results of a drug test, may possibly be the least reliable way to demonstrate continuing abstinence from drug use.

Scromiting (via CNN.)

A new term, supposedly a portmanteau of screaming and vomiting. Both are prominent features of a rapidly escalating medical phenomenon,  Cannabis Hyperemesis Syndrome.

We first discussed CHS in 2017, a couple of years after it began to appear in medical journals. A small number of cases had shown up in Colorado emergency rooms, and physicians were eventually able to connect the acute symptoms to a common thread: All the patients were regular cannabis users.

These users had begun to experience painful episodes of severe vomiting. Worse yet, episodes became increasingly severe over time, resulting in many trips to the emergency room, desperate for help.

You may recall that early on, most of the affected were able to self-treat CHS by taking hot showers or baths, with some success. Apparently that had stopped working. The vomiting episodes had become unbearable, requiring intensive treatment by ER staff with anti-nausea medication and IV...

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A War with No Ending

At present, the emphasis is on interdiction, the supply side. Meanwhile, we struggle with cuts in resources for treatment and prevention – the demand side.

Bupe or Bust

It wasn’t long, however, before we realized that the relapse rates from detoxification using Suboxone were quite high, with drug use often resuming on the day of discharge.

A War with No Ending

At present, the emphasis is on interdiction, the supply side. Meanwhile, we struggle with cuts in resources for treatment and prevention – the demand side.

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“Scromiting”

It must come as a shock to someone who’s been a regular user for a while, to suddenly without warning begin experiencing violent vomiting and pain.

“Scromiting”

It must come as a shock to someone who’s been a regular user for a while, to suddenly without warning begin experiencing violent vomiting and pain.

Life in a Hot Spot

Make it a continuing effort, using strategies based in evidence, and harnessing the power of human interaction-- instead of relying on a burst of anti-drug education, however intense.

Anonymity — Out of Date?

...isn’t TikTok and influencer culture undeniably afflicted with far too much of,that same “ambition and illegitimate pride” that AA’s founders felt they must avoid?

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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.

Overstimulated?

I was nonetheless surprised to learn that one of the areas where use increased the most was among people in their 70s. 

Parenting Under The Influence

Children raised in such families are more likely to be exposed to violence, to initiate their own substance use at an earlier age, and to have mental health problems in childhood.

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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