by Justin Mckibben | Nov 7, 2017 | Cocaine, Drug Abuse, Recovery, Stimulants
While the opioid crisis in America has reached public health emergency proportions, we still have to remember that there are a lot of other extremely dangerous drugs out there. Cocaine is a drug that has been around for a very long time, but with the rise in heroin and prescription drug abuse, people may have this idea that cocaine is no longer a real threat.
However, cocaine is still very dangerous and very prevalent around the world and here in the United States.
So how well do you know this drug? What do you know about its history? Do you know about the most common health risks?
Here are 25 facts about cocaine you probably don’t know.
Random History
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Karl Koller (1857-1944)
This Austrian ophthalmologist experimented with cocaine as an anesthetic. The most infamous accounts are of Koller applying the drug to his own eye and then pricking it with needles.
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Nervous Stimulant
Cocaine is the most powerful central nervous stimulant found in nature. The drug often gives users feelings of alertness, energy and even power.
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Commercial Cocaine
In 1885, a U.S. manufacturer sold cocaine commercially. They advertised that cocaine would “make the coward brave, the silent eloquent, and render the sufferer insensitive to pain.”
Side note- The manufacturer even included a syringe in the packaging.
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Drugged on the Job
According to some historians, white business owners in the early 1900s would encourage their African-American employees to use cocaine in order to boost their productivity.
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First Addicted Physician
In 1884, famous American physician William Stewart Halsted performed the first surgery using cocaine as an anesthetic.
Side note- he shortly afterward became the first cocaine-addicted physician on record. Surprising?
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Powdered Money
According to one study, trace amounts of cocaine can be found on 4 out of every 5 dollar bills. However, cocaine is a fine powder and is easily spread around, meaning the bill wasn’t necessarily used as a snorting straw.
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Nazi Addicts
Historians say that Hitler was addicted to cocaine, among many other drugs including methamphetamines. Nazis often used drugs as a means of stimulation. Many believe all those stimulants helped ignite his ranting paranoia.
Prevalence
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Second Most Popular
Cocaine is the second most commonly used illicit drug in the United States. The first is marijuana.
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Emergency Visits
In 2004-2007 cocaine overdose caused 31% of visits to the emergency room.
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First Timers
Every day, 2,500 Americans try cocaine for the first time.
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Worldwide
Over 200 million people use illegal drugs worldwide. 21 million of those people use cocaine.
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American Addiction
Even though the United States only makes up less than 5% of the world’s population, the country consumes approximately 37% of the world’s cocaine.
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Illicit Industry
The illicit cocaine industry earns between $100 and $500 billion each year.
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Scotland Snorts
Scotland has the highest cocaine use out of any other country in the world. One out of every 40 Scots uses cocaine, which is approximately 2.4% of the population.
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Babies Born Addicts
Every year in the United States more than 400,000 babies are born already addicted to cocaine.
Health Risks
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Fast-Acting Addiction
An estimated 10% of all people who begin using cocaine will immediately progress to serious, heavy.
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Sharing is Hurting
Sharing straws to sniff cocaine can actually spread several blood-borne diseases, including hepatitis C.
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Mental Health
Cocaine users tend to have higher rates of certain mental health conditions, including:
When compared to the general population.
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Perfect for Heart Attacks
Come describe cocaine as the “perfect heart attack drug” because it causes so many harmful effects, including:
- Increased blood pressure
- Stiff arteries
- Thickening of heart muscle walls
Even worse is that these irregularities persist long after the effects of cocaine have worn off, even for those who aren’t chronic users.
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Bruxism
Chronic cocaine use can cause a condition called bruxism, which is grinding of the teeth involuntarily.
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Drug-Induced Decay
Cocaine frequently causes dehydration and dry mouth. This leads to many users having less saliva in their mouth, which can then lead to tooth decay.
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The Nose No’s
Cocaine can also destroy the cartilage separating a person’s nostrils after continued use.
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Deadly Influence
The direct pharmacological effects of the cocaine are often only credited with 1/3 of the deaths associated with cocaine use. The majority of deaths in connection with cocaine are by:
- Homicide
- Suicide
- Motor vehicle collisions
Meaning a lot of people die as a result of the mind-altering properties of cocaine and risk behaviors associated with the drug.
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Lethal Mix
Consuming cocaine with alcohol is one of the deadliest drug combinations there is.
Now you may be wondering… what is the last fact going to be? You might get through this list knowing less than you expect about the powerful illegal stimulant…
NUMBER 25…
You can quit because there is help for you. Cocaine addiction can be crippling and feel impossible to overcome. But with safe medical detox, followed by effective and holistic treatment options, you can build a lasting foundation for recovery from cocaine addiction.
Palm Healthcare Company takes pride in offering comprehensive and innovative treatment options to help individuals create a personalized recovery plan. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-888-922-5398
by Justin Mckibben | Oct 30, 2017 | Drug Abuse, Fentanyl, Fentanyl, News, Prescription Drugs, Synthetic Drugs
In December of 2016, the Palm Partners Recovery Center blog covered a story about how federal prosecutors were bringing racketeering charges against several employees of Insys Therapeutics Inc. The initial report and the controversy that followed was a profound moment considering criminal charges are rarely ever brought against pharmaceutical companies. Now it seems that even more the corporate drug dealers who helped create the opioid crisis in America are going to be finding themselves under serious scrutiny for their unethical practices.
Last week President Trump declared the opioid epidemic a public health emergency. That very same day, as if to accent the severity of the crisis and the unignorable need for change, the co-founder of Insys Therapeutics Inc. himself was arrested on fraud and racketeering charges.
Insys Therapeutics CEO Taking a Fall
John Kapoor is the former CEO of Insys Therapeutics; a founding father of one of the most prominent opioid manufacturing companies in America. As of last week, Kapoor is reported to be charged with conspiring to push the company’s signature drug for unacceptable uses through a series of bribes and kickbacks.
The drug Kapoor and his company are accused of pushing just happens to be one of the most dangerous opioids on the market, which has contributed to countless deaths across the country over the years- fentanyl.
The brand name for the product made by Insys Therapeutics Inc is Subsys. This extremely potent compound transmits the synthetic opioid fentanyl in spray form. As an opioid analgesic, people use Subsys by spraying it under the tongue for quick absorption of potent fentanyl. Technically, this drug is supposed to only be used for treating cancer patients suffering from severe pain. But according to prosecutors that is very far from the sales strategy Kapoor and his executives were using.
With recent reports showing that approximately 64,000 Americans died last year from drug overdose, and an estimated 20,100 overdose deaths linked to synthetic opioids like fentanyl, how many of those lives were impacted by the drug Insys forced onto the market with bribes?
According to the prosecution, Kapoor and several other former high-ranking executives at the company colluded to bribe doctors to write-
“- large numbers of prescriptions for the patients, most of whom were not diagnosed with cancer.”
They also allegedly-
“- conspired to mislead and defraud health insurance providers who were reluctant to approve payment for the drug when it was prescribed for non-cancer patients.”
How did they do all this?
The Insidious Work of Insys Therapeutics Inc
Back in 2016, there was the discussion of six former executives and sales-managers from Insys Therapeutics Inc. being arrested. The charges, according to the Justice Department, included:
- Conspiring to defraud health insurers
- Conspiring to bribe doctors into needlessly prescribing Subsys, the company’s fentanyl painkiller
The scam is allegedly a long list of kickback schemes, sham speaking programs, and illegitimate gifts or services.
Sham Speaking
Allegedly, doctors and nurses were paid to attend dinners at high-end restaurants. These dinners were disguised as ‘speaker programs’ that were actually described as gatherings of friends and co-workers who had no power to prescribe medications. Supposed ‘speakers’ were paid fees of up to several thousand dollars for attending these exclusive outings.
One healthcare provider reportedly received an illegal kickback to the tune of $83,000!
All of this money to bribe doctors and other healthcare professionals to prescribe Subsys, even when inappropriate. So not only were they pressuring doctors to use their product over alternatives, but also to prescribe a dangerous and potentially fatal opioid to people who didn’t even need it.
Country-Wide Con-Artists
Other stories written about in Forbes include cases in:
In 2015 a nurse practitioner pleaded guilty to violating a federal anti-kickback statute by taking money from Insys to prescribe the drug to Medicare patients who did not have cancer.
A former Insys sales representative also pleaded guilty to a conspiracy to violate the anti-kickback statute by paying two doctors to prescribe the drug.
The state has filed multiple claims against Insys Therapeutics involving the pressuring prescriptions of Subsys for unapproved uses.
Doctors who have worked with the company are being investigated by states including:
-
New York
-
Michigan
-
Florida
-
Kansas
-
New Hampshire
-
Rhode Island
U.S. attorneys in the Central District of California and the District of Massachusetts are also investigating Insys Therapeutics Inc.
Shady Gifts and Services
The buck doesn’t stop there either. It wasn’t just cash gifts for unethical practices. Insys Therapeutics wanted their partners in crime to get the full effect of their illicit activities.
The company would send its own employees to work in doctor’s offices when the physician prescribed their fentanyl fuming drug to patients. They even hired the relatives of health care providers as a favor to the family for their loyalty to Subsys.
Insurance Fraud
They allegedly even set up a portion of their staff to defraud insurance companies by calling to speak with insurance representatives while posing as doctors. Some allegations state they were even misrepresenting a patients diagnosis to inflate drug sales.
A December of 2016 indictment states that Insys actively worked to defraud insurance companies by setting up the “reimbursement unit” dedicated to obtaining prior authorization from insurers and pharmacy benefit managers.
Other Insys Therapeutics Exes
Kapoor stepped down as chief executive in January. However, he is definitely not the only former Insys Therapeutics executive currently under fire. This is just the tip of a very rocky ice-berg. The indictment from 2016 included:
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Michael L. Babich
Former CEO and President of the company from Scottsdale, Arizona
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Alec Burlakoff
Former Vice President of Sales from Charlotte, North Carolina
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Richard M. Simon
Former National Director of Sales from Seal Beach, California
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Sunrise Lee
Former Regional Sales Director from Bryant City, Michigan
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Joseph A. Rowan
Former Regional Sales Director from Panama City, Florida
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Michael J. Gurry
Former Vice President of Managed Markets from Scottsdale, Arizona
On January 5, 2017, all of these defendants appeared in federal court for their initial appearance and arraignment. Each has pled not guilty and been released on conditions approved by the court. A Status Conference hearing followed on September 12, 2017 that is the first of many to be held over several months. That day Massachusetts federal judge set a trial date for October 15, 2018, for the 6 executives.
For now, we have to wait and see if any of the dirty laundries from these alleged white-collar criminals come out in the wash.
Holding Big Pharma Accountable
For a long time, Big Pharma companies have been using unlawful and corrupt tactics for marketing and distribution, which many now see has brought with it some great devastation to communities across the nation. Now, during an opioid crisis that has claimed tens of thousands of lives a year, for several years, these discretions are finally catching up to those accused of corporate greed. The DEA, FBI and Justice Department, along with several state officials and district attorneys, are now aggressively pursuing charges against Big Pharma operators who have a connection to some of the most dangerous and widely abused narcotics on the market.
The acting U.S. Attorney William D. Weinreb said in a statement,
“In the midst of a nationwide opioid epidemic that has reached crisis proportions, Mr. Kapoor and his company stand accused of bribing doctors to overprescribe a potent opioid and committing fraud on insurance companies solely for profit.
“Today’s arrest and charges reflect our ongoing efforts to attack the opioid crisis from all angles,”
Kapoor was arrested in Arizona and his indictment was filed in federal court in Boston. Prosecutors say the charge of conspiracy to violate the anti-kickback law carries the possibility of up to five years in prison. However, the charges of conspiracy to commit racketeering and conspiracy to commit mail and wire fraud each carry a maximum sentence of up to 20 years in prison. Needless to say, Mr. Kapoor is in for a fight.
But many are still wondering if these executives will truly be held accountable? And truthfully, is it even enough at this point? Even if proven to be indirectly contributing to the opioid epidemic, how could anyone ever know how many lives were damaged or lost because the powerful played around with lethal prescription drugs to line their pockets?
For more important information on the dangers of prescription drugs, download our FREE E-BOOK “Big Secrets of Big Pharma: Why They Secretly Hope You Get Hooked”
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With recent reports showing that approximately 64,000 Americans died last year from drug overdose, and an estimated 20,100 overdose deaths linked to synthetic opioids like fentanyl, how many of those lives were impacted by drugs like Subsys being forced onto the market with bribes?
More needs to be done to stop Big Pharma companies like Insys Therapeutics Inc from exploiting the system and putting the lives of millions of Americans at risk. And not just the middle-men should be accountable, but also those sitting comfortably at the top these industries. At least this is a start. But for the individual, it all starts with taking action. Getting safe and effective treatment can not just save a life, but help someone build a foundation for a better one. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-888-922-5398
by Justin Mckibben | Oct 26, 2017 | Addiction Treatment, Celebrity, Donald Trump, Drug Policy, News, Opioids
All day people all over the country have been waiting for President Trump to make his formal announcement of the opioid epidemic as a national emergency. Finally, the time for the event at the White House has come, but the announcement has some wondering if enough is being said. So we want to take a little bit of time to talk about some of the highlights from the president’s announcement.
President Donald Trump did give a detailed speech regarding many efforts that are being pursued to combat the opioid epidemic in America. Yet, some are saying that he didn’t say enough about how these resources would be funded, pointing out his declaration was for a Public Health Emergency.
So what does it all mean? Why does the difference matter?
Public Health VS National Disaster
To be clear, both are forms of national emergency declarations. What is the big deal? Well, the difference is the scope and funding that comes with address each order. So today, President Trump, through the Public Health Services Act, directed his acting secretary of health and human services to declare a national health emergency. According to a senior White House official, this designation that will not automatically allocate additional federal funding for the crisis.
If the president has utilized the Stafford Disaster Relief and Emergency Assistance Act, otherwise calling the opioid epidemic a national disaster, the federal government would have been able to immediately tap into funds from the Federal Emergency Management Agency’s Disaster Relief Fund to combat opioids.
Some may say this move was made since the Stafford Act is traditionally used for natural disaster relief, such as with recent Hurricanes Harvey, Irma and Maria. President Trump and President Obama’s administration officials both say that using the Stafford Act would have been too broad and put an unwarranted burden on the Federal Emergency Management Agency’s Disaster Relief Fund. Which seems somewhat likely, since this fund is already being depleted by recovery efforts from the three major hurricanes that hit the United States this year.
Overall, it seems many officials from this and the previous administration feel that a Public Health Emergency was a more appropriate choice out of the two.
What Will Public Health Emergency Do?
The order from President Trump will do some good, including:
- Expanding access to telemedicine to get treatment for those in rural areas
- Instructing agencies to limit bureaucratic delays for dispensing grant money
- Secure Department of Labor grants for the unemployed
- Shift funding for HIV and AIDs programs to provide more substance abuse treatment for people already eligible
- Expands Narcan access
The nationwide health emergency that Trump ordered is more direct but comes with less immediate action.
According to Senior White House officials, they will be following up by working with Congress to get more money for the Public Health Emergency Fund. Which is a good start, since critics are quick to point out there is only $57,000 in this fund.
It is also said to increase federal funding in year-end budget deals currently being negotiated in Congress. In fact, Democratic Pennsylvania Senator Bob Casey introduced a bill this week that would provide $45 billion for opioid abuse prevention, surveillance, and treatment over 10 years. But will it ever see the light of day?
The President Trump Plan: Pros
There were various parts of the speech from President Trump that did hint at some interesting ideas. Some pros and some cons include:
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Expanding Treatment Options
Possibly one of the bigger moves here is that President Trump said his administration would also be working to reduce regulatory barriers that prevent people from getting treatment, such as one that bars Medicaid from paying for addiction treatment in residential rehab facilities larger than 16 beds.
If the president can remove some of these hurdles, more people may have access to better options for treatment.
National Institute of Health has taken the first steps of instituting a public-private partnership that will be working toward research and resources including:
- New treatment for addiction
- New treatment for overdose
The president also said,
“We are already distributing nearly $1 billion in grants for addiction prevention and treatment. And over $50 million to support law enforcement programs that assist those facing prison and facing addiction.”
-
Indictments
For one, Trump said that the Department of Justice is bringing indictments against Chinese drug traffickers responsible for bringing deadly synthetic opioids like fentanyl into the country.
Another interesting announcement made by President Trump is that the federal government will soon be bringing major lawsuits against people and companies that are involved in the overprescribing and other shady practices concerning prescription drugs.
-
Pulling Dangerous Prescription Drugs
Trump also says the FDA is now requiring drug companies that manufacture one high-risk opioid, Opana ER, be withdrawn from the market immediately. He states,
“We are requiring that specific opioid, which is truly evil, to be taken off the market immediately.”
President Trump also states his administration will also be pushing for the development of non-addict pain medications.
The President Trump Plan: Cons
President Trump did in many cases acknowledge some useful aspects of combatting the epidemic. But, there were also some ideas that continue to fall short of innovative.
-
Advertising
President Trump is also emphasizing the use of a “Massive advertising campaign” to keep young people from doing drugs in the first place. President Trump said-
“- they will see the devastation and ruination it causes to people and people’s lives.”
“The fact is if we can teach young people, and people generally, not to start, it’s really, really easy not to take them. And I think that’s going to end up being our most important thing. Really tough, really big, really great advertising.”
While prevention and education are extremely important, many criticize this strategy saying that these old tactics of “Just Say No” and the D.A.R.E. program just don’t work. This advertising might have been useful if focused on treatment options, but if it is more of the scare tactics of “Refer Madness” then we probably won’t see much improvement.
-
The Wall
The Commander in Chief also took this opportunity to promote the building of the wall between the United States and Mexico, stating:
“90% of the heroin in America comes from south of the border, where we will be building the wall, which will be greatly helping this problem!”
He took time in his speech to highlight the need to “breaking up gangs and distribution efforts” as a primary way to curb the epidemic.
Of course, the wall is often an issue of contention. Many experts have argued since President Trump proposed this as the key element of his war on opioids that attacking the supply has never worked with preventing the spread of addiction. And even if it did, many believe the wall will do little to prevent drugs from being brought into America from south of the border.
-
Funding
Some experts are still saying this is not a proper plan because while it does allow federal agencies to move grant money, it establishes no immediate funding for a crisis that killed over 64,000 Americans last year.
Meanwhile, the GOP-controlled House of Representatives today narrowly passed a Senate-approved budget resolution 216 to 212, that some experts claim will cause all $1 trillion cut to Medicaid and $500 million cut to Medicare. Many recovery advocates fear that with the ambiguity concerning health care coverage there will not be enough resources in time to provide treatment to those in need.
Some representatives still believe more funding needs to be committed to the issue, while others say that many people struggling with addiction don’t have health insurance and that more must be done to expand coverage.
Moving Forward
The chairman of President Trump’s opioid commission Chris Christie commended the president, calling his announcement a “bold action” to address the opioid crisis. The opioid commission will present a comprehensive plan next week with the final report on November 1st.
No matter what your opinion at this point, we can all agree we need to be moving forward. This means taking an honest look at what is working and what isn’t. Still, the fact that the highest office in the nation has taken the time to address the issue in such terms is hopefully a sign of dramatic change on the way. Only time will tell how this latest move from President Trump will truly impact the opioid epidemic. For now, there is sure to be plenty of debate over the weight of today’s statements and how they will influence policy. There are some promises to be kept, for sure.
There is a lot more to this conversation, but for now, we have to hope that some of these new opportunities will give options and hope to those in America suffering tragically. The opioid crisis is nothing we can expect to be fixed by one person overnight. We have to continue to provide resources to those in need. Palm Healthcare Company facilities have proudly provided addiction treatment resources for decades to those in need. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-888-922-5398
by Justin Mckibben | Oct 17, 2017 | Drug Policy, News, Opioids, Prescription Drugs, Recovery, Stigma
Back in August, the Commission on Combating Drug Addiction and the Opioid Crisis began urging President Trump to declare a national public health emergency to combat the opioid crisis that has crippled countless communities around America. While the President did soon enough say that he believed the opioid epidemic was indeed a national emergency, the actual official process has yet to begin. However, just this week news broke that President Trump will soon formally declare the “national emergency” status of the opioid crisis.
Reports indicate President Trump plans to make the official declaration next week. It seems appropriate following the explosive exposé following the story on ’60 Minutes’ of former DEA agent Joe Rannazzisi pointing a finger at Big Pharma companies, Congress, and lobbyists for fueling the opioid epidemic.
In fact, Republican Representative Tom Marino, who was the top pick for the Trump administrations Drug Czar, was name-dropped in a less than flattering light in the ’60 Minutes’ piece. Reports today now show Marino has withdrawn from consideration following the story.
So what does this newest revelation mean for combatting the opioid crisis?
Raising Awareness
One of the initial reasons for declaring a national emergency is pretty straight-forward; raising awareness. Not that we don’t see enough shocking news stories or warnings from local officials being issued in various states, but more attention on the issue will help channel more resources into actually helping address it.
As the commission states in their report:
“It would also awaken every American to this simple fact: if this scourge has not found you or your family yet, without bold action by everyone, it soon will,”
“You, Mr. President, are the only person who can bring this type of intensity to the emergency, and we believe you have the will to do so and to do so immediately.”
When the President of the United States says something is a priority, people take notice. Regardless of whether people always agree on politics, when we can all get behind a major issue and put effort into a more inclusive conversation, there is a better chance more can be done.
Overcoming Addiction Stigma
One of the most important aspects of fighting addiction is overcoming the addiction stigma itself. Many people who are suffering do not get the help they need because they are afraid of the stereotypes associated with drug abuse. A lot of people still doubt what the majority of the medical and scientific communities have adopted as fact; that addiction is a health issue, not a moral failing.
By declaring the opioid crisis a national emergency, President Trump has an opportunity to promote education along with public awareness. The more we can help people to understand how addiction affects the mind and body, the better odds we have of supporting those struggling with compassionate and effective treatment options.
Funding for Fighting Opioids
Perhaps one of the biggest hopes for many addiction recovery advocates is that by President Trump declaring the opioid crisis a national emergency he will influence lawmakers to allocate more funding to resources combatting addiction.
A federal declaration would also allow the government to pull funding from other areas as well, such as funding used for the Public Health Emergency Fund, or even the federal Disaster Relief Fund. So while America has been struck pretty hard by hurricanes and natural disasters, some of this same funding may end up going toward creating addiction resources.
One thing many are hoping is that these new funds will also go to promoting more addiction treatment options across the country. Some states may pursue incentives for performance-based enhanced care management (ECM) program, like one recently implemented in New Jersey. Others may put those resources into prevention and education initiatives.
One thing should seem pretty clear; treatment options should be a priority. We already know we cannot arrest our way out of this problem. The War on Drugs did not work, and many do not expect it will now either. With President Trump declaring the national emergency, hopefully, the new effort will go into protecting mental health and substance abuse parity with healthcare and insurance providers. If we have more ways to help those already desperately in need, we could see a better chance for a way out.
With the CDC stating an estimated 91 Americans dying every single day from opioid-related death, which many experts believe is grossly underreported, helping more people fighting opioid addiction find a way out is crucial. However, we should not wait on politicians, health officials or anyone else to fix it. Recovery takes action. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-888-922-5398
by Justin Mckibben | Oct 5, 2017 | Coping Skills, Death, Drug Abuse, Dual Diagnosis, Mental Health, Panic Disorder, Post-traumatic Stress Disorder
Just this past Sunday the nation saw one of the deadliest shootings in modern American history in Las Vegas. This immense and indescribable tragedy shocked the world as news reports and live footage filled the airwaves after a gunman opened fire with high-powered rifles at an outdoor music festival. At this point there are at least 58 dead and over 520 wounded, making it the deadliest mass shooting in recent history.
The heartbreak and weight of this tragedy truly cannot be put into words. The unimaginable loss is without parallel. Beyond those who lost their lives in such a senseless act of violence, the impacts this event has had on countless friends, families and loved ones are unfathomable.
In the aftermath of the Las Vegas shooting, mental health must be a priority. How we address and protect the psychological well-being of every American must be a very serious part of the conversation. We have to take a close look at how we are facing mental health, and support those who have been traumatized in the wake of such horrific events.
PTSD of Mass Shootings
The risks of post-traumatic stress disorder (PTSD) is extremely elevated in situations like this. Research on mass shootings is not extensive but is sufficient enough to allow for some preliminary conclusions. One study examined 15 mass shooting events to review consequences of the incidents upon survivors. From these studies conclusion, researchers stated:
- Prevalence of post-disaster diagnoses (predominantly PTSD) in these studies ranged from 10% to 36%
- Much higher percentages reported sub-threshold PTSD
- Very few participants reported no symptoms
One 1994 study in the American Journal of Psychiatry shows that in the acute post-disaster period:
- 20% of the men met criteria for PTSD after a mass shooting
- 36% of the women met criteria for PTSD
The same study looked at those with post-disaster PTSD who also met criteria for another post-disaster psychiatric diagnosis, especially major depression. They found:
- One-half of the women met the criteria
- One-fourth of the men met the criteria
Experts say most people will recover fully from post-disaster PTSD within 6 to 16 months, but most still emphasize the importance of support.
Not only can those present at the tragedy be affected directly, but also those not present but connected to the location or individuals present can be affected vicariously. You don’t have to experience something so horrifying first-hand to suffer a severe impact. An attack like this can have deep emotional effects on those who witness the event, or even for those all over the world following the story.
Understanding PTSD
Part of dealing with the residual effects of tragic events and disasters is to understand how conditions like PTSD can impact people. PTSD can result in emotional, physical and even cognitive issues that some people may not know how to recognize or cope with.
Emotional Effects of PTSD Include
- Shock
- Terror
- Irritability
- Blame
- Anger
- Guilt
- Grief or sadness
- Emotional numbing
- Helplessness
- Loss of pleasure derived from familiar activities
- Difficulty feeling happy
- Difficulty experiencing loving feelings
Physical Effects of PTSD Include
- Headaches
- Fatigue
- Exhaustion
- Insomnia
- Startle response
- Cardiovascular strain
- Increased physical pain
- Reduced immune response
- Gastrointestinal upset
- Decreased appetite
- Decreased libido
Cognitive Effects of PTSD Include
- Decreased concentration
- Confusion
- Impaired decision making
- Disbelief
- Dissociation
- Nightmares
- Impaired Memory
- Decreased self-esteem
- Reduced self-efficacy
- Self-blame
- Intrusive thoughts/memories
- Anxiety
All of these things can cause other more personal issues. Some will experience difficulty with intimacy or social relationships. Isolation and alienation can develop at work, at school or even at home.
According to PTSD United, a nonprofit organization dedicated to providing support and resources for those suffering from PTSD:
- 70% of adults (approximately 223.4 million people) in the US have experienced some type of traumatic event at least once in their lives.
- Up to 20% of these people go on to develop PTSD.
- Approximately 44.7 million people today either have struggled or are struggling with PTSD.
With PTSD, a lot of people actually turn to drugs or alcohol to self-medicate. Some will rely on substances as a form of relief when PTSD brings feelings of isolation or depression. However, as people try to numb or distract themselves from these feelings, they tend to create more problems through substance use.
Often times, the substances only fuel feelings of isolation, depression or anxiety.
Make Mental Health a Priority
This week, October 1 through October 7, is Mental Illness Awareness Week. There is no time like the present to discuss the current state of mental health across the country. Now is always the time to advocate for better support, services, and acceptance when discussing mental illness and mental health in America.
According to the National Institute of Mental Health (NIMH):
- 9% of all U.S. adults (43.4 million)qualified as having mental health issues in 2015
- Approximately 20-21% of incarcerated Americans have a “recent history” of mental health issues
- 70% of young people caught up in the juvenile justice system have at least one mental health issue
- 46% of people living in homeless shelters live with severe mental health issues and/or substance use disorders (SUDs)
In the aftermath of such profound tragedy like the recent shooting in Las Vegas, or even natural disasters like recently with Hurricane Irma or Hurricane Maria, there should be a very direct conversation about mental health. We should also work diligently to ensure that while the world grapples with opioid addiction and drug abuse, that more people don’t turn to self-medicating to fight feelings of loss, terror or alienation.
For all survivors of recent tragedies, or those affected indirectly, there are ways to take care of yourself and monitor your own mental state. Make your own mental health a priority. Protect yourself from destructive behaviors, and reach out for help in the wake of such emotionally compromising events as what happened in Las Vegas.
The national crisis hotline also offers confidential and free services 24/7/365 Call (775) 784-8090 or text ANSWER to 839-863
Our hearts and prayers go out to all those touched by this tragedy.
If you or someone you love is struggling with trauma, don’t let substance abuse make it all even worse. Drugs or alcohol are not the answer. There is real help out there. Please call toll-free now.
CALL NOW 1-888-922-5398
by Justin Mckibben | Sep 26, 2017 | Addiction Medicine, Addiction Treatment, Dual Diagnosis, Fitness, Inpatient Treatment, Opioids, Pain Management, Recovery, Self Improvement
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Palm Healthcare knows the importance of addressing the multi-faceted needs of the individual who suffers from chronic pain. This is why we created the Pain Recovery Program. A person in pain is not only concerned about reclaiming their own sense of well-being and functioning. They are also concerned about reclaiming their sense of purpose, independence, and direction to life.
Palm Healthcare Pain Recovery Program
The focus of the Pain Recovery Program is assisting that person in pain in reclaiming all aspects of their life. Palm Healthcare utilizes a comprehensive bio-psychosocial perspective while incorporating the latest holistic, traditional, and state of the art, non-invasive technology and interventions.
Individuals participating in The Pain Recovery Program are provided a variety of treatment options that include:
- Medication management
- Nutraceutical (vitamin) therapy
- Physical therapy
- Strength and conditioning
- Massage
- Muscle manipulation therapy
- Chiropractic care
- Aquatic therapy
- Hypnotherapy
- Biofeedback
Each person in The Pain Recovery Program will receive a personalized treatment plan based on comprehensive evaluations and the specific needs of the individual and their specific needs.
Connecting Pain and Addiction
Part of overcoming pain while overcoming addiction is understanding how the two are so closely related. Patients who are struggling with one or both of these conditions often report adverse symptoms such as:
Chronic pain and substance use disorder (SUD) have similar physical, social, emotional, and economic effects on health and well-being; one can easily be confused for the other, while both can exacerbate each other.
Pain in the Brain
Chronic pain and addiction actually have many of the same exact neurophysiological patterns.
For instance: Chronis pain involves abnormal neural processing. Coincidentally, addiction results when normal neural processes are altered into dysfunctional patterns, including disruptions in:
The truth is, there is still a lot to learn about both of these conditions, including patterns of severity, the course of development and responses to treatment.
Emotional Responses
Gauging and effectively addressing emotional responses is also crucial to effective and lasting pain treatment.
Pain and Emotions
Continued pain can also cause emotional responses, such as:
- Sleeplessness
- Anxiety
- Depressive symptoms
Each of these experiences can even turn into more pain. Even after these psychological causes have been addressed the feedback effect can still cause pain in the body.
In fact, there are many studies that indicate pain treatment has worse outcomes when depression is a factor. Some experts say you can even predict how a pain syndrome will evolve based on the emotional status of the patient.
Emotions and SUD
With substance use disorder, the individual’s emotional state is a core cause of continuous drug use. People who use drugs often experience these same emotional responses like anxiety and depression as a result of isolation, social and professional hardships and other side-effects of their drug use. Not to mention the way certain drugs impact the brain. Emotional and psychological trauma can be just as severe for these individuals as physical trauma.
On the other hand, some people may already have a history of experiencing these emotional difficulties and actually be trying to treat themselves by abusing drugs. This feeds into the cycle of emotional distress and substance use.
Complicated Relationship
Both addiction and chronic pain fluctuate in intensity with time under different circumstances. Depending on what is going on in someone’s life, their pain may get worse or seem to disappear, just like an addiction may seem controllable for a time before hitting another harsh bottom.
Both often require ongoing management. But the difficulty can also be that these two conditions feed into each other in a very complicated, and at times toxic, relationship.
Treatment for one can either support or conflict with the other.
The Painful Cycle of Addiction
One of the many difficulties many people experience when trying to overcome addiction while struggling with chronic pain syndrome is that there is a cycle of pain- drugs- more pain- more drugs that seems inescapable.
For example- Narcotic medication typically prescribed for chronic pain may be an issue for someone with a history of substance use disorder.
But then if someone uses a narcotic prescription pain medication, such as opioid analgesics, it can create a physical dependence. Then when the substance is absent from the body the withdrawal symptoms set in.
Withdrawal and Pain
Withdrawal symptoms frequently lead to an increase in symptoms of anxiety and depression, while creating even more physical pain. In turn, the anxiety and depression from withdrawal can contribute to that pain even further.
This pain and distress can provoke a severe obsession with whatever substance the individual was relying on to provide relief. In other words, the individual will crave the drug even more because they are not only experiencing the psychological distress from their brain lacking the drug, they are also experiencing a magnified sense of pain from the experience as well.
Again, the cycle of pain- seeking relief from the pain through substances- recurring pain- continued substance use making the problem worse. The Pain Recovery Program is about interupting this self-destructive cycle with new, sustainable methods of pain management.
The Importance of Treating Pain and Addiction
Substance use disorder in relation to prescription pain medication is widely misunderstood, and while some programs focus on treating the addiction, if there is no way of addressing the chronic pain it does not help the chances of successful recovery. Part of working with chronic pain patients struggling with addiction is education on both conditions while providing effective treatment opportunities simultaneously.
Providing pain management opportunities for the U.S. population struggling with substance use disorder is a unique challenge for many primary care physicians. That is why experienced professionals in the field of drug and alcohol addiction treatment are in a unique position to help.
First, we need to acknowledge a few issues, including:
- People recovering from addiction experiencing pain are less likely to receive adequate pain management than anyone else.
- Insufficient pain relief is a substantial risk factor for possible relapse into substance use.
- It is crucial to distinguishing between patients who are seeking relief for legitimate pain and those who are seeking pain medication for recreational abuse
- Psychiatric and medical illnesses can complicate effective pain management
Experts believe that addiction specialists, in particular, can make significant contributions to the management of chronic pain in patients who suffer from substance use disorder. Addiction specialists can:
- Help create safeguards to assure any pain medication is taken appropriately
- Reinforce behavioral and self-care components of pain management
- Help individuals with strategies to reduce stress
- Assess patients’ recovery support systems
- Help to understand and identify relapse risks
Chronic pain management can be a complex process. Experts say that the efficiency of treatment is amplified when all medical and behavioral healthcare professionals involved collaborate as a team. Palm Healthcare Company’s Pain Recovery Program is all about a united effort toward treating both conditions with a variety of experienced professionals and trainers.
Considering how urgent the addiction epidemic is, and the fact that many people struggling with addiction do suffer from chronic pain, it is so important to have programs like this available. Education, support and relapse prevention is the key. If your or someone you love is struggling with substance use disorder and chronic pain, please call toll-free now. We want to help.
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