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Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

richmond.com

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Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#151

Post by andrei_says_ »

throwa_way_ wrote: post #134
andrei_says_ wrote: post #118

Earlier quoted context omitted.

I recently re-read the story about the rat park experiment. http://www.stuartmcmillen.com/comic/rat-park/ The gist of it is that yes, rats do get addicted to morphine and prefer it to food, but only if kept in cages . The rats living in a much less confined space with other rats, allowed to play, nest, have sex and do pretty much all the rat fun things not only did not get addicted to morphine but even waned themselv…

It's not really a well designed study and it's one that hasn't replicated well. But people still love bringing it up, especially here on HN where people seem to think they know better than the experts on everything to do with medicine.

Some sources on this? I’d love to read more.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#152

Post by drug_uesr_throw »

loverofcode wrote: post #141
drug_uesr_throw wrote: post #111

Earlier quoted context omitted.

1: I had a severe burn on my crotch (FML) and was prescribed. Funny thing is I KNEW I would become dependent. I'm an addict. sober from cocaine and alcohol (was sober from coke for a couple years before pills, ironically opiates helped me quit drinking which was a big struggle for half of my 20s). No hyperbole, every relative on my fathers side of the family is an addict, going back generations. My dad is an alcoholi…

Tylonel accounts for a large number of deaths. Chronic pain patients have to take medications for the rest of their lives, it is safer to consume opiates than acetaminophen long term. Best would be nothing, but as long as there is a slow increase opiates can go on up and up. Where the acenimphen will destroy your liver and kill you fast. Furthermore, this is a direct result of the war on drugs. the fentanyl and carfe…

My point was that over prescription is a problem. Just a couple days ago this study showed the power of apap/ibuprofen equal to opiate in extremity pain: https://jamanetwork.com/journals/jama/article-abstract/26615... Yeah apap is dangerous in really high doses but it isn't super fatal w NAC intervention.

But more people die from opiates than apap nih: https://www.ncbi.nlm.nih.gov/pubmed/16294364

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#153

Post by dreamdu5t »

senorjazz wrote: post #28
dreamdu5t wrote: post #23

Earlier quoted context omitted.

And if a drug addict doesn't want treatment? The elephant in the room is forced intervention requires a form of imprisonment.

There will always be the hardcore who will not, or cannot overcome their addictions. But this is few. Why not give them free medical grade heroin, in a safe environment? * Keeps them off the streets. * They no longer need to resort to crime to fund their addictions. * Besides their appointed time to get their dose, they can lead relatively normal productive lives. It will save $$$$ and also keep money out of pockets…

That is not cessation of drug use but a program to sustain drug addiction safely. Clearly that’s great at reducing harm from dirty needles, but not great at cessation of addiction.

I’m suspect of your claim that the majority of addicts seek treatment, since I’ve not seen any data on seeking cessation. Maybe you know of some other data showing that most addicts seek treatment that includes cessation. However, according to surveys by CDC and national survey on drug use and health 23 million Americans have a substance addiction and 3 million seek treatment. Approx 1 in 6 adults has some form of substance abuse problem. There is nowhere near that number seeking treatment.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#154

Post by King-Aaron »

mschuster91 wrote: post #3

> Local jails have been overrun with people locked up and in need of treatment Why. Do. People. End. Up. In. Jail. Seriously this one is beyond my comprehension - they need treatment, not jails filled with hardened criminals, rapists and probably more (and nastier) drugs than on the street.

> Why. Do. People. End. Up. In. Jail.

Ask the politicians that own large stakes in (or have ties to) corporate-operated prisons, and you'll find your answer.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#155

Post by dang »

loverofcode wrote: post #140
matwood wrote: post #80

Earlier quoted context omitted.

I can see how people move to something like heroin after being on pain meds and getting addicted, but who really just 'tries' heroin? At this point, the mix danger and addiction danger is well known and publicized. I'm asking, because I cannot mentally put it together, particularly if someone has life going in the right direction.

PLEASE READ AND PUSH TO THE TOP!! this is a direct result of the war on drugs. the fentanyl and carfentanil coming from china are responsible. before these two were being imported at such high rates opioid deaths were 4,000 per year vs 400,000 for alcohol. Which at first was being blamed on fentanyl being prescribed legally, but was incorrect data. Check the numbers yourself at wonder cdc. attached is the screenshot…

Please don't use uppercase for emphasis, please don't post the same comment more than once, and please don't ask people to upvote, even when the topic is important.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#156

Post by dang »

[deleted] wrote: post #137
sillysaurus3 wrote: post #109

Earlier quoted context omitted.

If you don't feel confident defending your opinions in such a space The point of HN is to be a search for the truth among colleagues, not a verbal barfight. The fact that you wanted to get into one immediately says a lot about both sides of the conversation. your comment did not do enough to distance whatever you were talking about from them You didn't even briefly pause to question whether I might be associated with…

[deleted]

Would you please stop posting long, tedious harangues to HN? It's not what the site is for and makes it worse.

Other people are indeed wrong sometimes. But this sort of argumentativeness is no better than what you're criticizing, and at its worst crosses into bullying, though I'm sure unintentionally.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#158

Post by joshschreuder »

There was a very good Louis Theroux doco (Dark States) set in Huntington, West Virginia a couple of weeks ago about the opiod epidemic.

It really hit hard with me for some reason, despite never having first hand contact with anyone with this sort of addiction. In particular, a man who was apparently a pentester before having some sort of accident and becoming addicted to prescribed opoids before transitioning onto illegal drugs. It just felt like something that could hit anyone, and not just the standard "junkie" problem.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#159

Post by refurb »

firebones wrote: post #129
refurb wrote: post #64

Earlier quoted context omitted.

That article was written by someone not that familiar with the pharma market. It would be illegal for Purdue to promote on any other than 12 hours. It's called off-label promotion and companies pay multi-billion dollar fines for it.

While it is factually true that it would be illegal for Purdue to promote off-label, they also need to be held accountable for playing fast and loose with the research studies (even altering the definitions used in the trials) in order to be able to claim 12h coverage when nearly half the patients weren't getting 12h coverage. This, combined with the recommendation to push higher doses to achieve 12h coverage, combin…

Shouldn't the FDA be held accountable? They approved the trial design and overall application.

Re: Nineteen people a week overdose in Richmond, dozens are dying, hundreds revived

#160

Post by gizmo686 »

miketery wrote: post #135
btown wrote: post #130

Earlier quoted context omitted.

Something I often think about is whether having a job - the agency to by one's own hand change one's prospects in life, to "provide for one's family" - is our equivalent of this "less confined space." In a post-automation post-scarcity world, despite boundless entertainment and resources (things that would make rats perfectly happy)... would ennui still drive people towards self-destructive behavior? And in fact, wou…

Post scarcity? Where, when, and for who? Our current economic models don't work for that unfortunately. Edit: I should add there are a couple post scarcity instances in recent history. Establishment of America, and post WW2. These also coincided with the least income inequality. But those periods don't last.

In what ways were the Establishment of America, and post WW2 post scarcity?

US inflation adjusted per capita GDP is higher today than at either of those times. While I do not think GDP is a great metric, I cannot think of any metric where we, as a society, have less "stuff" to go around then before.

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