Fentanyl & Breathing Under Water

BREATHING UNDER WATER

I built my house by the sea.
Not on the sands, mind you;
not on the shifting sand.
I built it of rock.

A strong house
by a strong sea.
And we got well acquainted, the sea and I.
Good neighbors.
Not that we spoke much.
We met in silences.
Respectful, keeping our distance,
but looking our thoughts across the fence of sand.
Always, the fence of sand our barrier, always, the sand between.

And then one day,
-and I still don’t know how it happened –
the sea came.
Without warning.

Without welcome, even
Not sudden and swift, but a shifting across the sand like wine,
less like the flow of water than the flow of blood.
Slow, but coming.
Slow, but flowing like an open wound.
And I thought of flight and I thought of drowning and I thought of death.
And while I thought the sea crept higher, till it reached my door.

And I knew, then, there was neither flight, nor death, nor drowning.
That when the sea comes calling, you stop being neighbors,
Well acquainted, friendly-at-a-distance neighbors,
And you give your house for a coral castle,
And you learn to breathe underwater.

(Sr. Carol Bieleck, RSCJ, from an unpublished work)

I first heard this poem as it was read at our son’s memorial by the director of a recovery program we had attended with JL in Tucson. It is full of spiritual metaphors and allusions to addictive behaviors. It came back to me this week as I received the latest information on fentanyl deaths in a report from the Centers for Disease Control (CDC), summarized by CNN.
Fentanyl deaths skyrocketed more than 1,000% over six years in the US.
By Nadia Kounang, CNN, 03/21/2019
https://www.cnn.com/2019/03/21/health/fentanyl-deaths-increase-study/index.html

While the report is startling, it only confirms what we have heard. In 2011, there were under 2,000 deaths per year from fentanyl. Beginning in 2014, fentanyl related deaths began to double, from 4,223 to 8,251 in 2015, to 18,335 in 2016. Men are dying at a rate three times the rate of women, and the largest increases were among younger adults between the ages of 15 and 34.

Although heroin has been on a consistent climb as the leading drug for overdose deaths, fentanyl pushed past heroin for the first time in 2016. It’s no wonder. It is cheap to produce Non-Pharmaceutical Fentanyl (NPF) in illicit labs in China and Mexico compared to growing poppies and processing them. The synthetic drug is so potent that a slight error in the process can result in a bad batch that can kill multiple users almost instantly. Reports from around the country confirm mass overdoses becoming increasingly common.

Lethal amounts of fentanyl in heroin and other drugs is causing active drug users the greatest risk of dying. And because the fine white crystals are so potent, drug dealers can add undetectable amounts of fentanyl to heroin, cand ocaine to create more desirable products with higher highs and steeper price tags. The vast majority of deaths are the result of fentanyl mixed with heroin or combined with an inert white powder and sold as heroin.

But it’s not just those who have been addicted to heroin and opioids who are dying from fentanyl. Reports from the US and Australia indicate that fentanyl is being made into look-alike Xanax, ecstasy, cocaine, OxyContin, resulting in young people taking a drug for the first time at a party or music festival and dying.

Do drug cartels and dealers want to kill their customers? The evidence says they do not, rather, their production is inconsistent. And other than the minority who use fentanyl, active drug users are fearful of fentanyl-laced products.

Drug distributors are experimenting with how to make synthetic drugs, and unsophisticated local dealers are often sloppy when mixing fentanyl with other substances. That’s expected to change as the business of fentanyl trafficking matures. But Customs and Border Protection says that even if drug traffickers become more sophisticated and stop killing so many of their customers, that won’t necessarily decrease the overall number of U.S. overdose fatalities, since the number of users of fentanyl is expected to grow, not shrink. For the first time since 1918 life expectancy has dropped due to drug overdoses and suicides.

After reading these reports, I wonder: Is there any hope?

At international mail terminals, parcels are X-rayed to identify those that might contain fentanyl and other illicit drugs. They also use dogs, trained to sniff packages and alert agents when they detect fentanyl. Even when agents find a white powder they think is fentanyl, it can take days to confirm because dealers continuously change the chemical formulas to elude law enforcement.

“When the sea comes calling, you stop being neighbors…
And you give your house for a coral castle, and you learn to breathe underwater.”

The sea has come, like the flow of blood. We all––as a community, young and old alike––need to learn “to breathe under water,” to learn new skills, become educated about subjects we never had to learn previously, in order to survive and to leave a posterity, a future generation who are not destined for ruined lives but ones that are rewarding because they are purposeful.

https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2018/10/17/how-fentanyl-changes-the-opioid-equation

https://adf.org.au/insights/insight-research-around-fentanyl-telling-us/

Author: Jude DiMeglio Trang

My husband, John, and I are parents of a young opiate addict who died of an accidental heroin overdose at 25. These are our credentials for writing and working towards reversing the exponentially rising statistics for opiate addiction and deaths in our country and the world.

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