(Translation into most languages is available to the right.)
When I am doing research for an upcoming blog post, I can get lost. There is so much information now on drug addiction and the opioid epidemic that I suddenly look at the clock and realize I’ve been wandering virtually around the world and becoming more discouraged with each new article or report: Scotland has more drug overdose deaths per capita than any European country (1); Fentanyl is flooding California with overdose deaths skyrocketing (2); the use of over-the-counter codeine (an opiate) cough medicine among eighth graders in the US has increased (3); and, Australia now has the eighth-highest per-capita opioid consumption in the world (4).
(Thirty-fifth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
This week’s Story of Hope is from a friend of JL’s, Peter (not his real name). Here are some excerpts from his story in Opiate Nation (5 min read):
My name is Peter and I’m an alcoholic and addict. This is how I introduce myself at the AA meetings I attend several times every week, as I have done for over 10 years. I am from a fairly affluent family, raised with high moral standards, and attended the best schools. So how is it that I became an alcoholic by the time I was a senior in high school and an opioid addict and dealer by the time I was 20?
The first time I used alcohol was in my junior year in high school. I was new to the school and I felt like I didn’t get the playbook for how to be a part of the group. I had been raised with strong values against using drugs and alcohol – but I wanted to fit in with the popular kids.
I tried a capful of vodka—that was it. I hated the way it tasted. The next day I was sick—not so much from the alcohol, but with guilt. This would be a consistent theme in my drinking and using: I always felt guilt and the consequences of doing something soul-crushing and bending the moral line I had deep within me. Once that barrier had been crossed, then anything was permissible. Initially I only drank on weekends at parties so that I wouldn’t be the outsider.
(Eighteenth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
In 1735, Benjamin Franklin wrote a letter to his own newspaper, The Pennsylvania Gazette, where he used this now-famous phrase: An ounce of prevention is worth a pound of cure. He wasn’t referring to a pandemic or keeping your roof in good condition so it won’t leak or changing the oil in your car so you won’t ruin your engine or, my personal example, brushing your teeth to avoid tooth decay and gum disease.
When I was growing up in the 1960’s, brushing our teeth every day was a new habit for most Americans. Even though the toothbrush was invented in 1857, it wasn’t until after WWII that we got in the habit of regularly brushing our teeth. When I was young, I didn’t give much thought to personal care and it seems I didn’t brush my teeth often – I was too busy living life – which is why my two older sisters gave me the endearing nick-name “moss-mouth”. (FYI, I must have good teeth genetics because I didn’t have my first cavity until I was 30.)
Fellow WordPress blogger, mechanical engineer, artist David Such has written a review of Opiate Nation and posted it on his blog site, Memoirs and Musings. Along with the review, David included some of his pen and ink drawings of our son, JL, and John and me. We feel honored and grateful for David’s desire to help reduce stigma and shame by bringing attention to the opioid epidemic that continues to steal the lives of our sons, daughters and loved ones.
I recently finished reading Opiate Nation: A Memoir of Love, Loss, and Acceptance, by Jude DiMeglio Trang (with John M. Trang). I admit, this book was a difficult journey to travel.
Jude and John’s son, John Leif Trang (“JL”) battled various addictions from his early teen years. This story chronicles JL’s long and difficult struggle in and out of recovery up to his accidental heroin overdose and death at the age of twenty-five, and the long road through grief to emotional recovery for Jude and John that followed. Throughout the book, she includes excerpts from their private journals which provide an extremely personal perspective. She offers comfort and sage advice for others who may find themselves in a similar situation. The book takes you on a strenuous path, but is very well written and places the reader within all the confusion, family dynamics, regrets, and mixed emotions they experienced throughout this journey. The narrative is eloquently written, yet raw and purposefully honest in a bold attempt to shine a bright light on this “secret epidemic” that has destroyed many lives across North America and around the globe.
Jude is no stranger to grief. She had previously lost two brothers and a sister to premature death. The loss of JL would have been the final blow to anyone else who did not have a strong spiritual foundation. Don’t worry, though, she offers none of the trite Christian platitudes. John and Jude’s confusion and frustration are palpable. She is transparently honest about their generational family dysfunction as well as their own perceived failings as parents. Her authenticity is refreshing.
Readers will note that Jude is well-read, quoting relevant wisdom from sages throughout the centuries, from Leonardo da Vinci to C. S. Lewis, and from Beethoven to Bob Dylan. Numerous apt analogies help those not living with addiction to understand the nature of the struggle. I personally appreciated her intellectual rabbit trails into topics like the nature of time, and the physiology of memories. I also like the way she weaves together connected events throughout the years rather than marching through a dry chronological sequence. However, be forewarned, Jude does not hold back in her discussion of reality. Some of it is horrifying, but be reassured that the final chapter, “Stories of Hope,” is the reader’s opportunity to slowly exhale.
This book is a must-read for anyone who knows someone who struggles with drug addiction and/or alcoholism. However, the basic takeaway for all of us, even for those who consider themselves or their loved ones immune from addiction is this: The culture of “pain management at any cost” produces large profits for pharmaceutical companies (“Big Pharma”) at the expense of ruined lives. The default prescription for situations like a wisdom tooth extraction or a broken collar bone is almost always a heavy-duty opiate. Medical doctors “rubber stamp” these prescriptions every day. See the content of the book for details. PLEASE, don’t just fill a prescription because the doctor recommends it, especially if there is any family history of substance abuse or alcoholism. Search for safe alternatives, learn that pain is not an enemy to vanquish, and only reach for the opiate “solution” as the very last option
Opiate Nation was the well-deserved winner of the 2020 “National Indie Excellence Award” for best Addiction/Recovery Book. You will not regret traveling with them through their journey.
(Seventh in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
When public health is at risk, one can only wonder about the motives behind politicians’ decisions – our “public servants” as they used to be referred to – regardless of what they may say. But we don’t have to guess their motives because actions speak louder than words and the actions of the US Department of Justice (DOJ) this week regarding Purdue Pharma and the Sackler family are unconscionable. This deal is not justice for the victims and their families for this pervasive and criminal corporate greed.
(Today begins a series of topical blogs based on excerpts from Opiate Nation, chapter by chapter, that will run for 28 weeks. Translation into most languages is available to the right.)
It’s a bit ironic that as I begin blogging through Opiate Nation we are in the midst of a pandemic. Ironic in several significant ways.
Opiate Nationwas written because of the opioid epidemic – which, in reality, is a pandemic. Every industrialized nation, and many emerging and third-world nations too, are dealing with the results from the ease of availability of opioids, whether natural and home-grown, or synthetic and imported. Or both, as is the case in America.
And like the Coronavirus pandemic that crept up on us so gradually that it’s deadliness caught us by surprise and mostly unprepared as nations, the opioid epidemic crept up on us too. In both cases, certain international players were unscrupulous for various reasons, causing delays in awareness when there might have been a chance for all of us to not be caught off balance.
The “inoculation” that should have happened, especially in the United States, by way of accurate scientific information disseminated by responsible leaders, didn’t happen. Instead, false information fueled by political agendas and financial motivation created a scenario that so crippled a timely public health response that, for many nations, it became too little too late.
During the first few years of writing Opiate Nation, the working title was Saying Goodbye Through a Body Bag. As I got closer to publication, friends suggested I look for another title, saying it was off-putting and gave a depressing visual image. It took me a while to adjust to the idea of another title because it was the experience of doing just that – saying goodbye to my son through a thick black body bag in the hot August sun – that pushed me through my grief and on to writing about what my husband and I had experienced and what we hoped could be a warning for others.
CNN reported this week that Mallinckrodt, a large opioid manufacturer, has reached a settlement agreement in principle worth $1.6 billion with attorneys general for 47 states and US territories. Mallinckrodt announced that the proposed deal will resolve all opioid-related claims against the company and its subsidiaries if it moves forward. Plaintiffs (states) would receive payments over an eight-year period to cover the costs of opioid-addiction treatments and other needs.
Compensation: recompense given for loss injury, or harm suffered. Are the settlements that are being levied against Purdue Pharma, Johnson & Johnson, TEVA, Mallinckrodt, McKesson Corp., Cardinal Health Inc., AmerisourceBergen Corp. really compensation for the millions of lives ruined by opioid addiction? Or for all the lives lost in the past 20 years?
The Ohio Society of Addiction Medicine is a chapter of ASAM - A professional society actively seeking to define and expand the field of addiction medicine.
Opiate Nation 