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?
When I was growing up, this metaphor was commonly espoused: “Don’t air your dirty laundry in public.” That is, you shouldn’t reveal things from your private life that people usually don’t want others to know and they don’t want to hear anyway. Things like inappropriate confessions and unpleasant family secrets. Everyone will be embarrassed and people will feel ashamed.
Now we are more likely to hear someone respond with “TMI – Too much information” when someone goes beyond the bounds of information that no one wants to hear – either too creepy or medical or personal. Totally understandable.
But is it airing dirty laundry for us to speak openly about conditions or situations that are of a communal nature? Topics such as physical or sexual abuse, or complicity and criminal behavior by politicians or leaders, or suicide, or addiction? Of course, there are some details about issues that plague us as a community that do not need to be part of the public discussion in certain situations. But that is different than bringing an issue into the light of day so that it can be discussed in order to work towards a solution.
The other day I was thinking about our son and his struggles with drugs and alcohol and all that we know and understand now compared to what we knew and understood in the early 2000’s right up until his death in 2014. I saw myself, as if I were standing out in an open field, turning, looking back over my shoulder. That’s what I do when something unexpected or disturbing happens. I look back and try to figure out what I missed, what I could have done differently.
My next thought was: Why couldn’t my husband and I see the handwriting on the wall? Why didn’t we realize how dire the situation was at every new juncture with our son as the years went by? But, I realized that it wasn’t that we couldn’t see the handwriting on the wall. It was that we didn’t understand what it meant.
John and I live in Melbourne, Australia with our daughter and her family several months of the year. Since our son’s death by overdose from heroin 5 years ago, we have become interested in and involved with some of the Alcohol and Other Drug (AOD) programs there. We also receive news reports on current trends etc.
What is interesting to me is the contrast between the Australian approach to AOD use and the American approach. Australians accept that there will be drug and alcohol abuse in their society and therefore speak openly and candidly about it. A recent newsletter (Dec. 13, 2019) from VAADA (Victorian Alcohol and Drug Association) is a perfect example of their approach. It was an alert about “ increasing numbers of reports about very strong heroin in Melbourne, which has resulted in an increase in accidental overdoses.”
The alert asks providers in the AOD sector to alert their clients (heroin users) to this problem and to be careful and look out for their fellow users. They also urge providers to share specific harm reduction information to help reduce the risk of overdose, such as: get naloxone and keep it handy; try not to mix drugs (there is a lot of methamphetamine use mixed with heroin/opioid use); be smart about your tolerance, knowing it can change if you haven’t used for even a few days; and try not to use alone or in an unfamiliar place where you wouldn’t get help if you do overdose (which was the case for our son).
When I was in Melbourne, Australia recently with our family, I was starkly reminded of the ubiquitous presence of opium in the past as well as the present. Not that I can ever really forget it’s demon-like presence. But when I am asked what I do and I respond that I am a new author, the next question is what my book is about. After I give a short description, I am always surprised at how many people have stories of their own involving this ancient plant – a plant that truly offers humankind a double-edged sword. It can so wondrously relieve pain when our bodies have been injured or undergone surgery. Yet it has a mysterious way of latching on to a large percentage of we mortals who, having once legitimately used this soothing balm, then find the memory of that bliss like an oasis in the desert that we chase after at all cost.
Within a week, I heard three stories. One seems like something out of another era. A 60-yr old man, after hearing about our son and Opiate Nation, began to tell me about his years growing up in Singapore. He explained that both his mother and his father were addicted to opium and would regularly go to the opium dens to smoke. He remembers the intoxicating smell when he would go to find them to use the opportunity of their being in a blissful state to get money from them. He never wanted to use that drug or any other.
The Global Drug Survey (GDS) runs the largest drug – which includes alcohol – survey in the world. The GDS is now it is ninth year and is translated into 16 languages and partners with over 30 countries. Their international team is committed to helping make drug use safer regardless of the legal status of the drug and promoting honest conversations about drug use across the world.
How we wish we had been able to have more open conversations with our son while he was struggling during a relapse or actively using. Had he not feared some punitive measure we could impose on him in an attempt to force him to be squeaky clean, he would have felt less shame and the feeling of being a failure. He could have felt that we were partners with him in his battle against the overwhelming enemy that was within. Continue reading “GLOBAL DRUG SURVEY 2020”
Last weekend, my husband and I were part of the 30th annual All Souls Procession here in Tucson. It is part of the Mexican & Latin American celebration of El Diá de los Muertos (The Day of the Dead – see link below for an article about it). November 1st & 2nd are set aside to gather as a community to show our love and respect for our loved ones who have died. I have heard that Tucson’s celebration is one of the largest in America with about 100,000 people.
While John and & were walking, carrying a large photo poster of our son decorated with marigold-colored trim & lights, a woman in the procession came up to us and asked John, “Who is that?” John responded, “This is our son who died of a heroin overdose at 25.” The woman’s face froze for a few moments as we continued walking, then she looked down and turned to walk away as she said in a low voice with a pained look on her face, “My daughter is an addict.”
Last week I wrote about regrets that John and I deal with – wishing that we had known about some type of long-lasting recovery option for our son, JL – and the SMART recovery approach and how it differs from traditional 12-Step programs such as AA. Continuing on with the concepts about individuals who struggle with life-threatening addictions of any variety, I have a few more thoughts.
With the genetic / disease model of addiction that scientific research has brought to the table, there are many in the recovery world who feel this mindset gives those living with addiction a green light to excuse their responsibility, their power of choice. But I disagree. It is clear that we had nothing to do with our family tree, our genetic inheritance (1). We were “powerless” as far as choosing to be born into our family. Yet, this doesn’t mean we are powerless to overcome the negative Continue reading “POWER-less or POWER-ful?”
I am devoting this blog to a review by Shelf Awareness of an essential book in the battle against early exposure to opioids which has destroyed so many young lives – our son’s included – in the past 20 years. Please give a copy of this book to every teenager and young adult you know and love.
Journalist Sam Quinones’s lauded 2015 Dreamland was, according to our review, “a comprehensive and empathetic investigation into the Mexican pipeline feeding the United States heartland’s growing appetite for opiates.” This adaptation, pared down for a young adult audience, is a sharp, engrossing work of narrative nonfiction.
Dreamland snares the young reader immediately with the story of Matt Schoonover from Columbus, Ohio, who began using prescription opiate painkillers in high school, became addicted and moved to black tar heroin when the “street OxyContin” became too pricy. A day after returning from three weeks in rehab, at the age of 21, Matt fatally overdosed. Continue reading “Dreamland (Young Adult Adaptation): The True Tale of America’s Opiate Epidemic by Sam Quinones (2019)”
August 2nd was the 5th anniversary of our son, John Leif’s, death by overdose from heroin. As we look back over the years, there is so much information available now than there was for the families of young people addicted to opioids in the early years of this century. So much we wish we had done differently with this son of our hearts – if we had only known.
In the early years of his addiction and recovery programs, we learned how co-dependency and enabling went part and parcel with alcoholism and addiction in family systems. We read all we could about it and worked hard to change from enabling and need-based love to detaching and loving with “tough love.” Sadly, as we now understand, tough love does not work for opioid addiction, because as Dr. Nora Volkow, director of the National Institute on Drug Abuse, says: “The concept of letting children hit bottom with opioids is not the best strategy, because in hitting bottom they may die.”Continue reading “What We Wish We Had Known…”