Lifespan of Heroin & Opioid Addicts

(Second in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right. If you feel this blog is important, please repost to your social media using the buttons below. Thank You!)

When our 25 yr old son died of a heroin overdose in 2014, the statistics for the average life-span of a heroin addict was 5 years. Five years. Not very long if you are 15 or 20 or even 30, the age when most young adults’ nowadays are just getting in gear with their career, a long-term relationship, and planning a family. To have your life swept away before you have a chance to experience some of the most wonderful years of living on this earth is painful to consider.

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Woefully Unprepared

(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 Nation was 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.

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OPIATE NATION WINS NATIONAL INDIE EXCELLENCE® AWARD

With so much distress in the world with the Covid-19 Pandemic, especially the effects it is having on the weakest and vulnerable members of our societies, I have hesitated to announce a personal accomplishment. Yet, my hope is that as Opiate Nation gains more visibility, it will get into the hands of people who could be most encouraged and benefit from our story.

I am a member of a group of 35,000 women called “The Addict’s Mom” on Facebook. I confess, I rarely read the posts because it is so depressing: Story after story of mom’s who have been holding out for years to see their daughter or son released from the hell-hold of addiction to drugs, only to then post that “…today I lost my daughter/son…can someone tell me how I will survive this?”  It is for these mom’s and dad’s and siblings and friends that we wrote Opiate Nation, but one of the stipulations of being a member of the group is no self-promotion. So I hope that, with more visibility and more reviews and re-posts on social media, our book will get to these most desperate of people.

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If my son were alive today during the Covid-19 pandemic…..

I would fear for his life more than ever.

“Drug Overdoses Soaring: Suspected overdoses nationally jumped 18% in March, 29% in April, 42% in May, data from ambulance teams, hospitals, and police shows.”

As a young man in America who wanted more than anything to be free of his deadly heroin addiction, how would he be weathering the Covid-19 pandemic?

“The drug-overdose-and-death epidemic already was hurting communities before COVID-19, but during the pandemic there have been reports from every region of the country on spikes in opioid-related calls to first responders, visits to emergency rooms, fentanyl and tainted-drug-related overdoses. There also have been challenges to accessing sterile needle and syringe and exchange services.”

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What people are saying about Opiate Nation

As the months have passed since Opiate Nation was released last October, we have received many very encouraging reviews and comments. I have gathered some of them together and created a new page entitled “Recommendations & Reviews.” (see Menu) If you have wondered whether our story is worth the read, especially if you have no personal experience with addiction or heartbreaking loss, then perhaps these reviews will have some insight that will inspire you to order a copy for yourself or a loved one. If you have already read it, we would love to hear from you and know how you have been supported and reassured through our book. It is the reason we have written and published it.

CAN MONEY REALLY COMPENSATE ?

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?

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AIRING DIRTY LAUNDRY?

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.

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Benefits of Public Dialogue

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).

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A Different Death

Yesterday, my husband John, and I, along with family and friends, celebrated my father’s life of 92 years with a beautiful memorial service. He was buried with military honors for his service during WWII. In the week since his death, friends have asked me how I was feeling about his death – knowing that this death is the now the fifth death in my immediate family since 2001. First my younger brother at 40 from AIDS, then my sister at 56 from breast/brain cancer, then my son at 25 from a heroin overdose, then my other brother at 51 by suicide – and now my father.

This death, of a great-grandfather, is different than the previous four in so many ways. Not only do we expect grand-parents to pass away before their children, grandchildren, great-grandchildren, but we know by the 10th decade of life, the day to meet our maker is fast approaching. For my father, he was doing quite well mentally, but his health was declining rapidly this year. By August, we knew his days were numbered – and so did he. The dying know they are dying, and for my father, it made him sad. He loved life and he loved his family. And even though he had a strong Christian faith and confidence in waking up in a new and unimaginable existence with his loved ones who went before him, he still had a very natural trepidation of the process of dying.

His last two weeks were marked by no appetite and finally no ability to even drink – his body was done with this life. With John holding his hand, he took his last breath and his spirit left the room – and left this earth. How did I feel? Sad because we will no longer enjoy his presence, and his death marks the end of an era of the large Italian family dinners and parties. But I was also relieved that he was no longer suffering in a body that was giving out.

The unexpected death of our son from a heroin overdose was different in every way imaginable. I look back now and wonder how John and I made it – how we didn’t end up institutionalized under heavy medication. I remember in the first few months feeling that my mind was on the verge of splitting in two – my heart was already broken – but it is our minds that hold us together. The love and support from our close friends and family surely were part of that glue. But the real potion that caused us to not tip over the edge was the mercy and grace of God. Without Him, we wouldn’t have had the courage to go on or the strength to look ahead with hope of an eternity with our son and with our other family members.

For those of you with friends who have lost a child to a drug overdose, please remember that a sudden, unexpected, preventable death is different from all other losses. These deaths are not natural, the lives were not completed, the parents and family can not just move on. They need your love and support – and prayers.

Epidemic Worsens, Hope Wains

In a March 6, 2018 public health report on NPR, Rob Stein reported the grim news on recent CDC statistics: across America, overdoses from opioids increased by an average of 30% in 2017––some areas were as high as 109% while others remained stable at 20%––occurring in every region and every age group of men and women. The latest data could underestimate the overdoses, because many people who overdose never end up in the emergency room (like our son) so are not accounted for.

“We think that the number of people addicted to opioids is relatively stable. But the substances are more dangerous than five years ago,” acting CDC Director Anne Schuchat says. “The margin of error for taking one of these substances is small now and people may not know what they have, due to availability of newer, highly potent illegal opioids, such as fentanyl.”

Sadly, 20 years on in the opioid epidemic, things are still worsening and government policies are doing nothing to help. Declaring it a “health emergency” but failing to fund quality public health care and the long-term recovery expenses that are essential for opiate recovery is creating a false sense of well-being when there is none.

“Emergency room staff need better training to make sure people with substance-use disorder get follow-up addiction treatment,” says Jessica Hulsey Nickel, president and CEO of the Addiction Policy Forum. “Too often, addicts are simply revived and sent home without follow-up care, only to overdose again. We can use this near-death experience—use it as moment to change that person’s life.”

These overdose deaths have contributed significantly to life expectancy in the US dropping for the second year in a row. This is alarming public health officials since life expectancy gives us insight into the health of a nation––the last time we had a drop was during the AIDS epidemic.

In another study about “Deaths of Despair”, Anne Case & Angus Deaton, economists at Princeton University, report “It’s also a crisis in which people are killing themselves in much larger numbers—whites especially. Deaths from alcohol have been rising as well––we think of it all being signs that something is really wrong and it is happening nationwide…The decline of well-paying jobs, security and good benefits may be fueling a sense of frustration and hopelessness,” Case says. “That may be one reason fewer people are getting married and having children outside of marriages.They have a much more fragile existence than they would have had a generation ago. As a result, these deaths are related to the fact that people don’t have the stability and a hope for the future that they might have had in the past.”

Hope for the future––something we all need––something that is increasingly hard to find in our fragmented society. Many, many voices are calling us to return to the basics for sustained human health and growth: real community, true spirituality, public and private integrity, simplicity of lifestyle, and sincere and tangible love for each other: love is a verb

https://www.npr.org/sections/health-shots/2018/03/06/590923149/jump-in-overdoses-shows-opioid-epidemic-has-worsened

https://www.npr.org/sections/health-shots/2017/12/21/572080314/life-expectancy-drops-again-as-opioid-deaths-surge-in-u-s