NYT Addicted to Drugs on Staten Island

neversickanymore

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Addicted to Drugs on Staten Island
By GINIA BELLAFANTE
New York Times FEB. 14, 2014

Late last month, Corey Epstein, a peripheral cast member on the reality television series “Jerseylicious,” was arrested along with 20 others in a drug sweep on Staten Island that grew out of a 16-month investigation called Operation Silent Hill. Mr. Epstein was charged with selling three oxycodone pills to an undercover officer, in front of his house on Nehring Avenue in New Springville, an area that had been largely rural until the 1970s, when malls and what has since become the vernacular architectural style of Staten Island — the deep-backed, two-family split level with a high, occasionally baroque stoop — imbued it and so much of Staten Island with a sense of inanimate prosperity.

Across the country, one of the most significant social shifts of the 21st century has been the migration of drug use from centers of urban poverty to places that are suburban, white and middle- or marginally middle-class. In New York, in recent years, these changes have made Staten Island a particular nexus of affliction. Its death rate from heroin overdose, and from the broader category of opioids, including oxycodone and other painkillers, is the highest of any borough in the city. From 2005 to 2011, according to city health statistics, as fatalities from overdosing on drugs decreased citywide, the death rate from opioid overdose on Staten Island nearly quadrupled, leaving it more than three times that of the Bronx.

What these new patterns of drug usage so readily remind us is that it is not marijuana that ought to be feared as a pathway to more insidious forms of addiction, it is those substances that remain perfectly legal. Jacqueline Fiore, the executive director of the Staten Island Y.M.C.A. Counseling Service, a highly respected drug treatment facility, said she and her colleagues in the recovery world had anticipated and worried about a heroin problem for several years because of the soaring rates of painkiller addiction they were seeing. Prescription painkillers had been notoriously easy to get on Staten Island until a state initiative implemented more rigorous monitoring two years ago.

Enforcement drove up the black-market price of pills like OxyContin, to about $25 each, on Staten Island, at a time when the cost of heroin was coming down. In 2010, 6 percent of patients going to the Y.M.C.A. Service — which has one branch on Staten Island’s North Shore and another on the comparatively affluent South Shore — entered the program addicted to heroin. Last year, that figure rose to 20 percent.

One morning last week at the South Shore facility in Eltingville, I met two of these patients, one of them a 27-year-old woman, Rebecca Ann Wolfson, who has been sober for 11 months, after more than 15 unsuccessful attempts at rehabilitation. Ms. Wolfson grew up in Bay Ridge, Brooklyn, with a mother who was an OxyContin addict until Ms. Wolfson was 10. As a child she would accompany her mother on drug runs, she told me. Later, as a young teenager, Ms. Wolfson developed a drinking problem so severe that she wound up in the hospital with pancreatitis. Eventually, she had her gall bladder removed. After her surgery she was given a prescription for Percocet. From there she fell easily into heroin use, and a boyfriend became addicted as well, she told me."

continued http://www.nytimes.com/2014/02/16/nyregion/addicted-to-drugs-on-staten-island.html?_r=0
 
Got a prescription? Then it's fucking legal.

Drop the patronising disappointment and open your eyes.

This cycle of addiction has been predictable for years - especially in the world's biggest drug market.
 
Ginia Ginia Ginia... I am very disappointed by this. Obviously they are not perfectly legal.

Yeah, I'd say "imperfectly legal" is a much more accurate description of the status of pharmaceutical opioids in the US.

Much more research needs to be done into the complicated CNS pathways that constitute the subjective perception of pain, which has a large reactive and preemptive emotional component to it. I also agree that there should be readily available OTC drugs which block any cravings for opioids. All patients with chronic pain should be plugged in with a psychotherapist, and have a plan in place for lifestyle changes that increase their own endogenous opioid / endorphin production. Exogenous opioids have a lot in common with endogenous corticosteroids -- they're a stopgap measure for patients who, for the time being, aren't making enough of their own.

If these changes were implemented, prescription opioids just wouldn't be a social or public health threat anymore.
 
Nit-picking.
What's your point, exactly? Do you have anything to say other than snide nonsense like that?

It's illegal to drive a car too...without a licence.
You're being petulant.
 
The painkillers are not perfectly legal. They are no different from marijuana in that regard. You can have marijuana with a prescription. So she is flatly wrong. The "drug problem" is not caused by prescription use.
 
The painkillers are not perfectly legal. They are no different from marijuana in that regard. You can have marijuana with a prescription. So she is flatly wrong. The "drug problem" is not caused by prescription use.

pmoseman.. You could not be more wrong. You can see it everyday on bluelight.. person gets injured or sick and is prescribed pain killers for long periods of time in ever increasing doses (at their request) physical dependence happens and possibly addiction. Problem issue and they are eventually cut off by the doctors and forced to pay high prices for street pharmacies. The lure of the cheaper readily available herion calls to them and they go and begin to smoke it. Then they feal they could get by much cheaper by injecting it.. which they do for a couple months but this skyrockets tolerance. Then they realize they have become a hard core IV drug user.

Really pmose you can see this same story on Bluelight every damn day.
 
That is a problem for some people who began using it legally -but not true for all- and my point rests on it being described as perfectly legal.
"Prescription painkillers had been notoriously easy to get on Staten Island until a state initiative implemented more rigorous monitoring two years ago."
This program was I-STOP which now requires doctors to report scheduled drug prescriptions online to crack down on prescription drug abuse in New York.

I sympathize with addicts who are taken advantage of by their own doctors. Well damn, you have to sympathize with anyone who needs opiates for pain.
 
Im not sure the majority of them were taken advantage of by their doctors.. after all an addict can claim it their doctors fault all they want.. but in reality they chose to not be aware of what they were putting into their bodies and chose to disregard all the information about addiction as that wouldn't happen to them. Plus they were the ones who continued to request more and continued to use more. This is where it get tricky.. cause addicts tend to blame others for all their problems.. so it is always someone elses fault.

Of course there are good docs and shady docs.. but the addicts seek out the shady docs for the exact reason they end up blaming them for later.

Treatment is the best option we have at this point for people already addicted and i have no idea how to deal with peoples pain with opiates with out causing addiction. So I think a good step is starting to the use of marijuana as a better solution for some chronic pain conditions before opiates are even tried.. or very short courses of opiates followed by the use of MJ. But you cant take the current people off with out having the herion shoot up?

The real solution to this would be a drug that prohibits the phenomenon of tolerance.
 
Can the opioid dependency we see be caused, in large part, by legally prescribed use?
One is naturally drawn to think not, based on several sources describing the risk.
 
The thing I'm interested in is someone studying the rates of addiction and the rates of physical dependence of opiates. I think this is the real reason that class of drugs is so damn destructive. It can and does hook everyone while drugs that dont have such a physical withdrawal seem to just hook people who have the underlying genetics of addiction. In my mind there is no doubt that a big factor in the current epidemic is due to the legally prescribed use. Also we should include the large amounts of money people can get by selling their prescription as this causes some people to continue to get their medications long after they have stopped taking them so they can sell them. Also if a physically dependent or addicted person needs money to feed their habit they will commonly turn on or supply a non addict with the drug to make their dose. Many of these non addicts then find themselves in the same situation and end up turning or promoting the use in others and the problem gets worse. This is done because addiction combined with the black market causes the loss of a person morals and values. The driven to make this choice by the "need" for the drugs.
 
^ neversickanymore, I've ruffled a lot of feathers around here by my candor about how much this class of drugs scares me. In most people I've seen get into a habit of using opioids' power to temporarily but completely remove the basic pain of being alive, life will never quite mean the same thing to them. The Human Condition™ doesn't apply anymore the same way it does to those of us who can't conceive of the Buddha's first noble truth being non-negotiable. Simply put, IME, people who have, or (in most cases) have had, an opiate habit, relating at the deepest levels to people who haven't, is just not possible. And vice versa. And that's what's truly sad about what price these drugs extract from those who try to ride over life on them.

Like I said before, opioids and corticosteroids have a lot in common in terms of how deep they hack into the basic biochemical foundations of "you" the human animal. Both make life feel easier, in the short term, by turning up one of our body's most basic neurohormonal pathways up to eleven. Get too used to them, though, and your body forgets how to keep these dials at five. People who've used them too much are like springs that have been bent too far, and can never quite regain their original shape and properties. Corticosteroids arouse less controversy, of course, because the way the costs they extract on habituated people tend to be mostly on parts of their body besides their CNS.
 
Hi I am on Staten Island. Been addicted to drugs for years now. My life is somewhat normal since i started taking soboxone. But I also take benzos which are no help. And M insurance company is in the middle of a switch and I have been withdrawing form soboxone for a few days now and I want to jump out of my skin.
 
Hey lottte and welcome to Bluelight=D.. this section is drugs in the media. but there are allot of good places on bluelight to get help with this.. recovery sections and other drugs is another.. here is some strong info that may help you.. sorry you are going through this<3

medications for acute opiate detox

The medications I would explore the use of for detox would be:
>Clonidine< DOSED EVER FOUR HOURS..

one of either
>NEURONTIN< >HERE< >HERE<
OR >Lyrica<
OR >phenibut<

>A BENZO BUT JUST AT NIGHT<
>a nsaid<
>melatonin<
tylenol

(Opi Withdrawal) what is the best comfort meds for opiate w/d?

Your Personal Opiate Withdrawal Arsenal


Loperamide will likely be a good place for you to go untill you can get into see your doctor.
 
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^ neversickanymore, I've ruffled a lot of feathers around here by my candor about how much this class of drugs scares me. In most people I've seen get into a habit of using opioids' power to temporarily but completely remove the basic pain of being alive, life will never quite mean the same thing to them. The Human Condition™ doesn't apply anymore the same way it does to those of us who can't conceive of the Buddha's first noble truth being non-negotiable. Simply put, IME, people who have, or (in most cases) have had, an opiate habit, relating at the deepest levels to people who haven't, is just not possible. And vice versa. And that's what's truly sad about what price these drugs extract from those who try to ride over life on them.

Like I said before, opioids and corticosteroids have a lot in common in terms of how deep they hack into the basic biochemical foundations of "you" the human animal. Both make life feel easier, in the short term, by turning up one of our body's most basic neurohormonal pathways up to eleven. Get too used to them, though, and your body forgets how to keep these dials at five. People who've used them too much are like springs that have been bent too far, and can never quite regain their original shape and properties. Corticosteroids arouse less controversy, of course, because the way the costs they extract on habituated people tend to be mostly on parts of their body besides their CNS.

AFAIK, opioid-induced hyperalgesia is still not understood very well, but perhaps, artificially agonizing (or antagonizing) one's mu-opioid receptors may actually be beneficial to those of us who are afflicted with abnormally low levels of natural painkillers.

Re. The Human Condition™ and the basic pain of being alive - As someone who suffers from moderate to severe chronic pain, I believe I've experienced enough of it to last a few lifetimes. And I'm sure others feel the same way. I say, let us live whatever years we have left as comfortably as possible.

Perhaps, if people learn to accept each other as they are instead of trying to decide to whom "The Human Condition™" still applies to (as if they are somehow qualified to do so - hah!), we will be better off for it.

P.S. - Society has already decided that we owe them a debt, payable in the form of our freedom, because we are not "normal." It would be a tragedy for our physicians to start their own version of such a disgusting way to treat people.
 
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opioid-induced hyperalgesia is still not understood very well

My theory on this is that the brain likes its homeostasis. This is shown with the phenomenon of tolerance. I belive the brain also ramps up the power of its emotional response. I think that pain can be looked at like a localized emotion. So if the brain makes the drugs less and less powerful with tolerance. And it makes emotions stronger and stronger eventually we would reach a point where the pain could be worse than it is normally because it has been ramped up to overcome the influence of a substance who's power to repress has gotten much weaker.
 
P.S. - Society has already decided that we owe them a debt, payable in the form of our freedom, because we are not "normal." It would be a tragedy for our physicians to start their own version of such a disgusting way to treat people.
What is abnormal about you?
 
What is abnormal about you?

NSFW:
I masturbate with Tobasco Sauce as my lube.


On a serious note - Pmoseman, don't you recall telling me how I'm a burden on society because of my physical dependency and addiction to certain drugs? And don't you recall the rather large (well, large imo) discussion we had about me? I think we can both agree that I'm anything but normal because of this. In all honesty, I wish it wasn't like this. I'd give anything to be able to live happily every after without having to resort to any drugs or herbal supplements whatsoever, including pharmaceutical substances, and of course, street drugs. True story, I swear. But as I've stated again and again, I'm not quite there yet, but I'm working on it.

Whatever does end up happening, I will never think less of someone because they're using recreational drugs. And I will never judge someone for choosing to use even the hardest of the most common street drugs (arguably methamphetamine - no matter how many teeth they have left). We are all human. We all experience pain and suffering. Drug addicts are no exception. They deserve to be respected and loved just like people who don't use drugs (but may have other issues, such as gambling, spontaneous shopping for expensive things they end up never using, binge eating of comfort foods, etc.).

Human life is precious. You can't put a price on it. And as someone who has lots of first-hand experience with recreational use, physical dependency, addiction, and withdrawal of opioids, benzodiazepines, amphetamines, cocaine, MDMA, weed, alcoholic beverages, nicotine, and so forth, as well as a post-secondary education in pharmacology and basic (hopefully advanced in a few years time) organic chemistry, I hope to do what I can to help others who are struggling with drug addiction - but only if they want help.

I have already helped save the lives of three people (one of them a close friend) who were overdosing on a cocktail of different psychotropic substances. It's a great feeling to know that you made a difference in their lives. And my friend is now clean (apart from the occasional coffee) - how about that? I'm so happy for him. If he would have died, I would never have forgiven myself, because I bought him a bottle of rum when I shouldn't have.
 
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