Category Archives:

Plateau

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Plateau -(noun) “ a usually extensive land area having a relatively level surface raised sharply above adjacent land on at least one side.” Plateau-(verb)- to reach a level, period, or condition of stability or maximum attainment, Merriam-Webster *** The United States Health Secretary announced recently that the opioid overdoses deaths appear to be plateauing across […]

In Praise of Tim Phalen

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If you ever get a chance to take a 12-lead class from Tim Phalen, Don’t miss it. Tim has been teaching 12-lead classes across the country for over twenty years. I first took a class from him about that long ago. He is a great presenter with the gift of making complex concepts seem easy. […]

Obituary

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I had three people tell me to read this obituary a woman wrote about her sister who died at thirty-two after a long struggle with addiction. Madelyn Linsenmeir, 1988-2018 Powerful.   While I am most moved by the first part that describes Madelyn and shows the clear love of her family for her, I am […]

Spare Change

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I see Maria outside the Spanish market, squatting against the building. She is a tiny woman in her fifties who was introduced to heroin thirty years ago when she was living in New York. The father of her son used it occasionally and when he used, she was obligated to sniff some as well. It […]

Fentanyl: The Real Deal

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Misinformation and inconsistent recommendations  regarding fentanyl have resulted in confusion in the first responder community. – Fentanyl Safety Recommendations for First Responders (Revised) from the Office of National Drug Control Policy. It seems every week responders are getting exposed to Fentanyl, being rushed to the hospital, with many getting Narcan, all often without exhibiting any symptoms […]

Safe Injection Sites

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I wrote an op-ed this month that was published by the Hartford Courant. Insight: I See What Heroin Does. Let People Shoot Up Safely Included was a checklist: 5 Things to Know About Heroin Addiction I read an article a few days later that said that when called an “overdose prevention site,” as opposed to […]

Epinephrine in Cardiac Arrest

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The use of epinephrine in prehospital cardiac arrest showed no difference versus placebo in determining favorable neurological outcome according to a long awaited randomized controlled study published yesterday (July 18, 2018) in the New England Medical Journal. The trial showed epinephrine produced a higher rate of survival at 30 days than placebo, but that was […]

Veins

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Kelly is as dispirited as I have seen her. “My veins are shot,” she says. “I can’t even get high.” IV users use 1 cc syringes which have a very small needle they only need to slip inside the vein. When they pull back and get blood they know they are in. They push the […]

Pulmonary Edema in Opioid Overdose

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She finds him in the bathroom at seven in the morning and knows immediately he is using heroin again. Three weeks ago, they moved east from Seattle. She had a job offer and it also represented a chance to get him away from his junky friends. After three times in rehab, she didn’t think she […]

Slipping Out

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The man is trembling, sitting on the bed in the spare motel room down by the highway. Sometimes, these rooms are filled with the patient’s worldly belongings, but this room seems to only have the bed, a dresser, a chair and the TV. The man is in his late fifties, a portly man with white […]

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