Tag Archive for: overdose

Fentanyl is a synthetic opioid typically used to treat patients with chronic severe pain or severe pain following surgery.  Fentanyl is a Schedule II controlled substance that is similar to morphine but about 100 times more potent.  Under the supervision of a licensed medical professional, fentanyl has a legitimate medical use.  Patients prescribed fentanyl should be monitored for potential misuse or abuse.

Illicit fentanyl, primarily manufactured in foreign clandestine labs and smuggled into the United States through Mexico, is being distributed across the country and sold on the illegal drug market.  Fentanyl is being mixed in with other illicit drugs to increase the potency of the drug, sold as powders and nasal sprays, and increasingly pressed into pills made to look like legitimate prescription opioids.  Because there is no official oversight or quality control, these counterfeit pills often contain lethal doses of fentanyl, with none of the promised drug.


Clandestinely-produced fentanyl is primarily manufactured in Mexico


There is significant risk that illegal drugs have been intentionally contaminated with fentanyl.  Because of its potency and low cost, drug dealers have been mixing fentanyl with other drugs including heroin, methamphetamine, and cocaine, increasing the likelihood of a fatal interaction.

Producing illicit fentanyl is not an exact science.  Two milligrams of fentanyl can be lethal depending on a person’s body size, tolerance and past usage.  DEA analysis has found counterfeit pills ranging from .02 to 5.1 milligrams (more than twice the lethal dose) of fentanyl per tablet.

  • 42% of pills tested for fentanyl contained at least 2 mg of fentanyl, considered a potentially lethal dose.
  • Drug trafficking organizations typically distribute fentanyl by the kilogram.  One kilogram of fentanyl has the potential to kill 500,000 people.

One Pill Can Kill

DEA Laboratory Testing Reveals that 6 out of 10 Fentanyl-Laced Fake Prescription Pills Now Contain a Potentially Lethal Dose of Fentanyl


The DEA Laboratory has found that, of the fentanyl-laced fake prescription pills analyzed in 2022, six out of ten now contain a potentially lethal dose of fentanyl.

It is possible for someone to take a pill without knowing it contains fentanyl. It is also possible to take a pill knowing it contains fentanyl, but with no way of knowing if it contains a lethal dose.

According to the CDC, synthetic opioids (like fentanyl) are the primary driver of overdose deaths in the United States. Comparison between 12 months-ending January 31, 2020 and the 12 months-ending January 31, 2021 during this period:

  • Overdose deaths involving opioids rose 38.1 percent.
  • Overdose deaths involving synthetic opioids (primarily illicitly manufactured fentanyl) rose 55.6 percent and appear to be the primary driver of the increase in total drug overdose deaths.

Unless a drug is prescribed by a licensed medical professional and dispensed by a legitimate pharmacy, you can’t know if it’s fake or legitimate. And without laboratory testing, there’s no way to know the amount of fentanyl in an individual pill or how much may have been added to another drug. This is especially dangerous because of fentanyl’s potency.

Overdose Reversal Information

How does fentanyl affect the body?

Fentanyl, similar to other commonly used opioid analgesics (e.g., morphine), produces effects such as:

  • euphoria
  • pain relief
  • relaxation
  • sedation
  • confusion
  • drowsiness
  • dizziness
  • nausea
  • vomiting
  • urinary retention
  • pupillary constriction

In the U.S., 136 people die every day from an opioid overdose


Overdose may result in:

  • stupor
  • changes in pupillary size
  • cold and clammy skin
  • cyanosis – blue discoloration of the skin
  • respiratory failure leading to death
  • coma

DEA Resources:

2020 National Drug Threat Assessment
DEA Fentanyl Drug Factsheet
Fentanyl: The Next Wave of the Opioid Crisis
Fentanyl Flow to the United States
Narcotics
Fentanyl-Laced Crack Cocaine a Deadly New Threat
Drug Education and Prevention
The Overdose Crisis in the Washington D.C. Metro Area
Heroin and Opioid Awareness Campaign
DEA Fentanyl Related Press Releases
Department of Justice Fentanyl Related Press Releases

CDC Resources:

Opioid Overdose
Opioids
Provisional Drug Overdose Death Counts
Increase in Fatal Drug Overdoses Across the United States Driven by Synthetic Opioids Before and During the COVID-19 Pandemic
Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths — United States, 2013–2019
Increases in Drug and Opioid-Involved Overdose Deaths — United States

Department of Health and Human Services

National Opioid Crisis
What are Opioids
A Patients Guide to Fentanyl – National Library of Medicine

National Institute on Drug Abuse Resources

Addressing America’s Fentanyl Crisis
Fentanyl – Drug Topics
The True Deadly Scope of America’s Fentanyl Problem


If you or someone you know has a mental health condition or a substance use disorder, there are resources and services available to assist with screening, treatment, and recovery:

SAMHSA’s National Helpline

1-800-662-HELP (4357)
TTY: 1-800-487-4889

Website:
www.samhsa.gov/find-help/national-helpline
www.https://www.findtreatment.gov

Also known as the Treatment Referral Routing Service, this Helpline provides 24-hour free and confidential treatment referral and information about mental health and substance use disorders, prevention, and recovery, in English and Spanish.


*The information and images above are a reprint/share from the DEA (United States Drug Enforcement Administration).

I wrote this article back in 2018. It’s a good time to revisit because, well, you know …

Those of you with medical elements embedded into your twisted tales will perhaps be interested in the following information. For all others, well, break out the gloves, masks and hand sanitizers, and, as an added precaution, you may want to stock your pantries because things could get ugly.

Did you know:

  • At least five microbes are resistant to nearly all available antibiotics.
  • 1 in 6 Americans—48 million people—get sick from contaminated food each year.
  • The Centers for Disease Control’s AMD program (Advanced Molecular Detection) uses next generation sequencing and bioinformatics, and experts in epidemiology, lab sciences, and bioinformatics to provide new insight into microbes. AMD provides sequencing machines that can read the DNA or RNA code of a microbe as well as supercomputers with the capability, via advanced software, to intelligently detect patterns.
  • CDC’s Advanced Molecular Detection (AMD) program is designed to protect Americans from microbial threats. AMD utilizes microbiology and bioinformatics to assist scientists and health professionals in their quest to find and stop infectious disease outbreaks.
  • During the period of time between 2007-2012, construction occupations, both supervisory and line-level workers, accounted for the highest number heroin and prescription opioid–related overdose deaths. The occupation groups with the highest number of drug-related deaths caused by the use of methadone, natural and semisynthetic opioids, and synthetic opioids other than methadone, were:

  1. construction,
  2. extraction (e.g., mining, oil and gas extraction)
  3. health care practitioners.
  • The three most common methods of committing murder in the U.S., per year, are:

Clearly, firearms, by far, lead the other means of killing.

Zoonotic Diseases

  • Yes, studies indicate that people who have strong bonds with their pets often enjoy increased fitness and lower stress levels. And, the level of happiness achieved by pet owners is high. However, since pets can carry germs known as zoonotic diseases (diseases caused by harmful viruses, bacterial, parasites, and fungi), pet owners should make certain their beloved animals are healthy.
  • Zoonotic diseases cause anything from mild to serious illness and even death.
  • According to the CDC (Centers for Disease Control and Prevention) “Zoonotic diseases are very common, both in the United States and around the world. Scientists estimate that more than 6 out of every 10 known infectious diseases in people are spread from animals, and 3 out of every 4 new or emerging infectious diseases in people are spread from animals. Every year, tens of thousands of Americans will get sick from harmful germs spread between animals and people. Because of this, CDC works 24/7 to protect people from zoonotic diseases.”
  • To help fend off zoonotic disease, avoid contact with the saliva, blood, urine, mucous, feces, or other body fluids of an infected animal.

  • Have your pet examined by a veterinarian, regularly.
  • Use caution and wear protective clothing (gloves, face masks, etc.), when in contact with areas where animals are or were at some point. The same is true when handling objects or touching surfaces that have been contaminated with germs—aquarium water, hamster habitats and play areas, dog and cat bedding and litter boxes, chicken coops, plants, and even soil, leftover pet food, and water dishes.

Please, always wash your hands often and thoroughly, even after petting or otherwise contacting animals, including your own pets. You never know what could be hiding in that soft fur and on those adorable faces.

*Source ~ Centers for Disease Control and Prevention

A cry for help

“I’m going to kill both of you, and then I’m going to blow my brains out, right here!”

Philadelphia had the ball and were one score away from winning the game against Washington. It wasn’t that I was a big fan of either team but I’d watched the game from the opening kickoff, therefore I had a good deal of time invested in watching and I wanted to see it through.

“Sit. Down!”

There it was again. That voice. One of our kids must’ve had their tv volume turned to high. If it continued I’d have to speak to whichever teen culprit was hard at work damaging their young eardrums.

It was somewhere just shy of halftime when I’d kicked off my shoes, popped a bowl of popcorn, and poured myself into the couch. Denene occupied the end of the sofa on the opposite side of the container, and occasionally our hands met at mid-bowl.

I’d been working on a  particularly pesky case and my day had been long and it felt as if I’d walked a million steps and had questioned as many suspects and witnesses. Therefore, a night in front of the TV with my wonderful wife, with no thoughts of murder, guns, and wacked-out suspects, had been a most welcome thought. Until, that is, I once again heard the voice, the one I hadn’t been positively sure I heard the first two times.

“Sit your ass down so I can get this over with.”

Now I was certain  that “the voice” was coming from someone on the outside of our home and not from a blaring television speaker. And, before I could get to the window to see who it was that felt to yell and scream and disrupt the entire neighborhood during Monday night football, and why they were doing so, the living room curtains came alive with winking and flashing blue lights.

This, in MY neighborhood. My quiet and peaceful southern quintessential neighborhood with large, gnarly and stately oak trees , a lazy river that ambled and snaked its way behind the homes on our side of the street, a small country-style church with an A-frame tin roof and tall steeple, and residents who took the time to stop whatever they were doing to smile and wave at passersby. It, by golly, was a neighborhood where baker Jason “Honey, the cow done gone and laid an egg in your molasses patch” Smith would feel right at home.

“Put down the gun! Put it down now!”

I parted the curtains and peered outside. Our normally quiet street was littered with several marked patrol cars parked at various angles. Their strobes flickered and fluttered, with side-mounted spotlight beams stretching from each car until they all came together at the front porch of our across-the-street neighbors, an elderly couple who spent a great deal of their days there rocking and sipping iced tea from Mason jars that most likely once held vegetables from the meticulously maintained garden in their backyard.

I stepped out onto our front porch to have a better view of the goings-on. Yes, I, too, had become a member of the the looky-loo club, the folks who worm and squirm their bodies into position for a peek at whatever action that attracted the men and women who maintain absolute control of the “blue lights.” But I had to see. The force pulled my attention to the action. Besides, it was kind of nice watching the events unfold without being a part of it. Had I been involved I would have been the ranking officer and charge of the scene would have fallen to me. So I watched, standing in the cool fall air, wearing shorts, a t-shirt, and no shoes.

Uniformed officers  positioned themselves, as they should, behind their vehicles. Youngsters, the entire lot of them. One, a young rookie who’s haircut had the still-fresh buzz-cut look of an academy recruit, held a position at the rear of his car. A female officer who stood no taller than five-feet when wearing a pair of Bates tactical boots, had one foot inside an open car door with the other planted on the pavement behind an angled front tire. She used the space where the door met the car as a prop for her weapon. The expression on her face was a serious one.

Other officers were scattered about, willy-nilly, with one using an in-car microphone to bark out orders to the armed man who, at that point, paced the porch like a caged circus lion. His white-haired mother sobbed while his frail father rambled on about not having any money to give, especially to supply a drug habit.

“Put down the gun!”

The standoff went on for a while,—too long, actually—before I decided to stick my nose in it. I’d arrested the across-my-street gunman a couple of times in the past, mostly for minor crimes to support his drug habit. I knew him and he knew me. It was a start and that’s a place where we often begin … a start.

I walked across our front lawn (shoeless) and then out onto the street where a couple of the officers recognized me. I’d taught them officer survival and defensive tactics during their time at the training academy. I asked one of them to use their radio to let the others know I was there and planned to contact the subject. In other words, DO NOT SHOOT THE OLD GUY FROM ACROSS THE STREET.

I began my move by first calling out to the gunman from a position that was away from his parents. He turned to face me, with the gun, a .357 revolver, down at his side. I took a step out into the light so he could see me, and what a sight that must’ve been—t-shirt, running shorts, no shoes, and…that’s when I realized I had not grabbed a weapon when I left the house. I was unarmed. What a D.U.M.B.A.S.S. thing to do. And here I was, the veteran who taught officer survival tactics to other officers. This stupid move was more like officer suicide. Absolutely in sharp contrast to all rules, regulations, training, and above all … common sense.

I started talking to the young man. “Donnie (not his real name), how can I help you tonight?”

“Nobody can help me this time, Detective.” Good, he recognized me.

“I don’t know about that, Donnie. Tell me what’s bugging you and we’ll go from there.”

I moved a bit closer to the porch. Twenty feet to go. His face was peppered with beads of perspiration, in spite of the chilly night air, and his eyes were wide, wet, glossy, and rimmed in red. He constantly licked at his lips, and used his non gun hand to pick and scratch and rub the opposite arm.

“It’s going to stop tonight. I’m tired of it! Everything. All of it.” he yelled.” Tears leaked from his eyes and eased down his cheeks until they fell one by one to the concrete floor.

A few more steps. Five feet to the porch deck. Another six or so to where he stood. I tried not to look directly at the gun.

“If you’re tired of it (I was sort of certain he meant the drug addiction) let’s sit down and talk about it. I may have the answers you need. I think I can help.”

His finger slid into the trigger guard. His shoulders trembled. The slow trickle of tears had morphed into rivers. He glanced toward the street and then back toward his parents. I had to move, so I walked toward him. “Donnie, let’s talk. But first I’ll need the gun.”

The silence was deafening. The only sounds I remember were the faint clicking of the light mechanisms on the patrol cars as they controlled the flashes spins, and whirls, and that of my heart as it thumped against the inner wall of my chest.

Thump. Thump. Thump.

Whir, spins, blink, wink.

Thump, thump, thump.

I held out my hand as I walked (faster now).

He took a step back, but stopped and slowly began to raise  the hand holding the handgun.

There was no turning back at this point, so I continued my forward march.

Donnie raised his hand and turned the gun backward, handing me the butt end. It was over and I felt myself exhale. Officers ran to the porch to escort Donnie’s parents inside. EMS personnel followed them into the house where they tended to the distraught couple.

I remained outside where Donnie and I sat on a porch swing. We talked for quite a while before patrol officers handcuffed him and then led him to one of their cars.

A magistrate committed Donnie to a temporary stay in a psych unit where he was evaluated and released after a few days. He was charged for the incident at his parents’ house but the same magistrate saw no reason to hold him in jail, so Donnie was released on a PR bond.

Two weeks later I was working a controlled drug buy and heard a call come across my radio about an unconscious man lying among the leaves in the wooded area next to a trailer park. I was nearby so drove over to see if I could help out. It was Donnie, and he was not breathing and he had no pulse. I started CPR and, to my surprise, he came to after only a few minutes (seemed like hours to me). EMS arrived and whisked Donnie off to the hospital. Doctors told me he’d overdosed but would be fine in a few days.

I stopped in to see Donnie one afternoon and sat beside his bed for an hour or so. We chatted between bouts of his crying and forgiveness-begging. I wished him well and told him to call when he was released and I’d see to it that he received help for his addiction. As I headed to the door a couple of nurses playfully teased us about the “sexy” lip-lock Donnie and shared during the CPR. He laughed and I took his good spirits as a sign of better days to come.

Two weeks later another radio call came in about a possible overdose. This one was at Donnie’s apartment. I flipped on my blue lights and siren headed over. When I arrived on-scene, the lack of urgency on the part of the officers and EMS workers told me all I needed to know.

After a chat with the EMS folks and M.E., I got back in my car and drove to the house across the street from ours. The walk from the street to the front door was an extremely long one, and when the door opened and the faces of Donnie’s parents appeared, well … you know.

You’ve all read the headlines, the super-real but often “Fake News” stories posted to Facebook and other social media. After all, if it’s posted on Facebook it’s got to be true, right? For example, here are a few headlines and stories I found this this morning …

  1. Court orders princess to stop pea-ing her bed after prince files formal complaint.
  2. The family of the Ugly Duckling successfully sued the estate of Hans Christian Anderson for the years of body-shaming endured by the abused duck.

    Ugly duckling.

  3. In a startling disclosure, The Beast announced today that he, too, identifies as a Beauty.
  4. The bodies of a local mean woman and her three ugly, lumpy, and clumsy young daughters were discovered late last night in their home. Each had a burning cinder lodged in their throat. Authorities have released a grainy surveillance photo of what appears to be a large pumpkin fleeing the scene. A police spokesperson believes the alleged pumpkin was used as a getaway vehicle. Missing from the home were two glass slippers and a fancy ball gown. There are no suspects at this time.
  5. Police have arrested 23-year-old Goldilocks (no last name). According to anonymous unnamed sources, the woman is charged with various crimes after breaking into the Bear family home on Pudding Street. A photo posted to Facebook clearly shows the sex offender in a bed with one of the bears. It is believed she used porridge in varying degrees of warmth to gain the trust of the bears, one of whom was a baby. Additional charges are pending, including destruction of property (a stool).
  6. The defendants, teens Hansel and Gretel, were sentenced to death for the brutal murder of Witch Hazel, the kind old woman who made homes for the needy from bits of leftover Halloween candy.
  7. The Three Little Pigs named to host the all-new HGTV show, Blowing Down Tiny Houses. Their first guest is a Wolf from a nearby village.
  8. Breaking News! Alice charged with trespassing in Wonderland. She’s currently in hiding, possibly behind the looking glass.
  9. The dish ran away with the spoon. The spoon’s parents called the police and the dish was charged with abduction. He was recently sentenced to hard time in Old Mother’s Cupboard.
  10. Chicken Little Now Identifies as Turkey Lurkey. Henny Penny Sues for Divorce.
  11. Three Blind Mice Pass California Driver’s License Exam.
  12. Hickory Dickory “Doc” Arrested for Over-Prescribing Oxycontin to Actors and Musicians.
  13. Georgie Porgy Kissed the Girls and Spent Six Months in Sex Rehab with Anthony Weiner.
  14. The House that Jack Built Seized by Courts After Cops Find Large Marijuana Grow Operation Inside.
  15. Humpty Dumpty Sat on a Wall and Was Arrested for peeping through the widow’s window .
  16. Jack and Jill Went Up a Hill. Jogger Finds Jill’s Body Two Weeks Later.
  17. Little Bo Beep Jailed as Leader of Sheep Tail Smuggling Ring.
  18. Little Jack Horner Arrested for Murder of Miss Muffett After Thumbprint Discovered on Muffet’s Tuffett.
  19. Tommy Tittle Mouse Arrested for Trespassing in Other Men’s Ditches. Will Serve 60 Days in Old Woman’s Shoe.
  20. Man in the Moon to Welcome Americans Who Left Earth After 2016 Election.
  21. Teacher Arrested for Having Sex with Mary’s Little Lamb. 22-Year-Old Educator Did Not Reply to Reporter’s Messages.
  22. 2,200 Pounds of Cocaine Discovered on Michael’s Boat as He Attempted to Row it Ashore on the Florida Keys.
  23. Italian Restaurants Ordered to Install Shields on Buffet Tables After Man Sneezes Meatball Onto Floor and Out the Door.
  24. Police Pursuit Takes Officers Over the River and Through the Woods. Ends at Grandma’s House Where They Discover Illegal Edible Marijuana Operation—Pot-Infused Puddings and Pumpkin Pies.
  25. Mary Mary Quite Contrary Burns Mouth on McMother Cupboard’s Hot Pease Porridge. Sues Fast Food Giant for 100 Million.
  26. Man Pops Weasel. Sentenced to 5 Years For Public Sex Display.

    Weasel popping

  27. Same Sex Couple Sues Baker for Refusing to Pat Their Cakes.
  28. Rub-a-Dub-Dub Three Men in a Tub Becomes Legal in North Carolina.
  29. Simon No Longer to be Called Simple Says University President. More Safe Spaces Needed. The Word “Pie” To Be Banned from Campus Conversations.
  30. Skipping Deemed Offensive on Many College Campuses. Lou Organizes Massive Protest.
  31. To Market, To Market, To Buy a Fat Size-Challegend Pig.
  32. Wee Willie Winkie Charged as Pedophile for Peeping Into Windows of Children While Wearing Nightgown.
  33. Yankee Doodle Charged with Fraud After Attempting to Pass a Feather as Macaroni.

What could children learn from Nursery Rhymes? Click here to find out.