#families of chronically sick children since 1998

[bisthefairy]

The average Mario Kart character owns 35 shitty businesses

[recalibr8]

The mEtOHd in my madness

I’d been out with my teen lads on a Friday. We got off the train and there was a young, crumpled woman sat on the platform, fat tears splashing into a puddle of sick on her trench coated lap. I offered her some tissues; I’m a mum, it come with the membership card. After a few sorries she asked “where did you stop?”. It took us a while to realise she meant, ‘where are we?’ She was out by 2 stations which on the face of it wasn’t bad. We pointed her onto the next train, gave her a mint (gold membership benefits) and my youngest shouted “take care of yourself” as we trudged up the platform. We agreed it was probably work drinks getting out of bounds and she’d be ok now she had tissues. But I kept thinking, “where did you stop?”. Where did I stop? Because I’m now AF af.

AF af. That’s alcohol free and doing pretty darn ruddy brilliant. Three months ago I upgraded my BrewDog to NannyState, went Becks Blue and am thinking in an offhand way about brewing Kombucha. I’ve teamed this up with going plasticlite, veganish and kimchi curious. So far, so middle class virtual signalling. But where did I stop?

I’ve been drinking since I was 5. I’d adorably finish up the beer in my parents’ guests glasses and well, kept going. Not in a Drew, Carrie or Liza rehab by 13 sense but I think I’ve probably had my fair share. I’m well aware that I knew, know and don’t know but suspect people who I love who have significant alcohol use problems and this is blog is in no way trying to say my needs are greater than theirs. I know a lot of highly creative endeavours and friendships were found in a gin bottle but also unforgivable abuses. And I know friends whose acts are based around the camaraderie of drinking. And I’d never tell anyone what they *should* do. But like all ex anybodies, I’m annoying about my sobriety journey right now. Bear with me.

But it’s not just me though. I see booze everywhere. For a dose related lethal toxin that’s very effective marketing. There’s a giant ad on Toots Broadway station entreating me to Go Bottomless and every other Facebook ad is for a spirit that promises to make evenings round the back of Catford Lidl magical. And many of these are aimed at women. A recent industry survey found ‘only’ 17% of women drank beer and this needed sorting out. Look out for more lady drinking adverts, they’re coming.

But I wasn’t alcoholic. Was I? Are you? You’re only an alcoholic if you have one more drink than you doctor. I’m

a doctor ... so let’s take a look.

*I’m really low on the alcoholic check list*

I’ve never drank alcohol in the morning, blacked out, been told by others I have a problem, had to apologise...

Ah, I have had to apologise once or twice. Nothing major, just ‘sorry, I was a bit wobbly/silly/rude/loud/insulting/gave you my shoes as a gift’. I once lost my credit and oyster card at the bar of a immersive theatre event though. I don’t know how I got home. I had to find the site manager the next day and he definitely had other things to do. Not long after my bag was stolen in SoHo because I was distracted. Not sure how I got home then either. Friends put me in an Uber after my MA showcase because I wasn’t walking very straight. Or being very nice. So I definitely remember getting home then.

These were all Thursdays or weekends. I’ve always been careful not to have any chance of affecting my work. But yeah, how clear headed was I for my family, myself? And much of this was stress drinking after a week of being a clever doctor. Just loosened up the joints a bit. Particularly if your slightly socially awkward. But I wasn’t a drunk, no. Maybe just a binge drinker. And that’s ok, isn’t it?

*Hangovers are just a thing*.

With only drinking at the end of the week, I was careful not to be hungover at work. But I had a Friday at home hangover where I didn’t get out of bed for the day. I claimed I’d been poisoned. I’d just had one too many Jaegerbombs. I vomited in the taxi. I’ve vomited in several taxis. That’s not a good look at any age. Hangovers are a funny meme, a cartoon of a dog in sunglasses, office banter. It’s your liver crying and your brain folding it’s arms in judgment. It’s not bad wine, it’s bad choices.

*Get kids used to drinking. Like the French. Then they won’t binge*.

My 13 year old buys old vodka bottles from charity shops. Wearing a furry hat, his comedy drunk Russian is not bad I used to have the deepest voice of my friends at 14 so it was my job to buy the booze for house parties. My mother always told me drink a pint of milk before you go out to soak up the booze. At 14. I had a few sexual assaults along the way but if I blame myself that’s victim blaming and I don’t want to be a bad feminist on top of everything. Med school in the 80’s/90’s was all over the drink. Freshers’ week was a booze insurance test. The circle line pub crawl, the Clint Eastwood Appreciation Society, the Med School pub crawl...end at Barts because Smithfield’s liscence meant you’d keep going all night.

*Booze always cheers you up*.

I’ve got to confess, my life has got a lot quieter. I’m going out much less, I leave early, I’m not champagne Charlie any more. I’m always, well, me. My dad was a depressed alcoholic, so was his dad (he ran a tobacconist and offie so that didn’t help) and his dad before him. And I have depression and PTSD. My moods are now not so high, but they are also not so low. This is very strange. I’m hoping this is a good thing. I’ve heard it is. This, this is the mEtOHd in my madness. The mood stabilisation. That’s the plan.

*Being a doctor is just one of those boozey jobs*

Fun quiz! Who do you think drinks the most? Enough to have a problem. Oooh, were good at guessing this in ED. Writers must be bad, farmers, journalists! yes, they’re always drunk, private invsestigators (?), airline pilots (like my dad, I saw what those guys put away). Ok...it’s.

Lawyers - reporting 33% with problematic drinking

Construction workers- 16.5%

Miners -17.5%

Then it’s Healthcare workers, especially doctors (oh no). A. 2012 study of American surgeons published in JAMA Surgery found 15.4 percent had an alcohol use disorder. Female surgeons (25.6 percent) were more likely than male surgeons (13.9 percent) to exhibit symptoms of alcohol addiction. Healthcare professionals in general it’s 10%

https://www.drugrehab.com/addiction/common-professions/

Performing artists and writers - 11.5%

Catering/hospitality -11%

So no pilots then? I think there’s something they’re not telling us or things are much better since the 80’s. 


 A 1998 study of junior doctors in Newcastle-upon-Tyne reported that:

* 60% exceeded the recommended safe limits for alcohol consumption

* 36% of males and 20% of females used cannabis 

The Sick Doctors Trust says “Since our working lives are spent helping others, it is easy to push aside our own problems, in addition to which, denial is quite common in medical staff. This is not deliberate, but a part of the whole illness of addiction. That addiction is a chronic illness which therefore requires treatment as for any other condition, is now well-established but there is still a tendency to feel that it is a sign of weakness, and that maybe things aren't 'that bad'.’

That some individuals are more prone to developing addiction is generally agreed. There is no single determining factor, but usually a combination of biological, psychosocial and environmental factors - a mixture of nature and nurture. There is now much evidence implicating dysfunction in the Dopamine transmitter system & it’s involvement in craving. There is also evidence to suggest that the effect alcohol has on an individual’s brain is genetically determined. A family history is present in many alcoholics- those having direct family affected being more at risk...

*Its a family affair*

I went to Adult Children of Alcoholics once. It wasn’t for me but what they said made total sense. I take responsibility for everyone, I’m primed for betrayal and disaster and I totally thrive in emotional drama. My dad wasn’t a nice drunk. He made my mum drink when pregnant ‘to keep him company’. She in turn gave babies a tot of brandy to keep them quiet as a stewardess and I can’t imagine my permanently shouting parents wouldn’t have liked us to be quiet babies too. So I’ve got pre and postnatal form. But I don’t have to fix them now. Particularly dad. It’s quite hard to fix dead people.

https://adultchildren.org/

*Booze: the solution AND cause of all of life’s difficulties*

Sick Doctors again “ Alcohol is the commonest substance of abuse in all doctors. Drinking will surprisingly continue despite negative consequences such as job difficulties, relationship breakdowns, financial problems, loss of driving licence; the alcoholic is driven by an irrational compulsion to continue, and frequently results in despair to the point of suicide. Fortunately, the depression associated with active alcoholism often abates when sober.”

http://sick-doctors-trust.co.uk/page/addiction

*I’m not an alcoholic*

and you probably aren’t either. But you might have problematic drinking. I did a survey as part of an UCLH research project. You can too. I lied a bit on it and still came out drinking more than 97% of women my age. Now an icon opens up on my phone every day to that says ‘DRINK LESS’. I stopped leaving my phone on meetings tables.

Drink Less. by Robert West

https://apps.apple.com/gb/app/drink-less/id1020579244

If you are thinking about getting help for problematic drinking or any other addictions including workaholism or have any burnout symptoms for more than 3 weeks, you can of course get staff support and occupational health. But/And there is the amazing NHS Practitioner Health Programme where doctors with any addictions are supported https://php.nhs.uk/ DocHealth is another equally good programme https://www.dochealth.org.uk/. I used the latter when it was MedNet.

So, do I feel amazing? Had I got amazing skin, lost weight, feel energised and hopeful. Urg, not really. I feel a bit scared actually. I’ve lost my social crutch and I’ve stopped going out. I’m worried I’m boring and people will think I’m weird. But....I can get up earlier to walk the dog, I’m moderately less tired and although I’m not skipping down the road happy, the depressive moment I had in spring could have been a lot worse. I think that’s actually amazing. And that’s why I’m doing this. I want to face the world honestly and openly. I want to enjoy my kids before they leave home which is frighteningly soon and weirdly, I want to know my liver replaced itself in a year so I’m literally a new person (don’t google Theseus’ Boat Paradox, life is complicated enough). Oddly compelling, that. So where did I stop? I stopped here. In a weird waiting room in my head. But with the promise of a new adventure through the next door.

But don’t stop doing you, babes. Keep telling me your booze bantz. They are hilarious. Any story that starts or ends with Baileys is only going one way. This clearly isn’t a lecture. Most people can do moderation. And do could I, mostly. And it’s the mostly that’s not good enough. Not for me. Not any more.

Online support - https://www.facebook.com/groups/joinclubsoda/?ref=share

Samaritans- https://www.samaritans.org/

BMA wellbeing including 24 hour support - https://www.bma.org.uk/advice/work-life-support/your-wellbeing

Tea and Empathy for doctors’ online support - https://www.facebook.com/groups/1215686978446877/?ref=share

Al Anon for children of alcoholics https://adultchildren.org/

https://www.alcoholics-anonymous.org.uk/

Dedicated to my husband who gave up the wine w*nker 6 years ago without any of this mid life crisis fuss. But I gave up meat and caffeine first so I still win.

[rochellebuckleyhandmade]

This is another post where I just don’t know where to start.

I feel it is important to give you a little background so you can appreciate the enormity of what I’m about to share.

For those of you who don’t already know, I have acromegaly.  A rare pituitary tumour that causes all sorts of grief and problems (I’ll expand more on that in a later post).  I think it was about 2007 when my diagnoses was finally confirmed.  I say “I think”  because I have a dreadful memory. I like to blame the tumour for that one.

It was long before my diagnosis that I knew something was wrong. I don’t know how long the tumour had been living quite comfortably on my pituitary, some specialists believe it may have nested either after the birth of my first born or shortly after the birth of my second.  There’s no way to know for sure.  My first child was born in 1995 and my second was born in 1998 so it may have been around for some time.

I remember struggling terribly with depression and anxiety which really began or esculated after the birth of my first. It was really bad,  although there were extenuating circumstances,  every medical professional I sought help from told me to suck it up and be grateful for the beautiful little girl I held in my arms. Not even a mention of post natal depression. I can’t help but wonder now if that tumour may have been responsible to a small degree.

As the years ticked by,  the depression esculated exponentially and there didn’t seem to be much I could do to stop it or even ease it.

By the time I was working I had piled on a stupid amount of weight but I didn’t understand why.  My joints began to hurt, I ached all over and I was always tired. The job I had at the time was managing a not-for-profit that mainly provided free or low cost groceries to those who needed a hand up.  The store was located in an industrial building with concrete floors, tin roof, no heating,  no cooling and not much of anything else either.  Although I only worked two and a half days a week I was always exhausted, increasingly tired and so,  so sore.

Me almost at my heaviest of 253kgs

I tried for years to tell my doctor there was something wrong with me but again,  I was told I was just too fat and needed to lose weight. Problem was, I couldn’t lose weight.  I tried everything, every diet and exercise known to man at that time.  Exercising became just too hard.  The pain of simply walking was unbearable.  I begged my doctor to help but again and again I was told I was just too fat.

I tried to continue living my life but I couldn’t.  I had to quit my job because I could no longer walk,  stand or get any relief from the pain.

I finally decided to see another doctor and I remember at one stage telling him that I’m not aching because I’m fat and weight bearing. If that were the case, why did my hands,  wrists, jaw,  neck ache and burn and hurt so much especially since they’re not weight bearing.

To cut a long story short, my doctor could see that I was very unwell, despite every test returning negative results.  It was so disheartening and depressing. Why was I like this? What on earth is wrong with me?  I began to think it was all in my head.  Was this something I’ve subconsciously created to overcome past hurts and failures?  Surely past stress couldn’t manifest into something this bad.

Finally,  in 2007 I received a diagnosis. Acromegaly.  I sat in my endocrinologist office and wept tears of relief.  To know that it was not in my head and there really is an illness was one of the biggest reliefs of my life.

I travelled from Lake Macquarie near Newcastle to Adelaide in September 2010 just one day before my 36th birthday to have the tumour removed.  It was such an adventure.  I loved seeing more of this beautiful land in which we live and although I was incredibly ill,  I remained wide eyed and completely enthralled on our journey.

Here I am in Rundle Mall, Adelaide just one day before surgery to remove pituitary tumour.  I had a craving for fresh oranges at the time.

By the time I was ready for this surgery I was quite unwell. My weight had ballooned to over 200kgs (223kgs to be exact,  that’s 492lb or 35 stone). I had lost the feeling down my left side,  I could barely speak,  partly due to swelling of soft tissue and I could not walk unaided. My vision was deteriorating rapidly and I was struggling to see.  My hands stopped working and I could barely even feed myself. The tumour had wrapped around my carotid artery and invaded my cavernous sinus. The surgeon was convinced he would NOT be able to remove it entirely. I could no longer drive and I was forgetting everything.  I even forgot how to cook and I had almost no memory of my past. I used to spend evenings with my sister as she regaled me with tales of my children growing up because I just couldn’t remember.  My mind was empty.

By this stage I had been receiving monthly injections of Sandostatin LAR or Somatuline Autogel for the past three years (from the time of diagnosis until surgery). Gee did this stuff made me sick. My stomach hurt all the time,  I would spend a considerable amount of my day on the bathroom.  My hair fell out, my skin hurt,  and I had a collection of cricket ball sized lumps on my rump at injection site that would become very bruised,  itchy and lasted about three months each.

I felt like crap constantly.

The tumour was removed successfully and entirely by Mr Santorenos.  Despite being told that I would not make it through surgery,  mainly due to my morbid obesity,  I’m still here to tell my tale.  We were told,  since I was so over weight and so ill,  I could expect to be in ICU for up to six weeks and another twelve on the ward and in rehabilitation – that is of I even survived surgery and didn’t have a heart attack or stroke.

Here I am back on the ward after leaving ICU. You can clearly see the fashionable nasal tampon, vomit bag and towel to try to relieve my thumping migraine.

I was out of ICU within 12hrs and discharged from hospital five days later.

Then my challenges began. Again. My recovery was incredibly slow,  arduous and painful. Regrettably I thought that everything would just go back to how it was pre-tumour. Oh how wrong I was. Why didn’t someone tell me it would be so bloody hard?  I spent the next twelve months flat on my back in bed.  I put this down to over doing it after being discharged from hospital.  We traveled home via the Great Ocean Rd from Adelaide to Newcastle.  It was stunning, breath taking and totally divine, but I had diabetes insipidus as a result of surgery. Cerebral fluid was leaking from my nose and every time we climbed a small hill in our car my nose would bleed and leak fluid, not to mention my smell and taste had gone after my olfactory glands had been damaged during surgery. This meant I would never smell or taste again. Something that I would have appreciated being told about pre-surgery, even if just to psychologically prepare.

The beautiful Loch Ard Gorge on the Great Ocean Road. I managed to kill my good DSLR on this trip. Just being sick and clumbsy.

Just at the end of my twelve months of being too ill to get out of bed, where my children had to feed me, toilet me, do all of the housework and everything in between, my husband left. At the time, I never saw it coming. I went into shock, my blood pressure went through the roof and as a result I lost my eyesight. Completely. No one knew if it would ever return. It did three months later. Not only did it return but some four years later, my eyesight (an astigmatism and shortsightedness) has improved so dramatically I need to get a new prescription every twelve months. My optometrist believes I will not need my glasses at all soon.

There has been so much that has happened between then and now. Challenges, crap, really tough times, including an horrific single car MVA just over twelve months ago in which I broke my neck in two places, my collarbone, five ribs and a bone in my ankle. I’ve struggled terribly with depression and anxiety and have found it very difficult to hold down a job with the chronic pain I experience.

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Me in hospital trying to walk again after my accident

I recently left the job of my dreams. I was so incredibly crushed. I loved the job, my work, the people, clients, my boss and my colleagues. Unfortunately the workload became just too much and my body and brain could no longer cope.  It just did not end well and I went into shock and commenced another cycle of grief. I am incredibly thankful that this cycle did not last long, thanks to my family and wonderfully amazing and supportive friends.

I can’t deny that my life has been pretty darn challenging but I am here to give you all hope and hopefully joy in your heart.

You see, whilst I was laying in that hospital bed in Adelaide some five and a half years ago, I started a rather rudimentary bucket list. In all honesty I never, ever believed I would be able to check any items off my bucket list, given my health challenges and my lack of financial stability (due to being unable to work for so long and fork out on medical expenses).

A few weeks back, I experienced a few events and read some stuff that has really given me a kick in the pants. This was a culmination of events, including my beautiful boy being beaten by an unknown drugged young man, a friend posting an interesting letter written by an 18 year old to his father and a blog article that, along with a few other things have combined to change my life for the better.

As a result of these events and with enormous thanks to my amazing, supportive, encouraging friends and family, I am beginning to see my bucket list come to fruition. Please remember that I have been told time and time again that I would never walk again, by now I should have been confined to a wheelchair at best. I should not be able to talk and I would be incredibly lucky to have survived beyond my 38th birthday. This year I will celebrate my 42nd birthday and between you and me, I plan to celebrate many more.

Well, I am here to prove those doctors and specialists wrong and offer hope to my fellow Acromegaly sufferers, those who battle mental health, those who can’t find the strength to go on. You can do it. You really can. If I can negotiate my way through this thing we call life, so too can you. Please, I implore you, DO NOT GIVE UP, EVER!

So what is it that I can share here with you today that I have checked off my bucket list?

Wait for it….

My dear friend took me skydiving!

Yes, you heard right. Skydiving.

Now, to most of you this may not be such a big deal, but for someone with a chronic illness, someone who has battled anxiety, panic attacks, depression and bucket-loads of self doubt, Someone who is completely terrified of heights and even more so of flying, this is MASSIVE!

Check out that goofy grin that hardly ever leaves my face. My dive instructor was absolutely amazing and I cannot recommend the team at Skydive The Beach and Beyond, Newcastle highly enough. I cannot thank my dear friend Doug enough either. Without his constant support and belief in me, not to mention his spontaneous suggestion I attend with him the evening before over dinner with Bec, I would never have accomplished this dream. Heartfelt thanks to you Doug.

Yes it was raining, yes it was freezing but it was so flipping awesome I just can’t wait to do it again.

If I had listened to those most of those doctors, specialists and other naysayers, I would not have experienced one of the most amazing thrills of my life. I would not have checked another item off my bucket list, I would not have found the courage and strength to over come. I would not be here today offering encouragement and moral support to you.

Please do not ever give up on your dreams. I can completely understand that life can be one great big fat challenge, obstacle and barrier, but please try to not let it beat you.

This event took place just four weeks ago and I have so many other adventures to share with you since.

Stay tuned and find joy.

Please scroll down to the bottom of our page to leave a comment. We would LOVE to hear from you. 

Learning to Live Again – New Adventure #1 This is another post where I just don't know where to start. I feel it is important to give you a little background so you can appreciate the enormity of what I'm about to share.

[pharmanswerspod]

Episode 111 - Tonsillectomy

What is a Tonsillectomy?

A Tonsillectomy is a surgical procedure to remove the tonsils.  Tonsil - immune system tissue in the back of the throat.  -Ectomy = to remove something from the body.

Removing the tonsils may be required if chronic tonsilitis is a problem.  Chronic tonsilitis is defined as multiple infections in a row or an infection lasting 3 months or longer.  Severe snoring and sleep apnea may be another reason to remove the tonsils, for the purpose of opening up the airway.

Adenoids

Adenoids are another set of immune system glands in the back of the nasal cavity.  They can also swell during infections and interfere with breathing.  Depending on the severity of the infections or the risk of sleep apnea, these may also be removed in the same or a similar procedure.

Tonsillectomy Methods

Since general anesthesia is used in all methods to remove the tonsils, no eating is allowed before the procedure.  They also recommend no NSAIDs (non-steroidal anti-inflammatory drugs) are to be used before and after due to their ability to thin the blood and increase the risk of bleeding.  In general, a tonsillectomy will take between 30 and 60 minutes.  Recovery time afterward is estimated to be about two weeks.

Scalpel This is the old school method of using a very sharp surgical knife to cut out the tonsil.  This method has the highest risk of bleeding.

Cauterization This method involves a hot knife that separates the tonsil tissue from the throat.  The heat also closes off the blood vessels so bleeding is not as severe.  A downside is that the tissue has been burned, so I imagine the pain after this method is more severe.

Ultrasonic Vibration Ultrasonic waves are sound waves that have a higher frequency than the human ear hears.  The waves cause a very rapid vibration and the energy of those waves is what causes the tissue to separate as well as the blood vessels to clot.  This is the newest method developed and seems to have the least bleeding and pain.

After the Tonsillectomy

The side effects of a tonsillectomy include swelling of the throat, as well as the face and jaw, bleeding, and infection.  To avoid the bleeding and infection, it is important to follow all the instructions given for the recovery period.  Because of the swelling, cold foods like ice cream and popsicles are popular because cold things reduce swelling.  Popsicles can also help with hydration because swallowing bigger sips or gulps of water can be painful the first few days.  Hot foods are not recommended because the heat can increase the pain or reinjure the surgical site.  And while ice cream is the most popular post-tonsillectomy food, any soft, non-abrasive foods are fine to eat.

Why do adults have more issues than kids?

Kids heal faster because they are still growing and developing.  Kids also have smaller body parts than adults - the tonsils are smaller and the blood vessels are smaller.  Smaller blood vessels clot and heal faster than larger ones.  This is even true between the different sized blood vessels in your own body.  And a factor no one wants to admit: adults are terrible at following directions and truly resting after a surgery or procedure.  Rest is the best thing for a healing body of any age or size.

Strep Carriers

Generally, when we think of severe tonsilitis that leads to a tonsillectomy, we think of strep throat.  A carrier is someone who carries the germ around with them but does not get sick from the germ (pertussis is another example). In 1998, a study found that 5-15% of school-aged children were asymptomatic carriers of strep.  This means they tested positive on a strep swab but had no symptoms of being sick.  This causes concern because it means that you can be sick with something else that causes vague symptoms like fever and sore throat but because the strep test is positive, antibiotics are prescribed when they might not be necessary (meaning that you were sick from a virus).  This study showed that providers and caregivers were unaware of the number of unnecessary antibiotics they were prescribing.

Strep is eradicated from a carrier by an extensive treatment of antibiotics, or by removing the tonsils from the carrying family member as well as the tonsils of the chronically sick family member. #tonsillectomyforeveryone

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851340/

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A new episode from the Pharmacist Answer Podcast!

[lamurdiparasian]

You can visit www.nccaom.org to find a licensed and Board certified acupuncturist in your area.

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A large portion of the benefit may be attributable to increased levels of HDL [“good] cholesterol. Many people who have developed a dependence on alcohol will experience uncomfortable withdrawal symptoms like sweating, trembling and pay someone to do my papewr an almost overwhelming craving for alcohol. Without treatment, an alcoholic who suddenly discontinues the use of alcohol can experience mild symptoms like sweating, cravings for alcohol and trembling. These is writemypapers reliable negative feelings will always find us eventually; no matter how long we manage to stall them by masking our pain with quick adrenaline rushes. Keywords: alcohol rehab, alcohol rehabilitation Article Body: Alcoholism is not a problem that is exclusive to adults. Philadelphia is like any other major city in the world when someone to write an essay for me it comes to alcoholism abuse and addiction. When it comes to treatment for alcoholism this tradition continues. Extremely high doses of alcohol at one time can cause alcohol poisoning which can lead to coma or death. When alcoholism is concerned, symptoms include craving for alcohol, incapacity to have control can i pay someone to write a paper for me over the use of alcohol, a greater tolerance to its effects, and withdrawal symptoms during the periods of abstinence. Keywords: Friends of Billw, Bill w, AA, alcoholism, addiction, recovery, disease,Life story of Billw These questions can be quite frightening, especially for people who already have a first hand knowledge and experience with the destructive face of alcohol. Alcoholism is a chronic, progressive, pathological condition that affects the can pay someone do my paper nervous and digestive system, caused by the inability to stop drinking despite adverse consequences such as loss of job, family, and health.

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How America's Opioid Epidemic Turned A Hero Into A Villain

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“Completely heartless” is the only way to describe the crime that George Elwood Tschaggeny allegedly committed last month, Sgt. Pete Simpson, a spokesman for the Portland Police Bureau, told The Oregonian.

As the heroes of a deadly May 26 attack on a Portland train lay bleeding from knife wounds, police say 51-year-old Tschaggeny stole a backpack and wedding ring from one of the dying men — the ring directly off his finger. The items belonged to 53-year-old Ricky Best, a retired Army veteran and married father of four who had tried to stop a known white supremacist from abusing two young women.

Many were quick to peg Tschaggeny a monster. But the reality is the alleged thief was once celebrated for his bravery, too.

In 2010, Portland police awarded Tschaggeny the Civilian Medal of Heroism after he and another man apprehended an armed bank robbery suspect in March of that year. The award citation, which the Portland Police Bureau shared with HuffPost, described the two men’s actions as “courageous and selfless.”

That was years before Tschaggeny’s life was upended by addiction, as The Oregonian and KOIN 6 News reported this week. Before he, like too many other Americans, became part of the deadly opioid epidemic now sweeping communities across the nation. Before he became homeless and decided to steal from a dying man.

“Not in my wildest dreams would I ever imagine he’d be facing what he’s facing,” Tschaggeny’s former wife told The Oregonian. “This is just not him.”

“Addiction is a situation of desperation,” his sister Camille told KOIN 6, adding that desperate people often do desperate things. 

Tschaggeny, like Best, is a military veteran and was once happily married, according to The Oregonian. He worked in property management, dreamed of opening a restaurant and, in his spare time, enjoyed hiking and biking.

But he dealt with chronic knee pain stemming from childhood injuries, which was eventually treated with prescription painkillers. And as some opioid prescriptions do, Tschaggeny’s led to addiction. Eventually, he turned to heroin.

If you think for one minute this can’t happen with someone in your family, you are grossly mistaken. Camille, Tschaggeny's sister

The life of the man whom his sister told KOIN 6 you would “want in your community” — the guy who in 1998 stopped along a highway to help an injured motorcyclist — quickly unraveled. Tschaggeny ended up in and out of rehab. In 2015, his wife filed for divorce and later a restraining order. Then came homelessness and run-ins with the law, including an arrest for attempted burglary last year.

“He always said, ‘It calls you, it calls you, it calls you,’” his former wife told The Oregonian, referring to his addiction. “And every time something let him down or he let someone down, it led him back into this deep hole.”

As sad as it is, Tschaggeny’s story is far from unique. 

Since 1999, opioid prescriptions and sales have quadrupled in the United States, a surge that the Centers for Disease Control and Prevention says “helped create and fuel” an epidemic of misuse and overdosing. In 2012 alone, U.S. doctors handed out 259 million opioid prescriptions — one for every adult in the nation. When they can no longer obtain prescription painkillers, those who have become addicted may turn to cheaper heroin. Some resort to crime to pay for their habit. Others end up a statistic, among the approximately 90 Americans that die every day from an opioid overdose, according to 2015 CDC statistics. 

Few states have been harder hit by the crisis than Oregon. In 2015, nearly 1 in 4 Oregonians received a opioid prescription, and the state consistently ranks in the top five for non-medical use of prescription opioids, according to the Oregon Health Authority. Tackling the epidemic was the subject of a hearing Wednesday before the Oregon House Committee on Health Care. 

These days, roughly 75 percent of new heroin users start out using prescription drugs, according to Dwight Holton, a former U.S. attorney for Oregon and the current CEO of Lines for Life, a nonprofit working to prevent substance abuse and suicide. After so many years of dealing with tragedy after tragedy, Holton said he’s “frankly sick and tired of meeting mothers who have lost children to opioid overdose that started with prescription drugs.”

Tschaggeny’s story “crystalizes how quickly you can go from the guy next door to someone so desperate that they would do something that most of us consider completely unthinkable and heartless,” Holton said.

Surveillance video released June 1 by Portland police shows the suspected thief, later identified as Tschaggeny, walking off a MAX Light Rail train. He’s wearing black shorts, a black Marilyn Monroe T-shirt and a black baseball cap. In his hands are two backpacks, one of which police say belonged to Best and contained a number of “personal items important to the Best family.”

The following day, a tip from a Domino’s Pizza employee led police to a homeless camp along Interstate 84. There they found Tschaggeny, allegedly wearing Best’s wedding band and in possession of his backpack. He was arrested without incident. 

On Tuesday, Tschaggeny pleaded not guilty to felony charges of identity theft, theft and abuse of a corpse, The Oregonian reports. He’s due back in court July 24.

Tschaggeny’s sister suggested that her brother might have initially been trying to help Best. However, “when he saw that there was nothing he could [do] to effect a positive outcome, the voice of the addiction grabbed him and said, ‘Dude, we’re in a desperate situation. This is time for a desperate act,’” she told KOIN 6.

She added that she is “horribly, horribly sorry” for the additional pain her brother caused the Best family and said, “I’m not begging for the family’s forgiveness. I think it’s an ask too great.”

But she hopes people realize that her brother is battling a crippling addiction.

“If you think for one minute this can’t happen with someone in your family,” she said, “you are grossly mistaken.”

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

How America's Opioid Epidemic Turned A Hero Into A Villain published first on http://ift.tt/2lnpciY

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How America's Opioid Epidemic Turned A Hero Into A Villain

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“Completely heartless” is the only way to describe the crime that George Elwood Tschaggeny allegedly committed last month, Sgt. Pete Simpson, a spokesman for the Portland Police Bureau, told The Oregonian.

As the heroes of a deadly May 26 attack on a Portland train lay bleeding from knife wounds, police say 51-year-old Tschaggeny stole a backpack and wedding ring from one of the dying men — the ring directly off his finger. The items belonged to 53-year-old Ricky Best, a retired Army veteran and married father of four who had tried to stop a known white supremacist from abusing two young women.

Many were quick to peg Tschaggeny a monster. But the reality is the alleged thief was once celebrated for his bravery, too.

In 2010, Portland police awarded Tschaggeny the Civilian Medal of Heroism after he and another man apprehended an armed bank robbery suspect in March of that year. The award citation, which the Portland Police Bureau shared with HuffPost, described the two men’s actions as “courageous and selfless.”

That was years before Tschaggeny’s life was upended by addiction, as The Oregonian and KOIN 6 News reported this week. Before he, like too many other Americans, became part of the deadly opioid epidemic now sweeping communities across the nation. Before he became homeless and decided to steal from a dying man.

“Not in my wildest dreams would I ever imagine he’d be facing what he’s facing,” Tschaggeny’s former wife told The Oregonian. “This is just not him.”

“Addiction is a situation of desperation,” his sister Camille told KOIN 6, adding that desperate people often do desperate things. 

Tschaggeny, like Best, is a military veteran and was once happily married, according to The Oregonian. He worked in property management, dreamed of opening a restaurant and, in his spare time, enjoyed hiking and biking.

But he dealt with chronic knee pain stemming from childhood injuries, which was eventually treated with prescription painkillers. And as some opioid prescriptions do, Tschaggeny’s led to addiction. Eventually, he turned to heroin.

If you think for one minute this can’t happen with someone in your family, you are grossly mistaken. Camille, Tschaggeny's sister

The life of the man whom his sister told KOIN 6 you would “want in your community” — the guy who in 1998 stopped along a highway to help an injured motorcyclist — quickly unraveled. Tschaggeny ended up in and out of rehab. In 2015, his wife filed for divorce and later a restraining order. Then came homelessness and run-ins with the law, including an arrest for attempted burglary last year.

“He always said, ‘It calls you, it calls you, it calls you,’” his former wife told The Oregonian, referring to his addiction. “And every time something let him down or he let someone down, it led him back into this deep hole.”

As sad as it is, Tschaggeny’s story is far from unique. 

Since 1999, opioid prescriptions and sales have quadrupled in the United States, a surge that the Centers for Disease Control and Prevention says “helped create and fuel” an epidemic of misuse and overdosing. In 2012 alone, U.S. doctors handed out 259 million opioid prescriptions — one for every adult in the nation. When they can no longer obtain prescription painkillers, those who have become addicted may turn to cheaper heroin. Some resort to crime to pay for their habit. Others end up a statistic, among the approximately 90 Americans that die every day from an opioid overdose, according to 2015 CDC statistics. 

Few states have been harder hit by the crisis than Oregon. In 2015, nearly 1 in 4 Oregonians received a opioid prescription, and the state consistently ranks in the top five for non-medical use of prescription opioids, according to the Oregon Health Authority. Tackling the epidemic was the subject of a hearing Wednesday before the Oregon House Committee on Health Care. 

These days, roughly 75 percent of new heroin users start out using prescription drugs, according to Dwight Holton, a former U.S. attorney for Oregon and the current CEO of Lines for Life, a nonprofit working to prevent substance abuse and suicide. After so many years of dealing with tragedy after tragedy, Holton said he’s “frankly sick and tired of meeting mothers who have lost children to opioid overdose that started with prescription drugs.”

Tschaggeny’s story “crystalizes how quickly you can go from the guy next door to someone so desperate that they would do something that most of us consider completely unthinkable and heartless,” Holton said.

Surveillance video released June 1 by Portland police shows the suspected thief, later identified as Tschaggeny, walking off a MAX Light Rail train. He’s wearing black shorts, a black Marilyn Monroe T-shirt and a black baseball cap. In his hands are two backpacks, one of which police say belonged to Best and contained a number of “personal items important to the Best family.”

The following day, a tip from a Domino’s Pizza employee led police to a homeless camp along Interstate 84. There they found Tschaggeny, allegedly wearing Best’s wedding band and in possession of his backpack. He was arrested without incident. 

On Tuesday, Tschaggeny pleaded not guilty to felony charges of identity theft, theft and abuse of a corpse, The Oregonian reports. He’s due back in court July 24.

Tschaggeny’s sister suggested that her brother might have initially been trying to help Best. However, “when he saw that there was nothing he could [do] to effect a positive outcome, the voice of the addiction grabbed him and said, ‘Dude, we’re in a desperate situation. This is time for a desperate act,’” she told KOIN 6.

She added that she is “horribly, horribly sorry” for the additional pain her brother caused the Best family and said, “I’m not begging for the family’s forgiveness. I think it’s an ask too great.”

But she hopes people realize that her brother is battling a crippling addiction.

“If you think for one minute this can’t happen with someone in your family,” she said, “you are grossly mistaken.”

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

from http://ift.tt/2tjigrl from Blogger http://ift.tt/2slGQKL

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How America's Opioid Epidemic Turned A Hero Into A Villain

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“Completely heartless” is the only way to describe the crime that George Elwood Tschaggeny allegedly committed last month, Sgt. Pete Simpson, a spokesman for the Portland Police Bureau, told The Oregonian.

As the heroes of a deadly May 26 attack on a Portland train lay bleeding from knife wounds, police say 51-year-old Tschaggeny stole a backpack and wedding ring from one of the dying men — the ring directly off his finger. The items belonged to 53-year-old Ricky Best, a retired Army veteran and married father of four who had tried to stop a known white supremacist from abusing two young women.

Many were quick to peg Tschaggeny a monster. But the reality is the alleged thief was once celebrated for his bravery, too.

In 2010, Portland police awarded Tschaggeny the Civilian Medal of Heroism after he and another man apprehended an armed bank robbery suspect in March of that year. The award citation, which the Portland Police Bureau shared with HuffPost, described the two men’s actions as “courageous and selfless.”

That was years before Tschaggeny’s life was upended by addiction, as The Oregonian and KOIN 6 News reported this week. Before he, like too many other Americans, became part of the deadly opioid epidemic now sweeping communities across the nation. Before he became homeless and decided to steal from a dying man.

“Not in my wildest dreams would I ever imagine he’d be facing what he’s facing,” Tschaggeny’s former wife told The Oregonian. “This is just not him.”

“Addiction is a situation of desperation,” his sister Camille told KOIN 6, adding that desperate people often do desperate things. 

Tschaggeny, like Best, is a military veteran and was once happily married, according to The Oregonian. He worked in property management, dreamed of opening a restaurant and, in his spare time, enjoyed hiking and biking.

But he dealt with chronic knee pain stemming from childhood injuries, which was eventually treated with prescription painkillers. And as some opioid prescriptions do, Tschaggeny’s led to addiction. Eventually, he turned to heroin.

If you think for one minute this can’t happen with someone in your family, you are grossly mistaken. Camille, Tschaggeny's sister

The life of the man whom his sister told KOIN 6 you would “want in your community” — the guy who in 1998 stopped along a highway to help an injured motorcyclist — quickly unraveled. Tschaggeny ended up in and out of rehab. In 2015, his wife filed for divorce and later a restraining order. Then came homelessness and run-ins with the law, including an arrest for attempted burglary last year.

“He always said, ‘It calls you, it calls you, it calls you,’” his former wife told The Oregonian, referring to his addiction. “And every time something let him down or he let someone down, it led him back into this deep hole.”

As sad as it is, Tschaggeny’s story is far from unique. 

Since 1999, opioid prescriptions and sales have quadrupled in the United States, a surge that the Centers for Disease Control and Prevention says “helped create and fuel” an epidemic of misuse and overdosing. In 2012 alone, U.S. doctors handed out 259 million opioid prescriptions — one for every adult in the nation. When they can no longer obtain prescription painkillers, those who have become addicted may turn to cheaper heroin. Some resort to crime to pay for their habit. Others end up a statistic, among the approximately 90 Americans that die every day from an opioid overdose, according to 2015 CDC statistics. 

Few states have been harder hit by the crisis than Oregon. In 2015, nearly 1 in 4 Oregonians received a opioid prescription, and the state consistently ranks in the top five for non-medical use of prescription opioids, according to the Oregon Health Authority. Tackling the epidemic was the subject of a hearing Wednesday before the Oregon House Committee on Health Care. 

These days, roughly 75 percent of new heroin users start out using prescription drugs, according to Dwight Holton, a former U.S. attorney for Oregon and the current CEO of Lines for Life, a nonprofit working to prevent substance abuse and suicide. After so many years of dealing with tragedy after tragedy, Holton said he’s “frankly sick and tired of meeting mothers who have lost children to opioid overdose that started with prescription drugs.”

Tschaggeny’s story “crystalizes how quickly you can go from the guy next door to someone so desperate that they would do something that most of us consider completely unthinkable and heartless,” Holton said.

Surveillance video released June 1 by Portland police shows the suspected thief, later identified as Tschaggeny, walking off a MAX Light Rail train. He’s wearing black shorts, a black Marilyn Monroe T-shirt and a black baseball cap. In his hands are two backpacks, one of which police say belonged to Best and contained a number of “personal items important to the Best family.”

The following day, a tip from a Domino’s Pizza employee led police to a homeless camp along Interstate 84. There they found Tschaggeny, allegedly wearing Best’s wedding band and in possession of his backpack. He was arrested without incident. 

On Tuesday, Tschaggeny pleaded not guilty to felony charges of identity theft, theft and abuse of a corpse, The Oregonian reports. He’s due back in court July 24.

Tschaggeny’s sister suggested that her brother might have initially been trying to help Best. However, “when he saw that there was nothing he could [do] to effect a positive outcome, the voice of the addiction grabbed him and said, ‘Dude, we’re in a desperate situation. This is time for a desperate act,’” she told KOIN 6.

She added that she is “horribly, horribly sorry” for the additional pain her brother caused the Best family and said, “I’m not begging for the family’s forgiveness. I think it’s an ask too great.”

But she hopes people realize that her brother is battling a crippling addiction.

“If you think for one minute this can’t happen with someone in your family,” she said, “you are grossly mistaken.”

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

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