Drugs

Are Opioids the Problem or a Symptom?

Are doctors over prescribing opioids?  Probably. Non-refillable Percocet or Lortab are prescribed where an aspirin would suffice.  However, no one becomes an addict because a doctor prescribed ten or even twenty Percocet following a dental procedure—not unless they really wanted to become an addict from the get go.

USA Today reported that when you peel back the onion on this “opioid crisis,” adults with mental health disorders are consuming more than half of all painkillers prescribed in the United States.  Researchers at the University of Michigan and Dartmouth-Hitchcock Medical Center found that almost 52% of opioid prescriptions are going to people with mental health conditions. If Psychiatrist and other doctors stopped prescribing opioids to those with mental health issues, most of the overdoses and at least half of opioid prescriptions would stop.

Take away the mental health aspect and the remaining “crisis” problem relates to the illegal diversion of pain medications to the streets for recreational purposes.  Among the youth, drugs are cool.  But so were cigarettes and we made those uncool. 

As it sometimes happens, a “so called” crisis may just be the symptom rather than the cause. I am a user—that is, I rely on opioids for pain management. The pain being a by-product gift of cancer survival. My use of opioids is closely monitored by the prescribing doctor and that includes a periodic urine test, face-to-face interviews, and a standard medical check of vitals every month. People like me are not the ones overdosing or using drugs for recreational purposes. We are the same people who take advantage of an array of non-narcotic alternatives for pain management including epidurals, ablation, physical therapy, acupuncture, exercise, chiropractic manipulation, supplements and vitamins, stress-reduction techniques, etc.  In short, we are not problem!

We need to stop drugging those with mental problems, and we need to crack down on illegal diversion including criminals in the medical profession who write prescriptions for cash without a bona fide medical justification.  Unfortunately, now that the “Opioid Crisis is a National Emergency” the government is likely to reduce access to these medications limiting legal production and prescriptions.  Those who really need the opioids for pain management will be the losers. And, the reduction in access will lead to more illegal production, more black-market activity, and more unsafe street drugs.

Having said all the above, there is dark side to opioid use.  Diversion activities put millions of dollars in the pockets of criminals willing to put these powerful drugs in the hands of the mentally ill and those who just want to get high. With big money involved the full array of criminal activity follows.  My new book, tells that dark side story. Diversion, the fifth book in the Mark Rollins adventure series, will be released later this year. It is a shocking reveal of big-city drug problems moving into the country side—sex trafficking, terrorist and murder!  The gripping action takes place in and around the small towns of Manchester and Tullahoma, Tennessee, near Nashville.  Watch for Diversion to be released later this year. 

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For signed copies of books by Tom Collins, go to the TomCollinsAuthor.com. Unsigned print and eBook editions are available from Amazon, Barnes & Noble, and other online bookstores. For an audio edition of The Claret Murders go to http://amzn.com/B00IV5ZJEI. eBook editions are also available through Apple iTunes’ iBook’s Store and Smashwords.com.
Published by I-65 North, Inc.

Business Etiquette

Etiquette not only sells, it is an essential building block in the pursue of business excellence.  Only through people who truly care about customers can you achieve excellence in the eyes of those who judge you. 

model for excellence

Lydia Ramsey is a business etiquette speaker and trainer and the founder of Lydia Ramsey, Inc. a firm offering keynotes, seminars, and workshops to corporations, professional associations, government agencies, and colleges and universities. She is also the author of Manners That Sell.  As Lydia explains it, “My business etiquette presentations are designed for organizations that want their people to be at ease in any business situation and to represent them well in the marketplace.” She explains that etiquette is not just about introductions and table manners. Manners sell. People want to do business with people they like, and people like nice people. Etiquette is about being nice and, we might even say, kind.

There is that word again, “kind or kindness.” Look up kind or kindness and you will discover that four words are always closely linked—kindness, courtesy, polite, and etiquette. Each is an aspect of the other and they all represent behavior that shows respect for other people. You cannot achieve them without a genuine concern or “care” about others. The best salesperson delivers value; the best conversationalist is a good listener; the best king desires to put subjects at ease.

It is a standard of behavior. You cannot compartmentalize it or limit it to just one category of people. That is why we say that Common Courtesy is a job requirement. Customer care first requires caring about people in general. It is the leader’s job to insist that nothing short of common courtesy is acceptable. Kindness, politeness, and etiquette (putting others at ease) are job requirements of the excellence company.

For signed copies of books by Tom Collins, go to the TomCollinsAuthor.com. Unsigned print and eBook editions are available from Amazon, Barnes & Noble, and other online bookstores. For an audio edition of The Claret Murders go to http://amzn.com/B00IV5ZJEI. eBook editions are also available through Apple iTunes’ iBook’s Store and Smashwords.com.
Published by I-65 North, Inc.

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Look for “Diversion!”
DOJ: Almost 60,000 overdose Deaths in 2016; 'Largest Annual Increase in American History'
Coming Later This year.

Cover Diversion Small

The Addiction Process

percocet.jpg

Later this year, a new Mark Rollins adventure mystery will be available for readers. The new book, Diversion, delves into the world of the addict—including the user who takes otherwise legal drugs, opiates or pain medication, illegally for recreational purposes and the pill mills that write prescriptions for cash. The diversion of these drugs to recreational use has a devastating impact on the user and those who love him or her. So why do they do it, and how does experimentation lead to addiction?

It is not pleasure that drives the drug addict, but pain. The road that leads to addiction, however, does begin with pleasure. The first few times, the user gets a feeling of euphoria from consuming opiate drugs like heroin, morphine, codeine and Hydrocodone. The desire to repeat that wonderful feeling leads to taking more of the drug. With each dose, the drugs become less effective, and when the individual is not under the influence of a sufficient dose of the drug, euphoria is replaced by the “black dog” (depression, pain, and a feeling of unwellness). This is the point of addiction. The point when the individual “just wants to feel good again.”

The addiction process occurs as opiates rewire the brain to shut off the body’s natural production of endorphins. Endorphins are the chemicals produced by the brain that transmit electrical signals within the nervous system to regulate feelings of pain. More endorphins lead to feelings of wellness, warmth, even euphoria, and they modulation of appetite, release of sex hormones, and enhance our immune response.

The good feeling is the result of opiates flooding the body with endorphins, many times more that the body produces naturally. That excess of endorphins, tricks the brain into shutting down its own endorphin production. When the brain throws that switch to the off position, seeking pleasure through drugs turns instead to avoiding pain. Taking more and more of the drug is the only way to make up for the lost endorphins. Without the drug, the individual suffers.

 

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DIVERSION!
Coming Later This Year
A New Mark Rollins Adventure

For signed copies of books by Tom Collins, go to the TomCollinsAuthor.com. Unsigned print and ebook editions are available from Amazon, Barnes & Noble, and other online bookstores. For an audio edition of The Claret Murders go to http://amzn.com/B00IV5ZJEI. Ebook editions are also available through Apple iTunes’ iBooks Store and Smashwords.com.
Published by I-65 North, Inc.