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Eric Topol: 'AI can restore the care in healthcare' - “It’s not for life-threatening matters, such as a diagnosis of cancer or a new diagnosis of heart disease. It’s for the more common problems, and for most of these, if people want, there is going to be AI diagnosis without a doctor.”
Growing rates of incarceration since mid-70s may be linked with a rise in drug-related deaths, and exacerbate harmful health effects of economic hardship, finds new study of 2,640 US counties. Drug misuse may be more effectively addressed by investment in social and community services, not prisons.
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When Police Officers Are On the Job…and On Drugs
A police officer who is using opioids illegally is breaking the very laws that he or she has sworn to uphold. This makes it even more difficult to reach out and get help for an addiction that may be spinning out of control.
No one ever said being a police officer was easy. The job alternates between crushing boredom, bizarre situations, and unimaginable danger.
When you’re a cop, much of the population that you’re paid to protect is afraid of you. You’re always being judged, whether it’s in the media or when you go to the corner store. Your hours are usually pretty awful, which means you don’t get to spend as much time with loved ones as you want to. You see things, horrible things, that mess up your head. If you talk to your peers about how traumatized you are, you’re seen as weak. The pressure can be intense.
Police officers are human, so they seek ways to cope with the stress. Sometimes they find relief in opioids. And sometimes they become addicted.
Two recent deaths of police officers due to drug overdose are stark reminders that no one is immune to addiction. In fact, police officers may be more at risk than others.
Under Pressure and Self-Medicating
Dr. Michael Genovese, a clinical psychiatrist and chief medical officer at Acadia Healthcare, told The Fix:
Not only are law enforcement officers not immune to addiction, but they are also more susceptible to addiction because the stress of their jobs renders them so. Police officers to whom I have spoken, who suffer from addiction, are not generally using drugs to get high or have fun; they are using them to numb emotions they find painful. Every day, police officers witness things that are outside the scope of normal human experience, and the frequency and intensity of traumatic events are overwhelming to the officer’s brain, even if he or she thinks they’re not.
While outsiders don’t think of Lewiston, Maine, as a hotbed of crime and drug use, locals know the old mill town has long been a place where heroin and crack are bought and sold. Officer Nicholas Meserve was attempting to stop the flow of drugs into this small Maine city, until he died of an accidental overdose.
When announcing Meserve’s death by fentanyl overdose, Lewiston’s police chief Brian O’Malley said,“I hope it’s a reminder that the opioid epidemic touches the lives of many in the community, regardless of their wealth, race, religion or profession.”
In Baltimore, Officer Joseph Banks Jr. died at a local motel after overdosing on heroin. His girlfriend, who was with him when he died, told police the two had been hanging out at the motel, using drugs throughout the day. Banks was suspended from the police force at his time of death. A police spokesman refused to state the reason for his suspension.
Vernon Herron, who runs safety and wellness programs for the Baltimore Police Department, said, “Like a lot of police officers, sometimes we are so hyper-vigilant that we medicate ourselves. I’m not talking specifically about him [Banks], but I see officers over-medicate themselves to deal with the stresses of police work.”
Michael Koch was a police officer for 15 years, 10 of them as an undercover narcotics detective. Over time, he started using heroin and became addicted, eventually to such a degree that he was arrested after taking heroin from an evidence room.
Finding Relief in Opioids
Koch told The Fix, “Drinking was always a part of my life. It was an unhealthy coping mechanism, but it’s what I did. At one point, I hurt my knee badly and I got a scrip for Vicodin. As soon as I took that drug the reaction in my body was amazing, like it was sent from heaven. So then my drinking dropped off and I got more into the pills. I was part of the SWAT team and evidence team, and kept getting injured at work and when I did I would go to the doctor and get more pills. So then I started using it recreationally; instead of drinking, I took pills.”
Koch’s addiction continued to progress. As he told me, “I was dealing with immense pressure at work. We would see things the average person wouldn’t see. Bodies cut open, heads on the ground, all of that stuff just stacks up. I might have looked like I had it together at some of these scenes but inside I was dying. So I started using more and more pills and became dependent on them.”
Koch kept sinking deeper into his addiction and he felt like he had no place to turn. Letting your fellow officers know that you might have a problem is just not how it’s done. A police officer never wants to appear weak amongst his or her peers.
It got worse…
Find out what Katrina did with that really, truly sober reality in the original article On the Job and on Drugs: Police Officers Who Struggle with Addiction at The Fix.
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