Wednesday, June 5, 2013

Growing up in an alcoholic home leaves unseen scars

By Bob Gaydos

(My latest Addiction and Recovery column.)
       In writing about alcoholism, this column usually focuses on the person most directly affected by the disease -- the alcoholic. But the impact of alcoholism is felt by every person with whom the alcoholic comes into contact and that begins with the immediate family. In fact, some of the persons most seriously affected by the disease of alcoholism are children who grow up in an alcoholic household. Indeed, these households give a whole new meaning and depth to the term “dysfunctional.”
Growing up in a family with one parent who is an alcoholic and the other struggling to maintain some sense of order, if not sanity, can leave scars that last well into adulthood. Worse, the children who grow up in such households may not realize how ill-prepared they are to deal with life. And that’s whether they become alcoholics themselves or not.
Often, the non-alcoholic parent tries to shield children from the truth, as if they cannot see and hear what is going on every day in their home.  Much better, experts say, to be as honest as  possible with them, explaining the disease as an allergy to alcohol, that the drinking parent is sick and, most importantly, that the children -- who may feel violent effects of the alcoholic’s drinking -- are not at fault. Sometimes, the non-alcoholic parent is so consumed with trying to control the alcoholic, that the children become an after-thought, even neglected.
Either way, the emotional support and daily guidance needed to help young people make their way through an adult world later on is often missing. This lack of early guidance can show up in many ways as the children of such marriages, modeling their behavior on what they grew up with at home, find themselves unsure and unable to deal with life as it comes along -- and find themselves at a loss as to why.
As mentioned here before, the Al-Anon Family Groups, which includes Alateen for young people, is uniquely designed to help those who are living with an active alcoholic. This is not just the spouse of an alcoholic, but the entire family. For the non-alcoholic spouse, learning to separate the drinking spouse from the disease and recognizing that alcoholism has impacted you as well is the beginning of a long recovery process that can lead to a healthier, more well-adjusted life.
So, too, for the children. But it is important for the children of such households to keep tabs as adults on how they treat their own children. Do they mimic what they grew up with or do they use healthier, more balanced approaches? To this end, an Al-Anon booklet -- “How Can I help My Children?” -- offers a checklist for parents. In truth, it’s one that should prove useful to all parents, of any background:

  • Do I think of my children as people who a right to my respect?
  • Do I make them feel stupid, inadequate or bad?
  • Do I humiliate them in front of others? Or do I correct them privately, allowing them to maintain their dignity?
  • Am I courteous to my child?
  • Do I habitually yell? Threaten? Nag?
  • How do I correct my children? Do I attack their character, call them names? Lose my self-control? Hit them? Make sarcastic remarks? Ridicule them?
  • Do I jump to conclusions, expecting the worst, or do I give the a chance to tell their side?
  • Do I make a big issue over small things?
  • Do I let them know they are important?
  • Do I apologize when I am wrong?
  • Do I set limits on behavior and enforce them?
  • Do I show my children affection and tell them I love them?

For a list of Al-anon and Alateen meetings in the area, go to:
     http://www.al-anonny.org/images/Orange_County_Meeting_List_Jan_2012_B.pdf

bobgaydos.blogspot.com
   

Saturday, May 25, 2013

As omens go, the eagle soars


By Bob Gaydos

Do you believe in omens?
I believe in omens.
Not the dire, gloom-and-doom omens of Greek tragedy. It’s not that I dismiss the existence of negative omens out of hand, or that I think bad things don’t happen, but rather that I choose to focus my energies on what I perceive to be good omens.
For example, while lying in the grass a few days ago, staring skyward and having a relaxed conversation with a friend on a beautiful, warm, spring afternoon, I found my attention slowly shift to a winged object flying low in the sky right towards us. As it got closer I could make out the distinctive white head. “That’s an eagle!” I exclaimed.
Indeed it was. And it kept flying with a slow, deliberate stretching of its wings right over us and on past the tree line where it was no longer visible. A youngish bald eagle, and an eagle with a purpose.
A positive omen for sure. After all, it was an eagle, not a turkey vulture.
The trick with omens, of course, is making the connection between them and real life. What did this omen mean to me beyond the fact that I would definitely buy a ticket for the New York Lottery’s Megamillions drawing?
For one thing, it got me thinking about a similar encounter I had had a couple of years ago when a coyote casually trotted in front of my car as  I was sitting reading on a quiet country road. No fanfare, no fuss. Right by me and off into a cornfield, out of sight, but not out of mind. I wrote about the coyote and the fact that it got me to thinking about some positive events that had recently occurred in my life that would normally escape notice. It change my outlook, my focus, my day.
So, too, with the eagle and I think the connection is, literally, the connection, between eagle and man, coyote and man, nature and man. We humans have a way of acting as if the planet is our personal plaything, to lord over and do as we will with all other living creatures. So we revere eagles and protect them because someone decided they were noble looking and worthy of being our national symbol, whereas coyotes are … not.
As a result of this human arrogance, we have polluted the atmosphere of the planet, added all manner of chemicals to our natural food supply, and destroyed the natural habitat of countless species of animals (and eliminated many species as a result), all in the name of progress. This arrogance has spread, perhaps unavoidably, into our relationships with each other. How far is it, after all, from treating animals with casual indifference or callous disregard to treating human beings the same way. We call it politics and it is the shame of our nation today.
The eagle tells me this is wrong. Majestic in its slow, deliberate flight, it says to me, “You may think you’re in charge, but don’t get too comfortable. We share this tiny planet and you almost drove me out of existence for no good reason.”
And we continue to do so, willy nilly melting the polar icecaps, committing genocide on species of animals, loading up our food supply with chemicals and altering the very genetic makeup of the food so that more can be grown faster in less space and less cost, to the considerable profit of chemical companies that now call themselves food companies. All of this is connected, the eagle reminds me, but most of us are too busy arguing over things that have nothing to do with the future welfare of the planet and its inhabitants.
  For me, that means my recent writing about the revived interest in slaughtering horses, the mass murder of honey bees, the resistance to labeling food that has been genetically modified has not been a trivial pursuit. It means that expressing concern over the infusion of chemicals in our food, the resistance of those in power to honestly discussing these topics and their loyalty to powerful corporations that seek to control the planet by modifying it in any way possible to suit their own needs, is not a departure from writing about the “important” stuff, i.e. politics. Instead, the eagle tells me, it means I am finally writing about the stuff that really matters.
In case you’re wondering, here’s a small sampling: the elimination of all orangutans (our closest cousins) on the planet; the poaching of elephants for their tusks; the same threat to rhinos; the labeling of horsemeat and other animal byproducts as beef; and “no-kill” animal shelters that kill. There’s more: the belief by the Nestle CEO that humans have no intrinsic “right” to water; the power of such companies as Monsanto, Nestle, Bayer and others to buy politicians to write laws that protect the companies from having to reveal what they are doing to the food they sell. And let‘s not forget efforts by those in power to silence the voices that raise alarms on these issues.
It is all connected. We are all connected. What happens in Sumatra or the Amazon matters in Manhattan and Paris. We humans should be working together to preserve and protect our home instead of bickering over personal ideologies, which won’t matter much when the ice caps melt, the other species are gone and we have no one to look at but ourselves.
That’s what the eagle, flying low and with a purpose, tells me. Focus on the important stuff. Be positive in approaching life. It’s a beautiful world; enjoy it. And keep buying lottery tickets. (I had a Megamillions number worth $2. It’s a start.)

bobgaydos.blogspot.com

Thursday, May 2, 2013

One man out, a nation mired in intolerance


By Bob Gaydos
Jason Collins

When Jason Collins revealed earlier this week that he is gay, it was widely hailed as the first time a male athlete who was still actively playing in one of the four major professional sports leagues had revealed his homosexuality. A watershed moment. And it is, if not quite the watershed as has been described.
Collins, 34, made his announcement in a Sports Illustrated article that appeared on the Internet after the season had ended for his team, the Washington Wizards. An athlete of modest talents and tremendous character, Collins is a free agent now, meaning he has no contract with any team and is free to sign with anyone who wants him. That creates an interesting scenario for next year in the NBA. Collins says he wants to keep playing basketball. Will some NBA team oblige? Will his open homosexuality be welcomed as an asset by some progressive team owner, along with his 7-foot height and “team player’’ reputation, or will Collins be shunned and wind up, in effect, like other male athletes who have come out only when their careers were over?
Make no mistake, given the homophobia that dominates locker rooms in male sports, his simple declaration is at once matter-of-fact and bold. The overwhelmingly encouraging response to his statement, especially among his NBA peers and other pro athletes, attests to the respect with which Collins is perceived as well as to the fact that this country is, albeit slowly and tortuously, turning a corner on yet another moral issue. For those reasons, barring injury, I think Collins will wind up with a contract in the NBA next year and become the perfect role model he has been called in stories announcing his decision to stop living a life of lies.
But this is just the beginning of what is likely at times to be an ugly, hateful path to acceptance. The truth is, this “melting pot” of a country does not handle “different” well. Whether it be skin color, religion, nationality, language, country of origin, gender, age, sexual preference or even food choice, many Americans speak and act today as if liberty, justice and equality are rights granted solely to them and their ilk because, well, because they say so and that’s all they need to know. So please, do not bother them with the facts and save your moralizing for your socialist, atheist friends. (Put political views on that list as well.)
I ascribe this harsh reaction to “different” to fear and ignorance, the bellwethers of the tea party faithful who have cowed the Republican Party into submission. Greed, too. Many people, I believe, are afraid that they are going to lose something they perceive as rightfully theirs if someone else of a different race or nationality or religious belief or country of origin or sexual orientation, or, in the case of many men, of a different gender, is afforded the same opportunities as them. Sharing is not an option, whatever their religion preaches. (Put economic status on the list, too.)
Despite our pumped-up national pride and high-minded ideals, we do not always practice what we preach. We have, in fact, become a nation in which angry, self-righteous, holier-than-thou and, sometimes, just plain dumb people dominate national debate because of the vehemence with which they express their views and the money they are willing to spend brow-beating the rest of us. Loud is good. Louder is better. Nasty is good. Insulting is better. Facts are bad. Phony TV ads are good. Compassion is for the weak. Guns are the answer.
The Jason Collins story is definitely a positive one about wider acceptance for people simply for who they are. He is 7 feet tall, black and  gay. He went to Stanford and plays basketball. Young gay men who play sports, or not, may be more likely to follow their dreams because of him and less likely to be fearful, secretive and easily bullied. It’s a start.
But this is not a simple feel-good story. Collins has a twin brother who also played in the NBA and who says he didn’t know his brother was gay until the rest of the world found out. That’s sad. And it’s sad that Collins felt the need to hide his homosexuality even from himself for so long because a lot of people in this country are so busy minding everyone else’s business and deciding what is right and wrong. I personally don’t think they are a majority, but they are a persistent, aggressive minority.
That means those of us who disagree with them must shed the comfortibility of  basking in our own, self-assured sense of enlightenment and do battle with the forces of hate and ignorance. That means speaking out against all forms of injustice and exploitation, insisting on laws that protect individual rights, not corporate profits, and electing representatives who will pass those laws. It means exposing bullies for what they are, punishing those who see violence as a means to their ends, insisting on helping the disadvantaged (as our duty, not their entitlement), and not letting fear or weariness prevent us from exposing fraud and simple prejudice.
It also means telling those who would tell others they see as “different” to get over it. Mind your own business. Live your own lives. A gay man in a locker room? They’ve been there for decades. Also in Army barracks. They just had to hide it because of institutional ignorance and bias. Again, this is changing, if slowly, in America. Tolerance is a bitch. It requires one to simply accept another person for what he or she is, in toto, without insisting that person change or agree with one’s particular set of “rules.” It can be uncomfortable, but so long as the person represents no real (not perceived) danger to one’s well-being, there should be only one rule to apply to everyone: “Do unto others as you would have others do unto you.” There’s a reason it’s called the Golden Rule.

bobgaydos.blogspot.com


Friday, April 26, 2013

Are you an alcoholic? This test will help you decide



(My latest Addiction and Recovery column in the Times-Herald Record.)


By Bob Gaydos

Nearly seven decades ago, Marty Mann, one of the earliest members of Alcoholics Anonymous (her sponsor was AA co-founder Bill Wilson), decided she wanted to spread the message of recovery and educate the public about the disease of alcoholism. That work is still going on via her creation, the National Council on Alcohol and Drug Dependence, a voluntary health organization with a nationwide network that provides information on prevention, awareness and treatment of alcoholism and drug addiction.
Every April for 26 years, NCADD has observed Alcohol Awareness Month, with the goal of removing the stigma attached to alcoholism by educating a public still too unaware of the serious costs to individuals and society of alcoholism, as well as the fact that treatment is available and recovery possible. Of course, the process has to start with acknowledgment that alcoholism may be present.
With that in mind, I occasionally offer a list of questions designed to help individuals decide if they, or someone they know, may be an alcoholic. If that is the case, recognition of the problem may well be the first flicker of hope, rather than the beacon of doom many people consider it to be. Following are questions from the NCADD Self-Test. Be honest.

What are the Signs of Alcoholism?
1.  Do you drink heavily when you are disappointed, under pressure or have had a quarrel with someone? Yes   No
2.  Can you handle more alcohol now than when you first started to drink? Yes   No
3.  Have you ever been unable to remember part of the previous evening, even though your friends say you didn’t pass out? Yes   No
4.  When drinking with other people, do you try to have a few extra drinks when others won’t know about it?  Yes   No
5.  Do you sometimes feel uncomfortable if alcohol is not available? Yes No
6.  Are you more in a hurry to get your first drink of the day than you used to be? Yes  No
7.  Do you sometimes feel a little guilty about your drinking? Yes  No
8.  Has a family member or close friend express concern or complained about your drinking? Yes   No
9.  Have you been having more memory “blackouts” recently? Yes   No
10.  Do you often want to continue drinking after your friends say they’ve had enough?  Yes   No
11.  Do you usually have a reason for the occasions when you drink heavily? Yes   No
12.  When you’re sober, do you sometimes regret things you did or said while drinking? Yes   No
13.  Have you tried switching brands or drinks, or following different plans to control your drinking?  Yes   No
14.  Have you sometimes failed to keep promises you made to yourself about controlling or cutting down on your drinking? Yes   No
15.  Have you ever had a DWI (driving while intoxicated) or DUI (driving under the influence of alcohol) violation, or any other legal problem related to your drinking?   Yes   No
16.  Do you try to avoid family or close friends while you are drinking?      Yes   No
17.  Are you having more financial, work, school, and/or family problems as a result of your drinking?   Yes   No
18.  Has your physician ever advised you to cut down on your drinking?  Yes   No
19.  Do you eat very little or irregularly during the periods when you are drinking? Yes   No
20.  Do you sometimes have the “shakes” in the morning and find that it helps to have a “little” drink, tranquilizer or medication of some kind?     Yes   No
21.  Have you recently noticed that you can’t drink as much as you used to?   Yes   No
22.  Do you sometimes stay drunk for several days at a time? Yes   No
23.  After periods of drinking do you sometimes see or hear things that aren’t there? Yes   No
24.  Have you ever gone to anyone for help about your drinking? Yes  No
25.  Do you ever feel depressed or anxious before, during or after periods of heavy drinking? Yes   No
26.  Have any of your blood relatives ever had a problem with alcohol?    Yes   No

OK, here’s how to score the test. According to the NCADD, if you answered two or more questions with a “yes,” you should consider having your drinking assessed by a professional. If you have five to eight “yes” answers, you could have a serious problem with alcohol. This test does not apply to drug use. The test and others, as well as information on substance abuse can be found on the NCADD web site: ncadd.org.

bobgaydos.blogspot.com

Wednesday, April 10, 2013

How's that diet thing going? Just fine


By Bob Gaydos

Last December, in a burst of, oh I don’t know, foolhardy enthusiasm, I wrote about my decision to re-enter the world of the healthy. No more sugar, salt, butter, red meat, French fries, etc. would pass over these lips. Knock off the bread; bring on the greens and beans. And Greek yogurt. Lots of veggies and brown rice and fruit. Some chicken and fish. And exercise, too. Plenty of exercise. I promised to give updates.
So here it is: I feel great.
People I’ve known for years come up to me and ask: “Did you lose weight?” Yes, 40 pounds. “Are you sick?” No, it’s intentional, thank you. “Are you working out?” Yes.
Oh my god, yes.
The thing about losing weight is that if you don’t do something to tone up your body, you wind up being a thinner person with a bunch of loose skin. Not a good look, and what’s the sense of losing weight and looking sick? I can say in all humility that I do not look sick. Believe me, it has not been a picnic. Nor has it been torture. It has been, as I said in my first report, humbling. But also surprisingly rewarding (to me, not my coach).
I mentioned starting out with weekly walks, one to two miles. I still do that, but not as often, due to physical conditions not related to what I’m talking about here. The walks are still good for the fresh air and sunshine, so they will continue.
It’s the inside workout regimen that is paying tremendous dividends. In December, I dismissed pushups with a “forget about it” comment. Could not do one. Did 60 the other day in six, ten-rep sets. (Even picking up the lingo.)  I also talked about crunches being the only thing I had some success with early on. Turns out that’s because I wasn’t doing them correctly. Effort counts, but so does form, my coach informed me. Now that I do them the correct way, they are much tougher. But the results are also more obvious. And I have learned such things as backward crunches (woof!) and bicycle crunches (we’re going to forget about them for a while).
Throw in weight training with barbells (progressing slowly but steadily), leg-lifts, leg-lowerings, squats, 40 minutes on a stationary bike and lots of stretching and, slowly but surely, muscle has appeared where once there was flab. It feels good. I feel good. I have more energy, more endurance and, in fact, a generally healthier outlook on life.
I can’t stress enough that none of this has been a surprise to my coach, who predicted the progress and encouraged me, gently or firmly, as needed.
As for the food, I am still learning, but no longer struggling, to find healthful, tasty, filling choices. I am not a fanatic. I have a slice of pizza from time to time (no pepperoni). I never finished the “Wheat Belly” book, but I try hard to avoid bread and gluten. I have rediscovered the sweetness of fruit and, bless their hearts, Ben and Jerry have introduced a line of frozen Greek yogurt that is as rich and satisfying as any ice cream. Better yet, they have competition in the slowly emerging market for more healthful food choices.
The fast food chains lag in this development, but demand could drive competition with them. Supermarkets are adding more organic and gluten-free sections as people (especially younger people) become more conscious of wanting to eat real food, with no surprises mixed in. Of course, I still can’t figure out food establishments that offer egg white entrees or veggie entrees and pair them with French fries or hash browns. Offer alternatives, folks.
Anyway, that’s my follow up report. So far, so good. Blood pressure in check. Weight down. Muscles emerging. Clothes too big (new wardrobe coming). A deep bow of appreciation to my fantastic coach, because I knew nothing about how to do this. And a final word to anyone who may be thinking about, “some day,” doing some exercise or losing some weight. Don’t wait. Life is really too short to waste on “coulda-shouldas.” Find a source of support and motivation and go for it. Change is not easy, but healthy change can be surprisingly rewarding in many ways. (I know, coach, not to you.)

bobgaydos.blogspot.com

Wednesday, March 27, 2013

If it's 'safe,' put it on the label


By Bob Gaydos
Is our corn genetically modified?

A few weeks ago I wrote a column that proclaimed, “Turns out, you really are what you eat.” For me, in the midst of changing to a more healthful diet, that statement is truer than ever. The problem is, it is getting harder to know exactly what we’re eating and the mega-companies that produce the food we eat are going out of their way to keep it that way. They’re also getting a lot of help from politicians, who bemoan rising health costs and obesity on the one hand, but don’t seem eager to learn if, just maybe, the food we eat has something to do with both. Guess it depends on who’s buttering your toast.
Disclaimer: While I have significantly modified my diet to a more   healthful emphasis on non-meat foods and organic food, I am not a vegan or vegetarian. I believe all living things, including animals, are entitled to humane treatment and that animals who are pets or companions should not be used as food. Period.
I also believe that we humans are entitled to know as much as possible abut the food being offered to us, including any changes made to the original product. Then we can make whatever decision we want, informed or uninformed, as long as we have a fair chance. That’s what this is about.
This week, President Obama, following the lead of a bought-and-paid for Congress, signed into law what has come to be known as the Monsanto Protection Act. Big mistake.
Much of the president’s political support has come from voters who believed his stated commitments to openness in government and a healthier, more informed citizenry. This swoop of his pen calls much of his rhetoric into doubt. In brief, the so-called act is actually one turgid paragraph buried in the homeland security section of a huge budget bill. It allows Monsanto, which did an all-out lobbying effort to get Congress to stick the paragraph in the bill, to plant genetically modified crop seed without any court reviewing whether or not it is safe.
Genetically modified crops are hardier, more resistant to pesticides and produce more product in less space. Through review of the gene-modifying process, the government says, it decides if they are safe for human consumption.
So ask yourself: Why then is it necessary in the first place for a food giant to want protection from having to prove its “safe” food is safe?
Correct answer: Money. It costs a lot to pay lawyers to defend you  in court. Even mega-rich companies like Monsanto try to avoid court costs. Also, any doubts raised about the safety of a food product -- cereal, bread, beef -- is bound to hurt sales. More money.
This has far more to do with Monsanto’s bottom line than homeland security. And the fact that nobody can be 100 percent sure the genetically modified organisms are, in the long run, safe.
Now, a lot of apparently intelligent people say publicly that the GMOs are indeed safe for us to eat. I don’t discount this out of hand. As I said, this is about letting us, not some high-priced lobbyist, decide what food we want to eat and what food we’d just as soon avoid. (Obama has also appointed a former Monsanto executive as his food safety adviser.) If GMOs are so safe (may European nations have banned them), then label them and let the president give a personal testimonial on the label if he wants. “Mmm mmm good, says Barack.” Just let me know what I’m eating.
Or drinking.
The other current labeling issue involves milk, which we are told from birth is good, even necessary, for our good health, and aspartame, which, well, let’s say has had some issues.
The dairy industry has asked the Food and Drug Administration to allow it to remove front-of-package labeling on flavored milk products that proclaim “low calorie” or “artificially  sweetened.” These milk products, especially chocolate milk, are big with kids, but they are drinking less of it and industry executives think the front labels may scare them off.
Again, money.
Actually, it’s more likely the labels scare off parents who then look at the ingredients and see aspartame has been added for sweetness. Just to be clear -- aspartame is already in these products and listed in the ingredients. That will not change. The milk people just want it to be less obvious and to continue to label the products “milk” without any of that annoying added information.
Now, to start with, using artificial sweeteners as an argument for improving the health of children is specious. The sweeteners are so much sweeter than sugar (aspartame is 200 times sweeter) that they increase children’s appetite for other sweet foods. And school officials are not keen on kids being targeted this way and not being absolutely clear as to what they are offering in their cafeterias.
A chemical concoction, aspartame (once sold as NutraSweet) has been a controversial product from the start. Still, while being mentioned in connection with many health concerns (including brain cancer), aspartame has been found to be safe for human consumption in the United States and more than 100 other countries. For proof, check your diet soda’s ingredients.
The point is, they still call it diet soda or low-cal whatever, meaning you might want to check the ingredients to see what makes it so tasty. Just like you might want to check your milk product. Or not.
We Americans like to think of ourselves as savvy and independent consumers. We also say we revere science and aspire to good health. Yet we rank near the bottom of the world rankings for science students and near the top for obese ones -- and health care costs. Maybe we should connect those dots.
Meantime, just give us all the info on the food we get and let us decide for ourselves if we want to eat it.

Tuesday, March 19, 2013

These pills are killing more than pain



(The full version of my latest Addiction and Recovery column in the Times Herald-Record.

By Bob Gaydos
Painkiller pills have dominated the news on addictive drugs over the past month:

  • A report from the Centers for Disease Control printed in the Journal of the American Medical Association stated that prescription drug overdose deaths had increased for the 11th straight year, with pain killers such as Oxycontin and Vicodin being the chief culprits in 75 percent of the deaths, most of which were not suicides, according to the report.
  • A new law, aimed at fighting “doctor shopping” for hydrocodone, an addictive opiate that is the main ingredient in many popular pain medications, took effect in New York state. The law elevates hydrocodone from a Class III to a Class II drug and establishes an electronic database for prescription pain medications, accessible to doctors and pharmacists. It also places stricter requirements on obtaining and filling prescriptions for them, including eliminating automatic refills.
  • In the Town of Woodstock, N.Y. , Wayne Longmore was stripped of his medical license after pleading guilty to writing thousands of prescriptions for non-medical use of hydrocodone.
  • A Rockland County, N.Y., doctor, David Brizer -- dubbed “Dr. Feel Good” -- was indicted on 55 counts for allegedly selling thousands of prescriptions for painkillers to drug dealers in Rockland and in Manhattan.

All of this adds up to the inescapable conclusion that prescription pain medications -- legal drugs -- have rapidly become a major drug addiction problem, as the CDC indicated. Hydrocodone is especially troubling since it is, in effect, legally prescribed heroin. Those who become addicted to it, whether by becoming too dependent on it while dealing with legitimate pain issues or, as with many young people, by stealing it from their parents’ medicine cabinets, sometimes turn to heroin itself, because it is cheaper than the pain medications.
Several issues arise from this conflux of stories. Among them:

  • The medical community needs to do a much better job of teaching its members about the risks of prescribing addictive pain medications too readily. Individual doctors need to do a better job of monitoring their patients’ use of the medications, while also making sure not to make life even more painful for those who truly need the medications.
  • Society needs to rely less on legislation to deal with drug addiction and focus more on getting better educated on the subject. For example, New York’s new law, while well-intended as a way to fight addiction to painkillers by reining in pill-liberal doctors, may also increase the cost of the drugs to consumers and will probably make life more difficult for those, such as cancer patients, needing regular pain medication prescriptions. It is also likely to send some people to the streets to buy cheaper heroin instead. Also, parent groups have complained that, while the state has focused on cutting off the easy flow of pills, it doesn’t have enough drug rehabs to treat young people addicted to prescription medications.
  • Treatment specialists say parents need to pay closer attention to their prescription medications at home and not assume that their teen-aged children will not steal them. They urge parents to talk to children about the dangers of abuse and of mixing the pills with other medications, a major factor in the deadly drug overdoses.

So, more laws? More education? More treatment? As society continues to struggle with finding the best approach to reducing addiction to pain medications, perhaps the most important thing everyone can do to reduce the number of fatal medication overdoses is learn to recognize the signs of addiction to prescription painkillers:

  • Continued use of the drug, even after the pain has ceased.
  • Complaining about vague symptoms to get more medication.
  • Lack of interest in treatment other than medications.
  • Using prescription pills prescribed for others
  • Physical withdrawal symptoms when doses are missed.
  • Flu-like symptoms, such as joint and muscle aches and insomnia.
  • Mood and behavior changes, such as becoming agitated or anxious.
  • Secretive or deceitful behavior trying to obtain the drug.
  • Using more than the recommended amount of medication.
  • Developing a high tolerance, requiring more pills for the desired effect.
  • Withdrawal from family, friends and society.
  • Financial problems associated with buying ever more pills.
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