Understanding Jones Act Claims: Expert Advice From Houston Maritime Law Attorneys

 Understanding Jones Act Claims: Expert Advice From Houston Maritime Law Attorneys - Now, let's talk about fentanyl. This is a darker topic than I usually cover for the newsletter, but it's an important one for all of us to understand and talk about. Drug overdose deaths reached a record high in the United States last year, among adults and teenagers - although, according to surveys, the use of illegal drugs other than marijuana in has actually decreased in recent years among teenagers. These devastating deaths are often caused by the potent synthetic opioid drug fentanyl.

Why is this drug so deadly? How can you ensure that your loved ones, including your children, stay safe? I spoke to experts to get answers.

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Fentanyl is a lab-made opioid that is 50 times stronger than heroin and almost 100 times stronger than morphine. It is widely (and safely) used in outpatient surgeries because it works quickly and breaks down quickly in the body. "Most people who have a day surgery have fentanyl," said Caleb Banta-Green, a researcher at the Addictions, Drug and Alcohol Institute at the University of Washington School of Medicine.

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But the potency and rapid action of fentanyl also makes it highly addictive, said Dr. Threat-Green. “It makes you really good. And then it disappears quickly, and you have to use it again and again. And since a teensy bit goes a long way, it's easy to suffer an overdose. "Fentanyl overdose can happen in seconds to minutes," said Dr. Threat-Green. In comparison, overdoses from prescription opioids like oxycodone and drugs like heroin, he said, "usually take several minutes to hours."

In other words, you have a shorter window of time to intervene and save someone's life during a fentanyl overdose than a heroin overdose, said Jermaine Jones, a behavioral neuroscientist who studies the disorders. of substance use at Columbia University.

Some people seek out fentanyl because it causes a powerful high, Dr. Banta-Green said, but the scariest thing I know is that many who have been exposed to, or overdosed from, fentanyl never had any intention of taking it. Prescription drugs sold online or by unlicensed dealers marketed as OxyContin, Vicodin, Adderall, Ritalin and Xanax are often mixed with it. About 40 percent of seized counterfeit pills containing fentanyl contain enough to cause an overdose, according to a small-scale analysis by the Drug Enforcement Administration. That is why it is very important to only take pills that come from a licensed pharmacy. If you are taking pills or other medications that are not prescribed by your doctor and not provided by a licensed pharmacy, you should consider that they contain fentanyl, said Dr. Threat-Green.

To make matters worse, counterfeit pills often look legitimate — they may be in a prescription bottle and match the color and size of the prescription drug. “I talked to the chemists at the crime lab. They seem real," said Dr. Threat-Green. Non-opioid street drugs, such as methamphetamine and cocaine, can also be laced with fentanyl.

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You can test pills, powders and injectable drugs for fentanyl using test strips, which are available online or through a harm reduction clinic, but these are illegal to possess or distribute in some state, because they are considered drug paraphernalia. And you should follow the directions carefully, said Dr. Banta-Green, dissolving the ingredient in water, dip the strip in the solution for a certain time and place it on a flat surface until the results are visible.

Emphasized by Dr. Banta-Green says the best way to prevent fentanyl use is to educate loved ones, including tweens and teens, about it. He says it works better as an ongoing dialogue in short spurts than a long, formal conversation. Explain what fentanyl is and warn that it is very dangerous, and that it can be found in pills bought online or from friends - even if they are sold as one thing. (You can frame your concern as being for your child's friends, rather than your child, so it doesn't sound too accusatory.)

You can explain that sometimes people take these drugs because they have depression, have trouble sleeping or have untreated pain - but there are better, safer ways to treat these problems, and that they can and should talk to you if they need help or have questions.

"Focus on not blaming, not assuming, expressing concern, asking for two minutes to share information," said Dr. Threat-Green. Josh McKivigan, a licensed adolescent therapist based in Pittsburgh, added that the goal is to "break down the taboo and keep conversations happening." If you feel like you can't have these conversations with your child, ask a trusted adult, such as a coach, family friend or relative, to talk to them for you.

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Finding time each week to connect with teenagers, without bothering them or talking to them about breaking rules or schoolwork, is also helpful, Mr. McKivigan said. Building a connection and trust with kids helps ensure that if they have a problem with drugs, they will come to you for help. "They know you're going there for them, that you're invested in listening to them," he said.

When a person overdoses from fentanyl, breathing slows down and the skin, especially the nail beds and lips, often turns blue due to lack of oxygen, Dr. Jones said. He taught people to try to wake up individuals by giving them a firm rub with their knuckles in the middle of the chest. "If you give them a firm sternal rub and they don't wake up or respond, then they're probably in trouble," he said.

If you think someone has overdosed, "don't wait - call 911 right away," Dr. Jones, again because a fentanyl overdose can quickly cause death. If you are worried that a loved one may be exposed to fentanyl - for example, if he or friends sometimes experiment with drugs that can be contaminated - you can also buy naloxone, a drug that quickly reverses an overdose of opioids. . He also recommends training on how to use it, carrying it with you at all times and administering it as soon as possible if someone seems to have overdosed.

There's a common belief that naloxone doesn't treat fentanyl overdoses, but that's not true, said Julie O'Donnell, an epidemiologist and overdose expert at the Centers for Disease Control and Prevention. (Most states protect individuals from liability or prosecution if they give or distribute naloxone. Most states also have Good Samaritan Laws that protect those who call 911 from prosecution for crimes involving drug related.)

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If you fear that a loved one is using opiates regularly, whether they're buying them illegally or looking for fentanyl, they may have an opioid use disorder. Recommended by Dr. Banta-Green to help them find a treatment center that administers drugs like methadone or buprenorphine, because these drugs can be safely used to help people recover.

Most mothers include some formula in their babies' food by the time they reach six months. But the current shortage of infant formula is causing panic among many parents who are struggling to feed their babies. Some push hard for mothers to breastfeed, which can be emotionally and physically exhausting, if not impossible, for many women for many reasons.

Starting jogging again after a break can be scary, but your leg muscles may remember more than you know. You want to start slowly, stretch, build up the rest and follow some simple instructions. But you can get back to your old self sooner than you think.

Let's continue the conversation. Follow me on Facebook, Twitter or Instagram for daily check-ins. Do you have topics you'd like me to cover in a future newsletter? Write to me at well_newsletter@.

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An earlier version of this newsletter incorrectly identified one of the drugs recommended by Dr. Banta-Green for opioid use disorder. He recommended methadone or buprenorphine, not naltrexone. Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people to peaceably assemble, and to petition the Government for a redress of grievances.

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Since that founding meeting, the Reporters Committee for Freedom of the Press has been just what its name implies — an organization dedicated primarily to the interests of the journalist. Since the beginning, the medium of communication and the methods of employment have not mattered. The committee helps everyone who considers it their mission to inform the public about current events.

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