What’s In A Name? – Editorial by Christopher Dale

Addiction Recovery Bulletin

NEW JERSEY SOBER…FUHGGEDABOUTIT!

3/29/2021 – 

Editor’s note: Last week, we at Addiction & Recovery eBulletin reported on singer Demi Lovato’s decision to be “California Sober,” which entails imbibing “moderate” amounts of alcohol and marijuana. While neither we nor anyone else can take Ms. Lovato’s inventory – she alone can decide whether she is a full-fledged alcoholic or addict that must completely abstain from drugs and alcohol – we were concerned by this announcement.

For starters, as a pop music star, Ms. Lovato has outsized influence over young people – many of whom, like the rest of us, have or will develop troubling issues with drugs and alcohol. By her own admission, Ms. Lovato, who is just 28, has had three stokes, a heart attack and has nearly perished several times during relapses. Several people close to Ms. Lovato – including her manager, Scooter Braun, and the long-sober Elton John, who she has described as a recovery mentor – do not think the path of moderate drinking and drugging is a reasonable choice for Ms. Lovato. 

We are worried that young people will point to Ms. Lovato’s “Californian” sobriety as rationale for continuing to drink and drug despite harsh consequences they themselves may have endured. Ms. Lovato’s example has the potential to open trap doors in her fans’ addiction bottoms. Blessed with a platform to speak up, we cannot sit silent.

Also, our editorial team is based in California. As Californians who adhere to the conventional definition of sobriety – no inebriating substances, ever – we take umbrage with the hijacking of our state’s firm recovery reputation. After all, California is the most populous and industrious state in the country. Our example matters.

To showcase the impact both Ms. Lovato and our beloved Golden State have on the rest of the nation, we assigned an East Coast reporter – New Jersey-based Christopher Dale – to get a sense of the effect this news is having on recovery in his home state. The following is a transcript of a conversation between two members of Alcoholics Anonymous in beautiful Bayonne, New Jersey.

Hey how ya doin’? How’s ya ma? My cousin heard she fell and broke her hip. Madonn!

Anyway, you heard about this Demi Lovato chick? I picked up the Post last week to read about the Mets – goddamn bums – and saw that article about her. Says she’s California sober. Somethin’ about no drugs or drinking except for smokin’ weed. Oh and she says she drinks a little too.

I’m like ‘Hey, sign me up for summa that California sober,’ know what I’m sayin’? Some pretty nice perks they got for sober folks over there! I was out there once actually. Nice weather but the pizza and bagels are oogatz. And if you’re lookin’ for some decent gabagool it’s like fuhgeddaboudit.

Anyways this Demi chick gets me thinkin’. If she can be California sober, why can’t I be New Jersey soba?

I mean hey, if a 28-eight-year-old whose had three strokes and a heart attack and almost died a buncha times from drugs can handle a little pot and booze, why can’t I?

By the way, you heard that brand new songa hers? That Dancing with the Devil? Catchy tune! My niece can’t stop playin’ it – drives my sista nuts but whuddya gonna do. I love how the first verse is all about having a little red wine and being fine, and then the second verse is about smoking crack. What a toe tapper!

Sounds like someone poifectly capable of drinking responsibly. I’m all ‘Salut, Demi!’ I mean, just because you might influence a real drunk or junkie to go out and get loaded and maybe die, doesn’t mean you shouldn’t do your own thing. Ya gotta be you, ya know? I mean it’s not Demi’s fault my niece was clinically dead for 25 seconds from that fentanyl. Maybe next time she’ll just stick to wine and weed like Demi!Now, she did say that her ‘journey of moderation’ isn’t for everyone. So maybe she means once you’ve had four strokes and two heart attacks, it’s maybe time to call it quits. Or maybe when my niece has another brain aneurysm.

Anyways this Jersey soba thing. You want in? I mean, I know you’ve had some issues wit’ H in the past, and you just had that stroke – how’s your eyes by the way? Hey how many fingas am I holdin’ up? Just bustin’ your chops – but you been doin’ real good at those meetin’s. Me too. My collapsed lung is mostly better and I haven’t popped any of them pills in more than a year. Got my chip to prove it. Keep it in a place of honor: near the espresso maker. It was either that or the tomata garden. They’re comin’ in nice this year.

So yeah I been doin’ real good at them meetin’s. Even though I was speakin’ up there in Connecticut last week and I swear those medigans ain’t never seen no pisans before. I start talkin’ about missin’ a little grappa with my schviadel and they’re lookin’ at me like I got two heads. Probably too busy eatin’ noodles and ketchup.

Anyways I think this Jersey soba thing could really take off. Whuddya think?

What would it look like? Well for one thing, I think red wine with the macaroni and gravy is a given. I mean my God, we’re alcoholics, not savages. Am I right?

OK, so we’re good on red wine when we eat pasta. And pizza. Oh and lasagna, chicken parm or sausage and peppers. Done and done.

 Also, if the Jets don’t start winning some games here – and let’s be honest, that ain’t gonna happen – we’re gonna need a few Bud Lights to keep us from trowin’ the remote through the TV. That reminds me: you call Vito about that deadbeat who won’t pay up?  Anyway OK, so red wine with the food, beer with football. Oh and baseball. And how ‘bout those Nets? Harden looks unstoppable. So yeah them too.

Oh and Mass wine. Hey, it’s the blooda Christ for Christ’s sake. Who the hell are we to pass that up? Now let’s talk weed. After all, it’s legal here just like in Cali. Those people think they know all about the weed, but they ain’t never had a Jersey Joint. It’s got marijuana leaves, red peppers and mutz. Can’t beat it. Goes great with a nice glass of Chianti actually.  I gotta tell ya, I’m really liking this idea. Move over Jersey Shore and Jersey Mike’s. Make room for Jersey Soba.  I’m sure this will work out just great for Demi, too. I mean, who am I to take her inventory? What 28-year-old hasn’t had a few strokes and a heart attack?

And so what if she once said “this illness is not something that disappears or fades with time?” Who knows, maybe she meant COVID? How’s your uncle by the way? Still on the ventilata?

Anyways, so we got the red wine for the red sauce, beer for the sports and weed for … well, I guess wheneva. Let’s do it! Let’s get Jersey Soba. What could go wrong? Fuhgeddaboudit.


The opinions expressed in this publication are those of the authors. They do not purport to reflect the opinions or views of the Addiction/Recovery eBulletin or its staff.

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Demi Does California Sober for Brunch. Rosé or Riesling?

Addiction Recovery Bulletin

ONE STROKE OVER THE LINE? – 

March 22, 2021 – Lovato has endured two highly publicized relapses and suffered “three strokes and a heart attack” during that time — details of which will be shared in her forthcoming YouTube documentary “Dancing With the Devil.”

Lovato also talked about her current stage of recovery, when CBS’s Smith asked her to elaborate on the “moderation” approach to recovery.

“So, you’re doing what they call moderation, I guess, right? So, you’re drinking, smoking a little bit of weed, is that fair to say?” Smith asked. “Yeah. I think the term that I best identify with is ‘California sober,’ ” said Lovato, at her Los Angeles home with Smith last week. “I really don’t feel comfortable explaining the parameters of my recovery to people, because I don’t want anyone to look at my parameters of safety and think that’s what works for them, because it might not.”

She continued, “I am cautious to say that, just like I feel the complete abstinent method isn’t a one-size-fits-all solution for everybody, I don’t think that this journey of moderation is a one-size-fits-all solution for everybody, too.”

Yet some viewers were critical of the “California sober” tagline.

more@NYPost

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Demi Serves California Bullshit For Lunch

Addiction Recovery Bulletin

ONE STROKE OVER THE LINE? – 

March 22, 2021 – Lovato has endured two highly publicized relapses and suffered “three strokes and a heart attack” during that time — details of which will be shared in her forthcoming YouTube documentary “Dancing With the Devil.”

Lovato also talked about her current stage of recovery, when CBS’s Smith asked her to elaborate on the “moderation” approach to recovery.

“So, you’re doing what they call moderation, I guess, right? So, you’re drinking, smoking a little bit of weed, is that fair to say?” Smith asked. “Yeah. I think the term that I best identify with is ‘California sober,’ ” said Lovato, at her Los Angeles home with Smith last week. “I really don’t feel comfortable explaining the parameters of my recovery to people, because I don’t want anyone to look at my parameters of safety and think that’s what works for them, because it might not.”

She continued, “I am cautious to say that, just like I feel the complete abstinent method isn’t a one-size-fits-all solution for everybody, I don’t think that this journey of moderation is a one-size-fits-all solution for everybody, too.”

Yet some viewers were critical of the “California sober” tagline.

more@NYPost

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Biden’s Likely “Drug Czar” Presided Over Destruction of WV Syringe Program

Addiction Recovery Bulletin

SAFE INJECTION SITES UNLIKELY – 

March 17, 2021 – President Joe Biden is planning to announce Dr. Rahul Guptaas his pick for the director of the Office of National Drug Control Policy (ONDCP), otherwise known as the nation’s drug czar, sources close to the White House tell Filter.

Dr. Gupta, an internal medicine physician, led Biden’s drug policy transition team, and is currently the senior vice president and chief medical and health officer at March of Dimes, a nonprofit that focuses on improving the health of mothers and their children.

But Dr. Gupta previously led West Virginia’s response to the overdose crisis, as the state’s public health commissioner from 2015 to 2018. And it’s his actions (or rather, inaction) in this role that raise questions about his suitability for the ONDCP post—especially since Biden’s current ONDCP has expressed a commitment to compassionate harm reduction principles, a major departure from past federal drug policy agendas.

West Virginia currently leads the nation in overdose fatalities, according to the the Centers for Disease Control and Prevention. And Gupta was praised by local and national press for his efforts to reverse West Virginia’s alarming overdose death rate. In May 2018, Politico Magazine described him as “a data-driven health commissioner” who “figured out a way to slow overdose deaths.”

While Gupta earned accolades for his overdose efforts, public health and harm reduction experts question his response to another urgent health crisis plaguing West Virginia: the spread of blood-borne viruses like HIV and hepatitis.

Facing the known risk of a massive viral outbreak linked to syringe sharing, Dr. Gupta put politics above the health of vulnerable and stigmatized people, public health experts say.

more@FilterMag

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Do College Students even do drugs?

Addiction Recovery Bulletin

DO BEARS COME IN THE MAIL? – 

March 4, 2021 – The California Department of Public Health (CDPH) issued a statewide standing order for free naloxone to help curb out the mortality rate from opioid overdoses. California colleges and universities are able to qualify to receive naloxone for distribution after completing an online application process for CDPH. The bill’s fact sheet explains that the CDPH program, “Is open to any community organization or entity in California that can provide naloxone to those at risk of overdose.” Additionally, instructional videos are provided by CDPH on how to properly administer the naloxone. As part of SB 367, campus orientation materials will be required to provide the educational information to teach how to properly administer the naloxone.

Passing of this bill will ensure that the number of individuals properly trained to assist someone experiencing an overdose will be expanded. Executive Director and Co-Founder of A New PATH (Parents for Addiction Treatment & Healing) Gretchen Burns Bergman says, “As a mother of two sons who had struggled with opioid addiction, I feel it is my right and responsibility to have naloxone in my medicine cabinet. We know that there is drug use happening on college campuses, so students and faculty should be prepared to save the life of a friend at risk. Doesn’t it make more sense to carry naloxone than to deal emotionally with tragic and unnecessary loss?”

If SB 367 is to pass, it will at least be giving college students the knowledge of knowing there is naloxone easily and readily available for them to use. “As an advocate to the recovery community, and an everyday advocate to basic human rights, I think it is only logical to give the youth the ability to choose how they live in the world around them. Giving people options to resources and avenues of support will build community and connection for everyone involved,” says Young People in Recovery Chapter Coordinator Jessica Saldana. The importance of giving youth options to resources is critical. 

It cannot be understated that what SB 367 will require will surely be life changing for many people. Additionally, it could start the progression of ultimately having naloxone be available in most public places for people to use in case of an emergency. This will be a huge step to help stop the continued rise of opioid overdose deaths in California.

more@CalRecovery

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Cubs Prospect Jesus Camargo Found with 21 Pounds of Meth

Addiction Recovery Bulletin

SPEED IS FOR STEALING BASES – 

March 20, 2021 – Deputies discovered a Cubs duffel bag that contained “several baseball gloves, cleats, several neatly packaged bags of a white substance, two green packages and a bag that was suspected of being doused with essential oils that had $1,000 cash in it.”

Per the arrest affidavit obtained by Whitehead, there were a total of three people in the car when Eagle County sheriff’s deputy Evan Jaramillo made contact with Camargo. 

Camargo is still being held in jail under a $75,000 bond.  The Cubs signed Camargo as an undrafted free agent in December 2014. He began his professional career in the Mexican League with Diablos Rojos del Mexico. 

Camargo, 25, spent the 2019 season with the Cubs’ High-A affiliate in Myrtle Beach. The right-hander returned to Mexico last year, appearing in five games with Yaquis de Obregon in the Mexican Pacific Winter League. 

more@BleacherReport

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Cornerstone Names Roxanne Bates, Clinical Outreach Director

Addiction Recovery Bulletin

RECOVERY EXPERTS RULE – 

March 18, 2021 – Substance abuse is not one person’s problem alone— it impacts families, communities, and society as a whole. Recovery, too, does not happen in isolation. It involves coordination and cooperation by individuals, families, communities, and systems working toward a common goal … Her own growth story fuels her passion and empathy, only matched by her knowledge and expertise. Roxanne keeps her patient’s mental health a top priority.  She is a forceful advocate for the patient community. As an expert in crisis intervention, she has helped hundreds of individuals and families find the path to recovery. 

A true Californian, Roxanne enjoys spending as much time as possible at the beach and outdoors, traveling, gardening, restoring furniture, and downtime with her friends and recovery family. 

more@MarketsInsider

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Emergency Naloxone Boxes Installed in Wisconsin to Help Save Lives

Addiction Recovery Bulletin

I SEE LIVE PEOPLE – 

March 11, 2021 – Outreach specialists with Wisconsin Voices for Recovery have now put up 12 opioid recovery kits at places like gas stations, hotels, and multiple healthcare locations across the state.

“People can just come in, grab a dose if they know somebody who needs it, and just have it on hand with them,” said Wes Van Epps with Wisconsin Voices for Recovery. “If we can get out there and get these boxes installed, it kind of helps to de-stigmatize opioid addiction,” said Jessica Geschke with Wisconsin Voices for Recovery. “It helps people be able to walk into places that our boxes are and take the Narcan, no questions asked.”

Geschke said since those boxes started being installed in February, Narcan has been taken from two of them by someone “just in case.” 

One was used in an emergency. 

“In Madison, at one of our hotel chains, where an individual did overdose in the hotel and he was revived with the Narcan that was there and his life was saved,” Geschke said. 

A saved life from an overdose, Adamson said, means that person can get the help they truly need. 

“You can’t address problems if the person isn’t with you anymore,” Adamson added. 

The organization teamed up with Serve You Rx, a Milwaukee-based pharmacy, to install the kits. 

Inside, there is a nasal spray version of naloxone, the drug that reverses the effects of an overdose, instructions on how to use it, and information on how to get help for recovery. 

more@SpectrumNews1

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Lighting Up Later in Life

Addiction Recovery Bulletin

SINSEMILLA FOR SENIORS – INDICA FOR ADULTS – 

March 21, 2021 – Last spring, an analysis based on the National Survey of Drug Use and Health found that marijuana use in the prior year among people over 65 had jumped 75 percent from 2015 to 2018, from 2.4 percent of that group to 4.2 percent. By 2019, use had reached 5 percent.

“I would expect it to continue to increase sharply,” said Dr. Benjamin H. Han, the lead author of the analysis. The data showed use rising particularly among women and among people with higher education and income.

A team using a different national data set documented a similar trend last fall. From 2016 to 2018, the proportion of men ages 65 to 69 who reported using marijuana or hashish within the past month had climbed to 8.2 percent from 4.3 percent. Among women, it grew to 3.8 percent from 2.1 percent.

“It’s rare to see that much change in a three-year period,” said William Jesdale, an epidemiologist at the University of Massachusetts. “It shocked us.”

more@NYTimes

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Antidepressants Still Linked to Increased Suicide Risk

Addiction Recovery Bulletin

TO THE END? – 

March 15, 2021 – According to Hengartner et al., the last meta-analysis that included observational studies was published in 2009, included only eight studies with about 200,000 participants, and did not include non-SSRI antidepressants like venlafaxine, bupropion, and mirtazapine. That study was also unable to control for publication bias and the bias of studies funded by the pharmaceutical industry (fCOI).

That 2009 study concluded that the risk of suicide was nearly doubled in adolescents taking SSRIs but that the drugs do reduce suicide risk in adults. However, that study was limited by smaller size, not controlling for biases, and not including all the drugs that are considered antidepressants.

Hengartner et al., have now updated that study, including 27 studies with 1.45 million participants, including non-SSRI antidepressants and antidepressants being used for indications other than depression, and controlling for biases like selective publication and studies sponsored by the pharmaceutical industry.

They found that antidepressants were associated with increased suicide risk in adults as well as adolescents. Moreover, even considering SSRIs alone did not reduce suicide risk—at best, suicide risk stayed the same.

“Contrary to prominent claims, we find no reliable evidence that antidepressants protect against suicide. Instead, it appears that antidepressant use may even increase suicide risk.”

Hengartner et al. were also able to assess the effect of publication bias and fCOI on the results. When they controlled for these biases, the results were even stronger, and even SSRIs were significantly associated with increased suicidality. Studies funded by the pharmaceutical industry were far more likely to find lower suicide rates than studies performed by independent researchers. Studies that make antidepressants look poor are far less likely to be published.

more@MadInAmerica

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