Is this the WORST Drug Epidemic in History? Dr. Kenneth Spielvogel
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What dangers are youth facing today that they weren't a generation ago?
Interesting in 2024, there was actually the first year of a decrease in opioid-related deaths. You know why that was? I like to know like what we're going to go over so I can prepare. So I sound like I know what I'm talking about. Excellent. We don't need to prepare for this. Okay, well then let's just jump right into it. What I want to talk about today is all these new designer drugs, right?
Are we seeing the first decrease in overdose-related deaths?
All the drugs that are out today, because it was different than when you and I were kids. When we were kids, there was cocaine, there was heroin, there was mushrooms, there was acid, there was alcohol. and weed and weed that was it really right i mean he had some prescription pills right but but that was it and today you've got all this menagerie of stuff and it's more dangerous because we don't know what's in them they're all synthetic right Well, let's run through them. Let's do it. So, you know, Fennell's daddy, right? So, interesting in 2024, there was actually the first year of a decrease in opioid-related deaths. You know why that was? Why? Because they're dead. That is so bad. But it's true, right? I mean, people are dead. Users are dead. And probably there's a little bit more street knowledge in Narcan. So those two are really it.
I don't think that usage wise, if they did it just like raw usage wise, I doubt we're going to see a big decline in usage, but number of deaths definitely decreased. You know, fentanyl is a drug that we use regularly in the hospital. It's used for acute pain. It's a great drug. It's a great drug in obstetrics. And I'll tell you why. Because number one, it's rapid onset.
What is Pink Cocaine and why is it in the news?
So somebody comes in extreme pain, needs pain relief. Give a drug 50 to 100 micrograms. So now we know why they like it. Right. Fast onset. Well, it's the closest manufactured synthetic opioid to heroin. Right. So heroin is very fast. Right. So they are very similar as a drug. So rapid onset, rapid off, minimal crossing across the placenta. So you don't get a baby that's overly sedated. So a great drug in obstetrics, a great drug for acute pain in the ER, in the OR even. Very potent with minimal use. Problem being, the difference between a therapeutic dose and a lethal dose is minuscule. It's drops of sand, grains of sand, if you will. When the DEA this past year in 2024 took pills that were illegally manufactured and The average, listen to this number, it's insane.
What are the new designer drugs affecting communities?
Wow.
Yep. That's why they're dropping. Right. And people will say, well, now we can screen and we can test and we have chem strips. Problem being, and I think we talked about this last time, right? It's like a chocolate chip cookie. You get one little section of that cookie that's got more concentrated dose of fentanyl and you strip off a little bit of the pill and test it and it looks uniform and clean. It still isn't necessarily clean. That's right. So fentanyl is an ongoing problem. We can recognize that. You know, let's move on to another one. So carfentanil, which is, you know, essentially a drug unfit for human beings. Listen to this. It's essentially a tranquilizer that was used to put down elephants in the zoo. So it's an elephant tranquilizer. Yes, literally. Yeah. No, no. But it wasn't even meant to like tranquilize them. It was meant to put them down. Put them down. Okay. So you're telling me, hold on. I want to get this straight. Yes.
Wow.
Correct. So when you talk about drugs where like they say like a cop reaches in, gets it on their skin and then potentially gets affected, which there was a lot of misinformation with that, whether or not that was actually true. However, with car fentanyl, if somebody potentially had an open wound on their finger.
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Chapters
7 chapters
1
What dangers are youth facing today that they weren't a generation ago?
0:21–0:51
2
Are we seeing the first decrease in overdose-related deaths?
0:51–2:26
3
What is Pink Cocaine and why is it in the news?
2:26–3:46
4
Is the fentanyl crisis a matter of national security?
3:46
5
What are the new designer drugs affecting communities?
1:36–11:05
6
How does Narcan contribute to combating opioid overdoses?
11:05–11:39
7
What is the role of xylosine in the drug epidemic?
11:39–28:08
Speakers
2 identifiedMore from We're Out of Time
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