Join Richard Taite and special guest Dr. Kenneth Spielvogel as they explore the impact of the drug epidemic on mental health in this thought-provoking video. Is this the worst drug epidemic in history? Watch to find out more. Dr. Kenneth Spielvogel is a Senior Medical Officer with a Special Interest in Addiction Medicine. For all things Richard Taite, the We're Out Of Time podcast, and Carrara Treatment Wellness & Spa: https://linktr.ee/richardtaite Key moments from this conversation with Dr. Kenneth Spielvogel & Richard Taite. Intro 00:00 What dangers are youth facing today that they weren't a generation ago? 00:40 Are we seeing the first decrease in overdose-related deaths in the past half-decade? 01:38 What substance are some addicts using that isn't fit for humans? And WHAT animal is it intended for? 04:14 Fentanyl crisis, a matter of national security? 7:03 Did the policies of the past 4 years lead to the increase in drug trafficking? 11:16 What exactly is Pink Cocaine, and why has it been in the news lately? 19:43 What truly is the gateway drug? 22:10
Full Episode
which is why they started calling it the zombie drug. People walking around literally with like rigid arms and legs in a zombie-like walk, putting families in the worst trauma that they could ever have. I don't think that usage-wise, I doubt we're gonna see a big decline in usage, but number of deaths definitely decreased.
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?
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.
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.
Wow.
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