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    Fentanyl Is Bad. ‘Tranq’ Might Be Worse.

    enFebruary 21, 2024

    Podcast Summary

    • Mysterious Wounds from a New Drug Threaten Public HealthA new drug, Xylazine, is being mixed into the drug supply and causing mysterious, horrific wounds in drug users, with no known treatment or cure.

      In Robeson County, North Carolina, Carissa Collins Cattel, a recovering drug addict, is working tirelessly for a nonprofit to help those struggling with drug addiction, including Fentanyl. However, she started noticing something unusual a few years ago – drug users were coming to her with mysterious, horrific wounds. These wounds, unlike anything they had seen before, appeared to be their flesh rotting away. Users were sending Carissa photos of these wounds, unsure of what was causing them. In some cases, what started as a small burn had grown to the size of a grapefruit. Some wounds were so deep that bones or tendons were exposed. Fentanyl doesn't cause such wounds. Instead, these injuries are being caused by a different drug – Xylazine, also known as tranq. This sedative is being mixed into the drug supply and is causing devastating harm in Carissa's community. The situation is particularly alarming because unlike Fentanyl, we have no idea how to treat Xylazine-related injuries. This new drug is sweeping across the country and poses a significant threat to public health.

    • New danger in the opioid crisis: Xylazine, an animal tranquilizerXylazine, a sedative not meant for humans, is being used to make opioids more potent and cheaper, contributing to the opioid epidemic and causing harm and even death. First reported in Robeson County, NC, its effects on humans are largely unknown.

      The opioid crisis is evolving with the emergence of new, dangerous substances like Xylazine, an animal tranquilizer that's infiltrating the illegal drug supply. Xylazine, or tranq, is a sedative, not an opioid, and it's not meant for human consumption. However, drug manufacturers are using it to make opioids more potent and cheaper, leading to a surge in its presence across the country. With very little known about its effects on humans, this new additive is contributing to the opioid epidemic and causing harm and even death. The first significant outbreak of Xylazine was reported in Robeson County, North Carolina, where its prevalence is particularly high. This new development underscores the ever-evolving nature of the opioid crisis and the urgent need for continued awareness and action.

    • A Hidden Opioid Crisis in Rural North CarolinaIn Robison County, North Carolina, the opioid crisis includes not just traditional opioids and fentanyl but also the hidden and dangerous drug Xylazine, leading to severe wounds and addiction, causing significant emotional toll on families.

      Robison County, North Carolina, with its vast rural farmlands and high poverty rates, faces significant health challenges, including a hidden opioid crisis. The use of drugs like Xylazine, which can cause severe wounds and addiction, is prevalent in this community. Ashley Locklear, a 27-year-old resident, is one of the many individuals struggling with addiction. Her story began with a prescription for opioids for a broken foot at a young age, leading to dependence and eventually the illicit market. Now, she's battling addiction to not just opioids and fentanyl but also Xylazine. Her mother's plea for help underscores the emotional toll this crisis takes on families. The hidden nature of the problem in such communities makes addressing it a significant challenge.

    • Fear and past traumatic experiences hinder seeking medical help for Xylazine addictionFear and past traumatic experiences can prevent individuals from seeking medical help for Xylazine addiction, making it crucial for healthcare providers to approach patients with empathy and understanding to build trust and encourage care.

      Fear and past traumatic experiences can prevent individuals from seeking necessary medical help, even when their health is at risk. In the case of Ashley, her fear of hospitals and past negative experiences led her to resist going, despite her severe pain and potential limb loss due to Xylazine use. The complexity of treating Xylazine addiction, including the drug's interaction with other medications and the trauma some patients experience in healthcare settings, adds to the challenge. It's crucial for healthcare providers to approach patients with empathy and understanding, acknowledging their fears and past experiences to build trust and encourage them to seek care. Additionally, continued research on Xylazine and its effects is essential to develop effective treatments and improve patient outcomes.

    • Exploring the Impact of Live Video in Business and the Emergence of Xylazine in Public HealthLive video in business can boost customer service, tech support, meetings, and events, while the emergence of Xylazine highlights the need for ongoing public health awareness and adaptive responses.

      Integrating live video into conversations can significantly enhance various aspects of business, from faster tech support and improved customer service to interactive meetings and events. Meanwhile, the medical community is still learning about the effects of Xylazine on humans. First identified around 2020, this drug can cause users to blackout for hours, leading to theft and vulnerability. The unique way it affects humans also causes their flesh to rot, leading to severe sores. The cause remains unknown, and typical methods for combating opioid overdoses, such as administering naloxone or Narcan, may not be effective with Xylazine involvement. The emergence of Xylazine serves as a reminder of the ever-evolving challenges in public health, while the potential of live video in business continues to unfold.

    • Xylazine's Unique Challenges for AddictsXylazine, a hidden tranquilizer in drug supply, causes severe withdrawal, naloxone doesn't reverse, education and early intervention key to addressing its prevalence

      Xylazine, a tranquilizer often found in the drug supply without users' knowledge, presents unique challenges for those struggling with addiction. Unlike opioids, naloxone does not reverse Xylazine's sedative effects, and withdrawal symptoms can be severe and potentially violent. Xylazine use leaves users feeling sick and unable to get high, making it a difficult addiction to overcome. The drug's prevalence in the drug supply makes it a significant challenge to address, but early intervention and education can help users identify and treat Xylazine-related wounds, and potentially question their dealers about the source of their drugs. While the situation may seem dire, there is hope for those affected if the issue is taken seriously.

    • Helping those in recovery from addiction is complexStarting and running a program to help those recovering from addiction is challenging, but the impact is significant and worth the effort.

      Helping those in recovery from addiction, particularly opioid addiction, is a challenging and complex endeavor. As highlighted in the discussion, recovering from addiction to substances like fentanyl is a difficult process, but starting and running a program to help others in recovery can be even more complicated. This was exemplified by the story of Carissa Collins Cattle, a dedicated worker in a North Carolina nonprofit who is now starting her own syringe program and looking for funding. Despite the challenges, Cattle remains committed to helping those in need, demonstrating the immense importance and impact of such work. It's a reminder that the road to recovery is long and hard, but the efforts of individuals like Cattle make a significant difference in the lives of those struggling.

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