Kentucky Tries Rewriting the Scripts on Prescription Drug Abuse, Meth

Friday, May 11th, 2012

When lawmakers gathered this winter and spring, they crafted the hallmark legislation of the regular and special sessions, dealing with curbing prescription drug abuse and manufacture of methamphetamine.

Policymakers and former addicts had banned together in recent months to fight prescription drug abuse, spurred by the often recited Centers for Disease Control statistics that more Kentuckians die each year from prescription drug abuse than car crashes.

The tragic headlines of children abandoned, harmed, or even killed by reckless exposure to the fatal toxins of meth-making parents too tweaked up from the drug habit to care for their young, to the rising numbers of grandparents parenting again to fill the gap left by their abusing children, to the pop-up pain clinics and pill mills disproportionate to the real pain-killing medical needs of patients all sounded a clarion call to organized, political, life-saving action by law.

The regular session produced a highly negotiated measure to limit the amount of pseudoephedrine-based cold and allergy over-the-counter medicines that could purchased without a prescription. PSE, the chemical shorthand for pseudoephedrine, is the key ingredient used to make meth. Many anti-drug advocates wanted a prescription-only measure, but the political tolerance for such was weak. The deal brokered in the end lowered the amount of cold medicines such as Sudafed or Claritin D a consumer can get from 9 grams to 7.2 grams per month. Gel caps of the ingredient are excluded as it is believed PSE is harder to extract in that form.

Kentucky lawmakers also wrote a remedy for the prescription drug abuse epidemic and pill mills by requiring all pain management clinics to be physician-owned and for prescribers of Schedule II and III narcotics like Oxycodone and OxyContin to use the electronic, prescription drug monitoring system called KASPER to track patient use of painkillers, who prescribes them and how often. The legislation grandfathered in existing pain clinics that are not doc-owned, but they would have to abide by the new rules to stay in business.

One of the most compelling testimonies in Kentucky was brought to bear during legislative public hearings by Clay County business owner Melanda Adams. At age eleven she started experimenting with alcohol and marijuana. Her addiction grew more robust with the addition of prescription medicine abuse. Eventually, she wound up in early her twenties a hard meth addict, busted repeatedly for her habit, passing through the turnstile of several rehabs. Now, in her thirties, Melanda Adams is walking testimony of recovery and wholeness. She tells her story, alongside valiant drug educator and advocate Karen Kelly, president and CEO of Operation Unite in eastern Kentucky.

Adams and Kelly join me this weekend on Connections with Renee Shaw to talk about Kentucky’s drug problem and how they’re waging the battle against it.

Watch a glimpse of the program here.

From Root to Tip: Loving Who is "Beneath Saran"

Friday, April 27th, 2012

Saran wrap is used in African American hair salons to wrap hair; make hair straighten; smoother; lock in natural oils; save all that is meant to be saved.
—Hope D. Johnson

It could be said that when it comes to their crown and glory, many black women assimilate to dominant philosophy that straight is great and nappy makes ’em unhappy.

The debate over “processing,” or taming the mane, into bouncing, flowing locks against the grain of nature’s original intention is as much about black expression and protection of our roots, literally and well, literally.

For the countless African American women who drape themselves in plastic cover in preparation for the relaxer comb to part our waves and kinks into nonexistence, there is a sense that the chemical footprint applied our heads will unleash a beauty brilliance thought lacking–by ourselves and by society. It’s deeply personal and often eludes reconciliation. At least in the eyes of this African American woman, how we feel about ourselves and how we want others to feel about us is sometimes evident from root to tip.

All sorts of nerves were hit when I read the poetry chapbook Beneath Saran from mid-twenty-something Lexingtonian, Hope D. Johnson, waxing about hair politics, skin color, assimilation, culture, and, most importantly, acceptance. Reminiscent of the words crafted by the bigfoots in Affrilachian poetry, Frank X Walker, Nikky Finney, Crystal Wilkinson, Bianca Spriggs, Ricardo y Colon, literary youngblood Hope D. Johnson exalts memories to prose.

As the biracial daughter of black stylist (in my day we called them “hairdressers”) and a Scots-Irish coal miner from the heart of Appalachia, Hope confesses in the acrostic form of "Goosebumps," the first poem in the chapbook, to be a nervous soul who aims to triumph over fear, channeling anxiety into a voice uniquely hers. She refuses to be silenced.

With the turn of each page in the slim volume, another layer is revealed—wrapped in the complexities of struggle from teases and taunts from both whites and blacks, to the longing of a deeper hue that shares her mother’s face, to finally landing at a place of self-acceptance expressed in the stirring stanzas of "Watercolored."

The art of poetry has given courage—a voice, even though it took a long time for her to find it—to a young woman bound up by doubt and uncertainty. The wisdom she shares in Beneath Saran will do the same for many more just like her.

Watch poet Hope Johnson share her story and her words this weekend on Connections with Renee Shaw, Friday at 5:00/4:00 pm CT on KET2 and Sunday at 1:30/12:30 pm CT on KET.

Here’s a preview of the show.

Prescription meds: When less is more

Wednesday, April 11th, 2012

Modern medicine is helping us live longer by managing chronic diseases, but an upcoming guest on Connections with Renee Shaw warns of the hazards of too much of a seemingly good thing.

Dr. Demetra Antimisiaris, director of the University of Louisville School of Medicine's Polypharmacy Initiative, discusses why adverse drug reactions cause more than 100,000 deaths each year. She refers to this as a silent epidemic, one of the leading causes of death after heart disease and stroke.

Antimisiaris breaks down what she calls a systemic and cyclical side effect of modern health care: too brief doctor-patient interactions, which lead to more prescriptions added to a patient's drug regimen to help them cope with multiple, new symptoms that are often side effects caused by an already loaded medicine cabinet.

The Polypharmacy expert contends that the issue is not just one affecting the elderly, but younger populations as well. The problem is particularly acute in states such as Kentucky, which have a higher incidence of chronic disease and a more sedentary lifestyle.

Antimisiaris connects the dots between prescription use and obesity trends, explains why minority communities are at greater risk of adverse drug events, and lays out the cost to Medicare of over-medication. Here's a glimpse of what we'll talk about Friday, April 13, on KET 2 at 5 p.m. CT and Sunday, April 15, on KET at 1:30 p.m. CT.


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