Doctors must lead us out of our opioid abuse epidemic
By Dr. Sanjay Gupta, Chief Medical Correspondent
Watch "Prescription Addiction: Made in the USA," an "Anderson Cooper 360" town hall special hosted by Anderson Cooper and CNN's Chief Medical Correspondent Dr. Sanjay Gupta, at 9 p.m. ET Wednesday, May 11.
(CNN)Veteran doctors don't need a blood test to tell when someone is on the verge of a drug overdose. They can even narrow down the culprit by observation alone. Dilated pupils mean cocaine, amphetamines, maybe LSD. Constricted pupils mean an opiate.
Additionally, an opiate abuser is characteristically "nodding out" and often scratching their itchy skin. While their face is becoming pale and clammy, their fingernails and lips are starting to turn blue or even a sickly purplish-black. When the choking noises -- or the deep snore gurgling sounds, known as the death rattle -- begins, it's time to act -- and fast. That is a pretty clear sign the opiates have just turned off the person's drive to breathe and they are in the throes of an overdose.
It is an awful sight, and yet someone in this country dies like this
every 19 minutes. There is no other medication routinely used for a nonfatal condition that kills patients so frequently. The majority of those deaths result from prescription opioid medications, such as hydrocodone, OxyContin and Percocet.
It is so common that specialists even have a profile for the most typical victim: non-Hispanic Caucasian male, mid 30s. Initial diagnosis: back pain due to trauma, surgery or degenerative arthritis. And, most remarkably, average time from first prescription to time of overdose death: just 31 months....
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