Fentanyl Awareness: Denial Isn’t a Life-Saving Strategy

“Awareness isn’t comfortable, but neither is grief. Choose the discomfort that saves lives.”

-This Puzzled Life

Light the charcoal. Sprinkle the sage. Today, we’re talking about Fentanyl Awareness. And Lord knows some folks need more than sage. They need a whole spiritual intervention. A PowerPoint and maybe a smack from an ancestor with a wooden spoon.

We’re still living in a world where people think fentanyl is something that happens to “other families,” “other communities,” or “those people over there.” Fentanyl doesn’t care about your zip code. Your Bible study attendance record. Or how many casseroles you’ve delivered to the church potluck. It is an equal-opportunity destroyer. And yet, some folks still clutch their pearls and say, “Well, if people didn’t do drugs.” Sweetheart, if ignorance burned calories, half this country would be runway-ready.

Fentanyl isn’t a moral issue. It’s a public health crisis. A grief generator. And a silent killer that slips into communities like humidity in Mississippi. It comes uninvited. Suffocating. And everywhere. But sure, let’s keep pretending it’s just a “bad choice” problem. And just for shits and giggles, I’ll say that bombing people in fishing boats that are clearly are not transporting this substance is not an answer to the problem.

Fentanyl doesn’t knock. It doesn’t ask permission. It doesn’t wait until you’re ready to have your life rearranged. It shows up like a tornado in the middle of a sunny day. It’s fast. Violent. And leaves you standing in the wreckage while wondering how the hell everything changed in seconds.

People aren’t overdosing because they’re weak. They’re overdosing because fentanyl is 50 times stronger than heroin. And 100 times stronger than morphine. They’re overdosing because it’s being mixed into substances without their knowledge. They’re overdosing because the world is heavy. Trauma is real. And coping mechanisms don’t magically appear with a bow on top.

But try telling that to the folks who think addiction is a “willpower issue.” These are the same people who can’t resist a clearance sale at Hobby Lobby. But somehow believe others should resist a chemically engineered substance designed to hijack the brain.

Addiction is not a character flaw. It’s not a spiritual failure. It’s not a lack of discipline. It’s a medical condition. A trauma response. And sometimes a desperate attempt to feel anything other than pain.

And fentanyl? It’s the predator waiting in the shadows. Families are burying children. Parents are burying parents. Communities are burying potential futures and dreams. And still some folks would rather cling to judgment than compassion. Because compassion requires effort. Judgment is free and easy like drive-thru theology.

So, here’s the truth that’s wrapped in Southern sass and tied with a bow of reality. Fentanyl doesn’t care about your opinions. It doesn’t care about your politics. It doesn’t care about your moral superiority complex. But we should care. We should care enough to talk about it. We should care enough to educate ourselves. We should care enough to stop pretending this crisis is happening in some faraway land to people we’ll never meet.

Fentanyl is already here. It’s in our towns, our schools, families, and our communities. And pretending otherwise won’t save a single life. And for the love of all things holy, open your eyes. Denial has never saved anyone. Awareness does. Compassion does. Action does. Try not to trip over it on your way back to reality. Thanks for reading! What are your thoughts?

Affirmation: I choose compassion over judgment. Truth over denial. And awareness over silence. My voice matters. And so does every life touched by this crisis.

***Don’t forget to watch the video!***

#ThisPuzzledLife

What Are The Streets Saying? Krokodil

“Krokodil is a flesh eating drug”

(opustreatment.com, 2024).

Light the charcoal. Sprinkle the sage. Negative energy go away. Okie dokie! Today’s topic for What Are the Streets Saying? I want to talk to you about a drug called Krokodil. This drug is especially dangerous as compounds can make wounds on the skin resemble those of a flesh eating bacteria.

This drug was first reported in Siberia in the 2002. It then spread to countries such as Ukraine, Georgia, Uzbekistan, Kazakhstan, Czech Republic, France, Belgium, Germany, Sweden, Norway and the USA. And it’s victims are usually young people between the ages of 18-25. Typical clinical presentations of the same type of skin, muscle and bone infections are treated with IV antibiotics and wound dressing changes. The damage caused by this drug is resistant to these types of therapies (calpoison.org, 2023). And this is why these types of infections are associated with use of this drug is oftentimes a very painful and fatal outcome.

Krokodil, is the street name for desomorphine, is an injectable opiate with severe dermatologic effects. The drug is a codeine derivative. And to increase the addiction and hallucinogenic effects, toxic agents are added to the already dangerous substance. This is an older drug but one that is able to be manufactured at home within minutes. (Journal of Drug and Alcohol Dependence, 2017.)  The chemicals typically used to manufacture are paint thinner, gasoline, hydrochloric acid, iodine, red phosphorus (scraped off match striking boxes)  and/or white phosphorus (The American Journal of Medicine, 2014). This drug is considered semi-synthetic and is known as “poor man’s heroin” because of how cheap it is. The drug is about five times cheaper than heroin. These pills are comprised of codeine and acetaminophen tablets, which were OTC in Russia, and could be bought with $3.71 USD for 10 tablets. The tablets which are now not available OTC have raised the price to $15.46 (Journal of Drug and Alcohol Dependence, 2017.) To me, this is still extremely inexpensive compared to a lot of illicit drugs.

Its  street names “Krokodil”, “Crocodile”, “Croc”, “Flesh eating heroin” , “Drug of the poor” “Russian Magic” “Flesh-rotting drug” or “Krok” from the discolored green, black and flaking skin on users that resemble that of a crocodile. Users typically die from gangrene or other infections within 3 years.(Journal of Drug and Alcohol Dependence, 2017). Also, the toxic chemicals show up as skin necrosis, advanced pyoderma and ulcers that expose bone, muscle and tendons (opustreatment.com, 2024).

This is another drug that is so incredibly dangerous and deadly. This might be the one drug out there that I never have an interest in trying. Again, take what you can use and leave the rest. But most of all, I hope that you have learned about another illicit drug that can and does take down individuals and families that doesn’t discriminate on age, race, sex, gender or socioeconomic status. Stay safe and thanks for reading!

***Don’t forget to watch the video!***

#Thispuzzledlife