opioids

Episode 70: How Testosterone Bans Criminalize the Body with Adryan Corcione

April 4, 2022 Narcotica Episodes 00:52:35 0 Comments

Imagine banning a chemical that we all make in our bodies. But that’s exactly where drug war logic takes us and why testosterone is Schedule III on the Controlled Substances Act, alongside ketamine and buprenorphine. Testosterone is painted as some dangerous substance that must be locked up. These outlandish fears led to restrictive laws which lead to criminalization and barriers to access—essentially criminalizing identity and the very bodies we inhabit. But bans on testosterone, ostensibly to stop athletes from boosting their competitive abilities, can have real world impacts, especially for gender variant people, especially transmasculine people.

Narcotica co-hosts Zachary Siegel and Troy Farah talk with Adryan Corcione about the climate of testosterone, why this hormone became so scrutinized (and how Joe Biden was part of that), and how syringe access programs have stepped in to help folks get the recognition and healthcare they deserve.

Follow Adryan Corcione on Twitter and read their piece in Filter Magazine here.

A few resources:
https://www.transformationsproject.org/legislation – anti trans legislation tracker by state
https://www.them.us/story/anti-lgbtq-bills-2022-explained-trans-sports-laws-youth-healthcare-mandated-reporter – recent roundup of anti-trans bills
https://translifeline.org/ – trans lifeline, peer hot line for trans people experiencing crisis
https://www.thetrevorproject.org/ – 24/7 LGBTQ+ hotline for young LGBTQ+ people
https://reconcilearkansas.org/ – Arkansas specific group to support trans/gnc youth
https://www.transtexas.org/ – transgender education education network of texss
https://tranzmission.org/ – trans rights org in western NC

Also, reach out to trans-specific groups local to you.

If you liked this episode, here are others you might enjoy:
Episode 62: Policing Pleasure — The Intersection of Sex Work and Drug Use with Tamika Spellman and Caty Simon
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 60: Perinatal Panic—Drugs, Pregnancy and Stigma with Ria Tsinas, Joelle Puccio and Erika Goyer
Episode 24: How To Get Abortion Pills Feat. Lynn Paltrow and Francine Coeytaux

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Paddington Bear
Intro voice: Jenny Schaye

Episode 67: Methadone in the Time of Covid with Danielle Russell

February 8, 2022 Narcotica Episodes, Opioids, Overdose Crisis 00:58:10 0 Comments

Harm reduction programs like syringe access, supervised consumption or even just handing out condoms on the street, can be some of the only access to healthcare some people encounter. Definitely not all, but some people who use drugs routinely shun going to the doctor—not because they don’t care about their health, but because our for-profit healthcare system treats almost everyone who uses an illicit substance like complete shit. And people who use drugs have been treated like pariahs long before the covid pandemic, but things got way worse once the virus came to town.

Previously on Narcotica, co-host Chris Moraff did an episode all about how doctors need to work harder to rebuild the patient-trust relationship. And many medical professionals are doing that work, which makes such a huge difference. It’s hard to understate how valuable it can be to receive nonjudgmental medical care that doesn’t hinge on absolute abstinence.

That episode, number 65, which we encourage you to listen to after this one, came from the perspective of two amazing doctors, Ashish Thakrar and Ben Cocchiario. However, on this episode, we want to talk to someone from the other side of the aisle to get a different viewpoint from someone with lived experience in this area.

Why would you go to a healthcare provider for an infection or injury if you’re going to be lectured about your drug use, even if it has nothing to do with why you’re there? Or you might be forced to hand over your urine or have your possessions rifled through by a nurse. Even for people that don’t use illegal substances, our healthcare system is a nightmare to try and navigate. It only gets worse if you happen to self-medicate or enjoy chemicals that aren’t sanctioned by the FDA.

Narcotica co-host Troy Farah speaks with Danielle Russell of Phoenix, Arizona, who is currently a justice and social inquiry PhD student at Arizona State University. She studies how the criminalization of substances used for personal pleasure has become a key issue and tool for social control, contributing to the ongoing legacy of racialized criminalization and mass incarceration in the U.S. Having personally experienced many of the harms that impact people who use illicit drugs, she is passionate about mutual aid and working to change the structures that impose harms on the bodies of drug users. Her research interests are oriented towards community-based participatory research.

Follow Danielle on Twitter @DopefiendPhD and you can read the study she co-authored here:
https://pubmed.ncbi.nlm.nih.gov/33461838/

If you liked this episode, here are others you might enjoy:
Episode 65: Restoring Trust in Doctors Amidst The Overdose Crisis with Dr. Ben Cocchiaro and Dr. Ashish Thakrar
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 56: Drug Use During Disaster with Aaron Ferguson

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah / Troy Farah
Music: Glass Boy / Holly Mangler
Intro voice: Jenny Schaye
Image: Noun Project // edit: Troy Farah

Episode 60: Perinatal Panic—Drugs, Pregnancy and Stigma with Ria Tsinas, Joelle Puccio and Erika Goyer

July 16, 2021 Narcotica Episodes 01:40:24 0 Comments

One area where drug stigma especially persists, even among harm reduction advocates, is the prejudice against mothers and pregnant people who use drugs. Even some people in syringe exchange or who work in drug policy are against the idea of people with the capacity for pregnancy, (i.e. anyone with a uterus), using pretty much any drugs for any purpose.

It’s not clear why the principles of harm reduction that we extend to almost everyone else suddenly stop when it involves a fetus or a uterus. But the lives of pregnant people are no less important than anyone else who uses drugs, and the same attitudes of stigma, abstinence-only and surveillance don’t work here either—they just make the situation worse.

Narcotica co-host Troy Farah speaks with not one, but three guests from the Academy of Perinatal Harm Reduction, a non-profit that focuses on people with the capacity for pregnancy, who also happen to use drugs. They are:

Ria Tsinas, based in Portland, Oregon, who works at Outside In as a syringe exchange specialist and community health worker. She is also the mother of a wonderful kid.

Erika Goyer, based in Austin, Texas, Advocate at National Perinatal Association and co-founder at Academy of Perinatal Harm Reduction. She is also a parent.

And Joelle Puccio, a travel nurse who is sometimes based in Seattle, Washington and works as a voard of directors at The People’s Harm Reduction Alliance.

Learn more at perinatalharmreduction.org/

Follow Joelle on Instagram @joellepuccio
Follow Ria on Instagram @gtsinas
Follow Erika on LinkedIn

Follow Narcotica on Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 48: Moms And Methadone with Elizabeth Brico
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 24: How To Get Abortion Pills Feat. Lynn Paltrow and Francine Coeytaux

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / done with fish
Intro voice: Jenny Schaye
Image: Pixabay edit: Troy Farah

 

Episode 54: West Virginia, America’s Worst Overdose and HIV Hotspot with Lauren Peace

March 21, 2021 Narcotica Episodes 01:03:50 0 Comments

There’s a “twindemic” raging across the state of West Virginia: Covid-19 has collided with an outbreak of HIV and hepatitis C. If that’s not bad enough, West Virginia has the highest overdose death rate in the nation. The CDC recently called the HIV outbreak in Kanawha County, West Virginia the “most concerning” in the country. Make no mistake, this outbreak is preventable, and is largely driven by the failure of local governments to provide syringe service programs to people who use drugs.

Even worse, West Virginia lawmakers are actively trying to pass legislation to further restrict harm reduction programs across the state. Covering this disaster of health and reactionary politics is Lauren Peace, a local investigative reporter at the nonprofit news outlet Mountain State Spotlight. Lauren has been providing vital on the ground coverage of embattled harm reduction programs—programs like Solutions Oriented Addiction Response (SOAR) that are working against a toxic backlash to prevent more HIV cases from spreading and save lives.

This episode is a one-on-one conversation with co-host Zachary Siegel and Lauren, who discusses what it’s like on the ground in West Virginia and the endless battle to put out science-based information in the face of stigma and misguided narratives about harm reduction. Plus, a bit of news at the top of the show about Biden’s pick for ONDCP director (read Zach’s piece in Filter) and Senate Bill 334, a piece of harmful legislation moving through West Virginia’s legislature.

You can follow Lauren on Twitter: @LaurenMPeace and read her work at Mountain State Spotlight.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 37: Covering Culture and Drugs with Substance with Kate Knibbs
Episode 19: Debunking Bupe Diversion Myths with Molly Doernberg
Episode 36: Moral Hazards and Naloxone, A Toxicologist’s Perspective with Ryan Marino

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Garrett Farah
Music: Glass Boy / Lasers
Intro voice: Jenny Schaye
Image: Bill Dickinson via Flickr // edit: Troy Farah

Episode 39: Pain Patients Are Still Fighting For Their Lives with Kate Nicholson

March 14, 2020 Narcotica Episodes 00:48:38 0 Comments

In 2016, the Centers for Disease Control and Prevention laid out guidelines for primary care doctors prescribing opioids to treat chronic pain. Essentially, these guidelines stated that opioids should not be the first line treatment for pain, and that other methods should be tried first. Which is perfectly sensible.

But when it came to dosing and duration, these guidelines — not laws — guidelines, started to become widely misinterpreted. We don’t need to get in the weeds of morphine milligram equivalents here, but what wound up happening across the country is that doctors, medical boards, and even legislators took the guidelines as black letter law. And clearly mistook the intended audience for the guidelines: primary care providers. Not pain management specialists, primary care providers. The one you might go see for a wellness check up or if you have strep throat.

Why is all this important? Aren’t prescription opioids, after all, the very substance that ignited a massive wave of overdose deaths across the country? It’s not so simple. Well intended efforts to reduce everyday people’s exposure to high doses and long durations of opioids started to hit the wrong target: patients with chronic, intractable, debilitating pain.

And we have an excellent guest, civil rights attorney, writer, and advocate, Kate Nicholson. Kate has been a critical asset for the pain community, who has been speaking up about how policy intended to help is actually causing more harm. She has consulted on several Democratic presidential candidates, including Bernie Sanders, Julian Castro and even Joe Biden.

Follow Kate Nicholson on Twitter @speakingabtpain

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah / A A Aalto
Photo: U.S. Air Force photo illustration/Tech. Sgt. Mark R. W. Orders-Woempner // Edit Troy Farah

Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall

February 28, 2020 Narcotica Episodes 00:49:03 0 Comments

Public officials have been yelling from the rooftops that there’s an opioid epidemic. Yes, an obscene number of people are dying from overdoses, many of which involve opioids. But they’re not quite right. Researchers who really get what’s going on describe what’s happening to the U.S. drug supply over the last few years as a mass poisoning. Were it not for potent fentanyl analogues being sold in heroin markets, many, many lives would be spared. 

That’s where the concept of a safe drug supply comes in. Troy and Zach speak with Dr. Mark Tyndall, a professor of medicine at the University of British Columbia, and the founder of My Safe Project, a vending machine that dispenses hydromorphone pills, otherwise known as dilaudid. Mark says this program is saving lives. We cut through some of the bullshit arguments about diversion, “enabling” drug use and other pearl-clutching fears, but also talk about safe supply for stimulants and benzos, and how this program is already changing lives.

Follow Dr. Mark Tyndall on Twitter @DrMtyndall

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

Producers: Christopher Moraff, Troy Farah, Zachary Siegel 
Co-producer: Garrett Farah
Music: Glass Boy / Garrett Farah
Photo: PXFuel // Edit Troy Farah

Episode 32: How Synthetic Drugs Conquered the Globe with Ben Westoff

October 31, 2019 Narcotica Episodes 00:53:05 0 Comments

On today’s show, co-host Zachary Siegel interviews Ben Westhoff about how he gained access to a clandestine lab in China, the prominent role that America’s War on Drugs has played in producing deadlier, more potent drugs that no user actually really wants, and finally, that in order to save the lives of people using drugs, the US must adopt innovative harm reduction strategies that have been tested around the world, like supervised injection sites and drug checking.

Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky

June 23, 2019 Narcotica Episodes 00:52:04 0 Comments

On this episode Narcotica highlights a new project from the Health in Justice Action Lab at Northeastern University called Changing The Narrative, which aims to correct flawed narratives about drugs, debunked myths, old tropes, and stigmatizing language in mainstream media.

Episode 15: Accurate, Compassionate Drug Journalism with Filter Magazine

April 3, 2019 Narcotica Episodes 0:54:12 0 Comments

Mainstream media doesn’t really ‘get’ drugs, but there’s one place that has consistently gotten it right: Filter Magazine. Narcotica hosts Christopher Moraff, Zachary Siegel and Troy Farah talk with Filter’s co-founder and editor-in-chief Will Godfrey. This conversation covers a lot of ground on media literacy and compassionate reporting on drug use.

Full disclosure: all three of us at Narcotica have worked with Godfrey in some way. But we completely support the work that Filter is doing, which is what we hope Narcotica accomplishes: responsible, scientific, and compassionate reporting on drugs.

Learn more about Filter Magazine on their website and follow Will Godfrey on Twitter.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Producer: Christopher Moraff / Troy Farah
Image credit: Eduardo Verdugo
Music: KieLoKaz, Glass Boy and Aaron Ferguson
Co-Producer: Aaron Ferguson — https://soundcloud.com/knowmad1

Episode 9: Speed Up, Slow Down Pt. 3 — The Cocaine Fentanyl Blues

November 19, 2018 Narcotica Episodes 00:29:56 0 Comments

For more than a century, Americans have had a love-hate relationship with cocaine. Once viewed as a cure-all tonic for everything from hemorrhoids to morphine addiction, the drug has inspired infamous rock songs and brought people to their knees.

In the third and final segment of Narcotica’s ‘Speed Up, Slow Down’ series on stimulants, reporter Christopher Moraff examines the strange and perplexing history of cocaine and it’s latest demonization—fentanyl adulteration. He speaks with toxicologist Kevin Shanks, Dennis Cauchon of Harm Reduction Ohio and fentanyl test strip guru Tino Fuentes.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: Christopher Moraff, edit by Troy Farah.

Episode 8: Collateral Damage—Patients Fight Back

November 2, 2018 Narcotica Episodes, News 00:41:00 0 Comments

With the midterms just days away, Zach, Chris and Troy explore America’s newest marginalized political constituency—millions of people with chronic pain or illness that have been ground under the wheel of American opioid policy. We speak with Lauren DeLuca, President of Chronic Illness Advocacy & Awareness Group about how we got here and how the sickest Americans can we come one of the strongest political forces in coming years.

Listen HERE

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated!

Photo credit: K-State Research and Extension, edit by Troy Farah.

Episode 6: Speed Up, Slow Down Pt. 2 — Myth Evolution: From Crack Kids to Addicted Babies

October 17, 2018 Narcotica Episodes 00:15:27 1 Comment

In the ’80s, a rampant fear of “crack babies” permeated the mainstream media. But the claims of kids deformed due to crack cocaine turned out to be bullshit. Troy Farah reports on how this urban legend originated, and how it’s morphed into another false narrative: the addicted baby myth. Plus, we examine why pregnant drug users face so much greater stigma than others. We speak with Dr. Carl Hart, a neuroscientist and the Chair of the Department of Psychology at Columbia University, as well as Cherisse Scott, founder of Sister Reach, which fights for reproductive justice.

More info:
Dr. Carl Hart — http://drcarlhart.com/
Cherisse Scott — http://sisterreach.org/

Follow Narcotica on Instagram, Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

If you liked this episode, here are others you might enjoy:
Episode 38: Dead People Don’t Recover — The Importance of Safe Supply with Mark Tyndall
Episode 33: Party and Play—An Intro to Chemsex with David Stuart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Photo credit: PXHere, edit by Troy Farah

Media clips:
Partnership for a Drug-Free America “Baby Bottle” (1992, USA)
Crack Babies: A Tale From the Drug Wars | Retro Report | The New York Times
Presidential Debate 1992 #1
Born Addicted: 1 2 3 4 5

More resources:
Substance use during pregnancy: time for policy to catch up with research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419718/

Substance use during pregnancy: time for policy to catch up with research
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419718/

Criminal Charges for Child Harm from Substance Use in Pregnancy
http://jaapl.org/content/45/2/193#T1

https://www.reuters.com/investigates/special-report/baby-opioids/

https://tonic.vice.com/en_us/article/bj75n5/baby-opioid-addicts-dont-exist

Open Letter to Journalists and Editors About “Addicted Babies”

http://www.advocatesforpregnantwomen.org/issues/pregnancy_and_drug_use_the_facts/

Shattering The Myth Of The ‘Addicted Baby’

http://discovermagazine.com/2006/dec/crack-baby-unfounded-stigma

View at Medium.com

 

Episode 2: Anthony Bourdain, Suicide and the Myth of Cross Addiction

June 26, 2018 Narcotica Episodes, News 00:19:40 1 Comment

*CW: Suicide is discussed on this episode.*

Narcotica heard that members of the addiction recovery community were wildly speculating about whether or not drinking played a role in Anthony Bourdain’s suicide. Not only do we think that speaking for someone who cannot speak for themselves—especially someone like Bourdain, who was an incredibly empathetic human being and storyteller—is a shitty thing to do. But to do it without any shred of evidence or rigor, makes it all even worse. In this episode, more commentary than radio magazine format, Troy, Zach, and Chris, discuss the CDC’s latest suicide report, and cross addiction, a popular myth that people who recover from addictions continue to believe.

If you or someone you know are having thoughts of suicide, please visit suicidepreventionlifeline.org/

Follow Narcotica on Facebook, Twitter, YouTube and support us on Patreon. Help keep this podcast ad-free! Your support is appreciated! We’re on Spotify, iTunes, Stitcher and more. Tell your friends about us! Rate us! And thanks for your support!

If you liked this episode, here are others you might enjoy:
Episode 22: Changing the Narrative with Maia Szalavitz and Leo Beletsky
Episode 51: The Joy of Drug Use with Dr. Carl Hart
Episode 20: The Pitfalls of Mainstream Harm Reduction with Eliza Wheeler

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Pete Souza.

 

 

Episode 1: Opioid of the Masses

May 24, 2018 Narcotica Episodes 00:57:49 2 Comments

Episode 1 of Narcotica is here! In the first segment Zachary Siegel does some mythbusting around overdosing by touching fentanyl; Troy Farah gives a nuanced take on what’s driving the overdose crisis; and Christoper Moraff talks with experts and drug users about the disease-model of addiction.

Follow Narcotica on Facebook, Twitter and support us on Patreon. Your support is appreciated! We’re on Spotify, iTunes, YouTube, Stitcher and more. Tell your friends about us!

If you liked this episode, here are others you might enjoy:
Episode 44: Reimagining Public Health and Racial Justice with Dr. Ricky Bluthenthal
Episode 30: Getting Wrecked with Dr. Kim Sue
Episode 11: Beyond Borders — How the U.S. Exports Dangerous Drug Policy with Sanho Tree

Producers: Christopher Moraff, Troy Farah, Zachary Siegel
Co-producer: Jon Ehrens
Music: Glass Boy
Intro voice: Jenny Schaye
Image: Public domain photo