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My Introduction to Narcan | Kelly O’Connor | TEDxAlbany


this story is about my introduction to

this story is about my introduction to narcan which is a drug that kind of

narcan which is a drug that kind of

narcan which is a drug that kind of brings people back from the dead it

brings people back from the dead it

brings people back from the dead it brought my sister back that’s Jenny

narcan’s used when someone overdoses on

narcan’s used when someone overdoses on an opioid these are drugs like heroin or

an opioid these are drugs like heroin or

an opioid these are drugs like heroin or prescription pain meds like morphine

prescription pain meds like morphine

prescription pain meds like morphine vicodin or some you probably haven’t

vicodin or some you probably haven’t

vicodin or some you probably haven’t heard of like dilaudid

heard of like dilaudid

heard of like dilaudid when a person overdoses their heart

when a person overdoses their heart

when a person overdoses their heart slows down and their breathing slows

slows down and their breathing slows

slows down and their breathing slows down and it becomes really hard to wake

down and it becomes really hard to wake

down and it becomes really hard to wake them up from this state

them up from this state

them up from this state so what narcan does is it blocks the

so what narcan does is it blocks the

so what narcan does is it blocks the opioid and it reverses the overdose and

opioid and it reverses the overdose and

opioid and it reverses the overdose and I didn’t know any of this six months ago

I didn’t know any of this six months ago

I didn’t know any of this six months ago I’m not someone who struggled with

I’m not someone who struggled with

I’m not someone who struggled with addiction I’m not a doctor I’m not a

addiction I’m not a doctor I’m not a

addiction I’m not a doctor I’m not a social worker

social worker

social worker I’m just someone’s sister who was

I’m just someone’s sister who was

I’m just someone’s sister who was drafted into the frontlines of the

drafted into the frontlines of the

drafted into the frontlines of the opioid epidemic earlier this year when I

opioid epidemic earlier this year when I

opioid epidemic earlier this year when I got a call at work telling me to come

got a call at work telling me to come

got a call at work telling me to come home that my sister Jenny was in the

home that my sister Jenny was in the

home that my sister Jenny was in the hospital and had just been revived with

hospital and had just been revived with

hospital and had just been revived with narcan I fly home that day and within an

narcan I fly home that day and within an

narcan I fly home that day and within an hour of landing at the airport I’m

hour of landing at the airport I’m

hour of landing at the airport I’m helping my sister shuffled to the

helping my sister shuffled to the

helping my sister shuffled to the bathroom at the hospital because she can

bathroom at the hospital because she can

bathroom at the hospital because she can barely walk I don’t know it yet but

barely walk I don’t know it yet but

barely walk I don’t know it yet but Jenny will die in just six days from

Jenny will die in just six days from

Jenny will die in just six days from cirrhosis of the liver from alcoholism

cirrhosis of the liver from alcoholism

cirrhosis of the liver from alcoholism and opioid addiction she’s just turned

and opioid addiction she’s just turned

and opioid addiction she’s just turned 44 years old she’s never done any rehab

44 years old she’s never done any rehab

44 years old she’s never done any rehab no interventions and my family has not

no interventions and my family has not

no interventions and my family has not had a single conversation about

had a single conversation about

had a single conversation about addiction I am completely blindsided

addiction I am completely blindsided

addiction I am completely blindsided everyone in this room knows someone who

everyone in this room knows someone who

everyone in this room knows someone who has died or struggling from addiction

has died or struggling from addiction

has died or struggling from addiction more than hats at 175 American’s die

more than hats at 175 American’s die

more than hats at 175 American’s die every day from overdose more than half

every day from overdose more than half

every day from overdose more than half of those are from opioids I share my

of those are from opioids I share my

of those are from opioids I share my story with you today so you’re not

story with you today so you’re not

story with you today so you’re not blindsided like I was and you don’t make

blindsided like I was and you don’t make

blindsided like I was and you don’t make the same mistakes that I did because

the same mistakes that I did because

the same mistakes that I did because these are mistakes that I’ll regret the

these are mistakes that I’ll regret the

these are mistakes that I’ll regret the rest of my life so here’s my story I’m a

rest of my life so here’s my story I’m a

rest of my life so here’s my story I’m a very good problem solver I work at the

very good problem solver I work at the

very good problem solver I work at the u.s. digital service which is a

u.s. digital service which is a

u.s. digital service which is a technical startup in the White House we

technical startup in the White House we

technical startup in the White House we were started by President Obama in 2014

were started by President Obama in 2014

were started by President Obama in 2014 and we’re going strong in the Trump

and we’re going strong in the Trump

and we’re going strong in the Trump Whitehouse we’re about 200 engineers and

Whitehouse we’re about 200 engineers and

Whitehouse we’re about 200 engineers and designers from companies like Google

designers from companies like Google

designers from companies like Google Apple Amazon and Code for America we

Apple Amazon and Code for America we

Apple Amazon and Code for America we sign up for two-year tours with

sign up for two-year tours with

sign up for two-year tours with government to work on complex problems

government to work on complex problems

government to work on complex problems that’s me in the middle and I joined the

that’s me in the middle and I joined the

that’s me in the middle and I joined the digital service because I wanted to help

digital service because I wanted to help

digital service because I wanted to help veterans mainly because my dad is a

veterans mainly because my dad is a

veterans mainly because my dad is a Vietnam combat veteran and a Bronze Star

Vietnam combat veteran and a Bronze Star

Vietnam combat veteran and a Bronze Star recipient although he’d never tell you

recipient although he’d never tell you

recipient although he’d never tell you that here’s my family we grew up in

that here’s my family we grew up in

that here’s my family we grew up in Buffalo New York I’m the oldest of three

Buffalo New York I’m the oldest of three

Buffalo New York I’m the oldest of three sisters we all went to college my sister

sisters we all went to college my sister

sisters we all went to college my sister Colleen is a nurse and lives here in

Colleen is a nurse and lives here in

Colleen is a nurse and lives here in Saratoga with her family with her

Saratoga with her family with her

Saratoga with her family with her husband and three kids and my sister

husband and three kids and my sister

husband and three kids and my sister Jenny is sitting in front and she stayed

Jenny is sitting in front and she stayed

Jenny is sitting in front and she stayed in Buffalo and she was a stay-at-home

in Buffalo and she was a stay-at-home

in Buffalo and she was a stay-at-home mom she lived a middle-class suburban

mom she lived a middle-class suburban

mom she lived a middle-class suburban life with her husband of more than 15

life with her husband of more than 15

life with her husband of more than 15 years and their two kids my parents will

years and their two kids my parents will

years and their two kids my parents will celebrate their 50th wedding anniversary

celebrate their 50th wedding anniversary

celebrate their 50th wedding anniversary next year they are hard-working

next year they are hard-working

next year they are hard-working humble and very private people we go on

humble and very private people we go on

humble and very private people we go on sister vacations our last one was Key

sister vacations our last one was Key

sister vacations our last one was Key West and Colleen likes to sleep in so

West and Colleen likes to sleep in so

West and Colleen likes to sleep in so Jenny stuck being my workout partner and

Jenny stuck being my workout partner and

Jenny stuck being my workout partner and you can see neither of us has any idea

you can see neither of us has any idea

you can see neither of us has any idea how to do yoga and we see each other

how to do yoga and we see each other

how to do yoga and we see each other regularly I would describe Jenny as

regularly I would describe Jenny as

regularly I would describe Jenny as smart athletic funny

smart athletic funny

smart athletic funny she had a quick sense of humor but about

she had a quick sense of humor but about

she had a quick sense of humor but about three years ago I started thinking she

three years ago I started thinking she

three years ago I started thinking she might be drinking too much because I was

might be drinking too much because I was

might be drinking too much because I was noticing her hands were shaking she had

noticing her hands were shaking she had

noticing her hands were shaking she had started to stutter and she was becoming

started to stutter and she was becoming

started to stutter and she was becoming more and more reclusive two other things

more and more reclusive two other things

more and more reclusive two other things were happening at that time she had

were happening at that time she had

were happening at that time she had surgery to relieve some back pain issues

surgery to relieve some back pain issues

surgery to relieve some back pain issues and she and her husband started going

and she and her husband started going

and she and her husband started going through a stressful separation but when

through a stressful separation but when

through a stressful separation but when I tried to talk to my sister about her

I tried to talk to my sister about her

I tried to talk to my sister about her health she was very defensive she

health she was very defensive she

health she was very defensive she insisted she had the best doctors in

insisted she had the best doctors in

insisted she had the best doctors in Buffalo which she did she assured us

Buffalo which she did she assured us

Buffalo which she did she assured us that she had stopped drinking altogether

that she had stopped drinking altogether

that she had stopped drinking altogether and we never saw her drink and she said

and we never saw her drink and she said

and we never saw her drink and she said she was just taking xanax for some

she was just taking xanax for some

she was just taking xanax for some anxiety so we accepted this we thought

anxiety so we accepted this we thought

anxiety so we accepted this we thought that sounds okay and we trusted that she

that sounds okay and we trusted that she

that sounds okay and we trusted that she was in good care and that was a really

was in good care and that was a really

was in good care and that was a really big mistake and the minute I got that

big mistake and the minute I got that

big mistake and the minute I got that call this past July it all clicked and I

call this past July it all clicked and I

call this past July it all clicked and I knew all my suspicions or

knew all my suspicions or

knew all my suspicions or right but at that time I still thought

right but at that time I still thought

right but at that time I still thought it’s gonna be okay we have years ahead

it’s gonna be okay we have years ahead

it’s gonna be okay we have years ahead of us to help her battle addiction and

of us to help her battle addiction and

of us to help her battle addiction and so as I headed home

so as I headed home

so as I headed home I brought a blank check and I started

I brought a blank check and I started

I brought a blank check and I started looking up private rehab facilities in

looking up private rehab facilities in

looking up private rehab facilities in New York State so when I arrived at

New York State so when I arrived at

New York State so when I arrived at Kemah Mercy Hospital as I’m walking down

Kemah Mercy Hospital as I’m walking down

Kemah Mercy Hospital as I’m walking down the hall I can hear my sister before I

the hall I can hear my sister before I

the hall I can hear my sister before I see her and she’s moaning for something

see her and she’s moaning for something

see her and she’s moaning for something that opioid dilaudid and when I walk

that opioid dilaudid and when I walk

that opioid dilaudid and when I walk into a room jenny is radically

into a room jenny is radically

into a room jenny is radically transformed I am not expecting this her

transformed I am not expecting this her

transformed I am not expecting this her legs are bones her skin is an awful

legs are bones her skin is an awful

legs are bones her skin is an awful jaundiced color and she has these clear

jaundiced color and she has these clear

jaundiced color and she has these clear liquid bubbles all over her eyeballs

liquid bubbles all over her eyeballs

liquid bubbles all over her eyeballs like a monster she’s in and out of

like a monster she’s in and out of

like a monster she’s in and out of lucidity and she never stops moaning for

lucidity and she never stops moaning for

lucidity and she never stops moaning for three days Colleen and I sleep at the

three days Colleen and I sleep at the

three days Colleen and I sleep at the hospital every night we have to get up

hospital every night we have to get up

hospital every night we have to get up about every 45 minutes to help Jenny

about every 45 minutes to help Jenny

about every 45 minutes to help Jenny shuffle to the bathroom and I think this

shuffle to the bathroom and I think this

shuffle to the bathroom and I think this is the hardest part for me because it’s

is the hardest part for me because it’s

is the hardest part for me because it’s so sad watching her look up from the

so sad watching her look up from the

so sad watching her look up from the portable toilet when we can’t make it to

portable toilet when we can’t make it to

portable toilet when we can’t make it to the regular bathroom she’s embarrassed

the regular bathroom she’s embarrassed

the regular bathroom she’s embarrassed even in her own state for three days I

even in her own state for three days I

even in her own state for three days I put drops in my sister’s eyes I tried to

put drops in my sister’s eyes I tried to

put drops in my sister’s eyes I tried to feed her and sure and I rub her swollen

feed her and sure and I rub her swollen

feed her and sure and I rub her swollen feet we’re a close family but we are not

feet we’re a close family but we are not

feet we’re a close family but we are not affectionate at all but that week I

affectionate at all but that week I

affectionate at all but that week I remember holding my sister’s hand a lot

remember holding my sister’s hand a lot

remember holding my sister’s hand a lot and touching her hair and I don’t think

and touching her hair and I don’t think

and touching her hair and I don’t think I ever remember touching my sister’s

I ever remember touching my sister’s

I ever remember touching my sister’s hair before and now I feel it all the

hair before and now I feel it all the

hair before and now I feel it all the time am i writing it so one day for her

time am i writing it so one day for her

time am i writing it so one day for her doctors come in and pretty abruptly tell

doctors come in and pretty abruptly tell

doctors come in and pretty abruptly tell us we need to start making some

us we need to start making some

us we need to start making some decisions that my sister’s dying from

decisions that my sister’s dying from

decisions that my sister’s dying from liver failure but they say this like

liver failure but they say this like

liver failure but they say this like we’ve been expecting it for years and we

we’ve been expecting it for years and we

we’ve been expecting it for years and we already know it and we don’t so then

already know it and we don’t so then

already know it and we don’t so then things start going very quickly do not

things start going very quickly do not

things start going very quickly do not resuscitate orders get signed we move

resuscitate orders get signed we move

resuscitate orders get signed we move down the hall to a hospice room and for

down the hall to a hospice room and for

down the hall to a hospice room and for the first time in my life I see my

the first time in my life I see my

the first time in my life I see my mother visibly shaken although I’ve

mother visibly shaken although I’ve

mother visibly shaken although I’ve never seen her cry

never seen her cry

never seen her cry Jenny dies two days later so in my

Jenny dies two days later so in my

Jenny dies two days later so in my reality my sister has just died from

reality my sister has just died from

reality my sister has just died from cirrhosis of the liver

cirrhosis of the liver

cirrhosis of the liver from alcoholism and opioid addiction in

from alcoholism and opioid addiction in

from alcoholism and opioid addiction in just six days but in reality she’d been

just six days but in reality she’d been

just six days but in reality she’d been dying a long time before that right in

dying a long time before that right in

dying a long time before that right in front of us she’d been drinking and

front of us she’d been drinking and

front of us she’d been drinking and taking prescription drugs from the best

taking prescription drugs from the best

taking prescription drugs from the best doctors in Buffalo for years and this

doctors in Buffalo for years and this

doctors in Buffalo for years and this culminated this past year with her going

culminated this past year with her going

culminated this past year with her going to her local emergency room to get

to her local emergency room to get

to her local emergency room to get generous doses of dilaudid she lied to

generous doses of dilaudid she lied to

generous doses of dilaudid she lied to us for years and while my heart is

us for years and while my heart is

us for years and while my heart is broken I’m so angry

broken I’m so angry

broken I’m so angry mostly I’m angry at Jenni for not

mostly I’m angry at Jenni for not

mostly I’m angry at Jenni for not getting the help she needed I would have

getting the help she needed I would have

getting the help she needed I would have done anything for my sister she never

done anything for my sister she never

done anything for my sister she never asked I’m angry at myself for not being

asked I’m angry at myself for not being

asked I’m angry at myself for not being more educated about addiction but I’m

more educated about addiction but I’m

more educated about addiction but I’m also really angry at all those doctors

also really angry at all those doctors

also really angry at all those doctors who kept giving her medication and a

who kept giving her medication and a

who kept giving her medication and a system that is broken at every level and

system that is broken at every level and

system that is broken at every level and plagued by silence and denial I hope no

plagued by silence and denial I hope no

plagued by silence and denial I hope no one you love ever has to endure the

one you love ever has to endure the

one you love ever has to endure the system because this is what they’re in

system because this is what they’re in

system because this is what they’re in for

for

for imagine someone you love is addicted to

imagine someone you love is addicted to

imagine someone you love is addicted to prescription pain meds 21 million

prescription pain meds 21 million

prescription pain meds 21 million Americans have substance use disorder

Americans have substance use disorder

Americans have substance use disorder yet just one in ten get treatment so say

yet just one in ten get treatment so say

yet just one in ten get treatment so say you’re one of the lucky ones what I

you’re one of the lucky ones what I

you’re one of the lucky ones what I learned was addiction treatment was

learned was addiction treatment was

learned was addiction treatment was intentionally set up to be completely

intentionally set up to be completely

intentionally set up to be completely separate from mainstream health care and

separate from mainstream health care and

separate from mainstream health care and mental health this was before we

mental health this was before we

mental health this was before we understood the science of addiction

understood the science of addiction

understood the science of addiction so the specialty treatment and meds that

so the specialty treatment and meds that

so the specialty treatment and meds that you need are not going to be covered

you need are not going to be covered

you need are not going to be covered under your insurance or there’s going to

under your insurance or there’s going to

under your insurance or there’s going to be a waitlist because there just aren’t

be a waitlist because there just aren’t

be a waitlist because there just aren’t enough resources in the system or your

enough resources in the system or your

enough resources in the system or your doctor isn’t even licensed to prescribe

doctor isn’t even licensed to prescribe

doctor isn’t even licensed to prescribe the meds you need less than ten percent

the meds you need less than ten percent

the meds you need less than ten percent of American medical schools including

of American medical schools including

of American medical schools including nursing schools and pharmacy schools

nursing schools and pharmacy schools

nursing schools and pharmacy schools have a single class and addiction to

have a single class and addiction to

have a single class and addiction to trained our health care professionals

trained our health care professionals

trained our health care professionals but say you’re lucky like our family and

but say you’re lucky like our family and

but say you’re lucky like our family and you can afford one time to pool your

you can afford one time to pool your

you can afford one time to pool your resources for a private facility those

resources for a private facility those

resources for a private facility those average more than 30 thousand dollars

average more than 30 thousand dollars

average more than 30 thousand dollars for just a 30 day program but you have

for just a 30 day program but you have

for just a 30 day program but you have an opioid addiction so that’s not going

an opioid addiction so that’s not going

an opioid addiction so that’s not going to work for you you have a chronic brain

to work for you you have a chronic brain

to work for you you have a chronic brain illness and you need medication assisted

illness and you need medication assisted

illness and you need medication assisted treatment just like someone with

treatment just like someone with

treatment just like someone with diabetes hypertension or asthma so the

diabetes hypertension or asthma so the

diabetes hypertension or asthma so the one-size-fits-all abstinence based

one-size-fits-all abstinence based

one-size-fits-all abstinence based treatment isn’t going to work for you

treatment isn’t going to work for you

treatment isn’t going to work for you but you complete your 30 days and now

but you complete your 30 days and now

but you complete your 30 days and now you have to get back to your real life

you have to get back to your real life

you have to get back to your real life and manage your disease and in order to

and manage your disease and in order to

and manage your disease and in order to do that you have to drive an hour every

do that you have to drive an hour every

do that you have to drive an hour every single day to a clinic to get your meds

single day to a clinic to get your meds

single day to a clinic to get your meds because again there’s not enough

because again there’s not enough

because again there’s not enough resources in the system these are

resources in the system these are

resources in the system these are probably some of the reasons why more

probably some of the reasons why more

probably some of the reasons why more than 80% of people who struggle with the

than 80% of people who struggle with the

than 80% of people who struggle with the struggle with opioid addiction relapse

struggle with opioid addiction relapse

struggle with opioid addiction relapse so you relapse but this time you can’t

so you relapse but this time you can’t

so you relapse but this time you can’t get prescription meds so you start

get prescription meds so you start

get prescription meds so you start taking heroin and your nightmare begins

taking heroin and your nightmare begins

taking heroin and your nightmare begins all over again but this time in the

all over again but this time in the

all over again but this time in the criminal justice system and this is the

criminal justice system and this is the

criminal justice system and this is the good news

good news

good news these are though this is the one out of

these are though this is the one out of

these are though this is the one out of 10 people who gets treatment remember my

10 people who gets treatment remember my

10 people who gets treatment remember my sister was part of the nine out of ten

sister was part of the nine out of ten

sister was part of the nine out of ten people who didn’t get treatment and she

people who didn’t get treatment and she

people who didn’t get treatment and she insists till the day she died no doctor

insists till the day she died no doctor

insists till the day she died no doctor ever talked to her about addiction or

ever talked to her about addiction or

ever talked to her about addiction or drug screening I don’t know if that’s

drug screening I don’t know if that’s

drug screening I don’t know if that’s true I do know that none of her doctors

true I do know that none of her doctors

true I do know that none of her doctors talked to us her family about addiction

talked to us her family about addiction

talked to us her family about addiction and even if she did get treatment I

and even if she did get treatment I

and even if she did get treatment I don’t think she would have survived that

don’t think she would have survived that

don’t think she would have survived that mess the thing that’s the most

mess the thing that’s the most

mess the thing that’s the most infuriating about all this is that the

infuriating about all this is that the

infuriating about all this is that the awesome and dedicated health care

awesome and dedicated health care

awesome and dedicated health care professionals and researchers in this

professionals and researchers in this

professionals and researchers in this country already know how to fix this we

country already know how to fix this we

country already know how to fix this we need to embed evidence-based treatment

need to embed evidence-based treatment

need to embed evidence-based treatment in mainstream healthcare this means

in mainstream healthcare this means

in mainstream healthcare this means treating opioid addiction as a chronic

treating opioid addiction as a chronic

treating opioid addiction as a chronic illness just like diabetes hypertension

illness just like diabetes hypertension

illness just like diabetes hypertension or asthma

or asthma

or asthma it means routine drug screenings it

it means routine drug screenings it

it means routine drug screenings it means faster access to care and

means faster access to care and

means faster access to care and medication assisted treatment and

medication assisted treatment and

medication assisted treatment and disease management so things like the

disease management so things like the

disease management so things like the Affordable Care Act essential services

Affordable Care Act essential services

Affordable Care Act essential services are part of how we fix this problem my

are part of how we fix this problem my

are part of how we fix this problem my sister didn’t need a slick advertising

sister didn’t need a slick advertising

sister didn’t need a slick advertising campaign or some condescending slogan

campaign or some condescending slogan

campaign or some condescending slogan like just say no or don’t do drugs

like just say no or don’t do drugs

like just say no or don’t do drugs she had a chronic illness and she needed

she had a chronic illness and she needed

she had a chronic illness and she needed medication assisted treatment it would

medication assisted treatment it would

medication assisted treatment it would be a very cruel thing to tell someone

be a very cruel thing to tell someone

be a very cruel thing to tell someone with asthma just breathe but not give

with asthma just breathe but not give

with asthma just breathe but not give them an inhaler we know how to fix this

them an inhaler we know how to fix this

them an inhaler we know how to fix this we just need the political will to do it

so that I was preparing for this talk in

so that I was preparing for this talk in Washington DC in our digital service

Washington DC in our digital service

Washington DC in our digital service office I was thinking about all the

office I was thinking about all the

office I was thinking about all the posters and inspirational things we have

posters and inspirational things we have

posters and inspirational things we have up in our space and you’ll recognize the

up in our space and you’ll recognize the

up in our space and you’ll recognize the popular Margaret Mead quote never doubt

popular Margaret Mead quote never doubt

popular Margaret Mead quote never doubt that a small group of thoughtful

that a small group of thoughtful

that a small group of thoughtful committed citizens can change the world

committed citizens can change the world

committed citizens can change the world because it’s the only thing that ever

because it’s the only thing that ever

because it’s the only thing that ever has but there’s one poster that always

has but there’s one poster that always

has but there’s one poster that always kind of scared me and it’s this idea

kind of scared me and it’s this idea

kind of scared me and it’s this idea that no one’s coming to fix this it’s

that no one’s coming to fix this it’s

that no one’s coming to fix this it’s just us and that’s how I feel with my

just us and that’s how I feel with my

just us and that’s how I feel with my sister story when I read the news or

sister story when I read the news or

sister story when I read the news or listen to our elected officials no one’s

listen to our elected officials no one’s

listen to our elected officials no one’s really coming to fix this people are

really coming to fix this people are

really coming to fix this people are talking about moving in the right

talking about moving in the right

talking about moving in the right direction but no one’s actually doing

direction but no one’s actually doing

direction but no one’s actually doing anything or at least they’re not doing

anything or at least they’re not doing

anything or at least they’re not doing it fast enough so what can we do well as

it fast enough so what can we do well as

it fast enough so what can we do well as thoughtful committed citizens we can all

thoughtful committed citizens we can all

thoughtful committed citizens we can all demand that our elected officials do

demand that our elected officials do

demand that our elected officials do their job and implement solutions that

their job and implement solutions that

their job and implement solutions that work for patients not big pharma and not

work for patients not big pharma and not

work for patients not big pharma and not drug wholesalers by the way those

drug wholesalers by the way those

drug wholesalers by the way those stakeholders are doing just fine in this

stakeholders are doing just fine in this

stakeholders are doing just fine in this crisis so what that means is a small

crisis so what that means is a small

crisis so what that means is a small town like Kermit West Virginia with 392

town like Kermit West Virginia with 392

town like Kermit West Virginia with 392 people should not have one pharmacy that

people should not have one pharmacy that

people should not have one pharmacy that over a two-year period receive nine

over a two-year period receive nine

over a two-year period receive nine million hydrocodone pills we can all be

million hydrocodone pills we can all be

million hydrocodone pills we can all be advocates and our professional roles as

advocates and our professional roles as

advocates and our professional roles as well so if you are out there and you

well so if you are out there and you

well so if you are out there and you work at a medical school we need more

work at a medical school we need more

work at a medical school we need more classes on addiction in your curriculum

classes on addiction in your curriculum

classes on addiction in your curriculum if you are out there and you’re a judge

if you are out there and you’re a judge

if you are out there and you’re a judge start a drug court in your community if

start a drug court in your community if

start a drug court in your community if you work in Congress or you’re a

you work in Congress or you’re a

you work in Congress or you’re a lawmaker we need to support the

lawmaker we need to support the

lawmaker we need to support the affordable care act essential services

affordable care act essential services

affordable care act essential services and we need to strengthen agencies like

and we need to strengthen agencies like

and we need to strengthen agencies like the drug enforcement agencies the DEA

the drug enforcement agencies the DEA

the drug enforcement agencies the DEA who fights against illegal opioids

who fights against illegal opioids

who fights against illegal opioids entering the country not weaken laws

entering the country not weaken laws

entering the country not weaken laws because of pressure from lobbyists if

because of pressure from lobbyists if

because of pressure from lobbyists if you work in health policy we need to

you work in health policy we need to

you work in health policy we need to embed evidence-based treatment in

embed evidence-based treatment in

embed evidence-based treatment in mainstream care if you work in an

mainstream care if you work in an

mainstream care if you work in an insurance company make sure your company

insurance company make sure your company

insurance company make sure your company is complying with parity laws and stop

is complying with parity laws and stop

is complying with parity laws and stop denying addiction treatment claims

denying addiction treatment claims

denying addiction treatment claims because you’re legally supposed to cover

because you’re legally supposed to cover

because you’re legally supposed to cover those if you work in a hospital adopt

those if you work in a hospital adopt

those if you work in a hospital adopt the 8 national principles of care if

the 8 national principles of care if

the 8 national principles of care if you’re a teacher or you work in a school

you’re a teacher or you work in a school

you’re a teacher or you work in a school Health Office focus on prevention and

Health Office focus on prevention and

Health Office focus on prevention and early intervention

early intervention

early intervention give kids accurate up-to-date scientific

give kids accurate up-to-date scientific

give kids accurate up-to-date scientific information about substance use disorder

information about substance use disorder

information about substance use disorder and if you’re a doctor we need to remove

and if you’re a doctor we need to remove

and if you’re a doctor we need to remove those barriers so you can actually

those barriers so you can actually

those barriers so you can actually prescribe people the medication they

prescribe people the medication they

prescribe people the medication they need if you’re in government like I am

need if you’re in government like I am

need if you’re in government like I am fight from the inside for the right

fight from the inside for the right

fight from the inside for the right solution as family members and loved

solution as family members and loved

solution as family members and loved ones don’t make the same mistakes I did

ones don’t make the same mistakes I did

ones don’t make the same mistakes I did get educated and be aware if you have a

get educated and be aware if you have a

get educated and be aware if you have a hunch something’s wrong it probably is

hunch something’s wrong it probably is

hunch something’s wrong it probably is so talk to your family honestly and be

so talk to your family honestly and be

so talk to your family honestly and be supportive ask your doctor questions and

supportive ask your doctor questions and

supportive ask your doctor questions and parents talk to kids it’s been four

parents talk to kids it’s been four

parents talk to kids it’s been four months and every day I wake up and I

months and every day I wake up and I

months and every day I wake up and I can’t believe one of my sisters is dead

can’t believe one of my sisters is dead

can’t believe one of my sisters is dead that week in July I tried to say goodbye

that week in July I tried to say goodbye

that week in July I tried to say goodbye to Jenny and all the things I love you

to Jenny and all the things I love you

to Jenny and all the things I love you I’m sorry

I’m sorry

I’m sorry give me one more chance and I’ll do a

give me one more chance and I’ll do a

give me one more chance and I’ll do a better job next time but there’s no

better job next time but there’s no

better job next time but there’s no second chance for me so don’t make the

second chance for me so don’t make the

second chance for me so don’t make the same mistakes I did thank you

same mistakes I did thank you

same mistakes I did thank you [Applause]

[Applause]

[Applause] you

”

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