You Should Know: Prescription Opioid Use Explodes

Massive Increase in Prescriptions Blamed for Abuse and Overdose

First, a quick background: Opioid painkillers are derived from the same poppy plant as heroin. They reduce the intensity of pain signals reaching the brain while raising dopamine levels in the body, producing a type of euphoria. When taken for an extended period of time, ever-stronger doses are required to achieve the same results. Medications that fall within this class include hydrocodone (e.g., Vicodin), oxycodone (e.g., OxyContin, Percocet), morphine (e.g., Kadian, Avinza) codeine, and related drugs.

Until the mid-1990s, opioids were only prescribed for pain from severe injuries or to cancer patients. That all changed in 1996 with the introduction of OxyContin, an extended release opioid from Purdue Pharma. This drug was heavily promoted as less addictive and therefore appropriate for more common conditions. Last year, 227 million opioid prescriptions were doled out in the U.S., making it the most prescribed medication in the country and Americans the biggest prescription opiate users in the world.

Most people start their nightmare descent into opioid addiction after using a legal prescription. The pattern is then all too common: When they get hooked and can no longer get refills legitimately, buy opiates on the street, or steal them from friends and family, they turn to cheaper heroin. Deaths each year from drug overdoses, more than half related to opioids, now exceed those caused by motor vehicle accidents.

Big Pharma Pushes Back HARD on Proposed Restrictions

A growing number of advocates, including former addicts and family members, are supporting legislative measures that would help stem the tide of prescription opioids. However, a recent investigation by the Center for Public Integrity and the Associated Press revealed that an industry coalition has mounted a 50-state campaign to kill or weaken these proposals.

According to the report, opioid manufacturers and their allies spent more than $880 million since 2006 on lobbyists and political contributions. That’s 200 times more than the money spent during the same timeframe by those proposing the restrictions and eight times more than the formidable gun lobby. Powerful doctors’ groups have also opposed added restrictions, arguing that lawmakers should not tell them how to practice medicine.

Meanwhile, the pharmaceutical companies posted record profits last year on prescription painkillers, generating $9.6 billion in sales.

Prevention, Education, and Solutions

The place to start in discussing prevention is to seriously question whether or not to take opiate painkillers in the first place. If your doctor prescribes one of these drugs for you or a family member, ask about and seriously consider less addictive medications, appropriate therapies and other ways to manage pain. If you do decide to go with opiates, consider these tips:

• Make sure you’re getting the right medication. Provide your doctor with as much information as possible about your condition and overall health. Tell your doctor about all your prescriptions, over-the-counter medications, herbs and supplements, as well as alcohol and drug use.
   
• Stay in touch with your doctor to make sure that the medication you’re taking is working and that the dose is appropriate.
   
• Follow directions carefully. Use your medication the way it was prescribed.
   
• Never use someone else’s prescription. Everyone is different. Even if you have a similar medical condition, it may not be the right medication or dose for you. Let your loved ones know that it is not okay to share medications with others or take drugs prescribed for others.
   
• Secure your prescription drugs. Keep track of quantities and store prescriptions in a locked medicine cabinet.
   
• Properly dispose of medications. Don’t keep unused or expired drugs. Check the label or patient information guide for disposal instructions, or ask your pharmacist for advice.

Big picture, you might also want to support proposals in your city or state that would regulate opiate painkillers. Legislation has been introduced in many states that would make patient registries mandatory, thus preventing abusers from doctor shopping. Measures have also been proposed that would limit the amount of painkillers that can be prescribed at any given time. Click here for more information about your state.

 This article appeared in our October 2016 "You Should Know" e-newsletter. 

You Should Know: Asbestos Still a Killer

Still Prevalent in Older Schools, Public Buildings, Homes

Asbestos is found in thousands of U.S. schools.

Asbestos is a deadly carcinogen, known to cause lung cancer and mesothelioma while killing an average 15,000 people a year in the United States. Asbestos is a group of minerals that occur naturally as a bundle of fibers, found all over the world. These fibers can be useful because they are strong, resistant to heat and many chemicals, and don’t conduct electricity. It is because of these qualities that asbestos has been used as an insulating material for hundreds of years.

Inhaling asbestos fibers is the most common way to be exposed. Although the use of asbestos is not as frequent today as it was during the early part of the 20th century, asbestos inhalation is still a persistent risk. Any time a building that has asbestos is demolished or renovated, asbestos can be released into the air. At the same time, materials that contain asbestos can break down over time and also release particles into the air. 

Changing Asbestos Legislation

Until recently the law of the land involving toxic substances was the outdated Toxic Substances Control Act (TSCA) of 1976. This act provided the EPA with the “authority to require reporting, record-keeping and testing requirements, and restrictions relating to chemical substances and/or mixtures.” TSCA included regulations for the production, importation, use and disposal of asbestos.

Unfortunately, this law had not been revisited for 40 years! However, on June 22, President Obama signed into law the Frank R. Lautenberg Chemical Safety for the 21st Century Act, a bipartisan bill that amends and updates the outmoded TSCA. The new law, which includes stricter regulatory standards, replaces TSCA’s old cost-benefit safety standard with a new health-based safety standard. This new standard opens the doors for the EPA to officially ban asbestos in the U.S., something it has been trying to do since the first Bush administration.

Preventing Asbestos Inhalation

Asbestos risks can be found everywhere, but there are ways to protect yourself and your children from exposure. Here is a brief overview, but click here for a complete guide to identifying and preventing potential asbestos risk.

At Work:

Your employer should be following all OSHA regulations for hazardous chemicals, but be sure to take your own precautions and report any unsafe working conditions.

• Ask your employer about any asbestos-related health risks in your place of work.
• Always wear protective gear when you may disturb asbestos.
• Don’t bring home work clothes that may contain asbestos particles.
• Always dispose of asbestos materials according to state and federal regulations.

At Home:

Most asbestos exposure occurs when homeowners do renovations that disturb asbestos. If you’re planning on tackling any home improvement projects, protect yourself and your family.

• Some of the in-home items that may contain asbestos are: attic insulation, shingles and tar, drywall and popcorn ceilings.
• If you have an older home, don’t perform DIY renovations where asbestos may be present.
• Never attempt to remove asbestos without help from a professional abatement specialist.
• Dangerous exposure may occur when you attempt to remove contaminated products, especially if you cut, saw, sand or drill them.

At School and Public Buildings

About half of all schools in the United States were built from 1950 to 1969, when asbestos was a common construction material. The EPA requires all schools to inspect any asbestos-containing materials every three years, as well as have an asbestos management plan in place. You can request to see a school’s management plan at any time. In addition, you can keep an eye out for any possible asbestos-containing materials, including:

• Damaged drywall or plaster
• Deteriorated tiles, roofing or ceiling panels
• Chipped paint
• Old heating or A/C 
• Run-down steam pipes or boiler insulation

Where could asbestos be lurking in your home? Click here to expand.

 This article appeared in our September 2016 "You Should Know" e-newsletter. 

Crabtree, Carpenter & Connolly Announce Recognition

Guy W. Crabtree

Crabtree, Carpenter & Connolly, PLLC is pleased to announce the recent recognition firm partner Guy W. Crabtree has received from our peers and the business community.

Mr. Crabtree has been chosen as a member of the prestigious 2017 Best Lawyers in America in the specialty of Personal Injury Litigation – Plaintiffs. Mr. Crabtree has been included in Best Lawyers each year since 2005

Since it was first published in 1983, Best Lawyers has become universally regarded as the definitive guide to legal excellence. Best Lawyers lists are compiled based on an exhaustive peer-review evaluation. For the 2017 Edition of The Best Lawyers in America, 7.3 million votes were analyzed, which resulted in almost 55,000 leading lawyers being included in the new edition.

Crabtree, Carpenter & Connolly, PLLC provides innovative and effective legal representation to injured individuals as trial lawyers in personal injury and wrongful death cases involving automobile accidents and medical malpractice. They are also trial lawyers who represent families and provide legal expertise to individuals and companies in commercial and business disputes, and to property owners whose property has been contaminated by toxic chemicals in their groundwater. 

Guy Crabtree Elected President of the Durham County Bar Association

Durham Attorney Guy W. Crabtree, Partner at Crabtree, Carpenter & Connolly, PLLC, was elected President of the Durham County Bar Association at its annual meeting in June.

Guy W. Crabtree

The Durham County Bar Association is made up of attorneys who live or practice in Durham County, the 14th Judicial District. Mr. Crabtree, who has also served as President of The North Carolina Advocates for Justice, has been practicing law in Durham and throughout North Carolina since 1978. Mr. Crabtree is a trial attorney who handles cases for people who have injury or death claims, are involved in business disputes, or whose property has been contaminated by toxic chemicals.

When asked about his election, Mr. Crabtree said, “I am humbled and honored that my peers have chosen me to lead the Durham Bar this year. I hope I can carry on the great work that our Past President, Judge Fred Battaglia, did while he served. I have some ideas I hope to implement in the coming year to make our association even stronger and more beneficial to our members and the public we serve.”

You Should Know: Justice Served Awards 2016

People Who Make a Difference

The 2016 Justice Served Awards honor each of these nominees for their commitment to a safer, more just America. Tell us which story moves you the most (see our nominating criteria below), and we’ll enter you into a drawing for a free subscription to Consumer Reports.

Hero Doctor Wouldn’t Back Down

Dr. Mona Hanna-Attisha continues to lead the fight for kids suffering from lead poisoning in Flint, Mich.

Today we all know that the ill-fated decision to switch the water supply in Flint, Mich., from Lake Huron to the Flint River to save a few bucks in the state budget caused dangerously high levels of lead in local drinking water. But if not for Dr. Mona Hanna-Attisha, a passionate young pediatrician at Hurley Medical Center, the threat of lead poisoning – especially to the children of Flint – might never have been uncovered.

Dr. Hanna-Attisha, or Dr. Mona as she is affectionately known in Flint, knew something was wrong when she started seeing a marked increase in rashes and hair loss in her little patients. She and her team analyzed hundreds of hospital records and found that the toddlers of Flint were suffering from extremely high lead levels in their blood. Knowing that it was her moral and ethical duty to share her research with the public as soon as possible, Dr. Mona held a press conference. But instead of taking action, state and local officials spent a week denouncing her findings and attacking her character before finally admitting she was right. Two weeks later, Flint’s water supply was switched back to Lake Huron, and an entire nation soon learned about this scandal.

Sen. Al Franken Fights for Your Day in Court

Senator Al Franken is leading legislative efforts to ban mandatory arbitration.

Senator Al Franken (Minn.) has spent years trying to protect Americans from “forced arbitration” clauses, which he calls “an attack on the constitutional rights of all U.S. citizens.” These legal loopholes are increasingly found in consumer and employment contracts, mandating that disputes must be settled by binding arbitration rather than in court. Because these arbitrations are closed to the public and the arbitrators are often handpicked by the company, consumers and employees almost always lose and have no right of appeal. These clauses increasingly prohibit class action lawsuits as well, eliminating another powerful tool used by consumers to hold corporations accountable.

After a young woman working for a defense contractor was allegedly gang-raped by coworkers, Sen. Franken successfully added an amendment to an appropriations bill banning the U.S. military from doing business with companies that include mandatory arbitration clauses in employee contracts. Since then, Sen. Franken has authored legislation, including the Arbitration Fairness Act of 2015 to make forced arbitration a thing of the past. This proposed law states that “no pre-dispute arbitration agreement shall be valid or enforceable if it requires arbitration of an employment dispute, consumer dispute, antitrust dispute or civil rights dispute.”

Volkswagen Lied to Customers While Polluting the Environment

Dan Carder and his small band of researchers brought Volkswagen to its knees.

Dan Carder, director of the West Virginia University Center for Alternative Fuels Engines and Emissions, knows his field of study isn’t very exciting. His research team is often overlooked and underfunded. But when the Center was commissioned to test emissions from diesel cars, the results upended Volkswagen and eventually put Carder on Time magazine’s list of the 100 most influential people in the world.

It all started in 2012 when the Center received a $50,000 grant from the International Council on Clean Transportation for an on-road test of diesel emissions standards. Volkswagen boldly claimed its diesel cars were both environmentally friendly and fuel efficient, but test after test showed that the numbers didn’t match up. In fact, Volkswagen diesels were emitting up to 35 times the safe amount of nitrous oxide gases. Eventually the company fessed up that more than 11 million vehicles were equipped with software designed to cheat on emissions tests. Since then, Volkswagen has recalled 700,000 vehicles in the United States alone and must spend more than $15 billion in settlement claims to buy back or repair the affected vehicles.

Mother Who Lost Daughter to Cyberbullying Speaks Out for Compassion

Tina Meier with pictures of her daughter Megan.

Life was looking up for Megan Meier after years spent struggling with depression and attention deficit disorder. She had just started eighth grade at a new school, had joined the volleyball team and would have her braces off soon. She also began chatting online with a boy named Josh Evans, who wanted to be her friend. Weeks later he turned on her, and soon hundreds of cruel messages about Megan were posted on a bulletin. Josh’s last message said that everyone hated Megan and that the world would be better off without her. That night Megan committed suicide. Six weeks after Megan died, her mother Tina learned that Josh never existed. His account was set up by a neighbor on their block and her daughter, a former friend of Megan’s.

Tina Meier created the Megan Meier Foundation to fight for her daughter’s legacy. The Foundation’s mission is to “Promote awareness, education, and positive change in response to issues surrounding bullying, cyberbullying and suicide.” Today Tina travels around the country, speaking to students, educators, administrators, parents, counselors, law enforcement officers and other professionals about the dangers of cyberbullying. Tina hopes that she can empower young people to celebrate individuality and accept others in order to make a kinder and safer world.

Justice Served Awards Nominating Criteria

The Justice Served Awards celebrate the stories of injured people and their families who decide to make a difference in protecting the health, safety and legal rights of others. Once a year, we ask our readers to read these remarkable stories and tell us which one touches them most, and why. Winners are chosen based on their efforts to:

• Uncover negligence or other irresponsible behavior by organizations that put their interests ahead of the public interest;
• Prompt government action by shedding new light on defective products, services or other practices;
• Trigger manufacturing and quality assurance practices that lead to safer products and services; and
• Increase public awareness that helps prevent additional injuries and protect an individual’s right to civil justice in a court of law.

 This article appeared in our August 2016 "You Should Know" e-newsletter. 

Crayons2Calculators — You Can Help!

Crayons2Calculators

Back-to-school time will soon be upon the children and families in Durham. Purchase of school supplies is a regular exercise at the end of each summer, but not for all students whose families are unable to afford supplies. In many Durham County schools, that task falls upon their teachers in order to provide needed supplies in their classrooms. 

You can help! This year, Crabtree, Carpenter & Connolly is participating in Crayons2Calculators Fill That Bus! supply drive. From July 24 – August 20 you can donate school supplies or make a financial contribution to Crayons2Calculators.

Mr. Malvern King, Of Counsel with CCC, has been working with the Durham Rotary Clubs on the Crayons2Calculators Fill That Bus! supply drive for many years through the SW Durham Rotary Club, where he was and is a charter member since 1979. 

Malvern F. King

This year Mr. King is personally working directly with Crayons2Calculators, because he believes “that public school teachers should not have to go into their own pockets to purchase school supplies for students whose parents cannot afford them.”  

Mr. King has distributed six collection bins to locations around Durham where you can drop off school supplies, including one at the offices of CCC located at 1011 Broad Street.  

If you prefer to make a financial donation or learn more about the program and supplies needed, please visit http://www.crayons2calculators.org