I never learned about heroin in my pediatric residency. I didn't need to I never treated a patient with heroin dependency. But this ugly drug has invaded St. Louis and St. Charles County high schools and our community emergency rooms. The new face of heroin is a suburban adolescent, in the prime of life, not breathing. Heroin causes breathing to slow, and heroin overdose causes death by respiratory depression. These patients arrive in the emergency room blue and nonresponsive. They are usually brought in by nervous friends, also abusers, who do not want their own drug use revealed. These are the lucky ones most heroin addicts die before anyone realizes they are not just sleeping. "It never ceases to amaze me how frequently they come in almost dead and then they come back again, the same way, a week later," said my colleague Dr. Robert Yeager, an emergency medicine physician at Progress West Health Center in O'Fallon, Mo. Dr. Joseph Karre, also an emergency medicine physician at Progress West, just shook his head, "I can't believe how many high school kids are willing to try it." And it's extremely difficult to find any inpatient drug treatment program that will accept … Continue reading
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