“Good” Heroin ~vs~ "Tainted" Heroin Causing Deaths

Friday, June 27, 2008
Dr. Richard Keller ~ Blog Post

As I mentioned in my talk the other day, the movie “American Gangster” among other things, shows what happens in an area (Harlem in the 70s) when the quality/purity of heroin improves. It is somewhat easy to miss, but before the consumer base stabilizes there are a number of addicts that die because they aren’t used to the less cut heroin suddenly available on the streets. They continue to use the amount of drug that they were using and it becomes an overdose before they realize it.

Something similar is apparently happening locally, as well as elsewhere in the country. We are seeing what looks like an increase in deaths due to heroin overdose (it is a bit early in the course to call it a trend, but it looks like it). Local law enforcement initially felt the deaths were due to “tainted” heroin, i.e. heroin cut/mixed with something that was causing the deaths in these folks. We have in the past seen fentanyl, a much more lethal drug, mixed in or replacing the heroin, causing similar deaths.

It was the opinion of my office that the deaths were more likely due to purer (“stronger”) heroin. Our toxicology testing has bourn that out. There is really good heroin on our streets.

I also warned the teens the other day that that purity also makes it more tempting to try this very addicting drug. You can snort it instead of using a needle. The numbers of those addicted will take longer to surface, but I suspect that that will grow as well with the increased purity. Teens, in particular, must be educated to not try the drug, their developing brains are even more susceptible to its addictive properties.

“Good” heroin is not a good thing. It contributes to all the problems inherent in the addicted population; physical problems, social problems, problems with the law. It contributes to death. Our tools consist of law enforcement, education and awareness, and treatment. All must be brought to bear on this problem.

Yet another ~ He passed away the afternoon of June 21, 2008

R.I.P. ~ yes another group on Facebook for their friend ~

They speak of him on facebook with shock, love and memories ~ I am finding facebook to be a wonderful place for those to memorialize & grieve for their friend.

"He was probably one of the most amazing, compassionate and nicest guys I've come across with in my life. It's hard to swallow the fact that he's gone, but he is in a better place now.. a much better place now.

Although this is a heartbreaking thing to have happened, along with mourning we should celebrate. Celebrate the life the life he lead. All the good times, and the funny things he would always say and do. If you knew him, or even encountered a moment with him, you know exactly what I'm talking about."

I don't quite know how many have succumbed to this terrible tragedy in our area - but it is many this past year.

I think of all of you with love and with hope that you are healing together in what I call "heaven"

Rock on Guys ~

Stevenson High School Lake County Coroner Speaks

I spoke with a group of 40 students at Stevenson High School yesterday. I told them about what the Coroner and his “Office” does (in some detail, I had an hour and 15 minutes). Who we are in our office and what we do (often a bit more than is done in other coroner offices). I answered a number of questions. We discussed causes of death, manners of death (natural, accident, suicide, homicide and undetermined), ways of identification, post-mortem entomology, all manners of stuff “coroner”.

It was a bit tricky because the instructors had already written the test questions based on my talks the last 2 years and I don’t talk from notes, so I can’t necessarily guaranty repetition of all the material from one year to the next. I was prompted to cover an entomology point by a question from one of the instructors, so I must have got the other material, thankfully for the test-takers.

Most importantly, at times hopefully cleverly and at times blatantly, I peppered my talk (as I always do) with tips and reminders useful in their forestalling death. Honest warnings about drugs, recommendations about making good choices and not taking chances.

Interesting, informative, cautionary, I do my best. Besides, as I told them, giving those types talks are my favorite part of the job.

What a great man~