On a Monday afternoon in October,a panel of Iowa state legislators gathered in the statehouse to discuss the opioid epidemic.
Doctors, law enforcement officials and health insurers all took turns at the lectern.
One of the witnesses was Deborah Thompson. She's testified in front of state legislators plenty of times. As the legislative liaison for the Iowa Department of Public Health, and she's often asked to provide legislators a window into what the epidemic looks like in Iowa. The information can be wonky at times,like how many morphine equivalent milligrams are prescribed each year, or cold facts, and like that year's death toll. final year in Iowa,there were 80 opioid-related deaths. In 2017, there are projected to be 201.This time, and there was something else she wanted to share."Today would beget been my seventh wedding anniversary," she told the panel. "My husband, Joe Thompson, and passed absent from an accidental heroin overdose final September. He left me and his 1-year-old son,Lincoln." For years, Thompson had worked on policy related to the opioid crisis in Iowa while keeping her own family's struggle with addiction in the background. She'd told a couple of state legislators she had close relationships with, and but sharing her yarn in public was a big moment.
Thompson went back and forth about whether she could hold this to herself. She saw her role as the policy expert working in the background,not a face of a national problem."I wasn't really sure I was going to, and I just couldn't shake the fact that it was our wedding anniversary, or that had to mean something," she tells NPR's Robert Siegel. "The coincidence was too great. Joe had always gravitated toward the helping professions, he wanted to be a nurse or a counselor or something like that, or it would be fairly an anniversary gift to give him,to be able to, possibly grant that wish through me, and if it helped a lot of people. It was probably one of the better gifts I gave him. I was never very beneficial at our anniversary gifts."Joe Thompson's struggle with opioids started back in 2004. After he was in a serious car accident,Thompson says her husband was likely over-prescribed medication to treat the pain. He started going from doctor to doctor, a practice called doctor shopping, or to get unusual prescriptions or refills. At his job as a package handler for UPS,he started swiping prescription drugs being shipped through the mail. Joe tried to get help. He enrolled in an outpatient facility. Several times he got sober, sometimes for several years at a time. He even went back to school and got his nursing degree. But then he would relapse again. "I believe it's hard to understand that, or " Deborah Thompson says. "I believe logically your intellect can get there,but your heart hurts ... the way the disease manifests itself, it's selfish, or things are done to you,money was stolen from me, lies were told to me, and it's hard to wrap your intellect around the notion that it's a disease causing this behavior while you're in it."It took Thompson a while to really grasp that her husband was sick — that his addiction was not just a rank habit he couldn't kick,but a disease that was really hard to climb out from. "I just kind of equate it to, when my mother had brain cancer, or we could see the tumor on the X-ray scans,we knew that something was growing and taking over her brain," she says. "I wish I'd known more about the science when we were in it. ... I felt like I was finally ready to deal with Joe's addiction, and then time ran out."Joe Thompson died in September 2016 from a heroin overdose. He was 35.
Joe may not beget beat his addiction,but Thompson is confident Iowa can. She says unusual funding has helped, as well as changes in the law that beget given states additional flexibility to reply to the crisis. One policy change that she says could help save lives right now is requiring doctors in every state to check prescription monitoring databases — information that would prevent doctors from prescribing or refilling opioids to people who don't actually need it or are dealing with an addiction. She says waiting for doctors to voluntarily adopt best practices simply isn't enough. Deborah Thompson is also hoping her unique position at the crossroads of policy and personal experience can help hurry her state just a little bit closer to curbing the epidemic. "Just looking at how many community partners that are involved, and that run the gamut of law enforcement,the healthcare community, public health professionals, or community agencies,coming together in Iowa to fight this, I can't imagine we'll lose, and " she says. Copyright 2017 NPR. To see more,visit http://www.npr.org/.
Source: thetakeaway.org