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[quote=Anonymous]ER physician here. A bit off topic, but watching young people succumb to drugs is so heartbreaking.

The number of young kids (18-21, they feel like kids to me) we see detoxing off fentanyl blows my mind. I took care of one the other day. Nice, polite, requesting detox (third stint). I said "I'm sure you know this, but how are you managing the risk of what you're buying on the street? You have no control over the purity or what else is in the powder".

He said: "I've already OD'd seven times".

It's terrible to feel hopeless for these patients but that's often how I feel.

Another 18 yo presented with a seizure. Nice kid, mom and dad at the bedside. Per the notes, seizures had started that same year. Multiple workups by neuro all negative for cause. Drug screens positive for THC/opioids. I took mom for a walk outside the room and asked her if anyone had suggested her son's seizures might be from withdrawal. She looked shocked and said the opioid use was new to her but "marijuana is legal so my husband says it's ok".

I wish I could help these families more.
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