Are Police Officers Having Fentanyl Skin Exposure Overdoses? | Fentanyl Panic Analysis
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- Опубликовано: 11 июн 2024
- This video answers the question: Can I analyze the theory that fentanyl can cause clinical toxicity from passive exposure? This is also known as “fentanyl panic.”
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References:
www.dailymail.co.uk/news/arti...
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www.statnews.com/2018/12/21/p...
www.ncbi.nlm.nih.gov/pmc/arti...
link.springer.com/content/pdf...
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ER doctor here. No. Fentanyl overdose does not happen in this “casual contact” fashion. Not one time, ever. Maybe if you were doused with a gallon of fentanyl and somehow could not find access to any way to wash it off, you could get enough to exhibit overdose symptoms. These people are having psychogenic symptoms.
Man I agree. This is absolute misinformation. You're not panicked if you overdose on opiates. You just fall asleep, often with a big smile on your face and don't give a F about anything. I'm no doctor but they bring me back with naxolone a couple of times and it's worst feeling ever. (even if grateful) I'm sober since 1999. Theses were at worst panic attack.
The East Liverpool, Ohio officer rubbed his eye with fentanyl powder on his hand. The exposure was through a tear duct.
@@jpdegaste733 it’s not enough. Not even close to enough. You would have to rub a gigantic amount of powder into your eyeball. No one is going to do that by accident. A small amount of fentanyl powder in your eye would do nothing. And the tear ducts are constantly flushing liquid out of the body, not bringing it in. While you could plausibly absorb a tiny amount from any mucosal surface, it is not enough to even cause symptoms much less overdose.
@@jpdegaste733 your eyes are a Port of Entry
Wouldn't the loose powder form of fentanyl be more dangerous especially if no safety precautions are taken to prevent against exposure to the drug?
As a paramedic, I have been called to these events several times just in the last year. None of these times have I seen clinical signs of opiate ingestion (constricted pupils, respiratory depression, sedation etc.) Each time, I have seen signs of anxiety/ panic attacks. They scare them to death in the academy regarding fentanyl.
Wow that's a good piece of info. Thx
@@RAWNERVZ yeah, its not like he is telling exctly precisely what is in the video, right?
@@lo2740 it sounds like you accidentally got some chilli flakes on your hand.
I guess you need to CHILL out. 👁️👄👁️
... In all seriousness, thank you Michael for taking the time to provide more insight from the your professional perspective. And you know... Saving people's lives... In an extremely stressful environment... And putting up with ungrateful people. You're a legend. 🖤
Yup, and scare the public as well!
I've heard stories about fear of helping someone who has OD because "what if Fentanyl"
Do u explain to them u don’t suspect overdose to calm them down? Or would that just embarrass them?
I’m a medical oncology and palliative care (cancer and end of life care) nurse. We deal with a lot of opioids including medical grade fentanyl. We have all had a few drops on our skin from drawing up fentanyl into a syringe. We have all just been fine. The idea that you can overdose from getting a little fentanyl on your skin is ridiculous. They are either faking or having a panic attack.
It's incredible to me because it actually took a lot of research to develop a transdermal route fentanyl option, and even that one takes hours to work!
Shame on the people behind this misinformation campaign that hurts users, patients, and healthcare professionals.
Exactly, there's a reason why pharmaceutical companies have to specifically engineer transdermal patches in order for fentanyl to be bioavailable through transdermal routes of administration.
In it's hydrochloride construction it is literally safe to do snow angels in piles of it as it isn't at all bioavailable through contact with skin (I.e transdermal administration). Alot of this is panic attacks and acting due to the mythology surrounding fentanyl.
Yes we all believe you and your company!
@@factorylad5071 what?
I've been trying to explain this to a friend of mine but...the programming is strong.
As a pharmacist who handles a lot of fentanyl patches, liquid methadone, oxycodone and meth/amphetamine, I have experienced much skin contact when dispensing into blister packs. I can report zero influence from the drugs, as the job remains tedious, stressful and miserable. I believe if officers are anxious that they're under the influence of opiates and they're not smiling, theyre not experiencing anything.
Edit: Ty for the concern about my job satisfaction 😏 Since last year, I no longer work in community pharmacy on the highstreet - I got a much better, less angina-inducing clinical position in surgery! In reply to some questions: yes, you do have to intentionally touch these meds when dispensing into blister packs, though hygiene recommends clean tweezers and clean hands between patients. Gloves are not suitable, as you will need to touch multiple other surfaces whilst popping meds into blisters and you don't want to transfer drug dust between tablets from your gloved fingers. Yes, liquid does rarely spill on you. There is zero absorption via the skin. If you got enough into your eyes, mouth or inhaled it, I would expect some systemic absorption. However, in a working situation, I don’t know how to absorb a tablet...or even a 5ml spoon of liquid, into my eye, nasal membrane or lung... especially accidentally. Licking up spilt medications is optional, but discouraged. To fail a fentanyl drug test, I'd have to accidentally transfer a fentanyl patch to my skin for a while. The skill required to do that would not be accidental.
Lastly, we once dropped a 500ml bottle of methadone in the dispensary. It got all over the place, including in our shoes, legs, hands and a little face splatter. No one was laughing, there was no effect from "inhaling droplets." A lot of paperwork is involved in situations like that. The only overwhelming sensation I experienced immediately after being soaked in methadone, was the desire to get a coffee and change my sticky footware (I wasnt given time to do either). We washed our hands, wiped our faces and continued working.
The bigger risk to health in this situation is working in community pharmacy. Don't! 😆
Edit edit: Yes, methamphetamine is available on prescription for very specialist situations, to be prescribed only by a person with a specific license to do so. THC (cannibis) and diamorphine (heroine) also exist in medical formulations. Comparing recreational street drugs to pharmaceutical grade medication is like comparing faeces to pork sausages - I can see the confusion at a glance, but the proof is in the eating.
Yup, imagine if it really could do all the thing they believe it can!
Every patient taking a dose of fentanyl would have to do so inside a Hazmat unit!
Could a person fail a drug test just by touching fentanyl?
Did you do it intentionally?
Yes it's very unlikely
@@RAWNERVZ that's what I figured! Thank you!!!
“…..this is not compatible with remaining alive” the dry humour really kills me if the fentanyl doesn’t!
As a clinician I completely agree with everything you say Dr Grande.
Cant thank you enough for covering this. I have mild brain damage from a lack of oxygen during overdoses, lost a lot of friends. There's no room for misinformation.
I'm sorry for your losses.. I myself lost close to 20 friends in the last couple years. Not too many people can relate. I'm not even sure what grief is anymore.
@@XanderShiller yeah, I hear that.. I prevented 4 people from overdosing with naloxone.. but they're all dead now. I've lost track of how many friends and acquaintances I've lost... It's really tragic
Sorry for your losses as well
@@AMM3. Same here bro. Stay strong 💪
@@XanderShiller you too, congrats on surviving. Don't let it get ya! 😘
I’ve died twice from fentanyl. As far as I stopped breathing and heart stopped. As far as I know I didn’t do brain damage, however I was pretty stupid already seeing as I allowed myself to get on it in the first place. Hopefully you got clean or are trying. It’s not easy to stop as you probably know.
I also lost a lot of friends. My best friend of 30 years hurt the worst.
As a former opiate user I found these cases suspect, as they didn’t fit the criteria. Anyone who’s been in the drug game for any amount of time can figure that out. But once again Dr. Grandebreaks it down to the logical level for everyone to comprehend. Thanks Dr. Grande.
I don't understand the people in the comments who are blindly believing the mainstream media and seemingly ignoring the video that is playing. I guess I understand, being told the false information everyday, even having people in power(cops) telling them what they were taught, that incidental exposure is happening.
@@birdlawyer6191 yep
@@sconni666 The pathetic pigs and their unions want to add to the bs narrative that their jobs are "so dangerous" and therefore their outrageous pension benefits are justified.
👀 And... Also as a former opiate over- indulging consumer (clean 3 y 7 mo), I've never, like NE -EEV-and I mean NEEEV-VEEERRR, 😆 ever heard of anyone leaving behind money or substances with ill intent. It's literally the opposite & becomes "ill intent" for the user to lose their fix!! A generous & devious addict leaving drugs wrapped in cash really lives in their world?! That's a trip! 🤯
@@lorila-northrup7748 I'll be at 5 years next week. I'm glad you've been doing well.
Agreed, my sister has a fentanyl addiction and when she moved out of my parents home, I cleaned the room and picked up HUNDREDS of little baggies that had fentanyl dust in them. No reaction other than sadness and dismay.
I'm sorry Jamie, I hope your sister is better today and also you and your family 💜
How did she afford it?
@@THIS---GUY lol. She was living at my parents old house. ( as i mentioned) she worked as a waitress and didn't need to pay bills. SHe had an Obama phone, recieved 800$ a month in food stamps and worked as a waitress under the table. ( just a few things wrong with the picture) My parents passed and I was able to evict her. I hope the best for her where ever she is.
@@jamietaveras7657 course you hope the best, thats why you gave up on family, jeeez
@drkarats6147 how do u know what I did? What she did? All I said was she had an addiction, your a sad miserable individual who needs to worry about you and stop making assumptions. I'm an asshole for taking her 3 kids out of state custody??? Gtfoh..
"it seems fentanyl panic is a not so distant cousin of moral panic" as always I am appreciative of your succinct recognition of the world we live in. Putting this into that framework makes it easier to understand.
Thank you for talking about this!! It's always so frustrating when yet another story full of misinformation and fear mongering comes out. Fentanyl panic is doing so much damage to the general public's knowledge of drugs, drug use, and drug users.
Yeah fentanyl is doing enough damage by itself. Im a recovering addict and lost a lot of friends. None of them absorbed it through skin nor have I. They shot up or snorted it if powder, patches are a different story.
As a person who is prescribed Fentanyl for chronic/intractable back and sciatic pain (in 2004, btw), the dose is so small and the delivery method is so safe that I have never had an issue with the medication. It takes approximately 3 hours to feel the medication enter my system and approximately 12 to feel the full effect. I am conscientious about my use and have never abused it or had any other problems with it. It is people's ignorance and lack of common sense that gives a very effective, safe drug a bad name. When used correctly, it is incredibly helpful to people who otherwise would have to suffer from horrendous, life-altering pain.
Fentanyl panic? Are you freaking kidding me? No sorry it's the fentanyl it's self that's causing the panic stop Trying to minimize this crisis
Hi Dr. Grande. I have a family member who was addicted to fetanyl, mainly the patches. Also xanax. These drugs are very addictive & they're not as easy to quit taking as stopping alcohol & smoking reefer & tobacco. Always enjoy your on point analysis as well. Your very helpful to folks who might not be familiar with addictions of all kinds. And yes, I'll keep saying peace & Love to y'all! Hope you & your family are having a spectacular evening each & every one, hugs, Janine Smiley😍😎😀🤩🙂🐼🐶🦋🦓🌹🌷🌺☕🍩☕🎂☕🍪☕🥧🍧🍨👞👠👟👡👜🛍💎💍👒👑
@@janinemccartha1811 Alcohol isn't safe or easy to quit. It is one of two drugs where withdrawal can actually kill you i.e grand mal seizures. Mind you fentanyl withdrawal or opiate withdrawal is a special kind of hell, but it won't kill you from withdrawal alone while alcohol withdrawal can.
That being said, I'm glad this video came out, as the whole idea people are overdosing from fentanyl simply coming in contact with their skin is absolutely ridiculous and simple not true considering fentanyl hydrochloride pharmacologically doesn't work that way.
Just a reminder, I'm not diagnosing any police officer in this video; only speculating about why police officers would like to absorb fentanyl like this.
Probably due to the current climate change in humans? Lol 🤔❤️🇺🇸
😅😅😅😅
😂👍
@@lazylucy1583 Hey thanks for the emotes!
@@jennifermeegan148 thanks for the emotes!
I’m a hazmat tech and in the first responder community and we’ve definitely been taught about the hazards of fentanyl (and carfentanyl) exposure via close contact. I’ve always been dubious of the hazards and am glad you’ve done a video on this topic. If you want immediate effects from something, go touch nitroglycerin paste. Otherwise, you’ll be fine with being around fentanyl.
I work with hazmats too. We ship tons of medications and I've never even been trained to do anything specific with fentanyl. Compared to some industrial chemicals we ship, fentanyl is of 0 concern. We had a chlorine spill once and I'd rather deal with 1000 fentanyl leaks than that. Sent half a dozen workers to the hospital and we had to go in in full SCBA to clean it up. Luckily no serious injuries.
What happens if you touch nitroglycerin paste 👀
@@sorrelbee113 It could lower your blood pressure and heart rate making you flushed, dizzy, and faint.
@@rosemarycornwall5162 oh I can achieve that by standing up a little too fast.
Now I feel like I have superpowers of dubious value.
Edit: I think actually standing up too fast makes my heart speed up instead of slow down but in fairness I'm usually too sick/unconscious to tell very well 😂
@@rosemarycornwall5162 not it could but will lmaoo.
Yeah I saw this cop that accidentally had some get in through an IRS skin or something. It was complete BS. There's no way that did that to him. It's amazing what your mind can make you think.
Cops love to lie
True. I wad under the impression I had a horrible disease during a health scare. My mind was so focused on the things that could go wrong that my body actually caused me physical pain and I experienced symptoms. I didn't get any relief until my test results came back negative. Was a huge relief though.
Ok
I Think I solved the issue I know what happened the people that were taking the fentanyl that were making it were using it and for whatever reason I think that they farted and these were nice wet ones I’m talking some sharts
And then the officers breathed in those farts that were probably caused by you know all the excitement they couldn’t hold anything in and so that moist air got in their nose and that’s how they were affected thank you that’s it you don’t know me anything
It's amazing what that random urine screen this afternoon can make you do
I saw that also and I thought it was complete BS also I thought a story about a girl and her boyfriend who supposedly the girl overdosed from picking up a dollar bill she thought was laced and her husband’s arm went numb
I’m a nurse. I handle this stuff regularly. Absolutely zero effects from doing so
Hi Tassy
How are you doing today ?
@@robertgreen2176she is obviously fine. 🙄 do u watch fox news 😂😂😂
Thank you for speaking the truth 🙌. Much respect 🙏. BTW, Nurses are grossly underpaid. Your real life angels
@@jamie.777 thank you for saying that. I make a very good living, live comfortably, but yes, for what we do, it’s not enough.
@@tassymccormick 🙏much respect.
I live in California and 2 different police stations released video of an officer "overdosing" and being narcaned over and over. One guy was narcaned from the scene of the traffic stop all the hospital over and over again. The police had to put out a retraction after researchers saw the footage and how it was actually a panic attack. The one officer was out of the country and conveniently couldn't be reached for comment. The other officer wasn't even exposed to anything other than meth. The woman he stopped said the substance was ice. She didn't know what it was actually called and the officer thought it must be fentanyl, then he did the fake od. Ice is meth and when they tested it that's what it was
1) Lots of meth is mixed with fentanyl. 2) I wouldn't call it a "fake OD." It was probably a panic attack like you said, but you can't blame the police paranoia when every officer in the academy over the last few years is taught to be terrified of even trace fentanyl exposure and even the DEA and FBI routinely send out "Unclassified//Law Enforcement Sensitive" (meaning not for the public eye) officer safety bulletins that perpetuate the hysteria and the dangers of even trace exposure.
I think the real issue that needs to be addressed is: Why are the police still being given false information by their trainers, and even by the US DOJ and their subordinate agencies like the DEA and FBI? That's the real question. As a CA LEO, I've seen plenty of these bulletins, and although I've always been skeptical and thought the dangers were exaggerated (based on the fact I deal with fentanyl users and dealers who don't seem to drop dead at casual exposure even though they handle it every day), I can see the reason why otherwise rational officers would have an irrational fear of trace fentanyl exposure based on what they are told over and over by people and agencies they are supposed to be able to trust.
Thanks for the comment. I was a addict for years. Suboxone saved my life.. Suboxone has naxlon. So naxol basically does nothing to a NON opiate user, I believe I am correct? I will default to you. But if so, these cops are having "oscar" performances!!! Especially with the narcane(naxlone] having zero impact, so they can continue there Shakespeare performances
And they never test the officers for drugs after the incident. Funny, huh?
I'm from San Diego, and the general consensus amongst the media and citizens is not that it was an issue of fentanyl panic. Rather, it was an extremely poorly orchestrated dramatic interpretation of what happens when one encounters fentanyl, in an effort to scare the public and spotlight the heroics of the local police department. It was an embarrassing attempt at showing the public how incredibly dangerous their job and this drug is, and how gullible they believe the public truly is. Many, many experts have come on local programming to refute 100% of what was presented by the police department as a dire situation that nearly took the life of one of their brave officers. So far, after nearly a year has gone by since the footage was released, the police department of Chula Vista refuses to make any comments in regards to the video, or to answer any questions in regards to it.
...OR that cop was gonna have to piss for the boss real soon and needed a reason to test positive for fentanyl. Js.
Really it has always been obvious, and you need do no more than ask "OK but someone was producing, transporting, and selling this stuff, so were they constantly running the risk of dying to an OD by exposure?" and then you realize that yeah... the cops made the whole thing up.
It was poorly-orchestrated propaganda, but a lot of people is all they need to believe. I almost had the same reaction as the heroic cop when I saw their video and was highly exposed to cringe.
Thank you. Say it louder for the people in the back. Cops do this all the time. Why do people believe them?
Also known as COPAGANDA
Holy crap that last line got me right in the soul. Thanks for having compassion for drug users and explaining things in an easy to understand way. Too many people think of all drug users as junkies in allies stealing what they can then overdosing. It's demonising, it's unhelpful, and I'm just so glad to have someone who I respect so much really understand this.
👆ʟᴇᴛ'ꜱ ᴛᴀʟᴋ ᴏɴ ✍️
.👆
I ❤ dr. Grande
The answer is no, just no. This is not something that is possible. Many physicians have come out publicly explaining why this is not practical. If they have really passed out it a panic response.
I’ve been watching lots of fentanyl documentaries recently, the victims don’t need any more stigma :| such a shame. Thanks doc, as always!
As usual Dr Grande is applying rational thought where it is in short supply. When media outlets decide to run with stories like this, they should definitely present a balanced story with experts taking the place of hysterics. I like that panic attacks are taken seriously too (as I would expect). It is still a serious issue to be tackled- just not with narcan.
Image you're having a panic attack, and all your friends start running around and yelling in your face and spraying stuff up your nose 🤣
@@sorrelbee113 Totally agree. Psychology covers a great deal of our sins.
Panic & hysteria just about covers it & causes a whole mode of larger issues.
Of note though the whole male "suck it up lad" in male dominated professions leads to horrendous damages.
Yes, agreed. It's sensationalized in the media to spread fear, although I think they are referring to the synthetic version that comes from China. It's being smuggled into the country through the open border. There actually is an epidemic of overdose of the synthetic version. It's much stronger than the prescription. Any illegal drug can be laced with it. It's crazy.
@@sorrelbee113 That would make me panic even harder, because holy crapballs, something must really be wrong with me if they're all rushing around trying to save my ass.
@@wmdkitty right??? That's what made this so funny to me. Usually I have more sympathy for panic attacks (I have them, I know they're terrible) but in this case (specifically I'm talking about the cases with cops, especially a particular video I saw a while back) it's their own fault; they believe their own hyperbolized, sensationalist war on drugs bullshit. They cause their own panic attacks and their friends escalate it dramatically, all because they are willfully incompetent when we should be able to expect them to be *more* competent than most people, what with their bloated budgets and alarmist training.
Not to mention they're wasting good narcan on self-engendered symptoms, instead of using it to actually help people who need it.
Dr Grande will you please do analysis for Judge Judy ?
Oooh, good idea
What’s wrong with judge Judy ??
Yes!!
@@chelseamunroe She's too distracting when working from home...
@@chelseamunroe RIGHT?! I love JJ lol
Always cool to see one of my favourite RUclipsrs talk about a portion of my thesis topic. The claim is absurd and thank you for covering it. Just like the husbands driving , the ONLY real danger is the potential for justification of an overreaction - particularly by law enforcement ….
"Nearly instantaneous reaction" is my new favorite phrase in regards to police who panic. It can be applied to many officer/citizen interactions.
Very well said Dr Grande, I completely agree with your analysis. I delivered medications to nursing homes and I handled phentanyl and other controlled substances. The nurses said people were paranoid of phentanyl and trying to scare people. This was about 5 years ago. Misinformation is seriously one of the biggest threats to humanity.
Side not to people who assume everyone snorts powder drugs with dollars, that's not how you do ALL powder drugs. But I'm glad not everyone knows these things, some of its pretty ugly.
I remember hearing in the 80s how every dollar bill “had traces of cocaine” on them, so be scared and careful! Ah moral panic, how you always cycle back. Thanks, Dr. G.
I'm a huge fan, I'm also a fentanyl addict in recovery. I've had friends die while paramedics stood over them refusing to touch them because of this bullshit myth. I have never had formal training but I'm now a CPR pro because first responders refuse to do their jobs and instead make me do it while they watch. It's infuriating. People are fucking dying. In all my years of using I never once saw or heard of a person touching the product and OD'ing or even getting high, that's ludicrous. People on the streets aren't getting pure fent. First responders would know this if they did any research at all, safe shooting clinics/needle exchanges frequently test the product and post the results online, so if anything was that pure, the information would be widely available. Thank you for helping dispel this myth, it's so fucking harmful. I'm 30 and have to go to multiple funerals a year for this shit. More doctors need to speak up. Sorry for writing a novel, I'm just angry lol, love u Dr. Grande.
🖤
I kinda understand your point , but if you do not want to be dope sick or OD get clean. You seem to think others need to fix you when you flirt with death. This way of thinking is not good for your recovery.
I would love to hear you speak more on panic attacks. I've had two that were so strong and felt so different from the others that I was convinced I was dying. When paramedics arrived, they were able to make me better with calm, casual talk. It amazes me what harm panic can do to a person
I once had a panic attack that caused a psychogenic seizure. The seizures are diagnosed as such now, but at the time I had no idea what was happening. (You often remain at least partially conscious if your seizure is psychogenic, even if the effects are generalized to your entire body. Different in epilepsy, where once the epileptiform activity crosses the midline of the brain, you pass out if you haven't already.) 3/4 of my body became numb, tingly, and paralyzed, starting in my feet and slowly working upward to my chest. It felt like someone was squeezing my spine and I had mid-chest pain radiating up my left carotid artery and down my left arm - I hadn't been eating enough, so this made me genuinely concerned something was happening to my heart... but I couldn't move.
So I just lay on the floor until the paralysis eventually subsided, because there was nothing else I could do.
I wasn't really scared of the symptoms themselves, because I'm used to weird health stuff. But it was certainly *strange* as all hell.
Edit: it was also really boring, because I couldn't move. That's the other thing I hate about panic attacks - the attack itself is usually the most interesting thing going on, and it's not exactly pleasant! Now that I'm used to them and know what's happening, there's a part of my brain that's rolling its eyes going, "I guess we have to fucking wait till this is over before we can do anything else!"
@@sorrelbee113 how terrifying!
ʟᴇᴛ'ꜱ ᴛᴀʟᴋ ᴏɴ
.👆👆✍️....
Panic is atrocious:(
Hi Katie
How are you doing today ?
Thank you for a dose of reality this morning. I've actually had a panic attack ( not related to any drug) and I KNOW a panic attack can be extreme and scary as all get out. Good show as always.
I've done one time. 20 years ago for no reasons at all and still remember it. I thought I was having an heart attack. I never had one again. Also, I overdosed at least 3 times on heroin and I can confirm that you just fall asleep with a big smile on your face and don't give a F about anything. Complete opposite to anxiety.
You have a large audience, thank you for doing this one!!
12:45 "It could lead to unreasonably punitive actions against substance users". It's hard not to suspect that's what this is really about.
I have a pretty bad anxiety disorder. Before I was medicated I had fairly regular panic attacks. I absolutely would get a rash when having a severe panic attack. Specifically I'd turn bright red and be itchy, usually on my torso/groin. While it may not be common it's certainly possible to get a rash from a panic attack, at least in my experience.
Same I tend to get really itchy for no reason 🥴
I was totally taken in by it! There was a video online of a rookie cop who passed out while handling evidence. Can't wait to rewatch using critical thinking!
Yes! This is the same one I saw, the bodycam footage right? Even though I consider myself a rational and critical thinker, I totally bought it and didn't think to ask any of the obvious questions; it just sat nestled in with my understanding of how things function. Wasn't until I brought it up in conversation with someone much, much later that they corrected me, and I was rather shocked I'd taken it at face value. That was a big lesson for me.
I have PTSD andhas experienced severe anxiety attacks, and I've also seen others going through it - and what I see in those videos is panick/anxiety attacks!
I responded to your comment and I agree with you. Thank you.
I too have really bad anxiety and PTSD, and a persistent 'Migraine Headache' that doesn't respond to any treatment in 7 years..a couple months ago, my Dr. prescribed 10 mg Oxycodone every 4 hours...helps a little. She also prescribed NARCAN..just in case..
I do get 1mg larazepam twice a day...helps slightly with panic and anxiety, but take at least an hour for noticeable relief.....these are 'oral' meds'...
@@PeterPan-uu5vu
I’m not an American, and I’ve been diagnosed with PTSD after 12 deployments to various conflict zones, most of them Balkan - and years of working as a bouncer where I’ve been stabbed a couple of times, had guns put in my face, not to mention being attacked on my way home from work and receiving death threats while being out with my family!
Today I work in a field where I get into contact with people who do a lot of research on PTSD and we now know that experiences don’t need to be as extreme as much of what I experienced, and PTSD can be just as disabling and debilitating even from a minor car accident - and we now know how experiences with other form of trauma, such as abuse, can cause PTSD!
So take your BS attitude towards PTSD and stick it up where the sun don’t shine!
@@cottontails9003
Thank you, I’ve read your comment in the comment section and it was really good!
This is fascinating. The power of one's mind is astounding. Thank you!
ʟᴇᴛ'ꜱ ᴛᴀʟᴋ ᴏɴ
.👆👆✍️....👆
This is a GREAT topic. Lots of hyperbolic statements about opioids (and opiates) and their relative strengths and their pharmacokinetics and pharmacodynamics. 👍
I love watching the videos of cops thinking they're ODing from contact. I have panic disorder, so it's really obvious to me that they're having panic attacks. The fact that none of the surrounding officers ever seem to recognize that it's a panic attack is one of the main things I show people to demonstrate how poorly trained officers are when it comes to mental health.
@@GuyNamedSean That's true and very disconcerting. Police need better access to mental health care. The statistics for police being perpetrators of domestic violence, sexual assaults and alcoholism is alarming. From my understanding if police admit that they need mental health care, they risk losing their ability to do their job because they carry firearms. I hope someone has a solution to help police obtain the care they need in order to do better with the public.
Great topic! I work in post overdose response and from my experience, police officers definitely demonize substance users. I’ve had officers say things to me like “you’re wasting your time helping these people” or “why save them if they are just going to do it again”
it is a matter of point of view. Who helps the society most, a police officer, or a junky helper?
@@lo2740 the person helping the addicted person. Which is quite often a police officer. You do understand that even cops suffer from addictions?
Added: there *ARE* people who believe that the only good solution to many problems - including addiction - is to do as is done in places like the Philippines under Duterte, i.e. extrajudicial killings.
@@lo2740 no question it's the junkie. Cops do nothing.
Police frequently ARE the substance users. They have access, means, motive and opportunity to lie about it in case they're caught and it somehow doesn't get covered up.
Dear dear doctor. This is your best one yet! Explaining the science of narcotic overdose an physiological reactions to true overdose with your subtle humor. I am a nurse and after the reports of LE suspected overdose, I immediately thought hysteria or panic attacks. Then you presented your educated diagnoses of panic attack. So we have these (mostly) men LE afraid of a white powder and also afraid to protect children from a gunman. These fearful people need to find a new job. Thanks again for this piece, chuckled a lot🤪❤️
I find this strange , most ambulances emt use fentanyl too relieved pain, I have seen no over dozes from this. I also put fentanyl on patients, on a regular basis and I've never had a reaction. It's come to light that a lot of ambulance officers, are illegally using fentanyl. I definitely agree with your analysis on this one. Thank you Dr Grande. Brilliant analysis and extremely informative topic. edit : my husband is watching this with me, he said, he's never had too give narcan too police who have transported any patients to the emergency department who have a fentanyl patch or illegally.
Of course you haven't - if it was real, you would see paramedics, nurses, doctors, and drug dealers dropping left, right, and center all the time!
@@gorillaguerillaDK You're spot on there.
They gave me fentanyl when I was giving birth
This is a good point. Drug addiction and misuse is not rare among medical professionals who have access. Some of these events are real overdoses but we’re the result of intentional use by the patient.
@@myabushnes9216 most general anesthetic is a propofol/fentanyl combo, plus a paralytic drug. It’s very common.
I understand that when a fentanyl addict merely 👀 looks at you, it’ll knock you right over. Which is why I stay away from ‘em, especially when I’ve had a few drinks.
In the UK we are having a similar panic with people reporting that they have been injected with drugs at bars and nightclubs. There has been zero evidence to prove anything (eg video evidence , toxicology reports,) yet the media and even the government has again and again talked about the perceived problem. Maybe one for you Dr?
Seconded. I thought that had the whiff of urban myth/moral panic the first time I heard about it. Of course, there are probably some arseholes driving it by just spiking people with drawing pins etc.
It makes absolutely no sense why a drug user or a drug dealer would want to waste their drugs AND their money like that. People need to use common sense when these ridiculous media outlets report on fake news. I'm in America and I just refuse to watch my local news...it's nothing but negativity and lies majority of the time.
There was a scare about this at a concert recently where people were killed in other ways (it was very poorly planned in terms of space and capacity, and people ended up being trample and suffocated... but no one was injected with drugs!)
I would like to add that I work in healthcare and people HAVE been coming in with needlestick marks and reports of being drugged. It was however for a short period of time whilst it was in the news and now seems to have stopped. Very strange though
Thanks Dr. Grande. That always sounded weird to me. You never hear of the dealers or the producers of the drugs dropping dead left and right or any urban legends about people on the streets just touching it and dying. We certainly would have heard a bunch of those by now if it were true.
The wasted resources is what gets my blood boiling.
thanks for shedding a light, Dr Grande!
I’m an 8 year clean opioid addict. I’m convinced that people are either overwhelmed and attributing the effects to the drug, or using the drug and playing stupid. It’s not at all impossible for police to snatch some evidence from time to time. Most of the many addicts (and the families ) that are no longer alive that I’ve known personally will not take responsibility for their extreme dangerous behavior. They refer to the over dose as poisoning when they know exactly how dangerous and unregulated the substances they are using are. I don’t know how I will die, but I’m sure it will not be fentanyl.
Pretending to be dosed by a fent bust would be a good way to "pass" a dirty urine test for a cop that uses on the DL.
@@nickyblue4866 real talk
Congrads on being free. Going thru life being dope sick is not life. America has a horrible drug problem. Drug cartels are killing Americans. SSRI's are destroying kids minds.
@@tonyc223 thank you , i wouldnt trade it for anything!
I've seen people saying it's on shopping cart/buggy handles at grocery stores etc as well. This is like reefer madness or you'll jump off a tall building from trying lsd.
"...this is not compatible with staying alive."; one of the truest statements ever uttered by a qualified clinician. Also, funny as hell.
You slay me Doc. (Figuratively speaking.). Thanks as always Doc.
ʟᴇᴛ'ꜱ ᴛᴀʟᴋ ᴏɴ
.👆👆✍️....
Sir you have many excellent videos, this one particularly stood out as I've lost track how many times I've heard these outlandish fentanyl tales parroted without the slightest hint of skepticism.
There's a strong tendency for people to cling more tightly to these "emotionally felt" beliefs, struggling to relinquish them even when confronted with overwhelming evidence. There's no shame in admitting when you're wrong about something, but still some try to avoid it at all costs.)
I'm reminded of this aphorism (NOT coined by Mark Twain): "It’s easier to fool people than to convince them that they have been fooled." It seems like this maybe more true now than ever. Hence the importance of individuals like yourself and the work you are doing. Cheers!
I work for the NHS and found this so informative and fascinating too. Once again , Dr Grande is the voice of common sense and reason. Thank you.
In the 80s and 90s there were urban legends about needles laced with HIV being placed in movie theater seats. This sounds like an updated version of the same story.
"This of course is not compatible with remaining alive"
Perfect meme material right there
I work in a central branch library in my city. Police officers came to speak to us about fentanyl overdoses. We get a lot of substance users in the library. They warned us about the panic you are describing here. After watching your video, I realize how irrational this fear is, and how it can further stigmatized this vulnerable population. Thank you for your explanation.
In one very compelling case, a police officer’s friend’s wife knew a guy who read about a guy who thought he saw some Fentanyl across the street and when he went home his baby grew up, went to college and married a woman who’s distant cousin suddenly had an overdose and had to have her right arm amputated! 🙀 only by bathing in Narcan and wearing sunglasses made of Narcan was the cousin able to recover, although mysteriously she is now left-handed 🥹
Good morning Dr Grande. Greetings from Dublin Ireland. I look forward every day to see what we’ll hear about today! Always interesting and informative. Have a great day!
Hi Jackie
How are you doing today ?
One thing you’ll notice about these alleged exposures... doctors never corroborate their assertions, and the police subsequently do not release any of their ER lab results.
This was a good story. I’ve been watching you for years. I wish you’d do more videos, maybe not necessarily specific cases but maybe studies or something, about addiction. It’s clear you have a lot of experience and a lot to offer. I’d love to hear you talk more about addiction.
If you or someone you know is at risk of an opioid overdose, you HAVE to add Narcan to your first aid kit (Next Distro Organization will send it to you for free).
In my area, we have the MOST overdoses in the state of Georgia so I carry it at all times.
Hi Heather
How are you doing today ?
I retired from the Army in 2019 but back then there were signs posted in the barracks about how "skin contact with a granule of fentnyl the size of a grain of sand can cause an overdose" I remember thought that was suspicious at the time
As a previous opioid user. Putting fentanyl or heroin in a dollar bill is a common practice. Loosing these are also somewhat common especially when they’re placed in your sock by your ankle and at the same time you’re dopped out. I wouldn’t expect Dr grande to know that though he seems pretty straight edge.
Dr. Grande, can you please address why so many "law enforcement" officers seem ill- equipped for their chosen careers 😐🤦🏾♀️🎪. The degree of misinformation & hysteria in this country is embarrassing & exhausting.
@@PeterPan-uu5vu good point. I'm sure the police are well behaved in South America and Mexico where less people have guns....
I believe it's the media causing mass hysteria. The average citizen probably believes most cops will shoot and kill them with no rhyme or reason while the average cop probably believes most citizens are evil law breaking savages that will kill a cop on a dime.
Most cops will flip out at a traffic stop if someone simply asks "may I ask what reason you're stopping me?"
I can almost guarantee this is what happened: the people who made contact with these items started asking themselves “oh no did I get it on me?” Then started paying close attention to every feeling in their body, and then began to induce a panic attack. I’ve had a similar experience and can definitely say this is likely what happened. As word got out it became mass psychogenic illness.
Always good to hear from you, Dr. Grande. Great topic. Thanks for sharing.
Thank you for your logical and scientifically/clinically accurate take on fentanyl panic. I also appreciate your nonjudgmental attitude towards the police as well as drug users. As a nurse practitioner who frequently works in the ER, I have suspected these encounters to be false for years but have just started seeing accurate medical reviews of these incidents. I wish reporters would discuss medical issues with medical professionals and toxicology issues with toxicologists, etc. before reporting it as fact. It’s contributing to the problem.
Actually the Russian military have used fentynal as a weapon before, during the Moscow theater hostage crisis in 2002. I believe in aerosol form with gas grenades. It killed 170 people including hostages.
A fentanyl derivative I believe, pumped into the theatre's air conditioning ductwork to try to knock out all the hostage-takers simultaneously... but they didn't notify the medics so they had no Narcan or similar to counteract the anaesthetic & hostages that were dragged out into the street still breathing soon died. Absolutely appalling.
Great points as usual. I think the media always plays a part in panic & amplifying bad news...that's what they feed on. Thanks Dr G😊💖💖
I give out fentanyl on a regular basis and have never had a reaction. Just wanted to say goodnight its 01.45am here 😴😜❤💙💚💖✉🎆🌷🌷🌷🌷🌷
@@cottontails9003 Hi and goodnight friend. Sleep well. Yes true. It's not an airborne or contact issue but it is a dang strong drug. 😊❤❤💜💜💚💚🌃🌜⭐🌌🌷🌷🌻🌻
Good Morning Dr. Grande, Great start for the weekend…learning about “fentanyl panic” most informative. Pharmaceutical patches are dosed properly, bringing relief to chronic pain sufferers. Street fentanyl is another issue entirely. Thank you for highlighting this issue.
Thank you for the thoughtful and compassionate analysis, Dr. Grande.❤️
I hope you have a great weekend.
Hi Rejane
How are you doing today ?
Good morning, Dr. Grande!🙋🌵🪴🌵🪴🍀 How are you doing today? Staying cool, I hope! Thank You! Hi, everybody!🌞☺️🍀💫
Well I fell for these stories without thinking it out. I saw two videos that showed a police officer in each video pass out from handling fentanyl from an arrest. After thinking further though I realize that even though there is such a huge problem with the use of it and people are overdosing on it left and right, if it were the case that it could be absorbed through the skin or inhaled that easily, the abuse of it couldn't possibly exist and be so highly widespread because everyone that tried to smuggle, buy, sell or try to take it would drop dead from handling before getting the chance to buy sell or take it.
What do you mean? Fentanyl does permeate through the skin as it can dissolve through fatty tissue. It is also many times more potent than the other common opioids. Some people may react worse than others, but it still is hazardous to the touch. In professional settings when it's properly administered, it isn't an issue. There are many studies on the potency of fentanyl.
@@Kryptic_Karma of course it's very potent. Way more than heroin. My son-in-law Works in addiction recovery and has lost sponsee after sponsee to them overdosing on Fentanyl . Basically I'm saying the same thing dr. Grande is pointing out. People aren't just killing over from handling it like the false reports going around on social media showing cops dropping dead from handling Fentanyl that was confiscated. Did you watch the video?
@@Kryptic_Karma No you’re wrong, officer. People put the stuff in their veins and live on a regular basis. There’s no way mere skin contact could cause an OD.
@@Matt-xc6sp Officer? Lol Have you ever heard of building up a tolerance? And have you considered different people react to different substances differently?
@@Matt-xc6sp Feel free to look it up, I did a review of different peer-reviewed research articles that talk about the potency, signaling pathways, and signs of overdose for my Biopsychology class. I also researched naloxone too to see its counteracting effects for opioid overdose.
Very interesting subject.
I loved how you covered the subject of panic and how badly it can spread!
I think your idea of educating and debunking the false stories is very important! Great video, Dr. Grande!!
The officer who bent down and then stood up felt light headed is a classic symptoms of blood pressure problem. I have experienced this my self.
“…this of course is not compatible with remaining alive” 😂 I love Dr. Grande so much. I love subtle hilarity.
Great video, doc. Yes, the power of suggestion is real. Panic attack symptoms are sometimes called body symptoms. Or mind-body symptoms. Though those terms may not be clinical. Depression too, can cause many different body symptoms as well. Keep up the great work!
Interesting topic. Thanks for your overview and analysis, Grande. Very much appreciated.
I'm not even in the health care field, but I've been calling BS on these reports for the very reason you gave--a lot of people had to come into contact with the fentanyl to get to the point where the police are in contact with it, but you only ever hear about police officers having a reaction. Thanks for confirming my thoughts.
I was given medical fentanyl for sedation to have an MRI.
It worked ok, but that afternoon when it wore off it was horrible.
I never want to feel like that again!
What happened? I've had buprenorphine which is very similar. It got me euphoric and I felt a bit drowsy the next day. Another time I had a bit too much and vomited continuously. Is that what happened to you?
I had to be on 72 hour steady release patches for a number of years. Thank-you so much for pointing out the ridiculousness of those scenarios, of overreacting.
Edit: Thank-you for pointing out that most cops see drug users as bad or evil. Rather than someone with a mental problem.
As a recovering alcoholic I've delt with that stigma.
I hope you have a wonderful weekend! ✌😎🤘
Thank you for clarifying, Dr. Grande!
Thank you for making this video. This really needs to be brought to people's attention.
As a mom who lost her Young boy recently, because he was going out with his friends to “show off his new Jeep”, and never returning due to his friends giving him fentanyl weather knowing or unknowing, and I'm sure he was curious anyway, but he died and it's all sad. I wouldn't blame anyone for being afraid
I was surprised when I saw you bring this up and now I'm crying because illegal fentanyl took my boy😔 and I know he probably didn't resist, but the people that were with him ,his so-called friends left him to die alone and they were prosecuted for it
they did not try to get him help they panicked and left him alone to die
I have had to use prescription fentanyl, for severe pain in the past because of a disease called RSD. Prescription fentanyl at one point save my life ~illegal fentanyl now, at another point took my baby’s life😭
Sorry for your loss
@@johnsmith7140 Ditto.
@@johnsmith7140 thank you ❤️
Wow, that last sentence is powerful. Thank you for sharing your truth and experience. Your words are full wisdom and care. I am so deeply sorry for the tragic loss of your son. You have a unique and gracious survivor's testimony. Perhaps your story, could change other people's lives and save many. Best wishes, as your strength and transparency have been a huge blessing to me...thank you.
@@cherylcarp8940 no one has ever said something so profound and kind to me thank you❤️
Wish I could like this video a million times! Thank you for speaking the truth doc.
I'm not sure why but.. I find your videos to be very calming, regardless of the topics. The ASMR community would love you, Dr. Grande.
It's his voice. One of my friends said the same thing when I introduced her to Dr. Grande.
Another brilliant analysis by Mr Grande. Thank God there's still some common sense, science and knowledge promoted to the wider public by smart people like Mr Grande.
What a great video!
Your humor is brilliant and your analysis was on point.
I wondered how these addicts were casually using this drug and more than not staying alive?
You can't believe anything you hear and only half of what you see now a day's.
I only believe in what I see. With the exception of God. Too much scare cards being played which really does not help society. 🤔❤️🇺🇸
Addict developed a tolerance. I have hydromorph-contin and hydromorphone prescribed for chronic pain. When I go for an exam at the hospital, they have to give me 3 times the dose they give to a normal person because a normal dosage dosen't do anything.
Hi Kristine
How are you doing today ?
@@kristine432 I'm great
@@kristine432 I hope you don't mind me asking, where are you from ?
9:55 “Panic attacks do not typically involve rashes.”
No dispute here; simply wanted to interject: I was a highly stressed, socially anxious, perfectionist child (seriously a tortured soul at 4 years old!). I overthought everything, to an extent that i wd lie on the couch sobbing, dreading the next day of school. Who wd bully me tmrw? What test wd i fail (tho of course i received straight As)? I wd develop rashes all over my body during these episodes, which my mom lovingly called “think bumps” as she tried her best to soothe me.
It only occurred to me many years (decades) later that these spots & bumps were hives. Completely stress related, panic induced manifestations.
Long story long.. maybe these officers are simply experiencing their own bouts with “think bumps?”
Hi Andali
How are you doing today ?
Interesting topic. Dr Grande always mixing it up with topics. Thank you.
I just want to add, on the "rash" note. I get a hive type looking rash during some panic attacks. It happens on my face, neck, chest, abdomen and arms. It happens to others too, I just don't know the clinical make for it.
Thank you for educating us on the reality of these situations of panic. It reminds me of the panic of AIDS. People thought they could catch it from all sorts of ways that are not possible, further demonizing those who actually had contracted HIV.
Aside from the fentanyl patches specifically designed to administer it through the skin barrier, you cannot get high nor overdose from fentanyl/opioids through normal skin contact. IF YOU COULD USE/ABUSE OPIATES THROUGH SKIN CONTACT, a very large number of opiate addicts would NOT be smoking them even though it’s destroying the health of their respiratory system and their dental health. In addition, a significantly large amount of opiate addicts would NOT be injecting them, especially at times when they can’t find a useable vein due to the chronic dehydration side effect from the opiate use. They wouldn’t have times where they can’t get relief from withdrawal symptoms because they’re struggling to find a single vein that isn’t all blown out and useless. Opiate addicts would not risk their lives even further from reusing needles if they could instead, skip the whole injection process and achieve their high through regular skin contact. People suffering with addictions will always turn to the fastest, the easiest, and the most direct avenue to obtain that euphoria. Alas, there are countless risks and issues stemming from and affected by the ongoing opioid epidemic; physiologically, psychologically, sociologically, culturally, economically, communally, politically, societally, familial, etc.. However, civilians and police officers overdosing from skin contact with an opiate is undoubtedly, scientifically proven to not be one.
Transdermal application is not likely to result in a fast response. The effect is slow and steady, unlike injections into a vein.
Echoing what the other commenter said, you can get a high from any drug in any method. Most illegal drugs applied topically to skin creates a reaction. The issue here is whether it would create such a deadly reaction as what is claimed. People inject, snort, or smoke drugs like heroin or meth because it's a far superior high and happens faster. But you can still get a high from touching it or rubbing it on your body in certain areas.
I was not expecting that, love learning and seeing different views. Keep the videos coming.
Just by showing up, you made my morning. It’s the voice, dear. ❤️
As someone who enjoyed/abused fentanyl (transdermal patch) a few times over a weekend, I couldn't cringe any harder when I saw the police video, lol.
The patch wasn't even doing much when I did put and left it on my skin for a whole day. After being disappointed, I just threw it into my mouth and chewed on it for a few minutes. Oh boy, then I finally worked.
If you wanna puke
Patch was designed to protect you from this but When is in powder form and cut with any number of other substance that can absolutely cause a negative skin reaction
@@kamailemorano9828 na bro. I’ve handled powdered and rock form of fent and skin contact is such bullshit especially with how fast these cops react lol. These cops are just attention seekers wanting the spotlight.
@@abes3925 I'm less concerned with a skin reaction then the inhalation because that powder is fine and disappears in the blink of an eye or less depending on which direction the wind is blowing
Thanks for another thoughtful analysis Dr. Grande. I’ve been an anesthesiologist for over thirty years and have administered it to countless patients.
The hysteria surrounding fentanyl is an absolute joke.
Fentanyl just doesn’t penetrate the skin. You could literally marinate in the stuff and nothing would happen. Well…not true…you might get wet.
👆👆
ʟᴇᴛ'ꜱ ᴛᴀʟᴋ ᴏɴ 👆
@@astralgilt He is not talking about transdermal delivery systems. You’re right. It is possible to over dose using fentanyl patches but that is quite different from spilling a little liquid fentanyl on your skin.
Great stuff Dr Grande. As always love your channel.
What's not in the news is after the East Liverpool, Ohio incident, an investigation showed the officer rubbed his eye during the exposure. Ultimately, it was decided the overdose came from fentanyl in his tear ducts and not from his skin. A team of professors from Bowling Green State University quickly disseminated information and held training around the state. We basically told the East Liverpool story and said, 1) overdose won't happen through the skin, 2) wear gloves anyways, 3) wash your hands. The reported law enforcement exposures in Ohio quickly went down.
My ex used the patches when he had cancer. I never had any reaction to placing them on him every three days for two years. Fentanyl is measured in micrograms, and can be deadly if a couple of them get into your bloodstream by accident, but you’d have to actually pierce and chew the patch, or take more than one tablet.
Hello 👋
How are you doing today ?
@@BucketHeadianHagg I'm doing great
@@BucketHeadianHagg So how's the weather conditions over there ?
@@robertgreen2176 🔥HOT🔥
@@BucketHeadianHagg oh okay
How often do you like to go out?
Even before you suggested mass hysteria, I thought that’s what it could be. It’s crazy that a layperson could think that but the police can’t figure it out. Maybe they’re too proud to admit that they are being affected by panic attacks and hysteria and they dismiss it thinking it’s weakness they don’t have but other people do. Hopefully the media does what you suggest, but unfortunately they profit from sensationalizing everything.
"police can’t figure it out. Maybe they’re too proud to admit that"
Wow, that was a whole lot of fantasy right here.
Do you actually think thousand of professional police officers and medics are dumb?
This is an oversimplified and biased youtube video, it present you things in a certain way, that is not the reality.
Thank you for making this much needed video
I just started watching your video’s you give good details,it’s very Interesting to listen to,sometimes, I go back a few times to hear what I heard. I’m glad you do your research. research is everything anymore, thank you I appreciate it.
The Havana incident was electromagnetic radiation and not mental issues in my humble opinion.
Hi Leslie
How are you doing today ?
I actually saw what I believe to be a video of one of the incidents that Dr Grande describes here, in which two officers conducted a drug bust, and one officer fell onto the ground after standing next to the fentanyl, and I have to say the video looked to me to be flat out contrived. It seemed to almost be like some kind of propaganda video the police officers were making. I don't know if all these cases are cases of mass hysteria, but some officers may actually be wanting people to believe that the drug is that dangerous.
Dr. Grande, your last point on picking up Fentnyl dollars was the cherry on top. It made my day better. Keep up the good dry humor in your videos.
Always interesting Dr. Grande