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OfflineMorel Guy
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Advocates fear more heroin withdrawal deaths in jails
    #23432041 - 07/11/16 01:00 PM (7 years, 6 months ago)

LEBANON, Pa. (AP) — In the days following her 18-year-old daughter's first arrest on heroin charges, Stephanie Moyer took solace in thinking she would be safe in jail until she got into a treatment program.

However, Victoria "Tori" Herr sounded disoriented on a call home three days later. She feared she was dying and complained of being thirsty, her mother said.

Herr, who had a 10-bag-a-day habit, collapsed following days of severe vomiting and diarrhea at the Lebanon County Correctional Facility. She spent five days in the hospital, then died on Easter Sunday 2015.

Her case is one of at least a half-dozen deaths nationwide during the last two years involving jail heroin withdrawal, and advocates fear the number will grow given the nation's heroin crisis. Advocates find the deaths particularly troubling because opioid withdrawal, while miserable, is rarely life-threatening if medication, monitoring and intravenous fluids are available.

"This is a woman who died because she was detoxing," said Moyer's lawyer, Jonathan Feinberg, who filed a federal civil rights lawsuit Monday. "Had Tori Herr's withdrawal been treated ... she almost certainly would be alive today."

Warden Robert Karnes told Moyer that his staff followed "all operational protocols," the lawsuit says. Jail and county officials didn't return calls Monday seeking comment.

"This is an emerging, growing problem, and it's hitting communities all over the country. That's exponentially so in jails," said Emma Freudenberger, a co-counsel on the lawsuit.

Other withdrawal deaths have been reported at jails around the country:

— In Oregon, a 26-year-old woman wrote increasingly dire notes to jail staff begging for help before she died after six days behind bars in 2014, The Oregonian reported.

— Near Detroit, a 32-year-old man lost 50 pounds during a monthlong stay in 2014 as he struggled to withdraw from methadone, opioids and the anti-anxiety drug benzodiazepine. A jail video shows him lying naked on a stone floor during what his family's lawsuit called his slow, painful death.

— In Colorado, a 25-year-old man died last year after he was prescribed a mixture of drugs to treat his withdrawal symptoms but never received them, according to his family's lawsuit.

Dr. Eke Kalu, the general medical director of the Philadelphia prison system, said quitting heroin is one of the "safer withdrawals" compared with alcohol and some other drugs. The city screens inmates to assess their need for medication or IV fluids. Officials couldn't remember an opiate withdrawal death in the past decade.

Officials at Rikers Island, in New York, have long run a methadone maintenance program, which experts believe can help detainees kick their habit and lower the risk of relapse.

But smaller jails may lack in-house medical units or sufficient monitoring. Advocates say that can amount to cruel and unusual punishment. Freudenberger believes jail officials in Lebanon should have sent Herr to a hospital earlier.

Herr was staggering by the time she was taken to the medical unit the last night there, according to Moyer's lawsuit. She was given water and Ensure, but resumed vomiting when she returned to her cell, the lawsuit said. Dehydration brought on by constant vomiting and diarrhea can lead to delirium, an electrolyte imbalance and cardiac damage. Herr also went without oxygen after she collapsed, the suit said.

"I'm not a professional, but, as a mother — Day 1 — I would have taken her to the hospital if I would have seen her vomiting or not keeping things down," Moyer said.

Herr graduated from high school in 2014 despite using heroin in the final months, something her mother attributes to her long struggle with anxiety. Moyer last saw her the day before her arrest, when they talked about an inpatient treatment program.

"I told her that her name was Victoria and that's close to 'victorious,' and I promised her she would be victorious in getting through it," Moyer said.

___

This story has been corrected to show that one jail was near Detroit, not in Detroit.

http://www.apnewsarchive.com/2016/Heroin-withdrawal-is-rarely-fatal-but-more-than-a-half-dozen-people-have-died-behind-bars-in-the-U-S-during-the-last-two-years-after-suffering-from-severe-symptoms-that-their-families-/id-0b3b6f963a5542e2a863ca13f4aac844


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Offlinemusiclover420
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Morel Guy]
    #23432118 - 07/11/16 01:30 PM (7 years, 6 months ago)

Seems like the benzos they were prescribed to treat their heroin withdrawals are the most likely culprit.

Can heroin withdrawals even kill on their own?


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You know how it feels, With the breeze of the sun in your eyes. Not minding that time's passing by

I've got all and more, My smile, just as before. Is all that I carry with me

I talk to myself, I need nobody else. I'm lost and I'm mine, yes I'm free



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InvisibleAchuma
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: musiclover420]
    #23432208 - 07/11/16 02:04 PM (7 years, 6 months ago)

a heroin withdrawal doesn't usually kill people, it is usually incredibly intolerable, but I'm guessing it's a matter of statistics.  For every one person who dies in jail from heroin overdose, there's X more who survive the experience.

it's not easy on the body to detox, but as you can see from the article, it's secondary things, such as dehydration caused by vomiting, which can lead to a person's death.

I definitely agree that someone who is addicted to drugs and is incarcerated should be given the medical care they need to detox in the healthiest way possible. 


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Pictured: crystalline extract derived from Psilocybe Cubensis.  See link for detailed instructions, as well as a lengthy discussion on the properties of light.


Edited by Achuma (07/11/16 02:06 PM)


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OfflineKonyap

Registered: 06/30/07
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Achuma]
    #23432310 - 07/11/16 02:51 PM (7 years, 6 months ago)

yeah it's called 'chemical dependence' (ooooh mysterious!)
but I hear alcohol does the same thing


Edited by Konyap (07/11/16 02:52 PM)


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OfflineKryptos
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Konyap] * 1
    #23432584 - 07/11/16 04:59 PM (7 years, 6 months ago)

Alcohol withdrawal kills directly, by overstimulating the cardiac system through downregulation of GABA (from what I understand..also benzos should do something similar) causing extreme cardiac stress and possible failure in severe cases (untreated delirium tremens carries a 35% mortality rate-if you see pink elephants, get to a hospital cause there's a good chance you heart will explode soonish).

Opiate withdrawal cannot kill directly, but as Achuma mentioned, death through secondary effects such as dehydration caused by the ol' double-ended firehose is well documented.


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Invisibletdubz
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Kryptos] * 1
    #23433372 - 07/11/16 09:40 PM (7 years, 6 months ago)

All that revenue generated by the prison system an they can't have proper medical treatment for people detoxing.....so sad in this day in age.


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OfflineKryptos
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: tdubz]
    #23434890 - 07/12/16 12:56 PM (7 years, 6 months ago)

"Proper medical treatment" costs money, and costing money means less revenue generated. Do you really think a corporate prison would place the value of a prisoner's life over their stock price? If I was a corporation, I sure as hell wouldn't. I'd shoot a puppy for a tenth of a cent boost in stock price.


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OfflineMorel Guy
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Kryptos]
    #23434904 - 07/12/16 01:02 PM (7 years, 6 months ago)

They really need detox jails at the rate drug users get locked up.

They usually don't want to pink slip people into the state hospital when they are in jail for a crime.  They think their systems are adequate enough.  Even though one prisoner in Virginia (correct me if I'm wrong) died from starvation.

State hospitals are as bad as jail in a lot of ways.  The food is as shitty but you get to have your clothes.  Just no shoe laces or belts and you get to sit outside in a cage or roam around a 'prison yard'.  Might even get to get some snacks from vending machines, but you get almost the same thing in jail (canteen/commissary).

It's that there are a lot of kids like who I was and sorta still am.  Kids that started on pharmaceuticals from the doctor who moved onto other drugs.  Sooner or later charges are brought.  So what does that kid get exposed to in prison?  Usually some sort of radicalization that is far worse than what outside of jail was exposing them too.  At least out of jail they could get out of that environment.


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OfflineConnoisseur

Registered: 05/13/11
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Re: Advocates fear more heroin withdrawal deaths in jails [Re: Morel Guy]
    #23435205 - 07/12/16 03:12 PM (7 years, 6 months ago)

In the book junkie it says that people who are addicted to eating large amounts of opiates commonly die in jail from being unable to digest properly


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