@Tropical Iceland My opinion is that Sub is best suited for people whose addiction is largely physical, more just a dependence really. Someone w/all the attendant addiction issues might need something to be addicted to while they do their recovery (methadone I mean), plus methadone junks up your enjoyment of other opiates once you are tolerant enough of it. I do not worry a lot about people finding out I have (had) substance abuse issues though, and shame and embarrassment--having to be seen at the clinic and all--is a serious hurdle blocking a lot of people from methadone treatment. Maybe your boyfriend is not totally ready to be on Subs yet....I think about them the way I do b/c they are firstly not supervised for diversion like w/a clinic and also the effect of them is like, say....Suboxone is like a cast and very effective painkiller for your broken leg but Methadone is like unbreaking it. If you are able to manage treatment independently then a cast and a painkiller is fine, you know? And it makes a big difference whether he has a doctor and a Rx, or if he is getting them off the street. Nothing is really changed if he is getting them off the street. There is no consistency to the dosing that way either, you never know when your guy will be out, and you are still putting all your money and energy to finding dope. I am not into meetings or the whole recovery literature/community stuff either, but sometimes you need something. A lot of former addicts are so religious b/c you do, you just need SOMETHING. It is okay to have a crutch, it has a negative connotation but there is no good reason for that. Maybe some of this is a new way to think about some of the things you have to go through w/him. I know, I have All The Feelings when it comes to dope addiction so I will go on if you want too.
All the barriers to treatment w/Suboxone are artificial. Buprenorphine is not new, or exotic, or hard to come by, but Suboxone is incredibly expensive. I think its something like 10.00 a pill (strip, whichever). Medicaid will actually pay for the Rx, but not w/out special paperwork. I notice the original article mentioned that. But most (all that I have encountered) doctors that can prescribe Suboxone do not accept Medicaid; it requires a few initial office visits back to back and they are expensive, the lowest price I heard was 1000.00 for induction (the first few days and your first month rx) so I do not know where the writer is located that she got her prices from. Even the methadone clinic will not accept Medicaid for Suboxone treatment. Maybe FL Medicaid will not pay for Suboxone treatment, is what it is. Locally, at least, pain management clinics and their narcotics are much more accessible and much more affordable. (Well, that is changing due to law enforcement trends and database monitoring, but you know what is taking its place in price and ease of access? Heroin! Way to track us all into compliance DEA). Suboxone, while it does carry w/it some withdrawal symptoms, is not nearly as physically addictive as methadone or oxycodone, and it is not a long term, recurring treatment. Of course it is only being made really available to those who can pay thousands of dollars to get to it, b/c there is just that one chance to get the cash for it. Methadone and oxy/dilaudid/patch/etc users can be billed to insurance every month for years and years, and even if it cannot--and plenty of times it cant b/c most pain managements do not accept insurance, but no matter--their users WILL figure out how to pay for it because there is such addiction, and it is a couple hundred bucks, not thousands.
I am of the belief that methadone works, and the addiction IS one of the reasons I think it works so well. The dependency, I should say b/c I only mean the physical aspect. You are sort of compelled to stick w/your methadone regimen, even if you are feeling demotivated, self destructive, or craving dope b/c you will be sick w/out it. And so you are forced to dose and stay clean and well enough to function for one more day. Conversely, you can skip your Suboxone for the day if you want to get high; once your methadone dose gets stable and you are acclimated to it you can really not get high at all no matter how many days you skip.
@rimy Yeah, that was actually a pretty good job. It was like 8 or 9 years ago though. I did all the prep work around background checks for those entering the ports, and you know it turns out that pretty much everyone in the world has been arrested at least once. And I remember having a loosely held together theory, that the heads were for researching a new Mad Cow-ish strain of disease. I think it was relevant to current events at the time.
@Tallulah B Aauughh....I used to have an admin job at a seaport, and one time the Coast Guard came in. They were expecting a shipment, and they were being REALLY SECRETIVE, and like, hovering around waiting for it. So I listened outside the door and you know what was in the box? Bison heads! JUST THE HEADS! And then they were to deliver them to the rendezvous point at the local university for......dissection? Shamanistic full headdresses? What? What did the University of Top Secret Nuclear Warhead Stuffed Bison Brains (ok, no. It was the University of South Florida) need all those heads for? I still dont know!
@baked bean It is almost like, the opposite of weird to say Excuse Me to someone you bump into. Your coworker, thats whats weird
@anachronistique incredulous open mouth, wild eyed smizing? Hand on one cheek, Home Alone style? Was that her? Bc that image is stuck w me from the back pages of Seventeens all throughout the 90s.
@SarahP LIGERS are huuuuge. They are like, actually the size of a tiger AND a lion. It has something to do w/being a not entirely naturally occurring cross breed, but I am not sure what
@whateverlolawants It is segregation, I think. A lot of models and actors whose faces we admire have features that are strongly associated with a given ethnicity, often more than one ethnicity at a time and that is why they look very striking. Like Cameron Diaz--to keep that example going--has Spanish (I think) ancestry, but she is partly Caucasian too, (I know Spain has quite a few native blondes, but I don't think that is the case w/her. I read an article about her right after The Mask came out and it stuck w/me as some kind of formative childhood memory). And it's not that multiracial or multiethnic people didn't exist a hundred years ago obviously, but they were not represented as a standard of beauty. So I guess it is that the documented past does not look like the world we see today firsthand? I don't want to say there were less mixed race people b/c I have no idea really, but it wouldn't surprise me b/c people were so racist and so open about it until relatively recently. An older man I know was telling me recently that even in the 1970's everybody's default idea of beautiful was skinny lips, skinny noses, flattish butts, monochrome pale hair/skin, and not just that was beautiful but that full lips and big wild hair was immediately dismissed as ugly amongst his peers. And that just bears so little resemblance to what I would think most people consider attractive now that, I don't know, I guess my point is we are shown a very narrow, homogenous representation of the past and so it's hard to reconcile it w/the idea that maybe the past was just us, but long ago?
@LooseBaggyMonster I agree, I think. My feeling about this is pretty clear cut in my mind, but it's the kind of thing that's hard to articulate probably just b/c it is incredibly anecdotal and based entirely on personal experience. But violent and disturbing deaths are actually just violent and disturbing, they're not quirky or darkly whimsical or morbidly fascinating. I'm not opposed to a museum like this, I would be inclined to visit a museum like this even, but it's possible to be respectful of your subject matter w/out being joyless and dour about it; you don't have to veer off completely in the opposite direction just to prove how cool and accepting you are of death as part of life. I always assume (maybe wrongly, assumptions sometimes are) that the hip goth bemused by death and dismemberment has actually never come very close to it in their actual experiences.
Also, I was born in 1983, and I'm almost 30, so I hope it was an error, and that their marriage lasted more than "almost twenty years."
@Sapphireblue Is "Ask Amy" Amy Alkon? I know her website is Advice Goddess, but still. Cuz I don't like her. All her answers to EVERYTHING are like, "blah blah blah evo psych oxytocin Greg courted me this way b/c of evo psych women can't have casual sex b/c evolutionary psychology and oxytocin convoluted snarky metaphor, also, oxytocin" and I don't even believe in evolutionary psychology, b/c evolution is not like, this magical force that pulls us helplessly away from conscious thought. It's just gradual changes in our bodies in response to the gradual changes in the world, is all.