The security guard leads us across the lobby to the man with matted blonde hair slumped over in a chair, resting his head on his arms. His face is obscured. The hands that stick out of his layered winter jackets are tattooed and scabbed. “Hey, buddy.” I shake his shoulder. He slowly lifts his head…
Month: January 2026
More Overdose Decline Theorys
In previous blog posts I have speculated about the reasons behind the stunning drop in overdoses that have occurred in Connecticut (45% since November 2021) and nationwide (40% since August 2023). The two leading theories I subscribe to are A recent article in Science magazine, Did the illicit fentanyl trade experience a supply shock?, argued that…
Don’t Chase Wakefulness
We tell people to titrate naloxone to respirations. Just give enough to enable the person to breathe on their own. If you give them too much, you can put them into precipitated withdrawal. In other words, by knocking the opioids out of their system, you make those dependent on opioids sick. You are in terrible…


