Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Share Embed Flag
Download ePaper

Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

library.whnlive.com
from library.whnlive.com More from this publisher
12.07.2015 Views

j294What period of time are ^ve talking about for the oralDr. Casriel. About 15 minutes, 20 minutes; depends upon a person'scapacity to absorb.Mr. fciTEiGER. I can see just before closing time everybody have aPerse.Dr. Casriel. Right, everybody sober up, party's over, sober up.Mr. IvJEATiNG. I have no more questions.Chairman Pepper. Mr. Winn.Mr. Winn. No questions, Mr. Chairman.Chairman Pepper. Mr. Blommer.Mr. Blommer. One question, Dr. Casriel.You said that you treated three people who had been maintainedon methadone, and 1 am sure that you talked to them about theirexperiences on methadone.Now, when they said, as I assume they said to the doctor that wasmaintaining them on methadone, *'I feel normal," were they speakingthe truth?Dr. Casriel. They are lying out of their heads, for God's sake. Theyweren't just on methadone, they were taking everything they couldo-et their hands on. They told the doctor this is good. They were takingcocaine, barbiturates, getting drunk, taking anything. It is ridiculous.They don't know the psychology of an addict. He will lie throughhis teeth. He will steal his mother's teeth, and you expect him to tellthe person who gives him methadone, or if he is taking anythingelse, of course, he won't say that. He will say. This is a wonderfuldrug and I have been looking for a job, et cetera, et cetera, etcetera. You are dealing with a pathological infantile character disorder.How can you treat them as if they are adult people, adult, responsiblepeople ? They are all liars, all liars.Mr. Blommer. My next question was what you think the people onmethadone maintenance think of the program. I think you have answeredthat.Chairman Pepper. Doctor, just one or two questions.We had testimony before our committee from the commissioner ofcorrections of New York City. He testified that thousands of peoplewho come into the correctional system with heroin addiction simplyhave to go through agonies of withdrawal, without any treatment atall, because they don't have any treatment.Dr. Casriel. Mr. Pepper, let me answer that.I was a court psychiatrist and I saw them kicking the Tombs, andI was a ward psychiatrist at Metropolitan Hospital and I saw themkick at Metropolitan Hospital, and I have also, of course, been inSynanon, Daytop, and I have seen them kick this. The same kid, withthe same habit, with the same length of time, reacts completely differentin the Tombs, in Metropolitan Hospital, and in Daytop.In the Tombs he will figure the least he will get is to be known as ajunky with a large habit. He gets status. The more he complains andclimbs the walls, he figures maybe if he screams enough they will sendJiim to the hospital and he will get some methadone..In the methadone unit they yelled bloody murder and climbed thewa2lB because they got methadone. The same kid, and I saw them, the

295same kid literally, the same kid in the jail with methadone and Daytop,the same kid would finally tell me what he was doing. He figuredthe more he screamed, the more drugs he would get, or at least have thereputation of a junky with a big habit.In Daytop they have a cold, runny nose, upset, sick, in a day or two,and then get over it. It is not a physiological thing.Now, methadone maintenance is another thing. That is a lot of dopeand the kid you have to withdraw from the methadone maintenancecan really get pretty damned sick.Chairman Pepper. This would be a simple and relatively inexpensiveway of treating those with withdrawal symptoms ?Dr. Casriel. Yes ;you just give them a shot or a pill.Chairman Pepper. Well, Doctor, I think all of us are excited aboutthis testimony you have given today. We have heard about Dr. Revici'swork and we certainly do hope, and I know my colleagues hope, it canbe a satisfactory drug and come into general use.It has been my belief for a long time that that is one of the reasonsthis committee committed itself to hold these hearings.Dr. Casriel. If you can speed up this drug to public use you willsave lives. Every day that is wasted is killing people, and costing billionsof dollars.I think, if I may suggest, if you can use your influence to speed upthe investigational use of this drug so that it can get out on the market,I know it is going to work. I know it works.Chairman Pepper. Mr. Sandman, would you like to inquire?Mr. Sandman. How many cases have you tried this on ?Dr. Casriel. About 100.Mr. Sandman. I wasn't here when you apparently testified.What were your results ?Dr. Casriel. They were detoxified.Mr. Sandman. Detoxified. Does this satisfy their desire ?Dr. Casriel. Satisfies their desire.Mr. Sandman. You can take a hardened heroin addictDr. Casriel. I can take a person on methadone maintenance—tome that is the hardest—and get them off.Mr. Sandman. Now, he has to continue taking this, he never reallyis cured ?Dr. Casriel. Oh, no ; a week and you are finished. This isn't a maintenancedrug.Mr. Sandman. Oh, you only do this for 1 week ?Dr. Casriel. One week at the most.Eeverend Massey. May I also say here that some can take it for aweek, some for just 2 to 3 days. If an individual is shooting 50 bagsa day he may take it for 3 days only with approximately three or fourinjections per day.Mr. Sandman. But he is going to go right back to heroin ?Reverend Mabsey. No ; I beg your pardon.Mr. Sandman. He is not ?Reverend Massey. Also, he takes oral medication in between theinjections. He is given oral medication.Mr. Sandman. This is injected ?Reverend Massey. This is injectable. I have a brother who was onheroin, shooting approximately 50, 60 bags a day. A year ago—no, it

295same kid literally, the same kid in the jail with methadone <strong>and</strong> Daytop,the same kid would finally tell me what he was doing. He figuredthe more he screamed, the more drugs he would get, or at least have thereputation of a junky with a big habit.In Daytop they have a cold, runny nose, upset, sick, in a day or two,<strong>and</strong> then get over it. It is not a physiological thing.Now, methadone maintenance is another thing. That is a lot of dope<strong>and</strong> the kid you have to withdraw from the methadone maintenancecan really get pretty damned sick.Chairman Pepper. This would be a simple <strong>and</strong> relatively inexpensiveway of treating those with withdrawal symptoms ?Dr. Casriel. Yes ;you just give them a shot or a pill.Chairman Pepper. Well, Doctor, I think all of us are excited aboutthis testimony you have given today. We have heard about Dr. Revici'swork <strong>and</strong> we certainly do hope, <strong>and</strong> I know my colleagues hope, it canbe a satisfactory drug <strong>and</strong> come into general use.It has been my belief for a long time that that is one of the reasonsthis committee committed itself to hold these hearings.Dr. Casriel. If you can speed up this drug to public use you willsave lives. Every day that is wasted is killing people, <strong>and</strong> costing billionsof dollars.I think, if I may suggest, if you can use your influence to speed upthe investigational use of this drug so that it can get out on the market,I know it is going to work. I know it works.Chairman Pepper. Mr. S<strong>and</strong>man, would you like to inquire?Mr. S<strong>and</strong>man. How many cases have you tried this on ?Dr. Casriel. About 100.Mr. S<strong>and</strong>man. I wasn't here when you apparently testified.What were your results ?Dr. Casriel. They were detoxified.Mr. S<strong>and</strong>man. Detoxified. Does this satisfy their desire ?Dr. Casriel. Satisfies their desire.Mr. S<strong>and</strong>man. You can take a hardened heroin addictDr. Casriel. I can take a person on methadone maintenance—tome that is the hardest—<strong>and</strong> get them off.Mr. S<strong>and</strong>man. Now, he has to continue taking this, he never reallyis cured ?Dr. Casriel. Oh, no ; a week <strong>and</strong> you are finished. This isn't a maintenancedrug.Mr. S<strong>and</strong>man. Oh, you only do this for 1 week ?Dr. Casriel. One week at the most.Eeverend Massey. May I also say here that some can take it for aweek, some for just 2 to 3 days. If an individual is shooting 50 bagsa day he may take it for 3 days only with approximately three or fourinjections per day.Mr. S<strong>and</strong>man. But he is going to go right back to heroin ?Reverend Mabsey. No ; I beg your pardon.Mr. S<strong>and</strong>man. He is not ?Reverend Massey. Also, he takes oral medication in between theinjections. He is given oral medication.Mr. S<strong>and</strong>man. This is injected ?Reverend Massey. This is injectable. I have a brother who was onheroin, shooting approximately 50, 60 bags a day. A year ago—no, it

logo

products

Resources

Company

Terms of service
Privacy policy
Cookie policy
Cookie settings
Imprint
Change language
Made with love in Switzerland
© 2024 Yumpu.com all rights reserved

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!