Obese Med Students

[45408]

It wasn't an argument

Well, hey, if that's the case, you'll have no trouble showing me the monstrous rise in drug usage that you've been telling me about.

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[jdh71]

Well, hey, if that's the case, you'll have no trouble showing me the monstrous rise in drug usage that you've been telling me about.

I'm sure you know how to use the internet and its search engines. He's something typical of what you'll find.

http://www.whitehousedrugpolicy.gov/publications/drugfact/pulsechk/january04/national_snapsht.pdf

 

[45408]

I'm sure you know how to use the internet and its search engines. He's something typical of what you'll find.

http://www.whitehousedrugpolicy.gov/publications/drugfact/pulsechk/january04/national_snapsht.pdf

Seeing how I already DID my research (did you even look at my post at the bottom of page 6 with a half dozen links in it?), here's what YOUR research shows:

"This report is based on discussions with 97 epidemiologists, ethnographers, law enforcement officials, and methadone and non-methadone treatment providers from 25 Pulse Check sites. Telephone discussions with these individuals, conducted in two waves, during December 2002 through January 2003 and March through May 2003, reveal that overall, when comparing fall 2002 with the previous spring period, the majority of Pulse Check sources believe their communities' drug abuse problem to be very serious but stable. (Exhibits 1 and 2)" Exhibit 2 shows that 66% of respondents state that the problem is the "same."

"Treatment sources generally report stable treatment percentages for crack. However, non-methadone sources report some slight increases in Atlanta, Dallas, Minneapolis/St. Paul, Philadelphia, Seattle, and Washington, DC. In the methadone programs, slight decreases are reported in Chicago and Cincinnati, while slight increases are reported in Cleveland and St. Louis."


Your source shows that drug availability is increasing in a number of major metro areas (over a short time period), but it shows NOTHING along the lines of an EPIDEMIC increase in drug usage, the way that my statistics clearly showed about obesity. A lot of my statistics show a long-term, very steady decline in drug usage.

 

[jdh71]

Your source shows that drug availability is increasing in a number of major metro areas (over a short time period), but it shows NOTHING along the lines of an EPIDEMIC increase in drug usage, the way that my statistics clearly showed about obesity. A lot of my statistics show a long-term, very steady decline in drug usage.

It was one source. There are many more you and others may go find them. I did notice that you conveniently didnt quote any of the article that talked about increasing use in the araes of methamephetamine, heroin, and MDMA. I live and work in the addictions community, and my experience, that of my fellow brothers and sisters in recovery, and the opinions of addictions specialists in the area is that things are on the upswing and geting worse. I can easily resognize that such a raise will have a lag and take a few years to make it into the nationwide literature in a forceful way.

Wait. See.

 

[45408]

It was one source. There are many more you and others may go find them. I did notice that you conveniently didnt quote any of the article that talked about increasing use in the araes of methamephetamine, heroin, and MDMA. I live and work in the addictions community, and my experience, that of my fellow brothers and sisters in recovery, and the opinions of addictions specialists in the area is that things are on the upswing and geting worse. I can easily resognize that such a raise will have a lag and take a few years to make it into the nationwide literature in a forceful way.

Wait. See.

So, you expect me to take your anecdotes versus published information? Excuse me while I don't. please let me know where you are going to train or are training so that I may avoid that institution like the plague . . .

Here's what I posted before that you didn't acknowledge.

yeah, all those meth addicts are funny. the addiction to heroin is on the rise. cocaine and marjiuana are being used increasingly too.

yet you laugh like an idiot? ignorance is bliss - at least that's how the saying goes. please let me know where you are going to train or are training so that I may avoid that institution like the plague . . .

Anyways, before you ride that high horse for too long, here are some statistics to mull over. You stated that "we have" seen an explosion in drug usage akin to the obesity epidemic.

http://www.whitehousedrugpolicy.gov/publications/factsht/druguse/index.html#general

These are the people who admit using illicit drugs in the past year, by age group, comparing 1979 to 2001.

12-17 Decreased
24.3% in 1979
20.8% in 2001

18-20 Decreased
45.5% in 1979
31.9% in 2001

26-34 Decreased
23.0% in 1979
16.1% in 2001

35+ Increased
3.9% in 1979
6.3% in 2001

Overall (12+) Decreased
17.5% in 1979
12.6% in 2001

"In 2001, an estimated 0.7% of the population age 12 and older reported using cocaine, including crack, at least once in the past month. Such use peaked in 1979 for 18- to 25-year-olds at 9.9%; in 1982 for 12- to 17-year-olds at 1.9%; and in 1985 for 26- to 34-year-olds at 6.3% (table 2)."

"2005 Monitoring the Future Survey Shows Continued Decline in Drug Use by Students"
http://www.drugabuse.gov/newsroom/05/NR12-19a.html

"The survey also found that the rise in use of MDMA (ecstasy) in teenagers seen over the past 2-3 years slowed from 2000 to 2001 among students in grades 8, 10, and 12. In addition, rates of heroin use decreased notably among 10th and 12th graders, and a gradual decline in use of inhalants continued in 2001 with a significant decrease occurring among 12th graders."
http://www.drugabuse.gov/MedAdv/01/NR12-19.html

"The 2005 NSDUH results also indicate that there were 192,000 persons aged 12 or older who had used methamphetamine for the first time within the past 12 months. This is a statistically significant reduction from 2004 when there were 318,000 past year methamphetamine initiates."
http://www.whitehousedrugpolicy.gov/drugfact/methamphetamine/index.html




And on the other hand, you have the obesity stampede of McDonalds-goers in the morning:
(direct link to the CDC's powerpoint presentation: http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/obesity_trends_2005.ppt )

Here's the summary. You go from 10-14% obesity rates in every state (less than 10% in some), to a situation where only three states have less than 20% obesity. I showed you a rising, nationwide increasing trend in obesity, and a nationwide decreasing trend in drug usage. Fire away.

 

[racerx]

J*sus H. Chr*st!

Sometimes I get the feeling everyone on here just argues as a form of electronic c*ck-measuring. A form of, "see how much smarter and better than you I am?"

Everytime someone on here gets into an argument and then begins rolling out all of these article references, I wonder how in heck they get time to do all of the searches AND attend school. Makes me wonder. . .A.) How well they are really doing in school. And, B.) If they are even really in school.

Okay then, lets all agree that everyone's dick is bigger than the next person's and move on.

 

[jdh71]

Here's the summary. You go from 10-14% obesity rates in every state (less than 10% in some), to a situation where only three states have less than 20% obesity. I showed you a rising, nationwide increasing trend in obesity, and a nationwide decreasing trend in drug usage. Fire away.

I have not been discussing obesity with you and am a little confused why you brought that up in our discussion. There is no question about the trend in obesity.

The drug use in certain cohorts, particularly older adults, is on the rise, you pointed out above.

"For young adults, ages 18-25, the picture is mixed. While there were no significant changes in overall past month use of any illicit drugs in this age group between 2002 and 2005, cocaine use increased from 2.0 in 2002 to 2.6 percent in 2005. Past-month nonmedical use of prescription drugs among young adults increased from 5.4 percent in 2002 to 6.3 percent in 2005, due largely to an increase in the nonmedical use of narcotic pain relievers. The rate was 4.1 percent in 2002 and 4.7 percent in 2003, 2004 and 2005."

http://www.samhsa.gov/news/newsreleases/060907_nsduh.aspx

Looks like drug use across the board may be unchanged, but that is not the whole story. We see an increase in more addictive chemicals. Our younger cohort is playing with fire. This will not end well.

I understand there are many people that need to have everything spelled out for them. Many folks in medicine today lack any sense of intelligent intuition. If you cannot read the writing on the wall now, then there is no point in continuing. You've made your points, which I do not deny, but you are also woefully missing the bigger picture.

BTW - while I didn't use the "bad doctor" remark as an argument, I did use it as in insult. This was wrong. You're obviously an intelligent person and it would be great if we were able to get along here.

 

[Tired]

J*sus H. Chr*st!

Sometimes I get the feeling everyone on here just argues as a form of electronic c*ck-measuring.

Why else would you post messages to an anonymous internet bulletin board?

Oh, and 16 inches.

 

[racerx]

Why else would you post messages to an anonymous internet bulletin board?

Oh, and 16 inches.

Oh h*ll that's nothing, I'm packin' 18 inches. . .in circumference, and I ran out of measuring tape for the length.

 

[45408]

Everytime someone on here gets into an argument and then begins rolling out all of these article references, I wonder how in heck they get time to do all of the searches AND attend school. Makes me wonder. . .A.) How well they are really doing in school. And, B.) If they are even really in school.

It's four days before Christmas. Take a wild guess why I have free time.

 

[45408]

Oh h*ll that's nothing, I'm packin' 18 inches. . .in circumference, and I ran out of measuring tape for the length.

 

[Taciturngosamer]

Unfortunately, there is an old saying that says that where there is smoke there is fire. It is a well known fact that Irish are famous for drinking (not all of them), just as Muslim fundamentalists are known for blowing up buildings. I have never heard of a fundamentalist drunk myself or Irish that yell Jihad. So where ever there is some social stigma it must have been started by a handful of events. We can pretty much agree that this is a fact./QUOTE]

OnmywayRN: I understand that you're just speaking from your personal experience with the obese/overweight. I accept that and understand that everyone has different opinions based upon their contact with individuals of 'groups'.

However, the above is an example of just the point I was trying to make with my little diatribe: Recognize your preconceived notions and realize that you're going to treat your patients differently because of them~ and its not going to be a good differnce. Obese people, are people first and formost. Somewhat farther down the list is the fact that they are obese/overweight.

 

[BeatrixKiddo]

Why would you brag about having elephantiasis lahahahallaolaolololololololollhahahahahha

 

[EMT2RN2MD]

Bea,

I just realized something about your avatar............................those are knees! I was way off.

 

[BeatrixKiddo]

Bea,

I just realized something about your avatar............................those are knees! I was way off.

thanks, I was waiting til one billion and one people said something about that, so now it's time for a new picture.

 

[EMT2RN2MD]

No problem. Always happy to point out the obvious. Carry on.