There is a thing called "fentanyl fold", when fent users bend over at the waist. So my guess would unfortunately be fentanyl
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It's not just fentanyl, it's opioids in general. Junkies have been doing this long before fentanyl was available.
True, but fentanyl is really popular right now.
Ohhhhh! I didn't know that was a thing! Thank you. Fentanyl is a real problem here so of course that would be it.
These poor people. It's absolutely dreadful what's happening.
It's refreshing to find somebody with even an ounce of compassion for those folks, let alone the genuine care you have. Thanks for caring.
I really do. It's terrible. I acknowledge that there is a public nuisance and safety aspect that they bring to the community because of addiction and why people on the other side get frustrated by it, but nobody goes out in life and thinks "I'll be a homeless drug addict, that's the way to live". It's a product of multiple factors, poverty, etc. And it's absolutely terrible to try and get clean off substances, especially when you have no home to go to when you're done.
This is what happens when you have conservative governments. They're absolutely fine letting these poor people rot.
That sounds a lot like empathy, and there's an Executive Order that prohibits that. Off to an El Salvador torture prison with you.
I'm just a bleeding heart lefty I guess. Thankfully I'm Canadian.
Thankfully I'm Canadian
For now. -MAGA
It is most likely Fentanyl, or some other form of opiate. Prolonged abuse causes them to lose control of their muscles around their core and this is the result.
I used to work near a hot spot for homelessness and drug use in San Francisco and witnessed it everyday. The things these people go through with that addiction are downright horrendous and the "Fentanyl Fold" or "Fent Bent" is actually one of the lesser symptoms. The skin infections, kidney problems, and digestive issues can become pretty severe. I've seen quite a few screaming in agony because their kidneys are messed up and they can't urinate. People with infected swollen hands or feet. You can literally smell them rotting. Too much to list here honestly. It is a terrible drug that does permanent damage to people at best, and is just a slow agonizing death at worst.
Casual reminder that the Sackler family pretty much single-handedly manufactured the American opioid-crisis.
Dopesick this is basically as much of a documentary as "Chernobyl" was. Highly based in real events, but still a dramatizatio so not everything is 100% accurate, but the large lines are.
Sure opioids get used a bit elsewhere as well but I live in the worst part of my city and while there is opioid abuse in Finland, it's mostly "just" buprenorphin addicts. Buprenorphin is to fentanyl what hard cider is to moonshine, more or less. Yes you can technically kill yourself with both and definitely have a problem with the substance and ruin your life, but the stronger one seems to do that quite a bit more.
"Yes you can technically kill yourself with both and definitely have a problem with the substance and ruin your life, but the stronger one seems to do that quite a bit more."
100% agree. This is a huge part of the issue that I feel many people just don't get. 3mg of this stuff is enough to kill an average sized adult male. That would easily fit under your fingernail with room to spare. 50 - 100 times more potent than morphine. Pretty crazy.
Interesting about buprenorphin in Finland, I had never heard of it. Is it a recent thing there?
Interesting about buprenorphin in Finland, I had never heard of it. Is it a recent thing there?
Depends on how you define recent I think, but in most senses of the word, no, not that recent.
We had a bit of a heroin problem in the 90's apparently (I wasn't yet in any sort of drug rings as a kid so wouldn't know myself) and the legend is that actual organised crime in Finland got fed up with heroin and the decided it won't be sold in Finland anymore. There still is heroin definitely but it's genuinely fucking rare, especially compared to weed, speed, lsd, etc.
An definitely subutex, which is the buprenorphin. It's only a partial agonist and there's narcan in it as well, so it's impossible/extremely hard to od on it fatally.
In France they cost like 1e a pill here you can sell them for 80. Then you see oxys being sold sometimes, they go for about 1e/mg, so if you buy a mild 10mg it's a tenner but an 80mg pill would be 80e.
The bupre junkies do get nasty though in health and share needles and all that is still a risk for them, but they won't accidentally od unlike someone shooting up heroin or fentanyl
Some of them made movie about their life. Then like 6 years later the "protagonist" of that movie was found dead hanging by an extension cord somewhere in Thailand. Suicide or drug debt no-one knows.
If you don't like seeing people actually inject themselves, with all the "reversing" as well (idk what the term is in English, but junkies sometimes draw back on the needle, so blood shoots back to the syringe and then push again, to flush every little bit of the drug from the syringe).
Reindeerspotting - Escape from Santaland 2010
This documentary tells the story of Jani, a 19-year-old drug addict living on social welfare among with his friends. Tired of his life in a remote city in Rovaniemi, he decides to travel by train to various parts of Europe ...
Sacklers. Just as the worst as cocaine cartels. Their properties should be expropriated to destroy fentanyl, and those bastards should be in supermax.
I'm actually pretty pissed off that people are trying to take fentanyl off the market completely. It needs to be a highly controlled substance but to take it away from the burn ICUs and hospice units is wildly inhumane.
Agree 100%. In a controlled setting it is a highly effective drug and a legitimate advancement for healthcare.
The supply of fentanyl out there isn't coming from legitimate use. It's all from overseas labs. So taking the legal stuff off the market would be a mistake.
Honestly, in my opinion, even the "illegal" use should be legal. I'm not a drug addict (besides caffeine), but I have a very progressive opinion of drugs. People are going to use them whether it's legal or not. All that making it illegal does is pushes it into the shadows. Instead we should be providing education and testing, and helping people who choose (or have gotten stuck) using the drug to use it safely.
Fentanyl isn't evil. It's just a particularly strong opiate. It has the potential to at least be a cheaper option for people using opiates to self medicate, and, at least with testing kits, they could get whatever fix they want more safely. The biggest issue with fentanyl is that other drugs are laced with it, and you don't know what, or how much, you're getting.
Yah NIMBYs really don't seem to understand that their neighborhood almost definitely already has a safe consumption site for one of the most addictive and dangerous drugs known to man. While opiate withdrawl can have fatal side effects, withdrawal from this drug can actually kill a person outright with nervous system dysfunction and continuous seizures until the person suffocates. And these locations actually distribute the drug in addition to supervising it's use. We call them "bars."
I think they're actually worse than the cartels. Are the cartels more violent and scary? For sure. Do they pull off heinous crimes? Yeah.
But...
Do they have to, in order to stay in business? Yes. Did Purdue Pharma have to? Not in the slightest.
What I mean by that is that Purdue made all it's money at least somewhat legally. A doctor who took bribes from them and pushed Oxycontin knowing it wasn't actually as legit — as in "doesn't cause addiction", pushing the medication to pretty much whoever from teenagers to grandparents, unsuspecting people in need of medical advice — is arguably of poorer moral character than a dealer selling cocaine to people who know they're buying cocaine.
And what I mean by the cartels having no choice is that whilst I definitely don't agree with the violence, I can understand that without it, they'd have practically no control over the trade. If however, they were given the option of actually doing it legally, I think they might give up the violence. Or at least the trade would shift away from it, because it would mean that legit cocaine traders would have the justice system and law on their side. Currently it doesn't mean much in South-America I think, because the cartels are just so big, powerful and violent. But with time.
Responsible people should even be allowed to use those drugs. But like with alcohol, there should be products which aren't just as pure as they can get. Like I compared earlier, buprenorphin is to hard cider as fentanyl is to moonshine.
It's very different having a few beers which are 5% alc than downing a glass of moonshine. Same with so called "hard drugs". I wouldn't fuck with opiates too much, but with the proper regulation, I think even those should be allowed, and if they were, they'd eat the legal market of poisons away. Ask yourself, when's the last time you had a chance to buy illegally made alcohol? It's not too often that that happens. But illegally made class A drugs? Can get them about anywhere in the world.
And especially for drugs like cocaine, milder versions would be fantastic, as people could still have plenty, just wouldn't get as affected. Like how you wouldnt' really be able to kill yourself by drinking 4% beer. It's just incredibly hard to get an alcohol poisoning from that because how mild it is. But with wine, it's possible yet unlikely, but with something like 40% vodka/whisky/rum, it's almost probable if you don't know how much you should drink and you're a teenager or something and with moonshine it's almost inevitable if you actually force yourself to drink the stuff.
So for cocaine I'd say something which is perhaps a bit stronger than just coca leaves, or equivalent, but nowhere near pure face-numbing cocaine.
Bring back real Coke! Original recipe! (Coca-Cola Company is btw the largest legal producer of cocaine in the world, they still make it during the process but just sell it off to... 'pharmaceutical companies', or that's what I've heard.)
edit sorry for the essay I just saw your reply after taking a half an ambien so I rambled a bit
The main reason moonshine is illegal is to do with taxes and historical reasons. Not because home distilling is actually dangerous. You don't have to make moonshine to be any stronger than something you would buy in a supermarket. You can legally buy 90% spirits that are stronger anyway.
You can legally buy 90% spirits that are stronger anyway.
You can, but for instance here in the Nordics, it's every much harder than just getting a bottle of 40-50%abv from the store.
Estonia sells quite a lot of high abv vodka, but we Finns really don't have everclear or an equivalent of that, and that's common in of populations that got hard booze later. As in actually drinkable hard liquor is only about 500 or so years old, although some exited for medical purposes almost 700 years ago.
So if I walk into an Alko in Finland, I won't find anything stronger than 60%, and those in very small bottles. The strongest drinks in larger bottles are like at most 50-55%.
But you can order rums that are up to 72% and something like 80% vodka perhaps.
But no, Nordics mostly can't actually legally purchase quality 90% ethanol. And it's because the stronger drinks came here later which is why we have a bit more alcoholism. It's just evolution honestly. That's why also a lot of native American populations have problems with alcohol, because it was introduced relatively recently and the fast evolution is yet to cull out the worst drunks. Sounds super racist but it's true for us Nords as well, we only got hard liquor properly like 200 years ago when anglosaxons had it for around five centuries.
So Tldr the point is regulation does matter quite a lot. It doesn't completely prevent and whatnot. But neither does banning murder prevent murder yet we're alright.
People want to get inebriated, but not lose control. So if the regulations help with that, there's less losing control, ie less abuse.
Just imagine how horrible it would be if there's was no regulations in traffic, licenses to drive, etc,
And usually watching US traffic I am kinda horrified by the people you allowed to drive — and don't even have regulations to have studded tires in winter or winter tyres without studs,
We have to drive on a soap-oil course / water-ice course to get our licences.
So while I disliked bureaucracy and authorities currently in power and whatnot, I can see the benefit of regulations.
Edit today i haven't taken ambien, just rum and glög
That is awesome about the soap ice course. This helps explain why Finland has many of the best rally drivers haha. It is taken seriously there.
I feel that in the U.S. they don't really want to make it too difficult to get a driver's license because it would reduce the travel abilities of too many of the slave citizens to get to their jobs supporting the system. Regardless of why, we definitely see some ridiculous driving shit here.
A functional society requires compromises in order to protect its vulnerable members. Sure, some people may be able to handle the 70%+ alcohol. Or the Fentanyl. But there will always be those who can't. Maybe pre-disposed to addiction, have a physical condition or whatever the reason. That is why the regulations against the ridiculously potent shit exist. It is not to take away your responsible enjoyment. It is to protect those who cannot enjoy responsibly. A sacrifice that basically the stronger members of society (stronger in that specific aspect) are making to benefit the weaker members.
I was downtown today and saw at least 6 people doing it. It's just infected everything in the city, not just the people who are addicted and suffering, but the public nuisance and safety aspect because of them too. The library today felt so sketchy.
My neighbour who works downtown told me she flat out hates them, she goes outside to smoke and they're screaming at her to give them one and threatening her when she says no. It's terrible on both sides.
God that sounds horrific. I had no idea.
Fentanyl Fold
saw a guy stumble into traffic bent over like this. they're just conscious enough to stay upright but have no idea where the fuck they are or what's happening around them. shit is horrible.
It's the fent fold / bent / drop / lean. Most likely fentanyl or carfentanyl, but almost definitely some kind of opiate (of which they're the most potent). Some of it might be neuromuscular / specifically opiate related but there's also just the practicality of it. The drug might be cut / mixed with another sedative for potency such as a benzo or barbiturate, but it also might be mixed with with a stimulant such as methamphetamine or cocaine to counteract the sedation.
You'd want to counteract the sedation either to increase enjoyment (similarly to the relaxed buzz of a caffeinated alcoholic beverage) or because they feel too much distress from being sober / unsedated but also know that they're in an unsafe area to be sedated. Even if it's not cut with a stimulant they may still be forcing themselves to stay awake either because they know they've taken enough that they might stop breathing, or because, as I said, they know they'll get mugged or otherwise attacked if they relax into the high.
Being homeless / generally in poverty is often too emotionally stressful to tolerate sober, but too unsafe to be navigated zonked, so they just put themselves into a never sleeping but never really awake haze until they either intentionally or unintentionally die or almost die or experience psychosis, in which case they either go to a morgue or to meet up with me on the psych unit.
That sounds like actual hell.
An inability to cope with people who don't get it and don't care to is a significant part of my social isolation.
Just because it would be a significant change to the comment you upvoted:
We had a patient who was consistently verbally abusive and otherwise unpleasant during a long stay and completed after discharge and the most emotion I could summon was a melancholic relief that their pain had ended. We did not have the resources they truly needed and neither did anyone else. They were so deep in that despite being cognitively intact they were unable to meaningfully interact with anyone socially.
They would have needed extensive social support and interpersonal skill building to be properly rehabilitated and nobody does that. Most of what we do for that type of patient is to get them sober and give them a second chance to seek help. Even that takes a lot of resources so we don't really have the resources to do more than point them in the right direction if we can even find a decent place for them to go. Many get sobered up and discharged to the bus stop with a month of pills and directions to a shelter that's probably at capacity.
That was this person's only way out and I honestly respect their decision. At this point I've contented myself with caring for homeless people who are faking or exaggerating suicidal ideation of psychosis for 3 hots and a cot. Some of them are obvious but ultimately I don't want to be responsible for deciding who is and who isn't, and the deeper truth is that I'd probably do it too. And 3 hots and a cot is more and better care than I could give them pretty much anywhere else in this current system.
Heroin or other opioids. It's a problem where I live, too.
Aww. It's so terrible to see them this way, especially because it's been an exceptionally cold December.
Research has not yet pinpointed what exactly causes the fenty fold, as fentanyl use is not known to directly affect the spine. Instead, it’s becoming clear that it is a neuromuscular side effect of synthetic opioids like fentanyl. Studies from the Journal of Applied Physiology and the Harm Reduction Journal highlighted similar findings that fentanyl use can lead to severe and widespread muscle rigidity, particularly in the trunk muscles, which restricts respiration and affects posture and mobility.
I have a distressing memory about this from a party I went to a couple of years ago. It was mostly people in their mid 20s. One of the people I talked to was a 27 year old girl who was really into indie games. I handed her my phone with my Steam library and we chatted for 20 minutes about the games we'd been playing as she scrolled through it.
Later in the night I found her standing slumped over in the hallway. I didn't recognize what was happening and I got very worried. I asked "excuse me, excuse me, are you okay??"
Still folded over, she cocked her head up to look at me. The expression on her face was somewhere between dazed and starry-eyed. She said "YOU'RE BEAUTIFUL", reached her arms up and tried to grab my face. I ducked out of the way and left.
Someone told me that she got like that at every party.
The memory is seared into my brain. I still think about it and worry about her. I've seen fent folding in unhoused people before, but seeing it happen to someone I never would have expected really got to me.
I’ve known it as the heroin nod, where they are literally falling asleep on their feet.
I heard they stand to try to stay awake and not sleep through their high, but I could be wrong.
It's apparently a neuromuscular reaction to the drug in the spine. Called the fentanyl fold, someone told me in another comment. I wonder what the long term damage neurologically is.
It reminds me of a condition owls get sometimes where certain muscles in their neck become overstressed and can't be used, so you have an owl that can't stand straight. The way to treat it is a full body cast so the muscles can relax. (IIRC)
Oh interesting! Thanks for the information.
I've heard it called the "lean" locally. I've been told it's from Heroin. Seems Fentanyl is also a contributor
Thats the fent zombie bow
They're in another world
Not mentioned here but there was some other drug, a tranquilizer called xylazine that was being used to cut fentanyl that I heard was largely to blame.
Fentanyl.
opiates
there's many street names for it but basically "the nods" makes the most sense. They are literally falling asleep