I was talking to a patient recently about her different experiences using heroin vs fentanyl. She’s been using opioids a long time. Too long, by her count.
She explained the difference to me like this (shared with permission):
1/x
I've been keeping a list of what I call "canaries" at work: things I have noticed documented in emails that are indicative of a larger issue. I take these and then analyze them as if they were a case study. Idk if I will ever share the info in these, but it's good therapy.