Scary Charts – 01.19.24

Counsellor Hilarie Cash, the co-founder of reSTART Life, a residential treatment center for tech addiction, told The Epoch Times that screen use is classified as problematic when it starts eating into time necessary for normal human functioning…

Ms. Cash, whose program to treat people struggling with addiction to internet pornography and video games began in the 1990s, has observed a worrying trend. While her earlier clients also experienced major upheaval due to their screen addictions, they had sufficient life skills. In contrast, many of her clients today lack necessary life skills, such as knowing how to cook, maintain personal hygiene, hold down a conversation, make meaningful relationships, keep a job, etc. These people are more challenging to treat.

The Silent Epidemic Eating Away Americans’ Minds — https://www.theepochtimes.com/health/the-silent-epidemic-eating-away-americans-minds-5560857

I see this every day. People cannot drive a car responsibly, process a restaurant meal order correctly, make the correct change when presented with cash not credit, and cannot tell you what time it is unless the clock has a digital readout.

We. Are. Doomed.

Scary Charts – 10.01.23 (mortality gap in US Adults With and Without a College Degree)

CITATION

Case, Anne and Angus Deaton. 2023. “Accounting for the widening mortality gap between American adults with and without a BA.” BPEA Conference Draft, Fall. — https://www.brookings.edu/articles/accounting-for-the-widening-mortality-gap-between-american-adults-with-and-without-a-ba/

Scary Charts – 08.13.23 (and yet another Dark Side of Tik Tok)

APC indicates annual percentage change. This study of alcohol-related mortality in the US suggests there has been a significantly higher rate of increase in deaths among female individuals in recent years.

Trends in Alcohol-Related Deaths by Sex in the US, 1999-2020 — http://10.1001/jamanetworkopen.2023.26346

In March 2023, the U.S. Centers for Disease Control and Prevention reported an unprecedented spike in stimulant prescriptions between 2020 and 2021. Perhaps most surprising was that the demographic showing the greatest increases in stimulant use – an increase of almost 20% in one year – were in women in their 20s and 30s…

But while the internet exploded with ADHD content, researchers in Canada began sorting #ADHD TikTok videos into categories based on their accuracy and helpfulness. They reported something important: A majority of #ADHD content was misleading. Only 21% of the posts provided useful and accurate information.

More adults than ever have been seeking ADHD medications – an ADHD expert explains what could be driving the trendhttps://theconversation.com/more-adults-than-ever-have-been-seeking-adhd-medications-an-adhd-expert-explains-what-could-be-driving-the-trend-206052

Alcohol AND amphetamines. Self-diagnosed ADHD. SMH.

Scary Charts – 07.16.23

Note the Pandemic Bump. Overall trend lines for both CA and USA still heading north.

CA only. USA death rates probably show a similar pattern.

CA statistics. NOTE the ASIAN RATE.

Excessive drinking during the covid-19 pandemic increased alcoholic liver disease deaths so much that the condition killed more Californians than car accidents or breast cancer, a KFF Health News analysis has found. Lockdowns made people feel isolated, depressed, and anxious, leading some to increase their alcohol intake. Alcohol sales rose during the pandemic, with especially large jumps in the consumption of spirits.

Excessive Drinking During the Pandemic Increased Alcoholic Liver Disease Death Rates — https://kffhealthnews.org/news/article/excessive-drinking-during-the-pandemic-increased-alcoholic-liver-disease-death-rates/

Yes it’s Sunday morning and I’m thinking about single malt Scotch because I ran out.

Take Home Lesson for UW Professionals

The highest mortality rates were Gen X and Boomers.

Memo to Self

Think before you drink.

New Wonder Drug! Treat Diabetes, Obesity AND Addiction – (yup another GLP-1 receptor agonist post)

Previous research has found that activating GLP-1 receptors in rats’ brain causes the animals to eat less of a high-sugar chow, which they would normally prefer over a less delicious but healthier bland meal when given the option. This suggests that GLP-1 makes unhealthy food less rewarding. Schmidt’s team found the same to be true with cocaine: rats that received a GLP-1 agonist took less cocaine when it was offered. The researchers are now repeating the experiments in rats addicted to opioids or fentanyl. Several other studies have shown that GLP-1 agonists cause rats to drink less alcohol and produce less dopamine when they do drink, suggesting that the activity is no longer as pleasurable.

…it’s too early to say whether people recovering from addiction would need to take an GLP-1 agonist for the rest of their lives, like people with diabetes do, or whether these drugs could be short-term treatments that curb cravings long enough for people to make lifestyle changes to stay sober. People who stop taking semaglutide for weight loss quickly gain the weight back, and study animals that stop taking it return to alcohol and drug use, but “I don’t think we know enough yet” in humans, Simmons says.

Could New Weight-Loss Drugs like Ozempic Treat Addiction? — https://www.scientificamerican.com/article/could-new-weight-loss-drugs-like-ozempic-treat-addiction1/

The rest of this post is a repost of April Fools 2023 (this is a GLP-1 receptor agonist post). Enjoy!

Ozempic and a similar drug, Wegovy, are weekly shots you give yourself that cause the body to produce insulin. Insulin lowers blood sugar, slows digestion and makes people feel full. Carter-Williams tried it and was amazed.

“You are not hungry,” she says. “Like, I actually have to set timers to make sure that I do eat, because otherwise you actually forget to eat.”

‘You forget to eat’: How Ozempic went from diabetes medicine to blockbuster diet drug https://www.npr.org/2023/04/01/1166781510/ozempic-weight-loss-drug-big-business

Everyone wants the easy way out. I sometimes forget to eat but not because of a miracle drug. You wonder if those of us wanting to lose weight know you can’t stop taking this drug once you start it.

Patients discontinuing the use of weight-loss drugs such as Wegovy risk regaining their original body weight in about five years, a Novo Nordisk official said on Wednesday.

Novo Nordisk Says Stopping Obesity Drug May Cause Full Weight Regain in 5 Years–https://www.medscape.com/viewarticle/990267?src=rss

Side effects?

Just a few https://www.wegovy.com/taking-wegovy/side-effects.html

  • Possible thyroid tumors, including cancer.
  • Inflammation of your pancreas (pancreatitis)
  • Gallbladder problems
  • Increased risk of low blood sugar (hypoglycemia) in patients with type 2 diabetes, especially those who also take medicines for type 2 diabetes such as sulfonylureas or insulin
  • Kidney problems (kidney failure)
  • Serious allergic reactions
  • Change in vision in people with type 2 diabetes.
  • Increased heart rate
  • Depression or thoughts of suicide.

So if you want to lose weight by taking a GLP-1 receptor agonist remember the risks of side effects including the real possibility of having to take a drug that costs up to $1600.00 a month for the rest of your life.

Good luck with that.

As an FYI this drug class is being investigated by the EU for a small number of cases reporting suicidal ideation https://www.latimes.com/business/story/2023-07-10/ozempic-weight-loss-drugs-probed-over-reports-of-suicidal-thoughts.

But we already knew this.

Just Another WFH Saturday

I’m actually not WFH (working from home) today but reading about WFH. And I learned some new things about the world today. One of my favorite tidbits of unsolicited advice comes in the form of this question:

Do you live to work or work to live?

As Gartner research shows, workers want a more “human value proposition,” with 65% of survey respondents agreeing that the pandemic made them rethink the role that work should have in their lives. For all of our talk for decades about work-life balance, people finally feel in their bones what that means. The big question has shifted from “How does life fit into work?” to “How does work fit into life?”

How to Motivate Employees When Their Priorities Have Changed — https://hbr.org/2023/05/how-to-motivate-employees-when-their-priorities-have-changed

Nice to see others coming around to my way of thinking. The strongest motivation I had to establishing a WFH life was to not have work dominate my entire life. Not once have I felt lonely working in my home office. But apparently some WFH people get lonely.

When I first made the switch to working remotely, I was elated. I had been commuting for years, which regularly constituted 12 or more hours stuck in traffic each week and resulted in incalculable levels of stress and frustration. When I began working from home, in addition to regaining my lost commuting hours, I loved my new ability to focus on my work without the distraction of an open-plan office environment.

However, as time progressed, I started to feel lonely. I was able to laser-focus on my work, but my interactions with others were driven solely by virtual meeting agendas or email. I noticed I was becoming less enthused and more withdrawn. I spent too much time scrolling social media because I was silently craving connection with others. I was slowly but steadily becoming isolated.

Is Your Remote Job Making You Lonely? — https://hbr.org/2023/05/is-your-remote-job-making-you-lonely

Maybe you should turn your camera on during meetings.

A recent survey of 4,200 work-from-home employees found that 49% report a positive impact from engagement when their cameras are on during online meetings, and only 10% felt disengagement from turning on cameras. As leaders are figuring out hybrid and remote work, they are facing the challenge of deciding whether to encourage employees to keep their cameras on during meetings. This decision has a significant impact on communication, engagement and trust-building within the team. I can attest to that from my experience helping 21 organizations transition to long-term hybrid work arrangements.

The Pros and Cons of ‘Cameras On’ During Virtual Meetings — https://www.entrepreneur.com/leadership/the-pros-and-cons-of-cameras-on-during-virtual-meetings/450959

Then again, there may be a good reason why people have their cameras off.

May 2022 study by the Federal Reserve Bank of Atlanta estimates that the number of working age Americans (25 to 54 years old) with substance use disorders has risen by 23% since pre-pandemic, to 27 million. A figure that’s about one in six of people who were employed around the time of the study. It’s caused a 9% to 26% drop in labor force participation that Karen Kopecky, one of the authors of the report, says continues today.Drug recovery firm Sierra Tucson concluded from a November 2021 survey that about 20% of US workers admitted to using recreational drugs while working remotely, and also to being under the influence during virtual meetings. Digital recovery clinic Quit Genius found in August 2022 that one in five believe that substance use has affected their work performance, also according to a survey.

Remote workers with substance use disorders face ‘rude awakening’ in return-to-office mandates — https://fortune.com/2023/05/13/remote-workers-substance-use-disorders-return-to-office-mandates/

OK, enough about WFH. Time to get back to thinking about retirement because (I am) Flunking Retirement.

Drive By Truckers 2.0

Total drug violations reported into the clearinghouse in 2022, including positive tests and refusals to take a drug test, increased 18% to 69,668 compared with last year’s 59,011, according to the most recent statistics released this week by the Federal Motor Carrier Safety Administration. That rate almost doubled the 9.2% annual increase in drug violations reported in 2021. Much of the increase can be attributed to violations related to marijuana, the substance identified most in positive tests. Marijuana violations increased 31.6% in 2022 compared with 2021, to 40,916. That compares to a 5.3% increase between 2020 and 2021.

Truckers’ positive drug tests up 18% in 2022 — https://www.freightwaves.com/news/truckers-positive-drug-tests-up-18-in-2022

At least binge drinking prevalence is just 19%

Truck drivers have been reported as a highly vulnerable working population due to different risk factors [16,17,18] including hypertension, fatigue [19], obstructive sleep apnea (OSA) and sleep deprivation [20,21], and insufficient physical activity [22]. Other risk factors are exposure to diesel exhaust and risk of developing lung cancer [23], poor diet, obesity, dyslipidemia, and other metabolic disorders [24]. Furthermore, they are prone to risky behaviors and lifestyles such as smoking, drinking, using psychoactive substances, and having casual sexual contacts [25].

Patterns of Harmful Alcohol Consumption among Truck Drivers: Implications for Occupational Health and Work Safety from a Systematic Review and Meta-Analysis — Int J Environ Res Public Health. 2018 Jun; 15(6): 1121.
Published online 2018 May 30. doi: 10.3390/ijerph15061121

I ask them why the industry has a 90 percent attrition rate within the first year. All instantly respond: “No money.” They describe a predatory apprenticeship system that conspires against new drivers seeking to enter the profession. The industry is made up of thousands of mostly small-fleet owners—95 percent of them with 20 trucks or fewer—but dominated by about two dozen giant companies that serve as its gatekeepers. These megacarriers often house schools where some 400,000 new truckers receive commercial driver’s licenses annually. The companies entice people with promises of financial plenty, even as they ensnare them in “training contracts”—binding agreements that require them to drive for the company at below-market wages for a year in exchange for training or else be hit with an exorbitant fee for that training, to be paid off at high interest. Many drivers stick around for the full year to avoid those fees, enduring what amounts to debt peonage. 

“I have panic attacks,” he says. “That’s why I drink.”


Life as a 21st-Century Trucker — https://www.wired.com/story/life-as-a-21st-century-trucker/

For the first post in this series see Drive By Truckers.

Sharp Rise in Drug Overdose Deaths in Seniors

The researchers used data from the US Centers for Disease Control and Prevention (CDC) to calculate annual overdose deaths from 2002 to 2021 among people aged 65 and older.

Overall, they found that fatal overdoses quadrupled from 1060 in 2002 (three per 100,000) to 6702 (12 per 100,000) in 2021, with the highest rates in Blacks (30.9 per 100,000).

In 2021, about 13% of overdoses were intentional, 83% were unintentional, 4% were undetermined, and less than 1% were homicide. Older women accounted for 57% of intentional overdoses and 29% of accidental overdoses.

Sharp Rise in Drug Overdose Deaths in Seniors – Medscape – Mar 30, 2023 — https://www.medscape.com/viewarticle/990297?src=rss

FDA Approves First Over-the-Counter Naloxone Nasal Spray (Scary News or What?)

Drug overdose persists as a major public health issue in the United States, with more than 101,750 reported fatal overdoses occurring in the 12-month period ending in October 2022, primarily driven by synthetic opioids like illicit fentanyl.

FDA Approves First Over-the-Counter Naloxone Nasal Spray — https://www.fda.gov/news-events/press-announcements/fda-approves-first-over-counter-naloxone-nasal-spray

Can’t Get Adderall? (plus a bonus Scary Chart)

This shortage is complicated, and has several causes. Teva Pharmaceuticals, for instance, which is the largest producer, had problems with its factory. And yet, Teva today has Adderall to sell, as do many other producers, but the shortage persists. What is going on? I suspect that we aren’t hearing about one part of the problem. Monopolization. Indeed, monopolies often leads to shortages, which we’ve seen with baby formula, hospital medicine, ammunition, and military equipment. And they are a part of the problem here.

The Monopolies Behind the Adderall Shortage — https://mattstoller.substack.com/p/the-monopolies-behind-the-adderall?publication_id=11524&post_id=110279315&isFreemail=true

The opioid graphic will make a lot more sense when the read the entire article.