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A Drug Diverter Comes Clean - Outpatient Surgery Magazine - December 2017

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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ule and medication load were dead giveaways. All she had to do was speak up, which she eventually did, and state her concerns, and these concerns were factually based, a crucial factor in the approach that we'll turn to later. 3. Weight loss. My weight dropped about 60 pounds in the time from my first prescription to when I was caught at work, and that was a telltale sign that Claudia was quick to pick up on. Not only was I overworked, exhausted and more secretive than ever, but my body was showing the signs of my disease as well, and like everything else in the process, I'd lost control. Weight loss isn't the surest sign of someone who's addicted. For some, though, it's part of the package. 4. Unusual clothing. Wearing long sleeves on a warm day is never a good sign. I didn't start shooting fentanyl intravenously until the final stages of my spiral, but when I did, I began covering my track marks with long-sleeve shirts, another item on Claudia's list of suspi- cions. She'd ask and I always had a lie ready to go, usually something about having the flu and hooking myself up to an IV at work. Before, I'd been slipping the drugs under my tongue, but as any recovered addict will report, you develop a tolerance very quickly and intra- venous injection is usually the last stop before the abuse becomes dangerous and unmanageable. I began injecting my supply at the end of a long day, usually the last to leave, alone and at serious risk. 5. Mood swings. Irritability might seem a less objective clue, but it shouldn't be overlooked. When I was in the throes of my addiction, I was exhausted because my heavy workload became entirely motivat- ed by how and when I could get the meds I needed to allay withdraw- al symptoms and stay on task. I was less social and more focused on 4 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • D E C E M B E R 2 0 1 7

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