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I heard from two—one East Coast, one West Coast—each who knew loving middle-age mothers who lost adult sons to opioids. I heard from a Tennessee woman I knew whose teenage daughter had been in and out of rehab three times. I talked to her daughter as well, and she told me she was now clean—except for drinking, and occasionally smoking pot. Many I spoke with started their opioid journey with prescribed pain pills. Some would later leave their nice houses and find street drugs in back alleys and parts of town they never would have ventured before to feed their addiction. Then the circles got closer. As this issue was about to go to press, I learned that a friend, a year-old production designer for film and commercials, had just died, from a heroin overdose. Our kids are the same age—he and I coached Little League together.

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Formation of emboli is a risk in either case. Treatment of thromboembolic disease is with anticoagulants and platelet inhibitors to prevent the formation of thrombi and with fibrinolytic drugs to break down thrombi that have already formed.

22.07.2020
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