Sunday, October 5, 2014


Keeping It Up in the Porn Industry
To make it in the porn industry, male performers juice up on ED meds. Many end up dependent on them—and some end up in the emergency room.

Shutterstock



09/30/14





About a year ago, Danny Wylde wound up in the emergency room with a large needle sticking out of his erect penis. That wasn’t the problem; it was the treatment. 

After taking 80 milligrams of the erectile dysfunction drug Cialis—four times the recommended daily maximum—the 28-year-old porn performer had developed the erection to end all other erections, or rather, the erection that justwould not end. By the time he took himself to the emergency room, this pharmaceutically-assisted boner had been raging for more than 12 hours straight. If it continued, he risked doing permanent damage to his penile tissue, even losing his career-defining member entirely. The doctors had only one solution: Using a syringe to drain the blood from his penis.


Performing in porn is like being a professional athlete, an occupation now widely linked with drug abuse

Over his eight years in the adult industry, Wylde had routinely used Cialis and occasionally dabbled in the injectible erectile-dysfunction drug Bimix, which is shot directly into the penis. This was the third time it had landed him in the hospital—but this time was different. The ER doctor told him that unless he stopped abusing erectile dysfunction drugs, he might lose the ability to get an erection. “That's when I kind of freaked out,” said Wylde. “I'm not gonna give [sex] up at age 28 so that I can do porn for a couple more years.” He retired from performing the very next day.

It was a devastating decision. “That had been my career for eight years. This was my job, my means of income, my identity—all of that just fell apart overnight,” he says “It was earth-shattering.” You might wonder: Why not continue in porn, only without the pharmaceutical help? Impossible, says Wylde. “Prior to taking the drugs, I failed scenes,” he said. “I would not be able to do it.” 

(Studies have shown that regular usage of Cialis and Viagra by young men in the general populace may lead to psychological dependency on EDs along with the thwarting of normal sexual functionality, which itself increases dependency. ED drug usage in the porn industry far exceeds the public average among young men.)

Wylde’s story might sound extreme, but the off-label use of these prescription drugs is a norm in the adult industry. “I’m aware of two male performers who I actually believe don't take them,” said Wylde. “Everyone else I'm pretty sure does. I would say most people take them every scene.” Sometimes they’re supplied on set by producers or directors. In fact, in 2012 a stagehand sued Adult Entertainment Broadcast Network, alleging that he was forced to inject Trimix into performers’ penises, despite his objection to administering the drugs to men without prescriptions.

Several of the adult industry insiders that I spoke with said ED drugs, especially injectables, are more out in the open on gay porn shoots, partly because of the constant flow of inexperienced male talent and so-called “gay-for-pay” performers in need of assistance becoming aroused. “On straight porn sets, guys try to hide it a little more because of machismo, or they think some girls are uncomfortable with seeing it and knowing a guy has a medicated erection,” says Wylde.

At the start of his career, before he ever touched ED drugs, Wylde tried to perform without a little help. “I was unable to get an erection for more than, like, 30 seconds at a time,” he said. “So we had to cancel the scene.” Then he was introduced to a doctor who gave him samples of Viagra, Cialis and Levitra. I spoke with another male performer, who wished to remain anonymous, who told me about a doctor in so-called Porn Valley who is known for providing ED prescriptions to adult performers. (Unsurprisingly, this doctor did not respond to requests for comment.) Of course, counterfeit, illegal versions of these drugs are available online without a prescription.

Despite the prevalence of ED drugs in the industry, few performers are willing to talk openly about it. When I asked a popular male performer who asked to not be identified whether he’d ever seen other guys on-set taking these drugs, he said, “Male performers are not gonna take ED stuff around other male performers, you should know that. What guy wants to admit that he isn't a naturally sexual stallion?” As for his own regimen, he says, “I generally take half a Viagra if I have two scenes in a day as a little booster. The phrase is, ‘It can't hurt you it can only help you.’”

Well, except that it sometimes does hurt when abused. A few years ago, award-winning porn director Axel Braun had to send a popular male performer to the hospital. They had wrapped a sex scene a few hours earlier and were waiting to shoot some dialogue when Braun noticed the star still had an erection. “He was pasty white and his 12-inch penis was bursting through his pants.” The performer’s erection persisted for six hours. It turned out he had used the injectable Caverject and ended up having the blood drained from his penis at the hospital. “There are only a handful of guys in the whole industry who don't use ED drugs and still can perform at a high level,” says Braun.

What happened to both Braun’s performer and Wylde is called priapism. Dr. Richard Lee, a urologist at the Iris Cantor Men's Health Center, says, “Imagine a tourniquet around your finger. If you’ve got a tourniquet around your finger for a long time, you’re gonna cause damage to the tissues of the finger. So if you’ve got repeated episodes of priapism, then, yeah, you’re gonna have an issue.” But he says that the general class of erectile dysfunction medications is “relatively safe” and that if used properly, “You should be able to use them indefinitely."

But male porn stars’ use of these drugs is by definition not-as-directed, because most don’t have erectile dysfunction to begin with. What’s more, the pressures of professional sex can be conducive to overuse. A whole lot is riding on their erections, as porn director Joanna Angel points out. “Literally an entire 50K-worth of production could all be ruined if your penis can't get hard,” she says. “If they can't perform, it's not just going to ruin their day, it's going to ruin everyone's day on set.” Not only do male performers have to be able to get an erection, they sometimes have to maintain it, or summon it off and on, over the course of three hours, she says.

Wylde says there’s nothing natural about what’s required of male performers. “If your sole job is to have an erection and get it done quickly so that everyone can get home on time,” he said, “you need to be a machine” —or a medicated human. In that sense, performing in porn is like being a professional athlete, an occupation now widely linked with drug abuse. “Look at UFC, football, basketball. Look at weight lifting,” he says. “Nobody is natural. All of that is a result of steroids and performance enhancing drugs.” The truth, he says, is that without the help of ED drugs “you're just going to be horrible at it—unless you're a mutant.”

Beyond just the endurance required, there is the occasional unsexiness of the sex. “I just don't think most men have an experience where basically you meet somebody and you're supposed to engage in some sexual encounter with them without perhaps having any attraction to that person and perhaps without that person having any interest in you,” he says.

It’s uncommon to become physically addicted to ED drugs, says Dr. Lee, but Wylde is convinced that he was at least psychologically dependent. His push-pull relationship to the drugs certainly relates to that of addiction. He used Bimix for a couple months and then ended up in the hospital the first time, which led him to stop for several years. But then he says, “I used it on several occasions during times where I just felt stressed out in my life and was having a hard time doing my job,” he said. “I went back to it and then I would have these really lengthy erections after work and it scared me and I would try to stop and would, usually for months to a year, and then at the end, the last year or two I was basically just using Cialis, but more frequently and using more of them per scene.”

Now, a year after that fateful hospital trip, Wylde is in some ways glad it happened, because it pushed him into editing and production work. It also revitalized his sex life. “I luckily had a partner who stayed with me through that process and kind of rekindled my sexual experience outside of using those drugs,” he says. “Now things are great. All is in working order, which is nice.” Despite his experience, Wylde has no hard feelings toward the industry, which he now works in behind the scenes. “People have asked me if I think it's a problem, am I against using ED drugs? My answer is not really. The reason is, I don't think that most people should get into porn to be honest. It’s not what people think.”

Tracy Clark-Flory is a staff writer at Salon and a freelance journalist

The Best Treatment for Alcohol Use Disorder Your Addiction Counselor Isn’t Telling You
Pharmacological solutions for alcohol use disorder are often met with disdain, despite clinical studies supporting them as the most effective solutions by far.

Shutterstock



09/29/14





Between the Harms Reduction community, the SMART Recovery® community, and Alcoholics Anonymous, pharmacology as a solution for alcohol use disorder is not viewed in a very positive light. Harms Reduction, by far the most tolerant of pharmacology solutions of any of the recovery movements, is still reluctant to utilize pharmaceutical options until after therapy has proven ineffective. Among these movements, Alcoholics Anonymous is the most intolerant towards medications. In fact, a survey conducted by the Journal of Alcohol Studies in 2000 found that out of a random sample of 277 members, 29% of them were directly pressured by AA members to go off their medication. The study also found that the more frequently Alcoholics Anonymous meetings were attended, the less likely AA members were to view medication as a positive treatment option. 

Even the most modern of recovery movements ignore the benefits of pharmacological treatment due to their philosophical roots. Both Harms Reduction and SMART Recovery® are movements founded by psychologists who have rightfully observed through evidence-based medicine that alcohol use disorder can be treated with therapy alone. In fact, Cognitive-Behavioral Therapy and Motivational Interviewing are both proven to be effective treatments for alcohol use disorder. Relying on these techniques, Harms Reduction and SMART Recovery seem to question why they should use medication at all, when alcohol use disorder can be treated by therapy alone. Many in the psychology and addiction counseling community seem to have drawn the same conclusion.

Alcoholics Anonymous members have an even stranger approach to alcohol addiction treatment. Medical proponents of AA seem to push insistently for a disease concept of alcohol addiction. They are particularly interested in the idea that alcoholism is a genetic/neurological disorder. As a genetic disorder, AA distinguishes between the “real alcoholic” whose disease is incurable and a “hard drinker” who can recover with therapy. AA members use this distinction as comparison for justifying why therapy will not work but AA does. If “real alcoholism” is a genetic or neurological disease, then medical proponents of AA have a clear justification for not offering therapy, or offering therapy secondarily after 12-step therapy, or even in conjunction with 12-step therapy. Ironically, with the conclusion that alcoholism is a medical disease, AA medical proponents do not conclude that medical treatment should follow. Extreme AA proponents would argue that alcoholism is a spiritual disease, not a medical one. This view, of course, is not recognized in any medical literature. Medical professionals who are AA proponents are generally hesitant to espouse the belief that alcoholism is purely a “spiritual disease,” since such a position is not defensible under scientific scrutiny. So medical proponents of AA favor the disease concept of alcoholism; why then do they refuse to offer medical treatment to their patients?

As an epidemiologist, my mission is to determine the best course of action to treat a population. I am personally astounded by the recovery community’s general lack of epidemiological guidance when developing drug and alcohol treatment programs for public health. Oddly enough, drug and alcohol addiction is the one area of medicine in which epidemiologists do not spearhead the public treatment of a medical problem. The efficacy of drug treatment programs in America is low, embarrassingly low. In fact, the (conservatively estimated) $70 billion dollar treatment industry is lucky to demonstrate any efficacy at all. This has been the case since the emergence of the inpatient rehab in the 1980s, and since rehab treatment models have remained static since that time, recovery rates have not improved significantly either. 

In comparison with epidemiological efforts to combat nicotine addiction, these results present a stark contrast. Abstinence rates for nicotine are at an all-time high of 82% in the United States according to the CDC. Epidemiological nicotine addiction treatment has been the only drug program to have significantly impacted drug use in a free society in recorded history. So what do epidemiologists do right that the drug rehabilitation industry is doing wrong? 

The answer is pharmacological assistance in quitting addiction. Let me say it again: Medication is a vital key in helping a population quit addiction. Let’s look at nicotine addiction: it is very widely known and well accepted that nicotine is one of most addictive drugs ever encountered. Faced with such an addictive drug, how is it possible that epidemiologists were able to move the needle in smoking rates? The answer is that they embraced a medical-psycho-social model of recovery. Acomprehensive study from the Western Journal of Medicine in 2002 found that from over 6,000 articles on nicotine cessation, two conclusions emerged. The first was that taking FDA-approved medication for nicotine cessation more than doubled the likelihood of quitting smoking. The second conclusion was that this likelihood was increased even further by coupling anti-smoking medication with evidence-based therapy for behavioral modification. 

Knowing that FDA-approved anti-addiction medication works for smoking, and that anti-addiction medication coupled with therapy works even better, one wonders why the FDA hasn’t approved medication for those with alcohol use disorder? In fact, they have, and these medications are very likely the ones that your counselor or sponsor is not telling you about. In fact, the majority of the rehabs in the United States do not use any of this medication. Neither therapy methods alone nor 12-steps alone work nearly as effectively as therapy plus medication. No study in existence shows therapy or 12-step involvement to be as effective as a combined therapy and medication program. 

So what are these FDA approved medications and how effective are they? The FDA has approved two different medications for use with alcohol use disorder. The first is acamprosate (Campral is the brand name). Acamprosate has been in use since the 1980s for alcohol use disorder treatment in Europe and was accepted by the FDA in 2004. It functions in a number of ways to correct chronic drinking in the brain, but its primary function is to correct initial depression that alcoholics get when they first quit drinking and reduce cravings by inhibiting receptors that alcohol up-regulates. In layman’s terms, it calms the feelings of restlessness, irritability, and discontent that alcoholics experience when they first quit drinking. Acamprosate is meant to be taken daily for the first 12 months of abstinence. 

The second medication is Naltrexone. Naltrexone is an opioid inhibitor that has been FDA approved as a constant low dose (daily intake) or as a supplement prior to drinking. If the goal is abstinence, this drug can serve two purposes. In chronic alcoholics, a constant low dose inhibitor may stop the immediate cravings for alcohol although long term use of daily intake, monthly injections, or implants may actually up-regulate the opioid system resulting in worse relapses after the patient is taken off the medication. Naltrexone is actually best served as an emergency relapse drug. Patients, prior to relapse, have taken this drug and report significantly lower impact of their relapse. In fact, naltrexone works so well to reduce relapse that many alcoholics use it to successfully drink on a regular basis with very few reports of high binge drinking. It is entirely possible that rather than going to AA meetings, the majority of alcoholics in the near future can simply carry a bottle of naltrexone with them for drinking occasions. Until that time, for those who want to be abstinent, naltrexone works as a great emergency relapse drug in combination with acamprosate.

Think of these drugs like asthma medications. Most asthma patients have a daily inhaler and an emergency inhaler. For people suffering from alcohol use disorder, acamprosate is the daily drug and naltrexone is the emergency relapse drug. Any program that does not prepare alcoholics to reduce the impact of relapse is simply unrealistic. Of those attempting life-long abstinence, over 99% will drink at least once within a 20-year period. It is an ethical responsibility of health practitioners to prepare those with alcohol use disorder for this reality and provide information about how to mitigate it when it occurs. 

The combination of acamprosate plus naltrexone and cognitive-behavioral therapy currently shows the highest rates of recovery of any system in clinical trials. This combination has been studied thoroughly over the past decade with abstinence rates reaching higher than 65%. No other program, not Alcoholics Anonymous, nor SMART Recovery®, comes close to achieving these rates of abstinence, yet hardly any treatment program in the country is engaging in this practice. It’s time health practitioners abandon personal preferences and start asking what is optimal for treatment. Engaging in optimal treatment with pharmaceutical and therapy combinations should be the first protocol used by any alcohol rehabilitation program, and only if that fails should alternative or off-label treatments be used. In light of the overwhelming evidence of the combined pharmaceutical and therapy efficacy, the rehabilitation industry’s refusal to use this protocol is puzzling at best. 

Matthew Leichter is a writer based in Baltimore, Maryland. He is a published healthcare statistican and epidemiologist currently pursuing a doctorate in epidemiology from Capella University and has worked as an epidemiologist for Humana, Blue Cross Blue Shield, IMS Health, Cognilytics, and Walgreens. He last wrote about how Obamacare is killing AA and why smart recovery will never replace AA.

Philadelphia Decriminalizes It
Those possessing 30 grams or less in the City of Brotherly Love will get nothing more than a $25 fine.

Mayor Nutter signing the bill. Photo via



10/02/14





It's official. Philadelphia has become the largest city in the United States to formally decriminalize possession for small amounts of marijuana.

On Wednesday, Mayor Michael Nutter signed legislation that lowers the possession of 30 grams or less of marijuana to a civil offense. Those possessing that amount will be fined $25, while those caught smoking pot in public will pay $100 or be made to perform community service.

But according to police, anyone who is caught selling or distributing weed, in possession of more than 30 grams, or not providing proper identification will still be subject to arrest.

Up to this point, Philadelphia punished all marijuana possessionwith at least a $200 fine, a drug treatment course, and worst of all, an arrest record.

"This comes at a time when many other jurisdictions are re-examining their approach to marijuana law enforcement," the mayor's officetweeted.

The city also announced that it would "teach students to resist all drugs, alcohol & tobacco" through the school district's LifeSkills training program. The mayor also signed an executive order that would provide funds to Community Legal Services to allow former convicts to have their criminal records expunged.

The new law will take effect on Oct. 20. Hopefully the city will next get to work on reforming their draconian seizure laws.

Friday, October 3, 2014





Daily Quote

"You can become blind by seeing each day as a similar one. Each day is a different one, each day brings a miracle of its own. It's just a matter of paying attention to this miracle." - Paolo Coehlo




Today's Online Meetings
AA Meeting - 8:00 pm CST: "Big Book Study"


Guest Speaker - 1:00 pm CST: "The Big Book and Mike J"







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"Do your little bit of good where you are, its those little bits of good put together that overwhelm the world"
Desmond Tutu



Dear Addict's Mom Family,

I would really appreciate it if you would attend The Addict's Mom Live Online Video Meeting Tonight on In the Rooms at 7:00pm EST.

To sign up all you do it go to www.intherooms.com and create an account for f.ree. Then you just sign in tonight around 6:55pm EST and you will see a link to The Addict's Mom Online Meeting. Just Click on the link. You can remain anonymous or not.

I believe this is an important venue for the Addict's Mom and your participation would be greatly appreciated. Our goal is to have as many venues that will have us, so we can increase our members, which will increase our participation and certainly increase our ability to create change. Which is so desperately needed...

Not to repeat myself but honestly our children are dying every day, or being locked up in a cruel and inhumane criminal justice system.

I need your help and participation so we can build upon our relationship with In the Rooms which is one of the most wonderful resources for those whose lives have been touched by addiction.

Honestly I cannot do this myself...I know you got my back...I love you all and want you to know that without your help there would be no Addict's Mom with the deepest appreciation...Barbara








CELEBRATING 48 YEARS OF ADDICTION TREAMENT & RECOVERY
The deadline for ticket purchases to the event of the year is just around the corner! Join us as we commemorate Livengrin's 48th Anniversary with a gala celebration benefitting the First Responders Addiction Treatment Program (FRAT). This year's guest of honor is the 75th US Treasury Secretary Timothy Geithner. 

Timothy Geithner
As the 75th United States Secretary of the Treasury, Timothy Geithner played a central role in formulating U.S. domestic and international economic policy during President Barack Obama's first term. He was a principal architect of the president's strategy to avert economic collapse and to reform the financial system, while also tackling a broad set of international economic challenges.

The First Responders Addiction Treatment Program treats alcoholism and other dependencies, as well as trauma and PTSD. We understand what you've been through and there is hope. Whether you are active duty or retired, FRAT can help.


With an active-duty officer at the helm, FRAT helps First Responders get back on their feet. You can conquer addiction and return to family and community as a respected professional with this treatment program that serves the particular needs of First Responders and combat veterans.

 

Sponsorship & Advertising

To advertise in the Tribute Journal and for more information regarding sponsorship, download the Reply Card.

Click here. 

Discounted Price for 2 Tickets

$300

When
Thursday, October 30, 2014

VIP & General Receptions at 6:30PM

Dinner at 7:15PM
Where
Northampton Valley Country Club
10 Harmony Dr.
Richboro, PA 18954
Quick Links
Directions
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Contact
More Info
Scott F. Blacker
Vice President for Development
Livengrin Foundation
4833 Hulmeville Road
Bensalem, PA 19020
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