The Peter Attia Drive - #243 ‒ The fentanyl crisis and why everyone should be paying attention | Anthony Hipolito

Episode Date: February 20, 2023

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter’s Weekly Newsletter Anthony Hipolito is a sheriff’s deputy in Hays County, Texas ...with over 24 years of experience in law enforcement. In this episode, Anthony discusses his work to spread awareness about illicit fentanyl use and the drastic increase in accidental overdoses, especially in young people. Anthony explains the deadly nature of fentanyl, including how many counterfeit drugs are now being laced with deadly doses of fentanyl. He breaks down how fentanyl is being brought to the US and how younger and younger kids are being targeted. Additionally, Anthony discusses his goal of spreading awareness to our communities and provides important advice for what parents can do. We discuss: Anthony’s life of service in law enforcement [5:30]; Fentanyl: medical use, recreational use, and the recent rise in prevalence [8:30]; The story of a teenager dying from an accidental overdose of fentanyl [16:30]; The scope of deaths being caused by accidental overdoses (the majority of which are from fentanyl) [23:00]; How young kids are being targeted, and how fentanyl makes it across our borders and gets distributed [28:30]; What happens to a person when they overdose [35:30]; Whether laws around drug possession are helping or hurting, and the need to focus on helping people that feel the need to take these counterfeit drugs [37:00]; How fentanyl is being added to all kinds of drugs that you wouldn’t expect [42:45]; What can we do as parents? [47:15]; Narcan: a treatment for opioid overdoses [50:15]; Importance of awareness, having conversations with kids early in life, and other key takeaways for parents [56:30]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Transcript
Discussion (0)
Starting point is 00:00:00 Hey everyone, welcome to the Drive Podcast. I'm your host, Peter Atia. This podcast, my website, and my weekly newsletter, I'll focus on the goal of translating the science of longevity into something accessible for everyone. Our goal is to provide the best content in health and wellness, full stop, and we've assembled a great team of analysts to make this happen. If you enjoy this podcast, we've created a membership program that brings you far more in-depth content if you want to take your knowledge of this space to the next level. At the end of this episode, I'll explain
Starting point is 00:00:38 what those benefits are, or if you want to learn more now, head over to peteratia MD dot com forward slash subscribe. Now without further delay, here's today's episode. I guess this week is Anthony Hippolito. Anthony is a deputy with over 24 years of experience in law enforcement. He retired in the summer of 2021 and was kind of about to sort of move on with the next phase of his life when something drew him back into public service and that something was the growing concern over the amount of accidental overdoses, poisonings effectively, on account of illicit fentanyl use.
Starting point is 00:01:18 My wife and I heard Anthony speak at a local school meeting a few weeks ago and we were really moved by the talk in fact It's a really powerful talk and we'll link to the entire talk in the show notes here By the way, the show notes for this podcast will not be behind-to-pay while so this one It really is a public service announcement in many ways and therefore everyone will have access to the show notes But as soon as we saw the talk I realized that I wanted to do something to help amplify his message in any way that I could. And there was no better way to do that. I could think of them to have him on the podcast. So this podcast is not that long relative to most of our podcast. We start the discussion, of course, by explaining what's going on here, what
Starting point is 00:01:58 the semantics are. I mean, what is fentanyl? How is it making its way into drugs that are not fentanyl? I think there was a day when I just sort of assumed that people who were dying of fentanyl overdoses, they wanted fentanyl, but they were taking too much. Turned out that's not really the case. What's really happening is that fentanyl is being used as a feedstock to produce other drugs because it is both so much cheaper and secondly, produces a better high. And therefore, if you're trying to make sleeping pills or benzoes or anything, unfortunately, from percassette, pain pills, which also produce a high, of course, to aterol and things of that nature, they're putting fentanyl into these things. And to be blunt, they're just getting the dose
Starting point is 00:02:40 wrong, getting it wrong by an enormous amount. And effectively what's happening is kids are accidentally taking something that they don't know what they're taking. So we kind of go through the ins and outs of all of that stuff. I realize and I say as much in the podcast that I'm not really speaking through this channel to the kids that are probably most at risk. You know, kids that are unfortunately as low as middle school, but certainly high school and college, probably not a lot of people in that demographic listening, but who is listening or people like myself, right?
Starting point is 00:03:11 People who are parents. If you have kids, I think you really want to listen to this. The other thing I'd say is, if you ever yourself use illicit drugs, I know a lot of people that, you know, recreationally do use illicit drugs, I think you want to listen to this as well. I don't think most people appreciate the prevalence with which fentanyl is making
Starting point is 00:03:29 its way into other drugs such as cocaine. And again, the intention isn't actually to kill the cocaine user. The intention is, as we'll discuss, to produce a superior product. If you're used to listening to the podcast on audio, this might be one where you tune into the video as well, because we include in this a couple of videos that are quite powerful. You can certainly listen to them in audio and go to the show notes after we'll link to those videos separately. But if you're on the fence about whether or not you want to listen to this one or watch
Starting point is 00:03:55 it, this might be one to watch. We close the discussion really with what can you do? What can you do as a parent? What can you do as far as talking to your kids, monitoring social media, having Narcan around, knowing how to use it, all those sorts of things. I think the final thing I'll say is that, and I didn't say this when we were on Mike because I didn't think of it until after, but after we finished the interview, I got talking to Anthony and I was like just again, kind of thanking him for all the work he was doing and how relentless it is. I mean, he's basically
Starting point is 00:04:23 like a one-man show traveling all over Texas, but now also being asked to go and speak in New York and being asked to speak in other places. You know, I asked simply, how is this being funded? And I realized that it's only being funded out of the Hayes County Sheriff Office community outreach program. And they don't really have much money.
Starting point is 00:04:40 So, you know, my wife and I are gonna make a donation there. And I thought I would just throw that out there in case anybody else who listens to this thinks They want to figure out a way to at least get this message out there beyond what we're doing now And again, I would probably encourage you wherever you live to maybe connect with your local sheriff's office and find the similar Entity there to figure out how you can get this message into the schools where you live Because again, some of these stories are simply baffling kids that are dying in class to figure out how you can get this message into the schools where you live. Because again, some of these stories are simply baffling.
Starting point is 00:05:07 Kids that are dying in class, you know, kids that are thinking they're taking Adderall to help them study and instead it's laced with fentanyl and they die right in front of a class of 24 other children. I could say a lot more about this, but I probably already said more than I need to and I think the discussion with Anthony speaks for itself. So with that, let's turn to that discussion.
Starting point is 00:05:25 Yeah. Yeah. Anthony, thank you so much for coming over. Not just coming over, coming over on a Sunday. I don't normally record podcasts on the weekend, but my wife and I saw you speak, actually saw a video of you speaking. We couldn't make it to the actual event.
Starting point is 00:05:43 We were both so moved by it and thought, you know, if there's anything that I can do to use sort of my platform to get this message out more broadly, basically to everybody, because it's hard to say that there's someone who doesn't need to hear what we're about to talk about today. And basically, if I had tried to slot this into our normal podcast schedule, we wouldn't be having this discussion until about June. And I was just like, you know what, honestly, like, if it makes the life of one person different by doing it now, we're going to record this at the beginning of February and turn this around as quickly as possible. So this will probably give listeners a sense of why this is an important episode. But let's just start. Who are you Anthony? What do you do? And why is it we're sitting here today?
Starting point is 00:06:21 Well, I appreciate the invite. I'll never say no to talking about the dawn and talking about the dangers it presents to everybody. It knows no boundaries, right? It's black, white, brown, it's rich, poor, it affects anybody and everybody. Not only in Hays County, not only in Travis County, Texas, but the entire world. So that's how prevalent this stuff is and scary.
Starting point is 00:06:43 But again, I appreciate the invite and I don't care if it's Sunday. So I really appreciate you, Finnecine and getting this going. I've been in law enforcement for 24 years, worked at the Austin Police Department for 23 years. I retired July of 2021. I grew up and basically lived my entire life on Hayes County and I wanted to get out there and serve in the community. That I grew up in right so I took the summer off during the 2021 year and started in September. I've been friends with the sheriff out there for a long, long time. He consistently recruited me to get out there. So I got hired by the Hayes County Sheriff's Office September and I've been there just of 18 months or so now. I'm currently signed the Community Outreach Unit during my time
Starting point is 00:07:24 at APD, APD is a large department, right? So you're able to do a variety of assignments. Obviously you have to start out on patrol, but I work patrols. Several stints, I promoted twice. So each time you promote, you gotta go back to the patrol division, answer that one, one calls, and all that good stuff.
Starting point is 00:07:39 But I worked in organized crime. I worked in public affairs. I did internal affairs. I did some undercover work. I worked in public affairs. I did internal affairs. I did some undercover work. I worked in a minor patrol, bike patrol on six streets. So in a larger department, you're able to specialize a lot. So I was able to experience a lot and learn a lot about the department, the inside of what makes it tick and all that good stuff. But it was just time for me to move on and reach the point where I was able to retire. So I jumped out to Hayes County and get them on side of the community outreach unit.
Starting point is 00:08:05 And all we do is get out in the community and visit and show the citizens of Hayes County that we're human. We're police officers, yes, or sheriff's deputies, yes, but we're humans. Our job is to get out in the community and reach people and talk to them. And we do that through a variety of ways. We have a citizens police academy.
Starting point is 00:08:24 We do junior deputy academies during the summer. We visit HOAs, but obviously now, over the last since about August, it's all FITNALL all the time, just because of what's going on. So you retired in the summer of 21, up into the point of your retirement. How big an issue was FITNALL making its way into other drugs? Yeah, so at that time, Fittinol was around. At the time I retired, I was an organized crime.
Starting point is 00:08:49 I was a sergeant over the criminal interdiction unit. And that's what we did on a daily basis was battle the Mexican cartel. Obviously, I had 35 runs up and down through the middle of haste counting, through the middle of Austin. I had about 10 officers that were assigned to me and we had officers that did interdiction work. Up and down I had about 10 officers that were assigned to me, and we had officers that did interdiction work,
Starting point is 00:09:06 up and down to 9.35, we had officers that worked at ABA, we also had officers that worked with FedEx, with UPS, with the Postal Service, to try to interdict, not only drugs, but money, guns, and any type of criminal element. So at that time, I think I did about three, three and a half years in that assignment, and we started seeing fit and all probably 2017, 2018, but it was more on the black market. People would order that in the dark web. And it would be sent from China,
Starting point is 00:09:35 be sent FedEx or UPS. And the majority of our seizures at that time were through FedEx and USPS. We would work with the postal inspectors and security folks with UPS and FedEx, and we would intercept boxes and boxes of illicit counterfeit pills. So that's what we started seeing it. What's going on now is the Mexican cartel being that they're very competitive and they want to own the drug market they have gotten into the fentanyl game, and that's why we're seeing it become more and more prevalent over the last number of years. Now, I kind of been sort of asleep at the wheel here and haven't paid a lot of attention to this until maybe the past six months.
Starting point is 00:10:09 Back when I worked in a hospital, we used fentanyl all the time. It was a very potent intravenous narcotic. So you had morphine, which you would typically give in milligram doses, right? So if a patient was having a lot of pain, you would use an intravenous infusion of morphine, one, two, three, four, five milligrams, right? So, you know, thousands
Starting point is 00:10:32 of a gram of morphine. Fentanyl was much more potent, came on quicker, and it was dosed in micrograms. So now you're talking about, it's a lot smaller adose and it was a very good drug for pain and sedation. So if a patient was having even something like a colonoscopy, for example, you would use maybe 100 micrograms of fentanyl. So that's 0.1 milligram and say a couple milligrams of another drug called verced that kind of makes you drowsy and makes you forget what's going on. Anacesial just use this all the time in the operating room. So it's one part of anesthesia is the pain part is the fentanyl. But again, I ever knew it existed outside of a liquid form and I had no idea that it was being put into other drugs.
Starting point is 00:11:23 So when did that transition take place? What is it about this drug? And I guess we could maybe, why don't you explain to people how these drugs work and why we're even having this discussion. What's the problem with them? Is it just that they make people high and it's bad to be high? You explained it perfectly, how powerful this fit knowledge when you're talking micrograms. And that's the difference between the fit and all that the doctors would prescribe and what the Mexican cartels making in their labs in Mexico. The difference is what they're making is synthetic opioid, the same molecular, whatever that is, molecular structures, structures,
Starting point is 00:12:00 is all the same. It's just they don't need the poppy plant to make it. That's the difference. The big difference is the dosage. They don't have to control the dosage. I don't think they really grasp that powerful fitness list. And we're talking two milligrams can kill you, right? Oh my god, two milligrams. I mean, that's beyond lethal dose, right? Beyond lethal dose. And that's we're seeing more and more of that as we're learning is we're getting more toxicology back from these victims
Starting point is 00:12:25 To folks just so they understand like why does this drug kill you? Is it given people heart attacks or what is the actual thing that's killing people? How it works is when you take the fit and all and it has a lethal dose and it basically attacks your respiratory system, right? It slows everything down you get that you're for a tie But you don't realize it is shutting your body down and once your respiratory system starts shutting down Your heart rate starts going down and you can be dead in an instant and that's how powerful and scary the stuff is and I'll tell you even in the hospital We saw that that was not uncommon in a hospitalized patient that you accidentally gave too much You miss judged a person's sensitivity and you gave them 100 milligrams, 100 micrograms,
Starting point is 00:13:06 I'm sorry, when they probably should only had 50 or 75 because you didn't understand some other factor about them. And all of a sudden, they would slow down their breathing rate to the point where you would either have to put a breathing tube in them to breathe for them, or you would have to give them something like Narcan to reverse the effect. Again, there were actually examples in the hospital I trained in where patients had narcotic overdoses completely by accident, but due to the potency of these drugs, especially to fentanyl, less common with morphine, more common with fentanyl. And so you think, gosh, if that can happen in a hospital, how much more likely is it if you get this dosing schedule wrong outside the hospital? And as we're about to discuss, they're not off by 10 or 20%. I mean, they're off by an order of magnitude in this.
Starting point is 00:13:58 Okay, so let's go back in time. And again, think about this over the course of your career. What was the bread and butter of the DEA and law enforcement when it came to illicit drugs? Like when I think about this, I'm thinking it's cocaine, it's marijuana, methamphetamines like heroin. Those would be your big four. When did it turn into other drugs like percuset and legal drugs, but being used illicitly and sold illegally?
Starting point is 00:14:31 When did that transition take place? I think when you look back at it, I think it's 2010, 2011, when you started seeing the pain management doctors recklessly prescribing the oxicodone, the vicaridins, the percusets. And there was no regard for anybody, that's how powerful all these pills are. People get addicted to it. So that's why a lot of people, when they have surgery, they don't like taking these pain pills
Starting point is 00:14:55 because they're so addictive, and they're afraid they're gonna be hooked on them. And once we started seeing that, 2010, 2011, people would doctor hop. If one doctor wouldn't prescribe, they would go find another doctor, and once they found that doctor, they would continue to go back to him, and they would just stop pile the stuff.
Starting point is 00:15:10 We started seeing that probably 2010-2011, that the opioid addiction was pretty prevalent. This is the fallout of it. The fit and all game has it just elevated the opioid crisis to a whole just an entire new level. And why is it that we think that fentanyl is being even put into these things? I guess one of the things I understood from your talk was that once the military and police authorities
Starting point is 00:15:35 kind of crack down on Mexican cartels, the poppy fields are getting harder and harder to grow, but you can now make this stuff synthetically. Presumably that's cheaper, less labor, easier to do. Correct. Did that immediately shift production to China? When the Mexican cartels, when they found out about what China was doing over there, they started buying the precursor chemicals from China to start making this again, it's synthetic. So it's an illicit pure fit and all. They want control of the drug game. They want that. And it's much cheaper for them to make the fit and all than it is to cocaine the hair when the methamphetamines
Starting point is 00:16:09 simply because they don't have to worry about the poppy plants. They don't have to worry about the weather They don't have to worry about the labor. They don't have to worry about a variety of things when they're trying to grow the poppy plants So when they found out they can make it synthetically and make it just with chemicals That's when they started buying from India and China what we're learning now now and what I've heard, they're starting to make the precursor chemicals themselves in Mexico as well, which is obviously making it cheaper. They don't have to buy it from overseas so they can make it much cheaper and much faster once they get that fit and all by the kilo. They just ship it across to their counterparts in the US.
Starting point is 00:16:43 Maybe before we go any further, because there's so much more I want to probe on this, let's kind of bring it back to a story. We'll show a video now that you shared that night when you gave the presentation here at the school district about the parents of a boy who lost his life. So let folks watch that now. This is Kevin Maconville.
Starting point is 00:17:04 He was 17 years old. And he was my baby boy, my pride and joy. Born May 9th, 2005. Amazing kid, full life and loved the outdoors. Very creative. I was playing a career in the military and possibly becoming a welder. He would have been a senior this year. He has a little sister that he loves very much.
Starting point is 00:17:43 The night of August 2nd, he asked if there was any more pizza and I told him no, unfortunately and I could make him his tuna. He said no, so I'm just gonna go upstairs and go to sleep. I said I love you. He said I love you. I said I love you too. Following day, I found him in his bed asleep. What appeared to be asleep, that he was gone. And I couldn't bring them back. Later we found out that after their investigation they said that there was a pill found next to
Starting point is 00:18:29 Kevin in an out-toid tin can. With a pill in a bag it was a light blue colored pill with the M30 logo stamped into it and they said they're believed to be fentanyl. These are the counterfeit tools that are going around. I contacted one of his friends shortly after he had passed away to let him know that Kevin was gone. He was very heartbroken and he had told us that Kevin confided in him
Starting point is 00:19:05 that he was taking percassette and Xanax to help him sleep. I think one of his, I don't wanna call him a friend. I can't call him a friend, was doing it as well. And that friend originally gave him the pills because he probably confided in that person. And Kevin probably took them before and nothing happened. And so he continued to take them. I can't tell you how many times because I don't know. But it doesn't matter how many times you could take it.
Starting point is 00:19:50 It could be your first time. It could be your last time. I had no parent wants to see their child in that position. In that... They're child in that position in that He looked like he was asleep That's a hard video to watch very hard and it's powerful That's one of the reasons I put it at the beginning of our presentations because I want that to be The attention grabber. I want kids specifically to sit back at their seats
Starting point is 00:20:28 and really bring it home, personalize it a little bit, because that's somebody their age that has fallen victim. Because not everybody knows somebody that has died from the fentanyl, because it's, although it's very, very prevalent, these deaths really in the kids hasn't been as prevalent as we we're seeing in these days. I think the other thing that you made a really important point of in your talk is we really want to talk about these is what they are, right?
Starting point is 00:20:54 These are accidental deaths. These are not people that are intentionally taking a dose that is so high to end their life. This is someone who thinks in the case of Kevin that they're taking something to help them sleep. And then they don't wake up. Do we know, by the way, what dose was in Kevin's sister? I don't think Toscaology has come back on Kevin's case quite yet. But as you mentioned, he was taking Xanax or what he believed to be Xanax because he needed help sleeping. So whatever he was battling personally, led him to seek these pills to help him sleep. We all battle our own demons, we all have our own stories.
Starting point is 00:21:34 We don't know what Kevin was dealing with personally, that he had issues at home. Was he getting bullied at school? Was he girlfriend just break up with him? Is he getting bullied on social media? The kids these days battle so much more than what we had to deal with, simply because of social media. So that's what I tried to relate to these kids is,
Starting point is 00:21:51 I want to get rid of this stigma. Let's figure out why you're making that decision. Why were you needing Xanax to sleep in the first place and why are you seeking this thing out? And it didn't mean you're drucky. I preached that over and over. Because I'm not trying to do a say-no to drugs talk. I'm trying to personalize over because I'm not trying to do a say no to drugs talk. I'm trying to personalize it.
Starting point is 00:22:06 I'm just trying to bring as much awareness to this crisis and it is a crisis in what we're dealing with. I want to be able to personalize it and we have to get rid of this stigma. We want kids to be able to come forward and ask for help and whatever Kevin was dealing with, let him to take these pills. His parents had no idea what was going on
Starting point is 00:22:26 until his mom or his dad walked into his room the next morning and he was lifeless. And they've been very brave. They've joined us in several presentations. It's very hard for her, but I think it's also good for her and other parents to talk about it. They're very therapeutic
Starting point is 00:22:41 and they're very passionate about saving somebody's life. They'll never know why. That's the hard part for them. I still talk to them on a regular basis. They're actually having the celebration of life here in May for Kevin, back home in Nevada. That's where they move from. So that's what I really truly want to focus on for not only kids, but adults like why? Let's figure out the why. I did the calculation the other day. I was with my wife and my daughter and I just did some numbers in the back of it. Does my calculation come out right to you? By my calculation, every five minutes, someone accidentally overdoses in the United States,
Starting point is 00:23:17 meaning dies as a result of an accidental overdose. Does that sound about right to you? Yes, five minutes sounds pretty accurate. I think I heard that this morning on another, I just happened to be going to the gym this morning to work out, and I popped in my phone and it was a podcast about Fidna. Like, I didn't pull it up. I was wicked.
Starting point is 00:23:32 Being that was coming here today to talk about Fidna. And that stat was there. So that's it. Yeah, I mean, I basically just looked at the last 12 months of CDC data on how many people have died. And again, it's important to understand this is not including people who overdose as a way to end their lives. This is people who think they're taking either just a straight-up recreational drug like cocaine or something that's laced. They take too much of it or they're in the
Starting point is 00:23:58 case of what we're seeing now more and more of those. Do you have a sense of what percentage of accidental overdose deaths today are attributable to fentanyl directly? Fentanyl is in the drug that they are taking. I think two thirds about two thirds. Oh my god. Yeah, that's why we don't... I catch myself because I say overdose a lot. You bring it up again.
Starting point is 00:24:17 It's a poisoning. They're not intentionally trying to kill themselves. They're taking a drug for whatever reason. They're not waking up. So they're being poisoned by these drug dealers, by the Mexican cartel. And that's sad. Yeah, it's insane.
Starting point is 00:24:31 Maybe I'm silly for trying to apply logic to this. But if I put myself in the head of the drug cartel, the goal is they just want to make as much money as possible, killing your customers can't be good business. So I'm asking you a question. You can't possibly answer, but just sort of thinking about this, like, why in the world haven't they figured out a way to get the doses right? I mean, because they're not off by a little when they get it wrong, they get it absurdly wrong.
Starting point is 00:25:01 As you pointed out, you might as well be giving these people cyanide pills. If I'm understanding you correctly, there are kids that are taking two, four, even eight milligrams of fentanyl in a single tablet. Yes, and that's very scary. Just so people understand, like, this is a hundred times a lethal dose. You might as well have cyanide. One of our 15-year-olds that passed away in August, August 21st, Noah Rodriguez, a sophomore at Johnson High School. This is Janels. This is Janels, son. We won't watch that video now because it's a bit long, but it's very moving. We'll link to Janels' talk, which we saw at the district there. He took some percussette, what he believed to be percussette, and his mom got a call at
Starting point is 00:25:45 midnight, August 21st, to someone screaming on the other end of the line saying Noah, we believe Noah's overdosed, we believe he overdosed. So I'm doing CPR. Janelle was in beauty, the overdose of the poison he took place down in St. Marcus. So by the time she got there, her mom and dad had already made it to the scene. She got out of the car and her mom just shook her head saying he's gone. What she has since learned, as you mentioned, Noah had eight milligrams of fentanyl in his system. They got toxicology back just a week or two ago, and it was pure illicit fentanyl that was in his system. That's four times the amount that it takes to kill somebody. It's insane. It makes no sense.
Starting point is 00:26:26 I get that question all the time every time. Like why are they killing their customers? And to me, it's happening so often, they don't care what they do. Obviously, they don't want four kids to die in a four week time frame because that's when they get the attention of the DEA and other law enforcement. But if they kill a person here or a person there, to me, they don't care. someone they don't care. I mean, yeah, I'm there's no question that they care. A care about the kids. I just think even if you were thinking about this through the lens of having a business empire, how about just floating below the radar and not killing anybody.
Starting point is 00:26:58 And as you said, I mean, the numbers are exploding 10 years ago. If you said to me, what is the greatest threat to a young person's life? A young person, I mean under 40. I said it's two things. It's only two things that matter. Everything else has noise. Only two things that matter is dying in a car accident and suicide. You're going to take your own life or you're going to die in a car. And again, we can get into all the wise it's alcohol. It's, you know, a whole bunch of reasons. But as you know, today accidental overdose dominates those two like they're now the rounding errors. 100% in one decade. Numbers have gone up exponentially since about 2010, 2011. And I just want to make sure listeners understand you're not using the word
Starting point is 00:27:47 exponentially, hyperbolicly. No. You are absolutely correct. It is not a line. It's an exponential line. I think somewhere here I even have these numbers. I couldn't believe when I saw it. In 2018, 2019, 2020, and 2021, just looking at fentanyl seizures, you go from 200,000 to
Starting point is 00:28:07 1.5 million to 4.1 million to almost 10 million. You brought it up in 2021. If you're between age, you was 18 and 45, fentanyl was the number one killer. It wasn't gun violence, it wasn't car crashes, it wasn't suicides, it wasn't COVID, it wasn't any of those things. It was fentanyl poisoning. And unfortunately, I think when we get the 2022 numbers back, it's the suicides, what in COVID, it wasn't any of those things. It was fit in all poisonings. And unfortunately, I think when we get the 2022 numbers back, it's not going to be 18 anymore. It's going to be 13 or 14 to 45.
Starting point is 00:28:34 That's strictly because I believe, and the DA believes that the Mexican cartel are specifically targeting our young folks. And that's why we're seeing that. Can you say a bit more about what that looks like? How are they doing that? One of the ways they're doing that. Can you say a bit more about what that looks like? How are they doing that? One of the ways they're doing that is they started making what we call law enforcement and D.A. calls is a rainbow fit and all or candy fit and all.
Starting point is 00:28:58 And it's made to look just like candy. It looks attractive to the young folks. It looks pretty, right? It won't kill me. They won't happen to me. And they're also targeting the young folks because they want to get people addicted a lot younger. So they have that customer base a lot longer. Tell me what the chain looks like. So you're saying like if 13 year olds and 10 year olds are potentially now being targeted, you're going to expand your market. Who's the drug dealer in that situation? How is it getting its way from a Mexican cartel to distribute these much more friendly looking drugs? It's no longer a shady looking percussette with a stamp on it. By the way, I think we're going to link to some photos of these that you shared because this is the other
Starting point is 00:29:36 thing that surprised me is how good the counterfeits are. They're indistinguishable. Yes. I always assumed when people were getting counterfeit per cassette, I was always like, well, they just don't know what real per cassette looks like. And that's why they're being fooled. But that's not true. This is color matched printed identical, which by the way, Anthony, you'll have to forgive me. This brings me back to my frustration. You figured out how to color match perfectly stamp and manufacture this
Starting point is 00:30:06 and yet you're off by a dose of a thousand on the active ingredient. It just boggles my mind. I'll never understand. So back to the question, we're now seeing this in middle school. Is that right? Yes, as a matter of fact, our most recent death in Hayes County was a middle school student. She's 13 years old. It's all related back to how did this drug get into? How did she acquire this drug? So basically what one of the majority of the time, they'll make the elicit pure fentanyl in Mexico smuggler across the border to their counterparts here in the United States. And then it just gets distributed to every maintain how that happens.
Starting point is 00:30:40 By the way, I'm so ignorant. Yeah. So the fentanyl is coming over in a powder form. For the most part, yes. And it's blocked in a kilo, just like a brick, a cocaine would come across or a brick, a kilo of fentanyl. What is the wholesale price for that? Ah, I'd have to look that up to be honest. I don't know what that means.
Starting point is 00:30:55 But it's cheap compared to a kilogram of cocaine, a kilogram of heroin, a kilogram of any other drug, based on the fact that you get to make it synthetically. Correct. Okay, so your feed you get to make it synthetically. Correct. Okay. So your feedstock comes to Mexico now from China. They synthetically manufacture pure fentanyl. It gets shipped and it's cheap as hell.
Starting point is 00:31:14 They get it across the border. Again, walk me through that. What's the most porous part of the border that brings this stuff into the United States? Vehicles. In small batches. It depends. Var various ways, right? So they'll load cars up, they'll load semis up, they'll strap it to people's bodies. They'll send it via airplane drones are real big now, getting across the border.
Starting point is 00:31:34 So drones that fly at what altitude high enough to get over the wall, high enough to not be detected. Just they have grown their business models. I mean, they're if they were innovative in other ways, we wouldn't have traffic problems. We would have, I mean, it's insane. They're so ahead of the game of law enforcement, like some of this stuff not even getting detected by X-ray, some of this stuff's not it being detected by narcotic dogs. They're finding various ways to smuggle an in.
Starting point is 00:31:58 When I talk about the candy, fitna or the rainbow fitna, they're actually smuggling it into the country inside skittles, inside nerd boxes inside. They don't have skittles in it, but it's full of it. Wait a minute, you mean in Mexico, they make things that look like skittles, or they're just putting pure fentanyl into a Skittles box and shipping the Skittles box. Yeah, they're making the Fettinall pills look like a candy and putting them into a real candy box into a real candy box. And then that just comes over in a regular truck.
Starting point is 00:32:24 Regular regular truck. You would never even know. So unless you've got a sniffing dog or if you do a random inspection at the border, I think I heard a stat to where the folks down at the border, part of the intercept, five to 10% of the narcotics that go across the board. Again, not to get so off on these tangents, but is that a staffing issue? Is it simply a numbers game where unless you're willing to stop and seize every vehicle
Starting point is 00:32:45 crossing, which would of course make transport over the border impossible, that's all you can get? I mean, just, there's so much of it. And it is a staffing issue, but it's a variety of things. They're so smart and how they get it across the border that we're not able to detect it. I heard a stat this morning actually was between 5 and 10 percent that they actually were able to intercept at the border. So that leaves other law enforcement entities throughout the country to try to intercept it. And just from a jurisdiction perspective, the border seizure is the responsibility of border patrol
Starting point is 00:33:15 or DEA. It's the border patrol. So the second it's they make it across the border, it's a DEA law enforcement issue. It's an every law enforcement issue 100% once it gets across the border. Yes, it's a DEA it's the FBI the ATF it's local law enforcement federal law enforcement. It's anybody and everybody that specializes in tackling the snark out again. And just so I understand the logic, they're going to put these things in skittles because the idea is a kid that tries one of these skittles, even if they're 13, is going to get high and getting high feels good. And they're going to want more of those skittles.
Starting point is 00:33:51 Is the impression that the kid thinks it's a skittle or pretty quickly realizes this is no skittle, but whatever it is, I love it and I just want more of it. I think they do that, specifically just to smuggle it into the country. So it's not that they're selling a skittles. No. So they're going to break it apart when it's a Skittle and turn it back into pills. Yes. It's a fit and all pill, and that's how they'll sell it.
Starting point is 00:34:10 All right. So let's go back to this girl in seventh grade. How did she come into possession of this stuff? Was it through an older sibling, or was she the direct person who got it from a dealer? I don't know the specifics on her case, but how it works today in today's world at social media. And that's how a lot of this stuff is sold. It's how
Starting point is 00:34:30 it's bought is social media, it's Facebook, it's Snapchat, it's Instagram, they're very blatant about, especially on school campuses, if they bring it to school, all they have to do is put an emoji up on their Snapchat. All the kids know, so-and-so has pills today. Or they're downloading these encrypted apps, telegrams, signal to where once these messages are sent and received, they disappear. So it's hard for us to go back and try to detress worthy's pills.
Starting point is 00:34:57 That's kind of an issue with Snapchat as well. Correct. So anytime in Hayes County that we have an overdose, that's fit and all related, are narcotic folks actually go and respond to that scene to try to get the phones, talk to witnesses, talk to the friends, their soul goal is to try to trace back where these pills are coming from and to see if they can find out
Starting point is 00:35:16 who specifically sold these pills to these kids to put them in federal prison. The people who are selling pills to kids, do you have a sense of how many steps they are removed from the guy that receives the brick offentnel? Is that two layers, three layers? Like it's multiple. It's not a two or three. It's multiple. There's different plugs in each city. It's just a whole enterprise on how to distribute it throughout the country. It's pretty insane. Let's talk a little bit about what happens to a person when they overdose. There's another video you shared from an elementary school actually. It was a surveillance camera.
Starting point is 00:35:51 So again, Anthony, you know, these are hard videos to watch, but I don't think we're going to shy away from that. I think it is important that people understand how uncomfortable this is. There's probably a lot of mixed emotions that are going on around the person who stops breathing. On the one level, there's the obvious fear and panic and, oh my God, what is happening. On the other level, is there some sense that you get from talking to people who have been there, that there's a hesitation to call police or paramedics for fear of reprimand because
Starting point is 00:36:24 hey, we're obviously doing something wrong here. In this particular video, the passenger that wasn't getting poisoned, I think it was several, 20, 25 minutes, I believe before he even called 911. And I think that's specifically attributed to not wanting to get in trouble and not believing his friend is dead. So I think that's the big. What is the law with regard to that? How clear is the law on regard to that? How clear
Starting point is 00:36:45 is the law on prosecution of people who are, let's just say someone calls the police immediately, calls the paramedics, everybody shows up. Are they going to be prosecuted for drug use? If they're in possession of it. Yeah, let's say they are. So if they are in possession of it, yes, we had a young man who overdosed on one of our high school campuses that had, I want to say three or four, the less it counterfeit pills on him. At the time, he pretty much died in class. And I think that's still in criminal proceedings. Yes, if you're in possession of it, obviously we want to save your life and we'll deal with the criminal part later, but we're in possession of it. Yes, you're more likely getting it charged. I know this is beyond both of our pay grades,
Starting point is 00:37:27 but is that the right solution to the problem in that situation? I don't know if you heard this. I just read it this morning. British Columbia being the latest example of at least in this case, a province or a state is decriminalizing from a personal possession standpoint, any drug. So this is going to be their attempt to say, how are we going to address this problem?
Starting point is 00:37:47 Now, it's not entirely clear to me how that fixes the problem. I can see scenarios where it makes things better. For example, it would presumably reduce any friction to someone calling for help. The moment someone is down, because you now don't have to fear that you're going to be prosecuted. But what are your thoughts on that?
Starting point is 00:38:05 If you go back to the case of that kid who basically died in class, it's a miracle he's alive, taking off your law enforcement hat just from a personal sort of philosophical standpoint. Do you think that's the right thing to do? I think it's probably on a case by case scenario, from a law enforcement perspective, and there's laws that we have to follow. If we have to end up putting that young man in jail, it doesn't mean he's gonna spend the rest of his life in jail, it doesn't mean he's gonna be in jail.
Starting point is 00:38:30 We have to file the appropriate charges, right? But our also our main concern is to make sure he's alive, make sure he gets the help he's needed. So we don't necessarily arrest him that day, like that young man went to the hospital and got treated, and then we turn those pills in, get him tested. And if it comes back with illicit narcotic in it,
Starting point is 00:38:47 then we would look at filing charges at that time. Filing charges and put somebody in jail or at that immediate moment is not a priority. Our priorities actually is life. I don't think I'm close enough to the data because I know that Oregon has done this. You see it now in British Columbia. Portugal did this 20 years ago. Portugal, I believe. I think it was Portugal. because I know that Oregon has done this. We've seen it now in British Columbia.
Starting point is 00:39:05 Portugal did this 20 years ago. Portugal, I believe, I think it was Portugal, basically decriminalized for any personal possession, any drug. And interestingly, their accidental overdose rate dropped to lower, I believe, than any country in Europe. Now, that said, it is on the rise again, along with this problem. So in other words, the fentanyl is raising all boats at the moment,
Starting point is 00:39:29 including even Portugal. And truthfully, I just don't know where I stand on it because there's a part of me that still thinks that's a bandaid. And I think what you said at the outset is the problem, even though it sounds like a cop out, it's not. I think it is the problem, which is why do you need fill in the blank drug? 100% why do you need per cassette? Why do you need Xanax? Why do you need whatever it is? And without the answer to that question, I think it gets very difficult to think about this. 100% again, they're done making it bad person. If I have to arrest you today because you have three pills on you, I have a job to do, but I still need to treat you with respect and I need to try to help you.
Starting point is 00:40:09 I'm going to put you in jail today. When you get out, let's figure out a way to get you the help you need or find you someone to talk to you to figure out, again, why? Why are you making that decision without that why that person will never be able to get the help that they need, especially they don't know the why. Do you see that that side of the equation is getting as much attention? Like I would like to believe that with all of the attention this is starting to get. And once you're at the point where every five minutes, one of your citizens of a country this size is killing themselves accidentally with poison,
Starting point is 00:40:42 that should be enough to get attention. Do you feel that most of that attention is being channeled into seizure, stopping the cartels, the law enforcement side of it? Do you feel like enough of it is going into that side of it that you're talking about, which is the mental health side? No, I don't think so. I think because it's become a more and more prevalent, more and more people are starting to ask for help and we're starting to learn that there's not enough rehab places for these people to go to. Several kids have come forward at HCIST and ask for help. They've talked to their pediatricians, they've
Starting point is 00:41:14 talked to counselors and teachers and some of the issues they're running into is they're being told, well, give me six weeks and I'll have you a bed. We're giving me three months and I'll have you a bed. That's not acceptable. It's not just a law enforcement thing. It's not a school district thing. It's a community that needs to collaborate together to try to figure out ways to help everybody, to help the folks that are struggling. We're not going to save everybody. We're just not. I've been a cop for 24 plus years. I've rested many people that have had drugs or put drug dealers in jail. So we're not going to save everybody. The we're on drugs. We're never going to win. We're just not.
Starting point is 00:41:49 But if we can take 10 pills off the street today, that's what we're seeing now. It's probably six people that we've saved because six out of every 10 illicit counterfeit pills have enough fit and all to kill somebody. So if we can take 10 pills off the street, we're potentially saving six lives. And if I can go talk to a group street, we're potentially saving six lives. And if I can go talk to a group of 300 students, and I can keep one kid from making that decision to take a drug, or if I can get one of those kids who's struggling with an addiction to say, hey, I need help, then I think I can sleep well tonight and I know that we're doing something to help.
Starting point is 00:42:21 So I want to talk about that because I think that's sort of why we're sitting down here today, right? Which is one of the things that moved us about kind of your presentation was just how much you were putting yourself into this, like how much you're going around, just talking to random parents like us, going to school meetings, doing all this kind of stuff. But it's so much of what you talked about blew my mind. I want to get to a few more of those things before I come to the nuts and bolts of it. I have a lot of technical questions about Narcan
Starting point is 00:42:48 and all that kind of stuff, but I've been hearing some other really frightening things. So talk to a friend a couple of weeks while I was talking to a friend of mine who goes to Burning Man every year. As you know, Burning Man is a place where a lot of drugs get done. And he said, maybe I heard him wrong
Starting point is 00:43:03 or maybe he got his facts wrong. So maybe someone listening to this will correct this. But he said that at Burning Man, there were at least two deaths attributed to fentanyl in drugs that normally would never have fentanyl in them. One was cocaine and one was ketamine ketamine of all things. Ketamine is a perfectly legal drug. Now, probably was being used off label, so to speak, but clearly this was a person who was using counterfeit ketamine.
Starting point is 00:43:30 What is the breadth of drugs that you're seeing this? So we've already established it's going into every single counterfeit pill out there, potentially. So that's gonna be all of your pain meds of which I'm guessing per cassette, oxycodone, oxycontin, dilated are your big boys. Then you've got it going into the benzos. That's your adivan, your ambion, is it going into sleeping pills as well? Adderall stimulants?
Starting point is 00:43:55 Andy Pill. Anything that's a pill that kids want is going to be laced. That's frightening because I can hear this from my daughter saying, it's not uncommon for kids to say, I need something to help me study. I need something to help me sleep. Where else is it going? Has this crept its way into anything that has to do with marijuana? Yes, we're talking every illicit recreational drug that's out there.
Starting point is 00:44:17 cocaine, heroin, methamphetamines, moly pills, X, marijuana. We haven't seen this particular here in central Texas yet, but DEA says, you guys know how prevalent vapes are throughout the country and all the schools. It's just a matter of time before we start seeing in Central Texas, but they're starting to see
Starting point is 00:44:35 vape pins that have the THC in it, also contain fitna. So any illicit drug, any vape pins. And again, just to be clear, there's no reason to do this unless you're trying to get people higher than normal. That's the only reason. There's no cost benefit to putting fentanyl into THC. They're totally different agents. Correct. So they're basically saying we're betting that you're going to like this THC so much more because somehow it's going to get you the marijuana high, which is totally different from the opioid high. And we're going to make a more addictive product. And yet again,
Starting point is 00:45:10 they screw it up and put too much in. It's a competitive market. So they want people to seek them, them being the drug dealers out for this particular drug. This drug dealer has the strongest cocaine on the market. Everybody go to him or her. These folks are thinking they're taking cocaine, not realizing that when the pure fentanyl gets here to the country, that the drug dealers on this side of the border are starting to put fentanyl in all their drugs. So when they sell it, they want their stuff to be more powerful.
Starting point is 00:45:38 They want that street cred. Because it goes out on social media, so and so has the strong cocaine. Go see him or her. That's the only reason they do it, is they want to stand out above the rest. Is there any drug this is not made its way into yet? No. So right now we're sitting here in central Texas hasn't shown up yet, but do you think that's just a matter of time? In the vapes. In the vapes, yes, but if it nulls, it's easy. I just mean the in vapes and is it showing up in cocaine?
Starting point is 00:46:04 Is it showing up in other drugs here? 100% it's in coke. To me, if you buy cocaine on the streets today, the chances of Fittinol in it is probably 90 to 99%. If I had to bet. And most of the time, you probably get away with it because it's not a lethal dose, but you're playing Russian roulette. And I bring that up in my presentations, specifically regarding the pills,
Starting point is 00:46:27 because six out of every 10 illicit counterfeit pills has enough it not to kill you. I stress it to the parents and the kids. You're playing Russian roulette by taking a pill that you don't know where it came from because we're seeing so many deaths and no and poisoning throughout central Texas in the country that yes, you're playing Russian roulette and there's no other way to put it.
Starting point is 00:46:45 It's just be blood. Yeah. I would guess that the majority of people listening to this podcast are parents. Or they're going to share it with someone who's a parent, right? I got to be honest with you. I don't think there's a 13-year-old listening to us right now. I don't think there's a 19-year-old in the cops.
Starting point is 00:46:59 They don't like listening to us. But a lot of parents listening to us. What can we do? So let's start with, you're just talking to me and my wife. We've got a 14-year-old daughter 8-year-old and a 5-year-old boy. So that's one of the reasons I'm pretty passionate about. I've got kids I got a freshman in high school and a senior in high school. I've seen first-hand how it's affected my community But as parents we have to be nosy, right? We have to take off the blinders. And when we have to stop saying, my kid won't do this. How many of the parents, Anthony, that you've met
Starting point is 00:47:29 who have lost a child were so shocked that it was, I never even knew this was happening. Versus, I'm sure there are some cases where my son has struggled with drugs his whole life. How many are in that former category where they literally are dealing with two complete shocks, the loss of their child and the fact that they had no idea their child was in need or in use of this. How often is it that case? You hear a lot. I don't have an exact percentage, but you hear it a lot. It may not be because they
Starting point is 00:48:02 don't know it's that they refuse to believe it. And I get it. It goes back to the stigma. I'm embarrassed if my kids are doing drugs. I'm embarrassed if my kids are druggy. So I stress the stigma. Like we have to stop with the stigma, to stop with the judging. And we have to work together as a community to get this as low as possible. We're not going to get rid of it. But if we can, you know, move it around a little bit, then we're doing what we can. But yeah, I hear it too much. And as a parent, I catch myself sometimes, nah, not my kid, right?
Starting point is 00:48:32 But I have to remind myself because I see it so often, like, it could be my kid. Social media, both my kids have phones, they have social media. Actually, my freshman no longer has social media, but you have to be nosy. Luckily, my 14 year's not on social media, we're gonna try to keep it that way as long as possible.
Starting point is 00:48:49 You mentioned it like this emoji means this, this emoji means that, is there any chance a parent is gonna figure that out? When I talk about social media to the parents, when I go talk to the PTAs or go to HOA meetings, I stress if you gonna give your kid a phone and if you're gonna give your kid social phone, and if you're going to give your kid social media, you better learn as much as you can
Starting point is 00:49:07 about every single app that's out there. Because I guarantee you, your kid knows more about that app than you do. So if you give them Snapchat, you better have it on your phone as well, and you better learn as much as you possibly can and figure out the tips and tricks that they probably know on how to hide things. They're always going to be more savvy than we are, but it's our duty as parents. If we're
Starting point is 00:49:28 going to hold them responsible for that, we have to learn about it. And I stress that so much. It's not only the app, it's the games, the roadblocks, it's the encrypted app, signal, telegram. I try to put as much information in my presentation in regards to social media, just so it gives parents something to think about. I showed that slide. We'll link to a lot of these videos in this as well. So, we're going to have people going to leave all these resources in there for folks to go to. Tell us about Narcan. So, we used to use Narcan in the hospital. Mostly the use was at the end of surgery. If a patient needs to be brought back and you mistimed the opioid dose, you know, you would use it. A lot of times you'd use it in the situation I described
Starting point is 00:50:09 earlier, which is, oh, you accidentally gave that person, you know, 120 or 125 micrograms of fentanyl, but in reality, that was a bit too much for them. Their breathing rate is slowing. We got it back that off. I've already forgotten how long Narcan lasts for, but if a kid is down, then you give them Narcan. Are they out of the woods? Or is there a chance that they have so much drug in them that even though they start breathing again, they're going to crash? That's one of the things we try to talk about because kids have started going out and buying Narcan and carrying it with them and saying, I'm going to pop this pill. Talk to my friend home on Narcan. I'm going to snort this pill.
Starting point is 00:50:47 If I fall out, can you please shoot me up? But they really don't understand is this fit in all so powerful. One injection of Narcan or one nasal spray at Narcan is not helping because it's so fast acting. I don't think there's a set time because everybody's different, right? Everybody is built differently, metabolism different. There's not a set time. I try to explain that in my presentation as well. But the quicker you get Narcan into that person's system, the better chance they have to live. But what we're seeing in a lot of these overdoses and poisoning throughout Hayes County is
Starting point is 00:51:17 one injection is not working. We had a kid two weeks ago that took 15 doses of Narcan. 15 doses. Yes. In the field. In the field and the field before they were just to play ignorant. I'm sorry, paramedics are not yet there. They're there, but they don't want to intubate yet. Correct. Paramedics are there and they're not into our deputies throughout his county, cared Narcan as well. So usually for first there and we know it's a fit and all related overdose or poisoning,
Starting point is 00:51:42 presumably you're just giving Narcan no matter what. Correct. I think I could be drunk. It's so bright. And we're just going to give them because it's not going to all related overdose or poisoning. Presumably, you're just giving Narcan no matter what. Correct. I think I can be drunk. And you're just gonna give them, because it's not gonna hurt them if they're not. We try to play it safe. If we even suspect there might be some kind of poisoning, we're gonna shoot them up with Narcan. It's very easy.
Starting point is 00:51:57 Do you do intramuscular or intranasal? It's an nasal. Just like an affron. Your battle allergies the same thing. But to stop the so powerful and depending on how long it's been, their respiratory system could have slowed down to where the Narcan is not going to get through. So that's where the CPR comes into play, not only with the Narcan injection, but the CPR just to get the blood flowing in. And that way the Narcan can get in there and attach to these opioids.
Starting point is 00:52:19 So should parents, I mean, lesson number one we're taking away is be really hyper-vigilant about social media. I've read horror stories of, yeah, drug dealers on Snapchat are basically offering drop-down menus, right? It's like, do you need something to make you feel happy? Do you need something to help you sleep? Do you need something to help you study? I mean, it's very banal language.
Starting point is 00:52:41 Yep. And they're not shy about it. But every one of them is fentanyl. Yes. It's some derivative of fentanyl into some other pill. It's going to be stamped as a different pill. And then these kids die. And the few times that kids have taken screenshots of their Snapchat is the only way that these stories are coming to light where you're making the clear link to this innocent little high school
Starting point is 00:53:01 kid is sitting there studying and wanted something to help them study, you know wanted aterol or wanted this thing either and that's life is over So that's less than one How long does Narcan last is it of any expiration date on it? I don't care So is it something parents should have in their house? Is it something kids should be carrying around with them in case they if your kids are going to a party Would you tell them the carrying Narcan in case something goes wrong with some other kid there? I have mixed feelings about that, but I tell the parents,
Starting point is 00:53:27 if you have kids, middle school or above, have an arcane at home, somewhere where you can find it under stress. We all react differently under stress. So it's very important to have an arcane on hand. Don't have it in the box, in the garage, in the top corner where you need to ladder to go up and get it.
Starting point is 00:53:42 Have it somewhere where you know 100% where it's gonna be and you're able to use it right away. Because it may not be your kid that's battling whatever they're battling. But little Johnny could be spending night with you that weekend and hanging out with your son or daughter for the weekend. But you don't know that he or she's battling anxiety. You don't know that their parents are going through a divorce. You don't know if that person didn't bullied or they simply need medication to help them sleep and they've gotten pills off the street
Starting point is 00:54:08 because they're gonna go spend the night at somebody's house and they're battling anxiety. It may not be your kid, but if somebody's spending the night at your house and they start getting poisoned and they start showing signs over and over dose, if you don't have Narcan on hand, you're gonna feel really bad.
Starting point is 00:54:21 Narcan be purchased without a prescription? Yes. You can go to websites, the federal government will mel it to you. It's becoming more and more prevalent. You can go to Walgreens and buy CVS. So we should all be just going out buying Narcan, having it in the kitchen drawer where it's under any situation you can access it.
Starting point is 00:54:37 It's sad that we have to do that, but it's the world we live in. Yeah, almost think of this like you, we have, you know, fire extinguishers and fire blankets in the house in case one day the grill catches on fire or there's no oil fire, so you just sort of have it. Tell me why you have mixed feelings about if your son is going to a party,
Starting point is 00:54:52 and let's just assume, even though we should never assume, that you feel very confident that your son's gonna break some rules but not this rule. You're probably gonna have a beer, he's not gonna take a pill, that he doesn't know what it is. Do you worry that's sort of, well, tell me what your reservations.
Starting point is 00:55:08 To me, it's almost like you give him permission. In the same hand, it's almost like the designated driver. That Narcandas, your designated driver. So I guess if you're gonna take drugs, you're doing it responsibly, I guess, but they're legal. I was just thinking more of, you're not even saying to your kid like, it's okay to take drugs.
Starting point is 00:55:27 You're saying, if somebody else does and they get into trouble, you could almost do it through a selfish lens, which is, I don't want you to have to experience this tragedy that will change your life forever. You know, you watch a video like that one we saw and you think, there's two lives that are lost. There's the kid who dies and there's the kid who watched. 100%. And if you can take that away.
Starting point is 00:55:48 And that aspect, 100%, I'm completely on board with it. What I have mixed feelings about is... Take your drugs and have your narcan. Yeah. Hey, hold my arcane. I can't agree. That's where I have mixed feelings. As do I, because, and my mixed feelings aren't even ethical.
Starting point is 00:56:00 They're practical, which is, how do you know your body's going to give you the narcan correctly? How do you know you have enough? Like you're really playing with fire in a dangerous way there. Anthony, anything else parents can be thinking about here, because I have to be honest with you, there's a part of me that's, and maybe this is just the skeptic in me that's thinking wait Peter, don't overreact to this, don't freak out. I mean, of course, you can believe it.
Starting point is 00:56:22 I had a discussion with our eight year old, right? And I'm like, okay, Reese, if anybody ever gives you candy at school, unless it's in the wrapper, you don't eat it. I don't know if you're as old as I am, Anthony, but I don't know. How old do you? 47. Yes. Yeah. I'm older than you. But I bet you still remember, when we were kids, do you remember all the panic about never eating apple at Halloween? Because the razor blades in it? I talk about that in my presentation. Oh, yeah, yeah. Because of the candy fit. No, right before Halloween, I would get the question all the time at every presentation.
Starting point is 00:56:49 Should I let my kids go trick a treating or can I go trick a treating? And what I told them is like your neighbor's not trying to poison you. Go out and have a good time, let your kid go trick a treating. But then I referenced the 80s when I was trick a treating. I had to come home and dump it out because of the razor blades. Race blade. Yeah. So you grew up in Texas. I grew up in Canada. It's amazing to think that everybody was putting razor blades and apples
Starting point is 00:57:09 apparently across the globe. It probably happened three times. And yet it somehow created a moral panic. And I guess I think about this sometimes, right? Is where's the line here? I think when I look at these stats, it's hard to say this is a moral panic. When you think of other examples of moral panics, things that were, there was a very prominent one, right, which was like all the satanic cults that
Starting point is 00:57:31 were like killing babies all over the place. Remember that whole thing? That was kind of another 80s weird thing. Turn out not to even be the case. This is different. This is real. You have the bodies. This is one of the body bags there.
Starting point is 00:57:40 You've got more than 100,000 body bags in the past 12 months. It'll be very interesting to see what the 2022 numbers are. I keep waiting for those to come and I'm not looking forward to them because I know they're going to be scary, but they're real. This is not a panic. I'm not trying to scare people when I go and talk to them. I just tell them what I owe because it's real. It's not going anywhere.
Starting point is 00:58:03 It's going to become more more prevalent. And unfortunately, we're going to start seeing stuff that's stronger than fentanyl because they're starting to change different structures and the molecule structure to make stuff stronger than fentanyl. We haven't seen it in central Texas, but up and down these coast, they've seen like night to zines and I think it's called isotopes. There's some other stuff that's exponential. There's another variant of it called sulfentanol that is... sulfentanol, carfenol.
Starting point is 00:58:25 Sufentenol is like insanely potent. I was told from somebody on the inside that it's the single greatest regret of the FDA was that they authorized sufentenol. Sufentenol, I think is technically a schedule to drug, meaning it's highly, highly controlled, but still medically can be used for cancer patients and things like that. But I've been told that they have enormous buyers remorse at having authorized it, allowing it to become legal in that setting,
Starting point is 00:58:57 because it makes fentanyl look weak. And you've sort of opened up an awful Pandora's box. And that aspect, they're also trying to create the Narcan, like a super Narcan to try to battle what's coming. And unfortunately, it's just a matter of time before we start seeing that here in central Texas. Anything else, Anthony, that you wanna get across to, I think specifically to parents, either for them directly or things that they can talk
Starting point is 00:59:22 with about their kids. Obviously, the most important lesson I take away from this is being very open with your kids. I mean, the first thing that I think we said to our daughter was, anything you have a question about, let's just talk about it because I'm not going to give you like a legal answer. I'm going to give you a medical answer. I'm not going to tell you this is right or wrong. I'm just going to give you the medical.
Starting point is 00:59:42 This is the no judgment view of what this is. I don't know if that's enough. It's something no. And that's what I don't think probably enough parents are doing. Like I said, I have two kids, up two daughters. I've seen so much in my 24 years of law enforcement. There's a ton of stuff that I want to unsee, but I've always been up front with them about the world and what I encounter and what's out there on the street because I want them to know. And I'm not trying to scare them. I want them to know exactly what's going on and how it affects you.
Starting point is 01:00:11 So we need to start in elementary school. You mentioned talking to your eight year old. It's huge. The school's out in Hays County have started hanging signs and posters that are age appropriate, talking about pills, talking about fentanyl to where that conversation is starting at a younger and younger age.
Starting point is 01:00:28 We haven't gone into elementary schools and talked to the kids, but we go and talk to the parents. We go to the PTAs, we hold public presentations because I want those kids, the parents of those elementary school to start having those conversations at that age, that's where we'll start seeing the difference the more knowledge they have, the more the right decisions I think will be made. And again, I don't try to scare people.
Starting point is 01:00:50 High school kids don't want me to go up on stage and preach to them. I just try to humanize the bad as much as I can and just try to show them I care about you guys because it affects first responders too, right? We go to these calls and we can never unhear the mom screaming because there are kids lifeless on the ground. I can't unsee that. And that affects not only officers, but firefighters, paramedics, doctors, the stuff that we don't want to deal with either we don't have to experience that we sign up for it. Yes, we're going to try to
Starting point is 01:01:18 say everybody, but yeah, just start those conversations as much as possible. I never, never not think that your kid won't do that. And just be nosy, really. You just have to be nosy. Unfortunately, never believe you. Kid won't do it. I just have to stress that a lot because I've heard it too many times.
Starting point is 01:01:35 I never knew. My kid would never do that. And as parents, we want to believe that. I don't want to believe my kid did what they did, but they did. Let's figure out why. You know your kid better than anybody. If you start seeing the different signs, their friend groups are changing, the grades start suffering, they're losing too much weight,
Starting point is 01:01:53 they're gaining too much weight, you know when your kids off. I mentioned my freshman not having social media. I gave her social media at a two-young of age. I tried to compare her to my older daughter who was much more mature, and it affected her because she battles anxiety, depression, some other things and I took social media away from her. Probably about a two months ago she came up to me and she's like, I want to thank you for taking take talk away from me because I'm so much happier. I didn't realize how much it affected me because all she would do was sit in her room and scroll. It's just mindless stuff. It holds so much power over your kids. Just be mindful of that.
Starting point is 01:02:27 Get to know your kids. Sounds funny to say you should know your kids, but some parents, they don't get to know your kids. And we start seeing somethings off, start having those conversations. You know, the way I think about what you're doing, Anthony, you're a guy walking down a beach. And it's not just you. There are a lot of people doing this, but I think this has become your life's
Starting point is 01:02:44 mission now. You're a guy walking down a beach. And it's not just you. There are a lot of people doing this, but I think this has become your life's mission now. You're going to walk down a beach with another guy. I'm borrowing this from a story. And there's a hundred thousand starfish washed up on the beach. And you're walking with this guy every few steps. You pick one up and you throw it back in the ocean. And the other guy says to you, Anthony, what are you doing? And you said, well, the tide is out. And all these 100,000 starfish on this beach are going to die if they don't get back in the water. You pick one up, throw it in.
Starting point is 01:03:15 The guy looks at you funny and he says, Anthony, you can't possibly save all these starfish out here. You can't possibly make a difference. You pick up another starfish, you throw it in, you go, made a difference to that one. And so I don't know how many you're going to save, but if you save 100, if through your work, 100 lives are saved. That's 100 lives that are saved. Most people go their whole lives, don't save a life. Yeah, so I want to thank you for what you're doing. I want to thank you for taking time on a weekend to come here and talk with me about that. And we're going to put in the show notes for this. We're going to have all sorts of additional
Starting point is 01:03:52 resources based on anything that you tell us we should link to for other folks. So thank you, Anthony. Yeah, I appreciate you having me. Thank you so much. It makes a lot of you. Thank you for listening to this week's episode of The Drive. If you're interested in diving deeper into any topics we discuss, we've created a membership program that allows us to bring you more in-depth, exclusive content without relying on paid ads. It's our goal to ensure members get back much more than the price of the subscription. To that end, membership benefits include a bunch of things. 1. Totally kick-ass comprehensive podcast notes, the detail every topic paper,
Starting point is 01:04:26 person, thing we discuss in each episode. The word on the street is, nobody's show notes rival these. Monthly AMA episodes are ask me anything episodes hearing these episodes completely. Access to our private podcast feed that allows you to hear everything without having to listen to spills like this. The qualities which are a super short podcast that we release every Tuesday through Friday, highlighting the best questions, topics, and tactics discussed on previous episodes of the drive. This is a great way to catch up on previous episodes without having to go back and necessarily listen to everyone.
Starting point is 01:04:59 Steep discounts on products that I believe in, but for which I'm not getting paid to endorse. And a whole bunch of other benefits that we continue to trickle in as time goes on. If you want to learn more and access these member-only benefits, you can head over to peteratiamd.com forward slash subscribe. You can find me on Twitter, Instagram, your Facebook, all with the ID, peteratiamd. You can also leave us a review on Apple podcasts or whatever podcast player you listen on. This podcast is for general informational purposes only. It does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice.
Starting point is 01:05:38 No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice from any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. Finally, I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit peteratiamd.com forward slash about where I keep an up-to-date and of such companies. you

There aren't comments yet for this episode. Click on any sentence in the transcript to leave a comment.