Rosemary Orr with her son, Robin, at his high school graduation in June, 2000.Photo courtesy of the Rice family.Dr. Rosemary Orr didn’t see it coming that day. It was the morning after Mother’s Day. She needed a ride to work, so her 24-year-old son Robin drove her. She was in a hurry to get to Children’s Hospital and Medical Center in Seattle, where she is a pediatric anesthesiologist. Otherwise, she says, she would have spent more time talking with him.She’d been worried about his sleeping habits, his weight loss lately. She knew her smart, handsome son had struggled with addiction to OxyContin in the past. But he’d kicked it. He’d assured her of that. He’d looked her in the eye and said, ‘You don’t have to worry about me, Mom.”No parent wants to believe her child is using. Not even one who is a doctor.“I was stupid and desperate enough to believe that explanation,” Orr says now, five years later, over coffee a few miles from her work, where she takes care of the pain of others. Her own pain, she takes with her.When she got home from work that day, Robin’s phone was ringing, but he wasn’t answering in his room downstairs. She knocked. And knocked again. She went around her house and peered in through his bedroom window.
In Spokane, Dr. Darin Nevin (left) and Lee Taylor want to expand data sharing to emergency rooms across the state.Credit: Dan Pelle/The Spokesman-ReviewWashington State has made an aggressive attempt to crack down on the prescription drug epidemic by passing strict new rules governing pain management. But even those may not be enough to stanch the flood of deaths from prescription opiates in this state.The passage of a new law, regarded as one of the toughest in the nation, makes Washington the first state to require dosing limits for doctors and others who prescribe these medicines. The law, RCW 2876, went into effect January 2, but those who have watched the epidemic spiral out of control still see significant challenges ahead.Among the first is the dearth of pain specialists in the state. Under the new law, doctors and other prescribers with patients who need more than 120 mg a day must seek a second opinion from a pain specialist. But there are few of those professionals to go around.Medicaid is already struggling to comply with the new law. Despite having thousands of patients currently over the threshold limit, the agency can only get one or two evaluated by a pain specialist a month, said Dr. Jeff Thompson, medical director of the state’s Medicaid program.“Access is an issue,” said Dr. Gary Franklin, medical director of the state’s Department of Labor & Industries, adding that telemedicine consultation programs and other efforts to increase capacity are helping, but still don’t fill the need. The new law makes Dr. Merle Janes of Valley Rehab & Emergency in Spokane angry. He said legitimate pain patients and doctors who prescribe for them are paying the price for the policy changes designed to nab addicts. People in real pain can’t get adequate relief, he says.“It’s been a disaster for all these people,” Janes said.Dr. David Tauben, a clinical associate professor and director of medical education in pain management at the University of Washington, agreed that not enough doctors are treating pain well.“But this problem was happening well before the new law,” Tauben said. He’s optimistic that the new law will actually encourage more doctors to take on pain patients because they will have guidelines to follow to help keep them from running afoul of disciplinary agencies. The guidelines should remove ambiguity and help doctors communicate better with patients about the goals and limitations of pain treatment, he said.
Rayne Pearson, Attorney. Credit: Ethan Morris/KCTS.Prescription drug overdoses kill two people a day in Washington state. But the damage caused by addiction to painkillers is even more widespread. As part of its collaboration with InvestigateWest, KCTS invited recovering addicts and their families to share their stories. Here Ethan Morris, executive producer for public affairs at KCTS interviews Rayne Pearson, a practicing attorney in Seattle.Ethan Morris: Let’s start by telling me your name and why you’re here.Rayne Pearson: My name is Rayne and I am a recovering addict.EM: What are you recovering from?RP: I’m in recovery from prescription drugs mostly. Opiates and benzodiazepines.EM: Can you tell me how you came to start using drugs?RP: I started using drugs when I was very young, about 14 or 15. And I think, like a lot of addicts, I started with alcohol and pot and I was definitely addicted from the very first time I ever used drugs. I used drugs on a daily basis, probably from the time I was 17 until the time I got clean when I was 32. The disease is progressive, so my using intensified. I started using harder and harder drugs, and I think it was probably in my mid 20’s when I had my first prescription for Xanax, which is a benzodiazepine. I started abusing it right away.
Watch KCTS9 and InvestigateWest’s special report on air pollution in south Seattle, which airs on KCTS 9 Connects, Friday, June 17 at 7 p.m. By Robert McClure/InvestigateWest and Jenny Cunningham/KCTSRosa Vela is always on alert, watching for signs her five-year-old daughter, Lettie, is having trouble breathing. She knows the next severe asthma attack could send Lettie to the hospital for yet another round of treatment. “I feel very sad,” Rosa Vela said. “Seeing her in the hospital, it makes me feel desperate.”Lettie Vela’s family lives in the Duwamish River Valley that lies between Beacon Hill and West Seattle, where rates for hospitalization of children for asthma are the highest in King County.Residents here face an onslaught of toxic airborne pollutants that according to a recent study exceed regulatory caution levels by up to 30 times.According to a second recent study, the Puget Sound region is in the top 5 percent of communities nationally for air toxics. And the industrial neighborhoods of Georgetown and South Park have some of the dirtiest air in the Puget Sound region.