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Undernourishment commonly accompanies drug abuse. It looked like she had not slept in months. Under her eyes were large dark circles that went halfway down her cheeks.

She appeared lost in space, as if she was just going through the motions of life but unable to feel emotion, like a zombie. At the clinic, there were a few heroin addicts coming in for treatment I will never forget how one specific woman looked. This portrayal reminded me of a recent patient experience. The prostitute walked by, lifted his head and sarcastically commented, “You look good, Jim” only to allow his head to fall back to where it was. At one point after shooting up, he sat on a staircase, body slumped, colorless lips, and vomit covering his chin. Jim’s body became a sickly shell of what it used to be and he was barely able to function. Although this may seem extreme, there are many who have gone down this path due to severe drug addiction. He became the person he and his friends originally mocked and pitied. Jim fell so far into desperation attempting to get money to supply his habit that he resorted to prostituting himself in a public bathroom. Eventually, he was kicked off the basketball team, kicked out of school, and then kicked out of his own home. He would do anything in order to obtain that coveted next fix. All too often their assumptions are proven wrong. People think drug addiction will never happen to them, that they will be immune from the deadly grasp of abuse and addition. But you can’t.” This shows the extremely addictive properties heroin has. The voice is always there in your head…Just one more time, then I’ll stop. Every wise punk on the block says it won’t happen to them, but it does. As Jim wrote in his diary, he explained that heroin started off as a “Saturday night thing to make you feel cool, like a gangster or a rock star.” He continued, describing it as something that “felt so good, you start doing it on Tuesday. The next morning, Jim found himself in the bathroom, facing the bottom of the bowl. Any ache or sadness or guilty feeling was completely flushed out.” As most people know, a common adverse reaction from opiate use is nausea and vomiting. He referred to heroin as “a long heatwave through his body. Jim was told, “If you’re going to sniff it, you might as well pop it if you’re going to pop it, might as well mainline it.” Despite his fear of needles, Jim gave in. The death of a close teammate battling leukemia caused Jim and his friends to do the unthinkable: resort to heroin. When that was not enough, Jim raided the medicine cabinet for pharmaceuticals to send him back to the pleasurable oasis of that incredible high. Having done drugs before, cocaine did not seem like that big of a leap. The promise of sex with an older girl was all the motivation Jim needed. See what that stuff does to you.” The turning point in Jim’s drug abuse came when Neutron invited him over to spend the night with two girls. Jim’s friend Neutron even commented saying: “She’s a dope-head. They terrorized the neighborhood by cliff-jumping into the Harlem River and dumping pretzels on the local prostitutes. Jim and his friends snuck out of school every “once-in-a-while” to get high.

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Warning: This is not a movie for innocent eyes! Not only does this movie show in graphic detail the disturbing bodily effects heroin has, but it also depicts the drug’s overall destruction of Jim’s livelihood. It is a stomach-wrenching glimpse into the lives of those addicted to heroin and other drugs. The 1995 film “ The Basketball Diaries” is set in the slums of Manhattan where a high school basketball player, Jim Carroll (DiCaprio), and his friends ultimately take a sharp nosedive into the tragic world of drug addiction. Ohio Northern University Raabe College of Pharmacy Return to The CPNP Perspective issue main page. PGY2 Competency Areas, Goals and Objectives.Psychiatric Pharmacotherapy for Nurses and non-BCPP Pharmacists.Comprehensive Medication Management (CMM).The AIMS Assessment and Tardive Dyskinesia.New Name: American Association of Psychiatric Pharmacists (AAPP).Psychiatric Pharmacists: Improving access, outcomes, and cost.