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It can also create the sensation of "meth bugs," where users feel things crawling under their skin and claw at themselves, creating a risk of infection. Crystal meth can also raise blood pressure, induce an irregular heartbeat and cause agitation, involuntary body movements (sometimes known as "flailing" or "tweaking"), hallucinations and paranoia. Methamphetamines, on the other hand, are stimulants and have the opposite effect, making people euphoric and feeling like they have endless energy.Īs a result, meth can keep users awake for days at a time as well as suppress their appetite, putting them at risk of malnourishment or dehydration. Opioids such as heroin, oxycodone and fentanyl depress the nervous system and have a sedative effect. Jory Smith speaks with Becky Shorrock, one of the nurses who works in the mobile van unit in Kenora. He almost died himself recently from an overdose. He has also been mourning the death of his girlfriend, who suffered from health problems indirectly related to drug use.
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In the last year, Smith was hit in the head with an axe during a fight (it took 17 stitches to sew up the wound). It's a respite from an often tough existence. He and Shorrock began to joke with one another. Shorrock said a big part of the team's job is fostering "an environment where can come and feel like normal people."Ĭlimbing into the van, Smith cheerfully accepted a sandwich and shelter from the rain. The team believes that in addition to dispensing clean needles, wound care and HIV testing, their mobile unit is meant to build trust with addicts who don't feel welcome in doctors' offices, hospitals or social service agencies. Nurses Becky Shorrock and Jen Carlson, along with family doctor Jonny Grek, recognize addiction as a health issue.
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But the Northwestern Health Unit van is a safe space, free of judgment. Using and dealing have made Smith a pariah in this small community, even though he grew up here. That includes "fencing" (acting as a go-between for stolen goods) or finding drugs for other addicts (for a price, of course). "I become this irritable, rude, like, just paranoid, delusional person."Īnd like many other addicts, Smith is prepared to do whatever it takes to find and pay for the drug that makes life bearable. Like many others in this community of 15,000, Jory Smith is addicted to opioids and crystal meth, and every day is a quest to find a way to alleviate the debilitating withdrawal symptoms and cravings that make him "dopesick." So he's turned to crystal meth, a dramatically different kind of drug that has become readily available here.ĭespite its reputation as a tourist haven - with its cottages on Lake of the Woods and renowned fishing and boating - Kenora is a town gripped by addiction. The 31-year-old has been addicted to opioids for years, but said they've become "harder to find" in this region since authorities started cracking down on opioid prescriptions. It was a mobile health unit, run by a small team of street nurses, and it was designed to give some dignity back to drug users like Smith. "People cross the street when they see me," Jory Smith said. As a cold September rain poured down in Kenora, a van stopped to pick up a young man who residents in this northwestern Ontario town typically shun.