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West Virginia's new drug czar was once addicted to opioids himself

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West Virginia's new drug czar was once addicted to opioids himself


CHARLESTON, W.Va. — West Virginia’s new drug czar has a very personal reason for wanting to end the state’s opioid crisis: He was once addicted to prescription painkillers himself.

Dr. Stephen Loyd, who has been treating patients with substance use disorder since he got sober two decades ago, says combating opioid addiction in the state with the highest rate of overdose deaths isn’t just his job. It’s an integral part of his healing.

“I really feel like it’s been the biggest driver of my own personal recovery,” says Loyd, who became the director of West Virginia’s Office of Drug Control Policy last month. “I feel that the longer I do this, the more I don’t mind the guy I see in the mirror every morning.”

Loyd is no stranger to talking about his addiction. He has told his story to lawmakers and was an inspiration for the character played by Michael Keaton in the Hulu series, “Dopesick.” Keaton plays a mining community doctor who becomes addicted to prescription drugs. Loyd was also an expert witness in a case leading to Tennessee’s first conviction of a pill mill doctor in 2005, and has testified against opioid manufacturers and distributors in trials spelling out their culpability in the U.S. opioid crisis, resulting in massive settlements nationwide.

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West Virginia was awarded nearly $1 billion in settlement money, and a private foundation has been working with the state to send checks to affected communities to support addiction treatment, recovery and prevention programs.

Loyd says he is ready to help advise the foundation on how to distribute that money, saying the state has a “moral and ethical responsibility” to spend it wisely.

The doctor started misusing painkillers when he was chief resident at East Tennessee State University hospital. He was given a handful of hydrocodone pills — opioid painkillers — after a dental procedure. He says he threw the pills in his glove compartment and forgot about them until he was stopped at a red light, driving home after a particularly hard day at work.

Anxious and depressed, he was struggling to cope with his more than 100-hour-a-week hospital schedule.

“I thought, ‘My patients take these things all the time,’” he says. “And I broke one in half and took it. By the time I got home, all my ills were cured. My job wasn’t as bad, my home life was better. And I wasn’t as worried.”

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Within four years, he went from taking half a 5-milligram hydrocodone pill to taking 500 milligrams of oxycodone — another opiate — in a single day.

He understands the shame many feel about their addiction. To fuel his addiction, he stole pills from family members and bought them off a former patient.

“Back then, would I steal from you? Yes,” he says. “I would do whatever I needed to do to get the thing I thought I would die without.”

But he didn’t understand he was addicted until the first time he felt the intense sickness associated with opiate withdrawal. He thought he had come down with the flu.

“And then the next day, when I got my hands on pills and I took the first one, and I got better in about 10 minutes,” he says. “I realized I couldn’t stop or I’d get sick.”

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It was a “pretty devastating moment” that he says he can never forget.

A family intervention ended with Loyd going to the detox unit at Vanderbilt University Medical Center in July 2004. After five days, he joined a treatment program and, he says, he has been sober ever since.

In recovery, Loyd threw himself into addiction medicine with a focus on pregnant heroin users who often face judgment and stigma. He said his own experience enabled him to see these vulnerable women in a different light.

“I couldn’t believe that somebody could just keep sticking a needle in their arm — what are they doing? — until it happened to me,” he says.

It was when he was in the detox unit that Loyd first noticed disparities in addiction treatment. There were 24 people on his floor, and the then-37-year-old doctor was the only one who was referred for treatment. The rest were simply released.

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“I get a pass because I have MD after my name, and I’ve known that for a long time,” he says. “And it’s not fair.”

He calls this “the two systems of care” for substance use disorder: A robust and compassionate system for people with money and another, less effective model “basically for everybody else.”

He’s intent on changing that.

He says he also wants to expand access to prescription drugs such as methadone and suboxone, which can help wean people with substance use disorder off opioids. Loyd says he was never offered either medication when he was detoxing 20 years ago “and it kind of makes me angry that I suffered unnecessarily.”

One of Loyd’s priorities will be working out how to measure meaningful outcomes — something he says happens in every field of medicine except addiction medicine.

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A cardiologist can tell a patient with heart disease about their course of treatment and estimate their chances of a recovery or of being pain free in a year or 18 months, he says.

“In addiction, we don’t have that. We look at outcomes differently,” Loyd says.

When people are referred for treatment, the metrics are not the same. How many showed up? How many engaged in the program and graduated? How many continued to recover and progressed in their lives?

“We don’t know how effective we’ve been at spending our money because I don’t think that we’ve really talked a lot about looking at meaningful outcomes,” he says.

As for his own measurable outcomes, Loyd said there have been a few, including walking his daughter down the aisle and serving as his son’s best man.

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And on his phone he has a folder of baby pictures and photographs celebrating recovery milestones, sent to him by former patients.

“It’s what drives me,” he said. “The great paradox is you get to keep something by giving it away. And I get to do that.”



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West Virginia

Kirn shines, trio of state natives homer in Mountaineers' 6-3 win against Utah – WV MetroNews

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Kirn shines, trio of state natives homer in Mountaineers' 6-3 win against Utah – WV MetroNews


MORGANTOWN, W.Va. — West Virginia pitcher Griffin Kirn helped keep Utah at bay with a dominant start that included 14 strikeouts over 6 2/3 innings.

A trio of Mountain State natives did their part to ensure Kirn’s effort didn’t go to waste.

Kyle West and Jace Rinehart connected for consecutive solo home runs in the third inning, and after the Utes rallied to tie the game, Grant Hussey blasted a go-ahead two-run home run in the eighth that made all the difference for the Mountaineers in a 6-3 victory at Wagener Field at Kendrick Family Ballpark.

“Those three guys are all power hitters with great attitudes that want to see West Virginia win,” WVU head coach Steve Sabins said. “Fun for me, fun for the fan base and fun for those kids.”

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The result gives WVU (25-4, 5-3) a fifth consecutive win ahead of Saturday’s doubleheader against Utah (13-14, 2-8).

After Kirn surrendered a home run to Drake Digiorino in the second inning for the first run of the game, the southpaw was in cruise control for much of the remainder of his outing. He struck out the next two batters to give him three through two innings.

“It kind of irritated me,” Kirn said. “I’ve let up quite a few home runs this year. It got me over the edge and I was like, ‘it’s time to go.’ That’s not going to happen again.”

With WVU still trailing 1-0 in the home half of the third, West, a Hedgesville native, got the Mountaineers even with a home run to center.

Jace Rinehart, a former standout at North Marion High School, followed with a round-tripper to left and the Utes faced their first deficit.

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“There’s nothing better than having people proud of this state and university have success, and guys that grew up here and know what it means to be a Mountaineer, but I don’t want to sell any of our guys short,” Sabins said.

Kirn overcame Tyler Quinn’s leadoff single in the fourth by striking out the next three batters, and he worked around a leadoff walk in the fifth with two more punch outs.

The two solo home runs marked WVU’s two hits through four innings off Utah starting pitcher Colter McAnelly, and Logan Sauve provided another one in the fifth, blasting a solo shot to center just after Armani Guzman was caught stealing third base.

Kirn struck out the side (all looking) in the sixth, but encountered trouble in the seventh as Digorino led off with a single and Jake Long followed with a double down the right-field line.

With two in scoring position and no outs, Kirn buckled down and struck out Derek Smith before inducing a weak fly ball off the bat of Santino Panaro.

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With his team leading 3-1, Sabins elected to pull Kirn in favor of Chase Meyer.

“Chase has been dominant and I fully understood that,” said Kirn, while admitting he would’ve preferred to stay in. “He gave us the best opportunity to win.”

However, Meyer immediately hit pinch hitter Cameron Gurney and then surrendered a tying two-run single off the bat of leadoff hitter Austen Roellig.

“It wasn’t the right decision if you’re basing it off results,” Sabins said, “but we ended up winning the game.”

After Rinehart bounced out with the bases loaded to end the home half of the seventh, Meyer induced an inning-ending double play in the eighth that kept the game tied at 3.

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The next time Meyer came out to pitch, he did so with a three-run cushion.

Skylar King hit a leadoff single in the eighth, and with one out, McAnelly was removed for relief pitcher Jackson Elder.

King immediately stole second and scored moments later when Hussey, a former standout at Parkersburg South, belted a two-run blast to center that was hardly visible off the bat due to excessive fog.

“It proves that there’s talent and West Virginia kids can compete with anybody,” Hussey said. “I can understand why they get looked down upon. There’s not a whole lot of resources around here, but it really shows what we can do as a whole.“

A Spencer Barnett double led to him scoring WVU’s sixth and final run later in the eighth on an error.

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“Hussey was up against a reliever and it felt like when you take McAnelly out of the game, it doesn’t matter, anybody else is better to face than who we faced as a starter,” Sabins said. 

Roellig stepped into the batter’s box in the form of the tying run in the ninth, but Meyer kept his cool and sealed the verdict with a strikeout.

In a no decision, Kirn was charged with three runs on six hits. He walked one.

“He threw 92 pitches,” Sabins said, “and damn near every one of them was quality.” 

Meyer allowed one hit over 2 1/3 scoreless innings with three strikeouts.

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Both teams finished with seven hits and Roellig led all players with three.

McAnelly took the tough-luck loss after allowing four runs on five hits in 7 1/3 innings. He struck out nine and walked four. McAnelly entered 2-1 with a 2.72 ERA and 51 strikeouts against 12 base-on-balls.

“He’s the definition of a guy with good stuff and not great stuff, but an elite competitor,” Sabins said. “He never backs down and throws all his pitches with conviction.” 

Friday’s matchup marked the first meeting between WVU and Utah.

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Rain hitting West Virginia more than just April showers – WV MetroNews

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Rain hitting West Virginia more than just April showers – WV MetroNews


CHARLESTON, W.Va. — Rain that is in the forecast to continue in West Virginia well into Sunday could cause flash flooding, low-lying area flooding and river flooding.

National Weather Service Meteorologist Simone Lewis said all three are possible with the training of storms that’s getting most of its moisture from the south.

Heavy rain produced a colorful weather map Friday. (NWS image)

“We expect a continuation of this and potentially the worsening of conditions in some spots as we go through time,” Lewis told MetroNews Friday.

Flash flooding has been reported in parts of Logan, Lincoln, Mingo, Wayne and Boone counties.

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A general flood warning is in effect until 12:45 p.m. Friday for Boone, Braxton, Calhoun, Clay, Fayette, Gilmer, Jackson, Kanawha, Lincoln, Nicholas, Putnam and Roane counties.

The weather service was expected to do a river flooding forecast later Friday.

There are 23 counties under a flood watch into Sunday morning.

Lewis said the cumulative total of the rain will have an impact.

“Both the combination of what’s already occurring and the fact that we have even more precipitation expected well into Sunday evening, conditions could get worse in the coming days,” Lewis said.

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Lewis said the frontal boundary that has settled above West Virginia is expected to move into Ohio Saturday proving a few hours of dry weather, Lewis said.

“But once we get into those afternoon and evening hours again on Saturday that frontal boundary is going to come right back towards us and we are looking at showers and storms increasing once again,” Lewis said.

Lewis said it’s going to rain well into Sunday evening.

“This is something that folks are going to need to keep an eye out for, especially if you are traveling and especially if you’re traveling at night,” Lewis said.

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Capito addresses job cuts at NIOSH, NETL during call with West Virginia reporters – Dominion Post

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Capito addresses job cuts at NIOSH, NETL during call with West Virginia reporters – Dominion Post


dbeard@dominionpost.com

MORGANTOWN – Sen. Shelley Moore Capito fielded some questions during her Thursday briefing with West Virginia reporters on this week’s job cuts at the Morgantown NIOSH office, and the earlier cuts at the Morgantown National Energy Technology Laboratory.

About 185 researchers in the NIOSH division in Morgantown received layoff notices on Tuesday as part of the Department of Health and Human Services plan to cut about 10,000 employees from the department.

“I am extremely concerned about this,” Capito said. “This is impacting and will impact not only the folks that were let go, and their families, but also the health and safety of our coal miners and firefighters.”

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She said she talked to HHS Secretary Robert F. Kennedy Jr. last week about his plan in general, urging him to avoid cutting HHS to the bone. She understands the desire to trim duplication and bloating, “but in this case I have strong disagreements with the administration.”

And she was slated for another call with RFK Jr. on Thursday afternoon to delve into the issue again.

Asked if she looked for any jobs being restored, she said she’s concerned about the people and what they do – how they keep the miners and firefighters safe. “I’m hoping to effect a brighter outlook from him, that you have cut into the bone here in an essential service for workplace safety.”

She hopes he will restore the functions and the people, she said. She’s seen layoffs and administrative leaves reversed earlier in this Trump administration government trimming process.

She’s been in contact with some of those who’ve lost jobs, she said, to offer assistance. She believes agencies have offered assistance as well. Some might take up the standing offer of early retirement.

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MetroNews’ Mike Nolting asked Capito if she knows how many are left at NIOSH.

She said, “We’re trying to get clarification, precisely. It appears that there’s not much left.” The question is on the nature of the jobs – do they duplicate functions provided elsewhere at HHS.

The Dominion Post asked Capito about the probationary employees laid off at NETL in February as part of the nationwide elimination of probationary positions.

As it turned out, the NETL director was in her office before the press call, she said. The employees were asked to return, and of 51 cut, 41 are back to work.

“The goal of what’s going on here,” she said, “as painful as it is, is to shrink government, to make it right sized … to make it work more efficiently and better.” If those goals are met, the services delivered will be as good as they’ve been, possibly better.

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The press call came between Capito trips to the Senate floor for votes, and she noted that the Senate was starting work on the reconciliation measure to extend the 2017 Trump tax bill, the Tax and Jobs Investment Act. This one is called the Job Creation and Tax Act.

“It created a lot of prosperity across the country,” she said. “Everybody got tax relief and I want to continue that.”

The measure also addresses border security, national security and – a topic crucial to West Virginia, she said – unleashing American energy. It’s an extended process, and the next step is to craft policies to match the aspirational goals they’re formulating now.





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