In 2000, Nick Tosches went in search of something that he was told didn't exist anymore: the opium den.
In the early decades of the 20th century, as the drug trade was taken over by the Judeo-Christian coalition that came to control crime, Jewish and Italian names became almost as common as Chinese names in the reports of those arrested for smuggling, selling, and den-running. While the old Chinese opium smokers died off, the new drug lords actively cultivated a market for the opium derivatives, first morphine and then heroin, two 19th-century inventions that offered far greater profit margins than opium itself.
...
The last known opium den in New York was a second-floor tenement apartment at 295 Broome Street, between Forsyth and Eldridge Streets, at the northeastern edge of Chinatown. It was run by the apartment's tenant, a Chinese immigrant named Lau, who was 57 when the joint got raided and his ass got hauled away. There were a few old pipes and lamps, 10 ounces of opium. And 40 ounces of heroin. The date was June 28, 1957. That was it. The end of the final relic of a bygone day.
To the alarm of the big pharmaceutical companies, the placebo effect appears to be getting stronger. The reasons are many and interesting.
It's not only trials of new drugs that are crossing the futility boundary. Some products that have been on the market for decades, like Prozac, are faltering in more recent follow-up tests. In many cases, these are the compounds that, in the late '90s, made Big Pharma more profitable than Big Oil. But if these same drugs were vetted now, the FDA might not approve some of them. Two comprehensive analyses of antidepressant trials have uncovered a dramatic increase in placebo response since the 1980s. One estimated that the so-called effect size (a measure of statistical significance) in placebo groups had nearly doubled over that time.
In the late 90s, it was easy to get good pot in Idaho...just drive across the border to Canada and pick some up. Nate Norman decided to take advantage of that situation and became an unlikely drug kingpin.
Having doubled their initial investment in roughly a day, Nate and Topher quickly planned a second run. This time, they bought two pounds. Before they knew it, they had gone from struggling to put gas in their cars to running a major pot enterprise that was bringing in thousands of dollars a day. "Within a few weeks I went from selling eighths to quarter pounds," says Scuzz, who could pass for a pro snowboarder with his goatee and wraparound shades. "Our plan was to make 3 million and get out. When you crunch the numbers, that's nothing. We figured out we could do it in fourteen months. But when you're making twenty or thirty grand a week, why the fuck would you stop?"
It doesn't even spoil the story to tell you that it all came crashing down, as these things inevitably do.
Route 36 is a cocaine bar located in La Paz, Bolivia and is understandably popular.
The waiter arrives at the table, lowers the tray and places an empty black CD case in the middle of the table. Next to the CD case are two straws and two little black packets. He is so casual he might as well be delivering a sandwich and fries. [...] Behind the bar, he goes back to casually slicing straws into neat 8cm lengths.
I recently learned that oxytocin and oxycontin are not the same thing. Oh, the strange assumptions I made based on that little bit of ignorance.
Todd Marinovich was supposed to be the best quarterback of all time. Instead, his life got derailed by drugs and alcohol and even more drugs. His dad has to be the all-time worst sports parent in the history of horrible sports parents...it was difficult to get through page 2 without wanting to FedEx Marinovich Sr. a punch in the face.
For the nine months prior to Todd's birth on July 4, 1969, Trudi used no salt, sugar, alcohol, or tobacco. As a baby, Todd was fed only fresh vegetables, fruits, and raw milk; when he was teething, he was given frozen kidneys to gnaw. As a child, he was allowed no junk food; Trudi sent Todd off to birthday parties with carrot sticks and carob muffins. By age three, Marv had the boy throwing with both hands, kicking with both feet, doing sit-ups and pull-ups, and lifting light hand weights. On his fourth birthday, Todd ran four miles along the ocean's edge in thirty-two minutes, an eight-minute-mile pace. Marv was with him every step of the way.
Update: In 1988 Sports Illustrated ran an article about Marinovich while he was still in high school: Bred To Be A Superstar. (via josh)
Since I don't use Adderall or Provigil, it took me a few days to get through this New Yorker article about neuroenhancing drugs. The main takeaway? Like cosmetic body modification in the 80s, mind modification through prescription chemical means is already commonplace for some and will soon be for many.
Chatterjee worries about cosmetic neurology, but he thinks that it will eventually become as acceptable as cosmetic surgery has; in fact, with neuroenhancement it's harder to argue that it's frivolous. As he notes in a 2007 paper, "Many sectors of society have winner-take-all conditions in which small advantages produce disproportionate rewards." At school and at work, the usefulness of being "smarter," needing less sleep, and learning more quickly are all "abundantly clear." In the near future, he predicts, some neurologists will refashion themselves as "quality-of-life consultants," whose role will be "to provide information while abrogating final responsibility for these decisions to patients." The demand is certainly there: from an aging population that won't put up with memory loss; from overwrought parents bent on giving their children every possible edge; from anxious employees in an efficiency-obsessed, BlackBerry-equipped office culture, where work never really ends.
The article is full of wonderful vocabulary. Like the "worried well": those people who are healthy but go to the doctor anyway to see if they can be made more healthy somehow. Being concerned about how good you've got it and attempting to do something about it seems to be another one of those uniquely American phenomena caused by an overabundance of free time & disposable income and the desire to overachieve. See also the impoverished wealthy, the dumb educated, and fat fit.
Myostatin is a protein that, along with its associated gene, limits the growth of muscle tissue in some mammals. The Belgian Blue cattle breed has a natural mutation of the gene associated with myostatin that supresses the protein, resulting in lean and heavily muscled cattle.

A myostatin inhibiting drug called Stamulumab is currently undergoing testing for treating those with muscular dystrophy. If approved, use and abuse by human athletes will surely follow. (via siege)
Update: Stamulumab is no longer undergoing testing. But a pharmaceutical company called Acceleron is developing a similar drug called ACE-031. (thx, stephen)
Funny surname/subject collision from the Times over the weekend: Cocaine and White Teens by Charles M. Blow.
Update: See also nominative determinism and aptronym.
An aptronym is a name aptly suited to its owner.
I knew I'd posted something about this previously. (thx, mark)
Photos of 99 different ecstasy pills with logos on them, including those with McDonald's, Mercedes, MTV, Harry Potter, and Apple logos.
An interview with the North London Turk, who was one of the biggest heroin dealers in Europe.
Me, my former brother-in-law Yilmaz Kaya, and an Istanbul babas [godfather] named the Vulcan founded the Turkish Connection -- that's a network that smuggles heroin from Afghanistan across Turkey into Europe. Up until the early 90s, Turks had been bringing it in piecemeal. An immigrant would bring in ten keys, sell it, buy a shop in Green Lane and pack it in. We were the first to start bringing it in 100-kilo loads. Stack 'em high, sell 'em cheap...
(via gulfstream)
Matt Thompson has some advice for you: stop buying cheap-ish pseudo-generic drugs from Walgreens, Rite-Aid, and Duane Reade and start buying really cheap true generics.
As you might know, Benadryl (available at Walgreens.com for $5.29 for a box of 24 capsules) and Wal-dryl ($3.99 / 24 capsules) are otherwise known as "25 mg. of diphenhydramine HCI." Compare [with the true generic available at Amazon]. Yes, that is 400 tablets containing 25 mg. of diphenhydramine HCI, for about $10 when you factor in shipping.
Heed his words. Here's 300 tablets of generic Claritin for $11.00, 100 tablets of generic Zyrtec for $6.99, 240 tablets of generic Zantac, 1000 capsules of generic Benadryl for $20.34, 1000 tablets of generic Advil for $11.70, and 1000 caplets of generic Tylenol for $13.91.
Update: It's been brought to my attention that the Kirkland brand is Costco's store brand so any Kirkland products sold on Amazon are being resold by people buying them from Costco. (thx, ivan)
NY Times columnist David Carr has written a book about his days as a junkie who cleaned himself up only when twin daughters came into his life. The Times has a lengthy excerpt; it's possibly the best thing I've read all week.
If I said I was a fat thug who beat up women and sold bad coke, would you like my story? What if instead I wrote that I was a recovered addict who obtained sole custody of my twin girls, got us off welfare and raised them by myself, even though I had a little touch of cancer? Now we're talking. Both are equally true, but as a member of a self-interpreting species, one that fights to keep disharmony at a remove, I'm inclined to mention my tenderhearted attentions as a single parent before I get around to the fact that I hit their mother when we were together. We tell ourselves that we lie to protect others, but the self usually comes out looking damn good in the process.
Carr's book is not the conventional memoir. Instead of relying on his spotty memory from his time as a junkie, he went out and interviewed his family, friends, enemies, and others who knew him at the time to get a more complete picture.
A former colleague interviewed Carr two years ago in Rake Magazine. (via vsl)
Tomatoes are currently spreading salmonella across the United States. In 1981, the culprit in a smaller outbreak was marijuana. Hey High Times, dude,
the NYer is totally bogarting your pot coverage on this...we need a potcast, stat!
Preliminary results from a small Swedish study suggest that effects of steroid use stay with you even after stopping.
Rather than returning to their original proportions, the muscles of the steroid users who'd stopped taking the drug looked remarkably similar to those of the subjects who were still using. They also had larger muscle fibers and more growth-inducing "myonuclei" in their muscle cells than the nonsteroid users.
I don't really want to imagine a 9-year-old heroin junkie.
Cheese heroin is Mexican black-tar heroin that has been diluted with crushed tablets of over-the-counter sleep medication such as Tylenol PM.
Sniffing heroin is not particularly new, but addiction experts say this outbreak in Dallas is unprecedented. Typically, people who inhale heroin are older and they're white. In Dallas, however, users are mostly Latino, and they're young.
"Reports that we were seeing were pretty striking. Kids as young as 9 or 10 years of age coming to the hospital emergency rooms or detox facilities in acute heroin withdrawal," says Dr. Carlos Tirado, a psychiatry professor at UT Southwestern Medical Center and medical director of a drug treatment center in Dallas.
(via cameron)
A short article about coffee and its relationship to The Enlightenment, and smart drugs and body enhancements that may lead to a second Enlightenment. Short on details, but long on implications.
The placebo effect is real apparently even when you know it's a placebo, and, alternately, the possibility exists that cultural expectations of whether a drug works may have an effect on how well the drug works:
There are various possible interpretations of this finding: it's possible, of course, that it was a function of changing research protocols. But one possibility is that the older drug became less effective after new ones were brought in, because of deteriorating medical belief in it.
How America Lost the War on Drugs, a history of the United States government's efforts to stop its citizens from using illegal substances, primarily crack, heroin, and methamphetamines. Quite long but worth the read.
All told, the United States has spent an estimated $500 billion to fight drugs - with very little to show for it. Cocaine is now as cheap as it was when Escobar died and more heavily used. Methamphetamine, barely a presence in 1993, is now used by 1.5 million Americans and may be more addictive than crack. We have nearly 500,000 people behind bars for drug crimes - a twelvefold increase since 1980 - with no discernible effect on the drug traffic.
It's not that hard to see how things got off the rails here. Dealing with the supply of drugs is ineffective (it's too lucrative for people to stop selling and too easy to find countries which seek to profit from it) but provides the illusion of action while attacking the problem from the demand side, which appears to be more effective, comes with messy and complex social problems. What a waste. The bits about meth & the lobbying efforts by the pharmaceutical industry and the medical marijuana crackdowns are particularly maddening.
Somewhat related is a 9-part series from VBS about scopolamine, one of the world's scariest drugs (via fimoculous). Just blowing the powder into someone's face is sufficient for them to enter a wakeful zombie state and become the perfect rape or crime victim.
The last thing Andrea Fernandez recalls before being drugged is holding her newborn baby on a Bogota city bus. Police found her three days later, muttering to herself and wandering topless along the median strip of a busy highway. Her face was badly beaten and her son was gone.
The description of the effect of scopolamine on people reminds me of what the Ampulex compressa wasp does to cockroaches:
From the outside, the effect is surreal. The wasp does not paralyze the cockroach. In fact, the roach is able to lift up its front legs again and walk. But now it cannot move of its own accord. The wasp takes hold of one of the roach's antennae and leads it -- in the words of Israeli scientists who study Ampulex -- like a dog on a leash.
I wonder if the chemical reactions are similar in both cases.
Jessica Dimmock's The Ninth Floor is a series of photos taken of heroin addicts living in a ninth floor Manhattan apartment. The NY Times and New York magazine have slideshows with a little more context. Also available in book form. NSFW. (via clusterflock)
Tim Page, a classical music critic for the Washington Post and author of a recent New Yorker piece on growing up with Asperger's Syndrome, has been placed on leave by the Post for criticizing Marion Barry.
Must we hear about it every time this Crack Addict attempts to rehabilitate himself with some new -- and typically half-witted -- political grandstanding? I'd be grateful if you would take me off your mailing list. I cannot think of anything the useless Marion Barry could do that would interest me in the slightest, up to and including overdose. Sincerely, Tim Page.
(thx, jamie)
Update: Page has apologized for his email outburst.
The Erowid Experience Vaults are chock full of people describing their drug experiences; all stories are reviewed by editors. This fellow ingested mushrooms and a bunch of mescaline:
At this point, with all the Canadian biting flys and other insects accumulating on my face, I experienced death and went through several stages such as decomposition, becoming earth, growth into new plants, and spiritual reincarnation in the depths of outer-space as almost a gasseous thought floating around and observing all the cycles of everything in, on or about earth. I at once understood everything. In the middle of the night I realized that I was myself again, and bluntly stated, 'I'm done.' to the other members of the group. They welcomed me back and I appologized for anything I may have said or done.
Wait, you can get high on nutmeg?
Chart of the price of cocaine in countries around the world. Cheapest price is in Colombia ($2/g) while New Zealanders have to pay ~350 times that.
Timeline of a 2003 Shabu party in Denver. Shabu is chemlab-pure methamphetamine. "The rush of Shabu itself is freakishly powerful. A single minuscule hit -- about one-tenth of a gram, vaporized and inhaled -- is enough to keep a weekend warrior like Nick riding the lightning for twelve hours. The statuette on Nick's coffee table, cut into tiny pieces and smoked, holds about 250 hits." (via tmn)
What are people smuggling into Germany? Twice as much cocaine as last year, stuffed lion cubs, and wine made from cobras.
Photo of Beavis, a homeless man living in San Francisco, shooting up (perhaps NSFW). He was previously photographed in 1994 as a street kid in LA for Time magazine. "he picks his scabs to find a good spot; and tries a few locations before he gets a vein."
Fascinating story of an amateur cyclist who starts taking various performancing enhancing drugs to see how they affect his performance. "I had a life once, and now I'm standing in the Easton WaWa in the middle of the night, looking like a cyborg, with thousands of dollars of drugs coursing through my veins. I started looking forward to the moment when the whole thing would be over."
Video of a Steven Levitt talk on the economics of gangs and why gangbanger is not such a good vocation (for one thing, the job pays less than McDonald's). The board of directors stuff made me think of the co-op on The Wire.
Story of a dog that was addicted to licking toads for the hallucinogenic effect. Listen to the audio version if you can. "Winter was going to come and we were going to have a dog without toad." (via bb)
FDA says morning-after pills will be available for sale in the US to anyone 18 or older without a prescription. Since the morning after pill is just a bigger dose of regular birth control pills, does that mean women can get them over the counter now too? Why not?
Wu-oh. Floyd Landis had "an unusual level of testosterone/epitestosterone ratio" in his blood after stage 17 of the Tour de France. If his backup sample also tests positive, the title could be taken from him. You may remember stage 17 as the scene of Landis' remarkable comeback. Cyclingnews.com says that "some athletes have naturally high levels, and can prove this through a series of tests"...is it possible that Landis was just super amped up from the effort that day?
Seth Stevenson describes an attempt to break out of his introverted shell by taking Paxil. Did it work? Only when he'd had a few drinks...oh and he basically lost the ability to feel emotions the rest of the time. "The fact that I considered a wholesale career change under the drug's effects, and couldn't complete any work, is alarming. "
Speaking of brand genericide, Heroin was actually a brand name trademarked by the Bayer drug company. (thx chris, who joked, "Can I interest you in some Heroin brand morphine substitute?")
Taking a drug test and feeling a bit dirty? Order a clean urine sample over the web. They even sell a kit with a fake penis for those under direct observation. (via rb)
Columbia House launches subscription meds program. "Qualified seniors may choose either 12 generic drugs for one cent, or five brand-name medications for 49 cents each, plus shipping and handling."
Barry Bonds finally ties Babe Ruth with 714 home runs. And with relatively little fanfare, largely because the homers will be eventually invalidated by his drug use and because Bonds is a dink.
Update: The kid who caught the home run ball doesn't care for Bonds much: "When asked if he would consider giving [the ball] to Bonds, Snyder declined with a mild expletive." Bonds was also booed at stadiums around the league when the homer was announced.
Mexican president Vicente Fox didn't sign the bill legalizing small quantities of drugs for personal use because of US pressure due to drug tourism fears. What I don't understand is...why not just make it legal for Mexican citizens to allay US fears? Besides, anyone who goes to Mexico for drugs can get them if they want anyway, law or no.
Not a big surprise, but it looks like Barry Bonds took all sorts of performance-enhancing drugs in the last few years of his career, including the season he hit 73 home runs.
I'm in luck because it would take more than 260 cans of Pepsi to ingest enough caffeine to kill me. How much of your favorite beverage can you drink before suffering death by caffeine?
Laurie sends along an account of the week she spent in a psych ward. She says she's "trying to publicize it in order to remove some of the stigma of mental illness". Reminds me of Heather's accounts of her psych ward stay last year.
Scientists who have tried drugs have included Carl Sagan, Richard Feynman, and Stephen Jay Gould. Like Sigmund Freud, fictional detective Sherlock Holmes was a fan of cocaine. (via cyc-c)
Freakonomists Levitt and Dubner: where did all the crack cocaine go? Well, it didn't. Go. But the crime did.
The illegality of "Rio funk" music has driven it deep into the slums of Rio De Janeiro, controlled by the drug lords. "Funk songs used to pay homage to those who had died, but now it is fashionable to name-check those still alive. Juca is often asked by drug soldiers to write lyrics that include their names."