welcome to the common good caf this event was sponsored by the urban survivors union which is c e o s drug user union it's super cool it's about ending the drug war you should do it because a war on the people doesn't make sense and that's why i have my wonderful shirt that only model i'm proud to be a drug user because i am a drug user and i'm very proud of it we're going to talk on arcane and or knocks on depending on how people know it  so they'll be lots of smarter people than me speaking about it i would probably go last into the education on how to use it in a real sense but nor can is is a woman in alex who's a member of iran's regime and one of the sweetest most caring people i've ever met and a truly wonderful person that i'm going to try to get her as read as physically possible before she speaks and so if i am successful she will match her shirt so my dear friend and colleague so just to kind of put a face on the locks on i've had lots of experiences with overdose but the one that particularly sticks in my mind is the first lauren friend of mine was in the car and he had taken bunch of benzo so it is using benzo as and then he did heroin so poly drug use and ended up overdosing and at the time the only education i had was from the needle exchange i had learned how to do you know mouth to mouth and what to do immediately of first not an overdose and this was before i knew about my locks on and so i gave them out the mouth they called nine one one every thing any happen to come out of it but i think you know what if you didn't come out of it and i you know i didn't have the locks on at the time it would have been a lot worse of a situation he ended up living but it could have been a lot worse so eyes i just blank completely anyway i know it's very important that the needle exchange is able to give out in the locks on the people it saves many lives i didn't need it that night but there have been other nights where i have needed it where people have overdosed and that was the only reason that they made it was because of the locks and our needle exchange over here ph r m a gives it out and teaches people how to use it and i for one i more power and a lot of drug users they feel disenfranchised they feel like they don't have any power over their lives you know a legally there's financial issues there's all sorts of issues drug user space and when they have they have the power to save their friends lives and then they don't have to worry about their own livelihoods necessarily of police coming another epic ossian's stemming from that yeah knocks own is pretty much all there is i you do rescue breathing but they only go so far you know like you're saying with receptors in your brain you know that's a wrong opiates and tolerance level and everything there isn't much else that you can do that's one hundred percent effective you i do want to think house for words and experience because i think it's really valuable to understand what it means i'm going to call her age my age otoh she's from a younger generation than me and i grew up in the university district i will always be an average i will always be you should person and i have many friends who are you sort of in the streets with me if you will they're deeply care for the sad truth of my life and my individual life as i knew more people who were dead they were alive and so my generation did not have the advantage and many people who were deeply influential in my life in taking care of myself and my elders died one after another from overdose and this is a neighborhood who touted that there was no drug use in this neighborhood but people kept dying of overdose and there is a long string and people who are from this neighborhood who were even homeless who died from overdoses and for me the moment an officer was able to be given out i couldn't help but cry then another generation would not have to face when my generation faced that they wouldn't have to close their eyes and think of all the lost souls and so i always think it's a very powerful this is a life or death situation and it's two dollars and sixty four cents or one dollar per one's c c vial for a life and no matter who you think a person is a dollar is worth a life  and so this is a life or death crisis and for me the fight an issue was to get it to drug users because the medical field were abusing drug users  drug war had made it so well income folks and drug users couldn't trust or respect the police because it's a relationship with the drug war and so they had no choice but to take their health care in their own hands but i think now we figured this out at least in king county and i know the whole rest the state isn't there but there are many people in many different areas doing incredible work in arson distributing but we figured out the formula every exchange can give out an ox so you know why a new centrist can push that out it's not that hard the trains can be simplified and we can get out the door but there's really no other population that is dying and that's people who get prescription over to opiates right and they aren't they don't have that kind of crazy activists that new exchanges seem to produce and so i think it's i'm not the one who came up with this there are many smart people who came  gave every person who got prescription over opiates we would have an auction every single household in the state and it would happen very quickly everyone every household at some points going to get prescribe opiate based it's not one hundred percent true but this can be the vast majority and if it's in every single cabinet whether your son has to steal it from you and you get it or you just have it really for war or if you see incident happen in your house on a community you know what it is and how to solve it and knowledge is power and i feel like we focus so much on injection drug users that we've kind of missed the larger community and you know i think it's more real an injection or using community there are people in i've yet to meet opiate user who doesn't know someone who's died in an overdose act you know i think the myth is that drug users are these single communities you know i know on a daily basis many different drug users and they've all known someone who's dying of overdose and i think there's the stigma of being a drug user and saying you know i'm a drug user and the typical answer is people either want to cure you or run away from you and people die because people use alone and if you don't use alone if you're always using with a friend then you can you will likely survive i am a drug user i am also an executive director of a nonprofit i was ashamed to call the drug user because of stigma people put on me so i used to lie and i have racked up seven overdoses in my lifetime and if any one of those were successful and i died you would have missed me on this podium being a director and be trying to fight for my community and you i dare you to find someone who's from the university district who cares as much about this neighborhood and is willing to give their life more for this neighborhood than myself and so you would miss out on me because i'm a drug user and i judge you being a drug user is one piece of my life i'm also fanatical arsenal fan of you don't seem to give me stigma for that too you know  so i think this is a community crisis that is going in that is being left in the dark and so as this vast group i'm going to train you all on you can and you will have to take it with you and go into community and train another friend give it to someone everyone should know what it is everyone should have it it's super easy to use there are two kinds i'm only going to show you the one for injectable right now so if you want have a conversation really quick about injectable or nasal right why use one of the other right i am  injection drug user right so i could use nasal and is roughly ninety percent ninety nine percent depending on your study in different person effective right i it's a little complicated to put together but it's totally doable so that's fine i could use that and that will save my life right but if i wanted to actually drug use or i'm used to needles needles or what i use every day i'm comfortable with them so i'm probably as an individual going to lean towards an injectable because i'm contra was in you know i'm comfortable jabbing a needle in to someone or myself so that's probably the direction i'm going to go now if i'm not  injection drug users and i'm afraid of them they don't know controversy i'm they scare me needles are scary they do you know i mean they're dear own design comes from a snake's tooth right and snakes are the conflicts you know i still think they want their second chance you gotta watch out for snakes so you haven't a nasal so i in the injection drug user i would lean towards needle so it's really dependent on who you are and there's a couple things coming down the pipeline of some easier nasal sprays to use i think ideally noxon in nasally nasal sprays would be more like a nasal spray for sinus infections where you could have ten you three why don't we give you one because sometimes one is not enough and it's better to give you a little more and not to give you enough ok why do we have this in a see through four by three finding a non si through bag he is really impossible and so i had to search one hard to get these and so if you ever want to find them you should contact me and i can give you the two companies in the needle and is able to muscle and so you want to be able to get through the layers of skin to get into the muscle you can use in arena slee but you're wasting time and less you are a skills of a lot of this who's used to working on that specific body you just want to get in there because seconds do matter in this situation hopefully you know some the first moment they started going under chances are you didn't get there at that exact second and you are knuckles they're signing their new different you get this chest and i can rub on it right if everyone rubs on this chest it's annoying so they tell you to fuck off and they tell you to go away they're alive right so any kind of communication you are you you may not even need to use an option at that point right so let's say they're not responding in any way you've done you said hey j k j k jake ok you may need to use an auction some sort of moment and say hey i'm not doing this there is no the street value of this is to save someone's life not to get high in any shape way or form and i can tell you one of the story that i found to be kind of heartbreaking as a drug user is someone thought misunderstood what an auction was and he added it in as water tuesday hope and he shot it up and it was the most reverse experience of getting you could ever imagine all right so imagine they think that people are going to have a harder time using it then it will be  the neo changes why this exact needle gets into them so the first step is to lift this wonderful orange cap do not shove the needle through this orange cap it sucks this needle is almost the size of this vial so if you put the needle all the way in you are going to be putting in through air so you take this vile and you're going to put this needle in there and you know it just slightly in and you're going to so you push up a little for water so you don't want to a chair so i have a little over one c c now where would i put this this is not for pope fiction a man who seemed whole fiction they did not use  ox on but it has gotten this conversation started you know put this in your heart or your chest anyway you take this on a vacuum or arms or there but if you have to go straight through there causing it is better to not do that but i said seconds matter you could have someone who has a good belt on and you can't get off or someone who has a hoodie i have mine and for example in the winter i'm from one reason seattle so have a t shirt on a long sleeve shirt another t shirt another hoodie on top of that and so then you just end up with a lot of folks there so when you get in there if you  squirted out ok you get all that option there and then you can start your rescue reading getting this in is the is the the first thing you do right so once you do that you can start your rescue breathing and it can take up to three minutes for them to wake up you may have to use more dependent on the amount they used when they wake up the best way i've described it to people is a mess in you fall asleep and then you've just woken up naked in the arctic ocean you're disoriented you're you're freaked out you will be convinced that you didn't overdose you did someone just jump the gun and you me angry they're not going to be happy right so you're going to be in this place where they are not going to be happy and you soaring to it and you know for lack of better term have babysitting duty so the next thirty to ninety minutes once it wears off right once it wears off and they have not overdosed and maybe they're just well then you're good to go right you can leave them but be very careful because one of the few overdoses we've had with people using oxygen was someone who gave it to them they woke up the person who gave him fell asleep the person died later because he went back into an overdose so you do have a responsibility to keep track of this person and the overdose  fish and opiate grabs a hold of it and it has a good attachment and they have a good friendship to it you know what happens is they are him comes around big fist knocks it off grabs a and you're sick right and you're not going to be sick if this is your first time ever using opiates you're not going to be sick you're just going to if you're using opiates for pain meds you're going to be in pain if you're using opiates for fun and you don't use them consistently your just going to feel like you always do which probably won't be fun this anyone have any questions was long and boring well it's a rabbit harvey once you've been lurking and had to share his now you're breathing fast and you're pissed off and you if you've been calm quite to everything and you've been really pissed off breathing there's a difference and so you know you always get i can seven times and i always feel like i was cute like an energy jolt you kind of woken up in your kind of vibe what the hell is going on and you just aren't and you want to know wake and you're kind of you're doing this belief you're kind of like why did this happen to me why am i in this situation and so and it's been a couple times of my use of being in our hand that i've understand the experience of it you know and so then i've just been like fuck that happened to me so any other questions yours that's but that the small file it's mostly air i haven't felt this necessary the bigger files i think that helps but it doesn't really for me it's been a huge factor but i guess i've used it a lot on other people so i've been more comfortable so i wouldn't i would recommend it if you can do it in a common question way fast but what i find is in every day every day as i've ever been to as giving in to somebody there's always someone screaming they're going to die they're going to die oh my god they're going to die and i find that that alone has made me want to just hurry up this process to get that person to stop yelling at me and it's because it's scary i mean someone you have all been calm collective you are hanging out and you're all friends and someone is dying and that can be stressful where there's a heart attack and in a fight or an overdose and so you're going to have those panic responses and not everyone is calm in a crisis and that's not a bad thing it's just a only stop the one opiate overdose it's going to do nothing for the alcohol poisoning right but if you are overdosing because a combination of two it's taking one of the one out of the equation yes because do you know why because they still have opiates in their system because part of the speed has opiate based so yes to the opiate i saw fit so again we go back to see if there's opiates involved it makes it go away so if you use whatever term you want to call a drug right here's a good example is x pills that they claim to have ecstasy right they may have not one piece of us scene said it was actually see the f d a didn't get to approve that it was ecstasy so you don't actually know and one of my comments again on the drug war is i would honestly like the f d a to keep track of my drugs then the drug cartels being in charge of the safety protocols and the quality control so in other questions we have a discussion there's many different there's two wonderful experts who are up yeah yeah yeah so and to be clear you should really be showing your friends up with things that they have asked for and are totally ok receiving  o any other questions any other feelings about how we can get out knocks known more you know strategies you try to do hidden up old folks homes should you be educating your if one is called and we can get even parents on your way they're going to get to you unless you've given them a totally wrong address they're going to get to you if you live in rural washington you could be fifteen minutes away t and you will be dead and gone before that happens so it's i feel even more important that the rural areas have an office on even more important it every drug user in the rural community having that everywhere possible has and is to sure be in it because if i drop dead on for fifteen years the way from an overdose good chances are a good chance is going to paramedics on top of me within five minutes and probably less time because they probably have only had to go you know less than a mile to get to me if i then drop dead in y county somewhere you know on the river i will be lucky to see paramedics and a half hour you know so where is an awesome more needed i would say in the rural communities and in the suburbs and places that don't have great medical service because you can save your friend's life you can get it you can make it so you will not have a generation passing away because a life is a life whether you're a drug user today tomorrow five years from now or you stage or use your whole life you still have lots of things that you could do to make your life better and make your community better in your country better and you lose all that if you die yes well it's also actually quite hard to get everything and they don't make it actually quite easy i mean i go in and fight for sharks and they're like two hundred fifty dollars so there and that's something you want to talk about the f d a a little politics is ten years ago when i got one was literally a loaded syringe with a cap on it right dirt cheap they were right how many do you need now is a big fancy contraption expensive so we could make an awesome version of an epi pen and we could charge everyone two hundred fifty dollars for that so it's like be careful what you wish for and in that sense i think the nasal spray compared to injectable is a pretty big price jump so i think nasal sprays are more politically savvy more easier to use if you don't if you never have anyone you  little tricky to use i mean when you don't twist it correctly you you don't it doesn't work right so in some ways i think two things that i think needs to improve is one the distribution from easily and isn't  actually and so in three i think once you had that you could do a good trans for over if they were of similar price to everyone having nasal right because just because you give it to me as a drug user right my partner could not be a jury user and not be comfortable using needles and if she's the one likely i should say here she's the one likely to give it to me in they should feel comfortable to whatever were and i think is a very good point if you're not if you have an arc in and you leave it at home under your bed for safe keeping and you use peter's house five blocks away you don't have your head not at all and if you keep in your pocket and you don't tell people where it is and you're going out you're still not using hand and no access to it so you need to put it in a place that everyone knows where it is whether if you're in a house you know in my own house i have it in the bathroom and bedroom the kitchen and want to different places and on it because you could be a really crappy drug user does more damage to themselves than anything a response would drug use or can be long lasting drug user and if they have arkin is training people around you how to use it letting people know i only use it on friday i use every single day you know and then running to have a conversation what drugs you are using you know i use cocaine on saturdays at the bar and when i get really are drunk ok those are there's risk factors to that knowing that those are doing that maybe driving is not the best mode to get to and from the bar if you're into arguments alcohol and cocaine together  so i think having those communications and having that checklist and knowing what to do in certain situations and telling people why for example what you're allergic to why you even have an epi pen so i've been in a restaurant to certain foods and i've ordered food and i've gone to almost take a bite and my friend is like look that has a thing you're allergic to you can't eat that you know or for example i and all story only falling to die i see three x broadway kids in front of me and i told them i don't want to die my home should broadway trash right before i get my f even you know so it's knowing who's around you who you can trust and all that you have got hate my heart from australia to different groups my own experience when talking to police department and lifelong drug user in this neighborhood first name basis with most of the police who do the beat in this neighborhood i find just talking to them and that's the best time is not when they are in they don't want to rest are in a middle of an event but like communicating with them and chatting with them i do it quite often every time they try to come by they change i wave and say hi i don't think having an openly conflict with the police is going to serve yourself in your community  any favors i think there are times when it cannot be avoided and i think there are times when communities and police are at odds and i think the drug war has made the police essentially  community because of the way the laws are set up i think you can they police departments and police typically not always care about the communities which they serve they want the communit es to be safer and better places and in this neighborhood i find that there are be cops who deeply care about the drug users that they are or the community and they deeply  distain the drug dealers in the community and unfortunately some time soon drug users become to do is to support their own habits they get caught in the next and there are some officers who just want high arrest records and don't care but i think communicating with them and sitting down and listening to them and kind of having that dialogue and that consistent can only help you especially if you're not in a field that is consistently breaking the law so i think having good relationships with the police department is going to be positive getting them on board for our can't even if they say hate you if this is the battle you win is really get if you stop and foreseeing harassment and drug users you have a lot more time to go after people who are committing more violent crimes and communities as much as they may be annoyed by people standing on the street corners are deeply fearful of people coming in violent acts and i think to remind the communities the police don't actually keep your neighborhood safer communities keep your neighborhood safer  means by the sure it's ten dollars they are only around for a limited time and it will sadly go away and will print an entirely different shirt and you have to say oh i wish i bought that mary had an overdose shirt and i'm sure joe well halfway autograph it for you as she being one of the superstars in it i think asking i think the big thing is asking every social service writer you coming in contact every public health official why don't they give out an arcam every needle exchange here in our hand there is no excuse anger if there's an overdose in a community it affects the police it affects everyone in their community and those overdoses for a very cheap that seems like an obvious solution it should be an obvious solution and  being people when you talk to people about it is always a positive step and if we get our hand on oxygen in every household drug users still get it by default because just they have it around their community