Heroin becomes fatal addiction for more area teens

I never learned about heroin in my pediatric residency. I didn't need to I never treated a patient with heroin dependency. But this ugly drug has invaded St. Louis and St. Charles County high schools and our community emergency rooms. The new face of heroin is a suburban adolescent, in the prime of life, not breathing.

Heroin causes breathing to slow, and heroin overdose causes death by respiratory depression. These patients arrive in the emergency room blue and nonresponsive. They are usually brought in by nervous friends, also abusers, who do not want their own drug use revealed. These are the lucky ones most heroin addicts die before anyone realizes they are not just sleeping.

"It never ceases to amaze me how frequently they come in almost dead and then they come back again, the same way, a week later," said my colleague Dr. Robert Yeager, an emergency medicine physician at Progress West Health Center in O'Fallon, Mo.

Dr. Joseph Karre, also an emergency medicine physician at Progress West, just shook his head, "I can't believe how many high school kids are willing to try it." And it's extremely difficult to find any inpatient drug treatment program that will accept minors with heroin addiction, even if they have good insurance.

Heroin use in the greater St. Louis area rose dramatically in 2010-2011. The epidemic has moved west, from St. Louis into St. Louis County, and now St. Charles County. And heroin users are getting younger. Increasingly, heroin use starts in high school. The statistics are jarring:

According to the medical examiner, 210 people died from heroin overdose in St. Louis city and county in 2010. They are still investigating cases from 2011, but current totals have already exceeded those of 2010.

The St. Charles County Regional Drug Task Force seized more than 2,000 doses of heroin in 2011.

Today's heroin is usually snorted, rather than injected. It has become a 'soft drug," in the eyes of many teens, not much different than marijuana, ecstasy, and other party drugs. Many teens start by using prescription pain killers such as Percocet, often legitimately after a sports injury or surgery. This leads to prescription drug abuse, and heroin is often the next step.

At not-even-once.com you can see the hauntingly beautiful pictures and read the stories of countless St. Louis area teens and young adults who have died of heroin overdose. These stories are written by parents, parents who themselves are still young, still working, still living in St. Louis suburbia. They raised these children to the brink of adulthood, only to watch them die from a pathetic addiction. I can't help but wonder if I'll ever have to write my own child's story.

Dr. Kathleen M. Berchelmann is a pediatrician at St. Louis Children's Hospital and an Instructor of Pediatrics at Washington University School of Medicine, director of the St. Louis Children's Hospital Social Media Team, and co-founder of the ChildrensMD.org, the hospital's physician blog.

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Heroin becomes fatal addiction for more area teens