Backchannel story: ‘The Heroin Heroine of Reddit’, July 2015

A story for Backchannel, the technology section of Medium.com. Excerpt below.

The Heroin Heroine of Reddit

How a former addict uses the internet to save drug users’ lives

'The Heroin Heroine of Reddit' by Andrew McMillen on Backchannel, July 2015

On a quiet night in late April, Brad slipped off to his bedroom at his family’s home in Cumberland, Virginia. His friends kept on chatting in the living room, but after a few minutes they began to wonder what Brad was up to. They found the 25-year-old slumped on the floor of his room, blue and unresponsive. He had overdosed on heroin and benzodiazepine.

Brad’s friends cycled through the options. They could call 911, but the responders might not arrive in time and might tip off the police. Or they could run to the apartment next door and wake his older brother, Bill. They knew that Bill had a small vial containing a clear liquid called naloxone, which can counteract the effects of an opiate overdose. In a panic, they opted to make the short sprint and bang on Bill’s door.

Together, they carried Brad into the bathtub and cranked on the shower. Bill dipped a syringe into the vial and drew in the naloxone, then injected the the liquid into the fatty part of Brad’s thigh. Nothing happened, so Bill refilled the syringe and injected him again. Brad stirred, and opened his eyes to see his brother and terrified friends peering down at him. As he came to, he thought: This is what being dead is like.

Brad had acquired two vials of the naloxone months earlier. Some states—including New Mexico, Washington, New York, Rhode Island, Vermont and California—allow it to be sold over the counter. But it is illegal in Virginia, so Brad received his shipment in the mail from an unlikely source: the online forum Reddit.

Brad is an active member of the Opiates subreddit, a lively forum where queries about safe injection practices and rehabilitation are posted alongside tactics for hustling cash and coping with constipation, an unwelcome side effect of frequent opioid use. He saw a thread where a moderator known as the “mother of r/opiates,” named Tracey Helton, was offering to send clean needles to fellow Redditors. When he reached out to Tracey about the free needles, which were rare in his scene, she told him that the package included naloxone. Brad replied, “Oh man, that’s awesome! That’s a great idea!”

Five days later, a yellow padded envelope arrived from San Francisco, where Tracey lives. Inside was a bag of clean syringes, two vials of naloxone and a post-it note with a hand-drawn smiley face. “I thought, ‘Holy crap!’ I didn’t send her any money. All I did was send her one little message,” Brad says. “Somebody out there cares that much.”

To read the full story, visit Backchannel.

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