May 2019 – The number of people on pain pills grew from a tiny fraction of Ortenzio’s practice to well over half of his patients by the end of the 1990s. The shift was gradual enough at first that he didn’t recognize what was happening. The more drugs Ortenzio prescribed, the more he was sought out by patients. Ortenzio should have noticed what the pills were doing, to his patients and his community, but he was less and less himself. After his late-night encounter with Vicodin in 1988, he had begun his own slide into addiction. By the late 1990s, he was using 20 to 30 pills a day, depleting even the plentiful supply of free samples from the ubiquitous sales reps. Written by Sam Quinones author of Dreamland: The True Tale of America’s Opiate Epidemic
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