Narcan training pays quick dividend, young woman’s life is saved

LACONIA — It didn't take long for the hands-on instruction in administering Narcan which was given at Monday event at the Beane Conference Center to pay dividends.
Less than four days later, a young woman who had attended the event and took with her a free Narcan dose is credited with saving her friend's life early Friday morning by calling 911 and administering the Narcan as a nasal spray.
Laconia Deputy Fire Chief Shawn Riley, speaking at an afternoon press conference at Laconia Fire Department's Central Station, said it was the first case of the successful civilian use of Narcan in the city .
He said the department received a call that a young female had overdosed on an opioid at 6:45 a.m.
"A friend of the victim had recently recovered a free Narcan dose earlier this week during the Narcan give away in Laconia. The friend called 911, administered Narcan and started CPR. When we arrived, the patient was conscious and alert. Her friend had sat through the training and was able to save a life."
Riley said the most important thing the young woman who saved her friend's life had done was to make the 911 call, pointing out that Narcan is only effective for a matter of minutes and an overdose may recur after its restorative effect is exhausted, especially when people who have taken heroin laced with fentanyl.
"We've seen that happen when transporting people with drug overdoses by ambulance and have had to administer multiple doses," said Riley. "'It's important to call 911 and get help as it is very likely that the person will slip back into a coma and die."
He said that he hopes that the young woman who overdosed will immediately seek the kind of treatment she needs for her addiction problems, noting that there is a 60 percent recovery rate for those who get treatment immediately after an incident.
"People may think they've dodged a bullet because they were saved by Narcan are fooling themselves if they don't get treatment," said Riley.
He said that 42 people attended Monday's event and more than half of the 100 Narcan kits available were distributed. He noted that Narcan is available over the counter without a prescription at Rite Aid pharmacies.
He said that it was the 10th overdose the department has responded to in just the first 15 days of the New Year, which puts in on a pace for 240 overdoses, more than double the number responded to last year when there were about 90 overdoses. He said there were 46 overdoses in the city in 2014 and 26 in 2013.
Fire Chief Ken Erickson has said that there were a dozen deaths in 2015 traced to overdoses.
Also speaking at the press conference were Lisa Leary and Traci Fowler of the Partnership for Public Health and Rick Cricenti of the New Hampshire Department of Health and Human Services.
Cricenti said that HHS had purchased 4,500 Narcan kits to be distributed in each of the 13 regional public health networks in the state.

Hassan lists two dozen local road, bridge fixes to be made by state

CONCORD — The ten-year transportation improvement plan Gov. Maggie Hassan submitted to the Legislature yesterday includes more than two dozen projects in Belknap County recommended to be undertaken between 2017 and 2026 at an estimated cost of $49.2 million.
In Laconia, four bridges on the “redlist,” with structural flaws requiring annual inspections are proposed for replacement of reconstruction. These include the spans over the railroad on US Route 3 and Centenary Avenue at the The Weirs as well those crossing Durkee Brook on Academy Street and Court Street.
Other listed bridges slated for replacement, reconstruction or repair are those on NH Route 11 over the Merrymeeting River in Alton, Hannah Nutter Road in Barnstead, on Church Street in Belmont, on Waukewan Road crossing the Snake River in Center Harbor, on Belknap Mountain Road and Old Lakeshore Road over Gunstock Brook and on the US Route 3/NH Route 11 bypass in Gilford, on Crystal Lake Road in Gilmanton and Stage Road in Gilmanton, and at Smith Crossing over the railroad in New Hampton.
In Alton and Barnstead, the stretch of NH Route 28 between the Alton traffic circle and Barnstead is recommended for reconconstruction.
In Belmont, improvements are recommended at the intersections of NH Route 140, South Road and Jamestown Road as well as at NH Route 106 and Seavey Road and NH Route 140 and Main Street.
In Sanbornton, Lower Bay Road is proposed for reconstruction. In Tilton the 1.97 miles of Calef Hill Road from Clark Road to the Sanbornton town line and the intersection of US Route 3 and Silver Lake Road is recommended for improvement..
The plan also includes the first phase of widening NH Route 106 at the New Hampshire Motor Speedway in Loudon.
The governor’s plan also includes more than $5 million for improvements to the US Route 3/NH Route 25 corridor between the junction with NH Route 104 in Meredith and Center Harbor. After a major reconfiguration of the corridor featuring three roundabouts through Meredith was rejected by the town, the New Hampshire Department of Transportation is currently preparing a plan for enhanced signalization and pedestrian crosswalks to ease congestion in the center of Meredith.
Altogether, the governor’s recommendations carry a price tag of $3.7 billion, of which $2.56 billion consists of federal funding. Hassan said that her recommendations include adding $5 million to the Bridge Preservation Program beginning in 2019 and $5 million to the Redlist Bridge Program. Currently 153 state bridges and 344 municipal bridges are on the “redlist’ and nearly a third of the 1,345 miles of state maintained roads are rated as “poor” or “very poor.”

First steps at Riverbank House - Substance abuse recovery program hosts open house at Laconia facility

Officer Eric Adams gets a tour of Riverbank's Launch House with Dan Farrell during the Open House on Friday afternoon.   (Karen Bobotas/for the Laconia Daily Sun)



LACONIA — "Three weeks ago, I woke up on a couch with blood dripping out of my nose and soaking my shirt," Austin said. "A friend had stayed awake all night to make sure I kept breathing. I was using on Christmas Day and I got here on New Year's Day."
"Here" is a large, rambling white frame house on Messer Street, one of a half-dozen properties that together make up the campus of Riverbank House, a community for men seeking to recover from addiction that lines the banks of the Winnipesaukee River just north of the Church Street Bridge. In 2012, Randy Bartlett, whom Dan Farrell, a 24-year-old recovering alcoholic in charge of marketing calls the "Wille Wonka of recovery," founded Riverbank House at 96 Church St. With the acquisition and renovation of neighboring properties, the community has grown from 16 to 36 beds and is on the brink of adding another 30.
Austin is spending his last days at "the launch," or crisis stabilization facility, the first stop on a continuum of care leading to recovery. Michael Metz, the program director, explained that clients spend between seven and days at "the launch" where, under the supervision of a physician, they are given a protocol consisting of medications four times a day to dispel the physiological symptoms of their addiction. Metz said that during their first days clients are gradually introduced to the subsequent steps of the remaining phases of their recovery program.
After detoxification, clients are transferred to Riverbank House to begin a six-month program that may be followed by as many as 18 months of transitional living. Bartlett believes that length of stay is the single most important predictor of success in overcoming addiction. The average length of stay as Riverbank House is between 60 and 180 days.
"I've never felt this good in my entire life," Austin said. "I stopped learning at 17, but I'm learning something new every day."
Now nearing 30, he said he grew up around alcohol and began drinking constantly as a teenager. Originally from Manchester, he lived in Rockland, Maine, where, as a junior in high school, he was an all-state linebacker whose prowess on the gridiron drew attention from college coaches.
"I shattered my ankle playing basketball," Austin recalled, "and began taking painkillers." At 17, he was "speedballing," or mixing cocaine with prescription opioids. And he continued to drink.
"I loved to party, so I did the cocaine that kept me going so I could drink," he said. He enrolled at Husson University in Bangor, Maine. He played football, continued to drink and drug and got into so many fights he was ultimately told to leave.
Austin enlisted in the Navy, where he became an air traffic controller on an aircraft carrier.
"I landed jet airplanes on the deck of a carrier," he said.
But, he continued to drink and after a rugby match in Malaysia awoke to find himself in handcuffs. Posted to San Diego, he returned to drugs.
"That was the downfall," he said. "Coke pills, heroin — everything — and I got kicked out of the Navy."
Returning to Rockland to live with a sister, Austin began working on lobster boats. Although he continued to drink, he gave up drugs for a spell, but soon began using again. For three years he said he lived for cocaine, pills and heroin before checking into a detoxification program in June 2015.
"I sobered up, then had a beer at my sister's wedding and went back to doing drugs, " he said. He remembered thinking he was a lobsterman as he shuffled from one job to the next, then confessed, "All I was doing was getting a reputation as a drug addict."
Then Austin woke up covered in blood, on the couch. As he poised a needle over his forearm, he asked himself, "Why am I doing this? I don't need this. It's overwhelming," he continued. "You just don't want to be sick," he said, referring to the pangs of withdrawal. "You're always chasing. I got tired of chasing that dragon."
He said that the $20,000 he had saved to tide him over during the winter was gone and he figured "if a cat has nine lives, I've got five already."
"I reached out," Austin said. His family, with who he had not spent Christmas in years, came together for him.
"My father told me 'I want to die before you do,'" he recalled.
Austin called Bartlett, but hesitated when he learned the cost of the program.
"Randy, told me to get myself down here and we'd work it out," he said. "I'm paid up for three months."
"I'm high on life. I can do this," Austin declared. "I landed planes on an aircraft carrier!"