Winnipeg Free Press (Newspaper) - February 3, 2025, Winnipeg, Manitoba
Too many patients
Re: ‘Dr. Google’ comes with risks, campaign
warns (Jan. 31)
People of Manitoba would not have to refer
to Dr. Google if we got our appointments, tests,
and diagnoses done in a timely manner instead
of having to wait six months or more to see a
specialist or get an MRI done.
This is not the fault of the people working in the
health-care system but it is the fault of govern-
ment letting too many people into the country and
not keeping up with the service increases that are
needed to accommodate these people.
Either increase the services quickly or signifi-
cantly decrease the amount of people coming into
the country and hope we can catch up with the
backlog as soon as possible, before more people
die waiting for a test or doctor.
RON ROBERT
Winnipeg
Defining mass timber
Re: “Forests and trees” (Letters, Jan. 31)
In his Jan. 31 letter, Ken McLean was con-
cerned that old-growth forests are being cut
down to produce mass timber for the proposed
seven-storey high-rise building near the Forks.
He then stated, “I must be missing something.”
Here is what he is missing. Mass timber is sim-
ply regular dimensional lumber (2x4, 2x6, etc.)
that is glued or laminated together, often at right
angles to each other to create strength. Entire
walls and floor can be manufactured faster and
cheaper and then assembled onsite.
These forest products are known as CLT
(cross-laminated timber) or GLT (glue lami-
nated timber). Cross-laminated timbers can be
made into almost any thickness, or length. The
dimensional lumber comes from regular saw-
mills, using spruce, pine or balsam fir (that’s the
SPF you see stamped on lumber) from managed
forests, not old-growth forests. Using timber in
this manner has a lighter carbon footprint than
steel or concrete, and comes from a 100 per cent
renewable source.
Canada owns 10 per cent of the world’s forests,
and are sustainably managed using Forest Stew-
ardship Council standards (fsc.org). We harvest
less than one per cent of our approximately 400
million hectares of forest. We lose far more annu-
ally to insects, fire and disease. These facts can
be found on the Canadian Forest Service website
(natural-resources canada.ca)
Old-growth forests are wonderful ecosystems,
and only exist because they have ‘dodged the
bullets’ that Mother Nature throws at our forests
daily, such as ice storms, wind storms and other
dynamic and natural forces, and even they, too,
like all life forms, eventually die of old age.
BOB AUSTMAN
Beausejour
Up-close view of atrocity
Re: “Painful history” (Letters, Jan. 28)
In spring of 1964 at the age of 24, whilst
residing in Germany and touring the beautiful
and historic countryside, I had the occasion to
walk through one of the concentration camps
(Dachau), north of Munich with no inkling of
what I was about to perceive.
I came face to face with, up until then, the writ-
ten horrors of the Second World War. Reminders
of life as depicted in a concentration camp were
everywhere. It was raining the day I went for
this memorable walk and my feet sunk into mud
as I trudged from barracks to the ovens to the
showers. The ghosts of lost souls were all around
you. You could hear, see, smell and yet there was
no one there now.
Displays for the public consisted of caked blood
on the wall, the floor and the beating clubs. Pho-
tographs of atrocities and some of the lost souls
were hanging everywhere along with the ghostly
screams and unearthly silence.
My walk through this death camp was made on
Good Friday which made it even more memora-
ble to me as something that should never have
been. I will never forget witnessing the living
nightmare that was. Trembling from the unearth-
ly surroundings, I left the premises, quietly and
silently, feeling like an intruder on the outside
looking in at unimaginable suffering.
I learned nothing of this in school. Rene Jamie-
son has an indelible knowledge of these ghosts of
lost souls, as do I.
DIANE R. UNGER
Winnipeg
Fearing for Canadian science
Re: Trump’s calculated assault on science (Think
Tank, Jan. 27)
While it is disturbing, though not surprising,
that Donald Trump is attacking scientific institu-
tions, halting new research, muzzling scientists
and destroying climate-related research, I am
more alarmed at the prospect of Pierre Poilievre
and the Conservative Party repeating similar
tactics that Stephen Harper used against federal
scientific institutions in Canada when he was in
power.
In 2012, the Harper Conservatives eliminated
many federal scientific programs, most notably
the world-renowned Experimental Lakes Area.
Scientists were restricted from speaking to citi-
zens about their research, with staffers appointed
to monitor them. I remember scientists and con-
cerned citizens publicly demonstrating against
these actions by the Conservatives, something in
which scientists, in their professional capacities,
rarely engage.
Poilievre has been part of the Harper Conser-
vative caucus since 2004 and was there in 2012
when these assaults on our scientists took place.
Since being elected to lead the Conservatives, I
have heard him repeatedly use the same demean-
ing language used by Trump, directed against
people and organizations at large, accusing
them of being “elites” and “woke.” Yet, I have
never heard him explain what he means by this
language, or specifically who he is targeting.
I watched him support the participants of the
“freedom” convoy and make clear his stance
against vaccine mandates. He and his party have
hammered people with a deliberate campaign of
misinformation about carbon pricing, yet I have
not heard any practical policy ideas that would
help us reduce our carbon emissions.
Given these circumstances, and his support
for the assaults on science that took place under
Stephen Harper, I have no doubt that Poilievre
will unleash similar, calculated and devastating
assaults on our scientific and public health insti-
tutions.
KIM TYSON
Winnipeg
Managing Trump
In planning how to navigate the second Trump
presidency, it may be useful to examine the na-
ture of the person we’re dealing with.
Commonly accepted characteristics of “anti-
social personality disorder,” i.e., sociopathy, in-
clude: lack of empathy, inability or unwillingness
to distinguish between right and wrong, lying,
lack of respect for others, criminal behaviour,
sense of superiority, and hostile, aggressive
behaviour. In other words, a clear portrait of
Donald Trump.
Then, we have to remember that a majority of
Americans voted for him. So, what to do? I sug-
gest that, given the power of this particular socio-
path, avoid unnecessary provocation, but respond
calmly and proportionally in ways that don’t
unduly harm Canadians. Give urgent priority to
finding non-American trading partners, including
Canadian ones in other provinces. Aggressively
promote “buy Canadian” and stringently avoid
buying U.S.-made products.
And importantly, do not give your political sup-
port to those who support or would emulate the
policies of such a person.
RON MENEC
Winnipeg
LETTERS TO THE EDITOR
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A6 MONDAY FEBRUARY 3, 2025
Safe consumption sites and unacceptable risk
L
ET’S take a trip down into your bowel. Or,
maybe, into the bowel of someone close to
you. Or, more accurately, into the bowels of
downtown drug culture in Winnipeg.
Let’s talk about Lomotil. Not just Lomotil, but
its generic equivalents as well.
In some ways, Lomotil is a sort of classic med-
ical equivalent of “the enemy of my enemy is my
friend.”
Here’s why — the No. 1 side effect of treating
people with opioid drugs for pain or anything else
is constipation. The side effect is so common that
it hits 40 to 90 per cent of people being treated
with opioids, and happens because, along with
everything else they do, opioids slow down the
entire digestive tract.
(We could more thoroughly spell out the me-
chanics of how that works, but perhaps it’s taking
things too far. And taking things too far, after all,
is what Google is for.)
So, researchers harnessed a bad thing to do a
good thing: they took the side effect of opioid use
to treat the exact opposite of constipation. The
opioid they used is diphenoxylate hydrochloride:
it does to the digestive system exactly what other
opioids do, and to prevent it, like many other
opioids, from being abused, they combined it with
atropine.
Atropine, which actually first came from the
poisonous plant known as deadly nightshade,
counteracts some of the unwanted effects of the
diphenoxylate. (The atropine isn’t completely
effective in its role as supporting actor — side
effects listed for the combination still warn that
“physical dependence, psychological dependence,
and abuse are possible at high doses.”)
After science put the two together, Lomotil was
born and marketed as prescription-only.
The combination doesn’t actually solve the
issues causing the diarrhea, but it does address
the effect.
So, how do we get from an anti-diarrheal
prescription drug to the gritty edges of Winnipeg
drug culture?
Well, unlike the mechanism that makes Lomotil
work, the connections aren’t easily and directly
drawn out.
Last Sunday, 10 males overdosed in a span of
two hours in inner-city Winnipeg, stretching
emergency services to their limits. The culprit
is not certain in all of the cases, but the main
suspect is a drug combination with the nickname
“brown down.” Brown down is a mixture of ben-
zodiazepenes, fillers, and sometimes opioids.
The same day, Safer Sites, an advocacy group
for a supervised consumption site, sent out a drug
alert saying that brown down samples had tested
positive for … diphenoxylate hydrochloride.
Those who took the drug most likely had no
idea that it had a drug used for halting diarrhea,
how much there was in their drugs, or even
where it came from. Nor do we.
Some editorials look for solutions. Others ex-
plain issues. This one, perhaps, is just looking for
a little understanding, with a small explanation of
a solution tucked in, too.
What it’s asking you to understand is that some
people are so desperate that they don’t even care
what they are putting into their bodies to get the
high they’ve come to need.
Lomotil is always the same: the basic formula-
tion is 0.025 mg of atropine and 2.5 mg of diphe-
noxylate in a round, white tablet with “SEARLE”
stamped on one side and “61” on the other side.
The tablet also contains acacia, cornstarch, mag-
nesium stearate, mineral oil, sorbitol, sucrose,
and talc.
Street drugs don’t come with a list of ingredi-
ents or an expectation of purity.
The solution we’re trying to explain the need
for, perhaps in the most roundabout of ways,
is that there’s a reason there have to be safe
consumption sites — including the capability for
testing street drugs for dangerous contaminants
— and available treatment to help protect those
around us who are most at risk.
EDITORIAL
Published since 1872 on Treaty 1 territory and the homeland of the Métis
DARRYL DYCK / THE CANADIAN PRESS
Drug users often don’t know what they’re using.
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