ニューヨーク・タイムズさんのインスタグラム写真 - (ニューヨーク・タイムズInstagram)「Kalamazoo, a small city in Western Michigan, is a way station along the drug trafficking corridor between Chicago and Detroit. In its parks, under railroad overpasses and in the woods, people ensnared by drugs scramble to survive. Dr. Nic Helmstetter, who makes weekly primary care rounds with a program called Street Medicine Kalamazoo, carries medications to reverse overdoses, blunt cravings and ease withdrawal-induced nausea. But increasingly, the utility of these therapies, developed to address the decades-old opioid crisis, is diminishing. They work to counteract the most devastating effects of fentanyl and heroin, but most users now routinely test positive for other substances too, predominantly stimulants such as cocaine and methamphetamine, for which there are no approved medications. The shift is making treatment far more difficult. Our reporter, Jan Hoffman, who covers addiction, reported from encampments and treatment clinics in Western Michigan. Tap the link in our bio to read the full story. Photos by @hlswift」11月16日 8時38分