someone who only took fentanyl. So that took a while to get to, but Barrish stumbled across a neuropsychologist in West Virginia who had seen one of these patients, but chalked it up to amphetamines, because he wasn't tested for fentanyl. So Barrish called him up and said, you know, if you see this again, can you test for fentanyl? So a short time later, in fact, that did happen, and the person was positive for fentanyl, but he was also positive for a handful of other drugs. So another option was to look at the chief medical examiner in Massachusetts at their office, because they do test for fentanyl when someone dies of an overdose. But for complicated reasons, that just didn't seem like an appropriate research project. But then the third option was go back to the Massachusetts doctor community with another alert from the Department of Public Health and say, if you see another such patient, it would be great if you could test for fentanyl. So very quickly, they got four such cases, (18/37)
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