Similarly, I don’t think you could reasonably suggest that someone who has a couple of glasses of wine during such events has a drinking problem.
> Significant drug users often don't realize how much of a bubble they're in. Also, the goalposts for having a drug problem tend to be moved around a lot when everyone you know is using drugs regularly. Typically, being unable to say no when offered a drug is a sign of having a problem
Personally, I’d consider someone who uses cocaine on a daily basis to have a problem. I’d also like to suggest that it’s pretty hard to have a cocaine problem and not use cocaine on a daily basis.
OTOH, someone who infrequently shoots up cocaine probably isn’t addicted but would be engaging in some seriously risky behaviour unless they’re able to very precisely measure their dosage. I’ve never heard of anyone doing that though, it’s certainly not a common activity among the upper socioeconomic classes.
> The works "typical" and "meaningful" are doing a lot of work here. One of my friend groups has a lot of ER nurses. They see a non-trivial number of people coming to the hospital from casual cocaine use. These cases are generally waved away as other conditions by drug users (e.g. heart attacks, etc) and therefore they don't "count" in some people's minds. Yet it's a common finding for them on blood workups for people, including young people, arriving with cardiovascular problems
To my knowledge there exists no evidence that anything less than massive cocaine use could result in new cardiovascular issues. Of course it may trigger an existing condition, but someone who has a heart attack during normal casual use of cocaine would probably be prone to have one during exercise also. The stress on the heart from cocaine usage is not particularly different from fairly normal day-to-day activities of people who do not use cocaine.