Podcasts about opioids

Season 5, episode 8 of Just Us: Before, Birth, and Beyond highlights two amazing programs at the University of North Carolina at Chapel Hill: UNC Horizons, a substance use disorder treatment program for women including those who are pregnant and postpartum; and the Opioid Data Lab, a drug checking program that analyzes samples sent in from across the United States.  Elisabeth Johnson, director of UNC Horizons, and Illyana Massey, a licensed therapist and community liaison for the Opioid Data Lab, discuss the ins and outs of their respective programs and strategies that they use to stay ahead of an ever-changing drug supply. Key Resources: UNC Opioid Data Lab - UNC Street Drug Analysis Lab and OpioidData.org newsUNC Horizons Perinatal SUD Clinic - UNC Horizons ProgramNorth Carolina's Perinatal Substance Use Disorder Network - NC PSUD Network | Perinatal Substance Use Disorder Network [PSUD Network]SAMHSA Guidance - clinical guidance for treating pregnant and parenting women with opioid use disorder and their infantsPerinatal Harm Reduction Toolkit - Toolkit: Pregnancy + Substance Use | Academy of Perinatal Harm Reduction We would love your feedback on our podcast!  Please take our listener survey to provide your comments.Music credit: "Carefree" Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 4.0 Licensehttp://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK 

In this episode of Real Life Pharmacology, we're taking a closer look at two unique opioids: methadone and buprenorphine. Both medications have important roles in pain management and opioid use disorder, but their pharmacology, dosing, drug interactions, and safety considerations are quite different. We'll review the key clinical pearls you need to know when using these medications in real-world practice. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

A 16-year-old boy from San Francisco died in April from the city's first confirmed overdose involving cychlorphine . The synthetic opioid is considered much more potent than fentanyl, which is already more potent than heroin and other opiates. It has killed dozens of people across the country since 2024. This week, San Francisco police announced they had arrested four suspects accused of supplying the deadly pills in the overdose case. We'll talk about San Francisco's  response so far, -and what the arrival of this deadly drug means for a city that has struggled with more than 4,000 drug overdose deaths since 2020. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sioux Falls City leaders are collaborating on an executive order to put guardrails around automatic license plate reading cameras; the South Dakota Department of Tribal Relations holds its annual summit — known as STOMP — to discuss opioid use on reservations.

On Kim on a Whim, Kim St. Ange and Marc Cox discuss media reports from TMZ surrounding the death of actress Hayden Panettiere, who reportedly passed away after consuming a counterfeit oxycodone pill laced with fentanyl. The hosts analyze broader public health statistics from the Centers for Disease Control and Prevention (CDC), examining synthetic opioid mortality trends and border enforcement measures. The segment transitions into local hunting updates with the opening of Missouri's bow season. LISTEN TO 97.1 FM TALK LIVE IN ST LOUIS OR STREAM WORLDWIDE AT 971TALK.COM #971FMTalk #StLouis #STLNews #KimonAWhim #PublicHealth #BorderSecurity

Contributor: Travis Barlock, MD Educational Pearls: What is pulmonary edema?  Pulmonary edema is the accumulation of fluid initially in the interstitium of the lungs, that when severe enough can also accumulate in the alveolar air sacs. It develops when the rate of fluid filtration through the pulmonary vasculature out-paces the lymphatics ability to drain the fluid.  There are 2 theories for what causes pulmonary edema in the setting of naloxone administration: catecholamine surge vs negative pressure/barotrauma Catecholamine Surge : Naloxone administration precipitates an acute opioid withdrawal in which epinephrine and norepinephrine surge causing marked vasoconstriction on both the heart and the lungs   Negative Pressure/Barotrauma: This mechanism is not directly naloxone related but may be confounded by opioid effects. High dose synthetic opioids can induce sustained laryngospasm that is not mu-opioid mediated (thus not easily reversed by naloxone). With rapid awakening, respiratory muscles induce a negative pressure in the thoracic cavity against a closed glottis. This results in an alveolar barotrauma and a transudative pulmonary edema. What is the treatment for pulmonary edema secondary to opioid overdose reversal? Positive pressure ventilation is the mainstay treatment (CPAP/BiPAP) with oxygen supplementation. Importantly, diuretics are not recommended. The patient is not fluid overloaded like in the case of other pulmonary edemas, and diuresing the patient can worsen kidney injury which is already at an increased risk in opioid overdoses (rhabdomyolysis in particular).     References: Saari TI, Strang J, Dale O. Clinical Pharmacokinetics and Pharmacodynamics of Naloxone. Clin Pharmacokinet. 2024;63(4):397-422. doi:10.1007/s40262-024-01355-6 DailyMed - NALOXONE HYDROCHLORIDE injection, solution. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=201fdedf-1736-4e52-9d7d-de14292547fd Boyer EW. Management of Opioid Analgesic Overdose. New England Journal of Medicine. 2012;367(2):146-155. doi:10.1056/NEJMra1202561 Dezfulian C, Orkin AM, Maron BA, et al. Opioid-Associated Out-of-Hospital Cardiac Arrest: Distinctive Clinical Features and Implications for Health Care and Public Responses: A Scientific Statement From the American Heart Association. Circulation. 2021;143(16):e836-e870. doi:10.1161/CIR.0000000000000958 Kienbaum P, Thurauf N, Michel M, Scherbaum N, Gastpar M, Peters J. Profound Increase in Epinephrine Concentration in Plasma and Cardiovascular Stimulation after [micro sign]-Opioid Receptor Blockade in Opioid-addicted Patients during Barbiturate-induced Anesthesia for Acute Detoxification Anesthesiology. 1998;88(5):1154-1161. doi:10.1097/00000542-199805000-00004 Summarized by Dan Orbidan, OMS3 | Edited by Dan Orbidan & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

Today, we’re bringing you the best from the KUOW Newsroom. First, people who live in the San Juan Islands in northwest Washington state enjoy a uniquely remote way of life. But their separation from the mainland can be a problem when it comes to getting timely health care. Next, as the weather gets cooler, now may be a good time to prepare for the next heat wave. If you’ve made it this far with minimal A-C – we’ve got some tips to keep you going strong. And finally, opioid addiction is one of the most devastating health crises facing our communities. Now, researchers in the Pacific Northwest are harnessing the power of the immune system to give people a better chance of recovery. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online or on the KUOW App.See omnystudio.com/listener for privacy information.

​The U.S. Attorney's Office says from 20-22 to 20-25, Ibrahim used information stolen from physicians to write thousands of fraudulent prescriptions for opioids and other controlled substances. Ibrahim and other people then illegally sold the drugs in the Chicago area. Ibrahim financially benefited from the scheme, resulting in the forfeiture of $200,800 in illicit proceeds that was seized from her residence. This month, a judge sentenced Ibrahim to five years in federal prison.

On this podcast episode, we will explore the most important practice pearls of codeine and fentanyl. Both medications are opioids, but codeine is frequently found in combination with acetaminophen. Fentanyl has numerous unique dosage forms, including the transdermal formulation which is a source of frequent test questions. I break these two medications down in this podcast episode.

On this episode of Vitality Radio, Jared kicks off a 4 part series challenging the way we think about symptoms. Are fever, inflammation, and pain problems to eliminate, or intelligent responses designed to protect and repair the body? Jared explores why the body creates these signals, what they may be trying to accomplish, and what can happen when we automatically suppress them. He examines fever and immune response, inflammation and tissue repair, pain as protective communication, and the widespread use of acetaminophen, NSAIDs, and opioids. You'll also hear the troubling history of Vioxx and OxyContin and why understanding the cause behind a symptom matters. This episode offers a different framework - listen to what your body is telling you before simply trying to silence the signal. Additional Information:***Watch for all 4 parts of this series on Symptoms!Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.This podcast is produced by DrTalks.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

#podcast #interview #rhodeisland timestamps0:00 Intro & Helena Foulkes Introduction1:15 Growing Up in Rhode Island2:23 Wall Street, Harvard & Joining CVS3:06 Thyroid Cancer Diagnosis & Recovery4:44 Becoming President of CVS5:15 Career Ambition, Motherhood & Leadership6:50 Leaving CVS & Running Hudson's Bay7:16 Why Helena Entered Politics7:49 Losing the 2022 Governor Race by 3,000 Votes9:34 Family Support, Politics & Public Scrutiny13:34 2026 Governor Race vs Dan McKee15:30 Campaign Fundraising Explained19:45 Political Donations, PACs & Influence22:08 "CEO Governor" Criticism24:42 CVS, Opioids & Accountability28:50 CVS Caremark & Oxycodone Questions31:22 Purdue Pharma, Sacklers & Dodd Center34:14 Washington Bridge Crisis41:01 Rhode Island Roads & Potholes44:02 Government Transparency & Accountability47:53 Blizzard of 2026 & Climate Resiliency52:05 Housing Crisis & Millionaire Tax Plan56:00 Affordable Housing & Homelessness1:00:45 Out-of-State Developers & Corporate Ownership1:03:30 Education Reform & Trade Schools1:08:00 Rhode Island College Hope Scholarship1:12:00 Epstein Files, Larry Summers & Campaign Donations1:15:00 Favorite Rhode Island Restaurants & Rapid Fire1:22:40 Final Thoughtshttps://linktr.ee/clubambitionUNCUT PATREON https://www.patreon.com/ClubAmbitionDISCORD COMMUNITY: https://discord.com/invite/M8Kmha8UqvMERCH: https://clubambition.shopListen To Podcasts: https://podcasters.spotify.com/pod/show/clubambitionWatch Spanish Podcast El Po K: https://www.youtube.com/watch?v=BqOENhDvdQ0&list=PLNukP3hLjNb_ITL34h3Gjue3z9KWiF-px Watch CAP: https://www.youtube.com/watch?v=W4YVeSYZi28&list=PLNukP3hLjNb_zwvsdwqTOGvgBb-_Ym2mL&pp=gAQBiAQBFOLLOW US!Podcast IG: https://www.instagram.com/clubambitionpodcast/Owner/Host/Editor | Victor SOUND: https://www.instagram.com/itsavibe/CAP Co-Host / Producer | Marloon: https://www.instagram.com/imfromthe401/CAP Co-Host | Noel: https://www.instagram.com/noelfrias_/CAP Co-Host | Earlyn: https://www.instagram.com/complex.mindset/El Po K Host | Maestro Vitiko: https://www.instagram.com/vitiko_baez_el_po_k?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==El Po K Co-Host | Locotron: https://www.instagram.com/iambenjaminrd?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==Graphic Designer | Edwin: https://www.instagram.com/edrebels/TikTok: https://www.tiktok.com/@clubambition/Twitter: https://twitter.com/ClubAmbition__/-----------------------------------------------------------Want to promote your music or hire us for marketing?Email us if interested in business! - ClubAmbition401@gmail.com-------------------------------------------------------------RIP: Nipsey, Mac, XXXTentacion, Juice, Pop, Von, DMX, Virgil, Dolph, Takeoff, RHQ, CLARK KENT---------------------------------------------------------------------COPYRIGHT DISCLAIMER ALL RIGHTS BELONG TO THEIR RESPECTIVE OWNERS

Send us Fan MailGuest Bio Dr. Robert Hall | Medical Director, Optum Workers' Comp and Auto No-Fault12 years leading medical direction and formulary oversight at OptumPhysical medicine and rehabilitation (PM&R) specialist maintaining active clinical practice one day per week with injured workersStrategic voice on PBM industry trends, emerging drug therapies, and AI's role in claims prioritizationOur Conversation We explore pharmacy spending trends, compensability questions around new medications like GLP-1s and migraine medications, and how AI can help claims professionals prioritize without replacing judgment. Our conversation builds on CompPharma's 20th Annual Survey released earlier this year. Dr. Hall provided context from his unique PBM perspective.See the CompPharma 2025 Prescription Drug Management in Workers' Compensation SurveyKey Discussion PointsScript Volume Down, Per-Script Costs Up Prescriptions filled decreased 4%, yet per-script costs rose over 4%. Fewer generic opioids are available, causing providers to transition patients to more expensive alternatives. When lower-cost options aren't working, switching to higher-cost versions becomes the default.Opioid Decline Slowing Opioid spend dropped 7%—slower than the 13% annual declines of prior years. While fewer people are on opioids overall, those taking them can face additional complications such as opioid-induced hyperalgesia, where the pain medication itself makes pain worse. Providers unknowingly increase doses thinking pain is worsening, creating a spiral that drives costs and complexity.Efficiency Remains the Industry's Biggest Gap According to Dr. Hall, despite much progress, feedback from injured workers and treating providers is consistent: speed remains a big issue. Authorization turnarounds, surgery approvals, and medication approvals all lag. Efficiency directly impacts outcomes.GLP-1s: Compensability Questions Without Clear Answers GLP-1 medications (weight loss drugs) are appropriate when weight loss is necessary for surgery or when catastrophic injuries cause weight gain. But with 30-40% of adults overweight or obese, there's a strong incentive to route these expensive drugs through workers' comp claims instead of out-of-pocket. The core tension: just because a drug is medically effective doesn't make it work-related. Clear frameworks are needed to distinguish compensable uses from general health expenses.A parallel exists with migraine medications—highly effective for a common condition (10% of the population), creating similar pressure to tie them to workers' comp when they may not be compensable.Important caveat: GLP-1s carry real risks. Severe nausea, vomiting, diarrhea, pancreatitis, and hospitalizations have occurred. When complications arise, they become part of the claim, adding complexity and cost.PBMs Score Highest on Customer Service PBMs earned their strongest-ever customer service grades in this year's CompPharma survey. Relationships matter as much as technology. Speed, communication, and partnership mindset drive loyalty.AI Adoption Rising—But De-skilling Risk Is Real About one-third of respondents now use AI tools. The cautionary tale: radiologists improved cancer detection with AI, but their standalone diagnostic ability declined after using it. For workers' comp, AI's highest value is prioritization—flagging the 2 catastrophic claims out of 100 that need immediate attention. The goal is to free human judgment for complex decisions, not replace it. We need to keep using and challenging our brains. Early Identification of Catastrophic Claims AI could synthesize accident type, injury location, physician findings, diagnostic studies, and functional capacity to identify claims spiraling toward permanent total or catastrophic status before they explode in cost. Early intervention changes trajectory.The risk: "creeping catastrophic" claims. Injuries that seem manageable but don't close gradually become complex and expensive. Opioid dosing spirals, high-cost alternatives accumulate, and routine claims become catastrophic without anyone realizing when the shift happened.State Variations as a Learning OpportunityFor folks newer to workers' comp, Dr. Hall suggests the 50 different state regulatory frameworks aren't just learning obstacles—they're live experiments in how to approach injury treatment. Professionals entering the industry should embrace this complexity and diversity to build deeper medical and operational knowledge.The Motorcycle Pivot Dr. Hall learned to ride a motorcycle last year after walking away from the idea a decade ago (when a bike cost as much as new kitchen cabinets). He's now ridden 1,000 miles on quiet Sunday afternoons. ¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp 

David Lombardo, of WCNY's The Capitol Pressroom, sits down with Dr. Chinazo Cunningham, Commissioner of the New York State Office of Addiction Services and Supports, to unpack the state's opioid settlement funds and the work to help with addiction recovery efforts. The Great New York State Fair is back! Shantel Destra and Elise Kline take a day trip to Syracuse to experience the fun fair traditions and new attractions.   EXPLORE MORE: nynow.org

A study by an Alberta Crown Corporation could shift the way opioid overdose cases are handled after data linked those medical events to a higher risk of irreversible brain damageand early death, with teenagers particularly vulnerable. This interview for Episode 34 with the CEO of the organization CoRE, Kym Kaufmann, was the basis of our report on the study in The Winnipeg Sun this week. Bombshell study links opioid ODs to irreversible brain damagePart 1- Marty provides an update on the surge in donations tothe Season 7 Funding Drive- now over $3600 – and a recap of his most recent newspaper columns:Winnipeg losing whack-a-mole game as illegal encampments flourishOnce a gem now a hazard, riverwalk faces ongoing neglectWest Broadway encampment explosions, raging fire the result of a lack of political courage9.02 Part 2- Officials from the Canadian Centre for Recovery Excellence (CoRE) sent a Letter to the Editor published in the journal Addiction, entitled ‘The silent consequence of overdose: The case for brain injury-informed opioidtreatment', after their study of patient data from British Columbia. As Kym Kaufmann, a co-signer of the letter explains, theydetermined opioid overdoses can cause immediate brain damage, especially in teens- and this information is not considered in current treatment guidelines.The letter summarizes that "within 1 year of a first overdose, adults have a 6% risk of diagnosed brain injury, whilethose under 19 years of age face a greater risk (10%).” She discusses why the Canadian Centre for Recovery Excellence study should lead to an increased emphasis on helping addicts get off drugs in the first place. That's because reviving addicts from overdoses may save them from death, but can also result in accumulating repeated brain injuries that affect mental health, heighten dysfunction and can result in public disorder and safety emergencies. In Alberta, "we ‘re rethinking how we respond to over dose events. Over dose events lead to brain injury. Multiple overdoses result in cumulative brain injury, so we think about preventing the next overdose - and not just reversing it.”23.48 Part 3 - Marty asks about the downstream effect of current guidelines not recognizing that brain injury treatment should be part of addictions medicine."it's a growing epidemic... we can also help alleviate the burden on the health system by helping to intervene sooner."30.45- Kaufmann, a former Deputy Minister of Health in Manitoba, explains the origins of controversial government "harm reduction" policies and cautions that moving forward, policies must be focused on "Truly reducing harms for individuals and for society". Hear about how needle exchange programs abandoned the'return' part in favour of becoming a needle distribution program.****In the Sun on Sunday- the story of a Grade 6 boy's work this summer in Transcona to raise money to expand his small neighborhood business, with the help of his younger brotherand grandmother.*****Coming in September- more civic election candidate interviews; the results of a Freedom of Information filing (or two); and a Crime, Courts, and Public Safety update episode.HAVE A GREAT LONG WEEKEND!

In Part 2 of my series on opioids, I cover hydromorphone, oxycodone, and oxymorphone. Hydromorphone and oxycodone are two opioids that are used frequently in clinical practice, and I will discuss what makes them unique, in addition to numerous other practice pearls and test prep nuggets. Enjoy the podcast and be sure to share it with friends, colleagues, and students! Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

Harm reduction approaches are well-established public health interventions that can reduce mortality associated with substance use. Concepts related to harm reduction and overdose prevention have been virtually absent in the nursing education literature. This study by Dr. Brayden Kameg and colleagues evaluated changes in nursing students' perceptions toward people who use drugs and knowledge, beliefs, and attitudes about overdose prevention following an opioid overdose prevention workshop using simulation. A total of 569 students participated in the workshop. Competence and readiness to manage an overdose increased among participants (P < .01).

[Rerun] Dr. Kirk and Humberto discuss the HBO documentary The Crime of Century, which details the corruption of the opioid crisis. July 26, 2021This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month. Support us by... Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleContact us/more info... Email: https://www.psychologyinseattle.com/contactAbout Dr. Kirk: https://www.psychologyinseattle.com/about-dr-kirk-hondaWebsite: https://www.psychologyinseattle.comGet stuff... Merch: https://psychologyinseattle-shop.fourthwall.com/KIRKgram (like Cameo): https://www.psychologyinseattle.com/kirkgramThe Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being. Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

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Walmart settles a federal opioid lawsuit for $50 million, the FDA has authorized the marketing of three new Juul e-cigarette products, and Loblaw revives its “Buy Canadian” campaign.

Today, we’re bringing you the best from the KUOW Newsroom… First, the Suquamish Tribe has unveiled a new social studies curriculum for neighboring public schools to use. It’s part of a statewide decades-long effort to teach Washington state students tribal history. Next, at least three research and development facilities in the Northwest are being considered for closure after US Forest Service restructuring. Scientists are working to continue long term research as they wait for answers. And finally, a group that’s been working for years to help address the opioid epidemic in Pierce County is being quietly shut down. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online or on the KUOW App.See omnystudio.com/listener for privacy information.

AP's Lisa Dwyer reports on a pain specialist who the DEA says doled out thousands of illegal prescriptions for pain killers.

On part 1 of opioids, I’ll discuss morphine, morphine equivalents, conversion, and hydrocodone. The pharmacokinetic differences will be important between opioids, as well as the dosage forms. I hope you enjoy this podcast episode and share it with your friends! Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

Watch Here : https://www.youtube.com/watch?v=qhGSBWOgJtk Website: https://vigoroussteve.com/ Consultations: https://vigoroussteve.com/consultations/ eBooks: https://vigoroussteve.com/shop/ YouTube Channel: http://www.youtube.com/user/VigorousSteve/ Workout Clips Channel: https://www.youtube.com/channel/UCWi2zZJwmQ6Mqg92FW2JbiA Instagram: https://instagram.com/vigoroussteve/ TikTok: https://www.tiktok.com/@vigoroussteve Reddit: https://www.reddit.com/r/VigorousSteve/ PodBean: https://vigoroussteve.podbean.com/ Spotify: https://open.spotify.com/show/2wR0XWY00qLq9K7tlvJ000 Patreon: https://www.patreon.com/vigoroussteve

At three years old, mid-meltdown, Theresa Harmon's son looked up at her and said: "I wanna calm down, Mommy, but I don't know how." She's a social worker. She spent years in child welfare before she became a mom. She was still lost.Doctors told her what they tell every family: "He'll go through withdrawal, and then he'll be fine." Teresa has spent the last decade fighting that myth.This episode gets honest about what opioid exposure actually means, not the terrifying Google version, not the everything's-fine-after-the-NICU version, but the truth that lives in between.In this episode:What actually counts as an opioid and why fentanyl exposure specifically tends to show up as more severe hyperactivity, inattention, and sleep troubleThe myth Teresa's spent a decade fighting: "he'll go through withdrawal, and then he'll be fine" — and why the neonatologists repeating it never actually go home with these kidsWhy the "no lasting effects" story and the "everything is ruined" story are both wrongThe two most common diagnoses beyond NAS/NOWSThe hospital protocol that's replaced older withdrawal scoring, and the swaddling, dim lighting, skin-to-skin, and breastfeeding tools that help at homeWhat to actually ask a pediatrician before trusting them with your child's history and why "I've worked with adopted kids before" tells you nothingTeresa's own son at three, mid-meltdown, telling her he wanted to calm down and didn't know how — and what she's learned about that moment in the decade sinceAbout Theresa:Teresa Harmon is a social worker turned psychiatric nurse practitioner specializing in kids in foster care and adoption who have prenatal opioid exposure. After her oldest son was born opioid-dependent and she couldn't find the support she needed, she founded To The Moon and Back, a Massachusetts-based nonprofit now in its 10th year, serving families nationally through case management, support groups, provider education, and published research with Child Trends. She's an adoptive mom of three, ages 13, 8, and 2.Connect with Theresa:To The Moon & Back: tothemoonandback.org Instagram: https://www.instagram.com/tothemoonma Facebook: https://www.facebook.com/ToTheMoonMA/ Beyond NAS Private Facebook Group: https://www.facebook.com/groups/beyondnas Research mentioned:- TTMAB's 2 published studies (Theresa to send links)- Dr. Jonathan Davis, Tufts Newborn Medicine — created the alcohol-free methadone formulation for NAS weaning; POE/development research (Theresa to send)- Child Trends (Bethesda, MD) — TTMAB research partner- Eat Sleep Console (ESC) — hospital assessment + sensory-based comfort approach for NAS babies- Kennedy Donovan Center — early intervention (Theresa's rapid-fire shout-out)- Perkins School for the Blind — flagging high rates of Cortical Visual Impairment (CVI) in POE kids- MA legislation: automatic early-intervention eligibility bill (Theresa to send status/action link)RG Adoption ConsultingDo you have an adoption "Kismet Moment" you'd like to share? Tell us the story here to be apart of my upcoming podcast episode! https://form.jotform.com/261976309097066Website → ⁠⁠https://rgadoptionconsulting.com⁠ ⁠Book a Complimentary Adoption Strategy Session → ⁠⁠https://rgadoptionconsulting.com/contact⁠The Adoption Roadmap: The Four-Step Process To Adopting Your Baby In Less Than A Year → Buy Here on AmazonBefore you choose an agency, spend money, or move forward—start with these 10 honest conversations that will help you: ⁠https://www.rgadoptionconsulting.com/10-conversations-before-you-adopt⁠ Tune in to The Adoption Roadmap Podcast every Wednesday. If you like what you hear, I'd appreciate a follow and 5-star rating & review! THANK YOU!For questions about adoption, episode suggestions, or to appear as a guest on The Adoption Roadmap Podcast, email⁠⁠⁠⁠ support@rgadoptionconsulting.com⁠⁠⁠

8/26/26, Co-Host Andy Bukowski Eric Nakajima, Holyoke Dir of Planning and Development, pulls back the tofu curtain and shares a vision for regional planning and cooperation. Dr. Sunny Shukla, Cooley Dickinson Assoc Chief Medical Officer & Emerg Dept physician, and Meredith O'Leary, Nhmptn Commissioner of Health and Human Services: the scourge of opioids here and how our community is responding. Atty Michael Fenton, candidate for Governor's Council, on considering and confirming the Governor's nominees for the all the courts in the Commonwealth & the parole board, promoting diversity, and advocating for western Massachusetts. Lisa Wong, South Hadley Town Administrator, on the Override –what's at stake; what happens if it passes; what happens if it is defeated.

This episode examines the declining male labor force participation rate in America, which has fallen to its lowest level since 1948, with roughly one in three men no longer working or seeking work. While mainstream explanations point to manufacturing decline, an aging population, and the opioid crisis, host John Odermatt argues that a decade of DEI policies has systematically pushed men—especially white men—out of industries across corporate America, academia, media, and tech. Drawing on Jacob Savage's viral Compact Magazine article "The Lost Generation" and survey data from hiring managers themselves, the episode presents sector-by-sector evidence of documented hiring discrimination. Odermatt shares his own experience of being pushed out of corporate America and reframes the crisis not as a story of victimhood, but as a call for men to build income streams they control—through entrepreneurship, skilled trades, and commission-based work. The episode closes with a challenge to listeners: stop building your life on a foundation someone else can pull out from under you. Video Chapters 0:00 - The Hook: One in Three Men Are Not Working 1:10 - Welcome to Finding Freedom 2:09 - The Mainstream Explanation: Manufacturing, Opioids & Aging 3:03 - The DEI Explanation: What the Media Won't Say 3:32 - The Raw Numbers: Labor Force Participation Data 6:42 - Jacob Savage's "The Lost Generation" Article 8:18 - Sector-by-Sector: TV, Medicine, Academia, Tech & Media 11:22 - What Hiring Managers Admit: The Survey Data 13:45- The Fallout: Opioids, Video Games & Walking Away 16:07 - The Real Lesson: Build Your Own Escape & Closing Sources: The Lost Generation — Jacob Savage, Compact Magazine: compactmag.com/article/the-lost-generation What's Really Going On With Men and Work — American Institute for Boys and Men: aibm.org/research/whats-really-going-on-with-men-and-work-7-facts 1 in 6 Hiring Managers Have Been Told to Stop Hiring White Men — ResumeBuilder.com: resumebuilder.com/1-in-6-hiring-managers-have-been-told-to-stop-hiring-white-men DEI and the Lost Generation — Christopher Rufo: christopherrufo.com/p/dei-and-the-lost-generation Men's Falling Labor Force Participation Across Generations — San Francisco Fed: frbsf.org/research-and-insights/publications/economic-letter/2023/10/mens-falling-labor-force-participation-across-generations Schedule a 15 minute Gut Health Audit with John: https://calendar.app.google/B9fcGdSFjC5caTVu5 SUPPORT LIONS OF LIBERTY: Help keep this podcast going! We rely on listener support to continue bringing you content on freedom, political reform, and personal empowerment.  Support us on Patreon: https://patreon.com/lionsofliberty Support us on Locals: https://lionsofliberty.locals.com/ Subscribe, rate, and review wherever you listen – it makes a huge difference! Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode examines the declining male labor force participation rate in America, which has fallen to its lowest level since 1948, with roughly one in three men no longer working or seeking work. While mainstream explanations point to manufacturing decline, an aging population, and the opioid crisis, host John Odermatt argues that a decade of DEI policies has systematically pushed men—especially white men—out of industries across corporate America, academia, media, and tech. Drawing on Jacob Savage's viral Compact Magazine article "The Lost Generation" and survey data from hiring managers themselves, the episode presents sector-by-sector evidence of documented hiring discrimination. Odermatt shares his own experience of being pushed out of corporate America and reframes the crisis not as a story of victimhood, but as a call for men to build income streams they control—through entrepreneurship, skilled trades, and commission-based work. The episode closes with a challenge to listeners: stop building your life on a foundation someone else can pull out from under you. Video Chapters 0:00 - The Hook: One in Three Men Are Not Working 1:10 - Welcome to Finding Freedom 2:09 - The Mainstream Explanation: Manufacturing, Opioids & Aging 3:03 - The DEI Explanation: What the Media Won't Say 3:32 - The Raw Numbers: Labor Force Participation Data 6:42 - Jacob Savage's "The Lost Generation" Article 8:18 - Sector-by-Sector: TV, Medicine, Academia, Tech & Media 11:22 - What Hiring Managers Admit: The Survey Data 13:45- The Fallout: Opioids, Video Games & Walking Away 16:07 - The Real Lesson: Build Your Own Escape & Closing Sources: The Lost Generation — Jacob Savage, Compact Magazine: ⁠compactmag.com/article/the-lost-generation⁠ What's Really Going On With Men and Work — American Institute for Boys and Men: ⁠aibm.org/research/whats-really-going-on-with-men-and-work-7-facts⁠ 1 in 6 Hiring Managers Have Been Told to Stop Hiring White Men — ResumeBuilder.com: ⁠resumebuilder.com/1-in-6-hiring-managers-have-been-told-to-stop-hiring-white-men⁠ DEI and the Lost Generation — Christopher Rufo: ⁠christopherrufo.com/p/dei-and-the-lost-generation⁠ Men's Falling Labor Force Participation Across Generations — San Francisco Fed: ⁠frbsf.org/research-and-insights/publications/economic-letter/2023/10/mens-falling-labor-force-participation-across-generations⁠ Schedule a 15 minute Gut Health Audit with John: https://calendar.app.google/B9fcGdSFjC5caTVu5 SUPPORT LIONS OF LIBERTY: Help keep this podcast going! We rely on listener support to continue bringing you content on freedom, political reform, and personal empowerment.  Support us on Patreon: https://patreon.com/lionsofliberty Support us on Locals: https://lionsofliberty.locals.com/ Subscribe, rate, and review wherever you listen – it makes a huge difference! Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug. 25, 2026- State Office of Addiction Services and Supports Commissioner Dr. Chinazo Cunningham discusses the flow and destination of money intended to combat the opioid epidemic secured from legal settlements with opioid manufacturers and distributors.

JOIN THE ACADEMY! VISIT CONCRETESCHOOL.CO TO START LEARNING TODAY.ON THIS EPISODE OF THE CONCRETE LOGIC PODCASTDoes concrete's culture of toughness help people handle difficult work, or does it keep them from asking for help when they need it most? Seth is joined by Mike Schneider, who spent 45 years with Baker and served as senior vice president and chief people officer. They discuss why construction workers may suffer in silence, how supervisors can recognize behavior changes, and why mental health needs the same attention the industry gives physical safety. Mike argues that changing the culture starts with stronger relationships, leaders willing to show vulnerability, and making resources such as mental-health first aid, EAPs, and 988 easier to access.WHAT YOU'LL LEARNWhy construction's traditional tough-guy culture can discourage workers from asking for helpWhy Mike prefers framing the issue around “mental strength”How leaders can make vulnerability and asking for help more acceptable on the jobWhy relationships with crew members matter when identifying changes in behaviorWhat supervisors should notice when a normally dependable coworker begins acting differentlyWhy mental-health first-aid training can be valuable for frontline supervisionHow industry groups are addressing mental health and suicide preventionWhy long hours, travel, layoffs, physical pain, family pressure, and substance use can compound stressWhy simply offering an Employee Assistance Program is not enough if workers do not know how to use itWhy contractors should include suicide response and postvention in crisis planning CHAPTERS(00:00) Construction toughness and the mental-health question (04:01) Why construction workers suffer in silence (09:09) Changing safety culture and redefining strength (11:50) Relationships, behavior changes, and recognizing trouble (15:46) Mental-health resources for the construction industry (20:34) Opioids, overdoses, and Narcan on the jobsite (21:59) Removing stigma and talking openly about mental health (24:15) Why construction faces a difficult combination of risk factors (27:51) EAPs, 988, and making help easier to reach (29:44) Screening tools and starting the conversation (30:37) Language, crisis planning, and postvention (33:05) Mike's closing challenge and contact informationGUEST INFOMike Schneider, Consultant Guest link: https://www.concretelogicpodcast.com/guests/mike-schneider/ Email: schneider@bakersharedservices.comRESOURCES MENTIONEDCIASP - Construction Industry Alliance for Suicide Prevention - preventconstructionsuicide.com US - United Suicide Survivors International - unitedsurvivors.com CMHA - Construction Mental Health Alliance - construction wellness.org ANSW - Alliance for Naloxone Safety in the Workplace - answ.org AFSP - American Foundation for Suicide Prevention - afsp.org Books: “The Anxious Generation - How the Great Rewiring of Children is Causing an Epidemic of Mental Illness” by Jonathan Haldt “YES, You can Talk about Mental Health at Work” by Melissa Doman “Empire of Pain - the Secret History of the Sackler Dynasty” by Patrick Radden Keefe “Dreamland - The True Story of America's Opiate Epidemic” by Sam QuinonesCONCRETE LOGIC ACADEMYConcrete knowledge matters, but leadership also means understanding the people doing the work. Concrete Logic Academy provides practical concrete education, professional-development courses, and real-world lessons connected to the podcast. Join for free: https://concreteschool.coSUPPORT THE PODCASTIf the Concrete Logic Podcast gives you value, send a little value back. You can support the show here: https://www.concretelogicpodcast.com/support/ Interested in sponsoring the podcast or working with Concrete Logic Media? Email Seth: seth@concretelogicpodcast.com Special thanks to Andrew Johnson for supporting the podcast.CREDITSProducers: Andrew Johnson, Jodi Tandett and Concrete Logic MediaMusic by: Mike Dunton https://www.mdunton.com/WHERE TO FIND SETHConcrete Logic Podcast: https://www.concretelogicpodcast.com/ YouTube: https://www.youtube.com/@concretelogicpodcast LinkedIn: https://www.linkedin.com/in/seth-tandett/ Concrete Logic Academy: https://www.concretelogicacademy.com/ Until next time, let's keep it concrete.

For years, Nancy Deyo lived by the same rules many of us have been taught to follow: work hard, stay disciplined, push through discomfort, and keep going.Those strategies helped her build a successful career as a Silicon Valley CEO. But after a medical crisis on Mount Kilimanjaro left her living with chronic pain, years of misdiagnosis, opioid dependence, and an entirely different reality than the one she had planned, she was forced to ask a difficult question:What do we do when the strategies that made us successful stop working?In this deeply honest conversation, Nancy shares what it was like to grieve the loss of the life she expected, navigate years of being told nothing was wrong, redefine resilience, and learn that perseverance doesn't always mean pushing harder.Together, we explore what it means to stop fighting for the person you used to be and begin building a life that honors who you are now.Whether you're navigating chronic illness, burnout, caregiving, grief, retirement, or simply discovering that the old rules no longer fit, this episode is an invitation to consider a different path forward.Because sometimes resilience isn't about enduring more.Sometimes it's about learning to listen.In this episode, we discuss:• Living with chronic pain and medical uncertainty• The emotional impact of being dismissed or misunderstood• Opioid dependence and recovery• Grieving a former version of yourself• Acceptance versus giving up• Slowing down and redefining success• Reinvention in midlife• What resilience looks like when pushing harder no longer works• Lessons from Nancy's forthcoming memoir, Perilous AscentConnect with Nancy:Substack Life Inside Pain: https://nancydeyo.substack.comWebsite: https://nancydeyo.com Connect with Marianne:Website:  Message In The Middle with MarianneMessage In the Middle Facebook Group:  https://www.facebook.com/groups/422430469323847/YouTube:  https://www.youtube.com/@MessageInTheMiddle/playlistsLinkedIn: https://www.linkedin.com/in/marianne-demello-smith-678b9966Email:  Contact | Message In The Middle with MarianneSubscribe to Message In the Middle:Apple PodcastsSpotifyYouTubeLeave Us a Review: If you enjoyed today's episode, please leave a review and share your favorite takeaway. Your feedback helps us reach more listeners and bring you even more valuable content.Keep the conversation going - Join us for more insightful conversations in the Message in the Middle Private Facebook Community & subscribe to Message in the Middle podcas...

Today, we're re-releasing my conversation with psychiatrist Anna Lembke on the future of addiction. Whether its substances, screens, or work itself, addiction in some form touches nearly all of our lives either directly or through someone we care about. Anna breaks down the dopamine mechanisms behind addiction of all kinds, from opioids to social media to, in her own case, romance novels, and shares what actually works in recovery, including exercise and structured abstinence. Whether you're thinking about screen habits, substance use, or just how to build healthier routines, this one's well worth another listen. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Anna Lembke Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces Anna Lembke, a professor of psychiatry and behavioral sciences at Stanford University. (00:01:52) Defining Addiction Why addiction involves compulsive use despite harm, even when the behavior seems ordinary. (00:03:31) Romance Novels and Harm How Lembke's own reading habit became a case study in subtle addiction. (00:05:49) Dopamine and the Addicted Brain What repeated dopamine spikes do to reward pathways and withdrawal symptoms. (00:08:34) Seeing the Problem How naming a compulsive habit can make it visible and open the door to change. (00:10:34) Addiction Medicine Today How the opioid epidemic changed medical training and addiction awareness. (00:12:48) Russ Altman's “Addictions” Russ details his own dopamine habits for the audience. (00:14:37) Exercise and Hormesis Why movement, effort, and discomfort can help restore healthier dopamine patterns. (00:17:22) Dopamine Fasting The self-intervention Dr. Lembke used & her potential cross-addictions. (00:21:22) Vulnerability to Addiction Why genetic risk, family history, and drug of choice shape addiction vulnerability. (00:22:53) The Opioid Epidemic How prescription opioids, heroin, and fentanyl shaped three waves of crisis. (00:24:51) Fentanyl and Overdose Risk Why counterfeit pills and fentanyl exposure can be lethal even for new users. (00:26:28) Treating Opioid Addiction Why medications like methadone and buprenorphine help restore stability. (00:28:17) The Future of Addiction Why Lembke sees addiction as a long-term challenge across drugs, media, and food. (00:29:22) Conclusion   Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In today's episode, Drs. Nicole Malette and Paxton Bach join the show to discuss their new article Approaches for Managing Benzodiazepine Dependence Arising From Use of the Adulterated Opioid Supply: A Delphi Technique featured in the July/August issue of the Journal of Addiction Medicine.   Article Link: Approaches for Managing Benzodiazepine Dependence Arising From Use of the Adulterated Opioid Supply: A Delphi Technique

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of Dear Dealer, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at https://bit.ly/LastDayBook, and the audiobook at https://bit.ly/3RW4WtF, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

Hayden Panettiere died suddenly in Greenville, South Carolina at 36. TMZ reports that Narcan, the nasal spray used to reverse an opioid overdose, was found in the apartment. Dr. Drew is joined by his Celebrity Rehab costars – addiction counselor Bob Forrest and certified chemical dependency counselor Shelly Sprague-Foster – to discuss Hayden's opioid addiction, postpartum depression, and what we know about her tragic and sudden death. Panettiere told People in 2022 that she had been in a cycle of self-destruction, and wrote in her memoir that a doctor warned she would be dead within 5 years if she did not stop drinking. She said she was given pills as a teenager before red carpet appearances, developed an opioid dependency after being prescribed painkillers for an injury, and experienced withdrawal severe enough to send her to a liver specialist. Page Six reports, through a friend, that she had severe back problems in the months before her death. NBC News reports her ex-boyfriend was at the scene when she died. Also on today's show: Dr. James Thorp, a maternal fetal medicine specialist with more than 40 years in practice who was fired by SSM Health after speaking out about COVID-19 vaccines in pregnancy. He says federal officials and the New England Journal of Medicine knew about adverse pregnancy outcomes in early 2021 and hid them. Bob Forrest is a musician, author, and addiction counselor. He served as a counselor on VH1's Celebrity Rehab, works with DNA4Addiction, and authored Running with Monsters: A Memoir. Follow at https://x.com/bobforrestmusic Shelly Sprague-Foster is a Certified Chemical Dependency Counselor–Certified Addiction Specialist who has worked with individuals affected by substance use disorders since 1997. She co-founded Hollywood Recovery Services with Bob Forrest and now directs We Care Outpatient. Find more at https://wecareinla.com Dr. James Thorp is an obstetrician-gynecologist and maternal fetal medicine specialist who served in the SSM Health System in Saint Louis, Missouri. He earned his medical degree from Wayne State University School of Medicine and has practiced for more than 40 years. Follow at https://x.com/jathorpmfm 「 SUPPORT OUR SPONSORS 」 • BIOPRO - BioPro+® is a natural formula of growth factors and peptides that support how you look, feel & perform. Learn more at ⁠⁠https://drdrew.com/biopro⁠⁠ • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. 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Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • CHAPTER - For free and unbiased Medicare help, dial (218) 521-2472 to speak with my trusted partner, Chapter, or go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://askchapter.org/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

I'm insanely impressed by Stephanie Wittels Wachs, not just because she's the co-founder and CEO of Lemonada Media, an award-winning podcast network with a mission to "make life suck less,” but because of her ability to use humor and wit to get through loss. She lost her brother, writer-producer-comedian Harris Wittels, to the opioid crisis and has now written multiple books on the topic. This raw exploration of grief is also a manual for anyone else struggling with how to help an addicted loved one. Our conversation ranged from entrepreneurship and what it takes to start something new to her profound struggles in the aftermath of sibling loss. Hosted on Acast. See acast.com/privacy for more information.

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold.

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

To listen to the rest of this episode, search for Last Day wherever you listen to podcasts. When Nadia Bowers's sister Sasha died of fentanyl overdose in 2015, Nadia was seven months pregnant with her first child and had gotten married just six weeks earlier. Suddenly she had to ask herself: how do I go on after the worst thing that's ever happened to me? In this episode, Nadia tells Stephanie how writing her new memoir, Dear Dealer, helped her process her rage, grief, and the anxiety of new motherhood while navigating this crippling loss. Pick up a copy of ⁠Dear Dealer⁠, available wherever books are sold or listen to the audiobook, narrated by Nadia. Order Steph's book Last Day: How to Stop Losing Our Loved Ones to the Opioid Crisis at ⁠https://bit.ly/LastDayBook⁠, and the audiobook at ⁠https://bit.ly/3RW4WtF⁠, or wherever books and audiobooks are sold. Learn more about your ad choices. Visit megaphone.fm/adchoices

Most friendships start because you have something in common: work, hobbies, fashion, books, sense of humor. But not all friendships are formed because of something wholesome in common. Sometimes, you share an experience so life-changing that you are drawn to each other. That is how, nine years ago, Nora and Steph Wittels Wachs became friends. Steph lost her brother, Harris, to an opioid overdose. Grievers can always find common ground: losing someone changes you. If you have lived this before, you'll find it feeling familiar. If you haven't, consider yourself lucky. Watching a family member suffer from opioid addiction is crushing. Losing them is debilitating. Steph and I want to talk to you if you have been affected by the opioid crisis. If you have something to share, give us a call or a text: ☎️‪(612) 568-4441‬. Watch us on YouTube here! Get this episode ad-free here! Listen to Geoffrey's album on Spotify and Apple! You can buy Nora's books on Bookshop or Amazon, or wherever you buy books. Nora is on IG, TikTok, Facebook and LinkedIn. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, David Turner, MD, FAAP, discusses the American Board of Pediatrics' proposed changes to pediatric fellowships. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Mario Morales, PhD, about bullying, suicidality and opioid-specific risks in U.S. adolescents. For resources go to aap.org/podcast.

Millions of Americans take the herbal supplement kratom for everything from energy to pain relief to quitting opioids. But it has also been linked to growing addiction rates and fatal overdoses. WSJ's Sumathi Reddy explains the regulatory battles playing out across the country as some officials consider bans. Jessica Mendoza hosts.   Further Listening: - Is the High Over for Hemp Drinks? - Peptides Are Everywhere. Businesses Are Cashing In. Sign up for WSJ's free What's News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices

Hello Poison Friends! We are working our way through the many skeletons in Johnson & Johnson's closet (alongside some other pharmaceutical companies), and need to discuss their role in the Opioid Crisis here in America. We are covering one of their more dangerous and controversially advertised drugs, the Duragesic fentanyl patch, as well as one from Purdue Pharma--oxycontin. We'll do a refresh on opioids since we have already covered them in another episode, and look at how these medications became so overused and the shady practices these companies took part in to push them on way more than what they were originally intended for. There have been tens of thousands of deaths in recent years from the abuse or misuse of these medications. Thanks to all our listeners and supporters! Support us on Patreon:patreon.com/thepoisonersalmanacFollow us on socials:Podcast IG-⁠https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==⁠Podcast TikTok:https://www.tiktok.com/@poisonersalmanacp?is_from_webapp=1&sender_device=pcPodcast YouTube:https://youtube.com/@thepoisonersalmanac-m5q?si=jfvvqykNm1HRJhH3

My guests today are Abigail Lee and Johanna Bennett, two Doctor of Nursing Practice graduate students at the University of New England who focused their DNP project on perioperative use of IV methadone. Abigail Lee attended Southern Maine Community College and transferred to the University of Southern Maine to study nursing. She worked at Maine Medical Center in the Cardiothoracic Intensive Care Unit. She intends to head down to North Carolina to work as a CRNA. Johanna Bennett went to Saint Anselm College. She started her career in healthcare in the Medical/COVID ICU as a new graduate nurse and worked there for three years before starting CRNA school at the University of New England. Jo will be joining our team at Maine Medical Center to work as a CRNA. This episode is on the longer side, so here's your TL:DL, too-long; didn't listen summary of perioperative IV methadone – the opioid-spairing opioid. Standard short-acting pure mu-agonists—like fentanyl, hydromorphone, and morphine—often leave our patients trapped in a roller coaster of ‘peaks and valleys,’ leading to oversedation, unexpected pain spikes, and high total opioid consumption in the PACU. In this episode, we explore why methadone is uniquely positioned as the ‘opioid-sparing opioid.’ Beyond its strong -receptor agonism, methadone boasts NMDA receptor antagonism and serotonin/norepinephrine reuptake inhibition, targeting pain at multiple pathways to blunt central sensitization and wind-up phenomenon. Key Clinical Takeaways from the Literature: The Effective Dose: An ideal single dose on induction is 0.2 to 0.25 mg/kg ideal body weight (or roughly 10-20 mgIV). Underdosing (