Taking Responsibility for Addiction

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Taking Responsibility for Addiction

I recently got into a conversation about the opioid epidemic with my sister who is a doctor and an OBGYN, and gave birth this year via a Caesarean (a/k/a C-section).  She shared some eye-opening insights about her own personal experience and the changes in prescription practices at the big city public hospital where she is the chief resident.  The good news is that prescription practices are clearly heading in the right direction.  A typical mother leaving the hospital will be given one week’s worth of percocet for the pain after a C-section, while in the past it was for as much as a month.  As for my sister, who is keenly aware of the potential for addiction, she got by on just one day of Tylenol 3 after discharge.  This greater concern and mindfulness seems to be spreading throughout the country with respect to all opioid prescriptions in general.

Taking Responsibility for Addiction

The US Centers for Disease Control and Prevention noted that the amount of opioids prescribed per capita peaked in 2010 and declined by 18% by 2015, with 13.1% of that decrease coming between 2012 and 2015.  Much of that reduction occurred as a result of increased awareness in the medical community and some key action at the state level.  National medical guidelines on opioid use and state prescription drug monitoring databases have played a big role.  Doctors are now prescribing opioids for a shorter duration and in lower doses than they have in the past.  Recent focus on “Pill Mills” by the Justice Department has also helped considerably.  Three recent high-profile arrests single-handedly eliminated enterprises responsible for the distribution of almost 15 million opioid tablets.  Nonetheless, the amount of opioids prescribed in 2015 is still triple the amount of opioids prescribed in 1999.  It seems we still have a ways to go before we can start patting ourselves on the back.

Another pressing issue is that lower prescription rates have merely pushed people who are addicted to heroin and other illicit street drugs, instead of toward treatment.  I’ve written about this a number of times before, because it’s so important.  Many unsuspecting people with legitimate pain issues inadvertently become addicted through exposure to opioids.  When a responsible doctor then cuts them off, they turn to more dangerous options.  The main problem is two-fold.  Doctors typically don’t ask patients about past history of addiction in the family in an H&P (History and Physical) like they would for heart disease or diabetes.  That’s a big omission because addiction in a parent is highly predictive of potential addiction in a child; 40% if one parent was an addict, 70% if both were.  Moreover, these patients-come-addicts don’t inform their doctor about the problem once it arises.  The vast majority of people who are prescribed opioids, over 90%, do not become addicted, so most doctor’s do not focus on the importance of asking patients whether they need addiction treatment, once the prescription has run its course.  Most mothers post-caesarean do not have an issue, whether given 7 or 30 days worth of pain killers.  However, for the less than 10%, who are pre-disposed to the disease of addiction, it can be tragic and fatal.  Opioids, heroin and fentanyl have that kind of grip on them.  These people did not choose to become addicted by purposely ingesting something to trigger their disease, they mostly had addiction thrust upon them.

I had a kidney stone last year; it was the most painful experience I’ve ever had.  Some people describe it as similar to giving birth.  I left the hospital with 30 days of oxycontin, prescribed by a well-meaning specialist concerned about my pain.  I took it for one day and turned in the rest to my local pharmacy, deciding to grin and bear it.  Just like my sister, I didn’t want to take any chances because addiction runs in our family and I know better than to put myself at that kind of risk; most people don’t.  It got me to thinking that every prescription of opioids should come with a mandatory warning directly from the doctor or the requirement of viewing a brief video on the dangers of addiction from opioids.  At least we’ll be doing something proactive about solving this problem and saving lives in the process, and with today’s smartphones, it’s an easy implementation.

There are some other measured advances that also give us hope.  Under the Comprehensive Addiction and Recovery Act, federal spending to combat the opioid epidemic has increased 542% at Health and Human Services and 113% at the Justice Department.  The 21st Century Cures Act approved $1 billion of additional spending toward this problem, over a two-year period.  Even current Republican proposals on healthcare (if they ever get passed) dedicated as much as $45 billion to specifically combat opioid abuse, spread out over 10 years.  But, as their fellow Republican and likely 2020 primary candidate, Ohio Governor John Kasich notes, it’s “like spitting in the ocean,” not nearly enough.  The issue has become so pervasive that even large investment banks are weighing in on the subject.  Goldman Sachs came out with a report in July indicating that the US workforce, and economy in general, is being dragged down by opioid abuse; something I wrote about back in June.

“So, where’s this all leave us?  Addiction is a disease, but as with all other diseases it requires a group effort.  A combination of government funding, private enterprise, informative education from the medical community and, ultimately, personal responsibility, turned AIDS from a death sentence that killed 49,000 people at its peak in 1995, into a very treatable disease that most people now survive.  That’s exactly the type of attention demanded by addiction.  Government, the addiction treatment community, and general healthcare need to get on the same page and do their part.  But, much like my sister and I, who made conscious decisions not to take chances with addiction, and the AIDS, diabetic and cancer patients, who actively pursue treatment, people at risk of addiction or in recovery need to do their part as well.  If you are in recovery, or addiction runs in your family, you need to inform your doctor prior to taking any medications.  Ask about non-addictive pain killer options and pursue physical therapy in the form of yoga and massage, as alternatives.  We need everyone engaged to finally start putting addiction in its place.”

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Jeffrey Fiorentino is a writer, teacher and speaker in the areas of Business, Technology, Finance and Addiction. He is the CEO of Kipu Systems, producer of the Kipu EMR, an electronic medical records system built specifically in, and for, Addiction and Behavioral Health Treatment. Mr. Fiorentino is also CEO of "InRecovery Magazine", a publication and web site dedicated to bringing valuable, topical information and stories, exercises, and support to addicts and their families, and CEO of PingMD, an Android and IOS telehealth app for connecting addicts in aftercare with their addiction treatment professionals and establishing a new intensive one year post treatment "RecoveryBound" program followed by 4 additional years of aftercare to help addicts in recovery. Mr. Fiorentino graduated first in his class in the Studies of Entrepreneurship, with a BA, from the University of Miami, and Magna Cum Laude with a Masters of Accounting from the Graduate School of Business, at the University of Miami.

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  150. Şanlı Temizlik Şirketi istanbul Temizlik sektöründe ev temizliği, inşaat sonrası temizlik, merdiven temizliği, ofis temizliği hizmetlerinde uzmanlaşmış bir istanbul temizlik firmasıdır temizlik sektöründe her zaman profesyonel olarak hizmet vermekteyiz istanbulda temizlik hizmetï için bize ulaşın.

  151. Deha Nakliyat kurulduğu günden bu yana kaliteli hizmetleri ve müşteri memnuniyet esaslı çalışma sistemiyle siz değerli müşterilerin taşımacılıkta güvenilir adresi olmaktadır. Ankara ve diğer illerde ev ve iş yeri taşımacılığının vazgeçilmez adreslerinden birisi olarak bilinmektedir. Sizler de taşımacılıkta üstün hizmet kalitesi sağlamak istiyorsanız firmamızı tercih edebilirsiniz. Ankara evden eve nakliyat ile Ankara ve çevresinde kaliteli hizmet alabileceğiniz gibi çevre iller için de aynı değer ve kalitede nakliye hizmetini başarılı bir şekilde alabilirsiniz. Nakliye çalışmalarında kaliteli güvence, ekonomik fiyat ve hızlı teslimat ayrıcalığı gerçekleştirmek için iletişim numaralardan bizlere ulaşabilir ve anında sorunsuz ve güvenilir nakliye hizmeti almaya başlayabilirsiniz. Evden eve ya da diğer nakliye alanlarında profesyonel nakliye desteği almak için randevu için 0312 319 65 65 numaralı telefondan bizlere istediğiniz zaman ulaşabilirsiniz. Günün her saatinde 7/24 iletişim için biz buradayız.

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  167. Ankara nakliyat sektörü ülkenin en göz bebeği durumundadır. Gerek coğrafi yapısı gerekse de nüfusu bakımından nakliyatın kalbi durumunda olan bu şehirde taşımacılık oldukça önemli bir yere sahiptir. Bundan dolayıda Ankara nakliyat firmaları sayısı oldukça fazla ve üzerlerine düşen görev bir o kadar fazladır. Bu bilgiler doğrultusunda hareket ederek kullanışmlı bir uygulama planlayarak Ankara nakliyat platformu uygulamamızı devreye soktuk. Hem müşterilerin hemde nakliyecilerin yararına olan sitemiz sayesinde nakliye süreçlerinde oluşan sorunları tamamen ortadan kaldırmış durumdayız. Ankara evden eve nakliyat hizmetine ihtiyaç duyan müşterileri en iyi Ankara nakliyat şirketleriyle buluşturarak profesyonel çalışmalar elde etmekteyiz. Nitekim ki binlerce mutlu müşteriyle sektörün lider platformu olmayı çok kısa sürede başardık.

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  168. Bursa evden eve nakliyat şirketimiz şehiriçi ve şehirler arası ev eşyası taşımada öncü ve eski firma olmakla kaliteli hizmet veren asönsörlü ev taşıması yapan Karacabey’in en büyük firmasıdır.Ekonomik ve uygun fiyatla ev taşımacılık bizim işimizdir.Hızlı ve güvenilir bir evden eve şirketi ile çalışmak için K1 yetki.belgesi olması çok önemlidir.Günümüzde özellik yaz sezonunda evden eve taşımacılık korsan çalışan çok firma vardır.Bu kişiler ev eşya taşımasında sorun yaşayabileğiniz kişililer mutlaka K1 belgesini isteyiniz.Kaliteli hızlı sorunsuz taşımada tek adres biziz mutlaka diyat alınız.

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  171. Antalya havalimanı trasfer Taşımacılık Hizmeti Sektöründe faaliyet gösteren antalya transfer clk şirketimiz. Deneyimli, Profesyonel ve Güler Yüzlü personeliyle vip ve lüx taşımacılıkta en iyi hizmeti siz değerli müşterilerimize sunmayı ve özel transfer sektöründe en önlerde olmayı hedeflemiştir. Müşteri Memnuniyetini Şirketimizin kalite politikası olarak kabul etmiştir.

  172. Hatay evden eve nakliyat işlemine ihtiyaç duyan tüm müşterilerin güler yüzlü ve profesyonel hizmet alması için kurulmuş olan Hatay nakliyat platformumuz başarıya koşmaktadır. Kuruluş tarihinden beri internet üzerinden binlerce müşteriyi Hatay nakliyat firması ile buluşturarak taşınma işlemlerini yerine getirmiştir. Günümüzde kaliteli bir firma bulmak ve güvenli şekilde Hatay nakliyat hizmetini gerçekleştirmek oldukça zor ve meşakkatli bir hale geldiği görünmektedir. Ancak hızlı ve kolay ara yüzü ile bu dert ve sıkıntıları ortadan kaldıran uygulamamız gayet başarılı şekilde sürdürülmektedir. Hatay evden eve taşımacılık alanında görev yapan en Hatay’ın en iyi nakliyat firmaları platformumuz bünyesinde görev almış durumdadırlar. Hatay evden eve nakliyat talebiniz için özel olarak tasarladığımız sitemiz ve teklif al formumuz bu güne kadar yapılmış olan en basit ve kullanışlı bir uygulama olmuştur. On üç yaşındaki gencin bile kolaylıkla nakliyat talebi oluşturması sağlanmıştır. Hatay evden eve nakliyat ihtiyaçlarınızda anında 4 farklı firmadan nakliyat teklifi alarak müşteri yorumları ve oranların karşılaştırılmasını yapıp doğru kararı verebilirsiniz. Sizin için değerli olan her şey bizler için kıymetli olduğu bilinciyle taşımacılık işlemlerinizin tamamına talibiz.

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  174. Antalya evden eve nakliyat sorumluluk isteyen büyük bir hizmet dalıdır. Kendi içerisinde bile çok farklı dallara yarılmış durumdadır. Bu sebeplerden dolayı itina ile yapılması ve özen gösterilmesi gerekmektedir. Tabi özen göstermenin de gerektirdiği birçok kural ve kaide vardır. Bu kurallara harfiyen uymak gerekir. Antalya nakliyat firmaları arasında işini layıkıyla yapan firma olduğu gibi sorunların yaşanmasına neden olan kuruluşlarda ne yazık ki bulunmaktadır. Bizim amacımız en iyiler ile sizleri buluşturmak üzerine kurulmuş bir düşüncedir. Bu düşüncenin temelinde mutlu müşteri kitlesini olabildiğince üste çıkarmak vardır. Bunun içinde Antalya nakliyat alanında uzun yılardır görev üstlenen ve müşterilerine önem veren kurumsal firmaları yeni müşterilere daha iyi hizmet sağlaması için bünyemizde barındırmaktayız. ‘’ Taşınmanın Kolay Adı ‘’ sloganıyla çıktığımız bu yolda binlerce kişiye sağladığımız hizmet bunun en büyük göstergesi ve bizlerin referansı olmuştur. Bu nedenle sizlerde taşınmaya karar verdiğinizde Antalya evden eve nakliyat için firmalarımızdan güvenle hizmet talebinde bulunabilirsiniz. Sizlere özel olarak sunulacak olan Antalya evden eve nakliyat fiyatları tercihleri arasında karar vermek için birde firmaların Antalya evden eve nakliyat tavsiye sonuçlarıyla daha net ve doğru karar verebilirsiniz.

  175. bursa evden eve nakliyat şirketimiz ev eşya taşıması yapılmadan önce müsterilerden randevu alınarak ev taşıması hakında bilgi verir.Osmangazi evden eve nakliyat firmamız eleman ve eksper elemanları ile ev eşyalarının zarar görmemesi için ambalajlamasını kaliteli malzeme kullanarak yapar.Bu işlemlerden sonra ev esyalarınız guvenli bir şekilde nakil olur

  176. İstanbul Temizlik şirketi Şanlı Temizlik, haftanın 7 günü hizmet vermektedir. Ayrıca vardiyalı çalışma sistemi uygulayan işletmeler için 24 saat tam zamanlı çalışma veya vardiyalarına uygun çalışma saatleri uygulayabilmektedir. İstanbul bölgesinde talep edeceğiniz tüm temizlik işleri için İstanbul temizlik firması Şanlı Temizliği arayabilir, en uygun fiyatla temizlik gerçekleştirebilirsiniz. (istanbul) temizlik şirketleri arasında Şanlı Temizlik çok kısa bir süre içerisinde yerini almıştır.

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  178. Samsun nakliyat sektörü içerisinde onlarca nakliyat firması görev yapmaktadır. Bu güne kadar sunulan hizmetlerin büyük bir bölümünden müşteriler memnun kalmış olsa da sorunların yaşandığı nakliyat süreçleri de ne yazık ki vardır. Bu sorunların üstesinden gelme adına yaptığımız çalışmalar kısa sürede meyvesini vermiştir. Samsun nakliyat platformumuz sayesinde hem firmaların kalite derecesi ortaya çıkmış hem de daha başarılı taşımacılık işlemleri gerçekleştirilmiştir. Samsun evden eve nakliyat denilince akla gelen ilk firmalar bünyemizde yer almakta ve aynı hassasiyetle işlerini icra etmektedirler. Samsun nakliyat firmaları düzgün hizmet ve uygun rekabet sistemi uygulayarak müşteri sorunlarını çözme adına adımlar atmışlardır. Taşımacılık en zor hizmetlerin başında geldiği herkes tarafından bilinir ve öyle kabul edilir. Ancak buna neden olan bizler ve tercihlerimizdir. Örnek verecek olursak Samsun nakliyat hizmeti almak istediğimiz nakliyat firması hakkında iyi bir araştırma yapmadığımız sonucuna varabiliriz.

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  180. Hatay asansörlü nakliyat ve taşımacılık alanında en iyi hizmet sunan uygun fiyatlar belirleyen firmalarımızdan sizlerde fiyat teklifi alarak kolay ve hızlı şekilde taşının. Yüksek katları sorun olmaktan çıkaran bu sistem ile taşınmak çok daha kolay ve daha kısa sürede yapılmaktadır. Hatay asansörlü evden eve nakliyat talebinizi on beş saniye kadar kısa sürede oluşturarak dört farklı firmadan teklif alın. Size en uygun teklifi seçerek rahatça taşının.

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  184. Ankara nakliyat hizmeti sunan en iyi nakliyat firmalarının listesine buradan ulaşabilirsiniz. Firmalarımızın tamamı alanında uzman kuruluşlardan oluşmaktadır. Ankara evden eve nakliyat alanında kendilerini kanıtlamış olan bu firmalar ile taşınmanın tüm zorluklarından kurtulabilirsiniz. Nakliyat platformumuz sayesinde çok kısa sürede taşınma ihalesi oluşturarak onlarca firmadan teklif alıp fiyat ve oranları karşılaştırarak tercih yapabilirsiniz. Ankara nakliyat sayfamızı ziyaret ederek Ankara’nın en iyi nakliyat firmaları listesinden tercih yapabilirsiniz.

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  185. Ankara nakliyat firmaları içerisindeki en iyi firma listesi burada. Ankara’lı firmalardan nakliyat teklifi alabilir ve müşteri yorumlarını inceleyerek tercih yapabilirsiniz. Ankara evden eve nakliyat öncesi ve sonrası destek sunan üye firmalarımız sizler için son teknoloji araç ve asansörlerle eşyalarınızı yeni yuvalarınıza kolayca taşırlar. Müşteri odaklı çalışan bu firmalardan hem hesaplı hem kaliteli hizmet almak için yapmanız gereken teklif formunu kısa bir sürede eksiksiz doldurmanız olacaktır. Ankara nakliyat firmaları sizlerin bu teklifine anlık olarak cevap verirler.

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