♪ [THEME MUSIC] ♪
>>> WE ARE IN THE SECOND PART OF
THE DISCUSSION OF THE EPIDEMIC
ON THE OPIOIDS.
SO, I WOULD LIKE MY GUESTS TO
REINTRODUCE THEMSELVES.
>> ELAINE POZYCKI
AND I'M CO-CHAIR OF
THE PARTNERSHIP FOR DRUG FREE
NEW JERSEY AND MY HUSBAND STEVE
AND I STARTED A NONPROFIT CALLED
PREVENT OPIOID ABUSE.
AND WE ALSO LOST OUR SON TO
OPIOIDS THUS OUR INVOLVEMENT AND
OUR UNDERSTANDING OF THE DANGERS
OF OPIOID PRESCRIBING PRACTICES
IN THE UNITED STATES.
>> MY NAME IS ANDREW KOLODNY,
I'M THE DIRECTOR OF
PHYSICIANS FOR RESPONSIBLE
OPIOID PRESCRIBING AND CO-
DIRECTOR OF THE OPIOID POLICY
RESEARCH COLLABORATIVE AT
BRANDEIS UNIVERSITY.
>> HI MY NAME IS JOE CORONATO,
I'M THE OCEAN COUNTY
PROSECUTOR.
>> ANGELO VALENTE, I'M THE
EXECUTIVE DIRECTOR OF THE
PARTNERSHIP FOR A DRUG FREE NEW
JERSEY.
>> STEVE WHITCOFF AND I LOST MY
SON TO AN OPIOID OVERDOSE AUGUST
14TH 2011.
>> YOU LOST YOUR SON.
BUT, IT WAS DUE TO THE FACT THAT
HE WAS ABLE TO GET DRUGS OVER
THE INTERNET.
IN RESEARCHING THE SHOW, IT WAS
LIKE GOING TO AMAZON.COM.
LOOKING AT DIFFERENT PRODUCTS.
GRADING THE HEROIN OR DRUGS OR
OXYCONTIN, HOW DID YOUR SON GET
THE DRUGS?
>> MY SON WENT TO AN INTERNET
SITE OWNED BY THREE MAJOR
CORPORATIONS.
PROTECTED BY THE INTERNET
COMMUNICATIONS ACT.
WAS PUT TOGETHER BY A DEALER.
>> WAS IT AN OPEN SITE?
>> OPEN SIGHT, PUT TOGETHER WITH
A DEALER THAT HAS DONE OVER
1,000 TRANSACTIONS ON THE SITE.
MET THE DEALER IN A PARKING LOT
AND THE DEALER WAS SENTENCED AND
DOING EIGHT YEARS IN A FEDERAL
PRISON. THE
WEBSITE THAT CONNECTED THEM
AND THEY WERE CONNECTED ON
THAT WEBSITE IS IMMUNE FROM
PROSECUTION UNDER OUR CURRENT
LEGISLATION, WHICH IS, WHICH
AND, WHICH IS A PRETTY LARGE
PROBLEM.
BECAUSE MANY PEOPLE THINK THAT
PEOPLE BUYING OPIOID,
WHO OPIOID ABUSERS SIMPLY GET IT
FROM A DOCTOR.
THAT IS NOT THE CASE.
YOU CAN DIAL UP ON YOUR MOBILE
DEVICE AND MAKE A TRANSACTION
RIGHT THEN AND THERE, THIS IS
NOT THE DARK WEB.
THIS IS THE REGULAR WAY THAT
PEOPLE ACCESS WEBSITES.
>> HAVE YOU PROSECUTED?
>> YEAH, STEVE IS CORRECT.
YOU DO NOT HAVE TO GO TO THE
DARK WEB, YOU CAN GO
TO THE DEEP WEB, YOU
CAN ORDER UP YOUR DRUGS.
PEOPLE THINK THAT THE WEB,
REALLY ONLY IS HERE IN THE
UNITED STATES.
BUT IT'S ALL OVER THE WORLD.
SO, YOU CAN ORDER YOUR DRUGS
FROM RUSSIA, FROM INDIA, FROM
CHINA, AND YOU CAN HAVE YOUR
LOCAL POSTAL AUTHORITIES FEDEX,
U.P.S., DHL, DELIVER IT TO YOUR
DOOR.
IT'S A CHALLENGE FOR LAW
ENFORCEMENT, IT NOT COMING
NECESSARILY BY LAND.
>> HOW DO WE, HOW DO WE
RESTRICT IT?
>> IT'S VERY DIFFICULT.
IT'S ONE OF THE REASONS THAT THE
DEA AND FEDERAL GOVERNMENT ARE
LOOKING TO NEGOTIATE WITH THE
OTHER COUNTRIES TO KIND OF
RESTRICT THE ACCESS.
THE OTHER COUNTRIES DO NOT HAVE
THE REGULATIONS THAT WE
HAVE HERE IN THE UNITED STATES
AND IT'S EASY, UNFORTUNATELY TO
BE ABLE TO ORDER UP OVER THE
INTERNET JUST LIKE STEVE SAID.
>> SO, HOW DO YOU IN YOUR ROLE,
EDUCATE PARENTS, CHILDREN, TO
THE PROBLEMS AND THE POTENTIAL
RISKS OF OPIOID?
BECAUSE ONE OF THE THINGS ON
YOUR SITE SAID THAT PARENTS DO
NOT WANT TO TALK TO CHILDREN
ABOUT POTENTIAL DRUG PROBLEMS.
A 13-YEAR-OLD DOES NOT WANT TO
SIT DOWN WITH YOU TO TALK ABOUT
IT.
THERE'S A POTENTIAL RISK.
MY KID IS FINE.
BUT IN REALITY WE ARE FINDING
OUT THAT THE OPIOID DEATHS ARE
YOUNG AND OLD.
>> ABSOLUTELY.
>> NOT IN THE MIDDLE CLASS.
>> FIRST AND FOREMOST, WE
ENCOURAGE ALL FAMILIES TO BE AS
DILIGENT AS POSSIBLE AND HAVE
THE CONVERSATIONS WITH THEIR
CHILDREN AT A YOUNG AGE AND
OBVIOUSLY AGE APPROPRIATE BUT
CONTINUE THOSE CONVERSATIONS
IN O TEENAGE YEARS AND THEN,
EVEN PASSED THAT POINT.
WHEN A CHILD GOES TO COLLEGE.
CERTAINLY, THEY NEED TO GET THE
SUPPORT AND ENCOURAGEMENT OF
THEIR FAMILIES AND YOU WANT TO
CONTINUE THAT COMMUNICATION.
THE SECOND THING THAT WE FOUND
TO BE EFFECTIVE, WAS TO GET THE
MESSAGE OUT THROUGH THE MEDIA.
WE ARE WORKING WITH TELEVISION,
AND RADIO STATION, PRINT MEDIA,
ELECTRONIC MEDIA, BILLBOARDS
THAT WE HAVE RIGHT NOW IN
TIMES SQUARE.
AND OUR MESSAGE IS SIMPLE.
OUR MESSAGE IS, WOULD YOU GIVE
YOUR CHILD HEROIN FOR A BROKEN
LIMB OR WOULD WITH YOU GIVE YOUR
CHILD HEROIN FOR A WISDOM TOOTH
EXTRACTION? IN EFFECT,
THAT IS WHAT IS HAPPENING.
WHEN SOMEONE IS BEING PRESCRIBED
THESE MEDICATIONS.
THESE ARE LEADING TO HEROIN
ABUSE.
THERE ARE MANY OF THE SAME
COMPOUNDS BETWEEN A PRESCRIPTION
OPIOID AND HEROIN.
WE NEED TO STOP IT AT THE
SOURCE.
>> HOW DO WE STOP THE DRUG
COMPANIES FROM DISTRIBUTING THIS
PRODUCT SO WELL?
>> PURDUE PHARMA IS NOT GOING
OUT OF BUSINESS.
JOHNSON AND JOHNSON IS NOT
GOING --
>> DOCTORS HAVE TO PRESCRIBE
THEM.
AND I THINK THE WORK THAT ANGELO
AND ELAINE HAVE BEEN DOING AND
THE MESSAGE THEY ARE TRYING TO
GET ON OUT ARE EXACTLY WHAT WE
NEED.
THE FOCUS ON GETTING TO THE
MEDICAL COMMUNITY.
THE DO NO HARM SYMPOSIUMS
THAT THEY'VE BEEN SPONSORING
TO REACH PRESCRIBERS AND THE
SOCIAL MARKETING THAT THEY'RE
DOING TO EDUCATE BOTH THE PUBLIC
AND THE MEDICAL COMMUNITY THAT
PRESCRIPTION OPIOIDS ARE
ESSENTIALLY HEROIN PILLS.
DRUGS LIKE HYDROCODONE AND
OXYCODONE, HYDROCODONE AS
IN VICODIN, OXYCODONE AS IN
OXYCONTIN, TO MAKE THEM YOU
LITERALLY START WITH OPIUM.
AND IN FACT, J&J HAS BEEN
PRODUCING MUCH OF THE OPIUM,
THEY GROW THE LEGAL POPPIES
TO MAKE THESE NARCOTICS.
THE EFFECTS THAT HYDROCODONE
AND OXYCODONE PRODUCE IN
THE BRAIN ARE THE SAME AS
PRODUCED BY HEROIN.
AN EXPERIENCED HEROIN USER,
AND THIS WAS A STUDY DONE AT
COLUMBIA UNIVERSITY WHERE THEY
TOOK EXPERIENCED HEROIN USERS
AND ALLOWED THEM TO SELF
ADMINISTER OXYCODONE, HEROIN,
OR SOME OTHER OPIOID, THEY
DIDN'T TELL THEM WHICH WAS
WHICH AND ASKED THEM TO RATE
THE EFFECTS.
IN THAT STUDY, THE HEROIN USERS,
IT WAS LIKE A BLIND TASTE TEST.
THEY PREFERRED THE OXYCODONE TO
HEROIN. SO I THINK THESE
MESSAGES THAT THEY'RE
TRYING TO COMMUNICATE ARE
EXACTLY WHAT WE NEED BECAUSE
AS WE TALKED LAST WEEK, YOUNG
PEOPLE DO TRY AND MAKE CHOICES.
OR TRY TO ESTIMATE RISK WHEN
THEY ARE EXPERIMENTING WITH
DRUGS AND DO NOT KNOW THEY ARE
HEROIN PILLS.
>> WHAT PERCENTAGE OF THESE
OVERDOSES, OKAY, IN THE STUDIES
THAT YOU HAVE BEEN DOING, ARE
KIDS FROM SUBURBS?
THE OVERDOSES, THERE'S
OVERDOSES, BUT THAT IS ONE
MARKET.
WE ARE SEEING AN OVERDOSE IN A
EDUCATED, HIGHER INCOME
CATEGORY, SUBURBAN MARKET THAN
WE HAVE SEEN BEFORE.
AND THE NUMBERS GO UP EACH AND
EVERY DAY.
THEY DON'T DECREASE.
HOW CAN YOU STOP IT?
>> LIKE I SAY, IT'S THE ATTACK
OF THE FAMILY UNIT.
WE TALK ABOUT THE PARENTS DON'T
TALK AT THE DINNER TABLE.
THE FATHERS ARE TAKING THE ONE
CHILD TO THE BASKETBALL GAME AND
THE MOTHER IS TAKING THE CHILD
TO CHEERLEADING THEY DON'T TALK
AND WHEN THEY DO SIT AT THE
DINNER TABLE, NOW THEY ARE ALL
WITH THEIR CELL PHONES AND ARE
TEXTING AND THERE'S NO
COMMUNICATION WITHIN THE FAMILY.
SO, I DON'T THINK THAT THE
PARENTS SEE WHAT IS GOING ON.
THEY BECOME ISOLATED.
THE KIDS CAN CHILDREN, THERE'S
NOT A DRUG DEALER THAT IS
SELLING THEM THESE DRUGS.
IT'S NOT SOMEBODY WITH A HOOD
DOWN AT THE BALL FIELD THAT IS
SELLING THEM.
IT'S THEIR BEST FRIEND.
IT'S SOMEBODY WHO THEY KNOW AND
RELY ON SAYING IT'S NOT A BIG
DEAL AND THEY GET CAUGHT UP ON
IT AND FOR ME, FROM THE LAW
ENFORCEMENT STANDPOINT, THEY
HAVE BROKEN IT DOWN IN TO THREE
BLOCKS.
ONE IS THE PREVENTION AND
EDUCATION BLOCK.
THE SECOND BLOCK IS THE
STRONG LAW ENFORCEMENT
BLOCK. AND THE THIRD BLOCK
IS PARTNERING UP WITH
HEALTHCARE TO BREAK THE CYCLE
OF ADDICTION. AND IF YOU WORK
ON ALL THREE BLOCKS AND NOT
FOCUSED ON JUST ONE, BUT
WORKED ON ALL THREE BLOCKS,
YOU HAVE A SHOT.
>> YOU KNOW, I HAVE BEEN
INVOLVED WITH HEALTHCARE
SCREENINGS FOR MANY YEARS AND
THERE ARE JEWISH GENETIC
DISEASES AND UNFORTUNATELY
THERE'S AN ULTRA ORTHODOX GROUP
THEY TEST FOR A CERTAIN AMOUNT
OF DISEASES THAT TELL YOU, YOU
CAN OR CANNOT GET MARRIED TO THE
PERSON. THEY DON'T TALK
ABOUT THE CONDITIONS.
BUT, WHAT I'M SAYING TO YOU IS,
WITH REGARD TO JUST TESTING OVER
THERE.
IF YOU EDUCATE THE MARKET, HOW
ABOUT GOING TO THE MEMBERS OF
THE CLERGY, WHO HAVE A
RELATIONSHIP WITH THE FAMILY
UNIT, SPEAKING TO THE CLERGY,
BOTH THE RABBIS, THE PRIESTS AND
THE MINISTERS OVER THERE.
I DID A STORY RECENTLY ABOUT
MONSIGNOR JAMIE. EVERYONE
KNOWS HIM IN THE COMMUNITY.
HE IS WITH THE HIP POPULATION,
HE IS TRYING TO DO IT.
HOW DO YOU GET THAT?
HOW DO YOU GET IT TO THE UNION?
YOU REMEMBER THE ARTICLE ABOUT
THE TEAMSTERS, THEY HAVE SEEN
DEATHS IN THEIR MEMBERSHIP.
OKAY, HOW DO YOU GET THIS?
>> OKAY, MICHAEL -- I DON'T KNOW
ELAINE IF YOU EVER WENT TO THE
AL ANON MEETINGS, THOSE ARE
THE MEETINGS FOR THE PARENTS,
FAMILY AND FRIENDS OF PEOPLE WHO
HAVE DIED.
IT'S INVARIABLY THE SAME STORY
EACH AND EVERY TIME.
YOU HAVE FAMILIES THAT LOVE
THEIR CHILDREN.
WERE THERE FOR THEM, WERE
DESPERATE.
THE CHILDREN THAT GENERALLY THE
KIDS LIKE MY SON ANDREW.
WERE HUMILIATED BY THE USE.
DID NOT WANT TO ADMIT IT, THEY
FELT THEY WERE DESTROYING THE
FAMILY.
GOT DEEPER INTO IT, THEY ARE
NOT GETTING HIGH FROM IT, IT'S
MAINTENANCE AT THAT POINT AND NO
ONE, THEY WENT IN TO IT, IN SOME
RESPECTS LIKE ELAINE'S CHILD,
WHERE THEY HAD AN INJURY, AND IN
SOME RESPECTS WHERE MY SON
ANDREW, HIS ENTRY IN TO IT WAS
HE THOUGHT HE WAS GOING TO HAVE
SOME FUN.
MAYBE THERE WAS A GIRL INVOLVED,
I'M NOT SURE.
BUT THE FACT IS, THERE NEEDS TO
BE AN OUTCRY OUT THERE, ABOUT
WHAT IS LEADING TO THIS PROBLEM.
IT IS, IT IS AN INTERNET
PROBLEM.
BY THE WAY, WE DON'T HAVE
THE PROPER DRUG ABUSE FACILITIES
TO SERVICE ALL OF THE PEOPLE OUT
THERE.
IF KIDS LIKE MY CHILD, AND MY
CHILD WAS MY PRINCE, I MEAN, HE
WAS MY LIFE.
I WEAR HIS RING.
I WEAR HIS WATCH, HE LIVES
INSIDE OF ME.
I'M SURE ELAINE'S CHILD WAS JUST
LIKE THAT.
I HAVE RESOURCES AND I LOVE MY
SON. IT WAS NOT A TOUGH
LOVE FAMILY. I WAS THERE AT
EVERY REHAB FACILTY HE WENT TO.
IF I LOST MY CHILD CAN YOU
JUST IMAGINE WHAT IT'S LIKE
FOR WORKING CLASS FAMILIES
WHO CAN'T AFFORD REHABS,
CAN'T GO TO DOCTORS, CAN'T
GET TO PSYCHOLOGISTS AND
SO FORTH.
IT'S AS BAD A PROBLEM THAT
EXISTS IN THE UNITED STATES OF
AMERICA TODAY.
>> I THINK THAT WE REALLY NEED
TO EDUCATE PARENTS ALSO.
BECAUSE I WAS NOT AWARE OF -- OF
HOW BAD THE OPIOIDS ARE ON YOUR
SYSTEM AND FOR BECOMING
ADDICTED, I HAD NO IDEA THAT HE
WAS BECOMING ADDICTED EVEN AFTER
FIVE DAYS AND HE WAS ON IT FOR
SIX WEEKS.
SO, WHEN WE ARE TALKING ABOUT
THERE'S ALSO SIGNS AND SYMPTOMS
THAT I BELIEVE THAT WE NEED TO
BE GETTING OUT TO THE PUBLIC
THAT WHEN I LOOK BACK, I
REALIZE, YOU KNOW, HE WAS
WEARING LONG SLEEVES.
HE WAS NOT ANSWERING HIS PHONE.
HE WAS NOT CALLING US BACK.
HE WAS TIRED LOOKING,
DISHEVELED, THERE WAS SO MANY
SIGNS THAT I MISSED, THAT I
BELIEVE- WELL, WE HAVE
THIS ON THE WEBSITE FOR
DRUG FREE NEW JERSEY.
BUT WHAT WE NEED TO DO IS
GET OUT TO THE PTA'S TO TEACH
THE PARENTS ABOUT THE OPIOIDS.
I DIDN'T KNOW, I PICKED UP A
PRESCRIPTION FOR MY SON, WHICH I
LOOK BACK AND I JUST CAN'T
BELIEVE I DID THAT, BUT I HAD NO
IDEA THAT HE WAS, THAT THEY WERE
ADDICTING.
>> WHAT ARE WE DOING TO THE
PHARMACEUTICAL COMPANIES?
IT'S NOT 1997 WHEN OXYCONTIN
CAME OUT. IT'S 2017, 20 YEARS
LATER WHERE WE DO HAVE THIS
EPIDEMIC.
ARE THEY, YOU KNOW, I WAS,
WHEN I WAS WITH ELAINE, I
SAID, THIS IS JUST LIKE TOBACCO.
THE TOBACCO COMPANIES KNEW ABOUT
THIS.
THIS IS IDENTICAL TO TOBACCO.
EVERY ONE OF THE DRUG COMPANIES
WHO ARE MAKING IT KNOWS ABOUT
IT.
FINE, THEY MAY NOT BE THE ONE
WHO EVENTUALLY KILLS THE PERSON
BECAUSE THE HEROIN WILL KILL
THEM, WHICH THEY DON'T SELL.
BUT IT'S THE DRUG COMPANY.
THEY ARE JUST AS BAD AS THE
TOBACCO COMPANY.
>> IF PABLO ESCOBAR GOT ON TV
AND HELD A PRESS CONFERENCE AND
SAID, I THINK EVERYONE HAS IT
WRONG, I THINK COCAINE IS A GOOD
DRUG.
WOULD ANYONE HAVE ACCEPTED THAT
LOGIC?
OF COURSE NOT.
BUT YOU HAVE DRUG COMPANIES THAT
DRAPE THEMSELVES IN LEGITIMACY,
PUT OUT AS WE DISCUSSED FALSE
ADVERTISING ABOUT HOW FAST
THE ADDICTIVE PROPERTIES OF
THESE DRUGS WORK
AND NOBODY SAYS A THING.
>> WE EVEN HAVE HOSPITALS
THAT HAVE BEEN PRESCRIBING
THESE.
BECAUSE THEY GET PAID HIGHER
FEES.
>> NO, I THINK THE HOSPITAL
GRADES, YOU ARE REFERRING TO,
MICHAEL, THE HOSPITAL GRADES
CAME IN AND THEY WOULD
GRADE THE HOSPITALS BASED
ON THE FACT OF HOW
WAS YOUR PAIN ADDRESSED
AND DID THEY CONTINUE TO ADDRESS
YOUR PAIN, AFTER YOU WERE
RELEASED FROM THE HOSPITAL
DID THEY CONTINUE TO
ADDRESS YOUR PAIN? THAT WAS
HOW THE HOSPITAL GRADING
TOOK PLACE YEARS AGO.
WE DID NOT GET IN THE PROBLEM IN
THE LAST FIVE OR SIX YEARS, THIS
HAS BEEN DEVELOPING FOR 20, 30
YEARS AND IT HAS ESCALATED TO AN
EPIDEMIC PROPORTION AND WE NEED
TO SIT DOWN AND RELOOK AS TO
WHERE WE ARE GOING AND WHAT WE
NEED TO DO ABOUT IT.
>> YOU KNOW, IT'S LIKE AN EBOLA,
IT'S NOT CEASING.
IT'S CONTINUING, IT'S HARBORING.
>> THERE'S STEPS BEING TAKEN,
THERE WAS A LEGISLATIVE PACKAGE
THAT WAS PASSED IN NEW JERSEY
THAT REQUIRES A PHYSICIAN OR
DENTIST HAVE A CONVERSATION WITH
THE PATIENT OR THE PARENT OF
A PATIENT ABOUT THE ADDICTIVE
QUALITIES OF THE DRUGS.
WE KNOW FOR SURE THAT
INFORMATION WILL BE GIVEN AT THE
TIME OF FIRST PRESCRIBING.
SO THAT IS CRUCIAL.
THAT PARENTS WILL BECOME
KNOWLEDGEABLE ABOUT THE
ADDICTIVE QUALITIES OF THE
DRUGS.
SO MANY PEOPLE HAVE COMPLETE
FAITH IN THEIR PHYSICIAN AND IF
THEY WERE GIVEN A 30 DAY SUPPLY,
EVEN IF IT WAS FOR A CHILD, THEY
THINK THE PHYSICIAN OBVIOUSLY'S
RECOMMENDATION IS WHAT THEY
SHOULD FOLLOW AND IN MANY CASES
IT WASN'T NECESSARY.
THE CDC SAYS, THREE DAYS, FIVE
DAY SUPPLY AT MOST.
AND HOSPITALS ARE REACTING IN A
POSITIVE WAY.
ST. JOSEPH'S, WAS THE FIRST
HOSPITAL TO ELIMINATE OPIOID
PRESCRIBING FOR THE MOST PART IN
THEIR EMERGENCY ROOMS FOR MOST
OF THE PATIENTS THAT ARE COMING
IN TO THEIR EMERGENCY ROOMS.
AND WE SEE OTHER HOSPITALS THAT
ARE LOOKING AT THE PARTICULAR
PROGRAM AS A MODEL PROGRAM.
>> WHAT ARE HAPPENING WITH
SERIOUS SURGERIES THAT ARE
TAKING PLACE?
>> WELL, OPIOIDS ARE ESSENTIAL
MEDICINES FOR END OF LIFE CARE.
PATIENTS WHO MAY HAVE CANCER,
AND METASTATIC CARE.
AND THEY ARE IMPORTANT FOR A
SHORT-TERM BASES, FOR EXAMPLE,
AFTER MAJOR SURGERY.
FOR MINOR SURGICAL PROCEDURES,
SOMETIMES YOU DO NOT NEED TO
GIVE ANY OPIOIDS.
IF YOU DO, THREE DAYS IS USUALLY
MORE THAN ENOUGH.
FOR PATIENTS WHO DO NEED
OPIOIDS, THERE'S ACCESS.
UNFORTUNATELY, THE BULK OF THE
PRESCRIBING, THE BULK OF THE
CONSUMPTION IN THE UNITED STATES
IS NOT END OF LIFE CARE OR A FEW
DAYS AFTER MAJOR SURGERY.
THE BULK OF THE PRESCRIBING IS
FOR COMMON CHRONIC CONDITIONS.
IT'S FOR CONDITIONS LIKE LOW
BACK PAIN, CHRONIC HEADACHE,
FIBROMYALGIA.
CONDITIONS WHERE THE LEADING
EXPERTS ARE CLEAR THAT WE SHOULD
NOT BE USING OPIOIDS AND YET,
THAT ACCOUNTS FOR THE BULK OF
THE MARKET AND THOSE ARE THE
CONDITIONS THAT OPIOID
MANUFACTURERS ARE PROMOTING
THEIR DRUGS FOR.
>> RECENTLY IN NEW JERSEY THEY
LIMITED IT TO A FIVE DAY SUPPLY
WHEN THEY'RE FIRST PRESCRIBING.
WHEN YOU GO TO THE SIXTH
DAY, IT JUMPS UP THE ADDICTION
LEVEL.
WHEN YOU PRESCRIBE A SIXTH DAY
OR SEVENTH DAY, THE ADDICTION
LEVEL GOES OFF THE SCALE.
>> SO, HERE THE QUESTION, YOU
LEARN THAT THE PERSON IS
ADDICTED, YOU OKAY, YOU ARE
SENDING THEM TO A REHAB CENTER.
HOW DO YOU TAKE CARE OF IT?
NOT EVERYONE HAS THE FINANCIAL
MEANS TO SEND SOMEONE TO A REHAB
CENTER.
OKAY, I KNOW THERE'S A METHADONE
MAINTENANCE CENTER ON 125TH
STREET OFF OF
LEXINGTON AVENUE.
PEOPLE ARE PETRIFIED WALKING ON
THAT STREET BECAUSE HALF OF
THEM ARE STRUNG OUT FROM THE
METHADONE.
>> WHAT WE HAVE DONE IN OCEAN
COUNTY, YOU CAN WALK IN TO THE
POLICE STATION NOW AND THERE ARE
NO CHARGES AND WE WILL GET YOU
IN TO A PROGRAM.
BUT YOU NEED TO HAVE A CLINICAL
ANALYSIS.
A CLINICIAN NEEDS TO ANALYZE
YOU.
THEY NEED TO BE BROUGHT TO A
DETOX FACILITY.
ONCE THEY ARE THROUGH DETOX,
WHETHER IT'S 48 HOURS OR UP TO A
WEEK.
YOU HAVE TO FIND THE TREATMENT
PLAN AND AFTER THAT TREATMENT
PLAN, THERE MAY BE SOBER LIVING
OR A HALFWAY HOUSE THAT THEY
NEED TO GO TO.
BUT YOU NEED TO HAVE SOMEBODY
THAT IS NOT OBVIOUSLY GOING TO
DO A CLINICAL ANALYSIS BUT WILL
BE LIKE A NAVIGATOR THAT WILL
FOLLOW THE PERSON ALL THE WAY
THROUGH.
>> SO IT'S LIKE THE PATIENT
ADVOCATE?
>> ABSOLUTELY.
CONTINUING OF CARE NEEDS TO GO
ON.
IF YOU HAVE THE PERSONAL CONTACT
AS YOU GO THROUGH, I THINK YOU
HAVE A BETTER OUTCOME.
>> AND EACH TIME, YOU BRING UP
AN ISSUE, THERE'S ANOTHER
SUBJECT.
WE COULD SIT HERE FOR HUNDREDS
OF HOURS AND DISCUSS THIS.
ON THIS PARTICULAR TOPIC
THERE'S NO, THERE'S NO PROTOCOL
FOR REHAB AFTERWARDS.
JOE WAS TALKING ABOUT A PROTOCOL
IN NJ, ONE OF THE FEW STATE THAT
IS AHEAD OF THE CURVE.
BUT, WHEN MY SON FIRST WENT TO
REHAB, I DIDN'T KNOW WHAT -- THE
DIFFERENCE BETWEEN ONE REHAB
PLACE AND ANOTHER REHAB PLACE.
WE WENT BECAUSE WE WERE
RECOMMENDED.
SOME ARE BETTER THAN OTHERS.
IT'S IMPOSSIBLE TO GET
INFORMATION FROM THEM.
THEY ARE ENORMOUSLY EXPENSIVE.
THERE'S AN INCENTIVE TO KEEP
KIDS IN THESE FACILITIES.
AND --
>> AND RECYCLE.
>> AND RECYCLE THEM. THE
RECIDIVISM RATE IS INCREDIBLE.
WHEN I FIRST WENT THERE, THEY
TOLD ME THE CURE RATE WAS 12%.
I COULDN'T BELIEVE IT.
I REMEMBER MY SON SAYING TO ME.
DAD, THEY ARE ALL ADDICTS HERE,
AND I'M NOT.
AND I BELIEVED HIM HAD.
WHO DOESN'T WANT TO BELIEVE
THEIR OWN CHILD.
HAVE YOU NO GUIDANCE WHEN YOU
WALK IN.
>> THERE'S NO ACCOUNTABILITY FOR
THAT EITHER.
WHAT I'M INTERESTED IN IS
OUTCOMES.
SUCCESS STORIES.
AND I WANT -- TO ME, WE NEED TO
PUSH THAT.
AND I THINK STEVE HIT THE NAIL
ON THE HEAD, WE COULD TALK FOR
HOURS ON THIS BECAUSE
EACH BLOCK HAS ITS OWN PROBLEM
AND ISSUE THAT NEEDS TO BE
CLARIFIED.
THAT IS WHY IT'S NOT A MAGIC
WAND THAT SOLVES THE PROBLEM.
>> REHAB AND DETOX AND A REHAB
STAY DO NOT WORK WELL FOR MOST
PEOPLE WHO ARE OPIOID ADDICTED
AND WE HAVE MIDDLE CLASS
FAMILIES WORKING CLASS FAMILIES
EMPTYING THEIR BANK ACCOUNTS TO
SEND A LOVED ONE TO A 28 DAY
REHAB.
THE LOVED ONE COME BACKS AND IN
A WEEK THEY RELAPSE.
IT'S NOT THE RIGHT MODEL. THE
CORRECT MODEL FOR TREATING
OPIOID ADDICTION IS LONG-TERM
OUT-PATIENT CARE AND ONE OF THE
TREATMENTS THAT DOES HAVE GOOD
EFFECTIVENESS FOR MOST PEOPLE
WHO ARE OPIOID ADDICTED, MORE
THAN HALF OF PATIENTS TREATED
WITH IT DO WELL IS A MEDICINE
CALLED BUPRENORPHINE, IT
HAS ANOTHER NAME, SUBOXONE,
IT DOES NOT WORK
GREAT FOR EVERYONE AT FIRST.
AND MANY YOUNG PEOPLE, THE FIRST
YEAR, THEY COME ON AND OFF OF
IT, BUT PATIENTS WHO STICK WITH
IT, DO HAVE OFTEN GOOD LONG-TERM
OUTCOMES AND THERE'S INADEQUATE
ACCESS TO THAT TREATMENT TO
PRESCRIBE OXYCONTIN, ANY
DOCTOR CAN DO IT. NO LIMIT ON
THE NUMBER OF PATIENTS YOU CAN
PRESCRIBE IT TO, NO SPECIAL
TRAINING REQUIREMENT.
TO TREAT OPIOID ADDICTION WITH
BUPRENORPHINE, THERE'S MANY
RESTRICTIONS, WE DO NOT HAVE
ENOUGH PATIENTS RECEIVING THE
TREATMENT THAT COULD SAVE THEIR
LIFE.
>> YOU HAVE METHADONE, AND
YOU HAVE SUBOXONE AND YOU
ALSO HAVE VIVITROL. AND YOU
HAVE TO UNDERSTAND, VIVITROL IS
THE LATEST TO COME OUT,
WHICH KIND OF BLOCKS IT FROM
THE NEURAL RECEPTORS.
IT'S A FORM OF NARCAN AND IT
HAS A LOT OF PROMISE.
>> VIVITROL, THERE WAS AN
ARTICLE IN THE NEW YORK TIMES
ABOUT VIVITROL YESTERDAY
AND VIVITROL IS A
CONTROVERSIAL TREATMENT
WITHIN THE CRIMINAL JUSTICE
SYSTEM, IT'S VERY POPULAR
BECAUSE THERE'S A STIGMA AGAINST
USING TREATMENTS LIKE
BUPRENORPHINE OR METHADONE
MAINTENANCE WHICH YOU DO
NEED FOR SOME PEOPLE WITH
SEVERE ADDICTION.
VIVITROL IS A MONTHLY BLOCKER.
IF YOU GET YOUR INJECTION AND
YOU USE ANOTHER OPIOID, YOU
CANNOT FEEL THE OTHER OPIOID, IF
I HAD A FAMILY MEMBER ADDICTED I
WOULD THINK VIVITROL SOUNDS LIKE
THE BEST OPTION, BUT THE
EVIDENCE SUPPORTING THE USE IS
VERY WEAK.
YOU SEE 90% OF PATIENTS WILL
DROP OUT AND IF YOU MISS YOUR
MONTHLY INJECTION, THE DRUG
ITSELF WILL MAKE YOU SUPER
SENSITIVE TO OPIOIDS.
SO IF YOU PICK UP AGAIN AND
YOU DIDN'T GET YOUR INJECTION
A SMALL DOSE CAN CAUSE A DEATH.
IT'S NOT A GOOD MEDICINE FOR
PATIENTS WITH SEVERE ADDICTION
OR HEROIN INJECTORS. PEOPLE
WITH MILD OPIOID ADDICTION
AND YOU DON'T WANT TO GET
THEM STUCK ON BUPRENORPHINE
OR METHADONE IT'S WORTH A SHOT.
>> THE KEY HERE IS NO MATTER
WHETHER IT'S METHADONE,
SUBOXONE, OR VIVITROL, THEY NEED
TO BE WEANED OFF AND THAT'S THE
KEY.
>> I AGREE.
WITH A MINUTE LEFT, WHAT ARE
WE WANTING TO SAY TO THE
AUDIENCE?
WHAT CAN WE DO IMMEDIATELY
TODAY, TO PARTIALLY STEM?
IT'S THIS EBOLA. WE'RE NOT GOING
TO GET RID OF IT.
>> EBOLA IS A GOOD ANALOGY.
IF YOU THINK OF WHAT YOU WOULD
DO.
LET'S SAY SOMEONE PUT YOU IN
CHARGE OF AN EBOLA OUTBREAK IN
YOUR COMMUNITY IF YOU STOPPED
AND THOUGHT ABOUT WHAT YOU
NEEDED TO DO ABOUT IT FOR TEN
MINUTES.
YOU COME UP WITH THE TWO
STRATEGIES FOR CONTROLLING THE
EBOLA OUTBREAK.
THE FIRST THING YOU WOULD SAY,
WE NEED TO CONTAIN IT AND
PREVENT NEW PEOPLE FROM GETTING
THE EBOLA INFECTION.
SO PREVENT NEW CASES OF THE
DISEASE.
>> RIGHT.
>> AND THE SECOND THING, FOR
EVERYONE WITH THE INFECTION,
LET'S GET THE TREATMENT THEY
NEED SO THEY DON'T DIE FROM IT.
THAT'S WHAT WE NEED TO DO WITH
THE OPIOID ADDICTION.
WE HAVE TO PREVENT NEW PEOPLE
FROM GETTING ADDICTED.
AND MORE THAN ANYTHING ELSE
THAT BOILS DOWN TO GETTING
DOCTORS AND DENTISTS AND
NURSE PRACTITIONERS
TO PRESCRIBE MORE
CAUTIOUSLY, AND WE NEED TO
GET THOSE THAT ARE ADDICTED THE
RIGHT TREATMENT. AND WHAT'S
MOST EASILY AVAILABLE TO
PEOPLE WHICH IS DETOX AND
REHAB DOESN'T WORK FOR MOST
PEOPLE WITH OPIOID ADDICTION.
>> I HOPE TO CONTINUE THIS
TOPIC DURING THE SEASON, AND
LATER ON.
I WOULD LIKE TO THANK, ELAINE,
DOCTOR KOLODNY, JOE,
ANGELO AND STEVE, AND I WILL SEE
YOU NEXT WEEK.
♪ [THEME MUSIC] ♪
For more infomation >> Peugeot 5008 1.6 THP 157 Pk Blue Lease Executive 7 Pers. ECC/Navi/Cruise/Panoramadak/PDC V+A/17''/IS - Duration: 1:01. 
For more infomation >> Congressman Calls For Bipartisan Fix To Health Care | Morning Joe | MSNBC - Duration: 6:29. 
For more infomation >> Learn Colours Play Foam Ice Cream Tools Surprise Toys Fun & Creative for Kids Children Finger Family - Duration: 3:09. 
For more infomation >> Case Against Mark Redwine 'Going To Be Difficult' - Duration: 2:13. 
For more infomation >> Crochet from beads "Flowers of a dogrose" - Duration: 13:49. 
For more infomation >> 최고의 의리녀 김혜수,'유해진 응원 왔죠' | 연예뉴스 24/7 - Duration: 0:57. 
For more infomation >> Russian ABC. Teach letters. The letter З. Alphabet for children. Children - Duration: 0:55. 
For more infomation >> Ivanka Trump Net Worth - How much money is Donald Trump's daughter sitting on - Duration: 2:12. 
For more infomation >> 広島カープ×巨人 あそこに打ったら全部アウトになる20170725 - Duration: 1:17. 
For more infomation >> Mercedes-Benz B-Klasse B 200 CDI Ambition Trekhaak Automaat - Duration: 1:00. 
For more infomation >> Ford B-MAX 1.5 TDCI Airco - Duration: 1:00. 
For more infomation >> Gesichter des Archivs: Antragsbearbeiterin für Ersuchen - Duration: 2:33. 
For more infomation >> Perdre du poids en pratiquant le CrossFit : conseils nutrition et entraînement - Duration: 10:02. 
For more infomation >> Le fils de Sting se confie sur leur relation difficile : « Il a été un père trop - Duration: 2:10. 
For more infomation >> Mercedes-Benz M-Klasse ML 350 BlueTec 4-Matic Automaat - Duration: 0:43. 
For more infomation >> Audi A5 Sportback 1.8 TFSI S EDITION - Duration: 0:59. 
For more infomation >> Lamborghini Çalan Steve - Kısa Film (ALTYAZILARI AÇIN) - Duration: 1:59. 
Không có nhận xét nào:
Đăng nhận xét