Inadequate brushing, using industrial dyes, certain hair treatments, chemicals used in
straightening, and constantly using a flat iron are just a few of the things that make
your hair frizz.
When your hair gets very dry and begins to look frizzy and damaged, you might have a
long and expensive process ahead of you to correct it.
However, there is a natural way to fight frizzy hair.
It's a capillary mask made from corn starch that restores damaged hair, by giving it volume
and nourishing the fibers.
This mask can be applied to any type of hair, and works for both curly hair and straight
hair.
Look at how simple this recipe is:
Ingredients
2 tablespoons corn starch 1 teaspoon pure honey
3/4 liter of filtered water 1 strainer
1 tablespoon of oil (either almond, argan, olive or coconut oil)
1 tablespoon of natural conditioner (whatever you have at home)
Instructions
Stir the corn starch until dissolved.
Then lower the heat and stir until it thickens.
Turn off the heat and wait for it to cool down.
Add the remaining ingredients and mix well to form a smooth cream.
Apply to dry, unwashed hair.
Massage the entire length of the hair.
Make sure you apply it to the scalp too.
Cover you head with a shower cap.
Apply this mask before bedtime.
Wash your hair as normal the next day.
It's important to remember that those with an oily scalp shouldn't apply the cream
to their scalp.
They should simply put the cream on their hair.
Use this treatment once a week.
You can also use this recipe as a regular hair conditioner.
This capillary mask also works well as a massage cream for your hair.
Just apply the mask to the hair and leave it for 25 minutes.
Finally, wash it out with a little shampoo.
If you'd like quicker results, use the cream three times a week.
Now that you know how to make your own treatment for damaged hair, take advantage of the corn
starch and moisturize your hair with this home remedy.
For more infomation >> Homemade Hair Treatment for Frizzy, Dry and Damaged Hair - Duration: 2:47.-------------------------------------------
Mafia 3 Sign of the Times DLC Launch Trailer - Duration: 1:24.
Lemme go... I won't say anything!
Please...
MAFIA III
SIGN OF THE TIMES
She belongs with us, Mr. Clay.
Aaaaahhhh!
Wait- what the hell!?
Help me!
She needs us... Now, more than ever.
...Anna...
...Sammy ever tell you stories about The Ensanglante?
Oh, god, they're coming...
Ensanglante is French for "covered in blood."
You'll never get out of here alive.
The Lord keeps all who love Him, but all the wicked He will destroy.
Tell me where she is.
MAFIA III
SIGN OF THE TIMES
AVAILABLE NOW
"FASTER, BABY!"
"STONES UNTURNED"
"SIGN OF THE TIMES"
ALL NEW STORYLINES, GAMEPLAY & THEMED REWARDS
OUT NOW
-------------------------------------------
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 >> Peugeot 5008 1.6 THP 157 Pk Blue Lease Executive 7 Pers. ECC/Navi/Cruise/Panoramadak/PDC V+A/17''/IS - Duration: 1:01. -------------------------------------------
Congressman Calls For Bipartisan Fix To Health Care | Morning Joe | MSNBC - Duration: 6:29.
For more infomation >> Congressman Calls For Bipartisan Fix To Health Care | Morning Joe | MSNBC - Duration: 6:29. -------------------------------------------
Christmas In July - Duration: 0:57.
Having fun in the sun...
Oh no! Spiders and bees!
Radio: "Be sure to dress cool today, is another hot one in Knoxville"
Water!
[Whistling]
[Disappointed Whistling]
-------------------------------------------
[CC][Engsub] Happy Together 3 Preview | Wanna One pre-meeting behind! - Duration: 4:43.
Even with just the news of pre-meeting, it became a hot topic!
So we're prepared for those who have been curious
The behind of Wanna One pre-meeting (Let's watch good stuff together)
Even though it's been decided that only 5 members will join this recording, the good point is that there's Happy Together every Thursday night
Beware of star-struck accident! Determine to watch Ha.To live! Every Thursday night at 11:10 PM
We'll start now
Can I do it loudly? Yes
[Start with a slate!] I will clap the slate now! 1,2,3!
Jisung clap
So embarrassing
[Visual of a man who comes out of manhwa] Do you know man.jjit.nam?
[The face is interesting] Your visual looks as if you had just come out from manhwa
The members who enjoy Happy Together are? I've always been watching it
Who just watched recently?
[The people who watched recently: Jisung, Daehwi, Daniel] Oh really? When did you watch it?
The most recent one was like...
[The most recent time was 2 months ago!] Oh~ / Oh it's been 2 months
Before joining Produce! / Yes Before you went into the dorm?
Before we become Wanna One! I think it's since that time
Wanna One also enjoy watching Happy Together
The drinks are here Thank you~
We'll drink well Thank you~
Do you wanna try?
Mine too~
Aigoo so bitter~
Is there anything you want to do or any special talent?
Lovely x2
[Ong Seongwoo's talent is?] Firstly, there's ear folding... Your special talent is folding ears?
If I were to show it now...
Ear folding (*OngNiel being obvious again*) I fold them...
and put them inside like this
Which side do you want to bounce back first?
Right side x2 This side? Yes
Then this side...
I have that special talent...
It somehow has that feeling of ... Why... why are you embarrassed?
Ah yes...
[Park Jihoon's special talent is?] Ah yes... Oh~ How should I do this...
Please count 1,2,3 for me Yes. 1,2,3!
Doesn't your fan-ness show too obvious???
[Shy x2] Everyday in the dorm... He practices it, diligently
[Catchphrase <You're captured in my heart>] Jihoon's <You're captured in my heart> is so cute, isn't it?
[Yoon Jisung and Kang Daniel wanted it] Daniel and I want it so much. So to tease him, we'd be like
Chicken is captured in my stomach!
Everyday Jihoonie would be like "Don't do it!!!!"
[Sexiness teacher Kang Daniel?] -I heard that you... / -are called sexiness teacher -taught others sexy expressions
Yes...
Wanna One's Kang Daniel is Yoo Seonho's sexiness teacher? "You just have to do an expression that can chew up the camera" "Taxi" Yoo Seonho: "My sexiness teacher is Kang Daniel, there's a sexy point" Yoo Seonho, the sexiness that is taught by Kang Daniel is? "Half-close the eyes and slightly open your mouth"
[Sexiness is in the broadcast!] I've prepared something else? What's that? x2
I'm confident in "Speak with your body" Speak with your body? / Yes
[Burning with determination] I'm really good at it Try doing it. We'll try guessing
[Let's try guessing together] I'll do it now!
Emergency exit!
[Correct answer: Emergency exit] Emergency exit! Oh he's good~
[What does Yoo Jaesuk mean to Lee Daehwi?] Lee Jaesuk sunbaenim? Somehow...
Firstly, when watching him through tV only, somehow...
I think he's not gonna throw away the trash... Ah~ I though we were saying he was like trash
[Thought that you meant he was trash...] No! No! No!
No you can't! Because you stopped right there...
Trash... No, no, no~~
[What does Yoo Jaesuk mean to Hwang Minhyun?] I was active in a group called NU'EST. And when we first debuted...
We were eating for the 1st time in a restaurant and...
[Met each other by chance in a restaurant] He came. He and Haha sunbaenim came together
It was when we (NU"EST) just debuted for less than one week
and we went to say our greeting but
When he went out after eating,
[Yoo Jaesuk already paid everything] he even paid for our food too Ah, you only greeted him and then...
It was the first time we met
Ah you greeted him, introducing that that you were NU'EST? Yes
He must have had no idea who we (NU'EST) were but...
We ate things that were very expensive
Expensive stuff within less than one week after debut? They told us to go out to eat so we went...
[1+ thing to God Yoo's good deeds] We were so grateful
*Not sure but they are saying about how it should be treated by Pledis CEO instead of God Yoo*
[Yoo Jaesuk vs Kang Hodong] Do you like Yoo Jaesuk or Kang Hodong? For me, personally... / Honestly!
Honestly~ For me...
according to my personal taste, it's...
Kang Hodong
Are you watching, God Yoo...
All I wanna do! Wanna One! Hello, we are Wanna One~
Everyone, finally, Wanna One
Will appear on KBS Happy Together
Congrats on your 1st appearance on national TV channel
On 3rd and 10th August. 2 weeks back to back
at 11:10 PM Thursday
Everyone, you're gonna look forward to it a lot right?
Watch it live~
Woah~ It's already interesting~ It's gonna be so much fun~
Happy Together at 11:10PM Thursday
Happy Together is captured in my heart~
Subbed by Goosib Oh
-------------------------------------------
Trump calls top Intel Dem 'Sleazy Adam Schiff' - Duration: 1:37.
Trump calls top Intel Dem 'Sleazy Adam Schiff'
BY REBECCA SAVRANSKY
President Trump criticized Rep. Adam Schiff (Calif.) in a tweet on Monday, referring to
the senior Democrat on the House Intelligence Committee as "sleazy" and "biased."
"Sleazy Adam Schiff, the totally biased Congressman looking into 'Russia,' spends all of his time
on television pushing the Dem loss excuse!" Trump tweeted Monday.
Schiff on Sunday said that Trump is concerned that the special counsel investigation into
Russian meddling in the 2016 presidential election could include his finances.
�The president is clearly worried� about accusations that Russia laundered money through
the Trump Organization, Schiff told CBS�s �Face the Nation.�
�What concerns me the most is anything that could be held over the president�s head
that could influence U.S. policy,� Schiff added.
Trump in an interview last week said that it would be "a violation" for special counsel
Robert Mueller to investigate his or his family�s finances beyond looking for potential ties
between Trump�s campaign staff members and the Kremlin.
Trump has in the past decried the Russia probe as a "witch hunt" and as a Democratic excuse
for losing the presidential race.
-------------------------------------------
Learn Colours Play Foam Ice Cream Tools Surprise Toys Fun & Creative for Kids Children Finger Family - Duration: 3:09.
For more infomation >> Learn Colours Play Foam Ice Cream Tools Surprise Toys Fun & Creative for Kids Children Finger Family - Duration: 3:09. -------------------------------------------
Case Against Mark Redwine 'Going To Be Difficult' - Duration: 2:13.
For more infomation >> Case Against Mark Redwine 'Going To Be Difficult' - Duration: 2:13. -------------------------------------------
Crochet from beads "Flowers of a dogrose" - Duration: 13:49.
For more infomation >> Crochet from beads "Flowers of a dogrose" - Duration: 13:49. -------------------------------------------
최고의 의리녀 김혜수,'유해진 응원 왔죠' | 연예뉴스 24/7 - Duration: 0:57.
For more infomation >> 최고의 의리녀 김혜수,'유해진 응원 왔죠' | 연예뉴스 24/7 - Duration: 0:57. -------------------------------------------
Relieve Muscle Knots & Trigger Points with a Massage Ball Plate - Ask Doctor Jo - Duration: 10:26.
Hey everybody it's Doctor Jo, and it's product review time again. The folks at
Beaver LAX sent me their massage ball plate. So let's get started.
So it's a pretty interesting story how the massage
ball plate came around. There's a family who invented this, and the mom ended up
getting cancer, and while she was working on getting better, the oldest son and the
dad decided to develop some things to be able to sell to help make some money. And
both of the sons play lacrosse and useful lacrosse balls for a trigger point
release, and so the oldest son developed this massage ball plate to help
kind of keep the ball in certain spots. So when you're using those trigger
points, the balls don't roll away, they stay in place. And what I really like
about the plate itself is you can see here it's foam, so it squishes. So a lot
of times when people have those trigger points it's really really painful if
you've had a trigger point. The plate not only helps keep the ball in place, but a
lot of times I feel like it helps give you some pressure, but not the full 100%
pressure. So if you're really really sore, you'd want to start out with a plate to
get some pressure in those pressure points, and then if you wanted full
pressure then you can easily take these out and do those as well. What's really
nice also with the massage ball plate, it comes with some little instructions here
that show you some trigger points and show you a couple ways to use it, and
there's also an e-guide that they send you that goes into a lot more detail of
how to do it with a massage ball plate and without the massage ball plate. So I
really like it because it's easy to take these in and out. You can put them in
different places if you want to, moving it around. The Beaver design is really
cute, I like that, and when you move it in different places,
you can just put it lightly in there, you don't have to force it in there because
once you lay on it then it'll go in there a little bit further. So that's
really nice as well. And if you just wanted more balls in there, you can get some more
lacrosse balls and put them in there, so that's really nice. And I like it now the
plate is designed, you can see how there's space here, so if you are lying
on it to do stuff on your back or your neck, you have this space here so it's on
each side so it's not pushing directly on the spine, it's pushing on those muscles
on the each side of the spine where usually those trigger points are because if
you do it directly on the spine, it's going to be very uncomfortable. So again this
is a nice way where it stays in place, so then it doesn't end up rolling on those
bony parts which are very uncomfortable, and I like that as well. But you can also
do this on your calf muscles on your thigh muscles, you can do it on your pecs,
your chest muscle here, and so there's a lot of different ways you can use it. You
can do it on your glutes as well, it's very versatile, so basically you can use
it anywhere, and again you can leave it in the plate have it stabilized, not
moving around, a little bit maybe less pressure, or you can take them out and
then have that direct pressure on there and push down as hard as you want to. So
I really like that component as well. So let me show you a couple different ways
to use it with the plate and then some without the plate as well just with the
lacrosse balls. The first one I'm going to show you is for the calves. So a calve
trigger point release. A lot of times if you're doing a lot of exercising,
running, even walking, you get a lot of tenderness trigger points in the calf
muscle, so I like to have it where it's lined up one in front of the other, so it
can get the whole calf area, and just kind of laying your leg on it just like
this. And so you can see that it's getting pressure on those spots. You can
either just relax the muscle and push down, and I can feel a really nice
pressure on the calf there, or you can actually come up a little bit and put
more body weight on it so that gets even more in there, and if you want to wiggle
it side to side, up and back and forth a little bit, that kind of gets those
muscles even more just moving around. But you can see what's great about it is
then the balls aren't rolling away or moving, you don't
have to go and grab them, but if you do want a specific spot just a little bit more, you
can just easily take it out, and then find that spot, and then to put it
directly on there. So you can see it's just getting a little bit more pressure
in that spot. You can move it around a little bit more like that, and then you
can still then come up and put some pressure on it as well just like that, so
that's nice and that really gets those spots, that gets that trigger point, and you
want to usually do it for 30, to 30 seconds to a minute, just to make sure
that you're really getting that spot. Most the time with those trigger points,
you'll feel it release, so you might need a little bit more, you might not need
quite that much depending on how strong and severe that trigger point is. So then
you can go into the glute muscles. A lot of times people have some some pain in
the glute muscle, the piriformis area right there, so same thing you can kind
of put the balls wherever you feel like it's going to get the areas or the spot
that you need. So if it's a bigger area where you're maybe the whole muscle is
sore, you can put it wider out in these here. I'm going to do a little bit closer
just because that glute spot where the piriformis is, usually isn't a very long
spot. And then again just kind of sitting on it, getting that pressure, you
don't necessarily have to move around. I can feel it right there. If you want to
move around just a little bit, you can and it gets some nice pressure in there,
and you can just hold it there, and then just right there I can feel my muscle
letting go and relaxing. So it doesn't take a whole lot unless you have a
really big strong significant trigger point, and then again if you do, you can
take that out, and then just kind of sit on it, but that is a lot a lot of
pressure to those, probably not something you want to start off with. You would
want to start off with the plate first. Make sure that the massage ball plate is
on a flat surface, especially when you're lying down, a nice firm surface will help
get that extra pressure in there that you need, so make sure that it's not
uneven or that it's on a really soft and probably something like a bed won't be
quite as beneficial. So lie down for the low back
since the low back has a little bit more space there, I'm going to put it down
where it's a little wider right here, and then just turning around I'm going to
kind of get it on that spot in that low back area, and just first of all I'm just
going to lean on it like this. Again if you have those trigger points, they're
probably going to be pretty tender, so you don't have to put 100% of your
pressure on it. I can feel them on those muscles right now even though I don't
have trigger points there, it feels really good. It's that kind of hurts so
good feeling, and then if you want more pressure on there, you can just go ahead
and lie all the way down on it. You know get a pillow if you needed to protect
your neck, so you don't have to strain that, but I feel like almost if I'm up on
my elbows for my lower back, it's getting a little bit more pressure on there than
lying all the way back. And again if you want a lot of pressure you take out the
lacrosse balls and just use those specifically. Also with lying down, if you
want to kind of go into the upper traps here, the neck area, then I'm going to go
back into the smaller area here, and I'm actually just going to turn it around
like this, and so that's going to get right between the neck area on those
upper traps, the levator muscles and everything like that. So I have a pony
tail, so it's not hitting quite as much, I'd probably take my ponytail out, but as you
can see right here, that's going to hit those spots. And just like that I can
feel that pressure on there. And a lot of people have those trigger points, the
upper trap, that levator scapula muscle because that's the one that we
pull up when we're stressed out. So again once you find the spot, and there it is,
it doesn't take a lot of pressure. I don't have to put my neck all the way
down, I can feel it right there, and if you want to kind of move your arms out a
little bit and push those down, that will help get it as well. And so again,
starting off you probably want it to be in the plate, it stays put, it's not quite
as much intense pressure, but if you want a little bit more pressure, just take the
lacrosse ball out,
and then do it that way. So if I was just if I was doing it directly, I'd probably
just do one ball at a time because again since it's not in the plate it's a
little bit harder to keep it in one spot, but you can do just one, put it right on
that spot, and then just kind of push down on it that way, and so that's a very
very intense trigger point spot, so again you might not want to start off with
that much, start off with the plate because it's a little more comfortable,
and it's going to hold it in that spot so you can just relax down on it and let
those muscles relax. You can also use this in a chair, so if you're at work, if
you're working on your computer, in class work, or something like that, you can put
it on the back of the chair and still have those trigger points. There are
hole openings here and here, so if you wanted it on a specific spot on your
chair, you could just put a string or little rope, and then tie it in that
specific spot, so it would stay there. So it's a really nice piece of equipment to
be able to use it in many different ways, and you can again, you know, use it with
the plates to start off with, and then if you want more intense later, you can take
those out and get really really specific spots and pressure on there. So there you
have it, that is the massage ball plate by Beaver LAX.
If you're interested in finding out more about the product, you can go to
beaverlax.com, and if you're interested in purchasing the product you can click up
here. And don't forget to subscribe to our channel by clicking down here.
And remember, be safe, have fun, and I hope you feel better soon.
-------------------------------------------
Russian ABC. Teach letters. The letter З. Alphabet for children. Children - Duration: 0:55.
For more infomation >> Russian ABC. Teach letters. The letter З. Alphabet for children. Children - Duration: 0:55. -------------------------------------------
FEMA Accessible - Disaster Survivors Are Urged to Spend Disaster Funds for Approved Uses - Duration: 3:14.
Disaster Survivors Are Urged to Spend Disaster Funds for Approved Uses
If you received money for assistance because of the recent disaster,
you must only use it to pay for things related to the disaster.
The Federal Emergency Management Agency (FEMA) reminds you that you should not
use the disaster money for your regular living expenses,
such as: utilities, food, medical or dental bills,
or for other expenses like travel or entertainment that are not related to the disaster.
Federal law doesn´t allow getting money from two different sources for the same thing.
You need to keep your receipts for three years to show how you spend your money.
When you receive money from FEMA, you will receive a letter explaining how you can use it.
Examples: For repairing your home
(the structure, the water system, the septic system, and the sewage system).
For rent money to find another place to live for a while.
For repairing or replacing your main car.
For medical care if you were hurt because of the disaster.
For repairing, cleaning or replacing clothes or special tools you use for work.
For necessary school materials (like computers, textbooks, supplies).
For moving and storage after the disaster.
For other uses related to the disaster.
You may spend the money from FEMA to help you get a permanent, safe, clean place to live.
The money to help with rent is for a temporary place to live
when you cannot live or access your home because of a disaster.
If you own or rent a house, you can rent an apartment, house, mobile home or rent another unit for a while.
If you want to continue receiving help with your rent,
you will need receipts to show how you used the money you received to pay rent.
If you have any questions, call the FEMA Helpline, 800-621-3362.
For 711 or Video Relay Services, call 800-621-3362.
TTY, call 800-462-7585.
You can register in any language.
-------------------------------------------
Increasing Taxes in Utah - Duration: 2:23.
- Best managed state.
Best state for business.
Best economic outlook.
Best state for employment.
But if you have been paying attention to your taxes
the past few years, you wouldn't know it.
(groaning)
Property taxes have gone up state-wide.
The gas tax formula was changed
and raised not once but twice.
The taxes on all phones, alcohol and hotels
were raised, just to name a few.
And don't forget about Prop One just a couple years ago
where some counties voted to raise their local sales taxes.
(upbeat contemporary music)
School districts have been raising property taxes
and municipalities are constantly
proposing new tax and fee increases.
Internet sales taxes are being enforced
at an increasing rate and if that's not enough
there's an initiative to raise your income and sales taxes
while the legislature is considering
raising taxes on food and property.
(man grunting)
Each of these taxes are being raised
by elected government officials or by voters themselves.
But should it be as easy as acquiring a majority vote
to be able to raise taxes on your neighbors?
The growing list of tax increases seems to show
that the standard for elected officials
to commit legal plunder is too low.
(screaming)
- I'm just gonna stay angry.
I find that relaxes me.
- One policy proposal that has been implemented
in some other states is a requirement
of a 2/3 vote when passing a tax increase.
Whether it's a vote in the legislature or vote by the public,
a tax increase should be treated
with additional scrutiny and consideration
because government is forcibly taking
an individual's hard earned money.
- I have a joke for you.
- Okay.
- The government in this town is excellent
and uses your tax dollars efficiently.
(cackling)
- A 2/3 threshold would also cause government entities
to think twice before proposing any tax increases
and instead find ways to cut costs,
reprioritize budgets, and focus on core services.
A decrease in the number of tax increases Utah implements
would certainly be a solid step towards living up
to our accolades for being a well-managed state.
For Libertas Institute, I'm Nichelle Aiden.
(rhythmic synthesizer music)
-------------------------------------------
Ivanka Trump Net Worth - How much money is Donald Trump's daughter sitting on - Duration: 2:12.
For more infomation >> Ivanka Trump Net Worth - How much money is Donald Trump's daughter sitting on - Duration: 2:12. -------------------------------------------
Bollywood Celebrities Who Adopted Kids - Duration: 2:19.
Bollywood Celebrities Who Adopted Kids
-------------------------------------------
Peppa Pig's House Playset Fanmade Learn color with Chair for Kids | Nursery rhyme songs for baby - Duration: 12:11.
thanks for watching please subcribe
-------------------------------------------
2Minutes2Virtue - Asleep at the Switch - Duration: 2:25.
Hello, I'm Father Scalia, the Episcopal Vicar for Clergy in the Diocese of Arlington.
What does sleep mean?
There is the sleep that we see in a baby or toddler in it's mother's arms or in a crib,
that speak to us of trust and confidence.
Then there is what we call the "sleep of the just".
It's the deep, untroubled sleep of someone whose conscience is completely at peace.
But then sometimes sleep can indicate something bad.
It can indicate negligence, and so we might say that someone was "asleep at the switch"
when they failed to do what they should have done.
"While everyone was asleep his enemy came."
This is a crucial line in this Sunday's Gospel, the parable about the weeds among the wheat.
It was the negligence of the servants that enabled the enemy to come in and to work his
mischief.
And it called our attention to the need for vigilance, watchfulness, wakefulness, because
we do have an enemy.
The devil does want to work his mischief in our lives and disrupt our good work, and to
sew weeds among all of the good that we try to do.
And if we are negligent, then that provides the opening for him to come in.
Summer is a good time to think about this, because we make the mistake of thinking that
a vacation from work and from school means also a vacation from the faith and from our
spiritual life.
We have to be vigilant, first of all, in our prayer, that we are attentive to it everyday
and keeping up in regular prayer.
the challenge for this week is really to be attentive to these things: to be vigilant
in our relationships, making sure we are cultivating those good relationships and seeking to love
others.
Vigilant in our conversation, that we not lapse into gossip or to negative conversations.
Vigilant in our thoughts, that we're not allowing our thoughts to stray to vain or worse things.
And then again, and last of all, vigilance in prayer.
Being watchful and wakeful for our Lord, because vigilance is ultimately not against the enemy,
but for Our Lord.
-------------------------------------------
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 >> 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. -------------------------------------------
Mercedes-Benz B-Klasse B 200 CDI Ambition Trekhaak Automaat - Duration: 1:00.
For more infomation >> Mercedes-Benz B-Klasse B 200 CDI Ambition Trekhaak Automaat - Duration: 1:00. -------------------------------------------
Ford B-MAX 1.5 TDCI Airco - Duration: 1:00.
For more infomation >> Ford B-MAX 1.5 TDCI Airco - Duration: 1:00. -------------------------------------------
Gesichter des Archivs: Antragsbearbeiterin für Ersuchen - Duration: 2:33.
For more infomation >> Gesichter des Archivs: Antragsbearbeiterin für Ersuchen - Duration: 2:33. -------------------------------------------
Jeep Wrangler Rigid Industries 50" Radiance LED Light Bar (2007-2017 JK) Review & Install - Duration: 5:57.
The Radiant Series by Rigid is definitely a different look from Rigid Industries.
This light is available with a three different colors of backlighting.
The one I have in front of me is blue, but these are also available with red, green,
amber, and white backlights.
And today we're gonna through the installation of this light, which I'm going to give a two
out of three wrenches because there is going to be some wiring involved.
Rigid is generally known for building a very high quality, really rugged light that puts
out a ton of light.
What this is, the Radiant Series, is that same E-series housing, however, everything
on the inside is completely different.
This is going to give you significantly less light output than say an E-series bar and
it is going to be significantly more flashy than the E-series bar as well, where the E-series
is all about light output, functionality, and ruggedness, this has the Rigid Industries
logo on the outside here that will glow in whatever color backlight you get.
It also has exposed circuit boards all along behind the reflectors of the main LEDs.
And on those circuit boards are additional backlight LEDs.
So this is actually a three wire light bar.
It has a negative and then it has two positives.
One powers the actual forward facing lights and the other powers the backlights.
So this definitely going to be a much more flashy light bar.
This is not going to provide nearly as much light output as the much more expensive E-series
light bars, but a lot of you guys are gonna look at this and say, "That's cool, I like
that backlight feature.
I have a certain color theme going on on my Jeep.
And when I take it to shows, or cruise nights, or even out on the trail, I wanna be able
to light up the backlight on my light bar the same color as the theme of my Jeep.
I like that, I like that idea, and I don't need the light output of an E-series 15-inch
light bar."
If we're being honest with ourselves, a lot of us don't need that much light output, whether
the light bar is going to be used on the trail or on the dark back roads.
Those 50-inch E-series light bars put out a ton of light, it's almost more than is usable
and useful for most of us.
So maybe you're looking at this for something that is going to look cool on their Jeep and
is still going to perform, but they don't need it to perform at that top level.
And this is certainly going to save people a lot of money over that top tier Rigid light.
So this is going to be an aluminum housing with a poly cabinet lens.
It's going to be scratch resistant strong.
You're not going to get any water vapor or condensation on the inside of this lens.
It's going to hold up really, really well.
This is going to put out about 800 less lumens than that E-series 50-inch LED light bar from
Rigid, it's also going throw light about 600 meters less far than that E-series light.
Instead of having 100 very bright LEDs with the proper optics to make a spot or beam pattern,
this is going to have 27 much smaller LEDs, and the optics that are used are really designed
to give you more of a hybrid pattern.
You do get a oval spot in the center with a little bit of defused light around it.
So it's not specifically one pattern or another, really is a hybrid pattern.
However, again, it is going to save you about $700 off of that E-series light, and you do
get the backlight feature with this.
As far as the install for this bar goes, again, I'm gonna give this a two out of three wrenches.
I always recommend that with a 50-inch light bar, you purchase a 50-inch light bar bracket
that will hold this light bar in that location that makes installation very, very simple.
So I definitely recommend picking up one of those brackets.
This only comes with a small pair of feet.
So if you're gonna drill somewhere, this will have all the hardware you need.
If you want a no drill installation, you are going to have to pick up a 50-inch light bar
mount.
Now, because this does have the backlight, the wiring for this is going to be a little
bit different than most LED bars.
Most light bars and even like pods that you can get on the market these days just come
with a two-wire pigtail, you have a positive and a negative.
Because this has the backlight and the forward facing lights, this is actually a three-wire
light, and it does have a regular three-wire pigtail here.
So the wiring is maybe a little bit more complicated if you're not somebody who's really comfortable
with automotive wiring.
So Rigid does have a specific wiring harness that is available for these Radiance lights
that is designed to take care of all three of the wires as a three position switch, and
that will make wiring to stop a lot easier.
No matter how you slice it, you are going to have to do some wiring, which is why I
give this a two out of three wrenches.
As far as tools go, you're going to need probably some Torx bits for whatever 50-inch light
bar mount you decide to use with this light bar.
Other than that, you'll just need some traditional hand tools and of course your wiring tools
to get this done.
The install time will vary depending on which bracket you use and how you decide to run
your wiring.
But again, depending on how you do it, you can probably get this installed in about an
hour.
Now I said before this light is $700 less than the Rigid Industries E-series 50-inch
LED light bar.
This is a great way to save a ton of money over those much more expensive LED light bars
and still get a 50-inch light bar that has a lot of functions that a lot of you guys
really like.
So if you're interested in having a 50-inch light bar on your Jeep and you want one that
has a Rigid logo on it but you're not willing to spend more than $1,000 for that light bar
and you like the idea of having a backlight, this is a really nice way to save a little
bit of money and get some additional features out of your light bar.
So that's my review with the Rigid Industries Radiance 50-inch LED light bar with backlight,
fitting on 1987 and up Wranglers, that you can find right here at extremeterrain.com.
-------------------------------------------
Perdre du poids en pratiquant le CrossFit : conseils nutrition et entraînement - Duration: 10:02.
For more infomation >> Perdre du poids en pratiquant le CrossFit : conseils nutrition et entraînement - Duration: 10:02. -------------------------------------------
Le fils de Sting se confie sur leur relation difficile : « Il a été un père trop - Duration: 2:10.
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 >> Le fils de Sting se confie sur leur relation difficile : « Il a été un père trop - Duration: 2:10.-------------------------------------------
Mercedes-Benz M-Klasse ML 350 BlueTec 4-Matic Automaat - Duration: 0:43.
For more infomation >> Mercedes-Benz M-Klasse ML 350 BlueTec 4-Matic Automaat - Duration: 0:43. -------------------------------------------
italians react to [EXO - The Eve] Comeback Stage M COUNTDOWN [ENG SUB] - Duration: 5:43.
helloo
I'm Delly and I'm Benny
and now we're going to react to Exo "The Eve" Live performance
we have no idea about the song
we didn't listen to it
we just know that is a song from the new album
but we saw that a lot of people where doing the reactiont to it
so we thought that maybe it was a nice performance
let's gooo in 3..2..1
I made it (lol she always fails)
don't move the tabel
awww my babies are so beautiful
they showed also the old MVs when Tao,Luhan and Kris where still there :,(
wow,look at himmm
guess who is dabbing? lol
we don't have exo's lighstick
omg
D.O....so beautiful
couldn't they do the MV to this song? I already like it more thank ko ko bop.....a lot more
omg blonde Chen is killing me
omg he's so pretty
Kai has normal hair!!!
really???
omg Chanyeol you're so handsome
wait....he has normal hair!!!
thank you Jesus
fuck yeah yes,like this he is handsome
wait....did they put glitter under his eyebrown??
yes but is the make up of this concept
he has here
yes,yes
so handsome Suho
ohhh.....fuck
Kai.....this is why Kai needed to stay in dread....so I could live
Sehun nooo...
Xiuminnnn....go away
no...no...no.......cover yourself
this song is so good
wait maye the volume is too low
omg that part was so good
also here
omg Kaisoo
but this part no,no,no
no,pleaseee
if after this I'm still alive..
omg Xiumin....go away,go away,go away
Suhoooo.....look at him
I can't live after this
but honestly you want to compare this to ko ko bop?? come on
I want to buy the cd just to have this song
he is having lines
my orange baby
he is a little carrot
go D.O
oh god....can we close these shirt please???can we close them?
I'm having an infarct
why are they on the floor?no,no,no
why did they filmed Xiumin and Kai together???
fuck,Kaiiii
holy s...
someone please cover Sehun
omg
no,but.....
please....
omg,omg,omg
what did we just saw?
I mean....I'm still alive!
we are still alive!!
fuck my heart is beating so fast
and like I said we didn't know anything
so we saw it without knowing anything
I mean if we were mentally prepared...
no,we weren't
at all
what is thisss?
o my god
and Kai...
I mean I honestly...
in ko ko bop I really didn't like him
but at least I coul look at him
I mean with this hair I can't look at him
also because his skin colour...sorry but is something so beautiful
is art
I mean I like pale skin
but come on
omg I'm having cough
and...
I don't comment singular members because I will take each of them
like Xiumin.....fuck
Sehun
Suho
you need to close your shirt Sehun
yeah exactly we need to close this shirts
what is this thing to have them all open? nooo
Chen,Chanyeol,Kyungsoo...
all of them....
all of them
they could change Baekhyun hair but he was still so beautiful
yeah and D.O my baby..
my...
penguin!
my short murder penguin
and kaisoo.....there was the kaisoo
I lost my voice,I'm not joking
and now...we have tomentally calm down
so we greets you
thank you for watching
comm....I mean,put a like and comment down below
and see you at the next reaction
bye,bye
-------------------------------------------
VLOG 11 // 富士山 - Duration: 10:18.
A beautiful good morning out of the sunny tokyo
But I wont tell you where we go to
I make it super exciting for all of you
Lisa isnt allowed to know I mean she is allowed to but
we thought its funnies if she guesses
lisa wanted to get something out of the conbini
She wanted to have a milk tea
get in line
mhm those yummy things. how about
sausages and chesse
perfect for vegetarians
whats that ? big egg with cheese ?
whats that ? big egg and ?
it is ham ? *spoiler .. it wasnt ham lul*
anna wants this
so many people in the morning
we just wait for the shinkansen to open its doors
and you have to get in line in front of the doors
and the line just got extremly long
normally everyone would get a seat
but as we know tourists dont act like normal people
so i guess they wont sit on one single seat each
we wait to get in. we were here 20 minutes before the train departs
and thats the line in front of us
we just got into the train and eat breakfast again
best breakfast
chips
i got
and egg bread
then cheese and corn
then .. maybe i wont eat that but just in case
two onigiri and coffee
and now we wait for the train to departure
i guess it wont take long
we leave at 30 and its a few minutes before 30
and its really crowded
we just left the station in otsuki
we go to the fuji
i dont know if i put that in the title
and its super crowded
because everyone left the train here
why you look at me
cause all the people left the train
really really many people
and everyone just had to buy a ticket first so I would recommend to you
doesnt matter how long you stay in kyoto or tokyo or where ever
get the suice or the pasmo or something like that
because if you have to buy a ticket every single time you take the train
the suice just saved our asses so many times now
i mean we have to pay too but we just save so much time
we are so much faster
and when all the people got a ticket the train will get so crowded
and the train ride takes 25 minutes
just imagine you have to stand 25 minutes in this crowded train
you just commite suicide after it
just get the suica
as i said it saved our asses so many times
we dont have to buy a ticket every single time
dont have to check how much the ride will cost
just "beep" and go through. check you money from time to time
how much you have left
its much more convinient
so nice he slows down so we can take pictures of the fuji
we are at mt fuji now
and take the path to
the
chureito pagoda
we are really agog how far itll be
a real country side here
i bet the people just come here
because they have the temple up there
thats a really diffrent side
of japan
as we normally saw it
just in case you wanna go here
and you bought the japan rail pass
you cant get here with it
just to the otsuki station and from there you have to pay extra
with the fuji Q
so you have to pay again
even with the jr pass
9,60€ to this station
fujiiii
for one way
that really sucks
i have this app
and it said i can get here with the JR pass
i guess it just meant until otsuki ...
and not the whole trip
but now we are here
and its nice
lets make the best out of it
we just arrived at the temple and we walked this view steps
and we are really exhausted lol
and we have to walk this whole way
omg ... this will be hard
lets go
we are at chureito pagoda now
and its extremly crowded
its super annoying
we are at kawaguchiko now
in i dont know where
somewhere at the fuji
we wanted to go here because i read
that you can take a special train
to somewhere and then there is a nice lake
and you can take a gondel there
i thought maybe it would be like 2€
and the price for the train
but i thought that i could go here with the jr pass
but its not
now we are here and the shops are all closing at 2pm
we sit at a sidewalk now
cause all benche are taken
and all other benches are taxi benches
and wait for this train. we arent even allowed to go to the platform now
cause the platform will open at i have no idea oclock
so retarded
thats the most retarded place in japan
we go back to otsuki now
and maybe we find something intresting there
i wouldnt reccomend to go here
either you have a lot of money
and are bored af or ...
but...
if you wanna spend a nice, natural day
then this is the wrong place to go to
we will eat this
kitkat now
it is strawberry cheesecake
youll see if you can see it
oh its white
tastes like strawberry
only like strawberry
lol
cheesecake not found
nice
doesnt matter. i dont have strawberry kitkat
I make a result of this mt fuji day
actually the day way good
until we decided to go to kawaguchiko
that was bad. then we stuck there
then everything closed and now we are in otsuki
where is nothing at all
nearly everything was closed too
we got food in the convinient store and wanted to go back
but the next train comes in
when did we arrived ?
in 1 hour ...
thats really long
somehow i didnt thought about that
i dont know
i thought there would be more structure
i mean its a tourist spot
or at least something what tourists cross
i thought the shinkansen ...
she just left 'LOL' I talk to much
how rude
she tought "nope"
so the result of this day is
it was nice but please make a better plan then i did
when the trains are coming
when they bring you back
so you dont have to wait for 1 hour
-------------------------------------------
Big Sean - Bounce Back (Vanic Remix) [Lyrics] - Duration: 4:40.
Last night took an L, but tonight I bounce back
Wake up every morning, by the night, I count stacks
Knew that ass was real when I hit, it bounce back
(You ain't getting checks) Last night took an L, but tonight I bounce
back Wake up every morning, by the night, I count
stacks Knew that ass was real when I hit, it bounce
back If you a real one, then you know how to bounce
back
Last night took an L, but tonight I bounce back
Wake up every morning, by the night, I count stacks
Knew that ass was real when I hit, it bounce back
(You ain't getting checks) Last night took an L, but tonight I bounce
back Wake up every morning, by the night, I count
stacks Knew that ass was real when I hit, it bounce
back If you a real one, then you know how to bounce
back
If you a real one, then you know how to bounce back
Look, I woke up in Look, I woke up in
If you a real one, then you know how to bounce back
Look, I woke up in If you a real one, then you know how to bounce
back
Don't owe nobody, owe nobody Always on the fuckin' job, I got no hobbies
Got the city fuckin' with me cause I'm homegrown Vibin' out more than my phone though
Leave me 'lone, me on my own though Look, I cut that bitch off like an edit
My daddy a G, it's genetics (Straight up) I heard ya new shit, it's pathetic
Ya contract should be s-shredded Took my dogs on a private jet from the public
housing I kept it G, yeah, one thousand
Clique star studded like the Paramount mountain Everything I do is righteous
Betting on me is the right risk Even in a fucking crisis
I'm never on some switching sides shit I switch gears to the night shift
Blacking out cause I'm enlightened God talk to me in silence
But I hear him every time man (Thank you God, God bless you, thank you so
much)
Last night took an L, but tonight I bounce back
Wake up every morning, by the night, I count stacks
Knew that ass was real when I hit, it bounce back
(You ain't getting checks) Last night took an L, but tonight I bounce
back Wake up every morning, by the night, I count
stacks Knew that ass was real when I hit, it bounce
back If you a real one, then you know how to bounce
back
If you a real one, then you know how to bounce back
Look, I woke up in Look, I woke up in
If you a real one, then you know how to bounce back
Look, I woke up in If you a real one, then you know how to bounce
back
-------------------------------------------
Japan Hidden Gems: SANDANKYO (Hiroshima) // Hiking, Boat Ride, Kayaking, Waterfalls - Duration: 1:24.
Situated in northwestern Hiroshima is Sandankyo, a true hidden gem
especially for hikers and nature lovers
Offering spectacular views it is no wonder that this place is one of the
five most famous ravines in Japan. Besides the fresh greenery and
crystal-clear water the view in Sandankyo is exceptionally beautiful during
Autumn
Accessible by bus or car it is a wonderful escape into nature and the
hikes are not difficult with well-marked trails and stunning views along the way
Besides hiking and waterfalls you can also take a short boat ride for 500 yen
return which will take you to an area Kurobuchi Pool
Or why not go kayaking on the river itself
Sandankyo is a truly remarkable place and we hope this video has inspired you
to visit. Thank you for watching and until next time. Happy travels!
-------------------------------------------
Nico's Birthday Box Reroll Scouting! - Duration: 16:40.
Hello guys! I'm currently on my 1st reroll account!
Collecting gems~~
I was able to log into this account during the Welcome Summer campaign period
so I did get a lot more gems than my other rerolls~~
Still collecting ahahaha
time to scout now! :D im very excited for my results~
If i get at least one UR on an account that should make me 5usd ,':3cc
Nico Nico Nii~~
Its loading! :0
UR! UR! UR! UR! UR! UR! UR! UR!
no UR ;-;
Pool Nico! one of my dream SSRs!
Omg, and idolizable haha
/waiting for the cards to load so i can screeshot
/screenshot
/checking
oh yea, i still have birthday gems to use :D
let me just collect those,,
and i'll collect these gems too~
i lost tract, i think i collected 10?
nope, i collected 9
one more gem~
time to solo!
ooh nice!!
lemme just screenshot that~~
give me a ur!
nope.
nope x2
andddddddddd
nope again
now i gotta screenshot le memberlist,,
the eli sr was from a gt solo btw!! i didnt record it aha
time to switch accounts~
account 2!!
collecting gems~~
i didnt get to log onto this account at all except for the birthday gems so theres less gems to scout with !
same with the rest of the accounts!
Nico i beg u
give ma a urrrrrrrrrrrrrrrr
plssssssssssssssssssss
srs only :(
event sr tho!!!!!
ooh another birthstone nico
common flip! flip! flip! flip!
another event sr?? wow
i guess only srs for this account then :(
no matter, we shall solo.
:(
>:0
:,((((
only srs for this account! might as well trash this
i forgot i had a ticket!
tennis honk!
third account!
sorry this is boring
watching me collect gems lol
jusjt skip this
there we go
nico pls
its loadinggggggg
1 SSR and 2 SRs!
nice! victorian nico~
what set is this from??
oohh inital nico
oh- i guess thats it then :)
another account to giveaway,,,
oh wait i need to solo
common give me an sr or smth
time to screenshot again,,,,,
LOADDDD
:,(
rin why
next account! i skipped the gem collecting :DD
ur plssssssss
:0
OHMYGOF OJHFOF HJIRESLURVH E OHMYGOFJJ
//having a seizure
A UR ORHGMRVSIDF OHMYGDDDDDD
DONT YOU DARE BE DEVIL NICO
bih better not be
just so u kn0w devil nico is dream ur and she hasnt com home yet
heyy idolizable
dontbedevilnicodontbedevilnicodontbedevilnicodontbed
DONT BE DEVIL NICO
ITS DEVIL NICO DSKCBKEABCEYIOBCIFSDHCBSIDOB
/gasp from me
BUT ITS DEVIL NICO ACVAEFVHBAUDADFVHBSHFVBHBSERUVBSEUVBUHSBVVVFDVVVV
OUT OF 9 URS IT WAs DEVIL NIVCO HWATD HOW ODCANDFUVJSTFDBHSF
/me crying in A GO N Y
*sniff*
/still cryingf
"why"
/cries
*more sniffing*
nico why
im currently devasted and soloing while depressed
*que me doing everything quickly out of sheer anger and sadness*
im eli curse why
/currentlky very sad
i cant even type the subtitles in properly
A N G S T
me admiring devil nico who will never come home to my main
TT
this is a very nice starter acc
i legit had a thought to keep this acc
ok, 5th account,,,
i skipped the gem collecting
nico dont pull something like that on me ever again
OHMHGYFIDYGHSOIGYEIEOREOCSDFOVDFV
this CANT be devil nico
who
oh hey flip
heyyy
nice, pool nico again
VALEENTINES NICO!!!!!
thank rngesus it wasnt devil nico
oh im fine with thissince shes my least favorite nico ur
2 urs in a row geez
sorry for the weird cut!
i was checking if i got a nice screenshot and it went in the same folder as my accounts' codes and ids
so ihad to cut it out (^0^;; )
oh hey marine nico
i got 2 copies of her on my main scout
eli again? wow
this is a nice acc :0
cool team stronk
/admiring nico['s beauty
6th accc,, we're 2/3 way there
will it be a ur? 3 ur in a row?
nope :/
gahjg, i cant remember what set shes from
ooh nice, 2 ssrs
no ur but not bad!!
its gon be an r
lookslike the elis lured a nozomi
screenshot..
7th acc!!!
ur pls!!
omg
what. only 1 sr
all that loading for nothing smhhhj
ah yay a flip
fairytale nico~
um, whatset is this aaaaaa
lemme check her skill name
i think its white day?
ah yes its white day
oh hey!! is this initial?
shes cute either way
oh!! i didnt expect and ssr :0
8th acc!
pls a ur TT
8 accs and only 2 1ur accs TT
OMGMGOGOMGMGOMGMGM IOTS A UR!!!!1!!!!!!!
whowhWHOWHOWOHWOHWO
SUMMER NICO!
agh shes very cute <3
yay i got another ur acc !!
oh nice~~ which card is this?
ohh!! cheer- no, baseball nico!
ah, nozomi again XD
ah, 3 accounts of 1 ur! im so happy ahaha
last account! lets see if im gonna be lucky
i guess not ahhaah
marine~
initial! (i think ahah)
ah, only srs then
anything from solos?
oh yes!!!
aaaaa cute!
have i even got a sr+ from these gts? XD
-------------------------------------------
Audi A5 Sportback 1.8 TFSI S EDITION - Duration: 0:59.
For more infomation >> Audi A5 Sportback 1.8 TFSI S EDITION - Duration: 0:59. -------------------------------------------
The Stoler Report - Battling the Opioid Epidemic - Part 2/2 - Duration: 28:56.
♪ [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] ♪
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TRY NOT TO TURN YOUR BACK CHALLENGE! 99% LOST! TRY NOT TO LOOK AWAY CHALLENGE!
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ENG247s/60 SEC10:Vice-President Nichanun5604081 - Duration: 0:33.
Hi everyone my name is Nichanun Huangwong.
I am a Vice President of SNP sompany responsible for managing the Accounting,Marketing,Customer Services and Operations.
My role is to bring their performance and drive the company to reach our company goals.
I report directly to the president.
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