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Speaker 1: Hey, this is Annie and Samantha and welcome to Steffon.

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Speaker 1: Never told your protection of I heartradious house to Parks.

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Speaker 1: Today we're taking on a serious topic, so we wanted

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Speaker 1: to put the trigger warnings right at the front um

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Speaker 1: because we're talking about the opioid crisis. So drug use, overdose, addiction,

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Speaker 1: and death. And this is something that's been on my

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Speaker 1: mind a lot lately. UM. I have had two relatives

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Speaker 1: almost die from overdose and a close family member of

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Speaker 1: mine is currently in the hospital in a coma from

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Speaker 1: an overdose. UM and today is this his birthday? So yeah,

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Speaker 1: it feels weird double damn. Yeah. Yeah. Right before my

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Speaker 1: dad died, my mom she lost a packet of oxy

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Speaker 1: codon I think, and the nurse said that they would

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Speaker 1: have to be a police investigation because of that. It's

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Speaker 1: a felony level. Yeah, and she was so so scared

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Speaker 1: and so stressed about it. So it is a big

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Speaker 1: It's impacting a lot of people I know, and that's

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Speaker 1: in fact for me, my experience has come from my

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Speaker 1: day job. I've had several deaths among teens due to

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Speaker 1: the use of heroin and opiate usage such as like

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Speaker 1: fentonyl um. And statistically the death rate is highest for

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Speaker 1: the fifteen age group. UM. I don't mean in general,

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Speaker 1: just like if teenagers are dying, they're dying at the

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Speaker 1: ages of fifteen through nineteen. UM And from n sixteen,

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Speaker 1: the increase of team death due to opiate overdose rose

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Speaker 1: over three h right, and it's bigger and bigger every year.

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Speaker 1: And of course we have the whole conversation of access

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Speaker 1: versus costs versus all of the things. And this is

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Speaker 1: a lot to do with self medicating, which is a

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Speaker 1: whole different conversation in itself. But I've definitely had to

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Speaker 1: deal more and more and more with that recently, and

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Speaker 1: it's really hard ranking and just traumatic in itself. Yeah,

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Speaker 1: and for this episode, we did want to look at

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Speaker 1: women in particular and and things that we can do

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Speaker 1: about it. UM. I will say for me, I am

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Speaker 1: actually allergic to most opoids. I found out when I

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Speaker 1: got my wisdom teeth out. Yeah, so I guess lucky me. Um, Yeah,

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Speaker 1: I think I think overall after doing this research, lucky. Yeah.

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Speaker 1: It's definitely a huge thing. And no, UM, I typically

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Speaker 1: don't take those um because with my drugs wing even

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Speaker 1: though obviously if you have, you know, a prescription, it

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Speaker 1: won't matter. But I do get drug swaen with my

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Speaker 1: other job. That stuff UM causes a lot of havoc

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Speaker 1: and a lot of questions and a lot of different

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Speaker 1: things because people can. Obviously for the reason it's been overused,

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Speaker 1: and we'll talk more about that, it's because of the

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Speaker 1: level of being prescribed UM. And I know my mom,

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Speaker 1: because she has had to deal with back paint, gets

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Speaker 1: so scared of it because of the mirror feelings and

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Speaker 1: understanding of it, that he will count every pill and

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Speaker 1: then make sure to do halves of it like that's

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Speaker 1: and it's smart. Actually I'm the same way. I get

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Speaker 1: really nervous just about any kind of medication. I just

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Speaker 1: have this fear, which is kind of unfounded and kind

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Speaker 1: of not that I'll just magically be addicted to it.

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Speaker 1: So I understand your mom completely absolutely. A couple of

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Speaker 1: years ago, I interviewed a US representative who I believe

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Speaker 1: is still in the house UM, and when we stopped rolling,

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Speaker 1: he looked at me and he had this super serious

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Speaker 1: face and he said, with such urgency, your generation is

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Speaker 1: going to have to find a way to deal with

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Speaker 1: the repercussions of this crisis, like we weren't even talking

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Speaker 1: about it. But he's from I think he's from the state,

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Speaker 1: is it West Virginia. It's one of the biggest impacted states.

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Speaker 1: So it's obviously huge where he's from. And before we

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Speaker 1: get into all of this, I didn't want to say

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Speaker 1: at the top, chronic pain is difficult. Um don't want

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Speaker 1: to undermine the toll that that takes on someone, or

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Speaker 1: the difficulty of seeing someone in pain and providing individualized

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Speaker 1: treatment plans. That's that's hard. Around of Americans report experiencing

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Speaker 1: pain on a daily basis, and that's about twenty five

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Speaker 1: million people and double that live with chronic pain. So

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Speaker 1: it's a huge scale problem, like it is, and I

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Speaker 1: know it's under misdiagnosed often and and that's a problem

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Speaker 1: in itself. I'm not a doctor. I'm not in the

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Speaker 1: medical field, so I could never say how a doctor

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Speaker 1: or anybody in that fields should do their job. But

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Speaker 1: of course that there's been a lot of miscommunication and

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Speaker 1: misunderstanding between the patients and the and the physicians, and

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Speaker 1: that causes a lot of problems and trying to understand

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Speaker 1: what chronic pain even means. Right, all right, So let's

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Speaker 1: start with our kind of basics here. Opioids are drugs

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Speaker 1: that target specific receptors or the nervous system to minimize

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Speaker 1: the experience of pain. If used overall long period of time,

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Speaker 1: a patient or a person can develop a tolerance, meaning

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Speaker 1: that the same amount won't have the same effect, and

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Speaker 1: this might lead to taking more and more to achieve

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Speaker 1: that result that you had in the beginning, or or

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Speaker 1: withdrawal symptoms, and that can lead to overdose and death,

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Speaker 1: especially when combined with other drugs and prescriptions. Right, and

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Speaker 1: just to put it in a more layman's terms, I

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Speaker 1: don't know why I say that would be you know,

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Speaker 1: it's what you would understand is oxycodone, hydrocodone, codeine. Um.

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Speaker 1: It's an opiates. So it derived from poppies. Yes, think

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Speaker 1: of the Wizard of Oz puppies. You gotta say it

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Speaker 1: that way. I always think of the poppy seed muffin

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Speaker 1: from Seinfeld. Yeah, and actually that I don't know how

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Speaker 1: much of a myth, but there has been some confusion

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Speaker 1: there has been about poppy seed muffins, but it does

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Speaker 1: derive from the poppies. Yes. In the United States, more

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Speaker 1: than thirty people die a day due to opioid related overdose.

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Speaker 1: In over forty two thousand Americans died from opioid overdose,

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Speaker 1: and of that and estimated of those opioids are prescribed.

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Speaker 1: From seventeen, over seven hundred and two hundred thousand people

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Speaker 1: have died because of opioid overdose. Two out of three

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Speaker 1: overdose deaths involved opioids. The number of deaths has increased

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Speaker 1: six times since the economic burden of the opioid crisis

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Speaker 1: is estimated to be seventy eight point five billion dollars,

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Speaker 1: and over of the people who use heroin first abused

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Speaker 1: opioids a gateway drug past opiod abuse is the strongest

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Speaker 1: risk factor to starting to use heroin. In twenty seventeen,

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Speaker 1: drug overdoses involving heroin accounting for fifteen thousand deaths, and

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Speaker 1: that's an increase of five times since two thousand ten.

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Speaker 1: That same year, enough prescriptions were handed out in sixteen

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Speaker 1: percent of US counties that every person residing in that

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Speaker 1: county could have a prescription. I remember the last time

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Speaker 1: I broke my foot. Um even though I specifically said

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Speaker 1: I'm allergic to opioids, is fine, I don't need them,

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Speaker 1: they gave me some like on the way out, they're like,

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Speaker 1: here's your prescription, and a friend of mine jokingly said

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Speaker 1: I should get it filled anyway and sell them, and

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Speaker 1: I just tore it up. But it's like I said

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Speaker 1: I didn't want any, they gave me some. I'm literally

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Speaker 1: I think we joked. I joked about it with a

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Speaker 1: friend and it's not funny and you shouldn't do it.

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Speaker 1: But about five years ago, we someone had a prescription

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Speaker 1: and you could sell a pill for fifty bucks one wow. Yeah,

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Speaker 1: that's don't do it though, do not do it, we

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Speaker 1: do not, please, because this is eight Once again, it's

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Speaker 1: a felony level crime. So this is not a petty

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Speaker 1: level crime. Just enough why I yes, important fhy And

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Speaker 1: it's estimated three point three billion over prescribed pills end

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Speaker 1: up going to nonintended users. And it's important to remember

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Speaker 1: not all overdoses result in depth. Someone who overdoses wants

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Speaker 1: is likely to do it again. Um, which is why

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Speaker 1: I prevented. An access to informed care is so crucial

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Speaker 1: after someone who has suffered an overdose ends up in

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Speaker 1: the hospital. Yeah, so how did we get here to

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Speaker 1: these all of these terrible statists dicks to answer that

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Speaker 1: we have to go back to the nine nines, which

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Speaker 1: you might have guessed because a lot of the statistics

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Speaker 1: seemed to start in the nineties. UM Pharmaceutical companies reassured

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Speaker 1: medical professionals that opioids posed no danger for addiction for patients,

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Speaker 1: and in response, these healthcare professionals started prescribing them at

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Speaker 1: higher rates. Before we knew how big a problem we

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Speaker 1: were creating or that we had a problem, even the

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Speaker 1: addiction was spreading to both prescription and non prescription opioids.

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Speaker 1: This has also led to the increase of babies born

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Speaker 1: experiencing withdrawal symptoms. In two seusand one the Food and

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Speaker 1: Drug Administration approved the use of oxycodon for quote daily,

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Speaker 1: around the clock long term use. In the f DA

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Speaker 1: passed up a chance to be more vocal about opioids,

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Speaker 1: but since has taken a more active role. While they

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Speaker 1: send the letters of warning to companies selling opioids online illegally,

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Speaker 1: they pretty much stopped there when they could use their

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Speaker 1: Office of Criminal Investigations. They have learned and progressed when

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Speaker 1: it comes to abuse to turn opioids like making a

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Speaker 1: drug less potent when grown up. It's like a technology

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Speaker 1: that they've been looking into UM, but that's had mixed results. Right.

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Speaker 1: The rate of opiated prescription has been declining since two

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Speaker 1: thousand twelve, but the amount of prescribed more female agram

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Speaker 1: equivalence is three times higher than when it was in nine.

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Speaker 1: Out of one hundred Americans, fifty eight are prescribed opioids.

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Speaker 1: That's around three point four prescriptions per patient with a

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Speaker 1: daily m m E or as we were saying, more

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Speaker 1: female gram equivalence amount of forty five point three. The

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Speaker 1: number of days per prescription has been rising as well.

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Speaker 1: The average into eighteen days per prescription in two thousand seventeen.

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Speaker 1: At its peak in two thousand twelve, it was eighty

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Speaker 1: one point three prescriptions per one people. Wow. Yeah, that's

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Speaker 1: shockingly high. Analysts break down this crisis into three waves,

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Speaker 1: the first in the nineteen nineties with overdose deaths of

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Speaker 1: prescribed opioids on their eyes, and then the second death

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Speaker 1: due to heroin overdose skyrocketing UM. Some of the biggest

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Speaker 1: increases of you susage and abuse took place in demographics

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Speaker 1: with previously low rates of heroin use, like among women.

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Speaker 1: In seventeen, almost half a million people reported using heroin.

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Speaker 1: The third wave in UH. This one was marked with

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Speaker 1: an increase in death from synthetic opioids, especially illegally manufactured finnel.

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Speaker 1: It's fifty times more potent than heroin um. And when

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Speaker 1: it comes to stuff like fentnol um, contamination is a

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Speaker 1: growing problemse well, like different drugs exactly. The U s

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Speaker 1: Department of Health and Human Services declared a public health

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Speaker 1: emergency in twenty seventeen and issued a five point strategy

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Speaker 1: to combat the opioid crisis. One improving access to treatment

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Speaker 1: and recovery services to promoting use of overdose reversing drugs.

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Speaker 1: Three strengthening our understanding of the epidemic through better public

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Speaker 1: health surveillance. For providing support for cutting edge research on

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Speaker 1: pain and addiction, and five advancing better practices for pain management.

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Speaker 1: So this is a lot, a lot, and it's all

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Speaker 1: happening now, and there are so many things at play

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Speaker 1: in it um it's really hard to isolate it into

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Speaker 1: one thing. But we did want to look at women specifically.

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Speaker 1: But first we're gonna pause for a quick break for

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Speaker 1: word from a sponsor, and we're back, Thank you, sponsor.

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Speaker 1: So we did want to take a moment to focus

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Speaker 1: specifically on women because the impact on women in many

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Speaker 1: ways is greater, and it's an indicator of so many

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Speaker 1: other societal problems. Like we were saying, right from Health

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Speaker 1: Resources and Services Administration Deputy Administrator Bride Declaire, women are

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Speaker 1: experiencing increases of use and overdose from opiates at a

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Speaker 1: faster rate than men. And if you slice the demographic

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Speaker 1: pie even more narrowly, the picture doesn't look at a

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Speaker 1: lot better. The opioid used to sort of crisis affects

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Speaker 1: women across all age groups, all racial groups, and all ethnicities,

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Speaker 1: all geographical quarters of America, and all the socioeconomic status levels.

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Speaker 1: Of the prescribed opioids in the US, women received two

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Speaker 1: thirds of them. There's an argument to be made that

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Speaker 1: this has related to the fact that women are more

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Speaker 1: frequently dismissed, misdiagnosed, and or not believed, and opioids are

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Speaker 1: a quick, easy way to treat the symptoms without ever

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Speaker 1: getting to the root of the problem. The whole time

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Speaker 1: I was researching this episode, I kept thinking of the

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Speaker 1: one we did about how UM women not being believed

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Speaker 1: when they go right to get treatment. UM These doses

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Speaker 1: are on average higher than what are given to men.

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Speaker 1: And this is translated to an increase in opioid overdose

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Speaker 1: mortality rates of five hundred and seven percent from sixteen,

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Speaker 1: while men's on increase of three over the same period.

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Speaker 1: Women were being hospitalized for opioid related reasons at a

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Speaker 1: higher rate than men in all but eleven states in Washington,

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Speaker 1: d c. And compared to men. Women are especially at

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Speaker 1: risk for developing opioid dependency more quickly, and this could

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Speaker 1: be because of a variety of factors. Women's generally smaller bodies,

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Speaker 1: the relationship between pain sensitivity and hormones, and women's increased

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Speaker 1: likelihood of experiencing chronic pain, and are increased likelihood um

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Speaker 1: risk of trauma. That last one has been found to

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Speaker 1: be a factor driving women to abuse opioids, but not

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Speaker 1: men trauma. We know a little about the science of addiction,

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Speaker 1: but it does seem that there is a difference in

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Speaker 1: addiction between men and women, and that women are more

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Speaker 1: susceptible to relapse and cravings. Women may also be less

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Speaker 1: likely to respond to treatment or respond to it differently

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Speaker 1: right and despite the severity of the problem, less than

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Speaker 1: half of treatment programs supply any materials covering the specific

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Speaker 1: risk post to women. Only twenty one provided programs focused

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Speaker 1: on pregnant women or women with postpartum depressions. According to

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Speaker 1: one study, men are three times more likely to receive

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Speaker 1: the lock zone, which is the overdoor reversal jug from

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Speaker 1: first responders. Three times more likely. We've already discussed how

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Speaker 1: this type of caregiving, of caring for someone with chronic

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Speaker 1: pain or struggling with addiction most often falls to women.

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Speaker 1: That's another impact, right, And I guess you can also

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Speaker 1: talk about the silence that women have to bear pain.

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Speaker 1: It seems like women are more likely to be quiet

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Speaker 1: and try to fix it themselves. And that's a whole

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Speaker 1: different conversation. UM. And then we want to talk a

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Speaker 1: little more about women of color and people of color. UM.

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Speaker 1: This is kind of the generalized information UM, specifically to

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Speaker 1: those in the black community, Latin X community, people of color,

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Speaker 1: just kind of some of the numbers. As of twenty seventeen,

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Speaker 1: the rate of death for those in the black community

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Speaker 1: and several of the research cities are higher than those

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Speaker 1: of the non Hispanic white communities. In seventeen, the race

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Speaker 1: higher for the black population while the white community was

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Speaker 1: at only eleven and then for the Latin XT community

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Speaker 1: was eleven point five percent higher, and according to a

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Speaker 1: research conducted in Washington State, the opioid related deaths for

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Speaker 1: Native Americans and Alaska Natives surpass those of all white individuals.

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Speaker 1: And there are many debates about who they are focusing

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Speaker 1: on for treatment and understanding the problem, and as many states,

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Speaker 1: why white people are victims and people of color, specifically

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Speaker 1: Latin X and the Black community are addicts and criminals.

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Speaker 1: Of course, this is a bigger and bigger conversation which

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Speaker 1: needs to be paid attention to. We have to talk

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Speaker 1: about the racial inequalities of addiction and criminalization of addiction.

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Speaker 1: Studies have shown how discrimination and bias effect treatment for

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Speaker 1: those of color anyway, So you put that with those

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Speaker 1: of color and those who are women, and then add

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Speaker 1: um that the racial bias for those who are suffering

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Speaker 1: from addiction and the likelihood of them getting the correct

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Speaker 1: treatment or being treated as a victim instead of as

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Speaker 1: a criminal. And I think that's a big over analyzation

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Speaker 1: obviously of what I'm saying, because you have to look

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Speaker 1: at the intersectionality of what it is to be an

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Speaker 1: addict as a black person who may be LGBTQ, who

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Speaker 1: maybe uh identify as female or transgender whatever, that the

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Speaker 1: likelihood of people even listening to them and their needs

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Speaker 1: and all they get as oh there and of courtune,

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Speaker 1: I don't agree with this crazy move on. There's no

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Speaker 1: hope um. And unfortunately I've ran into this just watching

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Speaker 1: children and teenagers who suffered through many addiction problems, just

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Speaker 1: like the white community, but they are more they are

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Speaker 1: less likely to be treated seriously um, and they're going

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Speaker 1: to be more likely treated as criminals. And that's a

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Speaker 1: problem in itself, and I think we have to address

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Speaker 1: repeatedly about why this is inaccurate and how it is

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Speaker 1: increased a lot in the last five years and people

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Speaker 1: are not not acknowledging it and just still using it

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Speaker 1: as a white problem. For it to be fixed as

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Speaker 1: as opposed to um, an actual problem for everyone, and

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Speaker 1: that it needs to be listened to and heard and

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Speaker 1: treated equally. UM. That reminds me of that the one

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Speaker 1: that Sykes joke about how prescription drug abuse is a

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Speaker 1: white person thing because medical professionals refused to prescribe opioids

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Speaker 1: to black people do to racist stereotypes that they are

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Speaker 1: drug addicts just trying to get drugs. So yeah, that

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Speaker 1: is also a huge part of this conversation that we

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Speaker 1: do need to continue having. UM. What are things that

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Speaker 1: we can do? UM? Well, first off, if you suspect

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Speaker 1: someone has suffered from an overdose, call nine one one. UH.

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Speaker 1: Signs include small pinpoint pupils, falling asleep or loss of consciousness, choking,

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Speaker 1: our gurgling sounds, pale, cold or blue skin, limp body. UM.

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Speaker 1: Did want to say that because I've heard this play

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Speaker 1: out in college and it's it's so scary that this

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Speaker 1: even comes up. But good Sumaritan laws in many states

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Speaker 1: prevent the person suffering from the overdose and those that

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Speaker 1: help from being charged with possession. Right, Well, it's supposed to,

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Speaker 1: it's supposed to, it's supposed to. But that is that

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Speaker 1: absolute big fear within communities, especially groups who maybe doing

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Speaker 1: these things together UM and allowing not allowing for UM

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Speaker 1: emergency treatment because they're afraid of being caught. UM. And

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Speaker 1: just a reminder, drug overdose and drug usage is not

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Speaker 1: always clear obviously, because if you look at any of

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Speaker 1: these signs, it could just mean they started choking or

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Speaker 1: past out, UM. And it's not your job to diagnose.

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Speaker 1: Let's just remind of that and act fast if you're concerned.

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Speaker 1: There are any ways of counting overdose. UM. That's what

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Speaker 1: we kind of mentioned before the locks on and UM

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Speaker 1: and we'll probably talk a little bit more later on.

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Speaker 1: As well as the fact that it's not your job

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Speaker 1: to judge. No, so I know there's this whole conversation

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Speaker 1: not conversation, but there's all these jokes with people in

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Speaker 1: the homeless community and the addiction in that era. It's

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Speaker 1: not your place if they need help. Help. Yeah, of

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Speaker 1: course you're not a savior either, so right, double edgedged.

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Speaker 1: When it comes to what we can do to tackle

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Speaker 1: this crisis, a big one is changing prescription practices, particularly

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Speaker 1: in this case when it comes to O vioids. One

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Speaker 1: way to accomplish this is by establishing practical clinical guidelines,

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Speaker 1: and the CDC has guidelines for describing opioids for patients

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Speaker 1: eighteen and older experiencing chronic pain if you want to

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Speaker 1: look up those. Another recommendation for reducing opioid exposure is

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Speaker 1: using a Prescription drug Monitoring Program on p d MP,

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Speaker 1: which the CDC provides funding for UM depending not for everybody,

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Speaker 1: but it is an option. UM. Changing state drug prescription laws,

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Speaker 1: reformulating insurance policies, education for providers about prescription guidelines, as

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Speaker 1: well as how to have conversations about the potential cost

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Speaker 1: of taking opioids and proper storage and disposal, and raising awareness.

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Speaker 1: UM also have discussions about other options, because there are

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Speaker 1: other options to opioids, providing treatment for opioid use disorder

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Speaker 1: in the form of evidence based treatments like medication assisted

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Speaker 1: therapy m AT, which are not equally available to low

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Speaker 1: income women and women of color. As we kind of

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Speaker 1: talked about the inequalities that's happening for those UM who

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Speaker 1: are lower income or those of a color, White people

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Speaker 1: are the ones primarily benefiting from m A T drugs,

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Speaker 1: up to thirty five times more likely to receive than

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Speaker 1: a black person. Also, it can be quite expensive without

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Speaker 1: private insurance and even then making it inaccessible for the poor,

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Speaker 1: which is infuriating, very infuriating. Another thing that's infuriating of

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Speaker 1: women going to treatment centers have children, and without access

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Speaker 1: or resources for childcare, it can be really difficult. UM

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Speaker 1: Having access to free or low cost childcare or centers

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Speaker 1: that provide childcare on site would be a huge thing.

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Speaker 1: It would also help if we improve access to overdose

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Speaker 1: reversaal drugs lab in the lock zone, which is non

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Speaker 1: addictive and that can save a life if given in time.

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Speaker 1: Having standing orders at pharmacy's distributions at local community centers,

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Speaker 1: training and access on how to administer for law enforcement

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Speaker 1: and medical staff would also be a giant, giant improvement.

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Speaker 1: Another big thing collecting better data so we can fully

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Speaker 1: understand the scope of the problem and make informed policy

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Speaker 1: recommendations on how to move forward. And there are a

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Speaker 1: couple other things that we have that we could do,

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Speaker 1: but first we're going to pause for one more quick

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Speaker 1: break for word from our sponsor, and we're back, Thank

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Speaker 1: you sponsor. So when looking at women specifically, the National

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Speaker 1: Women's Health Network recommends expanding Medicaid to cover those with

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Speaker 1: lower or moderate income and this increases access to care

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Speaker 1: and decreases occurring devastating medical bills. Medicaid it can also

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Speaker 1: provide access to treatments for opioid use disorder. However, not

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Speaker 1: all states have the same benefits through medicaid, so this

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Speaker 1: is not an end all, be all solution at all.

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Speaker 1: Centers for Medicare and Medicaid services will introduce their maternal

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Speaker 1: Opioid Misuse Model m o M to address the need

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Speaker 1: of new mothers postpartum are otherwise going through opioid use

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Speaker 1: disorder in twelve states. In twenty three states, substance abuse

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Speaker 1: during pregnancy is charged as child abuse, and of course

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Speaker 1: they are more often used against low income women and

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Speaker 1: women of color. Of these arrests take place and Shelby County,

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Speaker 1: Tennessee is African American one county. Yeah, that's telling this

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Speaker 1: of course discourages people from seeking treatment for addiction. Without

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Speaker 1: access to information about treatment options and rights to seek

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Speaker 1: them without police involvement, the problem is only going to

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Speaker 1: get worse. However, I completely understand black women being skeptical

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Speaker 1: of that information right, absolutely not. And this is a

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Speaker 1: huge problem that does not exist in the bubble. Addiction,

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Speaker 1: big pharma, lack of access to mental healthcare, in ability

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Speaker 1: to afford long term health care options like physical therapy

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Speaker 1: or multiple doctor visits, insurance, chronic pain that does not

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Speaker 1: have an easy answer, and a failure to put patients

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Speaker 1: and people first. A lot. There's a lot, yep, But

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Speaker 1: there are some resources out there. The CDC is a

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Speaker 1: great one for more information, best practices and links to

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Speaker 1: other resources. They also have an r X campaign to

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Speaker 1: spread awareness about the opioid crisis. It includes stories from

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Speaker 1: people who have been directly impacted by it. There's Health

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Speaker 1: Resources and Services Administration, the h r s A, the

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Speaker 1: U S Department of Health and Human Services UM, and

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Speaker 1: they have a number you can call is one eight

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Speaker 1: hundred six six to four five seven UM Substance Abuse Help.

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Speaker 1: Sams's national helpline is one hundred six six to help.

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Speaker 1: And all these national hotlines there are individual UM offices

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Speaker 1: in each state, so they will have a better access

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Speaker 1: for you to have locally. I did want to put

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Speaker 1: a few out there that do work with some of

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Speaker 1: our minorities and some of our under represented individuals. The

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Speaker 1: Trevor Project actually works with the l g P, d

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Speaker 1: q I plus UM community that works with substance abuse.

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Speaker 1: The Asian Health Coalitions actually work with the Asian community.

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Speaker 1: That's right there. And then there are county organizations like

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Speaker 1: the Urban Minority Alcoholism and Drug Abuse Outreach Program that

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Speaker 1: happens in Franklin County in Ohio. So there are different

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Speaker 1: organizations that work specifically with specialized groups, and I think

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Speaker 1: that's actually really important. UM. If you guys Obviously there's

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Speaker 1: tons more out there that I'm not talking about, but

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Speaker 1: these are something that just came out. UM. And of course,

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Speaker 1: as you know, any and I love more information, so

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Speaker 1: give me that. Yes, please please send us any information

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Speaker 1: resources you have. Yes, this is it's really massive and

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Speaker 1: effects everyone, UM. As we understand the idea behind addiction

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Speaker 1: in general, I think, and in the fact that it

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Speaker 1: is hurting so many communities, so many families, UM, and

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00:24:39,720 --> 00:24:41,520
Speaker 1: that we need to learn to be louder and to

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Speaker 1: advocate for those who can't advocate for themselves. Yep, yep, UM.

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Speaker 1: So that's what we have to say about that today.

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Speaker 1: But we really really would appreciate, um, any any resources

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Speaker 1: that you have or any stories that you have that

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Speaker 1: you would like to share. You can email us at

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Speaker 1: Stuff Media, mom Stuff at iHeartMedia dot com. You can

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Speaker 1: find us on Twitter at mom Stuff podcast and on

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Speaker 1: Instagram at Stuff I've Never Told You. Thanks as always

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Speaker 1: to our superproducer Andrew Howard, and thanks to you for

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Speaker 1: listening Stuff I've Never Told You the protection of I

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Speaker 1: Heart Radio's How Stuff Works. For more podcasts from my

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Speaker 1: Heart Radio, visit the iHeartRadio app, Apple podcast, or wherever

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Speaker 1: you listen to your favorite shows,