Trump Asked Kellyanne Conway To Tackle The Opioid Crisis & Here’s Why Experts Are So Worried

https://www.bustle.com/p/trump-asked-kellyanne-conway-to-tackle-the-opioid-crisis-heres-why-experts-are-so-worried-6743045

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On Wednesday, Attorney General Jeff Sessions announced that President Donald Trump’s counselor Kellyanne Conway will take on the opioid crisis, overseeing all White House initiatives combating the current overdose epidemic. More than 52,000 people lost their lives to drug overdoses in 2016 alone, according to a CNN report, with at least 33,000 of them were due to opioid drugs, including prescription painkillers. Trump labeled the opioid crisis a public health emergency in October.

Now, the president is calling for an “opioids czar” to lead efforts against the epidemic — and Conway is taking on that role. She will “coordinate and lead the effort from the White House” related to the opioid crisis, Sessions said at a news conference on Wednesday.

One opioid policy expert, Andrew Kolodny of Brandeis University’s Opioid Policy Research Collaborative, told BuzzFeed he thinks this is a good move.

However, he also pointed out that the administration still doesn’t have anyone leading the Office of National Drug Control Policy, nor has it released a comprehensive strategy for addressing this public health crisis. Trump has previously said he’d like to launch an advertising campaign similar to Nancy Reagan’s “Just Say No” campaign, which was widely unsuccessful.

Christie also called the need for an opioids czar “overblown.” He feels that they already know how to handle the issue, and it starts with limiting the prescriptions for painkillers, cutting fentanyl exports from China, and providing naloxone to communities, BuzzFeed reported. Naloxone blocks and reverses the effects of opioid drugs, and gives non-medical people the ability to save lives. While it’s controversial, as some say it enables more drug use, it’s been shown to decrease the number of overdoses. There are also drugs, like methadone and buprenorphine, shown to help recovering addicts stay in treatment longer.

Kelly Pfeifer, director of high-value care at California Health Care Foundation, an Oakland-based philanthropic nonprofit, explains to Bustle:

Unfortunately, there’s a stigma surrounding a lot of these treatments — people view it as trading one drug, for instance heroin, for another, like methadone. But scientific evidence continues to show the benefits of medication-assisted treatment versus complete abstinence. This has led the Hazelden Betty Ford Foundation, a top treatment provider in the United States, to even start providing anti-addition medications as part of its recovery program.

But Conway’s expertise isn’t so much in medicine or addiction as it is in “messaging,” according to Sessions.

He also emphasized a focus on law enforcement to deal with the crisis.

Still, many feel the country needs a lot more than a good ad campaign and stricter laws. “We have spent billions on the failed ‘war on drugs’ and have learned that exclusive focus on law enforcement will not end the epidemic or save lives,” Pfeifer says. “The evidence is with addiction treatment — and that is where funding should go.”

Detective, nurse altercation could spur review of hospital policies

http://www.modernhealthcare.com/article/20170904/NEWS/170909968/detective-nurse-altercation-could-spur-review-of-hospital-policies

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In a case that’s gone viral, a Salt Lake City nurse endured a police detective’s rough treatment, handcuffing, and threat of arrest to uphold her hospital’s policy of not allowing police to draw blood from a patient without an arrest, a search warrant, or the patient’s consent.

The incident is likely to spur hospital administrators to evaluate their policies surrounding police access to patients, said Jennifer Mensik, a nursing instructor at Arizona State University and vice president of continuing education for OnCourse Learning.

“I hear nurses all the time say it’s a lot easier not to argue with law enforcement and just draw blood,” Mensik said. “They don’t realize they are putting themselves at risk.”

The incident, captured by police officers’ body cameras, involved Alex Wubbels, a burn unit nurse at University of Utah Medical Center, refusing to let Salt Lake City Police Detective Jeff Payne draw blood from an unconscious patient who was severely burned in a car crash. During the encounter, Wubbels consulted via speakerphone with her supervisor, Brad Wiggins, who stated the hospital’s policy bars blood draws in such situations.

The U.S. Supreme Court ruled last year that police must obtain a warrant to test the blood of motorists suspected of drunken driving. In the Salt Lake City case, the patient, a reserve police officer, reportedly was driving a truck when his vehicle was struck head-on by a man in a pickup truck who was trying to evade police. He was not a suspect in any crime.

Mensik said police requests to draw blood from patients without an arrest, a warrant, or consent are common around the country. Nurses and emergency department staff often go along because they are busy or don’t know their hospital’s policy.

During the July 26 encounter, Wubbels, who’s worked at the hospital since 2009, calmly told Payne he couldn’t proceed with the blood draw. After Wiggins, the burn unit manager, said over the speakerphone that Payne was making a mistake by threatening a nurse, Payne is seen trying to swat the phone out of Wubbels’ hand, grabbing her by the arms, pulling her arms behind her back and handcuffing her.

“Help,” she screamed. “Help me. Stop. You’re assaulting me. Stop. I’ve done nothing wrong. This is crazy.”

Payne then strapped her into the front seat of his car. Another officer arrived and told her she obstructed justice.

“I’m also obligated to my patients,” she replied. “It’s not up to me.”

Wubbels was released without being arrested after hospital COO Dan Lundergan contacted police officials.

Wubbels and her attorney held a news conference last Thursday to describe the incident and play the 19-minute video taken from the officers’ body cams.

Salt Lake City Mayor Jackie Biskupski and Police Chief Mike Brown apologized on Friday for the conduct of Payne, who, along with another officer on the scene, reportedly has been placed on administrative leave. The police department, the district attorney, and the sheriff are conducting a criminal investigation into any misconduct that may have been committed by police during the incident.

Biskupski noted that Wubbles was “simply doing her job.”

“I just feel betrayed, I feel angry, I feel a lot of things,” Wubbles said during her press briefing. “And I’m still confused.”

Following the July 26 incident, the University of Utah Medical Center worked with the Salt Lake City police department to craft an agreement on how to handle police requests for blood draws and medical information from patients, said hospital spokeswoman Kathy Wilets.

Now, law enforcement personnel register at the hospital’s front desk and make their requests through hospital administrators rather than asking front-line providers directly.

Wilets called Wubbles a “rock star” for the way she stuck to hospital policy in that tense encounter with police. “We’re grateful to her. She put the needs of patients first and set a great example for everyone.”

The imposing cost of a single opioid overdose

http://www.metrowestdailynews.com/article/20160521/NEWS/160528946

Framingham firefighter Joe Sylvester, left, holds a Narcan nasal spray as  firefighter Jose Funes looks on at the Loring Street station Tuesday.   (Daily News and Wicked Local Staff Photo/Ken McGagh)

A five- or six-figure bill that doesn’t even include the hospital stay.

http://www.fiercehealthfinance.com/story/imposing-cost-single-opioid-overdose/2016-05-23?utm_medium=nl&utm_source=internal&mrkid=959610&mkt_tok=eyJpIjoiWWpCalpUWXpNREJtWkRjMiIsInQiOiIxSmJGXC9ScEZZSU5icXBzQ2FpYjNER0ljaVV0VGFIRHBVd2RRaEcxNU56elwvbkw5aHkwYTZNaHppSDFlOUlDSndYS1N4dDAzN3l0N0hZbUlMWnh6ZWUyUllqRFhPTHJ1TWxRNUh0bzRCMDBrPSJ9