成都治疗下肢动脉硬化哪好(成都哪治疗下肢静脉血栓做的好) (今日更新中)

If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear.  But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416

IMPERIAL, Calif. (KGTV) - A helicopter crew based at Marine Corps Air Station Miramar landed safely in Imperial Thursday after a fire broke out, military officials reported.The CH-53E Super Stallion with Marine Heavy Helicopter Squadron (HMH) 465, Marine Aircraft Group 16, 3rd Marine Aircraft Wing was on a routine training mission at 1 p.m. when the flames broke out, according to a 3rd MAW spokesman.The helicopter landed safely at the Imperial County Airport. No one was hurt.Imperial County Fire Department teams extinguished the flames when the aircraft was on the ground.Military officials are investigating the cause of the fire. 645

In a fleeting moment, life can change dramatically. Two summers ago, Fred Quin was celebrating the 4th of July at his family’s lake cottage near Grand Rapids, Michigan. They loaded up the boat and headed to the sand bar.“I decided to go off the front of the boat, and that’s when it gets fuzzy,” Quin siad.Quin's girlfriend, Meghan Anderson, noticed Fred was acting strangely. She walked over to him and grabbed his shoulder.  He didn’t move.The group grabbed a raft, put it under Fred, called 911 and floated him to shore.  They were met by an ambulance.Within four hours, Fred was in surgery.  He'd shattered his C-6 vertebrae, causing his body to become motionless. "The surgery was to remove those pieces, put a donor bone in, put a plate in the front side, and on the back side put two rods going down my spine. And they fused my C-5 to C-7 vertebras," Quin said.The trauma doctor told Fred he would never walk again, and he would be in a wheelchair for the rest of his life.“It was devastating,” Anderson said.Quin wasn't giving up on his hope to walk someday, so he spent every day in therapy. With Anderson always by his side and after months of rehab, there was a sign of progress. Eventually, he began to regain feeling in his leg.“My first moment was my big toe on my left foot,” Quin said.Quin moved back home and started intense workouts at Detroit Medical Center's Rehabilitation Institute of Michigan (RIM).“Fred’s determination is what makes you make it enjoyable to come to work,” RIM Physical Therapist Kyle Weishaupt said.They have been putting Fred in a wearable motorized machine that helps increase strength and endurance during workouts.“With the robot, the Exoskeleton, and me, we can get him up, and we can do over 1,000 steps in one session,” Weishaupt said.As the steps progressed, so did Quin and Anderson’s relationship. On their eight-year dating anniversary, they returned to the water for a pontoon ride, and Quin proposed.“The next goal is to walk down the aisle with Meghan with just with one crutch,” he said.On May 12, Meghan became Fred’s bride, and he accomplished his biggest goal.He walked down the aisle on his wedding day — fulfilling his dream and sharing his special day with family and friends. “Whether it’s exactly how we wanted it to happen or not, that’s not what matters. It's that we’re doing it together, and we’re happy," Meghan Quin said. After the honeymoon, the Quins plan on getting back to their life and setting new goals for their future. His next big challenge is to master walking in the grocery store.  2673

In a rare public appearance since he was fired from office, former Secretary of State Rex Tillerson called President Donald Trump "undisciplined" and claimed that Trump would often ask him to do things unaware that such actions would violate the law."When the President would say, 'Here's what I want to do and here's how I want to do it.' And I'd have to say to him, 'Well Mr. President, I understand what you want to do, but you can't do it that way. It violates the law. It violates treaty,'" Tillerson said Thursday night at a fundraiser in Houston for the MD Anderson Cancer Center, according to video of the event posted by CBS News.He went on to add, "He got really frustrated ... I think he grew tired of me being the guy every day that told him you can't do that and let's talk about what we can do."In response, Trump tweeted, "Rex Tillerson, didn’t have the mental capacity needed. He was dumb as a rock and I couldn’t get rid of him fast enough. He was lazy as hell."Mike Pompeo is doing a great job, I am very proud of him. His predecessor, Rex Tillerson, didn't have the mental capacity needed. He was dumb as a rock and I couldn't get rid of him fast enough. He was lazy as hell. Now it is a whole new ballgame, great spirit at State!— Donald J. Trump (@realDonaldTrump) December 7, 2018 1312

If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering.  "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037

来源：资阳报