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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

I watched with horror this week as USAID distributed taxpayer funded documents claiming “we cannot tell someone’s sex or gender by looking at them” and that not calling oneself “cis-gendered” is a microagression I’m not cis-anything. I’m a woman.— Merritt Corrigan (@MerrittCorrigan) August 3, 2020 306

If you use Alexa, listen to this. Instead of just playing your music or answering questions, it could soon tell if you're getting sick and suggest you buy things like cough drops or soup!It’s just one of the ways health marketers are using technology to reach consumers.A new thermometer app allows user to track fevers and symptoms. This flu season, Clorox paid to get that information and used it to target its ads to zip codes that had increases in fevers.Daren Duber-Smith, a marketing processor at MSU Denver, says this marketing technique isn’t new. Companies like Google and Facebook are already sharing user information.However, sharing health information is something new.“I don't think when people are buying thermometers that they necessarily really know that these devices can not only collect a lot of data about them, but that they're under current regulations they're allowed to share that data,” Duber-Smith explains.  Kinsa, the company that makes the smart thermometer, says this so called "illness data" doesn't have any identifying personal data when shared with other companies. But Kinsa’s thermometer, as well as Amazon’s new patent that could enable Alexa to detect cold symptoms, are just two of many technologies raising questions about privacy.“I think when it comes to personal health, people might be willing to give up a little bit more privacy if they perceive that it's going to help them live longer and help them live healthier lives, or maybe save their lives in some instances,” Duber-Smith says.Still, Duber-Smith believes how much is disclosed should be up to the consumer.  1640

If you are looking to avoid being quarantined in Hawaii for up to 14 days due to COVID-19, United Airlines and Hawaii Airlines are looking to make it easier on you by offering same-day COVID-19 tests at the airports.On Thursday, United announced that beginning Oct. 15, passengers traveling from San Francisco to Hawaii can either take a rapid test at the San Francisco International Airport (SFO) or a self-collected, mail-in test ahead of their trip.If you opt for the self-collected test, you must submit your sample within 72 hours of travel via overnight mail or an airport dropbox, United said."Our new COVID testing program is another way we are helping customers meet their destinations' entry requirements, safely and conveniently," said Toby Enqvist, Chief Customer Officer at United in the press release. "We'll look to quickly expand customer testing to other destinations and U.S. airports later this year to complement our state-of-the-art cleaning and safety measures that include a mandatory mask policy, antimicrobial and electrostatic spraying and our hospital-grade HEPA air filtration systems."On Friday, Hawaii Airlines announced that passengers traveling to Hawaii from Los Angeles (LAX) or the Bay Area would be able to use drive-through services at Worksite Labs locations near LAX and SFO."As Hawai'i's leading airline, it is critical to ensure that access to testing does not impede travel to Hawai'i, for visitors or our kama‘āina (residents)," said Avi Mannis, senior vice president of marketing at Hawaiian Airlines in a press release. "Our testing option will offer Los Angeles and Bay Area travelers superior value, and we look forward to expanding the program and bringing additional choices to more of our gateway cities as we welcome guests back with our industry-leading Hawaiian hospitality while keeping our community safe. We're grateful to the state of Hawai'i for its partnership in developing the pre-travel testing program."You have the option to pay either for results within 36 hours or 0 for same-day results, the airliner said. The company said the Droplet Digital PCR shallow nasal swab tests do meet Hawaii's testing requirements. 2193

In an op-ed in USA Today, White House staffer and Assistant to the President Peter Navarro denounced Dr. Anthony Fauci — the Director of the National Institute of Allergies and Infectious Diseases — as being "wrong about everything I have interacted with him on" when it comes to the coronavirus pandemic.In the column, Navarro claimed Fauci — who, until recently, was one of the most publicly available members of the coronavirus task force — did not properly warn the public about the dangers of COVID-19."When I warned in late January in a memo of a possibly deadly pandemic, the director of the National Institute of Allergy and Infectious Diseases was telling the news media not to worry," he wrote in his op-ed.Navarro claimed in the column that Fauci "fought against" President Donald Trump's decision to ban travel between the United States in China, despite ample evidence to the contrary.Finally, Navarro chastised Fauci for "flip-flopping on the use of masks."Fauci and several other government officials and agencies — including the CDC and Surgeon General Jerome Adams — initially recommended against the use of masks by the general public in the hopes of preserving a depleted national stockpile. However, Fauci has often advocated for the use of masks in public since the CDC changed its guidance in April, and has since admitted the inconsistent guidance was "was detrimental in getting the message across."Navarro's op-ed is just the latest attempt by White House officials to discredit the administration's top infectious disease expert in the middle of a pandemic. Over the weekend, reports emerged that an anonymous White House official told several news agencies that the administration was concerned about Fauci's track record on the virus.President Donald Trump has also publicly broken with Fauci on several points, including reopening schools, testing and the current outlook. On Monday, Trump maintained that he and Fauci have a "very good relationship."A New York Times poll indicates that 76% of Americans trusted Fauci to provide "accurate information" regarding COVID-19, while just 26% of Americans said the same for Trump. 2162

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