济南出现勃起不坚怎么办(济南得了早射如何调理) (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

House Democrats elected to keep their leaders in place on Wednesday, marking a win for the party's moderate wing.The party confirmed Wednesday that Rep. Nancy Pelosi, D-California, would continue to serve as Speaker of the House. Rep. Steny Hoyer, D-Maryland, will again serve as the House Majority Leader, Rep. James Clyburn, D-South Carolina, will continue to serve as the House Majority Whip, and Rep. Hakeem Jeffries will keep his role as the chairman of the House Democratic caucus.No other Democrats mounted serious challenges to current party leadership positions.Pelosi's upcoming term will mark her fourth as Speaker of the House. She previously served as speaking when Democrats held the majority in the House from 2007 to 2011, and she was elected as Speaker again when Dems won back control following the 2016 midterms.Though House Democrats will be working with a Democrat president in Joe Biden next term, serious questions remain about the future of the party.Democrats went into the 2020 election hoping to control both chambers of Congress and the White House — and plenty of polling suggested that they would do so. But Democrats lost seats in the House in the 2020 election, and the control of the Senate hinges on two January run-off elections in Georgia — meaning Biden could face significant challenges in getting his legislation passed. 1367

In an industry like cosmetology, where all services revolve around hair, skin and nails, getting up close and personal to people is a big part of the job.For those looking to make a career in the beauty business, the pandemic is taking a toll. “I had 84 students pre-COVID,” said Donna Kramer, executive director at Empire Beauty School. “I have 72 right now.”Kramer says COVID-19 initially caused the campus to close.It’s recently reopened with new restrictions set by the local health department. Class sizes are smaller, fewer clients can come in due to social distancing and all students have to wear masks.The area that’s taken the biggest hit, however, is attendance.“It’s kind of toying with people’s personal lives,” Kramer said. “We’ve had students that have had to miss a lot of school because of daycare issues. We’ve had students that have had to actually stay away temporarily because their spouses.”According to the U.S. Bureau of Labor Statistics, employment of hairstylists and cosmetologists is projected to drop by 1% by the end of the decade, which is leaving many students concerned that their career opportunities might be going down the drain.“I know a lot of students kind of have that fear of not being able to find a job now with COVID,” said Alexis Lovato, a cosmetology student at Empire Beauty School.Lovato says many of her classmates are concerned about their employment options once their training is complete.“I think a lot of its just worried about being placed and what’s going to be available for them after their graduation,” she said.Kramer says despite the challenges, students are still getting their hours in and while hands-on training may be a little different, it’s a style they can adapt to.“This industry is going to really flourish once we can get through this,” she said. 1826

I flew down to Texas to help with the Biden/Harris bus tour, intended to drum up enthusiasm at polling locations. Instead, I ended up spending the afternoon calling 911. 1/ pic.twitter.com/gKAjv7gv85— Dr. Eric Cervini (@ericcervini) October 31, 2020 257

HUNTINGTON BEACH (CNS) - A 60-year-old Huntington Beach woman who went missing while walking her dog in the Bristlecone Pine Forest in Inyo County was found alive Monday on the fourth day of an intensive search.Inyo County sheriff's officials announced shortly after 2 p.m. that Sheryl Powell had been found near the Montenegro Springs area, near the area where her dog had been found earlier in the day.``Searchers describe her as resilient and strong but exhausted after being lost in an extremely remove area above Big Pine,'' according to the sheriff's office.She was being taken to a hospital to be checked out. Powell was reported missing by her husband at about 2 p.m. Friday, Inyo County sheriff's officials said.Powell's husband told deputies they had just arrived at a campsite and she took their 5-pound, black-and-white dog for a walk while he was parking their Jeep. When he got out of the vehicle, she was nowhere to be found, officials said.Powell's husband told deputies he searched for almost an hour before contacting authorities, officials said.A California Highway Patrol helicopter with a thermal imaging device flew over the area and the Inyo County sheriff Search and Rescue team began searching immediately, sheriff's officials said.The air and ground search continued over the weekend, officials said. 1334

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