网上预约天津市龙济医院靠谱吗(天津龙济医院外科医院) (今日更新中)

CINCINNATI -- You've read these stories. We've even run some of them. They go like this: A police officer or paramedic touches a mysterious, powder-like substance during a drug arrest or attempted overdose revival, and their heart begins to hammer. Their sweat glands kick into overdrive. Their breath turns thick inside their lungs.After they're rushed to the hospital or dosed with naloxone on-scene, they recover. Their department usually invokes opioids such as fentanyl in explaining the possible incident; the phrase "accidental overdose" comes up.There's just one problem: According to the American College of Medical Toxicology and other medical sources, including Slate contributor Dr. Jeremy Faust, it's essentially impossible to overdose on fentanyl through skin contact alone."These drugs are not absorbed well enough through the skin to cause sickness from incidental contact," the ACMT wrote in a 2017 news release shortly after East Liverpool, Ohio police reported an officer had overdosed after brushing white powder from an earlier drug arrest off his shirt bare-handed. "Toxicity cannot occur from simply being in proximity of the drug. In the event drug powder gets on skin, ACMT recommends simply washing it off."Despite that statement, similar stories surfaced in Ohio during August and November 2017. More recently, news outlets in Texas reported a Houston officer had become ill and received a dose of naloxone after a drug bust in July. Days later, Harris County authorities announced there hadn't actually been any fentanyl at the scene.So what's the truth? According to Chad Sabora, a recovering drug user who founded the Missouri Network for Opiate Reform and Recovery, and neuroscience-pharmacology PhD Sarah Sottile, most of these officers are probably experiencing psychosomatic symptoms — maybe even panic attacks. It's highly unlikely they're actually overdosing on small amounts of fentanyl through skin contact.To illustrate this, Sabora and Sottile posted a video to Facebook in which Sabora safely holds a small amount of powder fentanyl in his bare hand while Sottile explains fear, not fentanyl, is the likely causes of police officers' symptoms. (Dr. Faust put it somewhat more bluntly in an opinion piece about the video, describing the incidents as "local authorities peddling what amount to ghost stories masquerading as true tales from the front lines.")"What scares me is that, if we don't dispel these rumors, kids will be left to die because an officer or first responder will show up on the scene, they'll believe that it's fentanyl there, and they will not attempt to save the person's life because of these fears," Sabora says in the video. "At the end of the day, we need to save these kids' lives, and we can't not go resuscitate out of fear."Newtown Police Chief Tom Synan had spoken to Scripps station WCPO in Cincinnati before in incidents of unconfirmed police exposure to opioids. He said Friday night he could not argue with the stances taken by doctors but still wanted to stress extreme caution among first responders dealing with potential opiates."I'm not one to dispute science," he said. "How do you dispute science? … I think the best way to look at this is that this issue is difficult. There are no easy answers with this. We have to err on the side of caution, not on the side of panic."It's not so dangerous that everyone that gets near it will be overdosing and dying," he added. "(But) continue to be careful. Continue to be cautious." 3523

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Coachella just turned into a FIRE FEST. The showers just exploded!! pic.twitter.com/mcHzpEegKu— Tenani French (@Tenani) April 13, 2019 148

Congratulations to President-elect Biden and Vice President-elect Harris. This election was hard-fought by both candidates and ultimately the voters chose them for the job. America now looks to you to lead our country and unite us for the common good.— Rep. Paul Mitchell (@RepPaulMitchell) November 7, 2020 315

CVS hears the Amazon footsteps -- and the pharmacy giant is wasting no time trying to get ahead of any Jeff Bezos plan to disrupt the drug store business the way that he has the rest of retail.CVS said Monday that it plans to offer next day delivery of prescription drugs nationwide in 2018. In some urban markets, CVS will even deliver on the same day.A program to deliver both medications and a select offering of other CVS products from the front of the store will begin in Manhattan on December 4.CVS CEO Larry Merlo made the announcements during the company's earnings conference call with analysts.The news comes just a few weeks after reports surfaced that Amazon had received wholesale pharmacy licenses in a dozen states.That move would potentially allow Amazon to sell prescription medications online.The speculation caused the shares of CVS and rival Walgreens to fall, as did pharmacy benefits manager company Express Scripts, a competitor of the CVS-owned PBM Caremark.The stocks of drug distributors Cardinal Health, AmerisourceBergen and McKesson all fell too.This is because investors are worried that Amazon, which is already changing the dynamics of the grocery business thanks to its acquisition of Whole Foods, may look to do the same for drug stores.But Merlo said during the call with analysts Monday that he still sees Amazon as more of a potential ally than threat."You would never close the door on any type of partnership," Merlo said, when asked by an analyst about possibly working with Amazon.Still, CVS seems to recognize that the health care landscape is changing rapidly, and it needs to adjust. There have even been recent rumors that CVS may look to buy health insurer Aetna.Aetna scrapped plans to merge with rival Humana earlier this year due to intense regulatory scrutiny. Another insurer merger proposed by Anthem and Cigna died as well.Since then, the lines between health insurers and the pharmacy giants have grown increasingly blurred and incestuous.Anthem recently started up its own PBM, called IngenioRX, and has partnered with CVS.And Walgreens has partnered with a Blue Cross-backed PBM Prime Therapeutics to form a new mail order pharmacy company.Merlo and other CVS executives did not address any of the Aetna chatter on the conference call.But if the rumors are true -- and if an Aetna deal passed antitrust scrutiny -- then CVS appears to be on its way towards building a formidable health care/retail giant that may avoid getting Amazon-ed.  2507

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