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The opioid crisis has had a devastating impact across the country.Now, doctors in one state are tackling the problem head on, and it starts with how they treat pain in the emergency room. When Dr. Donald Stader walks through his emergency room these days, it's almost like he's a different doctor. “I used to over prescribe opioids for the first several years of my career and residency,” he says. “I was giving them out like Tic Tacs, if you will.” All that changed a few years ago, when he met a woman overdosing on heroin. “She told me that she actually got hooked after being prescribed Percocet for an ankle sprain,” Dr. Stader says. “And one thing that struck me, earlier that day I had prescribed Percocet for an ankle sprain and thought that I was practicing really good medicine.” Now, he and his hospital, Swedish Medical Center, are a part of the Colorado Hospital Association’s ALTO Project, a program aiming to reduce the use of opioids in emergency rooms in the state, using alternative pain treatment.The program is paying off.However, experts say it's too late. The crisis is so bad, so simply improving prescription practices is not enough to combat opioid abuse. In an article published in JAMA Psychiatry, doctors say in addition to tighter drug restrictions, psychiatrists specializing in depression and suicide, along with new research and treatments, are needed. Now, they treat patients with medications like Tylenol and ibuprofen. For stronger pain, they use ketamine, bentyl and lidocaine, which is often used in the dentist’s office. Two million Americans struggle with opioid addiction and 42,000 people died of overdoses in 2016 alone. 1678

2019 will be the year of growing rifts.Populists will claim they have the answers; traditionalists will say nothing is wrong they can't fix.But be sure of one thing: Our old, comfortable order is going to change — and not in an incremental way that we can more or less handle.While 2019 might not be the year we actually tip, it seems inconceivable that the balance between those who are happy as we are and those who think the world no longer works for them is going to shift.We are more populous. Our need for resources is greater. Our expectations more immediate. And while our capacity for change is elastic, 624

The coveted crash test ratings for vehicles are in desperate need of an update, according to multiple auto safety groups. The system hasn't been updated since 2010. Right now, 98% of all vehicles get four or five stars. “It’s the equivalent of Halloween — everyone gets candy,” says Jason Levine with the Center for Auto Safety. “The idea is supposed to be separating between things that are safe and things that are really safe.” Levine says the tests are too easy to pass and they don't help consumers understand the difference between cars.Some recommendations include updating the ratings by testing new technology that helps drivers avoid crashes, like emergency automatic braking, and accounting for how passengers in the rear seats are impacted Experts also recommend testing systems that help avoid hitting pedestrians. This type of testing already exists, it just hasn't been mandated in the U.S. “NHSTA, the National Highway Traffic Safety Administration, has dragged its feet on renewing these ratings for almost a decade now,” Levine says. “They said they were going to update them in 2015. They didn't. They said they were going to update them in 2018 and they didn't. Here we are, we just saw a press release of NHSTA saying we'll do something in 2020 but they haven't even really explained what that is.” Advocates also say there's a need to update crash test dummies to reflect changes we've seen in drivers, like weight, height and age.Auto safety groups would like to see a silver star added for older drivers to better understand how a car might protect them in a crash. 1604

#targetdown I was able to get out in a little over an hour because my cashier would not give up. He had to scan every single item at least 10 times but it worked. They are still turning away people at the door. pic.twitter.com/jbEzBcIjmj— Naomi Thompson ?? (@NaominotNyomi) June 15, 2019 299

2/ Given the increase in content shared to #blacklivesmatter, this technology is incorrectly coming into effect. We are resolving this issue as quickly as we can, and investigating a separate issue uploading Stories.— Instagram Comms (@InstagramComms) June 1, 2020 277