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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

A large fire broke out early Friday at a refinery in Philadelphia, the city fire department told CNN.The fire started at Philadelphia Energy Solutions between 3 and 4 a.m., according to CNN affiliates.Residents reported several explosions that were felt in South Jersey and Delaware County, Pennsylvania, according to CNN affiliate 344

A 16-year-old who allegedly used a remote-controlled car to attempt to smuggle methamphetamine across the US-Mexico border has been arrested by US Border Patrol agents, the agency announced Tuesday.The teenager, a US citizen, was arrested Sunday after agents spotted him carrying two large duffel bags and ducking in-and-out of an agent's view, US Customs and Border Protection 390

.@kanebrown dedicated his award to his drummer Kenny Dixon.Rest in Peace Kenny. The country community will remember you. ??#CMTAOTY pic.twitter.com/gSFV07Ae3Z— CMT (@CMT) October 17, 2019 199

A judge has ruled that a Concord, New York, family's pit bull, known as Chunk, will get a reprieve, at least for now. The 4-year-old Pit bull will return home temporarily. The judge says the dog will then need to be returned to a kennel by Friday for further evaluation and a future assessment will be scheduled. Chunk was removed from the Wilk family's home about a month ago, 391