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Teresa Chapman
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Article discusses genetic influences on pain perception and treatment, including why different people experience pain in different ways.
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Come celebrate science this weekend (April 16-17) at the 4th USA Science & Engineering Festival, the largest STEM education event of its kind in the United States! The festival will be held at the Walter E. Washington Convention Center in Washington, D.C. Over 1,000 leading STEM organizations will present hands-on science and engineering activities for people of all ages. The event is free of charge. See more at: http://bit.ly/1XxGEP2
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Oscar-winning actress Patty Duke, who hit the trifecta of stardom with her turns on the big and small screens as well as on Broadway, is dead, NBC New
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sad - huge crush on her wayyyy back when.


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In addition to the senior population, evidence shows that older adults who are slightly younger – including those in their 50s – may be particularly vulnerable to certain health and nutrition challenges at higher rates than older seniors.  7 million individuals served by Feeding America each year are seniors age 60 or older.  Additionally, the network also serves nearly 6 million “older adults” ages 50-59.   More than 33 percent of client households have at least one member who is age 60 or older. 
63 percent of client households with seniors report making choices between paying for food and paying for medicine/medical care.  Two out of five (41%) client households with an adult age 50 and older have at least one member with diabetes, and more than two-thirds (70%) of client households with an older adult have at least one member who has high blood pressure . These rates increase with age. However, among older adult clients, those who are younger report significant health challenges. Fifty-nine percent of those ages 50 to 64 described their own health as fair or poor, a higher rate than that of seniors ages 65 to 74 (53 percent) and age 75 and older (51 percent).
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Teresa Chapman

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Global warming is already harming human health, the economy and national security.
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Another goal of my research is to advance balanced policies and approaches. We hear a lot about opioid overdose rates, but we don’t hear a lot about undertreated pain. It is not appropriate for policies to focus solely on one issue and ignore the other.  Q: What advice would you give to primary care physicians and pain specialists who struggle with decisions about whether or not to prescribe opioids to patients with noncancer pain?

Dr. Ziegler: Prescribers certainly are concerned about prescribing opioids to patients with noncancer pain, but they also are concerned about prescribing opioids to those who are terminally ill. What is best for their patient? The Institute of Medicine and others recognize that pain is individualized; its treatment should be individualized as well.

I would also recommend that prescribers read Responsible Opioid Prescribing: A Clinician’s Guide by Scott Fishman, MD.2 The book covers patient evaluation, treatment plans, informed consent, periodic review, documentation, compliance, etc. Dr. Fishman offers good advice that is straight to the point. As he notes, clinicians should be familiar with state and federal prescribing rules and regulations. State medical or osteopathic associations might be helpful in locating these resources.

Q: Do you think that the reclassification of all hydrocodone combination agents from Schedule III to Schedule II under the federal Controlled Substances Act will help curb opioid abuse?

Dr. Ziegler:No, I do not (of course it depends on how one defines and measures abuse). I recently wrote an article about this topic for Pain View.3< The reason is that drug abuse is a moving target and is an extremely complex social and medical phenomenon. Politically, it may look like the Drug Enforcement Agency (DEA) did something by playing a significant role in the change from Schedule III, but the move will create access problems. This was a broad sweeping reform that has both positive and negative consequences. The action is positive in that it creates a barrier to abuse via more restrictive scheduling, but it is negative because it creates barriers to adequate treatment of pain by reducing legitimate access. The DEA is a law enforcement agency, not a public health agency. Drug abuse and undertreated pain are public health problems, not law enforcement problems.

Q: Can you give an example of a balanced policy on opioid prescribing?

Dr. Ziegler: Yes, New Mexico has decided not to establish a dosage threshold because of concern that such a policy would interfere with the patient-provider relationship. Instead, the state requires a mandatory continuing medical education course covering both prescription drug abuse prevention and the treatment of pain.4-7 Thus, the program is balanced and does not fixate on one problem at the expense of the other. The program was created by several stakeholders—regulators, practitioners, and the public—to ensure balance.

Another example of a balanced approach is Project Lazarus (http://projectlazarus.org)—a public health model that not only focuses on overdose but also provides educational opportunities related to pain treatment.
States are increasingly playing a regulatory role when it comes to opioid medications. Dr. Stephen J. Ziegler discusses balancing the needs of the state with the needs of chronic pain patients.
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Turkey explosion: Ankara car bomb kills at least 32 - http://www.bbc.co.uk/news/world-europe-35798517
A car bomb has exploded in the Kizilay district in the Turkish capital Ankara, with officials saying at least 32 people are dead.
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I’ve been spending a lot of time in or on the bed these days, so I thought I’d share a piece I wrote a few years ago about all the things you can do from the bed.
https://www.psychologytoday.com/blog/turning-straw-gold/201106/things-you-can-do-the-bed
Living well from the bed, the couch, or the recliner.
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Genetic Influences on Pain Perception and Treatment
www.practicalpainmanagement.com

Article discusses genetic influences on pain perception and treatment, including why different people experience pain in different ways.

Legal Landscape of Pain Treatment
www.practicalpainmanagement.com

Pain is the reason most people seek health care. The cost in lost productivity is in the billions of dollars annually. Over the years there

Balancing State Opioid Policies With Need for Access to Pain Therapies
www.practicalpainmanagement.com

States are increasingly playing a regulatory role when it comes to opioid medications. Dr. Stephen J. Ziegler discusses balancing the needs

When the Small Stuff Sweats
www.whenthesmallstuffsweats.com

I Am Not An Addict I am not an addict. Those that know me may think that statement is a no-brainer. I’ve never even tried cigarettes. (OK on

Pros, Cons Of Holding Title To Your Home In A Living Trust
articles.chicagotribune.com

When I was in Minneapolis for a few days recently, I enjoyed breakfast with a long-time friend I hadn't seen for several years. It was fun c

Titanic II: A look inside | National News - KOCO Home
www.koco.com

The new Titanic II will be practically identical to the original luxury liner, which famously sank in April 1912 after striking an iceberg o

Home Design
plus.google.com

Innovation , future , incredible design … probably the best architecture

How Do We Sense Pain?
www.news-medical.net

Pain is a sensation that is triggered in the nervous system. It can be sharp or dull and last for short or long periods. Pain may be localiz

USGS expert: 'I’ve never seen anything like it anywhere in the world' | ...
www.koco.com

Several earthquakes over a 4.0 magnitude have rocked Oklahoma in the last 24 hours.

The 7 Psychological Stages of Chronic Pain
www.painnewsnetwork.org

By Jennifer Martin, PsyD, Columnist Have you ever wondered if other people with chronic health conditions feel the same way you do? Througho

Oklahoma has 4th death of year due to West Nile virus
www.koco.com

The Oklahoma State Department of Health is reporting the fourth West Nile virus death of 2015 in the state.

Fairview police officer faces 6 felony child porn charges
www.koco.com

A northern Oklahoma police officer faces six felony charges related to child pornography.

New case of West Nile virus confirmed in Oklahoma County
www.koco.com

Experts with the Oklahoma City-County Health Department have confirmed one additional case of West Nile virus in Oklahoma County, according

Win prizes every Friday!
farmersalmanac.com

Every week, Farmers' Almanac selects one random winner in our Freebie Friday contest by answering a simple question. Will you win this week?

Newly discovered cells restore liver damage in mice without cancer risk
www.nih.gov

The liver is unique among organs in its ability to regenerate after being damaged. Exactly how it repairs itself remained a mystery until re

OSBI investigating death of twin 10-month-old girls
www.koco.com

The Oklahoma State Bureau of Investigations is examining the deaths of infant twins in Seminole County.

The people that run the store have always been very friendly and helpful. Once you've gone there a few times, they remember what you usually come there for and will have it ready for you. It's also VERY nice that they have a drive up window. I'm disabled and have difficulties at times when out in the elements so it makes it handy to not have to get out of your car!
Public - 6 months ago
reviewed 6 months ago
I'm not even using your service and would never. My best friend has it and it totally SUCKS. She can rarely make a phone call or receive one and while talking she is constantly being cut off and having to TRY to call me back. She lives in the country and I mean way out in the country and is in ill health. I am gong to help her deal with this and believe me, you don't want to mess with me. If I have to go the media, I'll do it. I will also contact the Attorney General's office as well as notify her senator and if I have to I will also contact the Governor's office. Ripping off people receiving government assistance is the lowest of the low. You people are scum and you know it and that makes you even lower. This is our wonderful N O T government at work. They seem for forget they work for US not the other way around. We pay their salary. I will not stand by and watch my friend ripped off any longer.
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Public - 8 months ago
reviewed 8 months ago
Google to get your menu, taken here to your Google+ page...click on link for menu, then taken to urbanspoon and get nothing. Great :( Hey folks, get the person who is supposed to be maintaining your page here to put your menu on YOUR Google+ page and don't send us anywhere else. Geeez. I think I may have an old one, will check. I will say every single time I've eaten at Applebee's and ordered ANY steak, there is more gristle in it than meat. And for the price you pay for it...I WANT MEAT!
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Public - a year ago
reviewed a year ago
EXCELLENT DONUTS!!!!
Public - a year ago
reviewed a year ago
10 reviews
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Map
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Customer Service is horrible and I'd say about 85% of the time the order is incorrect, even after they've repeated it back to you and have shown it on the screen asking you if it's correct! WTH?? This is what happens when a restaurant hires foreigners who can barely speak English let alone understand what you are saying take orders :/ Geeez.
Public - 10 months ago
reviewed 10 months ago
She is GREAT!
Public - a year ago
reviewed a year ago
Well now isn't this some b.s.! My son receives a letter from him in the mail just yesterday, June 4, 2014 asking if he needed help with filing bankruptcy. He just called the number listed on the letterhead and was told he had the wrong number. He tried back, asked if this was the law office of J. Edward Oliver, Attorney at Law, and they hung up on him. Hmmmm. What is going on here????
Public - a year ago
reviewed a year ago