2017年9月28日你好, 吸毒成瘾的影响,尤其是阿片类药物的使用对我们国家的健康和我们的医疗保健系统的影响很清醒。每天有近150名美国人因药物过量而死。每25分钟,一个婴儿天生就有戒毒症状。在过去的十年中,美国与阿片类药物相关的急诊科的访问速度飙升。这些费率对家庭,社区,医疗保健提供者和医疗机构产生了深远的影响。 阿片类药物是一类药物,包括海洛因以及处方止痛药,羟考酮,氢可酮,可待因,吗啡,芬太尼等。估计有200万美国人依赖处方止痛药,而50万人有涉及海洛因的药物使用障碍。 休斯顿不能免于这种可怕的流行病。尽管我们没有看到阿片类药物使用的增加,但在过去的5年中,德克萨斯州的阿片类药物住院治疗增加了16%。急诊医学系主任杰米·麦卡锡(Jamie McCarthy)博士报告说,纪念馆赫尔曼 - 特克萨斯医疗中心和LBJ急诊科都看到过量服药和IV滥用药物的增加。 The Agency for Healthcare Research and Quality reveals opioid-related hospital trends for each state. And the American Medical Association is maintaining a微站点有关危机的最新信息。 您知道,在2015年,该国意外死亡的主要原因成为药物过量,第二次死亡。关于孕产妇死亡的增加,尤其是在德克萨斯州的新闻中有很多消息。Datafrom the State Maternal Mortality and Morbidity Task Force suggest that drug overdose was the second most common cause of maternal death in Texas in 2012. 我们需要确保对医生进行培训以解决这一问题,并准备好干预药物滥用患者的长期护理,而不仅仅是对阿片类药物过量的患者的急诊护理。耶鲁大学医学院最近的一项研究报告说,过量的患者来到急诊科并接受了最激进的干预措施 - 急性医疗服务以及帮助安排后续治疗,不仅是小册子,最有可能继续治疗。不仅需要全面治疗的不仅仅是我们的医院患者。我们需要在我们的监狱人口中解决这个问题。吸毒者经常被监禁,但是除非得到适当的治疗,否则他们将返回毒品和监狱。 什么是解决方案? 马里兰州的阿片类药物住院率最高。巴尔的摩市卫生专员Leana Wen博士一直处于打击流行病的最前沿。她于2015年向巴尔的摩的所有居民发出了阿片类药物纳洛酮的毯子处方,该处方已挽救了800多人的生命。这也是由1462号参议院法案在2015年为德克萨斯州做的。今年,马里兰州蒙哥马利县的所有公立学校(包括小学)将库存纳洛酮。外围beplay 但是治疗急性过量是不够的。我们需要改善医师培训,以适当使用止痛药,并增强培训,以便医生可以识别出药物成瘾的体征和症状,并及时转介到适当的服务。同时,我们需要游说扩大的成瘾服务。我们还需要清楚地了解这个问题的复杂性 - 最近纽约时报文章显示,保险公司正在限制患者获得较高价格时不上瘾的止痛药的机会。 Fortunately, our nation’s attention is focused on fixing this growing problem. In fact, at the National Academy of Medicine’s Annual Meeting next month, the President’s Forum will center on the opioid epidemic and its impact on the health of the next generation and features Kathleen Sebelius, former Secretary of HHS; Scott Gottlieb, FDA commissioner; Charles Baker, the governor of Massachusetts, and Judge Steve Leifman, discussing the problem as well potential solutions. The National Academy of Medicine just issued a特别报告, “First do no harm—marshalling physician leadership to counter the opioid epidemic.” 我们是美国第四大城市的学术医疗中心,以打击这场危机? Dr. Holly Holmes, associate professor of geriatric and palliative medicine, helped host a regional symposium on this topic earlier this year in coordination with the University of Houston College of Pharmacy. This educational event was a great opportunity for leading experts to share their knowledge and collaborate. This视频让您了解该程序。 在过去的三年中,精神病学和行为科学教授迈克尔·韦弗(Michael Weaver)博士提供了门诊诊所for the treatment of opioid use disorder at UT Physicians Psychiatry clinic. He says there is no shortage of new patients these days, and that Houston is feeling the impact of the opioid epidemic like many other large cities. One response to the opioid epidemic is to train more physicians in the specialty of Addiction Medicine, which was recognized as a new medical subspecialty by the American Board of Medical Specialties just last year. Dr. Weaver is the inaugural chair of the new sub-board for Addiction Medicine for the美国预防医学委员会。来自任何初级医学专业的学员都有资格申请这种新的专业。 在研究方面,精beplay苹果手机能用吗神病学和行为科学助理教授玛格丽特·沃尔(Margaret Wardle)正在开发该部门的新研究计划神经行为成瘾研究中心beplay苹果手机能用吗,这将补充Weaver博士的临床计划。 我们必须继续尽我们所能对抗terrible epidemic of drug abuse and misuse—attacking the problem through prevention efforts, through increased public awareness, through better education of physicians, through research, and with enhanced addiction services and care. I am comforted to know that McGovern Medical School’s experts in all three of our mission areas are working hard to address this important individual and public health issue for our community. 温暖的问候, Barbara |