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  • 209. Cannabis Psychosis in Youth | Dr. David Rettew
    2024/12/23

    Cannabis Use Disorder and Cannabis Induced Psychosis is a common diagnosis of adolescent psychiatrist. Listen to Dr. David Rettew's tips in diagnosis and how to speak to young people about marijuana.

    David Rettew, MD is a child & adolescent psychiatrist who currently works as the Medical Director of Lane County Behavioral Health in Eugene, Oregon. He is also a clinical faculty member in the Psychiatry Department at OHSU. Before moving to Oregon in 2021, he worked as a tenured associate professor of psychiatry and pediatrics at the University of Vermont Medical Center and was Medical Director of the child and families division of the Vermont Department of Mental Health. He was also past president of the Vermont Association of Child and Adolescent Psychiatry. Dr Rettew built and then acted as first Training Director of UVM’s child psychiatry fellowship program. He is the author of over 60 peer reviewed journal articles on a variety of mental health topics as well as two books, including Parenting Made Complicated: What Science Really Knows About the Greatest Debates of Early Childhood. He has served as the co-chair of the American Academy of Child & Adolescent Psychiatry’s (AACAP) Health Promotion and Prevention committee and was previously on their journal’s (JAACAP’s) editorial board. Dr. Rettew did his general psychiatry and child & adolescent training at Harvard Medical School within the combined Massachusetts General/McLean Hospital programs. Dr. Rettew writes a regular blog on Psychology Today that has over one and a half million views.

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    1 時間 16 分
  • 208. Wisdom from a Drug Czar | Gil Kerlikowske
    2024/12/16

    The United States's Drug Czar is in charge the nation's drug policy. We can learn from the historical perspectives of our prior leaders. Gil Kerlikowske shared his insights.

    I served as the Commissioner of U.S. Customs and Border Protection (CBP), having been nominated by President Obama and confirmed by the Senate in March, 2014. Having left office in January 2017, I will be the only confirmed CBP Commissioner during President Obama’s administration.

    CBP was formed as part of the Department of Homeland Security in 2003 as a result of the recommendations issued by the 9/11 Commission. Its dual responsibilities are to secure America’s borders and facilitate lawful travel and trade. CBP is the second-largest contributor of funds to the U.S. Treasury, collecting $46 billion in Fiscal Year 2015. As the nation’s largest law enforcement agency, CBP employs 60,000 people at and between 328 ports of entry nationwide as well as in 40 countries around the world, with an annual budget approaching $13 billion.

    One of my chief accomplishments at CBP was realigning an organization that had 21 direct reports to the Commissioner. The new organization streamlines decision-making and gives CBP’s workforce more efficient access to resources and information. I also oversaw the restructuring of the U.S. Border Patrol (which comprises 21,000 personnel), including the appointment of the first Border Patrol Chief from outside the organization since its founding in 1924. Under my leadership, CBP has made significant changes its use of force policies, incorporating new training at its academies and implementing robust internal affairs review and investigation authorities, which CBP did not have previously.

    In addition, during my tenure CBP has expanded the use of technology to make it faster and easier for lawful travelers and cargo to enter the country securely – contributing to both national and economic security. Regarding travel, I oversaw the expansion of CBP’s Preclearance facilities overseas, placing Customs officers in key foreign cities to pre-inspect travelers destined to the United States, thereby adding a layer of security to our borders while facilitating the arrival of travelers from these cities. Regarding trade, I oversaw the enforcement of laws prohibiting goods derived from forced or child labor, counterfeit goods, or products that violate trade agreements and could harm the U.S. economy or consumers.

    CBP also has an important global presence; I lead the U.S. delegation to the 180-member World Customs Organization and I travel extensively internationally. As a veteran of the United States Army – having served in the Army’s military police from 1970-1972 – I oversaw the creation of CBP’s National Frontline Recruitment Center which is designed to attract and recruit military veterans.

    Before I was named CBP Commissioner, I served for five years as President Obama’s drug policy advisor as Director of the Office of National Drug Control Policy (ONDCP), a Senate-confirmed cabinet level position. When I started at ONDCP in May 2009, the growing abuse of and addiction to prescription drugs was not widely known by the general public. Besides authoring the ONDCP’s annual National Drug Control Strategy, I initiated the first Prescription Drug Strategy.

    During my tenure at ONDCP, law enforcement began using Naloxone to save victims of opiate overdoses. In addition, hospitals began changing their emergency department standards on pain medication, and physicians and dentists began receiving better guidance on the problem of prescription drug abuse and addiction. Non-governmental organizations and advocacy groups were welcomed into the drug policy conversation, which expanded from purely a law enforcement-centric discussion to include the necessary focus on public health. I received the Nathan Davis public service award from the American Medical Association, and I als...

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    54 分
  • 207. Fentanyl Inc. | Ben Westhoff
    2024/12/10

    Ben traveled to China to buy some fentanyl precursors. What he learned shapes health policy to this day. Now he is banned from China travel.

    Ben Westhoff is an award-winning investigative reporter whose books are taught around the country and have been translated around the world, including Fentanyl, Inc.: How Rogue Chemists Created the Deadliest Wave of the Opioid Epidemic, the bombshell first book about the fentanyl epidemic. He has advised officials at the top levels of government about the opioid crisis, writes the Substack newsletter Drugs + Hip-Hop, and is currently directing a film about the opioid treatment drug naltrexone, called Antagonist. His book Original Gangstas: Tupac Shakur, Dr. Dre, Eazy-E, Ice Cube and the Birth of West Coast Rap is the definitive book about West Coast Hip-Hop. He has written for The New York Times, The Atlantic, The Wall Street Journal, Rolling Stone, and the Guardian, and been interviewed as an expert commentator on CNN, NPR, and CSPAN, and on full, dedicated episodes of Fresh Air and the Joe Rogan Experience.

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    57 分
  • 206. Learning from Rx Opioid Epidemic | Mary Bono
    2024/12/02

    Once upon a time, a long time ago, in 1990, people were dying of prescription opioids. Those were the 'good ol days" when 100 people a day were dying from drugs. Today we are at 300 a day. There is much to learn from history and my conversation with Mary Bono.

    The Honorable Mary Bono is a successful businesswoman and well-known political leader, Congresswoman Mary Bono was hailed as the "embodiment of powerful American womanhood" by the Washington Times during her tenure in the United States House of Representatives. Mary was elected to Congress in 1998 to serve California's 44th (later changed to 45th) Congressional District after the untimely death of her husband, entertainer turned Congressman Sonny Bono. She established herself as a respected and closely- watched leader on a wide range of critically important issues while serving 7 terms in Congress (1998-2013). She served on the Energy and Commerce, Armed Services, Judiciary, and Small Business Committees. A proven bipartisan consensus builder, Mary authored legislation that was signed into law by three Presidents: Clinton, GW Bush and Obama. Today, Mary is widely recognized as a national leader on multiple issues, including addiction prevention, treatment, and recovery. While serving in Congress, she co-created the first ever Prescription Drug Abuse Caucus and chaired hearings specific to the opioid abuse epidemic. She continues to be at the forefront of the nationwide fight against drug abuse and the fentanyl epidemic, both of which impact every community in the country. She currently serves as the Chair of the Board of Mothers Against Prescription Drug Abuse (MAPDA). In 2022, Mary received Distinguished Graduate Merit Award from her alma mater, the University of Southern California. She is married to former astronaut and Rear Admiral Steve Oswald (U.S. Navy, Retired) and is mother, a grandmother, and a dog mom.

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    47 分
  • 205. Dopamine Nation | Dr. Anna Lembke
    2024/11/25

    Drug hijack your dopamine. Dopamine is a neurochemical we need to live. We need it like oxygen and water. Without it, people feel they are dying.

    Anna Lembke, MD is professor of psychiatry at Stanford University School of Medicine and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. A clinician scholar, she is the author of more than a hundred peer-reviewed publications, has testified before the United States House of Representatives and Senate, has served as an expert witness in federal and state opioid litigation, and is an internationally recognized leader in addiction medicine treatment and education.

    In 2016, she published Drug Dealer, MD – How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop (Johns Hopkins University Press, 2016), highlighted in the New York Times as one of the top five books to read to understand the opioid epidemic (Zuger, 2018).

    Dr. Lembke appeared in the Netflix documentary The Social Dilemma, an unvarnished look at the impact of social media on our lives.

    Her latest book, Dopamine Nation: Finding Balance in the Age of Indulgence (Dutton/Penguin Random House, August 2021) was an instant New York Times and Los Angeles Times bestseller and has been translated into 35 languages. It combines the neuroscience of addiction with the wisdom of recovery to explore the problem of compulsive overconsumption in a dopamine-overloaded world.

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    58 分
  • 204. Product testing of cannabis and other Drugs | Josh Swider
    2024/11/20

    Dawn, a prevention specialist noticed brightly colored packing of mushroom products in a smoke shop near a school. She wanted to know what they were selling children. Dawn found Josh Swider who agreed to testing of several products. The results were shocking - the products included a range of chemicals from THC to bath salts. Consumer protections are important for food and all types of drugs, especially when sold legally.

    Josh began his career in chemistry at Eastern Washington University, where he earned his Bachelor of Science in Chemistry and degrees in physics and biology. His quest for a deeper understanding of science led him to graduate school, where he attended the joint doctoral program at the University of California, San Diego, and San Diego State University. Josh saw the problems in the analytical cannabis industry with the lack of analytical research and public understanding associated with it. He wanted to change this, and with his knowledge and passion for the industry, Josh founded the lab with fellow chemist Dave Marelius in 2016. Together they’ve made it InfiniteCAL’s mission to ensure only safe; quality products are allowed to be sold to consumers

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    1 時間 24 分
  • 203. Investigative Reporting | Connor Sheets
    2024/11/18

    Connor Sheets' investigative stories have resulted in public health alerts, federal investigations, and international ramifications. His investigations included finding that Mexican pharmacies were selling counterfeit pain pills that contain fentanyl and smoke shops were selling chocolate magic mushrooms that contain THC or bath salts.

    Connor Sheets is an investigative and enterprise reporter for the Los Angeles Times. He was part of the team that was a 2024 Pulitzer finalist for its coverage of the mass shooting in Monterey Park. Before joining The Times in 2021, he worked for six years as an investigative reporter in Alabama, reported from four continents as a New York-based enterprise reporter and covered local news for a weekly newspaper chain in Queens. A father of two, Sheets grew up in Maryland, where he delivered newspapers as a teenager and landed his first reporting job after graduating from the University of Maryland.

    Social media handle: https://x.com/ConnorASheets

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    1 時間 17 分
  • 202. Drugged Driving | Ari Briskman
    2024/11/11

    56% of drivers involved in serious injury and fatal crashes tested positive for a least one drug. I talked to Ari Briskman to get boots on the ground law enforcement perspective of drugged driving.

    Sergeant Ari Briskman has served as a law enforcement officer since 2007. Ari is presently assigned full-time as the Commander of the Marine Unit for the Lake County Sheriff’s Office. Ari also serves the Sheriff’s Office as the Technical Crash Investigation Team Commander, the Auxiliary Deputy Unit Commander, and as a Public Information Officer.

    Ari has dedicated much of his career to impaired driving enforcement and traffic safety. He is a certified Drug Recognition Expert, certified Drug Recognition Expert – Instructor, Standardized Field Sobriety Test Instructor, Seated Standardized Field Sobriety Test Instructor, and certified Crash Reconstruction Specialist. Ari has been recognized by courts in several counties in northern Illinois as an expert in the fields of alcohol and drug impairment.

    Ari has personally apprehended over 600 impaired vehicle and boat operators throughout his career, for which he has been recognized several times by Alliance Against Intoxicated Motorists and Mothers Against Drunk Driving. He has consulted with and assisted in the prosecution of hundreds of additional impaired driving cases throughout Illinois.

    Ari has been contracted with various Illinois training units as an instructor to teach all the National Highway Traffic Safety Administration impaired driving enforcement courses, the National Association of State Boating Law Administrators boating under the influence courses, and his own original material. Ari serves as an adjunct instructor for the Homeland Security Training Institute at the College of DuPage teaching course material on drug impairment in the workplace. Ari is also a senior consultant for Dynamic Impairment, LLC, for whom he provides consultancy services to private businesses and court litigants on drug policies and impairment recognition.

    In addition to his law enforcement duties, Ari advocates for stronger impaired driving laws and protections for crash victims as a member of the Board of Directors of the Alliance Against Intoxicated Motorists. Ari also serves as a board member for the State of Illinois Impaired Driving Task Force and on the speaker’s bureau for the National Marijuana Initiative.

    Ari holds a Bachelor of Science degree in Law Enforcement and Justice Administration and a Master of Arts degree in Public Safety Administration, both from Western Illinois University.

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    59 分