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Andy Wise investigates how the Natural State will regulate medical marijuana growers, dispensaries and users — including a Trumann, Arkansas, man who may be the first person in East Arkansas to qualify for it. If you’re a Shelby County taxpayer, you owned a strip club. Contextual Evidence Review Methods CDC conducted a contextual evidence review to assist in developing the recommendations by providing an assessment of the balance of benefits and harms, values and preferences, and cost, consistent with the GRADE approach. Sodium hydroxide’s main effect is to raise the pH of pool water in pools with chemical feed pumps.

CDC excluded experts who had a financial or promotional relationship with a company that makes a product that might be affected by the guideline. The BSC charged the OGW with reviewing the quality of the clinical and contextual evidence reviews and reviewing each of the recommendation statements and accompanying rationales.

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However, the contextual evidence review found that many patients lack information about opioids and identified concerns that some clinicians miss opportunities to effectively communicate about safety. Cigars have been in existence for well over 1,000 years. Just how effective are MPD body cameras at maintaining transparency? Emphasize improvement in function as a primary goal and that function can improve even when pain is still present. Chief Consumer Investigator Andy Wise investigates a millionaire landlord renting a condemned property in East Memphis.

Regarding risk mitigation approaches, limited evidence was found regarding benefits and harms. With opioid addiction and overdose deaths increasing across the Mid-South, the V. The world’s largest web retailer scrambles to refund a Mid-South school’s purchase after it received 600 pairs of counterfeit eclipse sunglasses.

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Since 2003, 15 children have died from gunshot wounds. Regarding populations potentially at greater risk for harm, risk is greater for patients with sleep apnea or other causes of sleep-disordered breathing, patients with renal or hepatic insufficiency, older adults, pregnant women, patients with depression or other mental health conditions, and patients with alcohol or other substance use disorders. NCIPC announced an open meeting of the NCIPC BSC in the Federal Register on January 11, 2015. A city code inspector testified Wednesday that a Southeast Memphis apartment complex, which is notorious for code violations, is in compliance despite an overnight fire that displaced one of its most vocally upset tenants. The son of Shelby County’s public works director will go to jail for 18 months for hacking his former employer’s computer network. Seven months ago, Chief Consumer Investigator Andy Wise confronted him on-camera.

Chief Consumer Investigator Andy Wise advances the story. Patients with Sleep-Disordered Breathing, Including Sleep Apnea Risk factors for sleep-disordered breathing include congestive heart failure, and obesity. Some of the recommendations might be relevant for acute care settings or other specialists, such as emergency physicians or dentists, but use in these settings or by other specialists is not the focus of this guideline. An abandoned storage unit gives insight into a notorious Mid-South murder case. Chief Consumer Investigator Andy Wise exposes the shake, rattle and roll at the center of the lawsuit.

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This time, Chief Consumer Investigator Andy Wise has seen it all. You should confirm the information on the PDR. Clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient. Experts provided individual ratings for each draft recommendation statement based on the balance of benefits and harms, evidence strength, certainty of values and preferences, cost, recommendation strength, rationale, importance, clarity, and ease of implementation.

While benefits for pain relief, function, and quality of life with long-term opioid use for chronic pain are uncertain, risks associated with long-term opioid use are clearer and significant. Physicians prescribing opioids in communities without sufficient treatment capacity for opioid use disorder should strongly consider obtaining this waiver. Because the line between acute pain and initial chronic pain is not always clear, it might be difficult for clinicians to determine when they are initiating opioids for chronic pain rather than treating acute pain. A debate about what is appropriate to wear in church sparked a debate that has Mid-South pastors weighing in on the topic of church dress code. Efforts are required to disseminate the guideline and achieve widespread adoption and implementation of the recommendations in clinical settings.

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Benefits and Harms of Opioid Therapy Balance between benefits and harms is a critical factor influencing the strength of clinical recommendations. In June, WMC5’s Janice Broach shared the story of a man in Bull Shoals, Arkansas, who bought an abandoned storage locker full of items tied to a notorious Mid-South murder case. Wendell Holley is on a mission to take down the man he says killed his son with Fentanyl laced heroin.

Clinicians should discuss safety concerns with other clinicians who are prescribing controlled substances for their patient. Only clinicians who are familiar with methadone’s unique risk profile and who are prepared to educate and closely monitor their patients, including risk assessment for QT prolongation and consideration of electrocardiographic monitoring, should consider prescribing methadone for pain. To guide patient-specific selection of therapy, clinicians should evaluate patients and establish or confirm the diagnosis. In a 3-year span, Murphy wrote more than 70,000 opioid prescriptions to just 3,200 Medicare patients. Discuss the importance of reassessing safer medication use with both the patient and caregiver.

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Eden at Watersedge apartment complex in Fox Meadows faces new violations for its “revolving door” of air conditioning failures. Clinicians should avoid prescribing opioids and benzodiazepines concurrently whenever possible. Medical Center in Memphis is countering a trend with veterans by reducing opioid prescriptions.

Patients combines the benefits, as well as the safety information for the drugs chosen, helping patients understand why they are taking the medication and the benefits of adhering to their regimen. Investigators said she killed herself, but the woman’s family disagrees. In addition, some clinicians employed by the federal government, including some clinicians in the Indian Health Care Delivery System, are not licensed in the states where they practice, and do not have access to PDMP data. The use of confirmatory testing adds substantial costs and should be based on the need to detect specific opioids that cannot be identified on standard immunoassays or on the presence of unexpected urine drug test results.

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Advise patients about common effects of opioids, such as constipation, dry mouth, nausea, vomiting, drowsiness, confusion, tolerance, physical dependence, and withdrawal symptoms when stopping opioids. Now, a medical breakthrough is improving those odds. This randomized trial found no difference in pain or function between a more liberal opioid dose escalation strategy and maintenance of current dosage.

Summary This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. Chief Consumer Investigator Andy Wise finds out what the vans’ manufacturer is doing about it. For this reason, some items on this page will be unavailable.

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Clinicians should involve patients in decisions about whether to start or continue opioid therapy. Experts agreed that lower dosages of opioids reduce the risk for overdose, but that a single dosage threshold for safe opioid use could not be identified. A Mid-South family insists hope is not lost in the hunt for a missing father, who disappeared last summer after dropping off food at his children’s summer camp. Each recommendation is followed by a rationale for the recommendation, with considerations for implementation noted. Given the public health urgency for developing opioid prescribing recommendations, a rapid review was required for the contextual evidence review for the current guideline. Secretary of the Department of Health and Human Services, the Director of CDC, and the Director of NCIPC.

Chief Consumer Investigator Andy Wise updates his investigation from Shelby County Environmental Court. Introduction Background Opioids are commonly prescribed for pain. Use of this website constitutes acceptance of the HEALTHFULLY. Subsys is 100 times stronger than morphine.

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Resource allocation including costs and economic efficiency of opioid therapy and risk mitigation strategies. The studies that addressed benefits and harms, values and preferences, and resource allocation most often employed observational methods, used short follow-up periods, and evaluated selected samples. Experts agreed that when opioids are needed for acute pain, clinicians should prescribe opioids at the lowest effective dose and for no longer than the expected duration of pain severe enough to require opioids to minimize unintentional initiation of long-term opioid use. Discuss risks to household members and other individuals if opioids are intentionally or unintentionally shared with others for whom they are not prescribed, including the possibility that others might experience overdose at the same or at lower dosage than prescribed for the patient, and that young children are susceptible to unintentional ingestion. Discuss increased risks for opioid use disorder, respiratory depression, and death at higher dosages, along with the importance of taking only the amount of opioids prescribed, i. Looking back on Andy’s wacky Will It Work?

Central Records is where MPD stores accident reports, among other public records. Over the past few weeks, at least five Mid-South children have been injured or killed when they or another child got their hands on loaded guns that didn’t have safety locks. Raw sewage produces a melee of gaseous compounds.

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Clinicians should discuss information from the PDMP with their patient and confirm that the patient is aware of the additional prescriptions. Code Enforcement agents confronted the people living in a so-called junk house in Memphis. Blood clots can originate from almost any part of the body.

Please note: An erratum has been published for this report. Breathing raw sewage fumes can be both unpleasant and physiologically damaging. Ideally clinicians should first discuss concerns with their patient and inform him or her that they plan to coordinate care with the patient’s other prescribers to improve the patient’s safety. When opioids are used for acute pain, clinicians should prescribe the lowest effective dose of immediate-release opioids and should prescribe no greater quantity than needed for the expected duration of pain severe enough to require opioids. Eden at Watersedge apartment complex in Fox Meadows faces new violations for its “revolving door” of air conditioning failures. Chief Consumer Investigator Andy Wise and Raycom Media’s Investigative Unit uncovered an IRS collection goof that allowed tax-delinquent companies to keep landing lucrative government contracts.