This is FDA Patient Safety News. In this edition, a new use for taxateer in treating prostate cancer, precautions on prescribing crestor, mix-ups between different forms of sodium hyaluronate, and a warning for lactating women about the drug Domperidone. These stories and more on this edition of FDA Patient Safety News. Welcome to the program. For the U.S. Food and Drug Administration, I'm Mark Barnett. And I'm Anita Reiner. Let's start with some medical products FDA recently approved. FDA has approved injectable taxateer or dosataxel in combination with prednisone for the treatment of advanced hormone refractory metastatic prostate cancer. Taxateer inhibits the protein tubulin, which is essential to cell division. This is the first drug approved for hormone refractory prostate cancer that's shown a survival benefit. In a randomized clinical trial, those treated with taxateer and prednisone experienced a survival advantage of approximately two and a half months compared with those treated with mitazantrone and prednisone. The most common adverse events reported with the taxateer prednisone combination were nausea, alopecia, and bone marrow suppression. Less common but severe side effects are also possible with taxateer, so be sure to read the complete labeling before prescribing. FDA recently approved the first effective treatment for patients with myelodysplastic syndrome, or MDS, a collection of bone marrow disorders. The drug called VIDASA is asocytidine for injectable suspension and is distributed by Pharmaeon Corporation. VIDASA is believed to be cytotoxic to abnormal hematopoietic cells in the bone marrow, and thus it may restore normal growth and differentiation in the marrow. About 7 to 12,000 new cases of MDS are diagnosed every year. MDS can develop following treatment with drugs or radiation therapy for other diseases, or it can occur idiopathically. Some forms of MDS can progress to acute myeloid leukemia. In clinical studies, which included all subtypes of MDS, about 15% of MDS patients had complete or partial responses to asocytidine. Those who responded to the drug no longer needed transfusions. The most common adverse events reported in clinical trials included nausea, anemia, thrombocytopenia, diarrhea, fatigue, irritation at the injection site, and constipation. In a recent public health advisory, FDA announced that AstraZeneca Pharmaceuticals has revised the European labeling for Crestor or Resuvastatin. The labeling used in Europe will now contain the same precautions about drug-related myopathy as the U.S. labeling. The warning section of the labeling identifies patients who may be at increased risk for myopathy, including those who are over 65, or who have hypothyroidism or renal insufficiency. In announcing the change, FDA is re-emphasizing to U.S. physicians the importance of carefully following the recommendations in the current product label. Here are some of the safety messages in the label. First, base the patient dose on individual cholesterol goals and risks for side effects. Inform patients that statin drugs can cause muscle injury and, in rare, severe cases, kidney damage and other organ failure that can be life-threatening. And tell patients to promptly report muscle pain and weakness, malaise, fever, dark urine, nausea, or vomiting. Bristol Meyers Squibb is notified health care professionals about important drug interactions that can increase or decrease plasma concentrations of the antidepressant drug deseril or trasadone hydrochloride. One type of interaction occurs when deseril is given with CYP3A4 inhibitors such as ketoconazole, endenovir and ratonovir. In these cases, the plasma concentration of trasadone may increase substantially, and patients could experience adverse effects such as nausea, hypotension, and syncope. So if deseril is used with one of these CYP3A4 inhibitors, a lower dose of deseril should be considered. Conversely, the plasma concentration of deseril may decrease when it's given with the anti-seizure drug carbamazepine. So patients who are taking both of these drugs should be closely monitored to see if their doses of deseril need to be increased. Here's a case where we need information from you. In a recent issue of the journal Anesthesiology, an FDA article summarized 34 reports of serious adverse events associated with local anesthetics delivered directly into surgical wounds. They were administered using disposable infusion pumps that are designed for this purpose. These pumps are used to provide local pain relief following a variety of orthopedic, gastrointestinal, OBGYN, and circulatory procedures. The adverse events included tissue necrosis, surgical wound infection, and cellulitis. Well, do we know at this point that it's the procedure that actually caused these adverse events? We don't know, and in fact, these reports by themselves can't establish a causal link between the device or the procedure and these adverse outcomes. Reports like these are called sentinel events, meaning that there are early warnings that a problem may exist. It's also possible that these reports may be nothing more than isolated incidents and that the necrosis and cellulitis could have occurred without the anesthetic infusion. So for not sure, then what are practitioners supposed to do at this point? FDA isn't recommending that they take any direct action at this point, but we are asking practitioners to let us know whether they've seen similar problems with these local anesthetic infusion systems in their own facilities. That will help us determine whether or not these systems represent a real problem. To report to us, just go to our website and click on Report a Problem. Here's some news to pass on to your colleagues in the clinical laboratory. It's about the recall of a multiple-task diagnostic instrument called the TCAN Clinical Workstation, a product of TCAN-US Incorporated. This workstation can be configured with different test systems, including the Roche Diagnostics Amplicore CT-NG test, which is used to detect chlamydia and gonorrhea. Software problems in the TCAN workstation may cause a mismatch among patient samples and test results, which could lead to false-positive and false-negative results. If your laboratory uses this workstation, go to our website for more information about this recall and about how laboratories can help solve the problem. CDC has published a comprehensive report for physicians and other health care professionals on diagnosing and managing foodborne illnesses. It covers how to recognize and treat and report these illnesses, and it features detailed charts with each pathogen, the signs and symptoms of the illness it can cause, the foods that may be implicated, the lab tests that can help with diagnosis, and the treatment options. So this isn't just another pamphlet. It's not another pamphlet. It's about a 30-page document. It's crammed with information, and it should be really helpful in treating patients. And it's free. Go to our website to get a copy. In a recent article, the Institute for Safe Medication Practices pointed out how the keypad design on some IV pumps can lead to dosing errors. ISMP reported on several cases where a nurse had inadvertently pressed the zero instead of the decimal point key when programming a dose, which caused a ten-fold dosing error. These errors occurred because on some IV pumps, the zero and the decimal point keys are located close to each other. If you use pumps with this design, ISMP recommends that you alert staff to the potential for errors. Also, when you're giving high alert medications, be sure to have a second person double-check the program dose. ISMP also points out that using so-called smart pumps that recognize preset dose limits can alert staff to those errors before the infusion begins. In a recent safety alert, the Institute for Safe Medication Practices described a case where a nurse preparing for a cataract procedure went to the refrigerator to get some sodium hyaluronate, which is used in several types of eye surgery. Two brands of sodium hyaluronate were in the refrigerator, and she chose the one called Hyalgan. When the surgeon tried to use it, he noticed that its viscosity was far different from what it should have been. The problem is that Hyalgan is an orthopedic product intended for intraarticular injection and treating osteoarthritis. The sodium hyaluronate the nurse should have chosen is Helan, which is intended for ophthalmic use. So this is a case where two drug products contain the same active ingredient in hyaluronate and hyaluronate and they differ in both physical properties and their uses. ISMP suggests that in facilities where both Hyalgan and Helan are available, this type of mix-up can be prevented by adding auxiliary labels to the drug cartons that say either ophthalmology or orthopedics. The drugs and biologics used in your facility will soon contain barcodes similar to the ones on supermarket products. A recent FDA rule that barcodes appear on all newly approved drugs and biologics and that most existing products are going to have the barcodes within two years. So the main objective here is to help reduce medical errors. It is, and we think that when the program is fully implemented, it's going to have a major impact in cutting down on medical errors. When the barcodes are on all products and when hospitals across the country are using them, nearly half a million adverse events could be avoided and this also should have a beneficial effect on litigation, on malpractice insurance premiums. So from a practical standpoint, how is this type of system supposed to work? Well, it begins when the patient enters the hospital, the ID bracelet will have the barcode on it and that will be linked to the patient's record. Before a nurse administered a drug to the patient, he or she would scan the barcode on the bracelet and that would bring up the patient's medical record on a bedside computer. Then the nurse would scan the drug to be given to the patient. The computer would then compare the drug to the drug orders in the patient's record and if they didn't match, the computer would send the nurse an error message. Well, what kinds of things would cause a computer to send this kind of error message? Well, the most obvious things would be it's the wrong patient or it's the wrong drug but there are other things as well. It could also be the wrong dose, the wrong time to administer the drug or that the prescribed medication to the patient's record. Well, that's for drugs. What about blood products? It seems like that kind of system could help reduce transfusion errors. It would and as a matter of fact barcodes are now appearing on a number of blood products already but the new rule will require that machine readable labels appear on all of them and when that happens when you scan the label you're going to get information on the lot number that relates to the donor, of course that should help to reduce transfusion errors. But in order for this kind of system to work a hospital would have to have barcode readers and scanners in patient care areas and most of them don't have that right now. Well, that's right they don't but this requirement for the barcoding is really a step in the right direction. What it means is that hospitals can invest in the equipment knowing that they'll be able to use it to prevent medical errors. Here's a warning to pass on to patients we've received numerous reports of pharmacies compounding the drug Domperidone and of lactating women using the drug to try to increase their milk production. But Domperidone isn't approved for that indication. That's right it's not approved for any indication in this country and it's also not approved in any country for increasing breast milk production. It has been approved in several foreign countries but only to treat certain gastric disorders. So where are US women getting the drug? Well in this country they're getting the drug from compounding pharmacies and online from foreign sources. Why is the FDA concerned about they're taking the drug? Because women who take this drug may be risking their health. There are reports of cardiac arrhythmias, cardiac arrest and sudden death in patients receiving an IV form of the drug and in fact that form is no longer marketed. At high oral doses seizures and other neurologic side effects have been reported and those are the doses that have been suggested for breastfeeding women. In addition using certain other drugs such as erythromycin could raise blood levels of Domperidone even further and increase the possibility of serious adverse effects. In several countries where the oral form of Domperidone is marketed the drugs labeling specifically warns that nursing mothers should not use it. You've been talking about risk to the mother but what about risk to the infant? That's possible too and it's reflected in the labeling in many countries where this drug is approved for other purposes. The labeling notes that the drug is excreted in breast milk and that could expose a breastfeeding infant to unknown risks. The bottom line is to advise your patients who are breastfeeding not to use Domperidone to try to increase their milk supply. Well that's all for this edition of FDA Patient Safety News. Remember you can get more information on all the stories you've seen here today by visiting our website. We also urge you to use the website to report problems you've encountered with medical products. That's how we learn about problems so we can alert others. We'll be back next month with another edition so watch for us. Until then for the U.S. Food and Drug Administration I'm Mark Barnett. And I'm Anita Rayner. See you next time.


And that's pretty good because he recognized her for what she is and she's obviously inspired him. So there's something going on here. There's some appeal that she has that attracts Jordan Peterson to her. I think he struggles within himself with the idea that he likes the books. He enjoys the books. They provide him with something. And yet he rejects a philosophy and he's really struggling with how to align all that. Curious figure to me because Ein Rand had every reason to despise the Soviet Union and was a very good counter voice to their machinations.


When I first came to Canberra, I really noticed that people there were just so much more friendly and more willing to help out. People here are pretty as you're going. I feel a sense of belonging. Gives me space to relax and stay. It's actually a really neat size for a city, it sort of fits in that pocket. You can live centrally to town and you don't have to be incredibly rich. You're not going to get stuck in huge rush hour traffic jams. There are bike paths everywhere. Good public transportation. Canberra is just a beautiful place. I love the lake. It's got an interesting kind of originality to it. There's always something happening. It's very vibrant. It's got a great culture here. There's more and more things happening. There's always an exhibition pretty much every week. You'll be fine going to uni. You can survive on cheese and red wine for the entirety of the week. You care for a girl, I would say. Don't worry, it's going to be great. What day is it? I don't even know what day it is.


In the last lesson, we talked about cushing as the New York Mercantile Exchange crude oil hub for the buying and selling of physical crude products under the New York Mercantile Exchange contracts. We're going to talk a little bit about this, but I want to spend some time on it only because it's made the news a few times in the past year. There are certainly some issues related to pricing of crude oil, which again impacts the price of unleaded gasoline throughout the United States, involving cushing and a surplus of crude oil that happens to be there. Here are some aerial pictures of cushing itself. It is a pipeline and above ground crude oil storage hub in Oklahoma. It is a pipeline hub, a hub we use the term whenever we're really talking about intersection of multiple pipes where any type of crude, natural gas, liquids, natural gas can be exchanged or moved from one pipe to another. They also have, as the previous picture showed, it's a crude oil storage tank farm as well. It's the world's largest crude oil storage facility. The companies of TEPCO, Equilon, and TransCanada have crude oil pipelines that run to and away from cushing. It has 46 million barrel storage capacity, represents 16% of the total U.S. crude oil storage capacity. It's designed to receive Gulf Coast and Midwest crude to store it and then transport it to refineries in Oklahoma and throughout the upper Midwest. Some of the key companies that are participants and owners of facilities of cushing are Enbridge, BP, SEM Group, Conoco Phillips, Sonoco, Plains All American, and TEPCO. Here in the last couple of years there have been historically high inventory levels. In fact, they're running out of storage capacity for crude. There's no incremental storage capacity at present. In part, this is due to the dramatic increase in domestic production of crude oil from the shale plays. The most recent ones are the Bakken shale in North Dakota and the Mississippi in Lyme play in central northern Oklahoma. The Canadian imports continue to increase. The Keystone XL pipeline received some press earlier this year, but a lot of people do not know that TransCanada already has a pipeline in place known as the Keystone Pipeline. So there are shipments of Canadian crude oil entering the United States coming to crude as we speak. One of the biggest issues though is that we can't get the surplus crude oil to the Gulf Coast. So as a result, Gulf Coast refiners, that's the largest petrochemical refining area in the United States, is having to pay more for crude oil than the WTI price. They're having to import more. And so it's a price that is above WTI. It's not quite the North Sea Brent crude pricing that occurs in Europe, but it's more than they should have to pay because we can't get this excess supply down to them. A couple of solutions to this problem is this bottleneck or this glut of supply is to reverse the Seaway Pipeline. The Seaway Pipeline has been in existence for several decades. It originally was a crude oil pipeline that brought crude that was offloaded from tankers in the near Houston in the Ship Channel in Beaumont Port Arthur areas of eastern Texas right there on the Gulf. And the pipeline shipped it up to Cushing from there. In the late 80s and early 90s, it was actually a natural gas pipeline taking natural gas from the Midcon and down to the Houston Ship Channel petrochemical refining corridor and was later converted back to crude oil. And it currently would bring crude oil to Cushing. However, the demand is actually in the Gulf of Mexico. So Enbridge and Enterprise bought this pipeline from Conoco Phillips. It's 500 miles runs from Freeport, Texas, up to Cushing, Oklahoma. And they have already reversed the flow. They currently buy, in essence, redirecting the pumps along the pipeline. They're able to push 150,000 barrels a day of crude oil from Cushing down towards the Gulf Coast refiners. They're working on a project to expand the pipeline. And hopefully by next year they'll be able to ship 400,000 barrels a day southbound to the Gulf Coast refineries. The Keystone XL project is the one that has received some press in this past year. It's TransCanada pipeline companies proposed two-phase crude oil pipeline. The objective is to move Tarsan crude oil from Canada's Alberta province all the way down to Texas. Phase one would run from Alberta, Canada to Cushing, Oklahoma, approximately 1180 miles. Phase two would run from Cushing, Oklahoma to Netherland, Texas on the Gulf Coast. And that segment is about 435 miles. This is a picture of the Seaway pipeline. As you can see, you're running from Cushing all the way down to Freeport, Texas. And it, in fact, the flow on this has been reversed. And here's the Keystone XL project, the yellowish dotted lines. The existing Keystone pipeline is in orange. And so you can see that TransCanada plans phase one to hook up with a portion of the existing Keystone pipeline. But phase two would run from Cushing on down to both the Houston Ship Channel and Port Arthur, Texas. Some of the project issues, as I've already mentioned, Seaway pipeline. It's already reversed their pump stations and it's flowing southward, you know, again already as we speak. Keystone XL, phase one, requires a presidential permit for the international border crossing. Back in February, this was delayed by the U.S. State Department because the pipeline route was going to go through a sensitive environmental area. And known as Sandhills and Nebraska. The TransCanada Keystone project parent is investigating alternate routes. And in fact, I believe has refiled for the permit to get the international border crossing. Phase two, the section from Cushing, Oklahoma down to Texas is going to proceed. TransCanada has already received most of the regulatory approvals that they need. As a crude oil pipeline, they can only receive common carrier status. They are not a utility and so they will have to negotiate with landowners the entire way. There is a new project that One Oak out of Tulsa, Oklahoma has announced. They're going to build a crude oil pipeline which will run from the Bakken Shale area in North Dakota all the way to Cushing. It's estimated to be somewhere between one and a half to $1.8 billion and 1,300 miles of pipeline. They hope to have it in service in approximately three years' time.


Hi, I am working on aggregating all the tweets, tweets and images related to a hashtag called DIY. Basically to explore how many people do it yourself for yourself. So far I haven't been able to fetch few images from the tweets. But few of the images are like they are coming from Pinterest and Instagram. So right now I am writing an OG image, an open graph image feature module, once I am done then introduce yourself. I am Praveen, I am a UI developer from ThoughtWorks.


Welcome to Trophy TV, it is the Matreaction Everton 1, Crystal Palace 1 o Gwderson Park tonight, another two-point drop the Gwderson Park and Everton's horrific home form continues against the team that was without death three, four best players, not good enough, simply not good enough, you know, we had nine days to come up with a game plan for tonight and we put in a performance like that and listen, it's just my opinion. You might be different, you might find that acceptable, I kind of performance, I don't. I think it's on the manager tonight, I think he got the side wrong, he should have changed it a half time and he didn't, he should have changed it ten minutes into the second half and he didn't and he made the change and we conceded within about 20 seconds. I, for some reason he left them and they won't know how to decide, he brought the core, he back him which is fine and he brought the core in, he preferred Ashley Young to Jack Harrison which again was a bit of a strange one for me, it was either McNeill or Young, it wasn't ever Harrison, Harrison has to play, some people don't like him, I don't understand why, at least he's a forward thinking player, the other two turned back too much. Right McNeill's got a lovely left up but his form this season has been really poor and it was a game we had to win tonight and we haven't won it, without the bottom three on goal difference and a look at home games and you look and go we should be winning five or six of those remaining games, this is before tonight and we've played a team like I said with no manager and with the best players out and we haven't been able to beat them and that's unacceptable and you know what I'd sit here normally if we'd have batted palace tonight loads of chances and it was one of them nights but it wasn't, I've looked at the stats and the stats to people looking at it, it'll go whatever and loads of great chances and you know they had 19 shots and 60% possession, we were awful, lumping long balls in 2024 isn't a tactic, it's not a tactic, I understand we haven't got amazing players but we should be getting more out of these players in my opinion, if you differ that's fine, it's all about opinions, football that's what's good about it but for me no where niggled enough that, no where niggled enough, three home wins and the next time you play good it'll be March is atrocious and the previous two managers were hammered for home form like that, good job Sean Dight has got his side playing well away from home otherwise we'd be down now and listen the 10 points, of course the 10 points affects it, of course it does, we'd have 30 points but I just cannot get away from our home form, it is awful, there's no pattern to play around, none at all, the job and pickford with long balls or Tarkovsky with a switch isn't a tactic that you know they use them every now and again absolutely but that is our best source other than a set piece, 27 goals we've scored this season and 14 of them have been from set pieces which is good on one hand if you're banging them in at other areas and scoring goals freely but we're not and that is on the players and the management team at the moment the game was awful, it was two awful sides tonight or two sides that played really poorly tonight, there was not much between them, looked at them but they've got an excuse tonight that they didn't have Alicia and Eze, they would have had them two playing then it would have been much stay in a test they offered very little and yet we couldn't break them down, Dominic Harvert-Lunes missed the good header in the first half he should have done better with, he missed an even easier one in the second half that he definitely should have hit the target with but in that first half there was no agency, that's the thing I think that has frustrated and upset me the most tonight is that obviously the results by our forest kind of went against us over the weekend, we had the opportunity of going out tonight and getting three important points, Dragon Palace right next to us pulling the other team close and going right, we are in this scrap now forget about what we get back if we get any points back and listen, we're seeing 48 hours we'll have a decision but will we, the Premier League seem to just do whatever they want right now, so therefore they could take another week, another 10 days before they let us know what's happening with it or the commission I don't understand it personally I think it's not as if, you know they've got a recommendation that was made or a decision that was made by the first commission, all they have to do is say whether that commission is right or it was wrong, now there's an argument there that maybe you could say it was the longer it goes on means that they don't believe the commission was right and therefore it's weighted in evidence favour, I don't know but what I do know is we are going to need those points to give us a little touch of breathing space because we don't look like we can win a game at home at the moment, you know we've won one game in eight is it something like that or one in eight it might be in the Premier League and we haven't won for eight games so no it's not even one is it, it'll be one in nine maybe like you say we do not score goals and they're two huge issues for us, the first half was terrible like you say Dom had a header that he added wide, the core had a volley that went wide, Sam Johnston didn't really have much to do in the first half, Joven Pickford didn't really have much to do in the first half if you didn't know where those teams were you would think they were both and this isn't one of them might still be but you'd look and go there both and see to go down, such was the low quality of football, second half I thought we'd come out and there'd be a big reaction and I honestly thought the manager would make a couple of changes in a half time, you know the two incidents for me, one where the core I put young through and he just got nowhere near it, the lad just put the middle just stepped it up a little bit and left them for dead and Dwight McNeill got broke forward on the other side with eight as a space in front of me turning back and there your data post would be players trying to create goals and get your goals and therefore because of that lack of agency I thought on either me come on or off time give us a bit of presence in midfield and Harrison would come on and he'd left it it's just a guy on the gate was heading shoulders above anyone on the pitch him and Tarkovsky for us for editing I thought Walton was decent for them second half come out I expected a big response didn't really get it and then the manager made changes and he brought two changes, I wouldn't have took Garner off but it's just a guy on the gate but he did you know when he made them changes and brought better one and went through a front the core, he'd had a glorious opportunity the core before he went off and we had a ball, a corner played in, it was a good save from Johnston, he'd come back I think it was the dresser who hit it and it took a deflection and looped up and it's there for the core, right to score, you know six yards out and he somehow just doesn't get any proper connection on it and Johnston's able to claw it away we made the changes and they play a long ball up to Mateta, it's a brand way to I think struggled all night really, they were honest with Mateta, didn't get anything on it, the clearance needed it all now and it came back and I smashed it in and won it all and I don't think they could believe they were winning and but we hadn't really asked any real questions, you know we'd get an equaliser through Amadou O'n Ana, Dom's, Mr Heather, Daddy's should score, he's headed it wide, Beto has a diving header, it goes wide, you know we get a corner, the corners put in and O'n Ana powers the header and similar to his goal of barely to get us one-one and then you thought then well hoped more than thought that we'd go on and win it and we had a great opportunity, James Tarkovsky at the far post has to score and he headed it over, Garner's balling and he's headed it over and that's a great opportunity and Johnston made a couple of saves, one that I think James Garner has to score, he parried it and you know the game was kind of summed up with Ben Goffrey wasting about 45 seconds with a throwing instead of just getting on with it and getting us up the pitch and we've dropped two points, some might say well you've rescued the point because you were one down, to me that had to be a homing and we've blew it and we're in trouble, we are in big trouble, you know doesn't mean we can't get out of it, doesn't mean we can't win games, one games people didn't expect us to win so you know who knows we could go to Brighton and Nick a Win or something on Saturday, you just don't know cos it's footy but we're just making it much harder than it needs to be and the home form is genuinely what keeps teams in this division, Forest last year the home form kept them up, we got some big wins last year when we needed them which kept us in the league, we need to do it now, you know the manager won three home games last season when he came in in January, he's won as many all season and we're in March next time he play we're in February right now just for clarifications some people we'll be pedantic over that, it'll be March the next time he kick off and he'll have won the same amount so he's going to need to pick up some homings very quickly, he's going to need a way of playing at home, it's got to be more creative than it currently is and it's crossing from the right areas, it's having build up play defensively, yes we're solid he's done a good job, that's why away from home we can go away and play compact and on the break maybe Nick's up but you can't play on a counter attack with McNeill and Young, Harrison's key to that because he's the only one who drives the ball forward we've seen tonight Ben Goffrey pick the ball up and went on a run from right back and travelled to the edge of the air box and I think he ended up getting a foul, he put them under a bit of pressure, we just don't do it enough, the defensive side yet it's solid and we do stay in games but we've got to be better we can't give up a game at city and just go we expected that but we kept it tight and all of this and then have a home game where you should win and not win it when other teams have won those home games, they've had big opportunities and they've took it we've got a real real real scrap on our hands and the players have got to step up and so the manager he's got to find a way to win home games man o'r mat tonight, I thought it was a dresser gone again and the manager took him off, if we're going to give it to someone who played the full 90 it'd be Tarkovsky, I'll give it to James Tarkovsky just over the dresser there you go, you might have a different one and you might have a different point of view that's fine, all points of view accepted there let me know what you think in the comment section below give the video a thumbs up and subscribe if you haven't I am very very very frustrated I'll see you later


From DailyDoseOfWeirdNews.com, I'm Darren Marlar. This is your Daily Dose of Weird News. A man has celebrated his 105th birthday by becoming the world's oldest person to ride a roller coaster. Jack Reynolds said he was amazed by his first ride in 80 years. He celebrated his milestone birthday on the Twistosaurus attraction at North Yorkshire's Flamingoland theme park before being presented with his official Framed Guinness World Record Certificate. It took a while to finally get the photo though. He lost his toupee and teeth during the ride. Doctors are increasingly diagnosing ailments related to smartphones and tablets like text claw and eye posture. And you know, people might take these problems more seriously if those conditions didn't sound like fighting stances from the karate kit. There's a new trend towards what is sometimes being called soap dodging. Among those who have cut down on daily showers, baths or hair washing were a woman who swipes a sliced lemon under her armpits instead of using deodorant, another who uses baby wipes to freshen up, and a salesman who shampoos only once a month. Okay, is this an attempt to be more green because I'm pretty sure not showering actually adds to air pollution. A new Yale study claims that drinking a glass of wine works out our brain more than anything else we consume. The wine workout? Up next, Wine Zumba. You know, we keep hearing about the health benefits from wine, but did you hear that almost 10% of women say wine makes them itch? It's called wine intolerance and the allergy-like symptoms come mostly from a glass of red wine. The most common reactions include having nasal congestion, feeling flushed or feeling itchy. Women also reported too that drinking wine also brought unwanted advances by men itching to buy them more. A coal mining museum in the heart of coal country is turning to solar power in an effort to save money and help the surrounding community. This is going to put environmentalists in quite the predicament. They're using solar power, which environmentalists want, but they're a coal mining company which environmentalists despise. This should be interesting to watch. Oreos just launched a new limited-edition flavor called cookies and cream. Wait, so Oreo-flavored Oreos? A writer's guild strike is looming, and if things are not settled, the writers will walk May 2nd. The biggest impact all the late-night shows from Kimmel to Fallon and everyone in between, along with SNL, would be shut down. So it might actually improve the quality of television viewing. Male boss or female boss? Which do you prefer? A survey from Gallup gives the edge to men, 32 to 22%. The remaining 46% of respondents were women who punched out the researchers. Wildlife experts report that gorillas living in Rwanda have learned on their own how to dismantle traps set by poachers. Not only that, but they then teach other gorillas by posting videos of how to do it on YouTube. Comedian Don Rickles died of kidney failure on Thursday at his home in Los Angeles. He was 90. Thanks for the laughs, you hockey puck.  She goes by the name Joanna. Police say when they found her, her hair was wet, she was mostly naked, and had been in the water. Investigators also noted that she had webbed toes on both feet. They're currently looking for her family. Personally, I'd do a search for King Triton and see if maybe he knows where his daughter is. If you liked this video, please give it a thumbs up and be sure to subscribe if you want to see more. And click that little bell next to the subscribe button to be notified when I post new videos. And if you're already an official weirdo, well, share this video please on your own social media to help our channel grow. Hey, have you signed up for the Marlar Sheet? It's brand new and it is now the official newsletter for Marlar House. Subscribers to the Marlar Sheet are automatically entered in prize drawings, contests and promotions. And this month, one of my Marlar Sheet subscribers will win a Weird Darkness t-shirt and coffee mug, so sign up for the Marlar Sheet free at DailyDoseOfWeirdNews.com. For more weird news anytime, to sign up for the newsletter to download my free mobile app or to get a Daily Dose of Weird News t-shirt or coffee mug and all bunch of other great stuff, go to DailyDoseOfWeirdNews.com. I'm Darren Marlar and I'll see you next time, weirdos.


My name is Billy Curtis. I'm the Director of the Gender Equity Resource Center here at Cal. My name is Christine Ambrosio. I also go by CC and I work at the Gender Equity Resource Center. Social justice, particularly looking at sexism, is a passion for me.  I knew rape was a bad thing, but I thought of it as a stranger rape thing, the thing of someone jumping out of the bushes. But I had no idea about how prevalent acquaintance rape was, that folks were actually being sexually assaulted by people they knew. No one would say that they are proponents or for sexual violence or anything like that. Like, I've talked to students, they're against it. But I think what's difficult is that sometimes they may not recognize that they may be participating in a culture that supports that. And sometimes they may engage in behaviors that they may not realize is impacting someone in a way that they're not intending to. So I may be joking around. I may not realize that I've offended someone so much so that they've stopped going to class. We need to broaden the conversation in order to create space for students and others, quite frankly, to have more authentic interactions and safe interactions. We want to let LGBT folks know that if something happens, they can come and talk to us about it. And it's also true for men as well. Not just if they are to be seen as someone who's a perpetrator of violence, but someone who might actually be a survivor of violence himself. In my undergrad years, I had my own, what I call my lost years, where I felt like I didn't know what I was doing, I didn't know, I didn't trust my own decisions. And I think many times I've seen students kind of question themselves. And I think a lot of times there's a feeling of, you know, my voice not being valued and I want people to value their voice. And so I want to encourage that in everyone.


How do we go beyond the trade war that at the moment remains between the United States and China in spite of the recent truce that we've seen at the G20? I think the implication of the trade war is going to be so much broader than whatever impact it may have on our business, particularly in the listing business. So I think from our perspective, we really look at this in the broader scheme, that this is the conflict that is lying in the coming. We all know it. It's just the one. It needs to get resolved. It's almost like a two runners are running. When the second runner was quite a big distance away, you don't really worry too much. But now the second runner is quite close. And the first runner, somehow something is being unfairly done. This use probably is different. He probably eats some Chinese medicine that make him run faster. Whatever is the reason, the first runner no longer feel comfortable that this is actually inevitable is going to happen, that the second is to become first. So this either you can run much faster so that you can create the distance again, or you have to find a way to slow the other guy down, particularly if you believe the other guy is being unfair in whatever perception that you have. So I think we all watching this, I think maybe we're hopeful they can do multilaterally. I don't think it's going to happen. America knows that this is the only moment in history that they can do something about it. And the one thing that I don't quite understand, and I don't quite see for sure, is what America really wanted. Or which American wanted what? And I think in terms of three levels. If you think about trade, it's all money issue. Anything that can be settled in money for the Chinese is not a big deal. We can sort it out, right? So from a trade perspective, we strike a deal. The second level is more behavior change that American wanted China to change. This and that, intellectual property. This is almost, sometimes it's like China need to stop drinking and smoking. That's harder because smoking for a while and drinking for a while, we all do. But I think in the longest terms, the Chinese could rationalize that smoking and drinking is not great to your health and probably is a good idea to stop at some point. But give me a time. I can't quit overnight. And also trying to do it in a way that is respectful. You can't put a smoke detector in my house and insist on coming in and check to see whether I smoke after dinner or not. So I think that is the behavior change that need to, if that's what the American wanted, I think there is a possibility of a deal, but it's going to be painful, it's going to be negotiated, it's going to be patient. But ultimately, probably something will work out. But if American wanted number three, that you have to go to church, your children has to be educated in a particular way, you have to stop eating Chinese food. And that, it will never happen, let's just face it, it will never happen.  So if China, but I think if China reform and opens, eventually everybody just focus on number one, maybe a little bit number three. Nobody would talk about number three, and number two, but nobody would talk about number three. But the problem is if China does not accelerate and continue to open and reform, that will unite all the different factions of the United States, and then number three is always going to be on the table, and number two is always going to be on the table. It will make things a lot harder. But either way, this is going to be a long, long process before it's over. So I think companies have to do a scenario planning. They have to look at different scenarios that might unfold over the next six months, year, three years. And they need to think about how that affects their current business plan and what they can do to mitigate the risks. The risks are not going to go away anytime soon based on the contentious view of people in this room. So you have to say, okay, what's likely to happen and how is that going to affect our business? In our American Chamber of Commerce, we did a survey a month ago, and 40% of the members, these are companies that are here in China doing business, 40% said they are either moving manufacturing out of China or they are considering to do so. And that's an example of the kind of things that people have to be thinking about. If you sell high technology, then you have to say, what kinds of enhanced export control regulations is the Department of Commerce in the US going to come out with in the next few months, and is that going to affect what I can sell to China, or is it going to affect what Chinese companies can buy in the US? So we have to look at the different scenarios, and companies have to mitigate their risk. And in some cases, that's going to mean people are going to move their manufacturing both out of China and out of the US so that they're not subject to tariffs imposed by either country. Anything that can easily be moved on the margins are already happening. Anything that can happen that does not evolve a large part of the supply chain that you can independently move, people already begin to think about it. But anything that is deeply wedded into a very complicated global supply chain, it's very hard to move because you can't move independently. You have to really coordinate it with the entire parts of the overall supply chain. But the key here is not what the company wanted to do. The key here is that we are dealing with, for the first time as an industry, a governmental, institutional way of the old way is breaking down. Now we are ruling everything by Twitter's now. So the companies have to really wake up every day, look at the Twitter. I think CNBC is no longer really the first thing they look. I think then they will be looking at Twitter's first. The 60 million follower, many of them are companies that are looking for policy guidance in the morning. So I think that, obviously, Twitter can change over the couple of weeks. So therefore, there's also going to be a significant development of people's expectations because people have to develop some reliable way of being able to rely on policy. So if you said, if you keep on doing this, the government would do that. If you keep on doing that, the government would do that. Then you can start to really develop internal processes to cope with it. Today, a lot of people are going to be talking about change. They need to really think about Plan B. Most of the Plan B are in the boardroom. I don't really think any of the real big Plan B is being executed. But the longer this uncertainty lingers, the more likely people will begin to put more serious efforts into the Plan B.


Hello, and welcome to this edition of Quality of Life. I'm your host, Dave Augustine. Today we're gonna be talking about substance abuse as substance abuse is an ongoing growing challenge for our communities nowadays. Joining us today to talk about substance abuse is Kent Cully-Colath from Samaritan's Hand. Cully, welcome to the show. Thanks for having me, Dave. It's an honor to have you here, especially with today's growing concerns, problems, and epidemic of substance abuse. Yes, sir. So, Cully, could you give us a background of yourself as far as how did you get involved in the substance abuse fight for lack of a better word in your background? Yeah, Dave, it's been a personal struggle for me. I've been in the recovery community for about 40 years, myself, and going through a lot of different organizations and different treatments and correctional things and whatever. Once I dealt with my own issues, then I started to go to school, received Associate's Degree in Substance Abuse Counseling, pursued a Bachelor's Degree in Human Services, and went into a drug and alcohol counseling profession. I worked in Milwaukee County for quite a few years, Washington County and Sheboygan County in various levels of treatment. I was in hospital settings, inpatient, outpatient, private sectors, correctional sectors, and just continued to try to find out what was working and the best approaches. With my own personal experiences and my professional training and education and stuff, I tried to roll that all together to try to get together some information collectively that could help other people. Wow, that's fantastic. Now, Samaritan's Hand, that is a faith-based substance abuse program or facility. Are there many faith-based substance abuse programs around or are you kind of unique on that? Yeah, Dave, we are kind of unique on that. That's a good question. There might be a few other around the country, but it's very limited. In Sheboygan County, we're the only ones that we know of and even quite beyond. And the faith-based part is more of a way of life instead of a different approach. The recovery part of it, it's not religion. It's not denominational. It's more of some life choices and things like that. But yeah, we designed our own program and there isn't anything like us in the area. Wow, that's fantastic. Could you go into a little bit on what the program entails and what Samaritan's Hand is all about? Yeah, thank you. Samaritan's Hand, I founded it in 2011 and it was real small and it's grown in the last five and a half years of existence and we have clinical individual counseling. We have group counseling. We have AODA support meetings. We have Bible studies, a mentorship program. We do some service work for the community and we try to teach our people other ways of life as far as they need to work. They need to be a productive member of a community. They need to support their families and just try to teach them basically like some Christian values as far as the faith-based component goes. Nice. And with the faith-based component, I like what you said it's not denominational or anything. And I think with the center of quality of life on one, I think one's happiness starts with their spirituality and belief or faith in something. And I think that's where really the core starts. Yes, correct. In the counties that you've worked in or the demographics, let's just say in Wisconsin, how would you rate or measure Sheboygan County's substance abuse problems compared to others? I would say Sheboygan County per population, it's second to none in our state and that's substance abuse in general. I guess if you would try to narrow it down to some type of statistics that somebody had of one drug versus the other, somebody else might overlap there or beat us there. But as far as substance abuse in general, we're probably leading per capital and per population. One of those things is when we talk about substance abuse, most people think of like the heroin epidemic and a lot of the pharmaceutical problems and things like that, but a huge part of our culture here in Sheboygan County is alcohol. And that's definitely one of the substances of abuse that we deal with on a daily basis, but still is very dangerous and still causes our community as well as the state and the country, a lot of other problems. Well alcohol, that's probably from in this area, pretty much German descent in this area as far as Sheboygan, a lot of it was German descent and you see the Germans or whatever, October fast beer, everything brats, the whole thing. So what are the main substances that are abused nowadays? Like you said, and we'll get to heroin, but what are the substances that you see real huge issues with? Again, one of our main ones is alcohol. I would say that we have, the majority have an alcohol problem, the people we see, even if that's not their main problem, many of them it is their main problem, but alcohol one being legal and being readily available. Like you said, it's definitely part of our culture here and it's really socially accepted. And people just think that they can excuse people's drinking if somebody smells bad at work or said something wrong or maybe they did something while under the influence of alcohol, that's an excuse because they were under the influence of alcohol. So alcohol is the number one that we see bar none, but there's a lot of pharmaceutical abuse and a lot of that of course was the opiate painkillers, but like you said, we can touch on that a little later, but even like some of the psychotropic medications or any of the other medications that can line of abuse like the amphetamines or other things, if people even if it's their prescription, they're prescribed their medication, they might abuse it or they might get it from friends, family or wherever they can, but pharmaceuticals and then even the illicit street drugs if it's crack cocaine, methamphetamine, cocaine, things like that ecstasy, that's still all out there too, but it just doesn't get the publicity that some of the other ones do like heroin. I know you mentioned alcohol abuse and I think from what you were saying, that's one of the reasons why Sheboygan County is one of the highest things is alcohol abuse because growing up or when you think about substance abuse, you think about the hard drugs and narcotics, stuff out on the street, you really don't think of alcohol once in a while or other things like that or prescription drug, back while there wasn't really an issue with that, it's just a lot of this stuff is now recent or being recognized and we're actually doing something about it. Correct. So as far as alcohol, have we made any progress as far as the abusiveness? I think the best progress we're making in Sheboygan and I'm proud of this community and some of the agencies as well as Samaritan's hand in our county and law enforcement, others is the awareness, we definitely need awareness and people mistake Dave, a lot of alcohol abuse of if you're just drink too much, it doesn't mean that you're falling down, it doesn't mean you ended up in jail or you've gotten a number of drunk drivings or other things, you can abuse alcohol and not have legal consequences or other things so it's the awareness and then the one thing is in our homes and in our culture, we're exposing our children and our community to things like this and then they think it's socially acceptable so the awareness that they're doing in schools, that they're doing on a county level, a law enforcement level, a lot of the other agencies or human services or us is getting out there and even just having the awareness that we really need to be on guard of our alcohol use and even though it was cultural and socially acceptable, we need to be on guard for our families and our community that it doesn't get out of hand. Yeah, growing up high school or whatever, biggest thing was alcohol back then, growing up and everything and now it seems like the tables have turned to more drug use than alcohol. Do you have any ideas of why that may have happened and occurred? I would say that there are still a number of high school kids of course that are always gonna drink and have the parties and whatever but I think a growing number is because of how easily they can get the drugs. Before the drugs probably weren't available and now in a society where if you're not feeling well, if you're anxious, depressed, if you can't sleep, if you have pain, if you whatever, there's so many pharmaceutical drugs out there that the kids are learning of now. They're growing up in a house that's one step short of a pharmacy. So now the things are so readily available that like you said years ago, there was no way that you could get your hands on them or maybe they didn't even exist or on a very low level but now like these farm parties, the kids bring all these different pharmaceuticals and they mix them together and they share and they trade and they do all different things. It's because it is so readily available in our culture. I see that point because back then it was the parents liquor cabinet, now it's the medicine cabinet. Yes, yes, sir. And probably the effects of the pharmaceutical drugs, let's say probably gives them a quicker buzz and probably more of a high and it's probably easier to come down the first few times without the so-called hangover so to speak. Correct and it's a lot easier to put two pills in your pocket than a bottle of whiskey and you can't smell it on kids and if they say they're tired or they might not feel well, it's a lot different than being stumbling, drunk at school or smelling like alcohol or having this bottle of vodka in your backpack and whatever, so the pharmaceuticals are definitely a challenge for our youth. Definitely. Heroin, that seems to be or has boiled up to the top of the popularity, attention type abuse today. Any reason why that is? Yeah, Dave, definitely it's boiled to the top of the abuse. Of course, it started back medications again, medical field, pharmaceuticals, it always derived from the opiate pain medications. We've tracked that back for a long time but that's where a lot of them got started. But two things is heroin is so readily available now and it's so cheap. A lot of people don't even that we're getting hooked on heroin that had started on the narcotic pain medications or whatever, they're even surpassing the medications and just going right to heroin because it is so cheap and it's so easy to get. And another one is why heroin, it's always the buzzword and people talk about it is because of the deaths. Most of the other, if it's the benzodiazepines or the amphetamines or even alcohol or other things, the deaths don't nearly total what heroin deaths do but that's because the heroin, you really don't know what you're getting.  Heroin, you never know what it's cut with, you might get some bad stuff, like when they're cutting it with fentanyl and a lot of the other things on the street these days and then even a lot of the kids are using, they're turning to the IV drug use for the heroin and they really don't know what they're doing and one, their first experiment, like when they first drank or did pills or whatever, it might have worked out good or not good, they got sick, this might kill them. That's kind of scary along that line and it kind of comes into, like you had said before, involvement with the police agencies, law enforcement, social services, organizations like yourself, I think have to work together because this isn't really a so-called criminal way to treat things to make it better, it's kind of like an epidemic or a disease that we have to work together and what can we do to cure it is what we've got to do and I think our police chief, Chris Damogalski, summed it up real well, when I heard him at the heroin in Wisconsin thing, the traditional throwing them in jail or punishment isn't working. I agree with that, and like you said up in Green Bay, Chief Damogalski, yes, I agree with him 100%. We work well together, I try to work with law enforcement the best we can and we all know, even with Sheriff Preby and other law enforcement, we're not gonna arrest our way out of this program and like you said, the quality of life, I love the name of the program, Dave, is we're just looking for a better quality of life of the individuals, the families, our community as a whole and it isn't a law enforcement problem, it's not a human services problem, it's not a political problem, it's a community problem. The community is the ones that deteriorated and that's how the problem came in and it's gonna take the full community at large, working together, all the associations, all the agencies, every profession and even the family members themselves are all gonna have to fight this epidemic on the front lines to even get this under control. You mentioned community. What demographics do you see is there a commonality or is it all over the board as far as where some abuse occurs? Is it in the age groups? Is it economic? Is it just well-being? I guess, where do you see substance abuse as really hitting our community? Very good question, Dave. At Samaritan, we only deal with adult, the adult population, 18 and over. We know that it hits the schools and the youth pretty hard, but as far as demographics, of course, one thing that we know is if there's been a family that's had a history of abuse, if there's been abused drug dependencies or different types of alcohol or drug abuse by one of the parents or both of the parents or somewhere in there, that their potential from the children or the other members of the family are much higher, but any social, economic, race, ethnicities, genders, age, it's pretty much all over the board. And just as we see some of the guys that have been in prison for drug problems, selling drugs, using drugs or other things, we've seen legitimate, you know, we'll call productive members of our community that are having problems as well. He might have heard us back at work. All of a sudden he got some pain medication or a mother that was lifting laundry or the children or something. And now we're seeing just our regular neighbors, our family members and whatever, that now are in this struggle with the addictive pain medications or even these things where they get hooked on pharmaceuticals. Maybe they needed them for a while. They went through a tough time, a death or a divorce or whatever and they were using some type of prescription drugs, but now they're abusing them. You know, they were there for a time period, but of course goes back to the alcohol, our coping mechanisms, our stressors, our other things and people need to find different ways to deal with things than using drugs or alcohol as the answer to anything. So to answer your question, it's really all over the map, Dave. It's a complete problem. Really, so it's not targeted on one certain area. You know, with that being the case and awareness, care for our community, care for our friends, care for our family. You know, if somebody does have a substance abuse problem, what are some of the warning signs or some of the symptoms that you may see that may indicate there may be a problem, not necessarily that there is, but you know, that there could be a problem. There's always definitely some concerns when the people, when their behavior changes. If they're usually involved in a lot of things, they're outgoing or even if they were quiet and now they're outgoing, but when their behavior changes, a lot of what you see is if they were involved in the family, like say, family activities, if there was holidays that they used to attend all the time or they'd come for lunch at mom's house on Saturdays or whatever else, people start missing things. They start making excuses, maybe a shortage of funds. When they start asking, hey, dad, can I have 50 bucks? When the things aren't getting paid, another one is maybe even their appearance. Now all of a sudden they might look paler or they might look like there's a loss of weight or they're not keeping themselves as well, so it could be financial, it could be their behavior, either showing up places or not showing up places, maybe the people that are around, like how come you haven't been around those friends and you're around these, or like I said, their appearance, a lot of times if things are turning differently, things might not be going well, and the best thing someone can do is if that's your loved one or your friend or you care about them or co-worker, ask the hard questions, ask them, hey, Dave, what's going on? You know, I noticed that you've been late for work a number of times. I noticed that your brother, I noticed you haven't been to mom's for lunch on Saturdays anymore, what's going on? And that's where the community part comes in as far as we need to ask the people the hard questions instead of everybody ignoring everything and keeping to themselves. Okay, again, coming back to community, community well-being and our quality of life, what toll have you seen, substance abuse taking on our communities? You know, how are our communities being affected? Wow, Dave, another great question, thank you, it's, Shiboygan, I grew up here, like I said, and it has affected our community, our community's not even the same. We can really dig into that when we talk to the guys that work at the detention center, our jail and detention center are so overcrowded, they can't fit enough guys in there, or in girls, and even the juveniles. So that's just one part, but that's one thing that says 10 years ago, I mean, there wasn't nearly that problem. And now, and if people say it might not be all drug related, well, if it's domestic violence, or if it's stealing or whatever else, a lot of that goes back to either they were drunk or they're stealing for habits or whatever. So a lot of it is substance abuse related. And going on top of that, if we have to hire more people for the drug unit, we have to spend more money on the jails, even like free and reduced lunches. If the parents aren't paying for their kids' lunches and they're not working and the different types of community things that we're giving, our tax monies going instead of to these roads, or to education or other things, this hits our whole community at large. And a lot of people say, well, my family's not affected or we're, we don't have any problem or any part of that. This affects everyone on a very large scale. With that being said, do we have the tools available to us? The resources are our communities equipped to take on and handle this issue? Straight out, no. The answer is a hard and fast no, Dave. But the thing is, we can't use as an excuse not to move forward. What we need to do is we need to get more people, like you said, an epidemic in this fight. We need to get more people in the battle. The people that wanna volunteer somewhere, wherever it is, if you have family members, get your family members to help. The corporations or the companies or even some of the families that are able, they should be getting involved and they should sponsor some type of drug and alcohol help. They should be helping agencies. They should be sponsoring and donations and other people, if they don't have money, they can be holding events or even awareness or they can have meetings and they can, the whole community at large can all pitch in. And then that's where we're gonna be able to make a difference because right now, we just don't have the hands, we don't have the resources to even touch this, but I believe they're out there if the people will just step up, which I believe that our community can do. Where would one go if they wanna start to, let's say volunteer or if I'm an organization where I wanna help, you need funds to do it or I'm a healthcare institution with the education and everything. How does it all come together? Where can these organizations or people go? Well, of course, I'm gonna put some errands hand in there. They can email us, they can go to our website, they can call our office. We always need volunteers, of course. We can only help as many people that we can afford to help. We're solely raise our own money, we're a small 501-3C, but the more money and the more people or more resources we have, the more people we can help. This isn't a get rich quick scheme. We were, we made the corporation and we have our organization to help individuals, families and the community. That's what it's about. You can also, I'm sure, contact the law enforcement agencies like they have the drug take back days they just had the night out on crime where they have it in the parks and they have the walks and we had the prayer at the pump over by Fulton Park by Ninth and Erie at Hire's BP station and just different awarenesses, even schools. Maybe they wanna do some awareness at schools but you start to contact any different agencies and they can point you in the right direction. Human services but there's probably so many love Inc. There's probably so many agencies that would love to get phone calls of you know what we can only give this much or I only have this much time but we would love to get in this battle against this fight against drug and alcohol and drugs and alcohol in our community and there's probably endless places to serve. Sure, and it comes down to take this on you need unity and in my mind unity that means community and I think some other areas where it could help is you start to see more neighborhood associations being formed as far as that goes which can help in the battle too and I think it's just meant more to help people not to tattle on them or send them away to prison or anything like that. I think it's more of a education is where it starts and it might even be with prescriptions because I know one time I had a really bad cough so I went to the doctor because I couldn't stop coughing so he gave me a prescription for cough medicine. I'm going, cough medicine, okay. Didn't even look at the label, I just took some and I thought, well, I'll take some Nyquil to make me drowsy so I can sleep because I wasn't sleeping. Well, the next thing you know, my wife came home, she said I was snoring talking to her sleeping and watching TV all at the same time and I didn't know which way it was what just to give you what two little simple things did and these are over-the-counter things of how it can affect somebody. So education is a big thing along then with the backup of the programs and other services to help do all this. And as you said, Dave, this isn't about telling on somebody or getting people in trouble, we call it responsible living because if I know that you're using substances, the thing is if I tell somebody or want to get you help, one, it means I care about you enough if you live or die or for your family and that's the other thing is if we don't help the people all of a sudden, we're gonna wish they did because then we might be reading on them about them on page two going to their funeral if somebody didn't say anything. And the responsible living is if these people aren't addressed, they could be selling drugs to our kids, your kids, your grandkids, they could drunk driving accidents, what about they go to one of these employers? The employers go, he goes in paired, he goes into work or whatever and does something. Yeah, maybe because he was under the influence but it's still not gonna do very well for the employees or the business or whatever else. So the responsible living of confronting people and like you said, asking, seeing where people need help and that's the merit in his hand. Yeah, we'd love to help the people we know that we're not the cure, we're not the one and only. If people don't like our approach, the faith based approach, I say we'll get help somewhere. And if you don't get help from us or get help wherever else and you go somewhere and you don't like the way they do it or you don't like me or you don't like whatever else, go somewhere else. But what I always say is go somewhere, get the help you need, get your loved ones to help you need because something's gonna work if something continues to not work, the motivation for the person that has the issue, they might not be motivated for the help, it just might be excuses. That's what we find most of the time, but just keep looking around. There's all different types of agencies and treatments and if you don't have even money for that, I mean, we'll help you with no money at all. Sure. And I think right now it looks like this huge title wave coming at us. Of this problem and number one, we have to look at getting over the title wave that we can handle that initial surge, but then also to go on to continue the thing as well. So Cully, thank you very much for being on the show. I think this was a great show, very informative. For quality of life and on behalf of Cully from Samaritan's Hand, I wanna thank you for being on the show. Any other questions about the show or other topics you can email us at wscashboygan.gov. For Quality of Life, I'm Dave Augustine. Thank you for watching.