Do No Harm Conference 2014 | Steve Adubato | One on One

HI, I’M ROGER MICHAUD AT FRANKLIN TEMPLETON INVESTMENTS WE BELIEVE THAT CITIZENS NEED TO BE INFORMED ABOUT THE RESOURCES THAT CAN HELP MAKE HIGHER EDUCATION MORE AFFORDABLE THAT’S WHY WE’RE PROUD TO SUPPORT THE PROGRAMMING PRODUCED BY THE CAUCUS EDUCATIONAL CORPORATION AND THEIR PARTNERS IN PUBLIC TELEVISION FUNDING FOR THIS EDITION OF ONE ON ONE WITH STEVE ADUBATO HAS BEEN PROVIDED BY ACTAVIS THE NJEA WORKING FOR GREAT PUBLIC SCHOOLS FOR EVERY CHILD INVESTOR’S BANK NEW JERSEY NATURAL GAS PROUD TO SUPPORT EDUCATION IN OUR COMMUNITIES ST PETER’S UNIVERSITY THE JESUIT UNIVERSITY OF NJ AND BY NEW JERSEY MANUFACTURERS INSURANCE GROUP AUTO INSURANCE HOMEOWNER’S INSURANCE AND BANKING UNDER THE PRINCIPLE OF STEWARDSHIP PROMOTIONAL SUPPORT PROVIDED BY THE STAR LEDGER AND NJ.COM EVERYTHING JERSEY AND BY THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION AND IT’S MONTHLY MAGAZINE, NJ BUSINESS THIS IS ONE ON ONE WHEN YOU FIRST HEARD THAT THEY WERE DOING CHARLIE ROSE AND GALE KING DIDN’T YOU GO WHAT?!? PEOPLE LIKE LAUGHING AT OTHERS SO I DON’T MIND IF THE OTHER IS ME YOU SEE? YOU GO RIGHT INTO YOUR CHARACTER THAT’S WHAT IT IS I’M BRINGING FAMILIES TOGETHER A HALF AN HOUR EACH WEEK I MEAN I’M DOING SOMETHING SPECIAL AND SO I DO FEEL SUCCESSFUL [MUSIC PLAYING] [MUSIC PLAYING] HI I’M STEVE ADUBATO ON LOCATION AT HACKENSACK UNIVERSITY MEDICAL CENTER THIS IS A CONFERENCCE ROOM WE’RE IN A LITTLE BIT OF A BREAK RIGHT NOW THE CONFERENCE IS CALLED THE FIRST ANNUAL DO NO HARM CONFERENCE KEEPING IT SAFE AND LEGAL IN THE MEDICAL COMMUNITY DEALING WITH THE PRESCRIPTION DRUG EPIDEMIC IN OUR COUNTRY THERE ARE EXPERTS FROM ACROSS THE COUNTRY HERE FEDERAL STATE GOVERNMENT NON PROFIT COMMUNITY CLINICIANS HERE AT HACKENSACK TO DEAL WITH THIS PROBLEM TO TALK ABOUT ITS IMPACT, PARTICULARLY ON YOUNG PEOPLE IT’S ESPECIALLY A PROBLEM HERE IN NJ YOU’RE ABOUT TO HEAR FROM EXPERTS FROM ALL ACROSS THIS COUNTRY WHO ARE DEALING WITH IT FROM A VARIETY OF PERSPECTIVES AND YOU WATCHING ON PUBLIC TELEVISION HAVE THE RESPONSIBILITY AS WELL TO GET INFORMED ENGAGED AND INVOLVED SO WHAT WE TAKE IS THE EPA, AND WE DO INSPECTIONS WE’RE HERE WITH CHAUNCEY PARKER FROM HIDA NOW HIDA STANDS FOR? HIGH INTENSITY DRUG TRAFFICKING AREA CHAUNCEY PUT THAT IN PERSPECTIVE IT’S AN ORGANIZATION DEDICATED TO WHAT? IT’S AN ORGANIZATION WHERE IT’S A GRANT THAT’S FUNDED BY THE WHITE HOUSE OFFICE OF NATIONAL DRUG CONTROL POLICY AND UM THAT GRANT INVESTS IN FEDERAL STATE AND LOCAL PARTNERSHIPS TO REDUCE CRIME AND TO REDUCE DRUG ABUSE TALK ABOUT THIS EPIDEMIC OF PRESCRIPTION DRUGS AND THE ROLE OF THE FEDERAL GOVERNMENT IN DEALING WITH IT? WELL I THINK ALL OF US SHARE THE SAME GOAL IT’S REALLY A PUBLIC SAFETY PUBLIC HEALTH INITIATIVE WHICH IS TO REDUCE THE DEVASTATING CONSEQUENCES OF DRUG ABUSE PARTICULARLY PRESCRIPTION DRUG ABUSE THERE ARE PUBLIC SAFETY CONSEQUENCES BUT THERE ARE YOU KNOW MOST IMPORTANTLY PUBLIC HEALTH CONSEQUENCES WHICH IT’S KILLING PEOPLE, PUTTING THEM IN HOSPITALS AND WE’RE TRYING TO WORK TOGETHER ACROSS PUBLIC SAFETY PUBLIC HEALTH LINES TO COME UP WITH A SOLUTION AND THE PUBLIC NEEDS TO UNDERSTAND WHAT HERE? BECAUSE GOVERNMENT CAN ONLY DO SO MUCH THE PUBLIC NEEDS TO UNDERSTAND WHAT IN TERMS OF THEIR RESPONSIBILITY? I THINK THE PUBLIC NEEDS TO KNOW THAT PRESCRIPTION DRUG ABUSE IS A HUGE PROBLEM IT’S THE AS I’VE SAID AT THE FEDERAL LEVEL IT’S AN EPIDEMIC IT’S KILLING MORE PEOPLE THAN ANY OTHER ACCIDENTAL CAUSE OF DEATH IS FROM DRUG ABUSE EVERY DAY ALMOST 7,000 PEOPLE IN THE COUNTRY WILL BEGIN TO ABUSE THEIR PRESCRIPTIONS OVER 7,000 2,500 OF THOSE ARE TEENAGERS 2,500 TEENAGERS A DAY TODAY TOMORROW WILL START TO ABUSE PRESCRIPTION DRUGS ONE OUT OF SIX HIGH SCHOOL SENIORS ONE OUT OF SIX HIGH SCHOOL SENIORS, 17% HAS USED A CONTROLLED SUBSTANCE PRESCRIPTION DRUG OF SOME KIND FOR NON MEDICAL REASONS AND ONE IN 12 HIGH SCHOOL STUDENTS HAS USED VICODIN FOR NON MEDICAL PURPOSES ABOUT 5% USE OXYCONTIN HIGH SCHOOL SENIORS THINK ABOUT THAT IT IS AND WHAT MAKES IT WORSE IS THAT MANY OF THOSE KIDS WHO ARE STARTING ON OXYCONTIN WILL DISCOVER VERY QUICKLY THAT THE 30 PILLS IN THEIR PARENT’S MEDICINE CHEST JUST EVAPORATES THEY USE THEM OR THEY SHARED THEM WITH A FRIEND AND THOSE PILLS WERE ON THE STREET 20 BUCKS 25 BUCKS AND I THINK THIS IS THE FIRST SPEECH ON… YOU KNOW WHAT’S CHEAPER THAN THAT? HEROIN WAY CHEAPER THAN THAT DOCTOR FELDMAN LET ME ASK YOU WHY IS AN EVENT LIKE THIS DO NO HARM PARTICULARLY DEALING WITH THE EPIDEMIC IF YOU WILL OF PRESCRIPTION DRUGS WHY IS IT SO IMPORTANT? WELL, BECAUSE IT IS AN EPIDEMIC AND IT’S A REAL PROBLEM IN OUR SOCIETY TODAY UM AS SOME OF THE SPEAKERS HAVE TALKED ABOUT UH PRESCRIPTION DRUG ABUSE IS A MUCH LARGER PROBLEM THAN HEROIN AND COCAINE COMBINED IN OUR SOCIETY NOW HOW ARE YOU SEEING IT HERE AT HACKENSACK? FROM A CLINICAL POINT OF VIEW? WHAT ARE YOU SEEING? AND HOW SERIOUS IS IT? UM IT IS A PROBLEM WE DO SEE IT EVERY DAY UM BUT WE HAVE TO BE VERY ASTUTE CLINICIANS AND USE WHATEVER TOOLS WE HAVE TO BE ABLE TO DIFFERENTIATE THOSE PATIENTS THAT HAVE REAL PAIN NEEDS AND NEED CONTROL FOR THEIR PAIN VERSUS THOSE THAT ARE JUST ABUSING DRUGS OR TRYING TO GET PRESCRIPTIONS TO SELL THEM ON THE STREET WE’RE HERE WITH ANGELO VALENTI THE EXECUTIVE DIRECTOR OF THE PARTNERSHIP FOR A DRUG FREE NJ AT THE DO NO HARM THE FIRST ANNUAL DO NO HARM CONFERENCE ANGELO, TALK ABOUT TODAY AND WHY IT’S SO SIGNIFICANT? WELL THIS IS SIGNIFICANT BECAUSE IT’S NOT ONLY THE FIRST ANNUAL BUT IT’S THE FIRST ONE IN THE COUNTRY WHERE THE MEDICAL COMMUNITIES GATHER TOGETHER TO WORK WITH LAW ENFORCEMENT AND WORK WITH THE COMMUNITY ON COMING UP WITH SOLUTIONS TO THE EPIDEMIC OF PRESCRIPTION DRUG ABUSE IN NEW JERSEY AND THROUGHOUT THE COUNTRY YOU KNOW FOLKS THE WE’RE HERE AT HACKENSACK UNIVERSITY MEDICAL CENTER THE TERM EPIDEMIC HAS BEEN USED BEFORE MAKE THE CASE ANGELO WELL THE CASE IS THAT IF YOU GO TO ANY EMERGENCY ROOM OR UNFORTUNATELY IF YOU SPEAK TO MANY MANY FAMILIES THERE ARE THOUSANDS OF PEOPLE THAT ARE EFFECTED BY THIS DISEASE AND THERE ARE UNFORTUNATELY MANY DEATHS RELATED TO THE ABUSE OF PRESCRIPTION DRUGS SO WE HAVE FOUND THROUGH OUR RESEARCH AND THROUGH OUR PARTNERSHIPS WITH THE TREATMENT COMMUNITY THAT WE NEED TO DEAL WITH THIS ISSUE HEAD ON AND WE NEED TO MAKE SURE THE PUBLIC IS AWARE THAT THEY HAVE A ROLE FAMILIES HAVE A ROLE IN HELPING TO PROTECT THEIR CHILDREN AND THIS IS AN EVENT THAT HELPS THE MEDICAL COMMUNITY HAVE A ROLE AS WELL BECAUSE THIS IS AN INITIATIVE SO BIG THAT EVERYONE EVERYONE ACROSS THE BOARD NEEDS TO BE ABLE TO PLAY THEIR PART IN HELPING TO COME UP WITH SOLUTIONS YOU SEE BEHIND US THIS SIGN THE AMERICAN MEDICINE CHEST CHALLENGE SPECIFICALLY THERE IS A CHALLENGE I WANT TO ASK ANGELO WHAT THE AMERICAN MEDICINE CHEST CHALLENGE IS AND ALSO SPECIFICALLY WHAT PARENTS NEED TO DO, WHAT IS THE CHALLENGE? WELL THE CHALLENGE IS TWOFOLD ONE IS TO DISPOSE OF YOUR UNUSED AND EXPIRED MEDICINE SAFELY AND AT NJ WE LED THE EFFORT THAT NOW AS A NATIONWIDE INITIATIVE IT’S A MODEL? IT’S A MODEL WE WERE THE MODEL PROGRAM THAT WAS ACTUALLY LAUDED BY THE WHITE HOUSE AS THE MODEL TO REPLICATE THROUGHOUT THE COUNTRY AND NOW WE SEE IT ACROSS THE COUNTRY BUT WITH THE AMERICAN MEDICINE CHEST CHALLENGE WE ALSO ASK PEOPLE TO TAKE FIVE SIMPLE STEPS TO HELP PROTECT THEIR HOME NAME ONE THE FIRST STEP IS TO MAKE SURE YOU KNOW WHAT YOU HAVE IN YOUR MEDICINE CABINET DO AN INVENTORY I MEAN SO MANY OF US ARE NOT EVEN AWARE OF THE PILLS THAT ARE SITTING IN OUR MEDICINE CABINET SECOND STEP IS TO MAKE SURE YOU SECURE THOSE MEDICINES KEEP THEM OUT OF THE REACH OF CHILDREN BECAUSE WE KNOW THAT CHILDREN ARE ACCESSING 70% OF PEOPLE ARE ACCESSING MEDICINES THROUGH THE MEDICINE CABINET THIRD STEP IS TO MAKE SURE YOU DON’T SHARE YOUR MEDICINES WHILE YOU MIGHT THINK YOU’RE DOING SOMETHING BENEFICIAL TO A NEIGHBOR OR A RELATIVE YOU COULD ACTUALLY BE STARTING THAT PERSON ON A ROAD OF ADDICTION FOURTH STEP AS I MENTIONED DISPOSE OF YOUR MEDICINES PROPERLY AND TAKE ADVANTAGE OF THE TAKE BACK PROGRAMS WHETHER IT’S THE AMERICAN MEDICINE CHEST WHETHER IT’S THE D.A. PROGRAM TAKE ADVANTAGE OF THIS PROGRAM DRUG ENFORCEMENT ADMINISTRATION? THAT’S CORRECT DRUG ENFORCEMENT ADMINISTRATION AND ALSO USE OUR WEBSITE TO FIND PERMANENT LOCATIONS WE TELL FOLKS WE’LL PUT IT ON THE SCREEN AS YOU SAY IT IT’S AMERICANMEDICINECHEST.COM IF YOU VISIT THAT AND YOU PUT YOUR ZIP CODE IN YOU’LL FIND PERMANENT LOCATIONS OF POLICE DEPARTMENTS THAT HAVE PERMANENT RECEPTACLES AND THESE POLICE DEPARTMENTS ARE ALL OVER NJ AND ALL OVER THE COUNTRY AND YOU CAN GO ANYTIME YOU DON’T HAVE TO WAIT FOR A TAKEBACK DAY YOU CAN GO ANYTIME DURING THE YEAR TO DISPOSE OF THOSE MEDICINES AND THE 5TH STEP STEVE WHICH IS MOST IMPORTANT IS TALKING TO YOUR CHILDREN ABOUT THIS ISSUE, WE NEED TO START THOSE DIALOGUES WE NEED TO LET CHILDREN KNOW ABOUT HOW DANGEROUS IT IS TO EXPERIMENT WITH PRESCRIPTION DRUGS THEY ARE NOT SAFE AND THEY NEED TO BE ADDRESSED ANGELO TALK TO FOLKS WATCHING RIGHT NOW ON PUBLIC TELEVISION WHAT SHOULD THEY BE LOOKING FOR? IN THEIR CHILDREN THAT SOMETHING MIGHT BE HAPPENING AS IT RELATES TO A PRESCRIPTION DRUG PROBLEM? FIRST OF ALL STEVE WE WANT TO THANK YOU FOR GIVING US THE OPPORTUNITY TO GET THIS MESSAGE OUT BECAUSE THIS IS THE ONLY WAY WE’RE GONNA BE ABLE TO TACKLE THIS PROBLEM THROUGH PUBLIC EDUCATION AND EVERYONE TAKING A ROLE NOW PARENTS NEED TO BE AWARE OF WHAT THEIR CHILDREN ARE INVOLVED IN, WHO THEIR CHILDREN ARE SPENDING TIME WITH I MEAN IF WE SEE A CHANGE IN FRIENDS FOR EXAMPLE IF YOU HAD A CHILD WHO WAS A YOU 16, 15 AND WAS WITH THE SAME GROUP FOR THREE OR FOUR YEARS AND ALL OF A SUDDEN THEY CHANGE FRIENDS COMPLETELY YOU KNOW THAT’S A SIGN THAT THEY SHOULD BE LOOKING AS TO THE REASON WHY THAT’S HAPPENING IF YOU SEE A CHILD WHO IS DOING WELL IN SCHOOL, AND THE GRADES START SLIPPING AGAIN ANOTHER SIGN THAT YOU NEED TO BE LOOKING AT WHAT THE PURPOSE WHAT THE REASON OF THIS CHANGE OF GRADES, IF YOU SEE A CHILD WHO IS NOT TAKING CARE OF THEMSELVES IF THEY ARE NOT THEIR APPEARANCE CHANGES DRAMATICALLY ABS… WITHOUT A DOUBT THEIR APPEARANCE CHANGES LOST MONEY, IN THE HOME LOST JEWELRY BECAUSE THEY HAVE TO FEED THEIR HABIT AND BY DOING THAT MOST FIRST AND FOREMOST THEY START LOOKING FOR FUNDS TO BE ABLE TO FEED THOSE HABITS, AND WHERE DO THEY FIND THOSE FUNDS IN WALLETS IF YOU CONTINUOUSLY SEE MONEY TAKEN OUT OF YOUR WALLET THAT YOU CAN’T YOU DON’T RECOGNIZE WHY IT WAS TAKEN OUT OF YOUR WALLET OR YOU DIDN’T TAKE IT OUT OF YOUR WALLET, I MEAN THESE ARE THE KINDS OF SIGNS THAT SOMETIMES PARENTS MIGHT MISS VERY VERY IMPORTANT THAT THEY TAKE ACTION AND WE BELIEVE THAT THE BEST ACTION IS TO TAKE THAT CHILD AND GET HELP WE DON’T WANT TO HIDE IT UNDER THE TABLE THIS IS A DISEASE AND JUST WE’RE IN A MEDICAL FACILITY TODAY THAT’S A VERY GOOD EXAMPLE OF THE FACT THAT THIS IS A DISEASE THAT NEEDS TO BE AND HACKENSACK’S INVOLVED IN THIS INITIATIVE? OH HACKENSACK HAS BEEN A GREAT PARTNER IN GETTING THIS MESSAGE OUT FOR US AND HAVING THIS EVENT TODAY HOSTING THIS EVENT TODAY SO WE NEED TO BE WORKING TOGETHER BUT MOST IMPORTANTLY PARENTS NEED TO BE AWARE THAT ANYTHING THAT’S DIFFERENT IN YOUR CHILD COULD BE A SIGN OF PRESCRIPTION DRUG ABUSE AND YOU NEED TO TAKE ACTION YOU NEED TO ADDRESS IT IT’S NOT SOMETHING TO BE ASHAMED OF BUT IT’S SOMETHING THAT YOU NEED HELP WITH AND HELP IS THERE WE’RE HERE WITH TOM NAPOLI ASSOCIATE DIRECTOR OF CONTROLLED SUBSTANCE COMPLIANCE AT ACTAVIS TOM TALK TO US ABOUT WHY ACTAVIS IS SO COMMITTED TO THIS PROBLEM OF PRESCRIPTION DRUGS AND WHY UM YOU’RE SO ENGAGED IN THIS PARTICULAR CONFERENCE? WELL WE FEEL VERY FORTUNATE TO BE HERE FIRST OF ALL AS THE LONE MANUFACTURING REPRESENTATIVE AT THIS SYMPOSIUM TODAY AND WE FEEL THAT IT’S IMPORTANT AS A MAJOR MANUFACTURER UH WITH A LARGE PRESENCE IN NJ OF COURSE UH WITH A GREAT SENSE OF SOCIAL RESPONSIBILITY UH AND THE PRESCRIPTION DRUG EPIDEMIC THAT WE’RE SEEING TODAY IN OUR COUNTRY AND THE SHEER AMOUNT OF ABUSE ESPECIALLY AMONG OUR YOUNG PEOPLE TODAY UH YOU KNOW AND THEN WE’RE VERY STRONGLY COMMITTED TO NOT ONLY COMPLYING WITH THE LAW AND REDUCING THE AMOUNT OF DIVERSION AND ABUSE THAT’S GOING ON UM, YOU KNOW FROM JUST COMPLYING WITH THE LAW FROM THAT PERSPECTIVE BUT ALSO FROM A BROADER SENSE OF YOU KNOW WE’RE VERY COMMITTED TO AND CONCERNED ABOUT THE COMMUNITIES IN WHICH WE WORK BUT ALSO THE COMMUNITIES IN WHICH WE LIVE UH AND WE HAVE A GREAT SENSE OF RESPONSIBILITY AND CERTAINLY AS A REGISTRANT A DEA REGISTRANT AND MANUFACTURER OF CONTROLLED SUBSTANCES WE HAVE A CORRESPONDING RESPONSIBILITY AND IT ALSO IT TRANSCENDS ACROSS ALL OF THE REGISTRANTS THE PRESCRIBERS THE DISTRIBUTORS AND I THINK IT’S IMPORTANT TO HAVE THESE DIALOGUES ACROSS BOUNDARIES AND ACROSS BORDERS WHETHER IT’S PUBLIC ENFORCEMENT SIDE, THE PRACTITIONER SIDE, BECAUSE WE’RE ALL IN THIS TOGETHER AND I THINK THAT IF WE ALL ENGAGE IN THIS CONVERSATION IN MEANINGFUL TERMS THEN WE REALLY CAN MAKE A SIGNIFICANT DIFFERENCE IN REDUCING ABUSE TOM LET ME ASK YOU THIS AGAIN WE HAVE EXPERTS FROM THE PRIVATE SECTOR FROMT HE FEDERAL GOVERNMENT STATE GOVERNMENT NON PROFIT SECTOR HOSE OF US IN THE MEDIA ARE TRYING TO BE HELPFUL AS WELL YOUR PRIMARY MESSAGE TODAY TO THE CLINICIANS LARGELY CLINICIANS HERE TODAY WHAT WAS YOUR PRIMARY MESSAGE AS AN EXPERT PANELIST? MY PRIMARY MISSION IS REALLY TO I THINK TO UH TO HAVE A VOICE AS THE MANUFACTURING INDUSTRY I THINK OFTEN TIMES WE’RE PERCEIVED AS A PART OF THE PROBLEM OR WE’RE NOT WE’RE VERY COMMITTED TO MAKING A DIFFERENCE AND REALLY REDUCING THE AMOUNT OF ABUSE AND ALSO TO YOU KNOW REMIND EACH ONE OF US AS YOU KNOW WE’RE ALL PART OF THIS OVERALL SUPPLY CHAIN AND IT STARTS WITH US BUT IT ENDS WITH A PHYSICIAN WHO’S WRITING THE PRESCRIPTION AND WE ALL HAVE TO BE COGNIZANT OF OUR RESPONSIBILITIES THROUGHOUT THIS PRODUCT LIFE CYCLE AND THE DEA’S CLOSED SYSTEM OF DISTRIBUTION AND WE REALLY CAN MAKE A DIFFERENCE BY ALL YOU KNOW ADHERING TO THAT THANKS TOM YOU’RE WELCOME WE’RE HERE WITH ROBERT KOVAL ACTING SPECIAL AGENT IN CHARGE D.E.A. NEW JERSEY D.E.A. STANDS FOR? DRUG ENFORCEMENT ADMINISTRATION STEVE I DON’T WANT TO ASSUME THAT EVERONE KNOWS WHAT THE D.E.A. IS THEY SEE THE WINDBREAKERS BUT THEY MAY NOT KNOW WHAT THE D.E.A. REALLY IS WHAT DO YOU DO? RIGHT. WELL WE ENFORCE ALL THE CONTROLLED SUBSTANCES ACT LAWS IN THE UNITED STATES, AND WE GO AFTER THE DRUG TRAFFICKING ORGANIZATIONS A CONFERENCE LIKE THIS DO NO HARM WE’RE HERE AT HACKENSACK UNIVERSITY MEDICAL CENTER WHY IS A CONRFERENCE LIKE THIS SO IMPORTANT? WELL PART OF OUR MESSAGE IS TO COLLABORATE WITH OTHERS PARTICULARLY AS IT RELATES TO PRESCRIPTION DRUGS TO MAKE SURE THAT THE MESSAGE GETS OUT INCREASE THE AWARENESS OF IT, AND THE IF YOU MAKE SURE THAT THE PRACTITIONERS AND THE MEDICAL PROFESSIONALS KNOW THAT THERE IS AN EPIDEMIC OUT THERE, AND THIS IS ONE OF THE WAYS THAT WE CAN GET THE MESSAGE AND COLLABORATE TOGETHER TO FIGHT THIS EPIDEMIC YOU KNOW PEOPLE MIGHT SORRY FOR INTERRUPTING ROBERT BUT PEOPLE MIGHT THINK OH THE D.E.A. THEY DEAL WITH HARD DRUGS UM HEROIN, COCAINE, BUT WE’RE DEALING WITH PRESCRIPTION DRUGS TOP PRIORITY FOR YOUR ADMINISTRATION? YOUR AGENCY? IT IS. IN NEW JERSEY IT’S PROBABLY OUR SECOND PRIORITY BELOW HEROIN BUT IT IS A TOP PRIORITY AND WHAT PEOPLE HAVE TO REALIZE IS THAT IN AMERICA THERE’S PROBABLY 40 DEATHS A DAY ATTRIBUTED TO THE OVERDOSE OF PRESCRIPTION DRUGS MOST PEOPLE DON’T KNOW THAT SO IT IS A TOP PRIORITY FOR US HERE PARTICULARLY IN NEW JERSEY TALK ABOUT SOME OF THE PROGRAMS, I KNOW THERE WAS… WHAT IS OPERATION TAKEBACK ROBERT? OPERATION TAKEBACK IS A PROGRAM THAT WE HAVE TWICE A YEAR THAT WILL ENABLE PEOPLE WHO HAVE UNUSED UM EXPIRED MEDICATIONS TO DISPOSE OF THEM PROPERLY RATHER THAN LEAVING THEM IN THEIR MEDICINE CABINET WHERE THEY COULD BE SUBJECT TO BEING ABUSED YOU KNOW A LOT OF PEOPLE WATCHING RIGHT NOW SAY BUT WHAT DO I DO WITH? I DON’T KNOW WHAT TO DO. SO OPERATION TAKEBACK MAKES SENSE BUT WHAT DO PEOPLE DO IF THEY DON’T KNOW WHAT TO DO WITH IT? WELL WHAT THEY SHOULD DO IS EITHER CALL D.E.A. GO UP ON D.E.A.’S WEBSITE OR CALL LOCAL POLICE DEPARTMENT THIS YEAR WE HAD ABOUT 222 POLICE DEPARTMENTS PARTICIPATE THROUGHOUT THE STATE OF NJ AND THE PROGRAM AND WE ENDED UP BASICALLY UM DISPOSING OF ABOUT 7.4 TONS OF PRESCRIPTION DRUGS WHAT YOU’RE SAYING CLEARLY ROBERT IS THAT THE FEDERAL GOVERNMENT CAN’T DO THIS ALONE NEEDS LOCAL GOVERNMENT STATE GOVERNMENT YOU NEED COOPERATION WITH EVERY LEVEL OF GOVERNMENT TO DEAL WITH THIS SERIOUS PRESCRIPTION DRUG EPIDEMIC CLEARLY RIGHT? ABSOLUTELY THERE’S NO DOUBT PARTICULARLY IN THIS ERA OF CHALLENGED RESOURCES D.E.A. CAN’T DO IT ALONE WE’RE A LAW ENFORCEMENT AGENCY WE DO NEED THE COOPERATION OF THE ENTIRE COMMUNITY STATE AND LOCAL COMBINE ALL THOSE RESOURCES TO COMBAT THIS PROBLEM AND SAVE LIVES BASICALLY WE SPOKE ABOUT IT EARLIER I THINK THE STATISTIC WAS 20% OF THESE PILLS THAT ARE OUT THERE, AND BEING ABUSED AREN’T COMING BY WAY OF PRESCRIPTIONS AND INDIVIDUALS USING IT SO WHERE ARE THEY COMING FROM? THEY’RE COMING FROM PEOPLE’S MEDICINE CABINETS THEY’RE COMING FROM TEENAGERS WE’RE RAIDING THE GRANDPARENTS THEIR PARENTS THEIR SIBLINGS PRESCRIPTIONS LEGITIMATE PRESCRIPTIONS FOR ABUSIVE PURPOSES WE’VE ALLUDED TO PHARMA PARTIES THIS IS THE DRUG OF THIS GENERATION ERIC KANEFSKI IS DIRECTOR OF THE DIVISION OF CONSUMER AFFAIRS AT THE STATE OF NEW JERSEY ERIC, TALK TO US ABOUT THIS EPIDEMIC OF PRESCRIPTION DRUGS AND THE ROLE OF THE STATE OF NJ SURE I THINK THE EPIDEMIC WHAT YOU’VE HEARD TODAY HAS BEEN WELL ESTABLISHED I MEAN WE HAVE MORE PEOPLE ABUSING OPIOID ANALGESICS THAN ANY OTHER DRUG OUT THERE MORE THAN MARIJUANA WHEN YOU COMBINE THE DIFFERENT CATEGORIES TOGETHER SO THE STATE OBVIOUSLY HAS TO ADDRESS THIS WE HAVE AN OBLIGATION AND WE HAVE THE OVERSIGHT AUTHORITY AND REALLY THAT’S BEEN IN OUR FOCUS THE LAST COUPLE OF YEARS NOW LET’S TALK ABOUT SPEFICIALLY SOME OF THE PROGRAMS SURE BECAUSE THERE ARE FEDERAL PROGRAMS THERE ARE PRIVATE SECTOR PROGRAMS THERE ARE NON PROFIT PROGRAMS THERE ARE DIFFERENT PROGRAMS THE STATE PROGRAMS THAT HAVE A DIRECT IMPACT ON THIS PROBLEM ARE? YEAH SO ONE OF THE MOST IMPORTANT PROGRAMS OUT THERE IS THE STATE’S PRESCRIPTION DRUG MONITORING PROGRAM A MONITORING PROGRAM? YES MONITORING WHOM? FOR WHAT? EVERY SINGLE CDS PRESCRIPTION THAT’S OUT THERE IN THE UNIVERSE HAS TO BE PUT ONTO A DATABASE CDS? CONTROLLED DANGEROUS SUBSTANCE SO YOUR OPIOID ANY OPIOID ANALGESIC OXYCOTIN HYDROCODINE ALL HAVE TO BE PUT INTO A SYSTEM THAT’S MONITORED BY MY AGENCY AND THE REASON WE’RE MONITORING IT IS TO DETECT PATTERNS OF INDISCRIMINATE PRESCRIBING THOSE FEW DOCTORS THAT SMALL PERCENTAGE OUT THERE WHO AREN’T PROSCRIBING FOR LEGITIMATE MEDICAL PURPOSES BUT AREE DOING SO TO FEED ADDICTION TO FEED ABUSERS AND TO FEED THIS UNLAWFUL MARKET BUT HERE’S THE THING ERIC WE’RE TALKING ABOUT A MONITORING PROGRAM FOLKS BUT THE QUESTION IS IT’S NOT MANDATORY SO RIGHT NOW WHAT PERCENTAGE OF DOCTORS OF PHYSICIANS ARE ENGAGED INVOLVED SIGNED UP YES FOR THE MONITORING PROGRAM? IT’S CRITICAL? YEAH SO LET’S BE CLEAR SO THE INPUT IS MANDATORY MEANING PHARMACISTS HAVE TO PUT IN THE INFORMATION PHARMACISTS HAVE TO? RIGHT THE PROBLEM IS AND THAT’S WHAT YOU JUST NAILED IT IS THAT DOCTORS DON’T HAVE TO REGISTER FOR IT AND THEY DON’T HAVE TO USE IT AND THAT’S REALLY THE HURDLE THAT WE’RE TRYING TO ADDRESS RIGHT NOW WE BELIEVE AT THE DIVISION AT THE STATE THAT EVERY DOCTOR AT A MINIMUM SHOULD BE REGISTERED TO USE THIS SYSTEM AND THEN WHAT WE’RE TRYING TO DO IS GET OUT THERE AND EDUCATE THEM ON ALL TH BENEFITS NOT JUST THE US AS THE STATE AS LAW ENFORCEMENT BUT TO THEM AS A MEDICAL PRACTITIONER ON WHY THEY SHOULD BE USING IT AND WHETHER OR NOT THE LEGISLATURE AT ONE POINT IN TIME DECIDES HEY WE’RE GONNA MAKE THIS MANDATORY WE’RE GONNA MAKE IT MANDATORY USE LIKE IT IS IN NEW YORK THAT’S REALLY UP TO THEM BUT WE WANT TO MAKE SURE THAT WE HAVE THIS TOOL THAT WORKS AND THAT WE CAN PROMOTE OUT THERE FOR DOCTORS TO USE [CHATTER] [CHATTER] MY NAME IS ELAINE POZYCKI AND UM IS THERE A PICTURE OF STEVE UP HERE? THANK YOU UM AND THIS IS A PICTURE OF MY SON STEVE MICHAEL DOES HE LOOK LIKE AN ADDICT? VERY WELL GROOMED IT WAS TAKEN A FEW MONTHS BEFORE HIS UNTIMELY DEATH DUE TO ADDICTION TO OPIATES HE WAS 32 YEARS OLD LET ME TELL YOU A LITTLE BIT ABOUT STEVEN HE WAS AN ALTAR BOY IN OUR CHURCH HE RECEIVED AN AWARD IN MIDDLE SCHOOL FOR BEING THE NICEST STUDENT IN THE CLASS BECAUSE HE ALWAYS BROUGHT OUT THE BEST IN PEOPLE AND FOR HIS CARING ATTITUDE TOWARDS OTHERS HE ALWAYS DEFENDED THE UNDERDOG AND WAS ALL INCLUSIVE HE VOLUNTEERED AT THE METHANE SCHOOL AND HOSPITAL FOR SEVERELY MENTALLY AND PHYSICALLY HANDICAPPED DURING STEVEN’S TIME AT METHANE HE BROUGHT TREMENDOUS WARMTH UNDERSTANDING AND JOY TO THOSE HE TOUCHED IN THE PROGRAM HE WAS BLESSED WITH A QUICK WIT AND ALWAYS MADE PEOPLE LAUGH HE WAS A CARING LOVING AND COMPASSIONATE YOUNG MAN TO EVERYONE HE CAME IN CONTACT WITH AT 19 STEVEN TORE HIS ROTARY CUFF HAD AN OPERATION TO CORRECT IT AND HE WAS PROSCRIBED OXYCONTIN FOR PAIN WITH A TWO MONTH REFILL AFTER THAT ACCIDENT HE DISLOCATED HIS OTHER SHOULDER WHILE SNOWBOARDING HE WAS VERY ADVENTUROUS HE WAS AGAIN GIVEN OPIATES WITH REFILLS IT WAS AT THIS POINT THAT HE BECAME ADDICTED OR HOOKED TO OPIATE BASED PAINKILLERS AS PARENTS WE DIDN’T REALIZE SOMETHING WAS WRONG STEVEN WAS IN COLLEGE AND WHEN VISITING HIM HE DIDN’T SMELL OF ALCOHOL OR MARIJUANA AND THERE WAS NO DISPLAY OF CRAZY BEHAVIOR THAT COCAINE AND METH PROVIDES YES HE WAS TIRED AND A LITTLE CRANKY BUT THAT IS SOMETIMES VERY USUAL WITH COLLEGE STRESS, HE THEN BEGAN TO LOSE INTEREST IN SCHOOL, AND HE NO LONGER ENJOYED THE ACTIVITIES THAT ONCE GAVE HIM SUCH PLEASURE STEVEN WITHDREW FROM HIS FAMILY AND FRIENDS, AND NOW HAD NEW RELATIONSHIPS HIS NEW FRIENDS THOSE WHO USED OR COULD GET HIM HIS DESPARATELY NEEDED DRUGS HE WAS CLEAN FOR TWO YEARS WHEN HE WAS RELEASED FROM THE LAST REHAB HE WAS IN BUT ONE NIGHT HE SUCCUMBED TO HIS MENTAL ADDICTION AND ACCIDENTALLY OVERDOSED AND DIED IN HIS BED THE FIRST YEAR AFTER MY SON’S DEATH WAS THE WORST EXPERIENCE OF MY LIFE MY VERY SOUL WANTS TO REACH OUT AND CRADLE THIS LOST ONE WHO WAS GONE FROM ME FOREVER THE PAIN IS UNBEARABLE AND YET IT IS BORN TO BE ENDURED THE MOST DIFFICULT FACT TO ACCEPT IS THAT MY CHILD IS NO LONGER WITH ME WILL NOT BE CELEBRATING HOLIDAYS BIRTHDAYS OR FAMILY GATHERINGS WITH HIM I LONGED TO HEAR HIS VOICE OVER THE TELEPHONE TO HAVE HIM WALK IN THE ROOM AND GIVE ME A BEAR HUG AND SAY I LOVE YOU MOM OPIATE ADDICTION WAS SOMETHING STEVEN COULD NOT FIGHT EVEN THOUGH HIS FAMILY WHOLEHEARTEDLY SUPPORTED AND LOVED HIM IT WAS BIGGER AND STRONGER THAN OUR LOVE FOR HIM AND IN THE END WE ALL LOST OUR BATTLE IN THE FIGHT AGAINST THE DISEASE OF ADDICTION ONE LESSON TO BE LEARNED IS THE IMMENSE POWER THE ADDICTION TO OPIATES IS, AND THE DEATHS ATTRIBUTED TO IT ARE PERVASIVE WE NEED TO DO OUR BEST TO COMBAT THIS SERIOUS DEADLY EPIDEMIC NOW IS THE TIME TO TACKLE AS PUBLIC HEALTH CRISIS, WITH A COMPREHENSIVE APPROACH THAT MEETS THE TOUGH CHALLENGES HEAD ON AND PUTS PREVENTION AND EDUCATION FIRST [APPLAUSE] [APPLAUSE] WE’RE HERE WITH STEVE POZYCKI UM YOU’RE HERE WITH A LOT OF OTHER FOLKS OUR CLINICIANS HERE YOUR PEOPLE FROM THE D.E.A. FROM THE ATTORNEY GENERAL’S OFFICE BUT YOU’RE HERE FROM A DIFFERENT PERSPECTIVE FOR DIFFERENT REASONS TALK ABOUT THAT STEVE WELL WE CERTAINLY SEE IT AS AN EPIDEMIC WE SEE IT AS NOT A CASUAL DRUG OR RELATION TO ALCOHOL IT’S DEADLY HMM IT… THE ADDICT WILL YOU KNOW, THE ADDICT CAN… THE CHILD DOESN’T THINK ABOUT PUTTING A NEEDLE IN HIS ARM BUT TAKING A PILL THAT’S COOL IS SOMETHING THAT THEY MIGHT EXPERIMENT WITH THE CHILD THAT HAS ADDICTIONS IS NOW ADDICTED AND WILL MOVE THROUGH THESE PILLS AND GO TO THE EVENTUALLY GO TO THE CHEAPER MORE READILY AVAILABLE HEROIN WHICH THE STATE HAS PLENTY OF AND SO I THINK WHAT WE’RE HERE TODAY TO TALK ABOUT IS CHANGES IN LEGISLATION CHANGES IN ENFORCEMENT AWARENESS ON THE MEDICAL COMMUNITY UH AND HOW MUCH SUBSCRIBE YOU KNOW DO YOU NEED REALLY HEAVY OPIATES FOR MINOR ISSUES DENTAL CARE AS WELL AS EMERGENCY CARE YOU KNOW DOES DO SIMPLER NON-ADDICTIVE MEDICATIONS WORK THAT’S ABUSE YES AND SO YOU KNOW DO YOU NEED TO FILL YOU KNOW HUNDREDS OF TABLETS IN A BOTTLE YOU KNOW AS A FIRST PRESCRIPTION FOR A CHILD THAT MAYBE WENT THROUGH SOME DENTAL WORK SO THOSE ARE THE TYPE OF THINGS THAT WE’D LIKE TO JUST PUT A SPOTLIGHT ON AND BRING SOME AWARENESS TO AGAIN, STEVEN POZYCKI FOR SOME WHO ARE WATCHING PUBLIC BROADCASTING MAY KNOW HE’S A VERY SUCCESSFUL DEVELOPER AND UM YEAH YOU DO A LOT OF SUCCESSFUL PROJECTS ACROSS THE STATE AND ACROSS THIS REGION, YOU COME AT THIS AS A PARENT FROM A PERSONAL PERSPECTIVE UM, YOU UNDERSTAND THIS FROM A PERSONAL PERSPECTIVE TALK ABOUT THAT AND THEN REALLY MORE IMPORTANTLY THE MESSAGES THE MESSAGE FOR PARENTS OUT THERE RIGHT NOW WELL IT’S THE REASON MY WIFE AND I ARE HERE TODAY IS WE NEVER WANT A GREATER FAMILY A COMMUNITY TO GO THROUGH WHAT WE HAVE AND GET THE CALL THAT YOUR SON HAS SUCCUMBED TO AN OVERDOSE UM, IT’S YOU KNOW OUR SON YOU KNOW PLAYED LACROSSE AND WAS VERY HEALTHY IN COLLEGE HURT HIS SHOULDER AND YOU KNOW UM WAS PROSCRIBED OPIATES UH HURT HIS SHOULDER AGAIN AND WAS PROSCRIBED OPIATES AGAIN, IT WAS ENOUGH TO START A HORROR A LIFE OF HORROR AROUND THAT TYPE OF ISSUE IT’S NOT MILDLY ADDICTIVE IT IS SO COMPLICATED TO EXPLAIN AFTER GOING THROUGH REHABS AND BEING ABLE TO FIGHT IT FOR YEARS THAT YOU COULD RELAPSE TO IT SO IT’S THE POWER OF THE OPIATES ARE JUST MIND BOGGLING AND PARENTS WHO SAY NOT MY KID YOU SAY? IT’S EVERYWHERE IT’S EVERYWHERE AND I MEAN THERE’S YOU KNOW I DON’T HAVE THE REPORTS IN FRONT OF ME BUT THERE’S ZILLIONS OF REPORTS BY EVERY TYPE OF AGENCY THAT DEPICTS THE EPIDEMIC THAT’S THERE AND HOW YOUNG THE CHILDREN ARE THAT ARE GETTING IT YOU KNOW ONE OF THE BIGGEST SOURCES OF THESE PILLS ARE OVER THE INTERNET THAT’S WHERE THE KIDS GET IT YOU KNOW PARENTS MAY NOT EVEN KNOW IT’S HAPPENING IT’S NOT AN IT’S NOT YOU KNOW IT’S NOT AN ADDICTION WHERE YOU SMELL POT ON YOUR KID YOU DON’T SMELL ALCOHOL YOU KNOW THEY SEEM TIRED YOU KNOW AND CHILDREN FOR ALL KINDS OF REASONS COULD BE TIRED FROM SPORTS FROM SCHOOL FROM STRESS SO IT’S A VERY VERY DIFFICULT ADDICTION TO TRACK I WANT TO THANK YOU STEVEN FOR BEING HERE YOU AND YOUR WIFE ELAINE AND FOR SHARING THIS VERY IMPORTANT AND POWERFUL MESSAGE THANK YOU STEVEN THANK YOU FOR GETTING THE MESSAGE OUT I APPRECIATE THAT YOU’RE DOING WHAT YOU’RE DOING [SILENCE] [SILENCE] ONE ON ONE WITH STEVE ADUBATO HAS BEEN A PRODUCTION OF THE CAUCUS EDUCATIONAL CORPORATION CELEBRATING 25 YEARS OF BROADCAST EXCELLENCE FUNDING FOR THIS EDITION OF ONE ON ONE HAS BEEN PROVIDED BY ACTAVIS THE NJEA INVESTOR’S BANK NEW JERSEY NATURAL GAS ST PETER’S UNIVERSITY AND BY NEW JERSEY MANUFACTURERS INSURANCE GROUP TRANSPORTATION PROVIDED BY AIR BROOK LIMOUSINE SERVING THE METROPOLITAN NY NJ AREA ONE ON ONE WITH STEVE ADUBATO HAS BEEN PRODUCED IN PARTNERSHIP WITH ST JOSEPH’S HEALTHCARE SYSTEM THIS PROGRAM HAS BEEN MADE POSSIBLE IN PART BY ACTAVIS IN COOPERATION WITH THE AMERICAN MEDICINE CHEST CHALLEGE PLAY BALL IMAGINE YOU’RE ENJOYING YOUR CHILD’S BASEBALL GAME AS HARD AS IT IS TO BELIEVE ONE OF THE NINE CHILDREN ON THE FIELD MAY BE ABUSING PRESCRIPTION DRUGS AND GETTING THEM RIGHT OUT OF YOUR FAMILY’S MEDICINE CHEST JOIN THE AMERICAN MEDICINE CHEST CHALLENGE BY TAKING INVENTORY AND SECURING YOUR MEDICINE SAFELY DISPOSING OF YOUR UNWANTED AND EXPIRED MEDICINE AND FINALLY TALK TO YOUR KIDS VISIT AMERICANMEDICINECHEST.COM

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