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Atrovent albuterol wheezing emergency room – Atrovent nebulizer for infants – Twin Cities Arts Reader

Adam Jacobs (Aladdin) and Isabelle McCalla (Jasmine) star in the national touring production of Aladdin. Photo by Deen van Meer.How many people does it take to put on a national tour of a Broadway show? If the show isAladdin, the answer is 75…if you only count the people who show

The Catalyst Quartet rehearsing.It was the first of August. Dr. Deborah Justice was settling in for a month of fiddling around musically speaking when the email arrived. “Im afraid I have some sad news from Caracas,” it began. “Venezuela at this moment is now a war zone.”At that

The late J. Otis Powell.Poet, playwright, and overall multi-talented artist J. Otis Powell died on Monday, August 28. Powell was 61 years’ old, and had been awarded a Sally Ordway Irvine Award for Commitment just five days prior. He had struggled with ill health, and received a kidney transplant several

A bar chart showing historical box office totals for the Minnesota Fringe Festival.The Minnesota Fringe Festival announced the final statistics today for the 2017 Minnesota Fringe Festival. The 11-day festival brought in 46,076 butts-in-seats, spread across 860 performances of 167 shows at 17 venues in Minneapolis.Why Count Butts-in-Seats?Since 2016, the

The Ordway Center for the Performing Arts announced today the recipients of the 25th annual Sally Ordway Irvine Awards. These awards were given in five categories to recipients from across the State of Minnesota. This year’s recipients are all based in the Twin Cities metro area: Hunter Gullickson (Arts Access)

Actors Gary Briggle (left) and Wendy Lehr (right). Photo by Keith Bridges.The playwright A.R. Gurney passed away two months ago. Many of the various eulogies and obituaries cited his 1988 playLove Letters, a tale of charmed correspondence that was nominated for a Pulitzer Prize.Love Letters encapsulated many of the themes

Lady Gaga rocked the Xcel Energy Center with her trademark costume-heavy, immersive performance. Here’s the set list from the concert:Act I “Video Intro” “Diamond Heart” “A-Yo” “Poker Face” “Perfect Illusion”Act II “John Wayne” “Scheie” “Alejandro”Act III “Horns” “Just Dance” “LoveGame” “Telephone”Act IV “Claws” “Applause” “Come to Mama” “The Edge of

A mosaic of different graphs of Fringe Festival sold-out attendance data.It’s been one week since the 2017 Minnesota Fringe Festival closed its doors and the Fringe staff are still tallying and double-checking festival data. While a fuller report on the festival box office is still forthcoming, here are six figures

Women dancing inArabian Nights.Photo by Dan Van Meer.The Orpheum Theatre is getting a magic lamp. Starting September 15, the Orpheum will host the Broadway touring production of Aladdin for three and a half weeks (closing October 8). This touring production stars Adam Jacobs, who originated the title role of Aladdin

Actress-musician-songwriter Claire Wellin. Photo by Tiffany Topol.This Friday, Claire Wellin is bringing her band Youth in a Roman Field to Icehouse in Minneapolis. Youth in a Roman Field’s “ghost folk” sound emphasizes haunting strings, acoustic instruments, and multipart vocal writing. The MSU-Mankato graduate spoke with the Arts Reader’sBasil Considine about

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Police: Emergency room doctor, five others arrested in ‘major … – KATU – KATU

by Joe Douglass, KATU News

From left to right: Mark Rose, 61, George Nelson, 42, and Jeremiah Hart, 42. Police said the three men and three other suspects were arrested this week for allegedly taking part in an illegal butane hash oil manufacturing operation.

Police said an emergency room doctor and five other people were arrested in a major drug bust in Linn and Benton counties this week.

Officers said Dr. Mark Rose, 61, is not accused of committing crimes on the job but KATU discovered he is facing repercussions professionally.

Rose and others are accused of illegally manufacturing butane hash oil, also known as butane honey oil, BHO or dab. The substance is a concentrated byproduct of marijuana that’s extracted through a highly-flammable, potentially dangerous process.

“We know it’s a highly-lucrative business. We know that there’s a lot of money to be made,” Captain Eric Carter, of the Albany Police Department, told KATU on Thursday.

He said a major drug bust at two locations started at a property on the 36000 block of Crackerneck Drive in Scio Monday morning. Carter said inside a barn officers from the Linn County Interagency Narcotic Enforcement Team found a lab manufacturing butane hash oil.

“What really sets this apart is this was a commercial-grade operation,” Carter explained. “What was missing in this operation is they weren’t licensed or sanctioned by the state to produce the BHO.”

At the Scio location, Carter said two men, George Nelson, 42, and Jeremiah Hart, 42, were arrested on suspicion of illegally manufacturing and having marijuana. He said Hart also had ecstasy.

Three other people were cited for frequenting the location and released, according to police.

“The (lab) in Scio was actually completing a process when the search warrant was executed,” Carter said.

Around 1 a.m. on Tuesday, carter said officers paid a visit to Rose’s house on the 2700 block of Marshall Drive in Corvallis.

There he said they found another lab and three 55-gallon drums worth of marijuana.

Carter said Rose was linked with both operations.

“The property in Scio belongs to him,” Carter explained. “And so he owns the property and knew of the people that were on that property manufacturing BHO.”

At the Scio location, Carter said officers found 6.5 pounds of finished butane hash oil product with a street value of about $115,000.

“We’re trying to close the loop on exactly where it was being distributed at,” Carter said. “We know from the investigation it was illegally being sold by people and we also have indications that we’re following up on that it was also being sold to marijuana dispensaries in the Willamette Valley.”

A spokesman for Samaritan Lebanon Community Hospital told KATU due to his arrest Rose is suspended from his job as an ER doctor pending further investigation. The CEO of the hospital said Rose has worked there for 13 years.

A deputy at the Linn County jail said Rose posted $111,500 bail on Tuesday and was released. He’s due in court on Sept. 6.

Below are the charges faced by those arrested in the raids:

– Nelson was booked on manufacturing marijuana, delivering marijuana and possession of more than 4 ounces of marijuana.

– Hart faces manufacturing marijuana, possession of more than 4 ounces of marijuana and possession of ecstasy charges.

– Rose faces two counts of manufacturing marijuana, two counts of delivering marijuana and two counts of possession of more than 4 ounces of marijuana.

– Jennifer Marie Pechar, 40, of Scio, was cited for possession of methamphetamine and frequenting a place where controlled substances are used.

– Kimberly Jeanet Wolf, 36, of Lebanon, was cited for frequenting a place where controlled substances are used.

– James Eugene Mobley, 33, of Lebanon was cited for frequenting a place where controlled substances are used.

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The Villages Regional Hospital Emergency Room – Villages-News

To the Editor:

We are relatively new to the Villages and have had to make a few trips to the Villages hospital.The hospital is beautiful and well run, and you can tell that there is a lot of pride that goes into the building, the volunteers, and the staff. The reason that I am writing this letter is because, for the first time, I had to go to the emergency room at the hospital.Even though I had read about negative experiences others had encountered while using the Villages hospital emergency room, I still didnt think it could be that bad.Unfortunately, I was sadly mistaken.The emergency room was understaffed and simply not capable of servicing the needs of the people who came there. While sitting in the waiting room for hours with a blood clot I was amazed at how many others, who were also in need of immediate care, had been waiting. One man came into the waiting room stating that his wife was sitting in the parking lot in the ambulance because they had no beds for her in the emergency room.The staff member in the emergency room, who was clearly overwhelmed, said that the wait time could be up to 20 hours. Some people left to try to find other hospitals and some stayed and hoped for the best. I just found it hard to believe that this was happening. Our short time living in The Villages we had become so accustomed to everything in the Villages being top notch, that this was just so unexpected. I think the higher level administrators need to take a hard look at what is happening.They should strive for having the best emergency room services possible (like the Villages tries to provide in all other aspects of living here), or maybe not have an emergency room at all. Their current situation is just giving the entire hospital a bad reputation.

Pete JacksonSan Pedro Villas

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Influx of seniors challenge emergency room system – Thousand Oaks Acorn

The number of older people in emergency rooms is expected to increase significantly over the next 30 years, doubling in the case of those older than 65 and potentially tripling among those over 85.

Our healthcare system is in critically short supply of primary care physicians and geriatric specialists to treat seniors. As a result, many seniors end up in emergency rooms rather than being treated in the community.

The emergency room can be an overwhelming place for seniors, as they must enter an unfamiliar environment, field rapid-fire questions, then experience fear and anxiety about the diagnosis that awaits.

Are our emergency rooms prepared for this significant growth in senior patients? The answer might be no, unless we heed a call to arms in the following critical areas.

Mental health

Nationwide, more than half of the people with mental illness go untreated, according to Mental Health America. Many seniors with mental illness dont realize they have it because they are dealing with multiple medical issues.

Their challenges are rarely purely psychiatric, and consequently, its hard in the ER to receive prompt comprehensive care for their mental illness.

Two hospital studies conducted from 2007 to 2010 found that the number of patients age 65 and older coming to the ER with mental health issues such as dementia, Alzheimers and depression increased nearly 21 percent. A lack of awareness among the general population about the mental illnesses facing seniors leads to older patients often ending up in the ER when a crisis occurs.

Drug side effects

An increasing number of older people are arriving at the ER as a result of side effects or adverse reactions to the prescription drugs they are taking.

According to Centers for Disease Control and Prevention, 35 percent of ER visits due to adverse events from prescription medications in 2013-14 were by adults age 65 years and older, compared with 26 percent in 2005-06. Among that group, seniors made up 44 percent of those who required hospitalization as a result of the drugs adverse effects.

Blood thinners, antibiotics and diabetes agents were involved in almost half of the prescription-drug-related visits.

In our fragmented healthcare system, patients are often seen by multiple physicians, each having an incomplete view of the patients drug use. Clinicians often hesitate to discontinue medications because of lack of familiarity with the medication or patient.

Opiates

Just last week the California Health Report published an article stating that the rate of patients over 65 seeking care at hospital ERs for opioid-related issues in California was second only to Arizona among the 50 states.

Often, older Americans who struggle with opioid addiction have been prescribed the medication to deal with managing pain upon being discharged from the hospital following surgery.

According to the Journal of the American Medical Association, of those who received an opioid prescription, more than 42 percent still had the prescription in place 90 days after they left the hospital.

ER visits often focus on the physical injuries (pain and broken bones from a fall that really was due to the loss of fine motor skillsa result of long-term opioid use) and push the root cause into the background. Because of the stigma, seniors also struggle with admitting drug dependency.

Identifying the caregiver

Almost half of all seniors over the age of 70 live alone today. Who advocates for them and how are these advocates identified in the emergency room?

Seniors enter the ER either from home, an assisted-living facility or, in some cases, from the streets. Frequently they do not have a family caregiver or an individual who is operating as their designated healthcare proxy with them.

The ER can be an overwhelming place, and a second set of ears, eyes and voice can lead to a better set of outcomes. Family caregivers also play critical roles in transitions from hospital to home or other post-acute settings.

As a community, we have an opportunity to work together to educate seniors and caregivers on what to expect when they enter the hospital and to inform hospital staff about the many challenges todays seniors face.

Consider joining Senior Concerns as it hosts a seminar titled Things You Should Know Before Your Next Hospital Stay from 5:30 to 7 p.m. Tues., Sept. 19 at 401 Hodencamp Road, Thousand Oaks. Call (805) 497- 0189 to reserve your seat.

Andrea Gallagher, a certified senior advisor, is president of Senior Concerns, a nonprofit agency serving Ventura and western Los Angeles counties. For more information, visit http://www.seniorconcerns.org, and for comments or questions, email agallagher@seniorconcerns.org.

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A look at the opioid abuse epidemic from inside NJ emergency rooms – New Jersey 101.5 FM Radio

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Its not exactly shocking news.

The opioid epidemic is sending more and more Garden State residents to the hospital.

A study by the Agency for Healthcare Research and Quality shows between 2005 and 2014 there was a 64 percent increase for inpatient care and a spike of 99 percent for emergency room treatment of cases involving opioid abuse.

Hospitals and emergency rooms in New Jersey are well suited to handle this crisis because we have no choice. We are the safety net and any of societys ills find their way to our doors. But its distressing, said Dr. Michael Gerardi, emergency physician at Morristown Medical Center and a member of the Medical Society of New Jersey and the past president of the American College of Emergency Physicians.

He noted the medical community over the past decade has been paying more attention to treating the pain of patients, which is good. However, we may not always realize how addictive these drugs really are.

He also pointed out ER doctors are ready and able to handle the overflow of opioid abuse cases theyre presented with.

We saw this coming several years ago, and therefore we put out clinical policies on opioid use, how to treat it, recognize it.

According to Gerardi, ER docs are acutely aware of the rise in the overdose problem.

Were the ones that see these people coming in on deaths doorstep or deceased and its tragic and its the emergency physicians who have to go talk to the family or parents or loved ones, he said.

Its emblazoned in our consciousness and our souls that we want to see this epidemic stopped.

Advocates worry NJ law on pain pills will hurt cancer patients

He said in recent years, emergency room physicians have become pretty good at spotting patients with an opioid abuse problem.

Its not only their behavior. They sometimes come in specifically requesting for certain drugs that other people wouldnt know about. Theyre also allergic to every non-opioid drug, if you know what Im saying.

He said many times these individuals also have these multiple drug allergies and the only drug that can work for them is drugs that begin with a D dilaudid, for instance, or I can only have morphine, Im allergic to the non-opioid pain medication.

He said doctors may also suspect a patient is having an opioid abuse issue if they have pain out of proportion to what were seeing on an exam, or what they say is causing them pain. So many people may have 10 on a scale of 10 pain for something you and I would barely notice, or take a Motrin for.

These are little alarms that are setting us off that we say, Hmmm, I think something else is going on here.

He noted because of the Prescription Drug Monitoring program, doctors can now electronically look up what medications patients have been prescribed as well as their past ER visits, which has helped to curb abuse.

Gerardi also pointed out emergency room doctors have been decreasing the amount of opioid drugs theyre prescribing and administering to patients for many years.

In case you missed it: Important stories on heroin crisis in NJ

You can contact reporter David Matthau at David.Matthau@townsquaremedia.com

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