Prescription drugs. Taking a deadly dose. Pointen center, this is debra. Im a little concern had that may have taken something that wasnt good for me on accident. [ phone ringing ] i took a few methadone from my grandpa. They were 10 milligrams. What you are listening to are actual calls. How is he acting . At the Washington Poison Center in seattle. Just drowse . I okay. And lately, more and more of them sound Something Like this. And today, i took about 90 milligrams of percoset. Oh you did . 6 00, i wasnt really thinking and i did a bar of xanax and im reading all this stuff online how that is a very lethal combination. I have a lot of friends who died in their sleep and i just wasnt really thinking. Now im wondering if i should stay up tonight. That kind of call to me is really scary. Oh, it is scary. What goes through your mind . So, i would be very frightened about that young man not making through the night. Dr. Bill hurley is the medical director of the poison center. He is also a trauma doctor. Possibly too many of his meds. They are not sure whatall theyve got. We are here in seattle, in part, because the problem is bad. This bottle still has quite a bit in it. But also because, as you will see, there are real solutions. No other meds . For hurley you it started five years ago. Hes got pinpoint pupils. He started noticing overdoses, a lot of them, coming through his er doors. We thought, well, these are the guys who are on the street, maybe using heroin. But looking deeper, he realized they werent junkies, not at all. It usually began with a back sprain. They were taking these medications no to the get high but try to control pain in most cases, back pain and then they were mixing them with other medication and having fatal reactions to that. A lot of people have back pain. A lot of people take pain medications for that pain. And what youre saying a lot of those people are then dying . Yeah. A lot of them are dying and a lot of people in our culture right now are at risk of dying from the exact same thing. I wanted to know more. So they allowed me to listen in. Poison center. May i help you . Yeah, my wife took hydro met and when we checked it later, she had taken 30 millimeters instead of five. To see the problem firsthand, i rode along with lieutenant craig amman. He has been on the job for 30 years. He will tell you, when he takes an overdose call you the usual suspect is a painkiller. What sort of impact have you seen here in seattle . Well, i think if you pull a group of people together from this community, someone in that group is going to have had a friend, a loved one that has either had difficulty with a Prescription Drug or potentially died from that. Ammans unit responds to 45 calls a month about overdoses involving these types of medications. And this is important, it can be difficult to tell whether its a painkiller or heroin, because they come from the same ingredient and do the same sort of thing to your body. Aside from needle tracks in the arms, someone who has had an overdose of pain medication like that or heroin, they could look very much the same . Absolutely. They could be unconscious from a medication that they think is relatively safe for them because instead of getting it on the street, they get it from a pharmacist. Okay. 36, code green. Possible Drug Overdose. [ sirens ] these people are suffering from chronic pain. They know that a little bit of pain medication helps, so maybe a lot would help a lot more. When we arrive, another medic is on the scene. Somewhere in that parking garage, theres a call about someone having a parking garage. The overdose victim came to and walked away, but while were there, another call. And its been just a few minutes. Weve got a 52yearold. He took approximately three dill lauded plus methadone. I decided to ride along with lieutenant john fisk, who is headed to the scene. He has respiratory compromise. Sounds like a far this koinarco. Car crashes are no longer the number one reason people die accidentally in the united states. Now aday it is actually Prescription Drugs. Thats because on any given day people take more than the recommended dose, mix and match or take medications not predescription to them, maybe take pills with alcohol. And all of it can make for a deadly dose. In fact, the most recent data shows 37,000 Drug Overdose deaths in one year, mostly accidental. 21,000 involved Prescription Drugs. Of though 75 were pain killers. By the end of this hour, i promise you your idea of a potential overdose victim will change. To this. This could be you. It could be me. And thats the point. It could be anyone. This could. It could be me. And thats the point. It could be anyone. This could. It could be me. And thats the point. It could be anyone. This could. It could be me. And thats the point. It could be anyone. He was big, strong, handsome, smart. Wanted to make something of his life. He had no idea that he was turning out the lights. None. And if its true of him you its got to be true of a lot of other people. [ male announcer ] can a car be built around a state of mind . Its got to be true of a lot of other people. You its got to be true of a lot of other people. Ou its got to be true of a lot of other people. U its got to be true of a lot of other people. Its got to be true of a lot of other people. Its got to be true of a lot of other people. Featuring the available chevrolet mylink infotainment system. This is where sophisticated styling begins. And where it ends . Thats up to you. Its here the greatest malibu ever. He loves risk. But whether hes climbing everest, scuba diving the Great Barrier reef with sharks, or jumping into the market, he goes with people he trusts, which is why he trades with a company that doesnt nickel and dime him with hidden fees. So he can worry about other things, like what the market is doing and being ready, no matter what happens, which isnt rocket science. Its just common sense, from td ameritrade. Which isnt rocket science. Try running four. Ning a restaurant is hard, fortunately weve got ink. It gives us 5x the rewards on our internet, phone charges and cable, plus at Office Supply stores. Rewards we put right back into our business. This is the only thing weve ever wanted to do and ink helps us do it. Make your mark with ink from chase. So i brought it to mike at meineke. We gave her car a free road handling check. I like free. Free is good. My money. My choice. My meineke. On december 19, 2011, benjamin gupta, a law student at George Washington university died suddenly. He is no relationship to me, but when his family got word, they spent hours trading phone calls. They were in stunned disbelief. There was a message from his mom. And she had left three messages for me, so i knew there was something wrong. I received a call from my mom. I didnt answer but then i got a text message from her, which is very unusual. And i called her back. And i said, what happened . And she says, its ben. He died. I just didnt have any of the information. I finally said, how did this happen . And she said he went to sleep the night before and he just never woke up. He was always smiling, every picture he was smiling. For day ben guptas family was desperate for answers. What killed him . He was only 28 years old. He had recently been give an clean bill of health. How could he just not wake up . And then the thoughts went through my mind that maybe it was some sort of a brain aneurism or something must have happened. But his father was in for a shock after a conversation with the doctor who performed bens autopsy. And he called me and said, yes, you know, they found oxycodone in his system. He tells you he believes that your son died of a an overdose of narcotics . Yeah, right. What do you think at that point . I was just shocked at that time. Did you think it was possible, what you knew of your son . No. No. He worked for the state department and he, you know, was gonna graduate in a year with a dual law and mba degrees, you know, the type of person where it just doesnt even run through your head that he is having a problem because he is doing so well. Stuart bridge was a close friend of bens. They met in grammar school. He recalled a conversation that would later prove to be very important. He had met somebody new and he really liked this new girl that he was dating you. And ben told stuart that he and his new girl friend tried oxycodone and they thought it was no big deal. You know, im not doing it regularly. Its not something im seeking out, but its something theyve tried. Now, anyone else might just shrug off that conversation, but bridge wasnt just a friend. He was also a doctor. And he warned ben about taking oxycodone and about mixing it with alcohol. I had seen people on these medications or experimenting with these medications. Just experimentsing, the reason why the line between experimenting and overdose is dangerous. Cns, Central Nervous system depressant sants slow down the bodys vital functions, breathing, heart rate you Blood Pressure that is not usually a problem when the pills are prescribed for you, but when you add them to other cns depressants, like alcohol or other Prescription Drugs, the effect is multiplied. The nervous system slows and slows until breathing, heart rate, brain function, all grind to a halt. Bens deadly dose, according to his girlfriend, was drinking beer and scotch throughout the day along with an unknown quantity of oxycodone. When his blood alcohol level was tested it registered. 04 thats relatively low, less than half the legal limit. Here is the implication, it may not take much alcohol to tip the balance toward death. Ben fell asleep in front of the tv and by the next morning, he had stopped breathing. Almost what makes it even more frightening, that he went to sleep and he had no idea this was gonna be his last night on earth. I mean, he had no idea that this was gonna be it. It just seems so preventible and so stupid. It just didnt have to happen like this. It didnt have to be, you know, like that. You explained what happened to my friend to me in two sentences. If people get something that simple, that direct, then it almost doesnt matter how boozed up they get before they pop the pill. They will remember that. How are you . I first learned about ben guptas story when i got a phone call just after his death from former president bill clinton. Bens father is an old friend of the clintons. Over the years, he has donated thousands of dollars to theirs and other democratic campaigns and over time, the families became close friends. Ben, a beautiful man, with a beautiful life. Some people live four times as long and dont do as much good or bring as much joy. Why did you decide to call me . I called you in desperation. I wanted to know what to do i just knew that somebody needed to do something but thats why i called you. I thought you, a, i knew you had acare about it. B, i thought aid know something about it. Could i tell in your voice that you were pretty broken up what kind of kid was he . A light shined out of him. All i can tell you. He grew up, he was big, strong, handsome, smart. And wanted to make something of his life. He was industrious, but normal and liked to have a good time. I promise that you night he had no idea he was turning out the lights. None. And if its true of him, its got to be true of a lot of other people. As soon as people hear that someone died of a Drug Overdose, they immediately have a perception of who that person was, what kind of life they led, their behaviors. Its not true in a lot of these people. No. Including ben. We all of us, the whole culture, we need to start thinking about this. This is crazy. Not a single solitary one of these people has to die. President clinton side me nobody thinks that taking an o y oxycotin and a few beer is good idea but you also dont think youre going to die. Yes. You think that was bens sort of state of mind . I know this is playing with fire a little bit but im not gonna die. I dont think that he knew that this could kill him. He finds some solace from his sons death by funding programs that educate people about the dangers of misusing Prescription Drugs and the recently, he made as 1 million pledge to the Clinton Global Initiative to support the former president s new found passion about this issue. He said, i have been very fortunate. And my son was worth 1 million. Its still hard to talk about. It is. It is. Do you think it ever wont be . No. I think about him all the time. Like im in d. C. Today, ive been walking on the gw campus looking for him u looking for him . Yes. And i could feel him. I could feel him. Every day, i just miss him. Every day. [ sirens ] my girlfriend found me dead already. I had been not breathing, no pulse. And i was turning blue. [ dog 1 ] i am not a vegetarian yeah, i might have ears like a rabbit. But i want to eat meat [ male announcer ] iams knows dogs love meat. But most dry foods add plant protein, like gluten iams never adds gluten. Iams adds 50 more animal protein, [ dog 2 ] look at me im a lean, mean flying machine [ dog 1 ] i am too woo hoo [ male announcer ] iams. With 50 more animal protein. [ dog 2 ] im an iams dog for life. Not a rabbit. Woof tie it so it looked like he downed the 200s. In cities across the country this scene plays out every day. I saw it myself on a ridealong with lieutenant john fisk of the seattle fire department. Had three dilaudid, two methadone. This patients dose, an antiseizure medication and a couple of pain killers. May have stockpiled some of his own and taken it afterwards. Its called stacking, prescription pills stacked on top of other pills, each one amplifying the previous ones effect. Id say it probably began about ten years ago. Dr. Steven anderson, an er doctor in Washington State, sees the end result of stacking virtually every time he goes to work. Ive taken two vicodin before, no problem. Ive taken a valium to sleep before. No problem. Ive had a couple of drinks before. No problem. But all of a sudden, you add all of those into the same scenario and it adds up and causes the complications. Youre talking about, when you say stacking, sounds like it making it exponentially worse. Exact actly. Pop a pain pill you get relief. The same time, your breathing slows down. Even after the pain relief wears off that slowed breathing persists, sometimes for hours. Now, if you pop another pain pill before its time, you depress the breathing even more. Some of the deadliest combination, highdose painkillers stacked on other painkillers. Painkillers stacked with antianxiety medications or painkillers mixed with alcohol. We have seen absolute skyrocketing of Overdose Deaths and correlates directly with the number of prescriptions that are written. The problem, in part, is that here in the united states, we are being flooded with painkillers. Consider this, americans take 80 of the worlds painkillers. 80 . Distribution of more feerngs the main ingredient in most popular painkiller, increased by 600 between 1997 and 2007. Pain couldnt have increased that much in ten years but painkillers did. Its become a lucrative business and with so many pills out there, theres no broad system in place for doctors and pharmacies to keep track of it all. And again, every 189 minutes, we see the consequence. And doesnt even account for people like this man who came close, too close to dying. Thankfully, he survived. And so did this man from virginia. My girlfriend found me, dead and not breathing, no pulse. His name is ben. He didnt want to give his last name. I took some. Now, listen closely. What he is describing is nearly dying after an overdose. I remember standing around feeling good, talking with someone and then thinking, i just need to sit down for a second. I was turning blue. I was gone in a minute. I had only had a few beers and i had also taken plenty of methadone at the same time. Methadone, which you may recognize as a treatment for heroin addicts, is also a popular painkiller prescribed by doctors. When he overdosed about four years ago, it was the first time pen h ben had tried it. Do you remember the first time you started using Prescription Drugs . Well rkwell, originally, i h prescribed them for an injury. I was on painkillers and muscle relaxers and definitely you even within that time you there were probably couple days i took more than i was prescribed. Did you think about the safety at all . Its classic statement, this isnt going to happen to me. Well, of course, everyone who it happens to said that at one point. Thats where the story of ben from virginia intercepts with ben gupta, the law student and thousands of other unwitting overdose victims, it wont happen to me. Its more realistic for someone like me who has a job to overdose because its amazing how little you need of a mix of alcohol and narcotics to overdose when your body is not used to it. How little are we talking about . Four or five beers and two or three shot, that was t. A few beers, a couple of shots and some methadone . Exactly. He was at a party. He felt sleepy. And then he stopped breathing. Your girlfriend just happened to find you . Thankfully. Yeah. If she hadnt found you . I wouldnt be here. You would be dead . For sure . Definitely. I was dead when she found me. For ben park the storys gonna sound familiar. It started with a prescription for shoulder pain. In fact, he, in part, fits the profile of an overdose victim. Typically, they are male. They are in their 40s and 50s. They started with a prescription. And three years later, they were dead. Between the time he got his pain prescription and then had his overdose, ben started to become dependent. Started out with small, like, you know, vicodin and percoset but then, of course, those dont work as well, you eventually someday try oxycontin. At your peak, how much were you taking . Eight to ten in a day. And still function. Eight to ten 80s . Yeah. They are 10 to 15 times stronger than anything we used to have and i dont think that people fully appreciate how strong those medicines are. And they are longer and longer acting and thats part of the problem, too. Another. Another problem, these powerful painkillers were intended to treat end of life and you cancer pain, but see, those patients didnt live very long so there wasnt longterm data on what they would do to ben or to me or, frankly, to most people who now take them. They are being prescribed for all sorts of chronic pain problems with no data to suggest high doses of powerful painkillers are either safe or effective over the long term. When did you start taking opiates . Dr. Jane ballantine is an an these these yol gist at the university of washington. You had very good physical therapists. Ten years ago, while treating patients on high defense painkillers, she found something surprising. Not only with those patients not getting pain relief but the painkillers were, in fact, doing something that could best be described as the opposite, making patients more sensitive to pain. Its called hyperalgesia. So, more pain medications ultimately meant more pain. And that, of course, means, well, even more pain medications. Its easy to see the problem. The high hyperalgesia was so obvious in those patients that you could, for example, see that they couldnt bear the sheet on them or any intravenous stick was abnormally painful to them. You said that this has essentially been 20 years of failed experiment and that not many people are sort of supporting this anymore except forth die hards and the pharmaceutical industry. I would never suggest that we shouldnt continue to prescribe for those that are really helped by opiates, people who have a real need, but the way we do at the moment is actually harming more patients than it helps. Is the mcdonalds fphenomeno. You can go to the Emergency Department and get your pain relived immediately. [ male announcer ] a europeaninspired suspension, but its not from germany. A powerful, fuelefficient engine, but its not from japan. Its a car like no other. From a place like nother. Introducing the allw 2013hevrolet malibu, our greatest malibu ever. Ooh baby, can i do for you today . [ female announcer ] need help keeping your digestive balance . Align can help. Only align has bifantis, a patented probiotic that naturally helps maintain your digestive balance. Try align to help retain a balanced digestive system. Try the 1 gastroenterologist recommended probiotic. Align. Former president bill clintons familiarity with pain killers goes took when he lived in the white house. Have you ever been prescribed a medication like this . Well, i did take some painkillers when i tore my 90 of my quadracep, but i tried to be very careful and i was in a lot of pain. And years after leaving the oval office, he once again would need pain pills. He and his doctors were cautious. After my heart surgery, you know, i hurt pretty bad for three weeks so i got some medicine, but i really tried to get off it as quick as i could and my doctors were really good about it, you know, telling me, take this if its killing you, but be careful. Poison center this is rosie. Be careful, its warning that might prevent call after call pouring in here at the Washington Poison Center. Poison center, this is debra. I wasnt getting pain relief and i took too many oxycodone. I, took, um, five tenmilligram oxy codense and im feeling really shaky, light headed. Im just nervous. For the most part this hasnt been recognized as a National Phenomenon or a National Problem as well. Not recognized among the general population and also not recognize among the medical community . Exactly. They had no idea that this combination of medications could lead to their death, and in many cases, their doctors dont recognize the risk to those patients. So how did we quietly become a country inundated with pain pills . Some believe it all began when pain was designated the fifth vital sign. When you talk about vital since, typically, someone gets their body temperature measured, their heart rate, their respiratory rate and their Blood Pressure, but the results of this push to say the fifth vital sign is pain. Never forget about asking someone about their pain. You think that fueled this or helped drive this . I do. I think physicians around year 2000 started to get pushed to better manage pain. And the physicians in our culture, that means give out more medication. So pain becomes a vital sign. Laws are passed liberalizing the use of opiods. Doctors prescribe the drugs for legitimate reasons but for chance could be treated with milder medications or therapy. The result, we proscribe enough pain pills to give every man, woman and child a dose every four hours for three weeks. Remember, 80 of the worlds opioids are used by americans. 80 . Choose surprise you . I didnt know that. No. People think i have got a headache, my elbow is or sore whatever. I dont want to mine mize there are a lot of people who live courageous lives in constant pain but theres no question since we represent 5 of the worlds people we got no business popping as many pills as we do. Why is this you think, such a distinct american phenomenon . We like things to happen quickly an instantaneously. Its the mcdonalds phenomenon. You can drive through and get your food immediately. The same things, you can go to the Emergency Department and get your pain relived immediately. Immediate relief but very little education to the dangers. And lots of questions about the longterm use of opioids. A concern i put to john cast tell lan know. He is president and ceo of the pharmaceutical research and manufacturers of america, which represents and lob boys on behalf of drug manufacturers. Do you know of any studies that actually show people taking narcotics for longer periods of time, other than that would be associated with end of life care or terminal cancer and having positive, consistent results . We do know the feedback we get from patients and physicians and is where parents are able to manage pain, with their physician, they are able to manage their chronic and acute pain, they have better lifestyles. They have a more robust life. But remember, there is no good Scientific Data on the effects of longterm use of highdose opioids. Do you think we prescribe too many pain medications in this country . I cant answer that. That has to be a decision between patients and their doctors. Are these medications adicktive or not . Narcotics . Everything i know is that they are if they are misused. If they are used properly, they are not. Problem is miscues eust is rampant n 2010, about 12 million americans reported using painkillers without prescription or medical need that number, every 19 minutes, someone died. N or medical need that number, every 19 minutes, someone died. Painkillers without prescription or medical need that number, every 19 minutes, someone died. The challenge, of course is to stop misuse, addiction or death without cutting off a lifeline. Life starts to lose some of its meaning when youre in chronic pain. I have seen her curled up in a fetal position for hours. Try running four. Ning a restaurant is hard, fortunately weve got ink. It gives us 5x the rewards on our internet, phone charges and cable, plus at Office Supply stores. Rewards we put right back into our business. This is the only thing weve ever wanted to do and ink helps us do it. Make your mark with ink from chase. [ male announcer ] this is karen and jeremiah. They dont know it yet, but theyre gonna fall in love, get married, have a couple of kids, [ children laughing ] move to the country, and live a long, happy life together where they almost never fight about money. [ dog barks ] because right after they get married, theyll find some retirement people who are paid on salary, not commission. Theyll get straightforward guidance and be able to focus on other things, like each other, which isnt rocket science. Its just common sense. From td ameritrade. Which was the most effective tooth that we have offered . Methadone. Hi, welcome back. Could you just tell me when your pain started . Well, actually started after i had my stroke. Hi, my name is eric hall. The university of Washington Center for pain relief is busier than ever. Most of my pain comes from laying down at night. Every single day, we see anywhere between 250 to 300 patients that you suffer from acute, postop operative, cancer around chronic pain. This is my favorite. Dr. Alex kahana is chief of Pain Medicine at the university of washington. It is all for the patient. This is not a clinic with doctors offices, it is for patients. He designed the center pore pain releave, he says, to be a welcoming, supportive environment for parent house struck toll live normal lives i. To make it you know, human to make it tender, to make it hospitable. When people ask me, is it hard . No, its not hard. Its a privilege to do that. It really gets to you you doesnt it . Yep. Youre taking more than we now consider a safe dose. Many of these patients are here because some physicians and legislators are trying to curb Washington States Prescription Drug overdose problem. Think this is the worst man made endimmic in history. Dr. Gary franklin is medical director for the state of washingtons department of labor and industries. When is the first time this even became an issue that you had noticed . By 2001, our claims managers were sending me cases of injured workers who had had a low back sprain and who were dead three years later from an unintentional overdose of prescribed opioids. It was the saddest thing i had ever seen. Sew took action, helping write guidelines that this year, became state law. It applies to noncancer chronic pain patients. It mandates prescriber education, treatment plans called pain contracts between physicians and parents and tracking of open yoid use. States dont do new laws reflecting best practices and universal precautions so opioids can be used safely and effectively this will never turn around. The Washington State law does have its share of critic, many of whom are patients dealing with pain right now. They are personally concerned about one provision. If a physician wants to provide daily dose of an opiate above a certain amount, he or she must First Consult with a pain specialist. The problem is there arent enou specialists. There arent enough pain docs in the world to take care of all the pain in king county, let alone seattle. Today on a scale of zero to ten what would you rate your pain as . That is why the center for pain relief is unanyone dated with referrals. Valerie edwards from sit ka, alaska. Why it organize telepain conferences in wit centers experts provide advice to patients. A 33yearold woman with joint pains i and you have got questions about, i think, diagnose sansd some treatment strategies. Many of whom are practicing in remote location. Her primary concern is just severe joint pain. We had, we had 50 dialins all over the country from sit ka, alaska, all the way to rochester, new york. Does she actually have swelling that you can see in her hand . One of the biggest fears about the new slaw that doctors, unhappy its requirement, will stop accepting or treating legitimate pain patients, that those with chronic conditions will be left without the care and the medications they need. Life starts to lose some of its meaning when you are in chronic pain. I have seen her curled up in the fetal position for hours, even crying at times. In tacoma washington, christie and burt, husband and wife are both in pain, his is caused by multiple sclerosis. My leg is constantly being electrocuted from the inside out. Hers caused by a car accident, 16 years ago. I was in a big old 77 chevrolet station wagon, bent it in half, i luked in my Rearview Mirror around i could actually see the woman putting you mascara on and i knew i was in trouble. You are slowing down or stop ted light. I was at a complete stop. I just saw her barrelling toward me, could i see she wasnt even looking at the light. Putting on mascara . Yep that i could see and she just plowed right into me. Unfortunately to this day i still have back issues because of it. Are you in pain right now . I am. Yeah. The pain medications make a huge difference, thank goodness. Without them, i dont think i would be able to work a fulltime job. But she says after the new state law passed, no doctor would treat her. How hard has it been to find doctors who give put medications you want . Since this law passed, its been incredibly difficult. I ended up calling multiple clinics i would call and say, first words out of your mouth, if you want payne medication, forget about it, were done. Christie believes that doctors are turning away patients because they see prescribing any pain medication as a risk, they see it as a potential violation of the law. Eventually she did get appointments and took along her medical reporteds to prove her need for pain killers. A lot of them didnt even look at them and were not inclined to prescribe me the medications i was on i just didnt think i could handle one more doctors visit and feeling like im being attacked and being treated as liar. Did these doctors essentially treat you as a drug addict . It felt that way it was very difficult and at a certain point, i almost gave up. Christie sauce her experience is not unique because she is a lawyer whose work includes cases of accidents and injuries. I have had numerous clients contact me saying i cant find a doctor, eastern in so much pain. Has this left some patient us in the lurch, made it harder for some patients to find doctors to will treat them . I think yes, in all honesty, the university of washington always saw patients that you the Community Felt uncomfortable seeing. Thats part of our mission. But dr. Kahana and dr. Franklin, believe the guidelines, First Published in 2007 as voluntary, are reversing the overdose epidemic their state. Between 2008 and 2010, we saw about a 20 decline in the state in the number of deaths. She says that her low back pain is at a zero intensity u ever its working. Its thats theres no question . No, not in my mind, at least. This helps me understand that we are on the right track you. Possible solutions for Washington State. But what about the rest of the country . Youre the chief of explaining things what do you tell the American People about this . [ male announcer ] introducing the new dell xps 12. Part of a whole new line of tablets from dell. Its changing the conversation. Olafs pizza palace gets the most rewards of any Small Business credit card pizza [ garth ] olafs Small Business earns 2 cash back on every purchase, every day helium delivery. Put it on my spark card [ pop ] [ garth ] why settle for less . Great businesses deserve the most rewards awesome [ male announcer ] the spark Business Card from capital one. Choose unlimited rewards with 2 cash back or double miles on every purchase, every day whats in your wallet . As we speak, someone died now, right now, from an overdose and thats snag has to change. Dr. Al lengths kahana at the university of Washington Center for pain relief says that change starts with a simple first step, spend time and listen to parents. How would you best describe this place . A place where we can actually sit and listen and understand what patients have. I thought ill never get out of this. It was 20 years that i had pain. Dr. Kahana believes better treatment and fewer unnecessary prescriptions will come from understanding a parents entire life experience. You have to start capturing the story of patients in a way that you can extract it and analyze it. This is your home screen. At the center for pain relief they do this through a system they call pain tracker. It starts with patients filling out a questionnaire before the appointment. I see a twopage report. I say, oh, mr. Smith, i see you have back pain since 12 years since you fell from a horse. I see youre sad. Youre worried and drinking maybe is a problem. And you say, oh, my god, someone who finally understands whats going on. And patients can even see the results tracked over time. But the question is there really time for these types of indepth conversations in Emergency Rooms . You guys are busy. Do you have time to be drilling down on pain issues when youre dealing with all the things you deal with . It may not be any longer than fiveminute, honest sitdown conversation, if they are really out there to save lives this is something we have to take the extra five minutes for. Dr. Anderson walked me around a hospital in tacoma, washington. One of the first things you will notice here and every er in the state a reminder for patients of restrictions on how much pain medication they can be prescribed. Not only are we all playing by the same rules, we are also now all communicating with one another. This is being done through a statewide database it provides a patients history of visits to the Emergency Departments in the last five years as well as other vital information. In some cases, it might even show care guidelines, like this particular physician has said no narcotics should be issued through the Emergency Department because they are on a Pain Management contract. If Something Like this didnt exist, the scenario is somebody could come to one emergency room, possibly get a prescription for payne medication and maybe even the same day, go to another emergency room and get a prescription for pain medication that could happen . Thats happened for years. So pharmacies here also share data. We now have a Prescription Monitoring Program through every pharmacy in the state of washington that allows me to see every prestricted medication thats been written in the last year for this patient. There are other states with similar databases but they are not all connected. And an effort is well under way to try to create a National Information exchange with the support of the pharmaceutical industry. We are part fwherg the National Association of pharmaceutical boards on the creation of the interconnect program, which will be a national database, so a subscribing physician can know what an individual parents history is. Congress has considered creating a similar federal system to track prescriptions but that effort has been stuck in legislative limbo. We are gonna have to make a decision to save ourselves, to save our families. Battling this overdose endepp sic a daunting challenge. Do you think it is fixable . Sure. We like our pain pills in our country. Think this is fixable. I think now just bringing this will have a corrective impact. Nobody is suggesting we stop prescribing narcotics. Dont take pills not prescribed for you dont mix drug prescription alcohol and never take more than the prescribed dose. Youre the chief of explaining things what do you tell the American People about this . I would say we are going to start a National Conversation about this but you need to have one in your family. You need to have one in your place of woreship. You need to have a one in your place of work. You need to make sure your kids talk about it in school. We need to understand that it is a good thing to alleviate pain. It is a bad thing to kill people for abuse of those alleviation. In a nation overblow flowing with so many s,