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A panel and Q&A among providers and clinicians on the Portland opioid crisis and implementation of medication assisted treatments (MAT) into primary care in the last part of this CareOregon MEDS Ed seminar. This session of CareOregon Pharmacy’s MEDS Ed program focuses on the science and use of medications as best-practice for the treatment of opioid and alcohol use disorders; Distinguishing the barriers and myths about recovery treatment from evidence and effective treatment; Understanding the guidelines for effectively navigating high-risk patient referrals with a special focus on coordination between behavioral health and primary care; planning next steps to support further implementation and improved access of MAT in our network. Watch the rest of this seminar: Part 1: https://youtu.be/sQXRm_RWkSQ Part 2: https://youtu.be/nvq3t0Oxdb8 Part 3: https://youtu.be/DRv8wD_jNdc Part 4: https://youtu.be/d1fi-ynPnhE Part 5: https://youtu.be/BFHtM51ikYc Part 6: https://youtu.be/frkZ5oxVpug Part 7: https://youtu.be/ZTziWgL6_Ss Effective Substance Use Treatment: From Stigma to Tipping Point– A MEDS Ed seminar Recorded on October 12, 2018 at CareOregon, Portland, OR. FEATURED SPEAKERS • Paul Lewis, MD, MPH – Multnomah County Health Officer • Andrew Mendenhall, MD, DABAM, DABFM – Senior Medical Director, • Substance Use Disorder Services – Central City Concern • Alison Noice, MA, CADC III – Deputy Director, CODA • Amy Jo Cook, Community Paramedic – Clackamas Fire District #1 • Dan Hall, Community Paramedic – AMR • Anthony Cheng, MD – OHSU South Waterfront • Stacie Andoniadis, Primary Care Innovations Specialist – CareOregon • Tanya Kapka, MD, MPH – Metro Medical Director; Network and Clinical Support – CareOregon SLIDES “Effective Substance Use Treatment: From Stigma to Tipping Point” (PDF) - http://bit.ly/112718-SUD-MEDS-Ed-Slides PROGRAM DESCRIPTION MEDS Ed is an ongoing education series by CareOregon’s Pharmacy team. It’s geared to health care professionals involved in direct patient care at community clinics. Attendees leave with valuable tools and insights that improve how they can contribute to multi-disciplinary teams. Each three-hour MEDS Ed session examines a disease state that highly impacts patient quality of life, requires complex management, and may lead to increased emergency department visits and inpatient stays. Speakers include pharmacists and clinicians from the community and from CareOregon staff. For more information on MEDS Ed and future sessions: http://www.careoregon.org/providers/programs/MEDS-ed
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Zu PHALLOSAN forte: https://www.phallosan-forte.de/ Penisverlängerung: Das Ergebnis in puncto Penisverlängerung ist sofort nach der OP sichtbar und wird von uns fotodokumentiert. Wenn Sie den ersten Blick auf das Ergebnis werfen kann es jedoch sein, dass der Penis sich „vor Schreck“ etwas zusammengezogen hat! Das Ergebnis im OP entspricht nicht dem Ergebnis nach 3 Wochen und dem nach 3 Monaten. Warum? Die innere Narbenbildung führt zu einer gewissen Abnahme des Längengewinns. Die ersten zwei Woche nach der OP soll die Wunde erstmal in Ruhe heilen. Duschen können Sie zwar, aber jegliche aktive Belastung des Körpers sollte vermieden werden. Rauchen muss ebenfalls pausiert werden, da Nikotin die Wundheilung stört. Manuelle Distraktion: vom ersten Tag nach der OP an, sollten Sie beginnen, den Penis mit Zeigefinger und Daumen zu greifen und bodenwärts (also nach unten) zu ziehen. Nicht mit maximalem Zug, sondern eher wie bei einer Dehnübung bitte dann den Zug für 30-60 Sekunden nach unten halten und wieder lösen. Diese Übung 2-3x wiederholen. Dann können Sie wieder ein wenig Pause machen, sollten aber die manuelle Distraktion 10 mal pro Tag wiederholen. Nach 2 Wochen beginnt die sogenannte Distraktionsbehandlung mit dem Phallosan, welchen Sie von uns erhalten. Die Behandlung führt dazu, dass der Penis in der Heilungsphase „auf Länge“ gehalten wird, bis das Narbengewebe abgeheilt und die Narbe wieder weich ist. Der Phallosan bewirkt, dass der Penis einen axialen Zug bekommt, also idealerweise zum Knie hin (nach unten) „distrahiert“, also in die Länge gezogen wird. Bitte beachten Sie hierzu auch die beigefügte Abbildung (siehe Anhang!). Hierbei wird der Bereich des ehemaligen Haltebands auf Abstand gehalten und der Penis kann in seiner neuen Position einheilen. Die Distraktion ist 8 Wochen ca. 6-8 Stunden pro Tag (zum Beispiel über Nacht) zu tragen und kann dann – sofern die äußere Narbe weich geworden ist – beendet werden. Denn wenn die äußere Narbe weich und geschmeidig ist, ist das Narbengewebe innen ebenfalls weich und geschmeidig und es braucht den Phallosan nicht mehr, um das stabile Ergebnis zu halten. https://praxisklinik-rosengarten.de/beratungsgespraech-vereinbaren
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