How to Make Garlic Oil Ear Drops for Ear Infections & Ear Aches

How to Make Garlic Oil Ear Drops for Ear Infections & Ear Aches


Have you ever had an earache in your life? This pain has been described by many as unbearable. It’s very common in children, but it can
happen at any stage of life. This pain generally affects people in different
ways. You may feel a burning sensation or pressure
in your ear that may be accompanied by headaches. This pain can be due to an infection, injury,
blockage in the ear canal, allergies, or colds. Often, your body heals itself after a while. Depending on what’s causing your earache,
there are some very effective home remedies you might want to try. Garlic, for example, is an ingredient that
has been used throughout history not only as a seasoning, but also to treat various
health problems. Due to its antiviral, antibacterial, and antifungal
properties, it has become a popular home remedy for earaches. Some studies performed with garlic oil have
proven that it effectively relieves ear pain and is even more effective than traditional
medicines. You can use garlic in two ways: The first is by using raw garlic. Take a clove of garlic, preferably organic,
wash it, and cut into small pieces. Put one of these pieces of garlic inside your
ear (not too deep) and secure it with a bandage so it doesn’t fall out. It’s recommended that you let it sit overnight
and only take it out on the next day. Another way to use garlic is by making your
own oil. Crush a clove of garlic and place it in a
spoon, then fill the spoon with olive oil. Heat the spoon over the stove and pour a few
drops of this oil on a small piece of cotton. Squeeze the cotton to remove the excess and
place it inside of your ear while it’s still warm. The cotton ball should cover the ear without
putting pressure on it. If, after the second time you try this remedy
you don’t get the expected relief, the best thing to do is to consult a specialist to
find the cause and a more appropriate treatment.

Natural Remedies For Yeast Infection Symptoms

Natural Remedies For Yeast Infection Symptoms


Natural Remedies For Yeast Infection Symptoms Generally yeast infections appear created by a sort of yeast known as Candida albicans Yeast is a toadstool that in general subsists in the vagina in whits.

Termites! (short story poem)

Termites! (short story poem)


“Hey, we will tax small businesses and little
grandmas too – and we will tax your neighbor and we’ll give
it all to you.” said he, the tiny termite in intimidating
clothes – but I was none the wiser and- that’s how this
story goes. “And then we’ll tax the smokers and the drinkers
and the fat – so would you have some int’rest in a program
such as that?” said he, the brazen termite with the velvet
tongue that flows – but I was none the wiser and- that’s how this
story goes. “And here’s another program that will pay
when you get old – so let us take your money now.” (‘A pittance’,
I was told). He brought some little friends along who lined
up straight in rows – but I was none the wiser and- that’s how this
story goes. “It’s just a little program that will help
when grandma’s sick- so let us take some money now.” …and wow,
they took it quick. And so the termites marched along but said,
“We won’t impose.” Oh, I was none the wiser and- that’s how this
story goes. “It’s just a ‘rainy day’ fund that’s for you
when unemployed- so let us take some money now. This tax, you
can’t avoid. And so, more termites gathered- and, in fact,
they came in droves – Oh, I was none the wiser and- that’s how this
story goes. “It’s just a little highway that will hurry
you to work- so let us take some money. Please don’t be
a stingy jerk.” And so, the termites led me by my twisted,
naive nose. Oh, I was none the wiser and- that’s how this
story goes. “It’s just a little food stamp that will feed
the little folk- so let us take some money now. They’re children.
It’s no joke.” And as the termites ate away, I didn’t once
oppose – for I was none the wiser and- that’s how this
story goes. “It’s just a little missile that protects
you during war- so let us take some money now. You’ll learn
what it is for.” And so the termites taxed and spent- and that’s
how ‘hot air’ blows – for I was none the wiser and- that’s how this
story goes. “It’s just to bail banks, et.al., who were
too big to fail- so let us take your money now or you will
go to jail.” And so the termites ate away. No arguments
arose. for I was none the wiser and – that’s how
this story goes. “It’s just the way it is that there’s no program
for your loan.”. They told me, “Just go run along”- that I
was on my own. And so the termites ate and ate at anything
they chose. I wish I’d been the wiser but- that’s how
this story goes. “It’s just a little program for your care
when you are sick- so let us take some money now and we’ll, your
doctors, pick.” And so the termites ate their fill. Now I’m
a slave to those – I wish I’d been the wiser but- that’s how
this story goes. “It’s just to pay for things you get- these
programs we design – so give us all your money now or we will levy
fines. And so the termites ate away and greater damage
shows. I wish I’d been the wiser but- that’s how
this story goes. “It’s just to pay entitlements and int’rest
on the debt- and you must pay the IRS- and yes, this is
a threat.” Then as they blamed us for this debt, they
stepped right on our toes – I wish we’d been the wiser but- that’s how
this story goes. They’ve mortgaged off our Nation’s Parks and
too, Miss Liberty. They’ve stripped her of her freedoms and her
every dignity. And then the fat ‘ol termites left, but where?
Nobody knows. I wish I’d been the wiser but- that’s how
this story goes. Those termite politicians? They took us for
a ride – with budgets in the trillions eating through
our countryside. And as they blame us for this debt, the ‘money
river’ flows – I wish we’d been the wiser but- that’s how
this story goes. Now who defends each ‘unborn child’ who has
to pay this debt – or lobbies for the ‘least of these’ before
they 18 get? They punch me squarely in the face- then curse
my bloody nose. I know I am the wiser now. That’s how this
story goes. This battle must be prudent as the termites
eat us poor. It isn’t what we asked for but it’s now a
civil war. We cannot run away from them and so our passion
grows – because we’re all the wiser now. That’s how
this story goes.

Como tratar vigas de madera contra la carcoma y xilofagos.

Como tratar vigas de madera contra la carcoma y xilofagos.


We explain how to treat wooden beams painted against woodworm, termite or wood decay The beams will try insecticide injection solution for injection pump will use a paint gun wagner w140p we have adapted by changing the nozzle This is the injector nozzle that will put the gun wagner Will remove the paint nozzle, but did not we get the dock. And we put the injection nozzle To make augeros to put the injectors will use a drill with a drill. female injectors We will make augeros for the injectors, at a depth of one third of the beams to be treated, and at a distance of about 30 cm from each other. Post the injectors with the hammer, taking care not to damage them We put the rest of the injectors and try to be on different aungulos. To manipulate and apply the insecticide take precautions and appropriate protective measures (gloves, goggles, splash suit) We prepare the insecticidal solution for injection with a dose of 1: 6 is specified by the manufacturer Xilix Sarpeco IC100 Inject until it overflows somewhere or this a reasonable time. We’ll also take some deep cracks insecticide. Injected in all beams We clean everything and we spend at least 48 hours to make this habitable. final notes Wood attacked by woodworm woodworm termites alate Differences between winged Termite and Ant Differences between termites and winged ants: Termites: have straight antennae, wings Abdomen same undifferentiated. Ants: You articulate antennas, different sized wings, differentiated abdomen. END

TERMITES?!(not clickbait)

TERMITES?!(not clickbait)


Welcome back to Hong Kong today. We’ll be talking about a few things, but let’s start with this colony They are not in fact Carebara Diversa(sorry for imcorrect info)), but they are any species of harvester ant called messer barbarus Now these guys feed mainly on the seeds but they do need some protein for the larvae and They live in ground nests that can go very deep so they’re extremely hard to dig up But this Colony course does not live in a naturalistic setup. They live in a form of carrion and In captivity. They should be left with enough space to store as many seeds as they need Look inside the nest you can see them Grabbing at the Seeds trying to crack them open and give themselves the Queen and some of the brood now for a quick quick quick update on our camponotus colony There’s not much change except They have lost a few workers due to an escape that happened when I was moving them, so we’re about three workers short now So I’m hoping that the Brood develops quickly Other than that there’s really nothing for me to update you on these guys. I got some amazing footage of these ants Locking jaws which is very cool. Must have been feeding each other or something. TROPHYLLAXIS And remember that Queen a couple of weeks back that Was in the test tube I’ve identified it. It is a Paki condylar Queen Very semi claustral which means that to hunt while raising their nanoethics or their first worker What could this shadow be It looks like something really big and powerful Looming over the ground. It is a giant Chinese mantis Just look at the size of those Claws and look at those serrated teeth things on the claws. I really wouldn’t want to be grabbed by this guy Now what I’m about to show you will make use probably scream at me saying get them out of your house Well these are the infamous Termites These guys are very famous for the structural damage. They can do to people’s homes This is the fact that their diet consists mainly of wood But don’t worry the ones I caught are mainly Termites that eat damp and rotting wood, so they will not do any damage even if one or two escaped But I wanted to try keeping these guys and I believe I have caught a secondary reproductive because I saw a couple of eggs being moved around in there and They’ve already started to excavate tunnels Now Remember last week I asked you guys to vote on the camponotus nest egg. Well the natural set up in the tub won out I’ll be updating you guys on that next week Thank you for watching this video, hope you enjoyed it Leave a like if you enjoyed this video it really means a lot to me and Today since it’s a holiday in the weekend I will be uploading two things on this video as the ordinary video and I’ll also be uploading a document to retype video and Yep so subscribe to my channel if you haven’t already by clicking my icon in the bottom corner and Check out some other videos peace out

Shellshock Code & the Bash Bug – Computerphile

Shellshock Code & the Bash Bug – Computerphile


This line of code is the Shellshock exploit and I’m using it here to check whether my system is vulnerable to the [Shellshot] bug which some would say is even more damaging than heartbleed I’m using the echo command to print out some text And I’m passing this into the [shellshock] Exploit so that if the system is vulnerable it will print out and vulnerable to the screen and as we can see on here It’s printed out vulnerable, so this system is vulnerable so this system now I’m logged [into] is on our local network [whereas] this one is my local laptop and has been perhaps so if I execute the code on here It doesn’t print vulnerable because the machine isn’t vulnerable shellshock is a bug in a program called bash now [for] those of us who use Unix-like systems such as bSD osx Solaris and of course Linux Sorry GönüL Enix will be very familiar with this program it is what’s called a shell? Now Unix-like systems are primarily command line based in similar to those if you remember Dos on [Pcs] before that and the command prompt that you get in windows so bash Itself is a [gue] new reimplementation of a shell that was developed by Steven born in the late 70s He developed and it’s documented in this technical report from Bell systems the bourne shell is named after himself which was an improvement on the original thompson shell one of the big benefits of the shells in Unix as well as enabling you to Interpret commands for you type in you can write what are called? Shell scripts now a shell script is just a series of commands that are placed into a text file that you can then execute to Do useful things, so this is a script I wrote to check my mail every time I logged in all it is is a series of Standard Unix commands that are executed in Order and it does some postally on the output of these commands to tell me either that I have known you mail Or how many messages I have I wrote the script when I was an undergraduate here? And it’s been running on the system’s ever since Now this script is quite useful because it shows us some of the more advanced [features] of bash One of the examples of this is that we can set Variables in bash one of the other things we can do is create functions And just like a function in a programming language is a series of things you can execute and call several times Bash scripts allow us to Define functions that we can call several times within our bash script do something useful [you] can also pass variables down from one program [into] any program that it calls these are referred to as environment variables, so this example We’ve got the term variable which is set to say this is a 16 color x term any Program can look at that and see what type of terminal it’s on and then generate the correct Codes to say set the color to be red If it’s possible [you] can also create functions that can then be passed in to bash on the environment And it’s this ability to create environment functions as they’re called this is being exploited in the shell shock Exploit so for instance. We could create a function called hello, and we put in the opening and closing bracket a curly brace [now] We can put in the commands that we want to execute in this case echo Hello computer file, and if we then pass that into a new instance of bash When we type hello note the misspelling has deliberate? It executes those like commands and in this case prints out hello computer file What people realize with the shell [shock] book is that after that definition of the function if you put a semicolon? after [this] function definition which to bash means Those more commands to come and then put in some extra commands say like echo. Hello Brady Then when we start this bash starts executing them because it’s no longer as part [of] the function it just starts executing them it says Hello, Brady, even [though] I’ve never told bash directly to do that Now why is this an export? It’s a bug but why is this x politically? I could have just typed echo hello brady at the keyboard and had exactly the same effect [the] problem Is that shell scripts are very much uses the glue on Unix systems to stick everything together so the environment variables are passed around from? Process to child process all the time and uh normally normal things like what terminal are you running on? What’s the current user? What’s the current directory if we set one up that contains our malicious code? Eventually something will run bash and as well as running the code that’s checking for our emails because bash is buggy It’ll run this extra. Bit of code of ours as well Where this becomes a real problem is when environment variables are used to pass things into systems that perhaps we don’t even have access to So a common example of this be a web server [the] other thing we want to be careful Is that bash is used on lots of systems for example nas boxes? Smartphones [and] [so] on so they all should be patched as well to make sure that there’s no lurking exploits on systems You perhaps didn’t think about? so Yeah We’d like to thank audible.com for sponsoring this computer valve video if you go to audible.com slash computerphile You’ll find loads of books to choose [from] and there’s a chance to try one out for free today. I’d like to recommend how we got to now by Steven Johnson [it] looks at some of the things we’ve come to rely on in Modern life like spectacles and fridges and Wi-Fi for instance Hedy Lamarr the movie Star had a hand in the underlying Technology that drives Wi-Fi and Bluetooth who knew so check out how we got to now go over to audible.com slash computerphile Try a book out for free. Thanks once again to them for sponsoring this video So it’s a bit like panning for gold we stick our Metaphorical sieve into the mud we pull out things and we’re shaking it [around] occasionally, [or] we pull out is much just random data We can’t decipher, [but] [occasionally] pull out and we start together, and we get those gold nuggets. [so] we’re interested it

Input consistency & heavy car bug – Rocket Science #19

Input consistency & heavy car bug – Rocket Science #19


Hey guys, HalfwayDead here with another episode
of Rocket Science. In this one, we’re going to explain input
consistency, run experiments, discuss how to optimize it, and show how the experiments
could be used to test heavy car bug. Let’s get this topic started. Why would you or anyone care about the topic
of input consistency? Let me illustrate this with this simple example:
My car is positioned a short distance away from the ball, standing still. I want to get a powerful shot, so I will accelerate
with boost, jump, tilt back, and dodge forward. There is an optimal timing of all the steps
in this routine which will maximize the power of the shot. Finding the correct approach shall be a topic
of a future video. However, what I want to discuss here are the
things, that can get in the way of executing this shot perfectly, even if you know how
to do it. The most obvious and, one would hope, the
biggest influencer of the execution is the human. Even when knowing how to hit a powerful shot,
any human can easily mess up the corrects timings by a couple 1/100ths of a second. But it isn’t the only culprit in this equation. The input device can also make a difference. I’ve already mentioned this in my controller
input lag test and I’ll further elaborate on the testing scenarios later but a device
with only 100Hz polling can cause a deviation of up to 10 ms. And regarding wireless controllers, I have
previously measured up to 20 ms deviations due to wireless interference or weak signal
strength. And lastly, we also have the game. Now to set the record straight, Rocket League
physics are deterministic. That means, if the same inputs get used in
the same physics step, the outcome will be identical every time you repeat the same inputs. There are still reasons for why that timing
could get messed up though, even if the human and input device have done their job perfectly. The game only checks the state of the inputs
every frame, but the physics run at an independent rate, which can create alignment inconsistencies. The same kind of alignment can also happen
if the framerate is not in sync with the polling rate of the input device. I’ll explain that later. Let’s get back to the human aspect. As always, I didn’t want to just state the
obvious, that humans are not perfect. I wanted data. I wasn’t able to find quite what I wanted
online so I set up my own experiment. I opened up and wired up my mouse to connect
it to my Arduino. A necessary step, to make sure the machine
error of the measurement is basically 0. What I did then, was to turn a metronome to
120 BPM and tapped along with the beat, measuring the times between each button press. The expected time is 500 ms and that was pretty
much exactly my average. The interesting part, however, is obviously
the consistency. In this case, the standard deviation. It was just below 15 ms in my case. A short note here: While I have played the
piano since I was 5, and would expect myself to be above average at this kind of exercise,
I didn’t feel like I was able to replicate the same consistency that I can when playing
a piece of music. Therefore, I think that this is not the human
limit of timing accuracy, but it is a data point to start with, and I was also interested
in confirming whether the average timing fits a normal distribution, and it does. But how does the polling rate tie into this? To figure that out, I can take the measurements
and treat them as if they were made at a lower polling rate. The result seems rather uninteresting at first
sight. Even with a polling rate of 100 Hz, which
is the lowest of any common controller that I’m aware off, the inconsistency only increases
by 0.3 ms or 1.8% compared to 1000 Hz. That is a good sign and makes sense if you
consider that some professionals are using the DS3 at the highest level of play, but
I also said that 100 Hz polling could screw you over by almost 10 ms and that is still
true. Let’s say you pressed the button 501 ms after
the previous press and you barely missed the polling window of the controller. As a result, your input will be sent after
510 ms, making it 9 ms worse than it was. But, and that’s a big but, the exact same
thing can also make your input 9 ms better if you pressed the button too early after
491 ms. In the end, this effect will save you as much
as it will screw you over, but the average inconsistency only goes up slightly because
the options are more extreme. It should be noted that if you go as low as
50 Hz or even lower, the inconsistencies will start to get significant quite quickly. In the same sense, someone with better timing
accuracy than me might be limited by 100 Hz polling already. Earlier, I said that there are other technical
reasons for why inputs might be inconsistent. Those are best shown by going over the entire
input process from the button press to physics. In this example, we’re going to assume that
we wanted and managed to press down a button for exactly 50 ms. Our controller shall have a polling rate of
250 Hz, so it polls every 4 ms. 50 ms / 4 ms=12.5, it doesn’t divide. We can only have a 48 ms or 52 ms button press. Which scenario happens, is decided by the
timing of the button press within the 4 ms window. We can assume those micro timing alignments
to be random. In this case a 50/50 chance for either scenario. Then we have the game, running at a stable
144 FPS. The game checks the inputs every frame, so
it’s going to check every 6.94 ms. 48 ms / 6.94 ms=6.91. Which gives 91% chance for the input to last
7 frames and a 9% chance to last 6 frames. In the 52 ms input case, it could last either
7 or 8 frames. The physics in Rocket League, however, get
calculated independently of the framerate with 120 ticks a second. Apply the same kind of math we did it in the
last step and you get the end result. There are 3 scenarios. Either the game calculates the physics as
if you pressed the button for 5 ticks, approximately 42 ms, 6 ticks, 50 ms, or 7 ticks, 58 ms. The odds of registering the intended 50 ms
are only 67% and the other two scenarios are 16% each. Had we capped the framerate at 120 FPS instead,
having it at exactly the same rate as the physics, we would have a 76% chance for exactly
50 ms. Any multiple of the physics tick rate will
outperform any other framerate in terms of consistency. This may sound more dramatic than it is until
you calculate that with my inconsistency data earlier, I would only be able to hit the perfect
tick 22% of the time. The example was also assuming perfectly stable
framerate which is unlikely. So far, we have seen why achieving 100% consistent
inputs is basically impossible. But can we actually measure these effects
in a test and see how it affects gameplay. A theory means nothing unless it holds up
in an experiment. This is the part which took me the longest
to make. You might think it’s easy, just create a macro
with any gaming software and run it over and over again. Sadly, it’s not. The accuracy of these ranges from completely
inconsistent to usable in some tests. Unfortunately, when the whole purpose of the
experiment is to measure consistency, then slight inconsistencies are already unacceptable. So I went back to my trusted Arduino. It has a microcontroller that allows me to
connect it to the PC just like any real gamepad. The only difference is, that I am free to
program it exactly how I want. So I got to work and wrote some code that
allows me to not only to run macros on the Arduino but also simulate polling rates and
other inaccuracies. Then, I set up the shot from the initial example
I gave at the beginning of the video. To ensure maximum baseline consistency; I
took a couple of steps. Rocket Labs map, lowest graphics settings,
closed down every program I didn’t need, and maximum performance mode in Windows, so the
processor doesn’t use it’s power saving features. I also locked the framerate to 240, a multiple
of the physics tickrate, that I was able to reach in a very stable manner. Then I let the experiment run for as much
time as was feasible. For the baseline experiment that was almost
6000 shots which takes over 4 hours. The results are better than I expected to
be quite honest. The default shot I set up was 3041.75 uu/s
and it happened 91% of the time. Within the entire test, not a single shot
was below 3008 uu/s and not a single one above 3062 uu/s. That’s a difference of less than 2 km/h or
barely over 1 mph. Still rather uninteresting on its own so let’s
go on to the comparisons. First, I varied the polling rate default 1000
Hz, 250 Hz, 125 Hz, and 100 Hz. The percentage of perfectly consistent macros
is 91%, 67%, 47%, and 26% respectively. In the macro, there are obviously multiple
actions that have to be done at exactly the correct timing relative to each other. So those 26 % are most definitely better than
the 22% human quota I said earlier. The worst case shot strength for all polling
rates below 1000 Hz was also an additional km/h lower. In my controller input lag test, I measured
that, despite the lower average input lag of the DS4 in wireless mode, the input consistency
was a little worse. Other wireless controllers tended to have
a slightly lower consistency too. With the latency distribution data I collected
back then, I can now simulate what using a wireless DS4 would be like with my Arduino. The result is kinda interesting, but it makes
sense. The amount of times the perfect frame timing
is hit is 78%, as opposed to the 67% in the 250 Hz wired case. However, that is not the full story, which
I think is best shown in visual. Most of the time, the higher polling rate
saves the controller and makes it more consistent, but wireless is never 100% stable and you
can get these spikes which have bigger impacts on actual gameplay than the polling rate will
ever have. I’d personally rather have small inconsistencies
often, than bigger inconsistencies rarely, but you can make an argument to justify either
cable or wireless. What else can we test? Well obviously framerate. I’ve made a big deal out of matching the framerate
with physics, so I have to back that claim up. I tested a couple of framerates but for the
main comparison I went with 144 since it’s bigger than 120 and one that people commonly
use. To make sure this doesn’t just come down to
a bit of randomness, the experiment was also run for over 4000 shots. The amount of perfectly consistent shots went
down to 68% instead of 91%. But, I hear you say, isn’t that just the lower
framerate in general? It is not. With 120 FPS the result was the same again
as 240. In fact, a tiny bit better but that is likely
just down to randomness because I didn’t test it as long. I also unlocked the framerate completely,
causing the framerates to go up to around 600-800. As framerates approach infinity, the theory
predicts that the syncing starts getting irrelevant, but I was still able to measure a 5% drop
in consistency here. More concerning are the results that happen
below 120 FPS. At 60 FPS the intended shot happened exactly
0 times, and there is a good explanation for that. If I wanted to start boosting, and then stop
boosting 9 physics ticks later, that is literally impossible. Since the game only checks the inputs every
frame, all actions will last an even amount of physics ticks. That means the intended macro cannot be executed
perfectly. In a sense, the 60 FPS case was still consistent,
because there were basically only 2 different results that happened a combined 95% of the
time. Those 2 results have a speed difference of
4 km/h though, which makes that gap bigger than any of the worst results that happened
at higher framerates. Because of that, you’ll always want as high
of a framerate as you can get if you can’t get at least 120. These results are interesting but in real
situations, you’re probably not going to get that stable of a framerate. The reason I did most of the tests this way
is that introducing inconsistencies will also make the experiment results more random. Regardless, I did want to check whether any
of this is relevant when the framerate isn’t as stable. So I did test exactly that, by putting a Twitch
livestream and a youtube video on my second monitor, left all my usual apps like Spotify
and Discord open, and put the graphics settings to the maximum. The frame graph looked like this. So, very inconsistent but it does still hit
the capped framerate quite a bit. Obviously, if you never reach the capped framerate
then the cap is irrelevant. So I did this with 240 and 144 FPS, and the
results are quite clear. The perfect shot with 240 unstable FPS happened
slightly more often than with stable 144 FPS. Unstable 144 FPS was 30% worse. Stable 144 FPS is of course still better than
unstable 240 FPS, because getting a big stutter will really screw you over. That wasn’t the point of this experiment though. So all I had left to do, is try it myself. I got the intended shot, you guessed it, 0
times in 500 tries. Obviously, I can’t imitate a macro, but we
can once again look at the visuals to see something interesting. First, let’s go with the best case scenario
I had. This shows, that if RL is running as well
as it can, you should never blame the game for missing. The 144 FPS unstable experiment had some major
stutters from time to time, and those can be just as bad as your own whiffs. Personally, I thought the 60 FPS stable experiment
was most interesting though. If you line up my good shots with those results,
you’ll see that if you just take my good shots, they vary no more, if not less. That would explain why no one who has played
120+FPS likes going back down. There are just these shots, where you felt
like you did well, but it doesn’t go exactly as expected. But I’m probably starting to interpret a bit
too much here to call it science. Feel free to draw your own conclusions. TL;DW. What can you do to get the maximum consistency? First: Get the best PC you can, so you have
enough horsepower to run the game at a stable high framerate. Second: Get an input device with the highest
possible polling rate that is wired, if feasible. Third: Cap your framerate at 120 or 240 FPS. The latter will have a little lower input
lag, but it’s basically irrelevant for consistency. Fourth: Optimize graphics settings and power
options to tweak performance. Is your framerate stable? Congratulations, you have done all you could
and now you don’t have any excuses left when you miss the ball, Whoops. This leaves another question open though. Is there anything Psyonix could do? Since the physics aren’t tied to framerate,
there are indeed options. I got Bakkes to write me a piece of code that
would read the inputs directly to the physics ticks, skipping visual frames. My all so smart idea turned out really stupid
when I found out that the physics ticks, are always queued relative to visual frames and
therefore calculated at irregular intervals, even though they act as if they are calculated
at regular intervals. Ergo, the result is identical. There is a still a possibility to get more
consistency through an input buffer. I’m not gonna explain in detail what it is,
but it would increase input lag in order to improve consistency. I might try that out in a future video if
people are interested and ask players to test it in freeplay to see if they like it. Psyonix tends not to experiment and give us
too many options, so I don’t have the highest hopes of ever seeing it in the game. If you’re only here because of heavy car bug
and you still watched all the way, then I applaud you for trying to understand everything
I talked about so far. I shall make a short explanation of what I
understand as heavy car bug and how this video relates to it. Quite a long time ago, some players started
to complain about Rocket League on Reddit and the official forums, stating that the
control of their car felt inconsistent, shots felt weak, and or their cars were outright
turning or moving slower. Moreover, a distinction that I like to make,
although I think some people are split on this, is that the bug only happens sometimes
or it only happens on a specific account. If you don’t have anything to compare to,
after all, there is no way for you to know if the inconsistencies you’re feeling are
out of the ordinary or even your own fault. So with that out of the way, here is the problem. No one has been able to reliably reproduce
this change in game behaviour and it’s supposedly independent of such proven inconsistency factors
as unstable framerates. There have been a large number of suggestions
on possible causes of the symptoms as well as fixes in the past, but for some, it never
seems to go away. First, I want to get into some of the causes. Very often, I have heard that the physics
actually change when hcb happens. That is essentially impossible in online games. The server and your computer calculate the
physics independently and if your cars turning radius on your computer was wrong then the
server would send a different location and you’d get moved to the correct location. I could also talk about how I test the physics
every patch to make sure they stay the same, but that is obviously only proof that it is
that way for me. But there is a heavy car bug Discord where
many affected people have been doing a lot of tests with the help of some Psyonix developers,
and as far as I’ve understood it, they have ruled out actual physics changes. Another suggestion is input lag. Delayed inputs can feel horrible and I myself
would never like running on a TV with high input lag. The problem with this suggestion is, that
you can obviously have high input lag, but that it isn’t necessarily Rocket Leagues fault. I have already made lots of videos, explaining
and measuring different causes of input lag. Once again the people in the testing Discord
have already been trying to measure the input lag Rocket League causes through code. If you’re still suspicious, my external testing
setup could be reproduced with about $40-$50 which would allow testing your input lag and
confirming that it stays constant. So if it’s neither the physics nor the input
lag, then it must be that inputs are not reaching the correct physics ticks. For which I suggest using a setup such as
the one I had in this video. If the macros can get consistent inputs but
you can’t, it must be your fault. If the data shows anything suspicious, then
you have something to work with that might help fix the issue. So my suggestion is, that you can contact
me and I will help you order and setup these tests on your own computer if you want to. I do hope, that if there are a lot of people,
I can refer you to those that have already done it, so you can help each other. Before you go and contact me, I want you to
seriously consider that, because it will be some work and the setup isn’t completely free. I personally do think it’s either a visual
bug or a placebo. I’m not just gonna state that though. I’m going to give you 2 completely free experiments
to do right now, that might convince you. First one is just an anecdote to counter some
of the heavy car bug related statements I’ve heard. In the workshop map called “The Wall” there
is a tight turn at the very beginning of level 4. It is possible to get through that turn without
powerslide while boosting from the start. Though, if you try for the first time you’ll
likely fail. The only way to do it is to pre-steer before
you can see where you’re going. Why am I showing you this? I think I’ve heard the statement “See how
quick squishys car moves? My car is always slower.” one too many times. The top players are able to make turns and
twists just in time because they have already given the input way before you think about
it. When a player lands perfectly on the wall
after they’ve flipped into the ball, it is because they have done the right inputs before
their flip was even over. Enough about that, the more interesting experiment
is the second one. It’s pretty simple, just go into an exhibition
match with the slow-mo mutator and play that for 30 minutes straight. Alternatively, you can use BakkesMod to create
slow-mo in freeplay. When you go back to normal speed after playing
slow-mo for that long, you’re gonna feel like it’s way too fast. It’s a great example of a placebo fooling
your brain into thinking something is too fast or too slow. And you’re not immune to this because you
have x thousand hours. I hope no one who thinks the bug is real takes
this personally. I don’t have proof that it isn’t, but I could
never prove that unless I tested all the computers all the time. Please, do not take this as an insult. It doesn’t matter who you are, our minds can
be fooled. Science has never accepted a feeling as proof
and I will not believe that this is a real bug until I have seen evidence that shows
it. Before I inevitably cause too many dislikes,
I shall end it. Shoutout to my patrons who continue to support
me financially. Without them, videos like this one would be
impossible. If you want to join the supporters for as
little as $1 you get a vote on topic priority and a guaranteed reply to your questions. If you want to stay up-to-date about RL changes
and the channel, follow me on twitter, or join my discord, and I’ll see you soon for
the next video.

The Stoler Report – Battling the Opioid Epidemic – Part 1/2

The Stoler Report – Battling the Opioid Epidemic – Part 1/2


♪ [THEME MUSIC] ♪>>>YOU KNOW WHAT KILLS PEOPLE? MORE PEOPLE DIE FROM THE OPIOID EPIDEMIC THAN FROM AUTO ACCIDENTS. THIS IS THE PROBLEM THAT WE HAVE IN THE COUNTRY. AND THIS PROBLEM HAS TO BE EXPLAINED TO THE POPULATION. AND TODAY, IN A TWO-PART STOLER REPORT, WE WILL DISCUSS THE EPIDEMIC IN THE OPIOIDS. MY GUESTS WILL INTRODUCE EACH ONE OF THEMSELVES.>>HI. MY NAME IS ELAINE POZYCKI AND I AM CO-CHAIR OF THE PARTNERSHIP FOR DRUG FREE NEW JERSEY.>>AND — >>AND I HAVE A NONPROFIT CALLED PREVENT OPIOID ABUSE, AND IT’S JUST TO GIVE THE PUBLIC INFORMATION AS TO THE DANGERS OF TAKING OPIOID PAIN MEDICATION. >>ANDREW.>>MY NAME IS DR. ANDREW KOLODNY. I AM THE CO-DIRECTOR OF THE OPIOID POLICY RESEARCH COLLABORATIVE AT BRANDEIS UNIVERSITY. AND I AM ALSO A CO-FOUNDER AND THE DIRECTOR OF PHYSICIANS FOR RESPONSIBLE OPIOID PRESCRIBING.>>OUR PROSECUTOR.>>HI MICHAEL. JOE CORONATO, I’M THE OCEAN COUNTY PROSECUTOR.>>ANGELO VALENTE, I’M THE EXECUTIVE DIRECTOR OF THE PARTERSHIP FOR A DRUG FREE NEW JERSEY.>>I’M STEVE WHITCOFF. I’M HERE TODAY BECAUSE I LOST MY SON ANDREW TO A OPIOID OVERDOSE ON AUGUST 14TH, 2011. >>EVERYONE HAS BEEN TOUCHED BY OPIOIDS WHETHER THEY HAVE SEEN IT OR HEARD OF IT. WHAT ARE WE DOING TO PREVENT IT? THE STATE OF NEW JERSEY HAS TAKEN MAJOR INITIATIVES RIGHT? THE NEWEST PROGRAMS CHRISTIES’ PUT THROUGH A NUMBER OF THEM.>>GOVERNOR CHRISTIE HAS SIGNED 21 BILLS THAT IS GOING TO PROTECT OUR COUNTRY, AND OUR STATE FROM OPIOID ABUSE. ONE OF THEM IS THE NOTIFICATION BILL. WHICH WE ARE VERY PROUD THAT HE SIGNED AND WE FEEL THAT THIS IS A VERY GOOD FIRST STEP IN TO ADDRESSING THE EPIDEMIC, AND IT STARTS AT THE GRASSROOTS WHERE THEY ARE GOING TO GET THE PRESCRIPTION FROM A DOCTOR, A NURSE OR A PRACTITIONER THAT IS ABLE PRESCRIBE THIS. WHAT HAPPENS IN THE BILL. THE PRESCRIBER HAS TO EXPLAIN TO THE PATIENT OR THE PARENTS OF A PATIENT THAT WHAT HE IS ABOUT TO PRESCRIBE IS ADDICTIVE AND THERE’S AN ALTERNATIVE TO AN OPIOID AND HE HAS TO EXPLAIN WHAT IT IS AND IT HAS TO BE MARKED IN THE CHART. WE WOULD LOVE THE SEE IT GO NATIONWIDE, WE FEEL IT’S THE FIRST STEP TO PREVENTION.>>HOW ARE WE TRYING TO TAKE CARE OF THIS EPIDEMIC?>>WE ARE TALKING ABOUT STRATEGIES TO CONTROL THE PROBLEM. IT’S GOOD TO DEFINE THE PROBLEM.>>LET’S DEFINE THE PROBLEM.>>I WOULD DEFINE OUR OPIOID CRISIS AS OPIOID ADDICTION, AND WHAT I MEAN BY THAT, THE REASON THAT THE UNITED STATES IS EXPERIENCING HISTORICALLY HIGH LEVELS OF OVERDOSE DEATHS AND THE REASON WE ARE SEEING HEROIN AND FENTANYL FLOOD INTO NONURBAN AREAS, THE REASONS WE’RE SEEING A SOARING INCREASE OF INFANTS BORN OPIOID DEPENDENT, CHILDREN IN FOSTER CARE, AND OUTBREAKS OF INFECTIOUS DISEASES THE DRIVER IS A LARGE INCREASE IN THE NUMBER OF AMERICANS SUFFERING FROM THE CONDITION OF OPIOID ADDICTION. WE HAVE SEEN A 900% INCREASE SINCE 1997, IT’S THIS INCREASE IN ADDICTION THAT’S LED TO THE CRISIS.>>THIS INCREASE IS IT CAUSED DUE TO THE PHYSICIANS PRESCRIBING TOO MUCH? IS IT CAUSED DUE TO THE PHARMACEUTICAL COMPANIES THAT ARE MAKING OUTRAGEOUS SUMS.>>SO THE CDC HAS BEEN VERY CLEAR ABOUT THE CAUSE OF OUR EPIDEMIC AND WHAT THEY’VE SHOWN VERY NICELY WITH DATA IS THAT AS THE PRESCRIBING OF OPIOIDS BEGAN TO SORE, BEGINNING IN THE MID-90S, THAT AS THAT PRESCRIBING WENT UP, RATES OF ADDICTION AND OVERDOSE DEATHS WENT UP RIGHT ALONG WITH THE INCREASE IN PRESCRIBING. THE REASON THE MEDICAL COMMUNITY STARTED TO PRESCRIBE OPIOIDS SO MUCH MORE AGGRESSIVELY HAS A LOT TO DO WITH PHARMACEUTICAL COMPANIES MARKETING. IN THE MID-90S WHEN PURDUE PHARMA LAUNCHED OXYCONTIN IT RELEASED THAT DRUG WITH A BRILLIANT MARKETING CAMPAIGN THAT MISINFORMED THE MEDICAL COMMUNITY. STARTING IN THE MID-90S DOCTORS BEGAN HEARING THAT WE WERE UNDER PRESCRIBING OPIOIDS AND PEOPLE WERE SUFFERING, AND THE RISK OF ADDICTION WAS OVER BLOWN AND THE STATISTIC WAS LESS THAN 1% OF THE PATIENTS WILL EVER GET ADDICTED AND WE DID NOT JUST HEAR IT DIRECTLY FROM THE DRUG COMPANY, WE BEGAN HEARING IT FROM OUR PROFESSIONAL SOCIETIES, FROM PAIN SPECIALISTS, WE HEARD IT FROM THE HOSPITALS, WE HEARD IT FROM THE JOINT COMMISSION, WE HEARD IT FROM THE STATE MEDICAL BOARDS FROM EVERY DIFFERENT DIRECTION, YOU BEGIN HEARING IF YOU ARE AN ENLIGHTENED PHYSICIAN, YOU WILL BE DIFFERENT FROM THOSE STINGY PURITANICAL DOCTORS OF THE PAST WHO ARE LETTING PEOPLE SUFFER. YOU’LL UNDERSTAND THAT OPIOIDS ARE A GIFT FROM MOTHER NATURE AND SHOULD BE PRESCRIBED MORE LIBERALLY. AS WE RESPONDED TO THIS BRILLIANT CAMPAIGN AND THE PRESCRIBING TOOK OFF, IT LED TO A PUBLIC HEALTH CATASTROPHE.>>THE PUBLIC HEALTH CATASTROPHE IS PREDOMINANTLY IN THE WHITE COMMUNITY RIGHT? WHY IS IT HAPPENING IN THE WHITE COMMUNITY?>>I BELIEVE IT’S ALL DRIVEN BY PRESCRIPTION PILLS. AND I THINK THE WHITE COMMUNITY HAS BETTER ACCESS TO PRESCRIPTION PILLS AND PLANS. WHEN I BECAME A PROSECUTOR FOUR YEARS AGO, WITHIN THE FIRST WEEK OF BECOMING THE PROSECUTOR I HAD EIGHT OVERDOSES IN SEVEN DAYS. I HAD ONE YOUNG GIRL, A BLONDE GIRL IN BRICK WHO WAS 18 YEARS OLD WHO DIED IN A MOTEL ROOM WHO WAS DOING 50 PACKS OF HEROIN A DAY, 25 IN THE MORNING AND 25 AT NIGHT. I WAS NOT SURE WHAT I HAD GOTTEN IN TO. WHEN I LOOK AT THE NUMBERS IN OCEAN COUNTY, BACK IN 2012, WE HAD 56 PEOPLE DIE FROM HEROIN OVERDOSES, IN 2013 WE HAD 112, IN 2014 IT WENT DOWN TO 101 BECAUSE WE STARTED USING NARCAN BUT THEN IN 2015 IT WENT UP TO 118 AND NOW WE ARE UP TO 2016, IT WAS 209 DEATHS IN OCEAN COUNTY. AND I THINK THE DOCTOR HIT THE NAIL ON THE HEAD, IN THE SENSE THAT IT NOT ONLY HEROIN, IT’S FENTANYL.>>THE REASON IT SO WHITE, IT HAS TO DO WITH EXPOSURE AND SOMETHING THAT HAS BEEN STUDIED AND PROVEN OVER AND OVER AGAIN, IS THAT IF A PATIENT IS BLACK, THE DOCTOR PRESCRIBES NARCOTICS MUCH MORE CAUTIOUSLY, IF THE PATIENT IS BLACK THE DOCTOR MAY BE MORE WORRIED ABOUT THE PATIENT GETTING ADDICTED OR MORE WORRIED ABOUT THE PATIENT SELLING THE PILLS. IF THE PATIENT IS WHITE, THEY ARE PRESCRIBING AS IF THERE’S NOTHING TO BE CONCERNED ABOUT. WHAT I THINK MAY BE HAPPENING IS THAT RACIAL STEREOTYPING IS HAVING A PROTECTIVE EFFECT ON NONWHITE POPULATIONS.>>WHY IS IT THAT NEWSPAPERS TODAY, PROMOTING MORE DISCUSSIONS ON THIS?>>I THINK WHAT IS HAPPENING, IS THAT EVERY NEIGHBORHOOD AND EVERY COMMUNITY IS BEING IMPACTED. YOU KNOW, THERE’S NOT A FAMILY OR A COMMUNITY THAT HAS NOT BEEN IMPACTED BY THIS DISEASE THAT WE HAVE IN THE EPIDEMIC, SO, I THINK THAT THE STIGMA, THAT MIGHT HAVE BEEN, WHAT MANY PEOPLE MIGHT HAVE BEEN DEALING WITH FOR MANY YEARS IS REALLY STARTING TO DO BREAK DOWN AND WE ARE STARTING TO UNDERSTAND IT’S A DISEASE LIKE ANY OTHER DISEASE AND WE HAVE TO TREAT DISEASE AND WE HAVE TO BE ABLE TO SUPPORT THOSE THAT NEED SUPPORT AND MOST IMPORTANTLY, IT’S A CULTURAL CHANGE AS WELL, WE HAVE TO UNDERSTAND THAT WE ARE CHANGING THE WAY THAT THE MEDICINE FIELD IS INVOLVED IN THIS AND CERTAINLY WE NEED TO GET EVERYONE INVOLVED. >>YEAH, BUT THE ACCESS, OKAY, YOUR SON, STARTED THIS, DID HE HAVE AN ACCIDENT? I KNOW YOUR SON HAD A SPORTS ACCIDENT.>>MY SON HAD A ROTATOR CUFF OPERATION AND WAS GIVEN OXYCONTIN, AND AFTER THE OPERATION, THEY GAVE HIM EXTRA FOR HIS PHYSICAL REHABILITATION AND AFTER HE FINISHED. IT WAS — HE FINISHED THE PILLS IT WAS AT THAT TIME THAT HE BECAME ADDICTED. >>WHAT ABOUT YOUR SON? >>SO, MY SON TOOK OXY FOR THE FIRST TIME, MICHAEL IN HIS FIRST FRESHMAN YEAR OF COLLEGE WHEN HE JOINED A FRATERNITY AND I THINK THEY GOT IT FROM A PILL MILL AND HE WAS->>SO IT WAS MORE OF A PEER PRESSURE.>>NO DOUBT. AND I REMEMBER THE FIRST TIME THAT HE CALLED ME AND TOLD ME HE HAD A PROBLEM. HE DETOXED IN A BED WITH ME. WITH 105 FEVER, BECAUSE HE, HE WAS IN FULL WITHDRAWAL FROM IT. I WAS AS SURPRISED AS ANYBODY. I WOULD HAVE NEVER EXPECTED THAT MY SON WOULD HAVE GRAVITATED TOWARDS THAT. I JUST THINK THAT PEOPLE DON’T HAVE THE FEAR THAT THEY SHOULD OF HOW DESTRUCTIVE THIS DRUG IS. IT IS THE KILLER. IT KILLS.>>SO THAT’S EXACTLY RIGHT. THERE WAS A TIME IN COLLEGE, IF DRUGS CAME AROUND, IF SOMEBODY BROUGHT HEROIN TO A PARTY, YOU WOULD LOOK AT THEM LIKE THEY WERE CRAZY. IF IT WAS MARIJUANA, YOU WOULD MAYBE TAKE IT OR YOU WOULDN’T. YOUNG PEOPLE DO NOT DO A GOOD JOB OF EVALUAING RISK. MANY OF THE YOUNG PEOPLE THAT ARE HEROIN USERS IT BEGAN WITH PRESCRIPTION OPIOIDS AND MADE THE MISTAKE OF THINKING OF A PRESCRIPTION OPIOID AS A SOFT DRUG. IT WAS PRESCRIBED BY A DOCTOR, MAYBE IT WAS IN MOM’S MEDICINE CHEST. IT’S AFTER THEY ARE ADDICTED THAT THEY RECOGNIZE IT THE SAME THING AS HEROIN. IT DOES PRODUCE THE SAME EFFECT. THESE TWO STORIES BY THE WAY ARE REALLY THE WAY MOST YOUNG PEOPLE ARE ADDICTED. IT’S THROUGH MEDICAL USE OR RECREATIONAL USE OR COMBINATION WHERE THERE’S A BRIEF MEDICAL EXPOSURE FOLLOWED BY RECREATIONAL USE.>>SO WHAT HAPPENS WITH THE LEGALIZATION OF MARIJUANA? WHAT EFFECT DOES THAT HAVE? IT’S NOT LEGAL IN NEW JERSEY OR NEW YORK BUT I BELIEVE IT’S LEGAL IN MASSACHUSETTS NOW, COLORADO.>>THERE’S ALL KINDS OF COMPLICATIONS WHEN YOU LEGALIZE MARIJUANA. IN MY OPINION, IF YOU ARE GOING TO LEGALIZE MARIJUANA, I’M NOT SUGGESTING THAT YOU DO, YOU HAVE TO COME UP WITH A HARD AND FAST NUMBER WHERE THE PERSON IS UNDER THE INFLUENCE OF THAT PARTICULAR DRUG, UNLESS YOU COME UP WITH A NUMBER THAT YOU CAN SAY THAT JUST LIKE THEY DO WITH ALCOHOL, BEING .08 OR .10 THEN I THINK YOU NEED TO DO THE SAME WITH MARIJUANA, YOU ARE GOING TO HAVE PEOPLE WITH ACCIDENTS AND PEOPLE WILL BE SMOKING. THE WAY I LOOK AT IT, ARE YOU GOING TO WANT YOUR TEACHERS TO PARTY THE NIGHT BEFORE THEY ARE TEACHING YOUR CHILD IN SCHOOL THE NEXT DAY. DO YOU WANT YOUR NURSES OR YOUR PHYSICIANS OR YOUR BUS DRIVERS OR TAXI DRIVERS. THE BOTTOM LINE IS, IF YOU ARE GOING TO LEGALIZE MARIJUANA, I FORESEE IN MY CRYSTAL BALL, THERE’S GOING TO BE MORE TESTING, URINE TESTING AND DRUG TESTING, VOLUNTARY OR AT LEAST CONTRACTUALLY TESTING TO MAKE SURE THE INDIVIDUALS ARE NOT UNDER THE INFLUENCE WHILE THEY OPERATE OR PERFORM THEIR TASKS. >>WHAT IS THE STATE OF NEW JERSEY TODAY WITH REGARD TO RECREATIONAL?>>AT THIS POINT IN TIME THE LEGISLATURE IS LOOKING AT SEVERAL BILLS THEY HAVE NOT PASSED ANY BILLS THAT WOULD LEGALIZE MARIJUANA AT THIS POINT.>>YOU KNOW, LOOK, THE BOTTOM LINE IS, MARIJUANA IS DIFFERENT. IT STAYS IN THE SYSTEM A LOT LONGER THAN THE OTHER DRUGS THAT YOU HAVE. SO, THE FACT IS, THAT YOU CAN TEST SOMEBODY AND THEY CAN STILL HAVE IT, BUT THEY COULD HAVE SMOKED IT THREE WEEKS AGO OR FOUR WEEKS AGO.>>IT’S NOT EVEN THE SMOKING TODAY. IN COLORADO, IT’S THE EDIBLES.>>ABSOLUTELY.>>THEY HAVE A WORSE EFFECT, THEY REALLY DON’T HAVE POTENCY.>>WE JUST ARRESTED A YEAR AGO, A MARIJUANA DEALER IN OCEAN COUNTY, WHAT GOT ME CONCERNED ABOUT IT, HE WAS TAKING THE STEMS OF THE PLANTS, REDUCING THEM INTO AN OIL AND THEN MAKING THEM IN TO JOLLY RANCHER CANDY AND SELLING THEM TO THE STUDENTS IN THE SCHOOL. AND AT THAT POINT IN TIME, IT BECAME, YOU KNOW, REALLY UNCONSCIONABLE NOT TO ARREST THAT INDIVIDUAL SO THE FACT IS, IT WAS A HUGE PROFIT IN IT FOR HIM TO BE ABLE TO DO THAT. BUT THE TOLL IT WAS TAKING ON THE YOUNGER GENERATION AND OUR FUTURE I THINK IS UNCONSCIONABLE IN THE SENSE THAT THAT THE EDIBLES AND IT’S JUST NOT LIKE YOU SAID, MIKE, THE SMOKING OF THE JOINT.>>HERE’S THE QUESTION. IT HAPPENED TO YOUR SON. MAY HAVE HAPPENED TO YOUR SON. BUT A LOT OF THESE, YOU START WITH OXCONTIN OR ANOTHER NARCOTIC. OKAY. AND THEN YOU GO TO HEROIN. I WAS READING, HEROIN IS A LOW-COST DRUG THAT YOU CAN GET CHEAP AND YOU CAN GET IT ON THE INTERNET. HOW DO PEOPLE LEARN ABOUT THIS?>>IT’S IMPORTANT TO UNDERSTAND, WE HAVE TWO GROUPS OF AMERICANS WHO IS ARE OPIOID ADDICTED, THE YOUNGER AND OLDER GROUP. THE OLDER GROUP ARE PEOPLE IN THEIR 40S UP THROUGH THEIR 80S AND 90S. THE OLDER GROUP IS DEVELOPING THEIR OPIOID ADDICTION ALMOST ENTIRELY THROUGH MEDICAL TREATMENT AND THEY ARE NOT SWITCHING TO HEROIN EVEN AFTER THEY ARE ADDICTED, THEY GENERALLY DO NOT FIND A HARD TIME FINDING DOCTORS WHO WILL CONTINUE THEM ON A LARGE QUANTITY. AND UP UNTIL VERY RECENTLY WE’VE ACTUALLY SEEN MANY MORE DEATHS IN THE OLDER GROUP THAT GETS PILLS MORE EASILY FROM DOCTORS. THE YOUNGER GROUP IS SWITCHING TO HEROIN. THEY ARE DEVELOPING THEIR OPIOID ADDICTION THROUGH MEDICAL USE OR RECREATIONAL USE OR THROUGH A COMBINATION. THE OLDER GROUP, ONCE THEY ARE ADDICTED, THEY HAVE A HARD TIME MAINTAINING THE SUPPLY. IT’S NOT THAT DOCTORS AND DENTISTS DON’T WANT TO GIVE YOUNG PEOPLE A LOT OF PILLS. UNFORTUNATELY WE ARE TOO COMFORTABLE DOING THAT. THEY DON’T WANT TO GIVE HEALTHY LOOKING 25 YEARS OLD A LARGE QUANTITY ON A MONTHLY BASIS. SO THE YOUNG PERSON WHO IS ADDICTED AND NOW NEEDS TO MAINTAIN THEIR SUPPLY. AND ONCE YOU’RE ADDICTED YOU’RE NOT USING BECAUSE IT’S FUN, YOU HAVE TO KEEP USING TO KEEP FROM FEELING AWFUL. THAT YOUNGER GROUP WINDS UP ON THE BLACK MARKET. THE PILLS ARE VERY EXPENSIVE ON THE BLACK MARKET SO AS YOU SAID, THEY ARE SWITCHING BECAUSE HEROIN IS CHEAPER AND WHAT WE HAVE SEEN HAPPEN OVER THE PAST 20 YEARS AS THE EPIDEMIC HAS GOTTEN WORSE, WE HAVE SEEN IT MOVE IN TO MORE REGIONS OF THE COUNTRY WHERE IT WAS NOT PREVIOUSLY AVAILABLE TO MEET THE DEMAND FOR IT BY THE GROWING NUMBER OF YOUNG PEOPLE WHO ARE OPIOID ADDICTED, STARTING IN 2011, THE HEROIN SUPPLY BECAME MORE DANGEROUS, IT HAS ANOTHER DRUG MIXED IN TO IT, THAT IS MANY TIMES MORE POTENT THAN HEROIN. AND THEN, IN SOME CASES, FENTANYL IS BEING SOLD AS HEROIN AND SINCE 2011 IN THIS YOUNGER HEROIN USING GROUP, WE HAVE SEEN AN ENORMOUS INCREASE, A SKYROCKETING IN OVERDOSE DEATHS THAT IS CAUSING THE PROBLEM.>>WHERE IS THIS HEROIN COMING FROM?>>WELL, HEROIN USUALLY, AT LEAST IN NEW JERSEY, BY US, IS COMING BY WAY OF MEXICO. THAT’S WHERE MOST OF THE HEROIN IS COMING. THE BIGGEST MAKER OF HEROIN, I GUESS, IS AFGHANISTAN, AROUND THE WORLD. BUT THE HEROIN THAT WE ARE GETTING, ACCORDING TO THE DEA, HERE IN NEW JERSEY AND NEW YORK, IS PRETTY MUCH THROUGH MEXICO. BUT I THINK THE DOCTOR HIT THE NAIL ON THE HEAD, IT ALL ABOUT MONEY, WHEN YOU CAN’T AFFORD THE PRESCRIPTION PILLS AND THEY’RE COSTING YOU $25 DOLLARS->>WHAT ABOUT THE LAWSUITS THAT TOOK PLACE A COUPLE OF YEARS AGO? IT WAS BROUGHT UPON TO PURDUE PHARMA. IT WAS $630 MILLION WAS THE SETTLEMENT.>>SO, THAT LAWSUIT FOCUSED ON THE SPECIFIC WAYS THAT PURDUE PHARMA PROMOTED OXYCONTIN. IT WAS A MISBRANDING SUIT. AND BECAUSE THEY GOT IN TO TROUBLE FOR PROMOTING THE OXYCONTIN FORMULATION AS LESS ADDICTIVE, THEY WERE NOT ABLE TO KEEP MAKING THE SAME CLAIMS ABOUT IT AFTER THE LITIGATION. BUT THAT LITIGATION MISSED THE BULK OF WHAT THEY HAVE DONE TO CAUSE OUR EPIDEMIC AND BECAUSE IT DID NOT REALLY GET AT THE ROOT OF THE PROBLEM, THEY WERE ABLE TO CONTINUE PROMOTING OPIOIDS IN THE SAME WAY THAT THEY HAD. WHAT LED TO THE EPIDEMIC WAS NOT THE WAY THEY PROMOTED OXYCONTIN, IT WAS THE NONBRANDED ASPECTS OF THEIR CAMPAIGN. IT WAS CONVINCING THE MEDICAL COMMUNITY TO FEEL COMFORTABLE WITH OPIOIDS AS A CLASS OF DRUG. THEY BENEFITED MOST FROM THE CHANGE IN PRACTICE BECAUSE THEY HAD THE NEW BRANDED PRODUCT. THE WORST THING THAT THEY DID WAS TO MAKE DOCTORS FEEL THAT OPIOIDS ARE NOT ADDICTIVE AND THAT THEY ARE EFFECTIVE FOR DAILY LONG-TERM USE. >>SO, HOW DO WE EDUCATE THE DOCTORS TODAY?>>WELL, WE HAVE, IN NEW JERSEY HAVE STARTED A SERIES CALLED DO NO HARM. WHAT WE DO, WE BRING TOGETHER THE MEDICAL COMMUNITY, ALONG WITH EXPERTS IN THE FIELD AND WE SHARE WITH THEM, RESEARCH. WE SHARE WITH THEM INFORMATION. WE SHARE WITH THEM PERSONAL STORIES AND WHAT WE HAVE FOUND AND WE HAVE EDUCATED ABOUT 3,000 PHYSICIANS AND DENTISTS OVER THE LAST SEVERAL YEARS, IS 90% IN ATTENDANCE DISCUSS THAT AFTER THEY COMPLETED THE PROGRAM, THEY ARE GOING TO CHANGE THEIR PRESCRIBING HABITS. WE KNOW IN MANY CASES DOCTORS ARE JUST NOT AWARE. THEY ARE NOT AWARE OF THE SERIOUS AND IN MANY CASES DEADLY CONSEQUENCES OF WHAT THEY ARE PRESCRIBING.>>WHAT IS THE NEW RULE, WITH REGARD TO THE NUMBER OF DAYS THAT THEY CAN PRESCRIBE — >>THAT WAS PART OF A PACKAGE THAT WAS PASSED BY THE LEGISLATURE IN NEW JERSEY AND SIGNED IN TO LAW BY THE GOVERNOR. IT LIMITS THE FIRST PRESCRIPTION TO FIVE DAYS FOR AN OPIOID IN THE STATE FOR ACUTE PAIN AND REQUIRES DOCTORS TO TAKE A CONTINUING EDUCATION CREDIT EACH YEAR, AND WHAT IT DOES, IT GIVES PEOPLE ACCESS TO TREATMENT WITHOUT HAVING TO GO THROUGH A WHOLE PROCESS. ONCE THEY NEED TREATMENT, IF THEY ARE COVERED BY INSURANCE IN THE STATE OF NEW JERSEY, THEY WILL GET ACCESS TO THE TREATMENT AND FINALLY WHAT IT DOES, IT FORCES THE PRESCRIBER, WHETHER IT’S A DOCTOR OR DENTIST TO HAVE A CONVERSATION WITH THE PATIENT.>>SO, HERE IS A DOUBLE QUESTION, AS I WAS SAYING, EMERGENCY ROOMS, YOU HAVE URGENT CARE CENTERS, YOU HAVE ALL OF THE SITUATION OVER THERE, YOU ARE AN ACTIVE CITIZEN IN THE COMMUNITY, STEVE. HOW ARE YOU, BECAUSE I KNOW YOU ALWAYS GET INVOLVED. HOW ARE YOU TRYING TO EMPHASIZE THE PROBLEMS WITH THE EPIDEMIC TO LEGISLATURE AND FRIENDS IN NEW YORK STATE?>>WELL, IN MY SON’S CASE, HE WAS CLEAN FOR NINE MONTHS AND THEN HE WAS CONNECTED TO A DRUG DEALER BY A WEBSITE IN THE UNITED STATES OWNED BY THREE MAJOR UNITED STATES CORPORATIONS AND THIS WEBSITE IS NOW PROTECTED BY THE INTERNET COMMUNICATIONS ACT. SO TO ME, THIS PANDEMIC, THIS EPIDEMIC, HAS SO MANY DIMENSIONS TO IT. IT’S ABOUT THE TREATMENT, ABOUT GRIEF CONTROL, AND THE WRECKAGE THAT IS LEFT BEHIND FOR FAMILIES LIKE MINE AND ELAINE’S. IT’S ABOUT U.S. CORPORATIONS THAT BACK WEBSITES THAT ARE BACKED WHERE OPIOID DEALERS ARE PUT TOGETHER AND THIS IS NOT THE DARK WEB, NOT A SILK ROADS CASE. THIS IS THE REAL WEB. PROTECTED BY A CONGRESSIONAL ACT CALLED THE INTERNET COMMUNICATIONS ACT. THERE’S SO MUCH TO BE DONE IN THE FIELD AND IT’S PART OF THE REASON THAT I THINK EVERYONE WAS EXCITED TO COME HERE TODAY, IT NEEDS TO BE TALKED ABOUT.>>NEW JERSEY IS VERY PROACTIVE. WHY AREN’T THE OTHER STATES? IN ALL OF MY READINGS I DON’T SEE TOO MANY STATES BEING THAT PROACTIVE?>>WE ARE STARTING TO. I THINK FOR MANY YEARS AND NOT JUST STATE GOVERNMENTS, BUT ESPECIALLY THE FEDERAL GOVERNMENT REALLY NEGLECTED THIS PROBLEM. PRESIDENT OBAMA DID AN AWFUL JOB. HE PAID NO ATTENTION TO THE CRISIS UP UNTIL HIS LAST YEAR IN OFFICE. HE DID NOT SEEK FUNDING FOR THE PROBLEM. DID NOT SPEAK PUBLICALLY. IN HIS LAST YEAR HE DID START TO DO THE RIGHT THINGS. IN FACT, HIS RESPONSE TO THE OPIOID CRISIS, IN MANY WAYS WAS LIKE RONALD REAGAN’S RESPONSE TO THE AIDS EPIDEMIC. RONALD REAGAN DIDN’T SPEAK ABOUT IT UNTIL THE LAST YEAR IN OFFICE AND PEOPLE BELIEVE IF REAGAN HAD ACTED MORE FORCEFULLY TO THE AIDS EPIDEMIC, IT MAY NOT HAVE GOTTEN AS BAD AS IT DID. THERE’S BEEN A NEGLECT OF THE PROBLEM. WHAT WE HAVE SEEN FROM THE FEDERAL GOVERNMENT WERE MANY OF THE WRONG THINGS. THE FOCUS FOR THE FIRST 15 YEARS AS THE PROBLEM WAS IDENTIFIED WAS ON STOPPING SO-CALLED NONMEDICAL USE OR ABUSE. IF YOU LOOK AT THE PUBLICATIONS THAT WERE COMING OUT OF THE FEDERAL AGENCIES THAT TACKLE DRUG ABUSE, IT WAS ALL FOCUSED ON STOPPING KIDS FROM GETTING IN TO GRANDMA’S MEDICINE CHEST. THE IDEA IS WE HAVE PEOPLE WHO WANT TO ABUSE THE DRUGS BUT WE HAVE PEOPLE WITH PAIN THAT NEED THEM. LET’S NOT DO ANYTHING THAT WOULD RESULT IN LESS PRESCRIBING BECAUSE THAT WOULD PUNISH THE PAIN PATIENTS FOR THE BAD BEHAVIOR OF THE DRUG ABUSERS- NO ONE WAS LOOKING AT THE FACT THAT THERE WAS OVER PRESCRIPTIONS.>>YOU BROUGHT UP A VERY INTERESTING TOPIC WITH REGARD TO THE MEDICINE CHEST. WITH ALL THE RESEARCH IT DOES SAY THAT PEOPLE GET HOOKED ON THIS BECAUSE THEY WERE PRESCRIBED IN THE PAST. THEY MAY BE IN THE MEDICINE CHEST. THE YOUNGER ADULT SEES IT AND THEY TAKE THE PILL. THEY GET STUCK AND BECOME AN ADDICT.>>THE FOCUS WAS ON KIDS GETTING IN TO THE MEDICINE CHEST, NO ONE WAS ASKING WHY DOES EVERY GRANDMA NOW HAVE IT HER MEDICINE CHEST. WHY ARE THE DOCTORS OVER PRESCRIBING AND NOW YOU ARE STARTING TO SEE STATES AND THE FEDERAL GOVERNMENT BEGIN TO PAY ATTENTION TO THE OVER PRESCRIBING.>>IT ALL STARTS WITH THE CHILDREN WHEN THEY GET SICK, WE TAKE THEM TO THE DOCTOR AND WE WANT A PILL TO MAKE THEM FEEL BETTER. NO MATTER WHAT, THERE’S A MAGIC PILL THAT SOLVES THE PROBLEM. WHEN YOU HAVE DOCTORS PRESCRIBING 30 DAY SUPPLY OF OXYCONTIN, PERCOCET, VICODIN, AND IT SITS IN THE CABINET, IT’S NOT A BIG DEAL FOR A KID TO GO IN AND TAKE FOUR OR FIVE PILLS. NOBODY COUNTS THE PILLS IN THE CABINET. WHEN THEY CAN SELL IT IN THE SCHOOL FOR $20 A PILL, BEFORE YOU KNOW IT, THEY ARE A DRUG DEALER AND ONCE THEY ARE LOSE THAT SUPPLY THEY GO TO GRANDMA AND GRANDPA’S HOUSE AND FRIEND’S HOUSES AND LOOK IN THE MEDICINE CABINETS AND TAKE ONE OR TWO PILLS. THE BOTTOM LINE IS WE AS A SOCIETY, THE FAMILY IS BEING ATTACKED AND I THINK THE GOVERNMENT NEEDS TO TAKE A LOOK AT IT HARDER.>>NEXT WEEK, WE WILL CONTINUE THE DISCUSSION AND TALK ABOUT THE DARK WEB AND THE CENTERS THAT ARE TAKING CARE OF THE PEOPLE FOR REHAB AND NOT DOING A GOOD JOB. JUST LIKE TO THANK ELAINE, ANDREW, JOE, ANGELO AND STEVE AND WE WILL BE BACK NEXT WEEK. ♪ [THEME MUSIC] ♪