ADAI UW
ADAI UW
  • 83
  • 84 279
2024 ADAI Symposium Panel: Reviewing the evidence: Cannabis use, schizophrenia & psychotic disorders
Morning panel from the ADAI Symposium on Cannabis, Schizophrenia, and Other Psychotic Disorders: Moving Away from Reefer Madness Toward Science, September 19, 2024.
Featuring:
Cannabis-induced psychosis and schizophrenia following cannabis legalization and commercialization in Canada - Daniel Myran, MD, MPH (Ottawa Hospital Research Institute, Canada)
Understanding causality between cannabis potency and psychotic experiences through longitudinal cohorts - Lindsey A. Hines, PhD (University of Bath, UK)
Lived experience testimony video #1
Gone to pot? The complex relationships between cannabis, cannabinoids and psychosis - Deepak Cyril D’Souza, MD* (Yale University)
Lived experience testimony video #2
For more information on the 2024 ADAI Symposium, visit adai.uw.edu/cerp/symposium-2024/
Переглядів: 158

Відео

2024 ADAI Symposium Panel: Clinical interventions to reduce cannabis use among at-risk consumers
Переглядів 69Місяць тому
Afternoon panel from the ADAI Symposium on Cannabis, Schizophrenia, and Other Psychotic Disorders: Moving Away from Reefer Madness Toward Science, September 19, 2024. Featuring: Recent advances in novel approaches to reduce cannabis harms among young adults - Jason Kilmer, PhD and Katherine Walukevich-Dienst, PhD (University of Washington) CannTalk: A brief intervention for discussing cannabis ...
2024 ADAI Symposium: Promising policies to reduce onset & progression of psychotic disorders
Переглядів 50Місяць тому
Final presentation from the ADAI Symposium on Cannabis, Schizophrenia, and Other Psychotic Disorders: Moving Away from Reefer Madness Toward Science, September 19, 2024. Featuring Beatriz Carlini, PhD, MPH, with moderators Marie Gray, MS , and Sharon Garrett, MPH, MA. For more information on the 2024 ADAI Symposium, visit adai.uw.edu/cerp/symposium-2024/
2024 ADAI Symposium Keynote: Cannabis use and psychosis: Past, present, and future
Переглядів 132Місяць тому
Keynote presentation from the ADAI Symposium on Cannabis, Schizophrenia, and Other Psychotic Disorders: Moving Away from Reefer Madness Toward Science, September 19, 2024. Featuring presenter Marta Di Forti, MD, PhD, King's College of London, United Kingdom and moderators Kristen Haley, BA and Beatriz Carlini, PhD, MPH For more information on the 2024 ADAI Symposium, visit adai.uw.edu/cerp/symp...
2024 ADAI Symposium: Opening Remarks
Переглядів 67Місяць тому
Opening remarks from the ADAI Symposium on Cannabis, Schizophrenia, and Other Psychotic Disorders: Moving Away from Reefer Madness Toward Science, September 19, 2024. Featuring Susan Ferguson, PhD, Director of the UW Addictions, Drug & Alcohol Institute (ADAI) and Beatriz Carlini, PhD, MPH, Director of the ADAI Cannabis Research & Education Program (CERP)
Insights into xylazine and other emerging issues in the drug supply in WA State
Переглядів 132Місяць тому
This webinar will answer frequently asked questions related to xylazine and other emerging issues in unregulated drug supply in WA State. -How often is xylazine detected in the WA State drug supply? -What does drug checking tell us about other drug supply changes? -How can harm reduction and other programs communicate to their participants about the drug supply? -What are best practices for car...
Substance use and permanent supportive housing: Results from the PerCH Survey
Переглядів 1682 місяці тому
What do permanent supportive housing residents think about drug use, overdose, where they live, and their service needs? Residents living in permanent supportive housing are at a higher risk to witness or have an overdose. To learn more about this group of people and substance use issues, ADAI Research Coordinator and UW MSW Student Saul Petersky conducted a survey of 188 residents in ten count...
Injectable Buprenorphine In Practice | UW-PACC June 2024
Переглядів 762 місяці тому
The Clinical Trials Network (CTN) PNW Node participated in two recent national CTN studies that used Brixadi, and we invited the clinicians involved in these studies to share their real-world experiences and lessons learned as part of the June 13, 2024 UW Psychiatry & Addiction Case Conference (UW-PACC). Return to Injectable Buprenorphine in Practice homepage: adai.uw.edu/ctn-pnnode/info-bites/...
Patient Engagement & Retention in Care | Nurse Care Manager Foundational Series
Переглядів 393 місяці тому
Learn how Nurse Care Managers can enhance patient engagement in medications for opioid use disorder. This includes how to foster a supportive and collaborative care environment, buprenorphine dose considerations, and practical tips for improving patient engagement. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Find more videos in this series: www.learnabouttreatment.org/for...
Addressing Ongoing & Return to Use | Nurse Care Manager Foundational Series
Переглядів 233 місяці тому
Guidance for Nurse Care Managers to support patients who continue or return to using drugs while on medications for opioid use disorder. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Find more videos in this series: www.learnabouttreatment.org/for-professionals/training-videos/ncm/ This training is funded by the State Opioid Response (SOR) grant from the Substance Abuse and...
OUD Care Management & Team-Based Care | Nurse Care Manager Foundational Series
Переглядів 93 місяці тому
Highlights the role of Nurse Care Managers in supporting patients engaged in MOUD treatment. Learn about team-based care approaches to expand access to MOUD. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Find more videos in this series: www.learnabouttreatment.org/for-professionals/training-videos/ncm/ This training is funded by the State Opioid Response (SOR) grant from th...
MOUD: Buprenorphine | Nurse Care Manager Foundational Series
Переглядів 333 місяці тому
Describes the use of buprenorphine for opioid use disorder, including an overview of sublingual and injectable formulations and approaches to starting the medication. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Find more videos in this series: www.learnabouttreatment.org/for-professionals/training-videos/ncm/ This training is funded by the State Opioid Response (SOR) gran...
Overview of Medications for Opioid Use Disorder | Nurse Care Manager Foundational Series
Переглядів 313 місяці тому
Overview of the three FDA-approved medications for opioid use disorder: methadone, naltrexone, and buprenorphine. Includes evidence supporting the medications’ effectiveness and the role of shared decision-making for choosing a medication. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Relevant resources: ADAI MOUD Brochure (English) from ADAI: bit.ly/MOUDBrochureEnglish ADA...
Opioid Use Disorder | Nurse Care Manager Foundational Series
Переглядів 263 місяці тому
Learn essential information about opioids, opioid dependence, and opioid use disorder. Presenter: Maureen Oscadal, MPH, BSN, RN, CARN, AMB-BC August 2024 Find more videos in this series: www.learnabouttreatment.org/for-professionals/training-videos/ncm/ This training is funded by the State Opioid Response (SOR) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), a...
Safe Supply: What is it, do people want it, and what impacts might it have?
Переглядів 2875 місяців тому
Safe Supply: What is it, do people want it, and what impacts might it have?
How to Find the Best MOUD Provider | Care Navigator Training Series
Переглядів 376 місяців тому
How to Find the Best MOUD Provider | Care Navigator Training Series
How To Build Your Resources List | Care Navigator Training Series
Переглядів 626 місяців тому
How To Build Your Resources List | Care Navigator Training Series
Introduction To Care Navigation | Care Navigator Training Series
Переглядів 1346 місяців тому
Introduction To Care Navigation | Care Navigator Training Series
Transforming Our Communities 2024: Holistic Care Models for People Who Use Drugs
Переглядів 1006 місяців тому
Transforming Our Communities 2024: Holistic Care Models for People Who Use Drugs
Transforming Our Communities 2024: Adolescents and Fentanyl
Переглядів 1116 місяців тому
Transforming Our Communities 2024: Adolescents and Fentanyl
Transforming Our Community 2024: Community Innovations for Field Buprenorphine Induction
Переглядів 806 місяців тому
Transforming Our Community 2024: Community Innovations for Field Buprenorphine Induction
Transforming Our Communities 2024: Grief and Loss Supports
Переглядів 516 місяців тому
Transforming Our Communities 2024: Grief and Loss Supports
May 2024 What's the Latest? Navigating Hepatitis C Care: Insights from WA State
Переглядів 426 місяців тому
May 2024 What's the Latest? Navigating Hepatitis C Care: Insights from WA State
Results from the 2023 WA State Syringe Services Program Participant Survey May 2024
Переглядів 1686 місяців тому
Results from the 2023 WA State Syringe Services Program Participant Survey May 2024
What's the Latest? Methamphetamine and Psychosis
Переглядів 9 тис.8 місяців тому
What's the Latest? Methamphetamine and Psychosis
Youth Substance Use Prevention Educations + Harm Reduction
Переглядів 6029 місяців тому
Youth Substance Use Prevention Educations Harm Reduction
What's the Latest? Drug Trends 2023
Переглядів 42611 місяців тому
What's the Latest? Drug Trends 2023
Drug Checking in WA State
Переглядів 21911 місяців тому
Drug Checking in WA State
Harm Reduction 101: from yesterday to today
Переглядів 488Рік тому
Harm Reduction 101: from yesterday to today
UW Substance Use & Addiction Research Open House, November 2023
Переглядів 111Рік тому
UW Substance Use & Addiction Research Open House, November 2023

КОМЕНТАРІ

  • @Setton1000
    @Setton1000 Місяць тому

    Guys, new methamphetamine psychosis just dropped!

  • @johnmausteller
    @johnmausteller Місяць тому

    Lack of being nutritionally sound , is the issue

  • @flamefox8989
    @flamefox8989 Місяць тому

    This was fascinating & no suprise to me after experiencing the full spectrum of cannabis induced psychosis & the happy results of giving up the drug. Governments across the world are only concerned with the dollar benefits of cannabis and not the nightmare mental health reality.

  • @johnhanaly2943
    @johnhanaly2943 2 місяці тому

    You need a better example for a meth abuser than one who is being poisoned. They're more likely to be doing the poisoning because they think meth is "spanish fly".

  • @johnhanaly2943
    @johnhanaly2943 2 місяці тому

    How about the poor patient who was as far as he knew not taking anything yet the crazy meth heads thought it was a good idea to put meth in his food for months without telling him. Meth heads do things like that.

  • @johnhanaly2943
    @johnhanaly2943 2 місяці тому

    I heard that negative methamphetamine experiences were the sometimes the result of how poorly it was prepared.

  • @indica8510
    @indica8510 2 місяці тому

    Methamphetamine presumed psychosis is from the biological change from early ephedra methamphetamine consumption that contained reduced photosynthesis it was a safe product and had a shield of reverse p2p secreted molecule to a plant modern methamphetamine synthesis doest have that it’s why it has a scattered energy field or psychosis produced symptoms from no photosynthesis. If someone uses a blue light to synthesis then uses they will track a red line but backwards red always gets some sort of rifle and pre second count to the required kill from the environmental architecture.

    • @indica8510
      @indica8510 2 місяці тому

      The environmental design will always choose that architecture because of primitive dna out of I think is Ethiopia the highest point of concentration and propaganda exposure during its run in the 1990s proves this, they used as far as I know iron and plant ingested mixture of ma hang prior to modern chemistry methods out of Asia possible prior to the last global cataclysmic events.

    • @indica8510
      @indica8510 2 місяці тому

      The red trait comes from snips or match heads aluminium bits of marijuana and scraped striker boxes that are boiled constantly at a consumed produce level to control methamphetamine and marijuana customers by mind control. These are filtered the water becomes the reaction mixture and the left over piece becomes an idol or a Baal. The attached chemical field from the smell release grows on the bones as the child ages and stays attached to that energy field. As introduced in the 1980s as mk ultra.

  • @dafinkadomuschieva8936
    @dafinkadomuschieva8936 3 місяці тому

    Very well explained! Great content.

  • @solar2000
    @solar2000 4 місяці тому

    I absolutely support this. This is an innovative and smart solution to the current overdose crisis. With what we know from Canada's pilots, we should make sure that if this moves forward, we need to provide enough drugs to individuals to provide them with what they need. If this means providing supervised pharmaceutical fentanyl consumption, then we must do this. The prescription model is the best way to address this population, I believe. I think partially-supervised would be best. Or like OTPs, patients can work up to unsupervised doses with normal prescriptions from the pharmacy after some time and some achieved stability.

  • @chris5483
    @chris5483 5 місяців тому

    From the perspective of someone diagnosed with a stimulant use disorder - the real challenge, that the CBT presenter noted, is that there is nothing as rewarding (high of a dopamine release) as crystal. So nothing can replace this which then makes the potential for relapse very high. It is a constant internal struggle to not even think about it each day or in dreams/sleep. Once you mix sex into it (chemsex) then that further complicates it as well. It is as if the human brain can part with it, but it cannot seemingly forget it subconsciously. If one could find a way to remove it from the subconscious and conscious minds and make it unconscious, and erase the memory or experience then perhaps it would be curable. But I think that until that were ever a possibility, one who has previously experienced this can only try and fight it daily to overcome it, but ultimately it then just becomes a mental game of winning or losing. It never seems to go away. And so that is what makes it so dangerous and permanent in a sense, even when not in active addiction. It hijacks a part of the brain that is essential for basic functioning at like an animal level: sex, sleep, eating and replaces the last two while in active addiction and with regards to sex, makes it so pleasurable that then sex or the process of seeking it then triggers the permanently damaged user for the rest of their life. The brain would need to be reset to however it was before certain experiences, surely the crystal use, as if it were like a computer or machine and you put it back into a default setting or mode. If that is not possible or discovered someday, then I do not think it is curable. One can learn to better manage it depending on their cognitive abilities and resources but it always poses a risk and potential for lapse and relapse. Neuroscience is useful, because we can reprogram the brain so to speak to better manage it, but the problem is the memory or experience itself that can seemingly not be undone without damaging the brain in ways that would erase things one does not want to have erased. It is very sad, because it ruins your experience in many ways even after you are able to manage or stop the disease. It still does not go away until death. You eventually feel pleasure or reward again. However, it is never how it was during the use of the stimulant/crystal. And so one always will think or dream about it for years and years. It takes extreme resilience. And most do not overcome it permanently. I wish it on nobody.

  • @EJ-ge4st
    @EJ-ge4st 5 місяців тому

    I lost 10lbs and I’m 3 months off sublocade

  • @Ivan8891
    @Ivan8891 7 місяців тому

    He's using during this podcast. Not judging just an observation. I believe the stigma is so acute that it can actually push someone deeper into using because it isolates them from family. People will replace family and friends with whats available,other users . So one strategy is to educate about the public about the importance of maintaining a connection. I completely understand the risk associated with this and of corse "BIG RED LIGHT FLASHING BOUNDARIES" need to be established,and that will depend on the individual and can be modified over time to match the comfort level of the family member or friend. This allows the user to always feel important and loved .

  • @JohnE2B
    @JohnE2B 7 місяців тому

    You guys are rad. Thank you

  • @Rugz-smoke
    @Rugz-smoke 8 місяців тому

    It wasn’t my drug of choice so it was easy to stop. Same with coke. I really don’t know why I did it to begin it was never fun

  • @julieowen5874
    @julieowen5874 9 місяців тому

    This is a very comprehensive video on sublocade!!! Thank you so much for being so very thorough 🙏

  • @MrN75nokia
    @MrN75nokia 9 місяців тому

    Gerds ?

  • @gemmataylor4868
    @gemmataylor4868 9 місяців тому

    i got my first jab yesterday, i wasn't able to sleep last night.

    • @MrN75nokia
      @MrN75nokia 9 місяців тому

      Why not ?

    • @MrN75nokia
      @MrN75nokia 9 місяців тому

      Because of euphoria or because you were so used to taking it orally

  • @tishie42
    @tishie42 11 місяців тому

    This is so interesting. The clinic I attend (small town, only one) to get the injection I have to be very clean and stable. They absolutely won't dispense to anyone they don't keep eyes on regular and drop clean. I had to have a year clean to work up to monthlies for my subs and that's with no relapses. 4 years actually now no drugs at all, just subs. I'm in process of appeals to my insurance company to get the sublocade. My Dr has tried 3 times now and they demand all sorts of crazy compliance. Which I have completed. But I am in the camp of not wanting to focus on drugs every day. I take no other prescriptions or supplement cuz I just don't want to touch pills. I am healthy as well so I don't need anything and I'm glad I don't. But how helpful would this be to be easier to get? Jiminy cricket. Why is the life saving stuff so hard to get. 😢

    • @julieowen5874
      @julieowen5874 8 місяців тому

      Because they are trying to figure out a way to make more money...eg. the urine drops and outpatient treatment. For those of us that are stable this makes no sense. My dr in Miami said I would have to spend a week In-patient. I told them, sorry I need someone who will support me where I am in my recovery, not try to send me backwards!!!

  • @tishie42
    @tishie42 11 місяців тому

    Being homeless on drugs and older is a hard struggle to climb out of. 😢

  • @nattya9467
    @nattya9467 Рік тому

    My husband's been on this stupid injection for SEVEN YEARS how can I make this stop and what do u think the long term effects of this injection are because he now suffers from GERDS

  • @SshhhTrouble
    @SshhhTrouble Рік тому

    Does this have naloxone? The naloxone in Suboxone makes me sick

  • @hearts4eddie
    @hearts4eddie Рік тому

    How much estimated mg of suboxone are you having released daily at the 2nd 300 mg shot period?

  • @hearts4eddie
    @hearts4eddie Рік тому

    I am so very upset after watching this video and several others. I have been on 2 8 mg strips of suboxone for 9 years and after researching on my own I asked my doc about the sublocade shot. They were able to switch me to it BUT I struggled so,very hard the 1st month and called my doc 3 or 4 times and emailed to ask about a little supplemental to help me and they refused each time. Thank God I was able to get 1 strip off the street and made it last as much as I could. I want to be off suboxone but I also knew it would be a transition period but my doc quickly dismissed my concerns. I have only been on subs for 9 yrs nothing else. I got my 2nd 300 mg shot 2 days ago and am praying I won't feel like I need supplemental but I just was hurt and felt it really put my sobriety at risk with my doc not hearing me or being concerned. I wish so much I would've had a different doc for this sublocade journey.

    • @michigangreen1915
      @michigangreen1915 Рік тому

      I hear ya but I don’t think it was up to the doc. They are very restricted by federal laws and are not allowed to “double” prescribe. I know it doesn’t make you feel better physically but even if the dr wanted to help you they just can’t in that situation. I didn’t have the same experience with sublocade but I made it 6 months and thought I was finally done but overnight I suddenly had cravings again and went back to suboxone a week later.

  • @Daveyboy4
    @Daveyboy4 Рік тому

    Hi I've jist had the implant yesterday, so far so good. I just wanted a bit of reassuring I'm the middle of the night 😊 thank you.

  • @6iaZkMagW7EFs
    @6iaZkMagW7EFs Рік тому

    yeah, how do I reduce the harm?

    • @matthewlindsay5323
      @matthewlindsay5323 5 місяців тому

      Exactly, I thought this video was actually going to give you instructions on harm reduction, instead it's just a bunch of statistics and useless information

  • @johnt8309
    @johnt8309 Рік тому

    I want to help make a difference. And it's time to stop repeating the same old strategies !

  • @michigangreen1915
    @michigangreen1915 Рік тому

    I did 9 years on Suboxone, 1 year at methadone clinic prior to that. Last year I did 4 Sublocade shots (300,300,100,100) then I stopped. Right now I am 5 months since my last shot. Never was able to make it this long tapering suboxone. I believe Sublocade should be pushed harder to people getting clean.

    • @justinplaysguitar
      @justinplaysguitar Рік тому

      You still good ?

    • @SshhhTrouble
      @SshhhTrouble Рік тому

      Update?

    • @michigangreen1915
      @michigangreen1915 Рік тому

      @@SshhhTrouble I forgot about this post but unfortunately I only made it another month or so before severe cravings returned. I went back to suboxone and within 3 or 4 months my dose was right back to where I was before Sublocade. My doctor told me I might be one of the people that need it indefinitely but he also said i might want to try something different with counseling/mental health. I still think people should try Sublocade once they have had time to level out for a while on suboxone.

    • @jamessewell6358
      @jamessewell6358 9 місяців тому

      OK that's great to hear but how ill did you get ithink that's what people want to hear ❤

    • @michigangreen1915
      @michigangreen1915 9 місяців тому

      @@jamessewell6358 I didn’t get sick at all but I hate to tell you this… I ended up going back on suboxone. Probably 1 month after I left that comment. I did great for about 5 months and then suddenly severe cravings completely took over and I knew it was either suboxone or go back to using. With fentanyl out there now I can’t risk going to the street again. My suboxone doctor encouraged me to keep going to counseling and keep trying but he also said I might end up on sub for the rest of my life. I refused to admit that before but now I finally accepted it and am ok with it.

  • @taylorjones5052
    @taylorjones5052 Рік тому

    This is amazing work you guys are doing. Thank you so much for sharing this webinar!

  • @WashingtonWeedReviews
    @WashingtonWeedReviews 2 роки тому

    I want to see the research documents. It seems pretty suspicious that the state has already been trying to sabotage the extracts in Washington state. You will not stop the consumption you will drive it to the black market.

  • @rhodastolp8743
    @rhodastolp8743 2 роки тому

    🍀 𝐩яⓞ𝓂𝓞Ş𝐦

  • @kodakwhite4706
    @kodakwhite4706 2 роки тому

    That indigenous neighbors opening was super weird and clearly the words of a racial cuck...

  • @Egzoset
    @Egzoset 2 роки тому

    Stuborn blind donkey propaganda... Halloween comes fast!!

  • @cnuon0105
    @cnuon0105 2 роки тому

    Wow. The second speaker was awesome.

  • @kevincruz1422
    @kevincruz1422 2 роки тому

    Recognize an OD decreased respiration, change in level of consciousness, pinpoint pupils, change in skin color. 1. Give sternal rub 2. Call 911 3. Give rescue breaths (start CPR if no pulse) 4. Give Naloxone (start CPR if no pulse) 5. Continue rescue breaths 3-5 min, if not responding then give second dose of Naloxone 6. Stay with patient as Naloxone only last 30 -90 min and pt can OD again as Naloxone wears off. 7. If pt starts to breathe, lay person on their side. 8. At any point if there is no pulse, start CPR.

  • @Swinomish1
    @Swinomish1 2 роки тому

    Thank you for this information....

  • @MichaelSmith420fu
    @MichaelSmith420fu 2 роки тому

    Stuff is being freaking pushed everywhere all the time. Most users don't even stand a chance. Even as crappy as the high from meth often is, the addict brain just wants for something.. even if your heart hates everything about it. It's ridiculous. I'm actually pretty clean these days but like I said, it's nearly impossible to stay correct when so many people push the crap..

  • @apostleofazathoth7696
    @apostleofazathoth7696 2 роки тому

    28:42 Thank you for pointing this out.

  • @apostleofazathoth7696
    @apostleofazathoth7696 2 роки тому

    First!

  • @nz2144
    @nz2144 2 роки тому

    Sierra is cute 🥰🥰

  • @nz2144
    @nz2144 2 роки тому

    Sierra is cute🥰🥰

  • @ryanhom3006
    @ryanhom3006 2 роки тому

    That pure? Certainly not in the US anymore. The shit is about as strong as red bull

  • @djvintagevincenetpricks1269
    @djvintagevincenetpricks1269 2 роки тому

    No comments?

  • @denisemichael8790
    @denisemichael8790 3 роки тому

    All thanks to Dr martins abul who helped me with his herbal remedy to get rid of my Hepatitis B, thank you sir

  • @monicajackson1221
    @monicajackson1221 3 роки тому

    All thanks to Dr martins abul who helped me with his herbal supplement to get rid of my Hepatitis B, thank you sir, I will forever be grateful to you .🙏

  • @kimjohnson7055
    @kimjohnson7055 3 роки тому

    From my own experience how can tell me story that saved my life.

  • @Anon-xd3cf
    @Anon-xd3cf 4 роки тому

    End the *_War on Drugs_* Stop criminalising poor people.

  • @oldhippichic
    @oldhippichic 6 років тому

    p.s. IT MATTERS THAT YOU DON'T USE ALONE - OR THAT YOU HAVE PHONE CONTACT BEFORE AND VERY SHORTLY AFTER AND THEN AGAIN AN HOUR LATER WITH SOMEONE WHO IS SUPPORTIVE AND CAN MAKE SURE YOU LIVE THROUGH YOUR DOSE.