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Initially when synthetic opioids showed up in the Christopher Jones, it was largely mixed with heroin. But now we're seeing it mixed with cocaine, methamphetamines and other substances of abuse. And in the last couple of years we've seen this proliferation of counterfeit tablets that are made to look like commonly abused prescription drugs, and that's particularly concerning because people who are not regularly exposed to opioids are going to be at an increased risk of the respiratory depressant effects of opioids because they have no tolerance.
Raising awareness generally is really important -- that's why we wanted to get the research out there, to raise awareness among clinicians and others who might be interacting with people who use drugs to raise awareness about the unpredictability and toxicity in the drug supply, certainly, increasing access to naloxone and ensuring that there are adequate doses of naloxone available is a critical part of the public health response.
Our study shows that satisfaction scores patients give their physicians are influenced by factors other than just the patient-physician relationship. Until we determine how to control for these other factors, we should be very cautious about using satisfaction scores to make comparisons between different physicians.
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