logo
Grady County kicks off Opioid Abatement Program

Grady County kicks off Opioid Abatement Program

Yahoo09-05-2025
Oklahoma Alliance for Recovery Resources and Grady County officials kicked off the county's Opioid Abatement Program Monday.
OKARR is a nonprofit organization started in 2024 with the goal of providing grant writing and project management services and ensuring impactful projects are successfully funded and executed. The kick-off event, held at the Grady County Sheriff's Office, introduced the partners involved in the opioid abatement program and the services it will provide to the community.
According to Suzanne Williams, executive director of OKARR, Grady County received $150,000 to be used over an 18-month period.
The Oklahoma Opioid Abatement Grant is handled by the Oklahoma Attorney General's Office and provides funding for applications for treatment and recovery programs, assistance with occurring disorders and mental health issues, opioid abuse education and prevention, and more.
Partners present at the kick-off event for the program, entitled Hope and Healing, include the Grady County Sheriff's Office, Verden Police Department, Ocarta and the District Attorney's Office.
The opioid abatement grant and subsequent programs started in Grady County in December, according to Williams.
'So what does that bring to Grady County? It brings a task force to really focus on what is working, what's already being done in Grady County so it's not duplicative,' Williams said. 'What individuals need to be at the table.'
The first Grady County task force meeting was held April 24 with community leaders from various organizations. During the task force meeting and other meetings leading up to applying for the grant, Williams said community members voiced the need for a sober living facility and Ocarta was selected as the nonprofit organization to run a Level 2 sober living facility for women and women with children.
'All of our houses are protected by the Federal Supreme Court ruling, meaning they're considered single-family dwellings. They don't have to go through a planning committee or get a permit or any of those types of things because they are single-family dwellings,' Williams said. 'Level 2 has a house manager and they're connected to resources, but most of those resources are already existing in the community.'
Another need brought to OKARR's attention was school-based education on opioids in the Verden School District. Ninnekah Public Schools has also joined the education program since it started.
Grady County Sheriff Gary Boggess said he is going to work on getting the education programs in every school in the county.
The education is mainly for high school and middle school students but will also be offering a prescription education program over the summer geared towards parents. Williams said it will help teacher parents understand what opioids and other drugs look like, how to use narcan and other information to keep children safe.
'We do have a drug issue,' Boggess said. 'It's been coming across the borders for years and years and years. Yes, the borders are being shut down, but if you think that's gonna stop this, it's not. It's absolutely not.'
The Grady County Undersheriff is on the Grady County Task Force, and Boggess said he will try to attend as many meetings as he can to help address the opioid issue in Grady County.
'I think this program will help us get some of the ones that you get started in it that we can get a hold of, try to help get them on the right path and get them the right education on this,' Boggess said.
Managing Assistant District Attorney Jeff Siffers said he is not seeing as many drug crimes in drug court anymore because the statute has limited the 'amount of accessibility' based on trafficking and other specific exclusions.
While optimistic about the program, he said he has concerns certain individuals who are repeat offenders and take advantage of the current services provided, that those individuals will do the same with the opioid abatement program services. He specifically mentioned transportation services being taken advantage of.
'Where I really would love to see this partnership go is finding the opportunity to restrict the amount of opportunities that young people have to become the parents that may have been the people that I've put in custody,' Siffers said.
Verden Chief of Police Jason Cox said he equates the opioid issue in the area to mass casualty events in terms of training. For mass casualty events, officers are trained to end the threat, protect the victims and control the scene.
'That's how we kind of approached this, all hands on deck, in my town for opioid stuff,' Cox said.
He said he has often received backlash for the department driving someone to Southeast Oklahoma for rehabilitation programs. This opioid abatement grant will help free up some of the funding and labor his department has been using to address opioid issues in Verden.
'Coming back to the crisis, you may not think it's a very urgent matter until you're squirting narcan up somebody's nose and they're blue,' he said. 'That seems urgent to me.'
The county, municipalities and school districts are able to apply for another round of the Opioid Abatement Program in the coming weeks, Williams said. The deadline is June 11 for a three-year grant that could provide up to $450,000.
For more information about OKARR or to provide input on what services could benefit Grady County in terms of the opioid crisis, visit https://okarr.org.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Which IV Iron Formulation Is Right for Your Patient?
Which IV Iron Formulation Is Right for Your Patient?

Medscape

time7 days ago

  • Medscape

Which IV Iron Formulation Is Right for Your Patient?

This transcript has been edited for clarity. Matthew F. Watto, MD: Welcome back to The Curbsiders . I'm Dr Matthew Frank Watto here with my great friend and America's primary care physician, Dr Paul Nelson Williams. Paul, are you a fan of iron? Paul N. Williams, MD: You know it! That's why we've done about 12 episodes on iron at this point. Watto: As in, pumping iron? Williams: Sure, look at me — I'm jacked! Watto: Paul, we had a great guest on this episode, Dr Tom DeLoughery (@Bloodman). He was a great guest and a hilarious guy. Let's talk about it, Paul: microcytic anemia. I know iron deficiency can cause that, but what else can cause microcytic anemia? Williams: I appreciated the breakdown of this episode. Our guest says that there are four big things that can cause microcytic anemia that you need to know about. One is iron deficiency; that is far and away probably the most common one. Then there is anemia of chronic disease, which I don't think we think about as much. If the mean corpuscular volume (MCV) is less than 70 fL, it's probably not anemia of chronic disease, but anemia of chronic disease can cause microcytic anemia. The next is thalassemia, which is probably more common than we give it credit for. The last one is sideroblastic anemia, which is something you're probably not going to be diagnosing in adulthood and is an uncommon cause. So really, if you consider those first three causes — especially with the framework that he gives — it can be pretty easy to distinguish between iron deficiency, anemia of chronic disease, and thalassemia. That's what you need to figure out before we start just giving iron willy-nilly. Watto: I don't think I've ever even seen sideroblastic anemia in a chart outside of an exam setting. I feel like you're more likely to see consumption written in the chart than sideroblastic anemia! Williams: Yeah, I feel like it's the type of disorder I would've been quizzed about during floors a million years ago but not something I've actually seen — ever, I don't think. Watto: Now, Paul, when I'm working up anemia, I like to look at all the things: red cell distribution width (RDW), total iron binding capacity (TIBC), iron. Is that a waste of my time, Paul? Williams: I would never call it a waste of your time. I'm sure it's of academic interest, but both our guest and I, in my own practice, don't spend too much time dwelling on those when we're chasing down microcytic anemia. Dr DeLoughery does not look at the TIBC all that often. It really is the ferritin, the MCV, and the hemoglobin that are the big-ticket items when you're working up iron deficiency anemia. The rest is all largely window dressing, according to him. I feel good about that, because I don't like sweating out equations and working through those things. Watto: Okay, so we're looking for low hemoglobin. An MCV of less than 80 fL or so is usually considered microcytic in most labs. Now, the ferritin cutoff was an interesting one. Some labs might say 15 ug/dL or less. Some labs say 30 ug/dL or less. Dr DeLoughery recommends a ferritin cutoff of 30 ug/dL or less. But for most patients, we're usually going to treat to at least a ferritin of 50 ug/dL, because if patients are fatigued from iron efficiency, they usually feel better once we achieve a ferritin level of 50 ug/dL or higher. But we should remember that the reason why the lab cutoffs are lower is because they're looking at population average. And because iron deficiency anemia is so common and a large portion of our population has iron deficiency, the average ferritin values are lower than what ideal, healthy levels should be. If you just measured ferritin among patients with normal iron stores, the ferritin cutoff would be much higher. Paul, what do you think about these specific ferritin cutoffs that he recommended? Have you heard about that before? Because when I was prepping for this, I was unfamiliar with those cutoff values and what values we should consider when determining treatment. Williams: Do you mean in terms of when symptoms actually occur? Watto: Yes. For example, he said that for patients experiencing fatigue, you want to get the ferritin to 50 ug/dL or higher. And then he mentioned two other symptoms: restless legs and hair loss. Williams: Yeah, and for restless legs, you need to get ferritin above 75 ug/dL to actually achieve adequate iron levels in the brain. And then for hair loss, your goal is to get to at least 100 ug/dL to reverse the hair loss, if iron deficiency is indeed the contributing cause and not just getting old. Watto: For a lot of patients, they might need IV iron to get their levels up that much. Dr DeLoughery checks levels every 3 months or so, for the most part, because you want to give it some time to re-equilibrate after you give the iron. Now, Paul, when I'm trying to get those ferritin levels up, I usually tell my patients to take their iron with coffee and tea. Is that a bad thing to do? Williams: Bad news for us, Matt, and for the rest of the world. But yes, unfortunately coffee and tea can reduce your absorption of iron, so you should probably avoid drinking either of those within an hour of taking your oral iron supplementation. If you want to boost absorption, you can take your supplement with meat protein. So, substitute steak instead of your coffee, I guess? There's also always an ongoing debate and discussion about vitamin C potentially increasing iron absorption. Our guest, Dr DeLoughery, is a fan of it, but I think the jury is still largely out as far as that goes. Watto: And it seems like coffee and tea really impact iron absorption. I think he said it's like 80% or 90% decreased absorption; it was very significant. Williams: I know we have a long history of championing coffee in terms of being good for everything, but this might be the one instance where you don't necessarily have to avoid it; you just have to delay it. Watto: Yeah, exactly. Just make sure to avoid taking your iron within an hour (on either side) of coffee consumption and you're good to go. Williams: That would still be a real problem for me. Watto: When you have a continuous IV of coffee, that doesn't give you much time to get the iron in, Paul! Williams: Yep, and speaking of IVs… Watto: I just wanted to quickly shout out some IV iron formulations. The ones that I've had more experience with are IV iron sucrose and ferric gluconate. The reason I'm most familiar with those are because they are the cheaper formulations and they happen to have been on formulary. However, those are not the best formulations if you have the options, because the newer formulations can be given quicker and in a single dose or two doses compared to the ones I just mentioned, which need 4-8 weeks of weekly IV doses to administer the amount we'd like. Dr DeLoughery liked low-molecular-weight iron dextran because it comes in 1000 mg and you can give it within an hour. This is the formulation we discussed with Dr Auerbach back in 2018. Dr Auerbach told us that when you give low-molecular-weight iron dextran to your classic anemia patient — let's say a young woman with iron deficiency who has a hemoglobin of 7 g/dL — they'll start to feel better before the iron is even done infusing! It's pretty well proven. Williams: Yeah, patients will experience a reduction in ice craving as they're receiving the treatment, which is wild. Watto: Paul, why would it be a bad idea if I gave someone ferumoxytol — which comes in a dose of 510 mg and you have to give it twice — before I was going to, say, send them for an MRI? Williams: In that specific circumstance, it's important to know that ferumoxytol can impact MRIs because it acts like contrast. And that effect can persist for 3 months after the infusion itself, so you can significantly alter the results of your MRI and make the imaging hard to interpret if you don't space those things out. That would be one reason to avoid ferumoxytol, if you're planning on upcoming imaging. Watto: The other IV iron formulation that I was really excited to try out was ferric carboxymaltose. It comes in at 750 mg per dose, so you can give one or two doses depending on the severity of iron deficiency. But why might that be a bad idea? Williams: It's nice of you to ask. So, there's the possibility of symptomatic hypophosphatemia with ferric carboxymaltose, which, again, is wild. It's always a delightful surprise to discover the terrible things you could potentially do — even though they are, by and large, safe. Watto: The hypophosphatemia sounds bad because it sounds like if you try to give the patient phosphate, it gets worse because the body just accelerates how quickly it's getting rid of phosphorus. It's bad, Paul. So, I will not be giving that one. Ever. Williams: Yeah, I don't think I've ever ordered that one happily. I would probably avoid it if I had better options available.

Ditch crunches — try these 5 kettlebell exercises instead to sculpt your abs, strengthen your core and improve balance
Ditch crunches — try these 5 kettlebell exercises instead to sculpt your abs, strengthen your core and improve balance

Tom's Guide

time7 days ago

  • Tom's Guide

Ditch crunches — try these 5 kettlebell exercises instead to sculpt your abs, strengthen your core and improve balance

I wish I loved crunches, but I don't, and I know I'm not alone. Whether you avoid them because they hurt your back, you find them boring, or you just can't get into a good flow, I'm here to tell you they're not the only exercise you need to build a strong core. There is a whole line-up of alternative moves out there, and I've found a five-move routine that proves it. This workout comes from one of my favorite online trainers, Britany Williams. It uses one of the best kettlebells, which really helped me focus on engaging my core to stabilize during the exercises and gave an extra burn. I'm a big fan of Williams because her workouts are designed for people who don't have a lot of time, equipment, or space. For example, I was able to do this in twenty minutes from my apartment with just my adjustable kettlebell. It is undeniably a ripper of a core session (the burn was real), but it's also great for tuning into the hips. With plenty of hinging exercises, it helps increase lower-body mobility, improve posture and prevent injury. I use the Bowflex SelectTech 840 Kettlebell at home and rate it. Its adjustable design goes from 8 to 40 pounds, without taking up the kind of space a full rack of kettlebells would. Right now, it's on sale for $149 and comes with a two-month JRNY app trial, which gives you kettlebell workouts matched to your ability, so you're never stuck for ideas. A post shared by Shaina Fata ☀️ (@shainamarie.b) A photo posted by on Williams' five-move kettlebell workout is a great way to work your abs and core without feeling like you're stuck doing the same old crunches on repeat. The mix of lifts, twists and hinges keeps things interesting and makes your core muscles switch on from every angle. It also helps with balance and mobility because you're not just lying on the floor — you're standing, twisting and hinging in ways that wake up your whole core. Get instant access to breaking news, the hottest reviews, great deals and helpful tips. The kettlebell adds just enough weight to make you slow down and focus on each rep, so you really feel your abs working to keep you steady instead of rushing through the moves. Plus, all the lunging and hinging movements in this routine are great for loosening up tight hips. You're training your core and hips to work together, which can help improve how you move day to day, keep your lower back happy, and even make exercises like squats and deadlifts feel more comfortable. Quick note: if you're new to kettlebells, start light. For most beginners, a kettlebell around 3kg to 6kg is plenty to get used to the moves while staying in control. You can always move up once you feel stronger and more confident. To turn this into something that pays off long term, consistency is key, but variety helps too. Doing this workout a couple of times a week will build core strength and control, but mixing in other exercises keeps things fresh and works different muscles. Focus on good form, add a bit more weight when it starts to feel easy, and combine your kettlebell sessions with other movements like walking, mobility work, or bodyweight strength training. Follow Tom's Guide on Google News to get our up-to-date news, how-tos, and reviews in your feeds. Make sure to click the Follow button.

New York's abortion fund to run out of money
New York's abortion fund to run out of money

Politico

time14-07-2025

  • Politico

New York's abortion fund to run out of money

Beat Memo The New York Abortion Access Fund is struggling to keep up with demands as more people from out of state request financial assistance and as the cost of the procedure rises, POLITICO Pro's Maya Kaufman reports. The organization — which pays clinics on behalf of patients who cannot afford an abortion — continues to see rising demand driven by Florida and other southern states since the Supreme Court in 2022 overturned the constitutional right to an abortion. About 34 percent of people who reached out to the fund in 2024 were calling from outside New York, executive director Chelsea Williams-Diggs told POLITICO. That has risen to 38 percent so far this year. At the same time, abortions are getting more expensive. More of the fund's clients are seeking abortions later in pregnancy, which tend to be more medically complex, and therefore costlier, procedures. And only a few clinics in New York City perform abortions after 19 weeks, so even the fund's local clients may face travel costs, Williams-Diggs said. Meanwhile, philanthropic donations have declined since a 'post-Dobbs bump' after the 2022 Supreme Court ruling that overturned the constitutional right to an abortion, Williams-Diggs said. Both the city and the state provide funding, she added, but it comes with strings that make the money difficult and slow to access — so much so that her organization recently took out a $1 million loan to bridge the gap. 'It's catching up to us,' she said. The state Senate directed $1 million to the organization last year through the Reproductive Freedom and Equity Grant Fund, which Gov. Kathy Hochul created in 2022. The fund was not previously accessible to organizations that offer direct patient assistance for abortions. But Williams-Diggs said the money has yet to come in the door, because her organization still has to submit required documentation. Meanwhile, reproductive health advocates are pressing Hochul's administration to make those dollars available for practical support, such as transportation, for people seeking abortions. IN OTHER NEWS: — New York, the home of one of the costliest Medicaid programs in the country, is expected to see virtually every facet of spending face the brunt of deep federal aid cuts,POLITICO's Nick Reisman and Maya Kaufman report. Democratic Gov. Kathy Hochul's budget chief warned the state will suffer a $750 million hit this fiscal year due to cuts to the state's Essential Plan that take effect Jan. 1. That amounts to a $3 billion annual cut when the state's new fiscal year starts April 1. 'Nobody is prepared to backfill $3 billion in cuts from Congress,' said Blake Washington, the director of the governor's budget office. 'There's no state in the union that can do that, particularly on a recurring basis.' The state's Essential Plan, which covers roughly 1.6 million low-income New Yorkers who are ineligible for Medicaid, relies on billions of dollars in federal funding that will start drying up in January under the megabill. On top of that, the state will have to spend upwards of $500 million over several years to stand up a system for administering the megabill's new Medicaid work requirements, Washington said. 'We've never seen health care cuts like these,' Democratic Assemblymember Amy Paulin said. 'We've never seen a systemic cut to health care in this country like we're seeing in this federal bill. We can't just tax people in New York and make it up. I don't see how we do that. It's too much money.' ON THE AGENDA: — Wednesday at 10:30 a.m. The NYC Health + Hospitals board of directors' capital committee meets, followed by a meeting of the finance committee. GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@ and Katelyn Cordero at kcordero@ Want to receive this newsletter every weekday? Subscribe to POLITICO Pro. You'll also receive daily policy news and other intelligence you need to act on the day's biggest stories. What you may have missed — Fatal overdoses in New York City continued trending downward during the third quarter of 2024, hitting their lowest level since early 2020, according to provisional data released last week. The new data shows 498 people died from an overdose during that three-month period, down from 564 deaths in the prior quarter and 647 in the quarter before that. It is the fewest overdose deaths in any quarter since the first three months of 2020, when the city tallied 456 fatal overdoses. 'For too long, opioid overdoses have ripped families and communities apart, but there is light on the horizon with opioid overdose deaths citywide seeing their lowest numbers in five years,' Mayor Eric Adams said in a statement. 'We are committed to maintaining this downward trend by continuing to invest in the programs and treatments that support those who are struggling.' ODDS AND ENDS NOW WE KNOW — Twenty New York hospitals lost obstetric services between 2010 and 2022, per a new analysis. TODAY'S TIP — Feeling burnt out? Ashwagandha could help. STUDY THIS — Via NBC: A large new study found a link between premenstrual disorders and cardiovascular disease. WHAT WE'RE READING — Why are mothers in New York having so many c-sections? (Times Union) — State legislators across the U.S. are weighing laws around menopause care and training for doctors. (CNN) — FDA offers to trade faster drug reviews for lower U.S. prices. (Bloomberg) Around POLITICO — Big Pharma and labor make for strange bedfellows in fight against California drug pricing bill, Rachel Bluth reports. — How hospitals could still escape the megabill's Medicaid cuts, via Robert King, Amanda Chu and David Lim. MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store