say, people not out on here. when whereas cocaine, people, you know, often associate that as a party drug or more of a racy drug. you know, something, you know, they may do at parties to stay up all night long. that kind of thing. and same thing with uh, add roll. it's uh, it's in the stimulated class. and that's why people of people like to to go for that drug because it gives them what it gives them a feeling of having more energy than they normally would have. and what percentage of arrow prescriptions are actually mis diagnoses of people who don't actually have age to be? but want to abuse the prescription and what percentage are people who are getting the prescription that may not necessarily need them? ok, and that's difficult to say. and that's something that as a non prescribing clinician who works in a, in tandem with the prescribing physician, who would probably be a psychiatrist or

a family physician or a pediatrician. as the non prescribing clinician, we would be the ones that would be seen those patients more, more regularly. that would be the prescribing physician. so it'd be something we'd be on the look out for. is this a situation where a parent is falsely getting this medication, supposedly for their children, and they aren't even given it to their children and they're using themselves? or is it something that as an adult somebody's trying to do the same thing. so it's something that a vigilant doctor or counselor is always on the look out for my own personal experience. i would have to say that if you really do a thorough diagnostic work up prior to a prescribing or making a referral for a prescription to uh, a prescribing doctor to do

a thorough diagnostic work up. you're going to be able to catch these people and and usually you're not going to say that, look, i, i think you're just doctor saab even you're trying to get this drug. normally what you'd be saying is, hey, i have good news for you. you don't have attention deficit disorder, but maybe you, maybe you have some problems maintaining concentration of attention. and we can, we can attempt to use other non medication methods to improve your attention concentration. if you have somebody who's truly experiencing those difficulties. and they're told that they'll be happy to hear that and they'll, they'll be accepting of what you have to offer people who are shopping for adderall, for uh, for misuse purposes. they, they usually are not pleased to hear that kind of response from the doctor. and

they'll, they'll usually go off and try and find somebody else who yeah. who is going to be more accepting of being able to give them the diagnosis and, and get the medication. are adults more likely to become dependent on adderall, if they start using as kids? no, not necessarily. and um and now a adderall is, is available in an extended release form. so it is that makes it less likely to be addictive. and also there is another drug called by bands which is x, which is an extended release of stimulant medication, which is also used for attention deficit disorder. and physicians will often prescribe that. and during the recent shortage with that are all in the past year. vibe, dance was off in a turn to buy positions as an alternate to prescribing natural. and do you think

that we as a society, are funneling to many of these drugs out into the world for an easy, short cut so that kids will behave and get good grades? well, we are, i mean we're definitely culture and i, i, i can't speak outside of the united states, but it certainly seems to me that as an american culture we're offering quick to find a solution in a bottle. and, and that's unfortunate because people are really willing to put in the work to improve upon their situation in life. they are often looking for a quick fix, you know, through a pharmacist or through a, through a physician, a thank you so much dr. henry kotch, but please stick around. dr. henry kotch will be joining us back after the break. and when we come back, what segment of the population is abusing arrow the most and how our pharmacy is controlling the supply of medication?

the memory loss is unusual forgetfulness, the a form of memory loss, inability to recall past events. the you can be general or concern, some specific events solely. in some cases, the memory loss can extend back decades. the starts an intensive course of the memory, but cover on our to the operation aerodynamic begin shortly after world war 2 lost it almost 3 decades. it

was a major effort to try and split the ukraine off from the soviet union. us intelligence together with hypnos, executioners drain hundreds of 7 to us to be deployed in the soviet union. this focused was on the use of a lot of stuff. will have started with linda's jewelry store, which was the on site or she needs more deals today. security service of ukraine use is not only does, it does take methods, but also the idea elegy of the nationalist and the of the welcome back to the cost of everything. 80 h d is actually a hard wired pattern of brain functions. national data suggests that one in 10

school age children need this criteria, while 4 percent of adults continue to have symptoms. and the all the decal study of 20 countries from the world health organization surveys found that across high upper middle and lower middle income countries. the prevalence rates of 80 in children and i lessons for the highest in the us at 8 point one percent, and lowest in poland at point 3 percent and romania, a point 4 percent data. also it suggests that adhd is greater in males than females across all racial ethnic groups, non hispanic aden, boys and girls. according to the journal of attention disorder study, or prevalence, or h, d, was 11.3 percent among non hispanic white children and 10.7 percent on non hispanic black children, which is significantly higher than the 2.2 prevalence rate found among non hispanic asian children and study of studies has also shown that prescription stimulants

have little to no effect on the cognitive performance of adults without a adhd. but what it does give them is an elevated mood like a high, unlike all things that give people highs, this can be extremely addictive. and that is why amphetamine method instead of dates are scheduled to controlled substances in the us. which means that it is an accepted practice for medical use, but has a high potential for abuse. the fat at the a has announced a shortage of 80 age the medication at a role in october of 2022. and so far there had been no relief for patients. the at the indicated that there is not an adequate supply to meet us consumer demand. meanwhile, people with adhd had been forced to endure the shortage. and unfortunately that population is growing. and making more tablets isn't as easy as just flipping a switch. most age, the medications fall into

a class of controlled substances called central nervous system stimulants. these medications have a well documented history of abuse and addiction. so the f, b a n d e a limits how many pills of pharmacy can dispense at once and how frequently patients can refill their prescriptions. adderall as a schedule to controlled substance, which means that the limits how much of the drug the manufacturer can produce per year the, the quota is limited through ad roles, addictive ingredient amphetamine, and because of this, manufacturers are blaming and re in scarcity is for the shortage and in order to set these quotas, the d a must estimate how much arrow patients will require the following year. if the agency under estimates demand and fails to increase its quota, the result can be a wide spread shortage. however, the announce last month that it will not be increasing the manufacturing quotas for

2023. despite the shortage again, without providing a reason one, congress woman even wrote the b a and update demanding an explanation last december . but there has been no response. after the agency decides annual production quotas, manufacturers and distributors must set limits on how much of the meds each pharmacy can buy. pharmacies must guard the substance under lock and key and fill out forms even if they lose a single pill. they can also refuse and report any suspicious orders of unusual size frequency or deviating substantially from a normal pattern. many pharmacies also have monthly limits on how much of a controlled substance they can order from their full seller supplier. and this creates local bottlenecks at the retail level. this is a conservative system that is designed to keep just enough medication flowing to patients while also minimizing the risk of

a legal diversion. and these quotas happen troublesome for many companies, including no virus or by send us, which makes the generic adderall, and consider the shortest started as a production issue, a test, one of the world's largest drug makers, which makes both generic and brand name at all. the official explanation has offered little clarity as the announcements simply mentions, intermittent manufacturing delays. a tele, reportedly having issues with some of its arrow dosage, particularly the more expensive brand name versions and its fast acting tablets. and the pharmaceutical industry shortages have also been caused by the dependents on china for raw materials. they're almost $50000.00 factories in china that support a global network of companies and millions of ra, an intermediary parts, which can disrupt any and all supply chains. and this not only applies to adderall and a seat of medicine, but also other critical drugs like a mock of cell and diabetes drug and one more. let's bring in again dr. henry kotch,

clinical psychologist, specialist. so doctor, do you think people that abuse adderall, are the culprits of the shortage and when do you think the shortage will end? oh, well that's a supply chain problem. it seems. i don't know if it's really something that's tied to the the cobra difficulties and, and also the war and ukraine. if somehow those are are contributing to the supply problems or not. i really don't know what is causing the supply difficulty. the manufacturer for adderall is tampa t, e b a and you'd have to look really into where they are, where their main production is occurring and, and what's involved with that as far as their being able to get the materials,

they need to be able to put together, the at are all compound and what do you think about the rise in telemedicine? is this a good thing or a bad thing as regulators are trying to clam down on tele health prescriptions? well, telemedicine, i think it's very helpful for a lot of people over a variety of reasons that we really don't need to get into. but as far as the, um the the message of your question, the doctors are still required to practice under the same rules and regulations with respect to providing a prescriptions. so it's, it really, probably, telemedicine probably puts more of a challenge to the prescribing physician to be able to read out whether somebody is looking to receive

a prescription for abusive purposes. because when you have somebody in the office with you and you can, you're getting much more information from them by their body language and, and how they are speaking to you and looking at. ready which is qualitatively different from what you'll what, what you'll experience over um, over it, you know, a telephone or zoom or, you know, that kind of a medium for being able to meet with a patient. so the, so the, the responsibility is for the physician are, are the same and i think the tell most and makes it more challenging for them and well, this increase and adderall, prescriptions cause any long term effects on society. and is it harmful, that all these prescriptions are just out there without any verification or control

as well that there is control in the sense that uh uh, especially um in the past 10 years when we were having the up your crisis in this country, which we still have but um, with the uh, with the intervention of the federal government requiring a database to be to be established by prescribing physicians. there, there is now a better and more secure way to be able to track people as they attempt to get medications. it used to be this used to be without this database that an attic to go from one doctor to the next and get, you know, a handful of prescriptions without one physician knowing what the other one was doing these days. it's much more difficult for that to occur and, and physicians are required to be knowledgeable of that and into

practice accordingly. so i would hope that with the introduction of this requirement that there would be less opportunity for abuse. however, having said that, that have worked with enough addicts, they are very resourceful people and they will often find what you're looking for based on their hunger for his medications. and i mean dr. shortage is bad, but just how bad is this and are we in panic mode right now? well, there are, there are other similar acting medications. uh, i think, you know, do the, with the greatest difficulty is that people who are searching for medication either, rightly or wrongly they, uh, they are in so aware that there are other medications available. and so they,

they may unduly panic when they hear that there is a shortage thinking that this is the only medication that's available to, to treat a d h c. of course, if they then follow up and go to their doctor, the doctor will be able to assure them and say no there are. there's still riddle and that's available. there's still the extra dream that's available is by being that's available. and there's probably others that i'm not thinking of at the moment, but there are, there are alternatives that are all within the same amphetamine class. and then um, and usually it's a, that's efficient. uh, the only difficulty you might have. somebody may have a specific kind of biological system that only works well with the adderall and it would not work well with these other medications. but that would, that would be a very, very small number of people. thank you so much dr. henry college clinical psychologist

specialist the winters here are the drug makers, which are very similar to the opi ard crisis where millions of adults are now hooked on these prescriptions stimulants. the global adhd, the drug market is expected to reach over $25000000000.00 by 2025 with more than $6000000.00 children in the us alone diagnosed with adhd as well. this is absolutely a real condition and disease, the american trying to obtain the short cut and pushing pills to treat the symptoms rather than the cause is making this a much bigger deal than it actually is. and it's causing the subsequent addiction problems. much of this is thanks to the campaign, a efforts of big pharma elsewhere and the world in places like europe and asia, governments and cursing use of a comprehensive approach for the treatment of adhd, which includes behavior management skills, academic support, psychological support, and medicine. as a measure of last resort. i'm christy. i thanks for watching and we'll see you

right back here next time on the cost of everything the i look forward to talking to you all that technology should work for people. a robot must obey the orders given by human beings, except we're so shorter is that conflict with the 1st law show alignment of the patient. we should be very careful about our personal intelligence at the point, obviously is to trace a truck or rather than see it the area, i mean with artificial intelligence, we have so many with him in the robot most protects his phone existence was alexis

the moscow analysis the fog, no private military company is now in full control of a t don't by city, a lot of trouble, a buck booth. it'll hide this positions over to the russian military in the next few days. in this order to shape the week here on oxy, it's a 2nd south ground to associate presidential election goes to a rental author, no contender secured enough for votes outright. victor finance slams at g 7 latest were making badging escape the code in the ukraine. conflicts upsets approval ratings for the west, and the heads of state look particularly bleak back at home. the

top stories of the week of the main headlines for this hour time, for the weekly mortality, and some of the months of intense and a perusal fighting the city. a lot of trouble is getting done. bast, also known as back moot, has now come on to full russian control. that is, according to the russian ministry of defense in the technical area. hard to almost cause the result of the actions by the walk in the private middle to accompany, combined with the support of artillery navigation from the southern group of russian military troops. the liberation of the city of thomas has been completed. president version congratulated the wagner group, and the russian military force has full this success on saturday, balkan, his chief, said, the city was finally on the rush of control last the 224 days of combat. now the whole significance of the event is already actually being down played by western media outlets, according to russia's deputy envoy to the un dimitry party and skate the cold out, keeps shift in narrative. damage control has already started. next claim

will be, the whole grain has no strategic importance. if confirmed russia, buck modes capture would mark the country's 1st gain in months, but the city symbolism always out weighed at strategic importance. the significance of the city cannot be over stressed by commode, lies at a 4 foot points towards 2 other strategic pounds in the dot net screeching constant . and these guy in the southwest and cremmit tourist and sloppy, gone to the northwest. all 3 are key to pollutants, total control of the region. we were discussing this out here with independent journalist mike jones. now he believes presence of landscape is now trying to downplay the significance of a lot of trouble. this is all to all schools and then this box i'm going to give it is a brand new name is a hugely significant city for numerous reasons. as the western media themselves sets quite early on, it was a supplying logistics sensor. if you want to have some idea of just how important

symbolically box and what is that you need only look at presence of mind skis. recent statements where he is down plays denied, and even outright lied about the fact that he crane still holds the city. i believe he's doing this to say, face to buy time and to distract to the population from this absolutely devastating loss the west and media when it became quite apparent that the city would be lost and taken by wagner tends to down playing the significant saying that it was just russia that held a backwards and out you almost in a symbolic manner. so today we see now this media spin that has become so violent and so common. yeah, the you can learn more about when it comes to the latest story that have the back moved from meat grinder all to you dot com. expose and analysis read at your leisure. the so and exactly

a week from now turkey a will be deciding on this next president, a run off around is being held off and no candid received enough votes for outright victory. it was a just last sunday. the strongly believe that we will continue to serve our nation for the next 5 years. we will absolutely, absolutely. when these elections in the 2nd round, everyone will see the topping the bylaws and round one was the incumbent, red chip, a type of the one, right? they with 49.5 percent of the vote. hold on this hail is just about 5 percent behind the center left. so cut all a killer, chicago 5 percent behind the leader there and trailing in fed, arriving politician right here. so nano han, just 5.2 percent, that's raising the big question will be,

is votes ago. they're all there and people are saying this could prove to be a very decisive factor in the outcome. a turn out, for example, around one which lead 90 percent that really shows how important people are seeing this selection. it's definitely didn't pass off without controversy. mr. kennedy stock, little acute, which is rife, one of interfering with account and present the other one. then count a claim that is main opponent was in cahoots with washington and trying to win with outside help. then a week from now it all comes down to a straight shoot out. so we can use the mood on the ground. speed boosted your modem. i believe it was a fair election. however, these are the rejection of some valid boxes. there was a delay in the counting, i'm sure everything will go smoothly and the run a fully more concrete results. can you turn it on now? i believe i do. i move in in the run of i also think when it's expected, the election is where a huge surprise for me. i was expecting compile carrots star a loop to win. i think it will be a hard race, but i want him to win the chairman of the strategic studies of attackers,

foreign ministry believes that western countries are clearly hoping to see the back of president of the one nato countries. on monday, july 18 turkish elections. they want to topple out on its source tip of look at the german, french, american, english, the magazines and newspapers, the economist, etc. that, oh, well, i guess go on and of course has the money to lation at this information. it's a threat. what they are doing to properly out on they say russia is money to and i think i can see makes fun of lawn space. this is opposite exactly the opposite of it. we did not see any russian mingling in that case election, but we saw a lot of naming intake issue action, and that's why

a lot of people voted for ad on because of this western money. if you lation the g 7 states must stop adding fuel to the fire and making china escape good. but there's the chinese for administer. his reaction off of the group of 7 countries issued a joint statement of choosing beijing of not supporting peace, also, and not having a continuous dialogue with ukraine. the g 7 states must stop adding fuel to the fire and making china escape got real actions must be taken to reduce the escalation. they gene takes an objective and fair position, making efforts for reconciliation and peace negotiations. the trees definitely. there's also a choose china or of the rough it build off of its nuclear arsenal in secret saving it poses a threat to the region. the stipend was made at the summit in hiroshima, the japanese city, the us old, but destroyed with

a nuclear weapon in world war 2. after the following tweet, you'll hear from the international independent china specialist after long. he believes that g 7 deploy is a double standards approach to ritz relationship with china. us has $6000.00 nukes and is the only country which use nukes against civilians. right? in here, oshima, where g 7 is meeting, china has 300 nukes and is the only country pledging no 1st use of nukes g 7 liter is one to express concern about china is new garza know quite shocking. there was a great deal of, uh, uh volk, and rhetoric and the boost standards amongst the g 7 countries. they want to use their cake and have to do the same type as far as dealing with china's coincide. while the one hand, they say though, we don't want to go to go over china, we just want the child to grow. but i'll get a hand, you know, laughing kind of, it's essential sanctions and dinardo back says, i'm trained,

i've gotten ology. and then the audiology of all on the saltado see and hong kong changing and trembling. ready on, on, on china's internal affairs. and then um is there is a great deal of, of, of travesty of the truth. but in the united states and the allies, as i said, warranties to kick and have it. and they want to put maximal pressure on china. charlotte, the rail china subjects rate uh, even though they said otherwise and the one time and 2 um i, i, ascension, russia, and china is being adopting and m as in informal and the defend. ready physician, the way it's a russian by now seeing is a symbols of peace. hundreds to the streets and protests to the g 7 over the choice of venue, the fiduciary, showing some people chopping and they will slogans forcing banners like that. no, well no. g 7 and the locals are held for almost say that just not convinced by the

true intention of the conferences. i do not agree with the statement made by dis summit. the statement is only in the interest of those in po, in the 7 countries. such a position will lead to the united states and tends to apply military operations through the summit, which will lead to will to g 7. somebody is a will conference. we strongly oppose the time we strongly oppose the us military actions. japan, his punches full 100 tomahawk missiles from the united states, which i absolutely oppose as it would lead to war against the sent me because of the sent me to is, is send me to of law because the, if the note to send me the pro fees will limit the whole united front and good pay are optics on the world stage, they just poll showed ged 7 lead is having serious popularity issues back at home. as of a show earlier, the italian prime minister with a slight net positive approval rating among other countries, but.