Ep 46 - Google Drive BETTER
When you purchase a product from our store page, you'll be directed immediately to a page where you can download the files, and you'll also receive an email with the download links in it. To get the listen on your mobile device, you can either a) access the email from that device and click the link to the product, b) download it onto your computer hard drive and sync with your device (so for iTunes, just drag the file from wherever you downloaded it to into the iTunes window or use File->Import File to Library), or c) get an iphone app to help the process: for instance, use Dropbox or Google Drive to make the file stored on your hard drive accessible from your phone, or make purchases using a 3rd party browser app like iDownloader or something comparable that lets you save files downloaded from the Internet right to your phone.
Ep 46 - Google Drive
As UncleZeiv rightly said, the Google Drive app does not support multiple file selection for sharing or other purposes, but there is a simple workaround. Open drive.google.com in your browser, and if prompted, open it in your browser, NOT in Drive app. If it opens in the drive app, then you need to clear this default in Settings (Android Settings, not your browser or drive settings)--> Applications or something similar, and clear defaults for drive. At drive.google.com, you can select multiple files.
Only because of this feature, I switched from Google Drive to Microsoft Onedrive which natively supports to make the folders offline across all the devices that includes Windows OS, MAC OS, Android, iOS & iPADOS. But please note that this option only available as Paid Service under monthly or yearly subscription.
In March 2017, Google introduced Drive File Stream, a desktop application for G Suite (now Google Workspace) customers using Windows and macOS computers that maps Google Drive to a drive letter on the operating system, and thus allows easy access to Google Drive files and folders without using a web browser. It also features on-demand file access, when the file is downloaded from Google Drive only when it is accessed. Additionally, Drive File Stream supports the Shared Drives functionality of Google Workspace.
Google Drive allows users to share drive contents with other Google users without requiring any authorization from the recipient of a sharing invitation. This has resulted in users receiving spam from unsolicited shared drives. Google is reported to be working on a fix.
For us It's one kind of procedure, it's very quick. So we can use this for all manner of things. In fact, our lead molecules are conjugates. Here, we're conjugating a high potency toxin to the bicycle, using the precision guidance system of the bicycle to deliver the toxin. But we can take two pharmacologically distinct bicycles, one is designed to home into the tissue, and the other could activate the immune system or some other functionality. So I think this is a step-change in drug discovery. For years, people have talked about precision medicines. And when we talk about precision medicines, we often talk about a small molecule which binds selectively to a mutant kinase. That's one way of achieving precision. Another way, which I don't think we've really honed in on and managed to realize is by having one entity which guides an agent, which might not, in itself, have that precision targeting system, but drives it into the locality of the tissue where it needs to work. I think that opens up so many opportunities. When I started, at Bicycle, I thought, there's going to be really exciting opportunities, I'm not quite sure what they're going to be, I think this is truly one of those really exciting opportunities.
Myself and my colleagues, we're trying to build the most scientifically strong organization we possibly can. We're blessed to be in the two Cambridges, the two ecosystems. So I think people who are scientifically strong, driven, disciplined, and importantly, team players. We've got a really strong team culture here. The technology is so novel. I would argue that in some of the more modular technologies, you can just think in one dimension, well, I've just got to go after this target. and I've got to, follow the footsteps of 100 people before and to optimize in this molecule to get to the biological, small molecule to get it to be fit for purpose. Bicycle is a bit different. Every experiment we do, potentially, is the first time that experiment has ever been done. You know, what if we take three bicycles and put them together? What if we put two bicycles and something else together? This is groundbreaking stuff. And so we need people who have the imagination and the curiosity to be able to cope with that, frankly.
This is the best health podcast brought to you by wake forest Baptist health in partnership with MedCost. Good day everyone. Welcome back to the latest best health podcast episode from wake forest Baptist health.Thanks for joining us today and listening, uh, to hear what we got to say with this latest episode of very good information. We actually have, um, for the first time we have three guests joining us today, uh, plus myself helping guide the conversation and we're going to be talking about a very important topic, um, with uh, substance abuse, uh, various substances and the abuse and treatment and resources available with our three special guests. Before we do that, I do want to, um, just once again give people the general coven 19 the Corona virus, um, website and hotline that wake forest Baptist health has set up, uh, as we do with each of the coven 19 related podcasts. Reminder, everyone can go to wake health.edu/corona virus, wake health.edu/perona virus or all kinds of resources that we have available for you from, um, clinic updates to FAQ.Uh, all the podcasts that we've done listed there, uh, visitor restriction information, a wealth of information for you. Also, the hotline is still manned 24 seven, that's three, three, six, seven zero Cobin three three, six, seven zero coven. So I wanted to make sure people were aware of that at the beginning of this episode. I'm now onto my three really great guests that I have today. I'm very excited about getting the word out about, um, you know, substance abuse, um, issues, the, the, um, the medical, uh, background information on substance abuse and how it can affect people and, and ways of course to see treatment and available resources. So hopefully, um, someone listening out there today, um, can take advantage of this information, um, and pass it along to someone who they might think it can be helpful for. So, uh, we have, uh, first of all, uh, Dean Melton, who is the director of outpatient addiction programs here at wake forest Baptist health.Welcome, sir. How are you? Well, thank you. Good. Thank you for joining us. A second. We have Dr. Heather Douglas, who's the medical director of the addiction clinic. Um, so welcome Dr. Douglas. How are you doing? Great, thank you. Thank you for having this podcast. Yeah, absolutely. I know y'all have been busy, so thank you for taking time to talk with us today. And last but not least, we have Dr. James Kimball, um, who is associate professor of psychiatry and behavioral medicine, uh, here with wake forest Baptist. So thanks dr Kimball. Uh, I'm glad you're joining us as well. Yeah, I'm, I'm honored to be here. Thank you. Absolutely. So to start things off before we dive into some question and answer time and some really great information that you have for us, and maybe just offer a quick introduction for yourselves, uh, just to help, uh, all the listeners familiarize, um, them themselves with you all and, and kind of your background a little bit. Um, so we can start off with, with gene, if you wouldn't mind going first, sir.Yeah, yeah, the Melton. I am a licensed clinical addiction specialist. I've been involved in doing addictions work for almost 35 years now. I've been here at white force for the past 20 as the director of the eviction programs. And, uh, that includes an intensive outpatient treatment program we do here that meets four nights a week. And we also have a medication assisted therapy program that's typically, uh, uh, anti craving medications and also, uh, you've been orphan. Uh, most people know that as Suboxone. Uh, we do a clinic, uh, trading, uh, opioid use disorders. So that's what I do here and also have some opportunities to teach occasion.Great. Great. Thank you. Dr. Douglas. Uh, do you want to go next?So I'm the medical director of our addiction clinic here at Jonestown road. So our outpatient behavioral health is located seven 91 Jonestown road. And, uh, I work right next to Dean Nelson. Our offices are just two doors down from each other. Um, and I'm the psychiatrist here, so I manage the medication for our patients, um, whether they're in the intensive outpatient program or in a weekly, um, in a T what we call mat, medication assisted treatment program. Uh, there's some other things that I do as well with addiction and as far as research and neuromodulation, um, in teaching,um, dr Kimball, how about you sir? Yeah. So I've been here at Lake bar since 2003 and I do a variety of things here. I, I primarily, uh, see patients in the inpatient hospital setting and when it comes to addiction, I see a lot of patients there, uh, where their, uh, alcohol or other substance use disorder has affected, uh, them in a variety of ways, including a worsening of their medical conditions.Okay. Thank you all very much. Um, good information. Dean. I want to go first to you if you don't mind. I have a couple of questions. I'm going to start off kind of a trying to frame a picture here. Just talk about a little bit about what you do day to day in, in helping, um, the patients that you see. And you know, we can talk about, um, substance abuse and addiction for hours and hours and hours. And we're gonna, we're gonna try and condense it all down into, to a relatively short podcast. Know there's books and books and articles that have been written about this. Um, so I guess just to help frame the overall picture, um, maybe just give a brief overview of, of a little bit about what y'all do day to day, um, there at the clinic and how, um, people come to find you and get, uh, get assistance for substance abuse.Sure, sure. At our location in John's town road, we're entirely an outpatient clinic and a lot of the individuals that contact us seeking care, they, they're either referred to us by their primary care physicians or they're referred to as a therapist in the community. Uh, our program has been going for quite a while now, so a lot of our referrals just come through word of mouth. A number of our patients also will come here after they may start going to 12 step meetings like alcoholics anonymous or narcotics anonymous. And so they'll, they'll contact this. And the way we do things in our clinic, we do a pretty heavy phone screen. We spend a lot of time talking individuals about what's going on, uh, about their level of substance use and what, where they are in terms of their level of motivation and what they're seeking.Uh, and if they, if they really indicate that they're ready to do something, uh, about their substance use disorder and, and, and oftentimes their psychiatric issues. Uh, very often our patients also suffer from depression, uh, disorders, anxiety disorders, bipolar disorder. So, uh, we, we do dual diagnosis type of care here, uh, very often, but we'll, we'll make an appointment in a patient will come in and we'll do a pretty extensive, uh, evaluation, a psychosocial type evaluation, looking at all their, uh, uh, family history, their current medical history, their use history. So it's, can we go through all of that? And then if, if, if they qualify for the programs we run, we have two distinct programs and intensive outpatient program and people using all types of chemicals come into that program. And it's a fairly extensive, and individuals come in that programs, uh, four nights a week for at least five weeks. And while they're in there, we also ask them to enter into 12 step programs like alcohol tonight on the Sanitarium, those at least three times a week, we have Motsa HEDA for LGBT years into treatment that beyond relapse rates, we use a model of care here that very much incorporates a 12 step model. Gotcha. Yeah. And then all their other medications or medication assisted therapy program and Dr. Douglas and Dr. Campbell, we'll talk more extensively about Medicaid. They're trying to be in this healthy, it was the sobriety and benefit from treatment.Gotcha. That's super helpful. I'm just kind of as a foundational overview of, of the, the way it operates, um, at the clinic. Um, you know, you mentioned Dr. Douglas and Kimball, they're going to talk about the, um, the med, the medication side of things. I wanted to ask you if someone was seeking treatment for a substance use disorder, um, other than medications, what types of, uh, services or offerings are there? What did they expect when they're, when they're going to treatments, um, and looking at things besides medication?Sure. Based upon that evaluation, we're often looking at whether or not someone needs to detoxify, to be admitted to an inpatient setting for detox. And very often we've already clarified whether or not that's necessary just in our phone conversation. But when they come in and we're looking at, well, you know, the severity of their symptoms, the level of support that they have at home or in the community, and, uh, if they need a higher level of care than what we do here, we often refer them to an inpatient setting. And, you know, there are some outstanding treatment programs, not, not too far away from here. We often refer to a facility in Greensboro called fellowship hall for inpatient care. Elaborate very often with other facilities. A lot of individuals that go to inpatient care step down to an intensive outpatient level to continue their treatment.And we also, um, as a part of our treatment programs, we, the model we use, we, we often look at, uh, we call it the whole person model where we're looking at mental and emotional and social and spiritual sobriety. Uh, so many individuals think that, um, if they simply quit using the chemical, then their problem has gone away or that is then what we often find is that when individuals stop using their chemicals, uh, they're often left with without the tool that I use to try to deal with things. And we also do some specialty programming here. We have some women's clinics and, um, that's one of the big things. Many of our women come in with different issues or more severe. A lot of women for years have gotten in treatment at a lot later stage in their addiction process. Uh, um, w we try to focus on their specialty needs.So when we're doing this, we're looking beyond just medications. Uh, the medications simply help us initiate that process and sobriety and, and, uh, decrease cravings or the obsessive thought processes of wanting to use. And it also doesn't weight with, um, the physical withdrawal processes. Gotcha. We can deal with that. We can, they begin to work on those other areas, mental, emotional, social, and spiritual aspects. Gotcha. Well, I'm really glad you touched on that. Um, the whole person approach, uh, with, you know, the, it's, you know, the substance abuse and abusing these, these chemicals. Um, whichever, you know, might be the chemical of choice. Uh, obviously it has adverse effects on your, you know, uh, your physical body, um, you know, mental and emotional tolls as well. Um, so, you know, obviously one of the goals is to stop, you know, using the substance that is harming them.Uh, but you go, y'all go behind that and kind of take a deep dive into some underlying issues that might be there to help. Um, you know, when they do stop using the substance, uh, it needs to be more sustainable, uh, and hopefully lasts long term, uh, than just, Hey, stop using, you know, drugs and alcohol. Okay. See you later. But you all take a deeper dive and find maybe some underlying issues that can help the person longterm. Right. Right. We do, we could addiction as a, as a disease process of the brain. And I like doing a lot of the discussion about the neurobiology of addiction and, and how those changes that occur in the brain are permanent changes.Most people have heard that thought and what once an alcoholic always an alcoholic and how does that really make sense if a person stops drinking? And, um, and when we're looking at some of the, the changes at the level of the neurons in the brain and health, even though the brain may start functioning better and looking different when we're doing pet imaging, what happens is if they go back to using those, those, the brain almost instantly reverts back to be like it was when they were using in the past. Wow. So we, we, you know, we began that whole process of educating. One of the biggest fallacies that most people have is, and most people have had someone say this to them, if you just had enough power, and, and I almost jokingly talk about, you know, will power is the arch nemesis of recovery.I always joke that, uh, alcoholics and addicts, they absolutely do not suffer from a lack of willpower. They actually have an overabundance of that because it'd be like trying to use willpower like a diabetic, trying to use willpower to make their pancreas start working again. Yeah. Interesting. So, you know, just the process of educating and helping people do some of this, uh, these minutes and then some of that denial processes, we can begin to talk about all those other things, the problems going on in your marriage, the problems, you know, coping with the emotional processes, uh, resentments, anger, fear, and those are all just part of the processes of being in a treatment program. And we just find that most people there, there's some data, ah, I can't point it out specifically, but in the treatment industry for years, it was that people who wake up one morning and they try to stop using, um, about a year later, only 1% of those people are still so for people, good treatment when they finish treatment, if they do not do anything beyond that, uh, only about 10% of those people, whatever your later. But for people who get good treatment and continue to engage in ongoing recovery, uh, like going to 12 step meetings, coming here to aftercare, they do that about three times a week during their first year of sobriety. At the end of the year, about half of those people are still subgroup. Tremendous statistical difference. Sure. It's a process. People struggle, but we understand that it's a process toward recovery. It's not just something that happens one day.Yeah, that's a great information. Um, you, I want to bring Dr. Douglas in to the conversation now. Um, Dr. Douglas, you know, we've been listening to Dean, you know, kind of give us an overview and there's some, um, you know, processes by which you all go and, and, uh, take a holistic whole person approach. Um, obviously one of the tools in the toolbox for you all is medication and medication treatment. Um, and you know, one, one specific, um, you know, uh, issue that we've been, um, facing here in North Carolina and nationwide that we hear a lot about in the media of course is, um, the opioid use in, in, um, just the staggering statistics around opioids. You know, to just kinda dive into that specific issue for a minute, what are some of the medication treatments, um, that y'all are seeing, uh, that have been helping patients, uh, surrounding this, this disorder with YPO woods?Absolutely. And you know, to kind of lead