April 8, 2025 • 30 mins
Community DC Host Dennis Glasgow speaks with Dr. Sara Kinsman, Director from the Maternal and Child Health Bureau Staff - Division of Child, Adolescent, and Family Health at Her-Sa – also know as the Health Resources and Services Administration. We’ll be spending the next 30 mins talking about Poison control – what you can do if a family member, friend, co-worker or someone you know has been poisoned and what you can do quickly do help them or yourself – we should mention that the poison help line is open 365 days a year 24/7 by simply calling 800 222 1222
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Good morning, and welcome to another edition of Community DC.
I'm your host Dennis Glasgow. This morning we get a
chance to speak with doctor Sarah Kinsman, who is the
director from the Maternal and Child Health Bureau Staff Division
of Child, Adolescent and Family Health at HERSA, also known
as the Health Resources and Services Administration. We'll be spending
the next thirty minutes talking about poison control and what
(00:21):
you can do if a family member, a friend, coworker,
or someone you know or even yourself has been poisoned
in what you can do quickly to help them or yourself.
We also should mention that the Poison Help Line is
opened three hundred and sixty five days a year twenty
four to seven by simply calling eight hundred two two
two one two two two. This is a very informative
conversation with doctor Kinsman, so I hope you enjoy it
(00:44):
as much as I did. Good morning, doctor Kinsman.
Speaker 2 (00:47):
Good morning.
Speaker 1 (00:48):
Well, it's a pleasure to have you board. And as
I said in the open, we're going to be talking
a lot about the HRSSA also known as the Health
Resources and Services Administration, and I thought we'd do this
before we talk about poisons and fentanyl and everything that
the agency and you and your team does. Doctor Kinsman,
I wanted to give a little context to you. How
(01:08):
long have you been with HRSSA, by the way.
Speaker 3 (01:10):
So thank you so much, Dennis. It is great to
be here with you. I'm trained as a pediatrician an
adolescent medicine specialist, and have.
Speaker 2 (01:21):
Been in the field for over thirty years.
Speaker 3 (01:23):
I have had the honor of working for the Health
Resources and Services Administration for the last six years.
Speaker 1 (01:31):
Doctor Kinsman, let's do this. If you could give a
thirty thousand foot view exactly what HRSA does, what would
you tell them that you exactly do?
Speaker 2 (01:39):
Sure?
Speaker 3 (01:40):
So, the Health Resources and Services and Administration is part
of the Department of Health and Human Services, and we
have a very special mission.
Speaker 2 (01:52):
Our mission is to.
Speaker 3 (01:53):
Ensure that all Americans have access to healthcare and optimal healthcare.
So we provide that healthcare through funding for health centers,
for ensuring that we have nurses and physicians and other
providers in rural areas, by taking care of mothers and
(02:15):
children's health, and being sure that we really focus on
the needs of folks in rural populations who sometimes don't
have the same access to care that people do in
urban populations. So it is an absolutely wonderful agency in
the federal government and it's such an honor for us to.
Speaker 2 (02:34):
Be able to be a part of this.
Speaker 3 (02:35):
And of course the Poison Center's program is in Hersa
and we're so proud of our program.
Speaker 1 (02:42):
Well, we're going to talk a lot about that, and
I don't want to make any assumptions, but I guess
when it comes to what you and your team do,
it really is truly about education and what that said about,
you know, knowledge is power, of course, So when you
try and get the message out to whatever is you're
talking about, or warning people or making sure that there
are up to speed on everything, how do you do that?
Speaker 3 (03:02):
Yeah, So we have a many different ways that we
provide education. One of the key programs we have is
the Poison Helpline, which is one eight hundred to two
two one to two two, and a call to that
number gets you connected directly to a specialist. You can
(03:23):
call from all states, District of Columbia, US affiliated jurisdictions.
Our helpline is free and confidential. It's available twenty four
hours a day, seven days a week, three hundred and
sixty five days a year. We have interpretation services in
one hundred and sixty languages, and when you call us
(03:44):
for help, you actually speak to somebody who is a
specialist in poison information. These are trained nurses, toxicologists, pharmacist physicians.
They're familiar with the poisonings in your local area, and
they also know what the medical resources are in your area.
So if you call with a concern about a poisoning,
(04:07):
they know it's available and they know how to get
the right kind of help to you very quickly.
Speaker 1 (04:12):
If you don't mind, maybe give us an example, because
I'm sure there's so many different kind of poisonous things
out there, and then we're going to talk about pentonyl
and just a little bit and some other things. But
when it comes to that, I imagine that there's just
hundreds of thousands of different ways people can call and
they have a concern With that said, is there a
(04:32):
either a top five or top ten list that is
the most concerns to you and your team that you
probably get the most calls about.
Speaker 2 (04:38):
Sure? Sure, so.
Speaker 3 (04:39):
So many different kinds of things can make you sick
from poisonings, and poisonings can happen from swallowing something from
breathing in fumes. Carbon monoxide is one that's terribly lethal,
and by touching things like a nicotine patch or being
bitten by a snake. The top five poisoning calls for
(05:02):
all ages are things like we call them analgesics, and
these are things to reduce pain, and one of those
is a sea of minifin. We also get calls for
house cleaning products, and some of them can be very severe,
including things like furniture polishes. We get calls for medications
to treat depression and heart heart issues, and then we
(05:26):
also get calls about cosmetics and personal products that folks
get into, and it varies by age, right, so we
know that for little kiddos, they're going to get into
those household cleaning substances. If they're not up in a way,
they're going to get into hills that are around cosmetic
project products and sometimes they have the foreign bodies. So
(05:50):
batteries are something that are very very risky for young children.
So having small batteries out of reach from young.
Speaker 2 (05:58):
Children is important.
Speaker 3 (05:59):
And then they also sometimes will get into dietary supplements
or herbal supplements because we leave them around thinking oh,
this isn't a medication when in fact it is something
that could be harmed to a child for older adults.
And it's really important the Poison Help Line is available
for anybody in the country. The kind of cales we
get are about prescription medications. Did one of our parents
(06:24):
or grandparents take medication at the wrong time, or take
too much of a medication, took an extra dose. And
the other thing that happens sometimes is folks get interactions,
meaning when one medicine upsets the balance of another medicine
and an older person might be feeling uncomfortable or different
(06:45):
or worried about that. Those are all wonderful reasons to
call the Poison Help line.
Speaker 1 (06:50):
So I think myself and our listener to learn something
really big. It's just not you know when you think
what a poison is. It's also when it comes to
your personal medication that you can call to an issue,
whether it's you, a family member or friend. I think
it's wonderful that you do that. And once again, it's
another bucket that people can call you about if they
have an issue. So I think that's just wonderful. It
(07:12):
makes sense that your team does that as well.
Speaker 3 (07:14):
Yeah, Dennis you know, I think one of the things
folks don't realize is we have three million calls a
year that the poison centers take care of, and one
in four of those calls comes from a medical provider. So,
as I mentioned before, I'm a pediatrician and I would
be on the phone every single night with Poison Helpline
(07:37):
when I was taking care of my adolescent patience in
the hospital. Some of those kiddos have gotten exposed to
different substances. So we're here to provide support for all
people in the country, the particular support to healthcare providers
who are taking care of folks who've experienced a poisoning.
Speaker 1 (07:57):
You know, we started talking about educating the public, but
I just imagine with you, your team and everybody at the
call centers, the education must be fluid because we're probably
talking about thousands of different ways that you can accidentally
poison yourself, and everybody has to be up to speed
all the time. So I imagine the education for you
and your team is always fluid too, because you're always
(08:18):
learning something new. Would I be correct that.
Speaker 2 (08:19):
Is absolutely true?
Speaker 3 (08:21):
Is there is always opportunity to learn. There are times
where folks will think there will be products that come
onto the market and we'll think, oh, that product's on
the market, it's not going to cause any harm, and
in fact, there might be something mixed into that that
causes harm. We saw recently that there was lead mixed
(08:44):
into some of baby foods, and so that was folks
called Poison Helpline to get help for that and it
address those kinds of issues.
Speaker 2 (08:55):
So we always are learning and always sharing.
Speaker 3 (08:58):
With the public updates about what's happening locally, because that's
what's so important too, is that the types of poisonings
that might happen in Alabama are going to be different
than in Boston.
Speaker 2 (09:10):
And we, for example.
Speaker 3 (09:12):
See a really really strong group of folks that know
how to handle various types of venomous snake bites in
some of the southern states of our country, where the
northern states have a couple risky kinds of snakes, but
not to the degree that we see in our southern states.
Speaker 1 (09:32):
Well, that makes a lot of sense, and the regional
part of it. I did want to talk about feedback
because it doesn't matter what industry you're in, whether it's
mine or yours, feedback is paramount to getting better and
also making sure that if you're not doing something the
way you want to, well, then you hear from enough
people and that's how you get better. How do you
get feedback either from the people that are fielding the
(09:54):
calls or the people that are calling the call centers
to make sure that you're up to speed and also
getting better what everybody does?
Speaker 3 (10:00):
Oh, Dennis, that's a great question. So there's two ways.
One of the hallmarks of poison centers is they call
you back.
Speaker 2 (10:10):
So you call.
Speaker 3 (10:10):
In say, hey, listen, I think my mom took two
doses of her medication.
Speaker 2 (10:17):
She looks a little sleepy. What do you think?
Speaker 3 (10:19):
And then they will help you and give you really
talking through what you need to do. And then what
they'll do.
Speaker 2 (10:29):
Is they'll call back later that day. They'll call back
the next day.
Speaker 3 (10:33):
They follow cases through to be sure that the folks
they are taking care of on the phone have received
the care they need and are doing well. So we
have that feedback loop built into the poison centers.
Speaker 2 (10:49):
The other thing is is every.
Speaker 3 (10:50):
Single case and without any this is.
Speaker 2 (10:53):
A confidential service. You don't have to share your name.
Speaker 3 (10:58):
The folks on the call will ask kind of poison
it is when it happened, how old the person is,
how far away you are from.
Speaker 2 (11:06):
A medical facility.
Speaker 3 (11:07):
But nothing personal needs to be shared, and we put
that information in a data set so we're able to say,
do we do the right thing, did we help this
person fast enough?
Speaker 2 (11:22):
Did we send them.
Speaker 3 (11:23):
To where they need to go? And we are looking
at that every single as it's going on, so we
do it in an ongoing way. But then we actually
put those reports out on every single year so folks
can see how this service is going forward and what
it's doing for for the American public.
Speaker 1 (11:42):
Well, there's a couple of takeaways for me about that.
And I know that you and your team and the
entire HRSA meant to do this, but when it comes
to follow up, that's extraordinary because just the one call
is not going to always get it done. So that's
wonderful that you do that in great customer service, by
the way, But also it sounds like transparency is a
really big deal, would I be correct?
Speaker 3 (12:03):
Absolutely absolutely, I mean really sharing. The wonderful thing about
poison experts is, as you said earlier, Dennis, they're always learning,
and so there is an incredible amount of sharing information
being very clear with callers what we know and don't know.
So we may hear you know you shouldn't be having
(12:26):
those symptoms based on what you're telling me, But I
just want to be safe, So in this situation, I'm
going to have you see another provider just to be sure.
Often we can, the poison centers are able to manage
folks at home and so that is really amazing, especially
(12:46):
with the close follow up, but they are never going
to take a chance when something doesn't feel quite right.
There's a little extra information they've heard that makes them worried.
They're going to say, hey, listen, and how far away
are you from this health center. How quickly can we
get you there? And then they will call that center
(13:08):
and say, just want you to know little Jimmy's coming in.
We think he might have swallowed just one of the
you know, gummy gummy vitamins, but could it be a battery.
We just don't know. Can you take a look at him.
So they'll be that kind of hand off and follow
(13:29):
up to be sure that children and their family are safe.
Speaker 1 (13:32):
Well, that makes a lot of sense and some help
and redundancy, and I imagine and this kind of leads
me tonight. Next question that you're kind of answering for
me already is that if one of the operators that
is fielding a call really truly doesn't know in all
the scope, Uh, there's probably other resources to make sure
there's still an answer very quickly correct.
Speaker 3 (13:50):
Oh, absolutely, there's a When you call a center, there
is a specialist in poison information, and that specialist has
a backup available to them, sometimes several backups, and those
folks work together very very quickly.
Speaker 2 (14:08):
So in.
Speaker 3 (14:10):
My clinical practice, when I had an adolescent who might
have ingested many different medications, or a child with special
health care needs who isn't able to tell us what
they took, I would be able to call the poison center,
and folks, we would say, let's get everybody to think
about this together, and they give you real time advice
(14:33):
and information. We think where at this time, this is
the medication we want you to start, this is how
we want.
Speaker 2 (14:39):
You to do it. We will call you back in.
Speaker 3 (14:41):
Ten minutes or call us back in ten minutes, and
so it's a very proactive way to ensure children and
their families are safe.
Speaker 1 (14:49):
So we're at the halfway point, and I think this
is a good way to segue into something that I've
always been curious about about what you and your team do, because,
as we know, there's a lot of states that are
legalizing a lot of different drugs out there for recreational use.
So when it comes to that, does that fall under
a certain umbrella? And I don't you know we can
specifically talk about fentanyl, because I think that's its own topic,
(15:10):
and I know you and I doctor Kins, we could
talk to ours about that because it's always in the
news and I know and that's just not the one
thing that's out there that people either use professionally or
for personal use. But with that said, when it comes
to recreational drug use and there happens to be an issue,
can they call and what is everybody educated on when
they do call the center?
Speaker 2 (15:29):
Absolutely?
Speaker 3 (15:30):
Absolutely, so folks can call the center. It is confidential
you if somebody is calling because they're worried about somebody
who is overdosed. We do not need to know names,
we do not need to know specific locations.
Speaker 2 (15:45):
We are here to help you.
Speaker 3 (15:48):
And so what will happen is that you will give
a call to a center. You will hear right away
somebody I'm talking to you. Then you'll call just so
you'all know the number one eight hundred two to two
one to two two. You'll have that poison specialist pick
up the phone right away.
Speaker 2 (16:07):
They will tell you.
Speaker 3 (16:08):
Exactly what you need to do, and stay on the
phone with you as necessary, and they'll ask you about
the container or the type of product, how old that
person is when you believe they were exposed to a poison,
how far away you are from getting help from a
hospital or from an emergency medical service, and what you've
(16:32):
already done. And because most poisonings can be managed at home,
it's really good to know that. But there are very
serious lethal poisonings. And I would say that synthetic opioid stentists,
as you've shared, are one of those that we are
really worried about. We know that in the last several years,
(16:55):
almost seventy thousand people a year have died from a
fentanyl poisonings. And so in that situation, if you see
someone you think has a serious poisoning, first thing to
do is call nine one one. Person isn't breathing, they're
not responsive, call nine one one. Then what you would
(17:18):
do is you would if a person's alert and active
and breathing. You would call Poisoned Helpline and they would
help you right away. It is so important if you
think that somebody is experiencing an overdose from an opioid
or from fentainail.
Speaker 2 (17:35):
If you have no lock zone, give it right away.
Speaker 3 (17:39):
No lock zone is a life saving medication that can
rapidly reverse opioid overdoses. And the lockzone should be given
to any person who shows signs of an overdose, whether
it's opioid or other. That person looks like they're not breathing,
they're not responsive. If you have no lockzone, you can
(18:00):
give it to that person and it will be helpful.
Loxo's available in all states and jurisdictions. You can get
it at your local pharmacy, often without a prescription or
with a prescription, and it's so important to have that
available and to protect the public, family members, other folks
(18:24):
because it can really reverse a very serious poisoning.
Speaker 1 (18:27):
That's a good point, and I'm glad you brought that up.
And I didn't want to talk a little bit more
about opiods and fentanyl. And I won't hold you any stats,
but if you have any recent stats, whether it's domestically
or in regions. When it comes to that, maybe you
can first explain a little bit about what opiods are,
because I think there's people hear that word all the
time but they're not sure what that is. And also
(18:48):
phentanyl and the dangers of that. Could you go into
both just a little bit for us.
Speaker 3 (18:51):
So, opioids are a medication that really help with severe pain.
Severe pain can come from a fracture of an arm,
can from excruciating uh oral pain, or somebody who needs
to have a truth canal, a root canal. Different kinds
of significant pain can be managed with opioids. Some opioids
(19:15):
are naturally occurring and some of them are what we
call synthesized, in other words, they're made differently. Those opioids
can be used by prescribers, nurses, physicians, but also they
can be used as people sometimes call them straight drugs,
recreational drugs.
Speaker 2 (19:36):
Or drugs of addiction.
Speaker 3 (19:37):
And in those situations there can be times where folks
think they're taking a drug and in fact there's a
different composition of that opioid.
Speaker 2 (19:50):
So we have seen folks who think they're.
Speaker 3 (19:52):
Taking one type of a pill and in fact that
pill has a very very serious synthetic opioid which is
much stronger than the medication they think they're taking.
Speaker 2 (20:05):
Or they might think.
Speaker 3 (20:06):
That they're using marijuana and not know that there is
sentinelal or another synthetic opioid mixed into that marijuana. Or
it can go on with all the different kinds of drugs,
and the problem is is that when it's mixed in,
folks may not know they may be using something that
(20:27):
they think, oh, I've used this type of marijuana for
a long time, and not expect that they're going to
have such significant impact from an opioid or synthetic opioid.
And when that happens, that's where the risk of fatality
is very high. So people take something it's something else,
(20:48):
sure enough, it's a synthetic opioid, and what happens is
folks start to lose consciousness and stop breathing. And that
is tragically how we have seen so many any young
people and young adults and adults in the US pass away.
And so we're really educating folks about the risks these
(21:10):
things can be mixed in and you would not know it.
And then also the life saving medicine and me lox
own that if we could carry it around with us,
we would have the better chance of God forbid. If
this does happen to your nephew, or to your dad,
or to somebody on the street, you are there and
(21:32):
able to help them have a second chance at life.
Speaker 1 (21:36):
Well, doctor, kidsman, I'm glad you brought this up. And
if I could just get on my bully pulpit for
a second as a parent, I've had this discussion my
wife and I with our daughter probably since middle school.
And that's when you have to, at least for us,
AT's start the conversations and maybe you can expand on
this a little bit and we don't have to spend
a lot of time in it, but I think it's
paramount for any caregivers or parents out there. When you're
(21:56):
talking to your preteens and then your teenagers, you have
to remember, you know that there's drugs everywhere, and if
you don't know the origin or the trusted source, you're
just rolling the dice out there to your point. And
that's something you know that We've talked to our twenty
two year old that lives now in New York after
graduating college that as a parent. You know, you're worried
about so many things, but if somebody's going to do
(22:17):
that recreationally and you don't know where the source came
from of everything, it's just frightening to think about the
things that can happen. And I've seen the news out
there and it is a sobering thing to happen. Then
when a kid thinks they're having fun out there, they
don't know the origin of what's inside the drugs, and
before you know it, somebody's lost a life, and it
is a tragedy out there. And I imagine you've seen
(22:38):
and heard that more than several times. And it's just
as I say, it's a very sobering thing for parents
out there.
Speaker 3 (22:43):
Absolutely, And I have to commend you in talking to
your kids about this. I mean, we need to be
able to talk about this, to talk about the risks.
You're not going to know whether that particular medication that
you're taking, if it's a non prescribed medication, has sent
in it or not. You know, some folks suggest using testing, kits, etc.
(23:10):
But you're not always going to know that it's in
this piece of the brownie or this piece of a cookie,
or this piece of a pill. So having those conversations
is so important, having them in a way that young
people can come to us for help and say, I'm struggling,
(23:32):
I'm afraid, or my friend is going through this dad
and her.
Speaker 2 (23:38):
Parents are in trouble. Can you help. We want our
young people to be able to come to us.
Speaker 3 (23:43):
Share what they are experiencing and seeing know that we
will help them. Have an alaues own in our house
just in case. And I think that these are conversations
that adults need to have with one another to you know.
Speaker 2 (24:01):
In peer groups.
Speaker 3 (24:02):
And we also see older adults trying different kinds of
things as far as medications go, and so being able
to talk about poison risks and poison safety.
Speaker 2 (24:13):
Is so so important. And one other thing.
Speaker 3 (24:16):
That I always say for folks who have adolescence is
one of the medications that is most likely to cause
death is actually.
Speaker 2 (24:24):
A seed and minefit.
Speaker 3 (24:25):
It's something we almost all of us have in our
medicine cabinets and a large intake of that medication can
cause liver failure. And so we think, oh, we're safe,
we're safe, our kids are safe, But it is one
of the drugs that is most deadly and so being
really aware of how much one has, that it is
(24:47):
in a safe place that if somebody is at risk
for harming themselves they do not have access to that medication.
These are all really important discussions to be able to have.
Speaker 1 (24:58):
Yeah, I'm glad we talked about that, and thank you
for the compliment. Something that my wife and I have
always been big of is communicating, especially at things that
when it comes to drugs and our child and then
of course when you release them into the wild, you
know whether they're still in school and now she's on
her own in Brooklyn, New York. It's something you think
about all the time and it's scary. But to your
(25:19):
point and our point, if you talk and educate your kids,
at least you've got a fighting chance in that arena.
So I want to do this. We only have a
couple of minutes left and I've really enjoyed the conversation.
I could talk to you for hours about all the
wonderful work that you and your team do. But if
we could kind of recap what we've talked about, we
can give the number one more time, and maybe the website,
which is beautifully put together, lots of information out there,
(25:41):
so let's just get some final thoughts to floor's here's
doctor Kinseman, go ahead, please, thank.
Speaker 2 (25:45):
You so much, Tennis.
Speaker 3 (25:46):
So folks need to know that they can call the
Poisoned Help Line at one eight hundred two two to
one to two two for questions about poisonings, but also
in poisoning emergencies questions too, you can call we are
here free. The other place that has great information is
our Health Resources and Services Administration website, and that website
(26:11):
is Poisonhelp dot HRSA dot gov, and there you can
learn more about how to poison proof your home, how
to store medications safely, how to dispose of old medication
unused medications.
Speaker 2 (26:31):
And how to reduce.
Speaker 3 (26:33):
Poisoning risks, and then how to talk about it. There
are great, great resources there that you can show young people.
You can strol older folks and say, hey, are you
worried about this? Let's talk about this.
Speaker 2 (26:46):
And we can do this together to make us all safer.
Speaker 1 (26:49):
Stanning, let's give that number one more time for everybody.
Speaker 2 (26:52):
Sure.
Speaker 3 (26:53):
A poison helpline is one eight hundred two two two
one two two two.
Speaker 1 (27:00):
Well, doctor Kinsman, this has been educational, informative, and I
really appreciate it. You know, when we take a look
at something like the HRSA, I don't think we realize
the depth and the scope of you, your team and
all the people across the United States that are fielding
these phone calls and really saving a lot of lives
out there. You know, because if you don't see it,
feel in touch it, you really don't know. But I
(27:21):
know you know this, and I can, you know, sense
your passion about all the great work that people are
doing out there and saving lives. It must be extraordinary
to work with this team.
Speaker 3 (27:30):
I am very lucky. I have a wonderful team. And Dennis,
thank you so much for creating the opportunity for us
to share about the Poison Help Planning today.
Speaker 1 (27:39):
It is our pleasure. Thank you so much for joining
us on Community DC. We really appreciate your time.
Speaker 2 (27:44):
Thank you.
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Good morning, and welcome to another edition of Community DC.
I'm your host Dennis Glasgow. This morning we get a
chance to speak with doctor Sarah Kinsman, who is the
director from the Maternal and Child Health Bureau Staff Division
of Child, Adolescent and Family Health at HERSA, also known
as the Health Resources and Services Administration. We'll be spending
the next thirty minutes talking about poison control and what
(00:21):
you can do if a family member, a friend, coworker,
or someone you know or even yourself has been poisoned
in what you can do quickly to help them or yourself.
We also should mention that the Poison Help Line is
opened three hundred and sixty five days a year twenty
four to seven by simply calling eight hundred two two
two one two two two. This is a very informative
conversation with doctor Kinsman, so I hope you enjoy it
(00:44):
as much as I did. Good morning, doctor Kinsman.
Speaker 2 (00:47):
Good morning.
Speaker 1 (00:48):
Well, it's a pleasure to have you board. And as
I said in the open, we're going to be talking
a lot about the HRSSA also known as the Health
Resources and Services Administration, and I thought we'd do this
before we talk about poisons and fentanyl and everything that
the agency and you and your team does. Doctor Kinsman,
I wanted to give a little context to you. How
(01:08):
long have you been with HRSSA, by the way.
Speaker 3 (01:10):
So thank you so much, Dennis. It is great to
be here with you. I'm trained as a pediatrician an
adolescent medicine specialist, and have.
Speaker 2 (01:21):
Been in the field for over thirty years.
Speaker 3 (01:23):
I have had the honor of working for the Health
Resources and Services Administration for the last six years.
Speaker 1 (01:31):
Doctor Kinsman, let's do this. If you could give a
thirty thousand foot view exactly what HRSA does, what would
you tell them that you exactly do?
Speaker 2 (01:39):
Sure?
Speaker 3 (01:40):
So, the Health Resources and Services and Administration is part
of the Department of Health and Human Services, and we
have a very special mission.
Speaker 2 (01:52):
Our mission is to.
Speaker 3 (01:53):
Ensure that all Americans have access to healthcare and optimal healthcare.
So we provide that healthcare through funding for health centers,
for ensuring that we have nurses and physicians and other
providers in rural areas, by taking care of mothers and
(02:15):
children's health, and being sure that we really focus on
the needs of folks in rural populations who sometimes don't
have the same access to care that people do in
urban populations. So it is an absolutely wonderful agency in
the federal government and it's such an honor for us to.
Speaker 2 (02:34):
Be able to be a part of this.
Speaker 3 (02:35):
And of course the Poison Center's program is in Hersa
and we're so proud of our program.
Speaker 1 (02:42):
Well, we're going to talk a lot about that, and
I don't want to make any assumptions, but I guess
when it comes to what you and your team do,
it really is truly about education and what that said about,
you know, knowledge is power, of course, So when you
try and get the message out to whatever is you're
talking about, or warning people or making sure that there
are up to speed on everything, how do you do that?
Speaker 3 (03:02):
Yeah, So we have a many different ways that we
provide education. One of the key programs we have is
the Poison Helpline, which is one eight hundred to two
two one to two two, and a call to that
number gets you connected directly to a specialist. You can
(03:23):
call from all states, District of Columbia, US affiliated jurisdictions.
Our helpline is free and confidential. It's available twenty four
hours a day, seven days a week, three hundred and
sixty five days a year. We have interpretation services in
one hundred and sixty languages, and when you call us
(03:44):
for help, you actually speak to somebody who is a
specialist in poison information. These are trained nurses, toxicologists, pharmacist physicians.
They're familiar with the poisonings in your local area, and
they also know what the medical resources are in your area.
So if you call with a concern about a poisoning,
(04:07):
they know it's available and they know how to get
the right kind of help to you very quickly.
Speaker 1 (04:12):
If you don't mind, maybe give us an example, because
I'm sure there's so many different kind of poisonous things
out there, and then we're going to talk about pentonyl
and just a little bit and some other things. But
when it comes to that, I imagine that there's just
hundreds of thousands of different ways people can call and
they have a concern With that said, is there a
(04:32):
either a top five or top ten list that is
the most concerns to you and your team that you
probably get the most calls about.
Speaker 2 (04:38):
Sure? Sure, so.
Speaker 3 (04:39):
So many different kinds of things can make you sick
from poisonings, and poisonings can happen from swallowing something from
breathing in fumes. Carbon monoxide is one that's terribly lethal,
and by touching things like a nicotine patch or being
bitten by a snake. The top five poisoning calls for
(05:02):
all ages are things like we call them analgesics, and
these are things to reduce pain, and one of those
is a sea of minifin. We also get calls for
house cleaning products, and some of them can be very severe,
including things like furniture polishes. We get calls for medications
to treat depression and heart heart issues, and then we
(05:26):
also get calls about cosmetics and personal products that folks
get into, and it varies by age, right, so we
know that for little kiddos, they're going to get into
those household cleaning substances. If they're not up in a way,
they're going to get into hills that are around cosmetic
project products and sometimes they have the foreign bodies. So
(05:50):
batteries are something that are very very risky for young children.
So having small batteries out of reach from young.
Speaker 2 (05:58):
Children is important.
Speaker 3 (05:59):
And then they also sometimes will get into dietary supplements
or herbal supplements because we leave them around thinking oh,
this isn't a medication when in fact it is something
that could be harmed to a child for older adults.
And it's really important the Poison Help Line is available
for anybody in the country. The kind of cales we
get are about prescription medications. Did one of our parents
(06:24):
or grandparents take medication at the wrong time, or take
too much of a medication, took an extra dose. And
the other thing that happens sometimes is folks get interactions,
meaning when one medicine upsets the balance of another medicine
and an older person might be feeling uncomfortable or different
(06:45):
or worried about that. Those are all wonderful reasons to
call the Poison Help line.
Speaker 1 (06:50):
So I think myself and our listener to learn something
really big. It's just not you know when you think
what a poison is. It's also when it comes to
your personal medication that you can call to an issue,
whether it's you, a family member or friend. I think
it's wonderful that you do that. And once again, it's
another bucket that people can call you about if they
have an issue. So I think that's just wonderful. It
(07:12):
makes sense that your team does that as well.
Speaker 3 (07:14):
Yeah, Dennis you know, I think one of the things
folks don't realize is we have three million calls a
year that the poison centers take care of, and one
in four of those calls comes from a medical provider. So,
as I mentioned before, I'm a pediatrician and I would
be on the phone every single night with Poison Helpline
(07:37):
when I was taking care of my adolescent patience in
the hospital. Some of those kiddos have gotten exposed to
different substances. So we're here to provide support for all
people in the country, the particular support to healthcare providers
who are taking care of folks who've experienced a poisoning.
Speaker 1 (07:57):
You know, we started talking about educating the public, but
I just imagine with you, your team and everybody at the
call centers, the education must be fluid because we're probably
talking about thousands of different ways that you can accidentally
poison yourself, and everybody has to be up to speed
all the time. So I imagine the education for you
and your team is always fluid too, because you're always
(08:18):
learning something new. Would I be correct that.
Speaker 2 (08:19):
Is absolutely true?
Speaker 3 (08:21):
Is there is always opportunity to learn. There are times
where folks will think there will be products that come
onto the market and we'll think, oh, that product's on
the market, it's not going to cause any harm, and
in fact, there might be something mixed into that that
causes harm. We saw recently that there was lead mixed
(08:44):
into some of baby foods, and so that was folks
called Poison Helpline to get help for that and it
address those kinds of issues.
Speaker 2 (08:55):
So we always are learning and always sharing.
Speaker 3 (08:58):
With the public updates about what's happening locally, because that's
what's so important too, is that the types of poisonings
that might happen in Alabama are going to be different
than in Boston.
Speaker 2 (09:10):
And we, for example.
Speaker 3 (09:12):
See a really really strong group of folks that know
how to handle various types of venomous snake bites in
some of the southern states of our country, where the
northern states have a couple risky kinds of snakes, but
not to the degree that we see in our southern states.
Speaker 1 (09:32):
Well, that makes a lot of sense, and the regional
part of it. I did want to talk about feedback
because it doesn't matter what industry you're in, whether it's
mine or yours, feedback is paramount to getting better and
also making sure that if you're not doing something the
way you want to, well, then you hear from enough
people and that's how you get better. How do you
get feedback either from the people that are fielding the
(09:54):
calls or the people that are calling the call centers
to make sure that you're up to speed and also
getting better what everybody does?
Speaker 3 (10:00):
Oh, Dennis, that's a great question. So there's two ways.
One of the hallmarks of poison centers is they call
you back.
Speaker 2 (10:10):
So you call.
Speaker 3 (10:10):
In say, hey, listen, I think my mom took two
doses of her medication.
Speaker 2 (10:17):
She looks a little sleepy. What do you think?
Speaker 3 (10:19):
And then they will help you and give you really
talking through what you need to do. And then what
they'll do.
Speaker 2 (10:29):
Is they'll call back later that day. They'll call back
the next day.
Speaker 3 (10:33):
They follow cases through to be sure that the folks
they are taking care of on the phone have received
the care they need and are doing well. So we
have that feedback loop built into the poison centers.
Speaker 2 (10:49):
The other thing is is every.
Speaker 3 (10:50):
Single case and without any this is.
Speaker 2 (10:53):
A confidential service. You don't have to share your name.
Speaker 3 (10:58):
The folks on the call will ask kind of poison
it is when it happened, how old the person is,
how far away you are from.
Speaker 2 (11:06):
A medical facility.
Speaker 3 (11:07):
But nothing personal needs to be shared, and we put
that information in a data set so we're able to say,
do we do the right thing, did we help this
person fast enough?
Speaker 2 (11:22):
Did we send them.
Speaker 3 (11:23):
To where they need to go? And we are looking
at that every single as it's going on, so we
do it in an ongoing way. But then we actually
put those reports out on every single year so folks
can see how this service is going forward and what
it's doing for for the American public.
Speaker 1 (11:42):
Well, there's a couple of takeaways for me about that.
And I know that you and your team and the
entire HRSA meant to do this, but when it comes
to follow up, that's extraordinary because just the one call
is not going to always get it done. So that's
wonderful that you do that in great customer service, by
the way, But also it sounds like transparency is a
really big deal, would I be correct?
Speaker 3 (12:03):
Absolutely absolutely, I mean really sharing. The wonderful thing about
poison experts is, as you said earlier, Dennis, they're always learning,
and so there is an incredible amount of sharing information
being very clear with callers what we know and don't know.
So we may hear you know you shouldn't be having
(12:26):
those symptoms based on what you're telling me, But I
just want to be safe, So in this situation, I'm
going to have you see another provider just to be sure.
Often we can, the poison centers are able to manage
folks at home and so that is really amazing, especially
(12:46):
with the close follow up, but they are never going
to take a chance when something doesn't feel quite right.
There's a little extra information they've heard that makes them worried.
They're going to say, hey, listen, and how far away
are you from this health center. How quickly can we
get you there? And then they will call that center
(13:08):
and say, just want you to know little Jimmy's coming in.
We think he might have swallowed just one of the
you know, gummy gummy vitamins, but could it be a battery.
We just don't know. Can you take a look at him.
So they'll be that kind of hand off and follow
(13:29):
up to be sure that children and their family are safe.
Speaker 1 (13:32):
Well, that makes a lot of sense and some help
and redundancy, and I imagine and this kind of leads
me tonight. Next question that you're kind of answering for
me already is that if one of the operators that
is fielding a call really truly doesn't know in all
the scope, Uh, there's probably other resources to make sure
there's still an answer very quickly correct.
Speaker 3 (13:50):
Oh, absolutely, there's a When you call a center, there
is a specialist in poison information, and that specialist has
a backup available to them, sometimes several backups, and those
folks work together very very quickly.
Speaker 2 (14:08):
So in.
Speaker 3 (14:10):
My clinical practice, when I had an adolescent who might
have ingested many different medications, or a child with special
health care needs who isn't able to tell us what
they took, I would be able to call the poison center,
and folks, we would say, let's get everybody to think
about this together, and they give you real time advice
(14:33):
and information. We think where at this time, this is
the medication we want you to start, this is how
we want.
Speaker 2 (14:39):
You to do it. We will call you back in.
Speaker 3 (14:41):
Ten minutes or call us back in ten minutes, and
so it's a very proactive way to ensure children and
their families are safe.
Speaker 1 (14:49):
So we're at the halfway point, and I think this
is a good way to segue into something that I've
always been curious about about what you and your team do, because,
as we know, there's a lot of states that are
legalizing a lot of different drugs out there for recreational use.
So when it comes to that, does that fall under
a certain umbrella? And I don't you know we can
specifically talk about fentanyl, because I think that's its own topic,
(15:10):
and I know you and I doctor Kins, we could
talk to ours about that because it's always in the
news and I know and that's just not the one
thing that's out there that people either use professionally or
for personal use. But with that said, when it comes
to recreational drug use and there happens to be an issue,
can they call and what is everybody educated on when
they do call the center?
Speaker 2 (15:29):
Absolutely?
Speaker 3 (15:30):
Absolutely, so folks can call the center. It is confidential
you if somebody is calling because they're worried about somebody
who is overdosed. We do not need to know names,
we do not need to know specific locations.
Speaker 2 (15:45):
We are here to help you.
Speaker 3 (15:48):
And so what will happen is that you will give
a call to a center. You will hear right away
somebody I'm talking to you. Then you'll call just so
you'all know the number one eight hundred two to two
one to two two. You'll have that poison specialist pick
up the phone right away.
Speaker 2 (16:07):
They will tell you.
Speaker 3 (16:08):
Exactly what you need to do, and stay on the
phone with you as necessary, and they'll ask you about
the container or the type of product, how old that
person is when you believe they were exposed to a poison,
how far away you are from getting help from a
hospital or from an emergency medical service, and what you've
(16:32):
already done. And because most poisonings can be managed at home,
it's really good to know that. But there are very
serious lethal poisonings. And I would say that synthetic opioid stentists,
as you've shared, are one of those that we are
really worried about. We know that in the last several years,
(16:55):
almost seventy thousand people a year have died from a
fentanyl poisonings. And so in that situation, if you see
someone you think has a serious poisoning, first thing to
do is call nine one one. Person isn't breathing, they're
not responsive, call nine one one. Then what you would
(17:18):
do is you would if a person's alert and active
and breathing. You would call Poisoned Helpline and they would
help you right away. It is so important if you
think that somebody is experiencing an overdose from an opioid
or from fentainail.
Speaker 2 (17:35):
If you have no lock zone, give it right away.
Speaker 3 (17:39):
No lock zone is a life saving medication that can
rapidly reverse opioid overdoses. And the lockzone should be given
to any person who shows signs of an overdose, whether
it's opioid or other. That person looks like they're not breathing,
they're not responsive. If you have no lockzone, you can
(18:00):
give it to that person and it will be helpful.
Loxo's available in all states and jurisdictions. You can get
it at your local pharmacy, often without a prescription or
with a prescription, and it's so important to have that
available and to protect the public, family members, other folks
(18:24):
because it can really reverse a very serious poisoning.
Speaker 1 (18:27):
That's a good point, and I'm glad you brought that up.
And I didn't want to talk a little bit more
about opiods and fentanyl. And I won't hold you any stats,
but if you have any recent stats, whether it's domestically
or in regions. When it comes to that, maybe you
can first explain a little bit about what opiods are,
because I think there's people hear that word all the
time but they're not sure what that is. And also
(18:48):
phentanyl and the dangers of that. Could you go into
both just a little bit for us.
Speaker 3 (18:51):
So, opioids are a medication that really help with severe pain.
Severe pain can come from a fracture of an arm,
can from excruciating uh oral pain, or somebody who needs
to have a truth canal, a root canal. Different kinds
of significant pain can be managed with opioids. Some opioids
(19:15):
are naturally occurring and some of them are what we
call synthesized, in other words, they're made differently. Those opioids
can be used by prescribers, nurses, physicians, but also they
can be used as people sometimes call them straight drugs,
recreational drugs.
Speaker 2 (19:36):
Or drugs of addiction.
Speaker 3 (19:37):
And in those situations there can be times where folks
think they're taking a drug and in fact there's a
different composition of that opioid.
Speaker 2 (19:50):
So we have seen folks who think they're.
Speaker 3 (19:52):
Taking one type of a pill and in fact that
pill has a very very serious synthetic opioid which is
much stronger than the medication they think they're taking.
Speaker 2 (20:05):
Or they might think.
Speaker 3 (20:06):
That they're using marijuana and not know that there is
sentinelal or another synthetic opioid mixed into that marijuana. Or
it can go on with all the different kinds of drugs,
and the problem is is that when it's mixed in,
folks may not know they may be using something that
(20:27):
they think, oh, I've used this type of marijuana for
a long time, and not expect that they're going to
have such significant impact from an opioid or synthetic opioid.
And when that happens, that's where the risk of fatality
is very high. So people take something it's something else,
(20:48):
sure enough, it's a synthetic opioid, and what happens is
folks start to lose consciousness and stop breathing. And that
is tragically how we have seen so many any young
people and young adults and adults in the US pass away.
And so we're really educating folks about the risks these
(21:10):
things can be mixed in and you would not know it.
And then also the life saving medicine and me lox
own that if we could carry it around with us,
we would have the better chance of God forbid. If
this does happen to your nephew, or to your dad,
or to somebody on the street, you are there and
(21:32):
able to help them have a second chance at life.
Speaker 1 (21:36):
Well, doctor, kidsman, I'm glad you brought this up. And
if I could just get on my bully pulpit for
a second as a parent, I've had this discussion my
wife and I with our daughter probably since middle school.
And that's when you have to, at least for us,
AT's start the conversations and maybe you can expand on
this a little bit and we don't have to spend
a lot of time in it, but I think it's
paramount for any caregivers or parents out there. When you're
(21:56):
talking to your preteens and then your teenagers, you have
to remember, you know that there's drugs everywhere, and if
you don't know the origin or the trusted source, you're
just rolling the dice out there to your point. And
that's something you know that We've talked to our twenty
two year old that lives now in New York after
graduating college that as a parent. You know, you're worried
about so many things, but if somebody's going to do
(22:17):
that recreationally and you don't know where the source came
from of everything, it's just frightening to think about the
things that can happen. And I've seen the news out
there and it is a sobering thing to happen. Then
when a kid thinks they're having fun out there, they
don't know the origin of what's inside the drugs, and
before you know it, somebody's lost a life, and it
is a tragedy out there. And I imagine you've seen
(22:38):
and heard that more than several times. And it's just
as I say, it's a very sobering thing for parents
out there.
Speaker 3 (22:43):
Absolutely, And I have to commend you in talking to
your kids about this. I mean, we need to be
able to talk about this, to talk about the risks.
You're not going to know whether that particular medication that
you're taking, if it's a non prescribed medication, has sent
in it or not. You know, some folks suggest using testing, kits, etc.
(23:10):
But you're not always going to know that it's in
this piece of the brownie or this piece of a cookie,
or this piece of a pill. So having those conversations
is so important, having them in a way that young
people can come to us for help and say, I'm struggling,
(23:32):
I'm afraid, or my friend is going through this dad
and her.
Speaker 2 (23:38):
Parents are in trouble. Can you help. We want our
young people to be able to come to us.
Speaker 3 (23:43):
Share what they are experiencing and seeing know that we
will help them. Have an alaues own in our house
just in case. And I think that these are conversations
that adults need to have with one another to you know.
Speaker 2 (24:01):
In peer groups.
Speaker 3 (24:02):
And we also see older adults trying different kinds of
things as far as medications go, and so being able
to talk about poison risks and poison safety.
Speaker 2 (24:13):
Is so so important. And one other thing.
Speaker 3 (24:16):
That I always say for folks who have adolescence is
one of the medications that is most likely to cause
death is actually.
Speaker 2 (24:24):
A seed and minefit.
Speaker 3 (24:25):
It's something we almost all of us have in our
medicine cabinets and a large intake of that medication can
cause liver failure. And so we think, oh, we're safe,
we're safe, our kids are safe, But it is one
of the drugs that is most deadly and so being
really aware of how much one has, that it is
(24:47):
in a safe place that if somebody is at risk
for harming themselves they do not have access to that medication.
These are all really important discussions to be able to have.
Speaker 1 (24:58):
Yeah, I'm glad we talked about that, and thank you
for the compliment. Something that my wife and I have
always been big of is communicating, especially at things that
when it comes to drugs and our child and then
of course when you release them into the wild, you
know whether they're still in school and now she's on
her own in Brooklyn, New York. It's something you think
about all the time and it's scary. But to your
(25:19):
point and our point, if you talk and educate your kids,
at least you've got a fighting chance in that arena.
So I want to do this. We only have a
couple of minutes left and I've really enjoyed the conversation.
I could talk to you for hours about all the
wonderful work that you and your team do. But if
we could kind of recap what we've talked about, we
can give the number one more time, and maybe the website,
which is beautifully put together, lots of information out there,
(25:41):
so let's just get some final thoughts to floor's here's
doctor Kinseman, go ahead, please, thank.
Speaker 2 (25:45):
You so much, Tennis.
Speaker 3 (25:46):
So folks need to know that they can call the
Poisoned Help Line at one eight hundred two two to
one to two two for questions about poisonings, but also
in poisoning emergencies questions too, you can call we are
here free. The other place that has great information is
our Health Resources and Services Administration website, and that website
(26:11):
is Poisonhelp dot HRSA dot gov, and there you can
learn more about how to poison proof your home, how
to store medications safely, how to dispose of old medication
unused medications.
Speaker 2 (26:31):
And how to reduce.
Speaker 3 (26:33):
Poisoning risks, and then how to talk about it. There
are great, great resources there that you can show young people.
You can strol older folks and say, hey, are you
worried about this? Let's talk about this.
Speaker 2 (26:46):
And we can do this together to make us all safer.
Speaker 1 (26:49):
Stanning, let's give that number one more time for everybody.
Speaker 2 (26:52):
Sure.
Speaker 3 (26:53):
A poison helpline is one eight hundred two two two
one two two two.
Speaker 1 (27:00):
Well, doctor Kinsman, this has been educational, informative, and I
really appreciate it. You know, when we take a look
at something like the HRSA, I don't think we realize
the depth and the scope of you, your team and
all the people across the United States that are fielding
these phone calls and really saving a lot of lives
out there. You know, because if you don't see it,
feel in touch it, you really don't know. But I
(27:21):
know you know this, and I can, you know, sense
your passion about all the great work that people are
doing out there and saving lives. It must be extraordinary
to work with this team.
Speaker 3 (27:30):
I am very lucky. I have a wonderful team. And Dennis,
thank you so much for creating the opportunity for us
to share about the Poison Help Planning today.
Speaker 1 (27:39):
It is our pleasure. Thank you so much for joining
us on Community DC. We really appreciate your time.
Speaker 2 (27:44):
Thank you.
Speaker 4 (27:46):
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Learn more at Cheek and Stems, a message brought to
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