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Study author David Kaufman  director of Boston University's Slone Epidemiology Center   noted that ibuprofen and other NSAIDs are among "the most-used medicines in the U.S.
"[But] most NSAID use is over-the-counter "  he  added  "with users deciding what to take without involvement by health care providers."
 Kaufman  downplayed the notion that users might be popping too many NSAIDs to avoid using addictive opioid painkillers.
"My guess "  he  said  "is that while avoidance of opioids may influence prescribing decisions by doctors  it may not affect consumer behavior very much."
Instead   Kaufman  believes some consumers may simply decide to take an excessive number of pills â regardless of label instructions. But that behavior is "potentially modifiable with better education of users " he added.
Opioids aren't America's only painkiller problem

“She was a loving daughter  sister  mother  friend — and though she didn’t ask to be an activist  she responded to the personal tragedy of seeing her father die while being arrested in New York City by becoming a leading proponent for criminal justice reform and for an end to police brutality ” said Sanders. “I had the honor of getting to know  Erica  and I was inspired by the commitment  she  made working toward a more just world for  her  children and future generations.  She  was a fighter for justice and will not be forgotten.  Jane  and I send our deepest condolences to the entire Garner family and to all those  she  has impacted.”
Garner  who had recently given birth to a second child  endorsed Sanders for president before the New York primary in April 2016. In a video released at the time   Garner  told the story of how her father died after being placed in a police chokehold  and she praised Sanders for taking the Black Lives Matter movement seriously.
“People are dying. This is real. This is not TV ” said  Garner . “We need a president who’s going to talk about it.”
 Garner ’s endorsement was one of the highest-profile interactions between the Black Lives Matter movement and the Democratic Party — a discussion  often heated  that was rarely echoed in the Republican primaries.
Police reform activist Erica Garner mourned by Bill de Blasio and Bernie Sanders

Agriculture Secretary Sonny Perdue  Was 2018's 'Designated Survivor'
President Trump's first State of the Union address had a prestigious and eclectic audience — Vice President Pence  an assortment of Cabinet secretaries  Bill Nye the Science Guy  Paul Ryan's likely 2018 Democratic opponent and a plethora of military heroes — but one member of Trump's Cabinet was notably missing: Agriculture Secretary Sonny Perdue.
 Perdue  was this year's "designated survivor " the chosen official who skips the president's speech to ensure the continuity of government in the case of a catastrophe that wipes out the president  the vice president and the rest of the nation's leaders who will be in attendance.
The White House announced just before Tuesday's speech that  Perdue  would skip the State of the Union address in the House chamber at the Capitol and instead spend the evening in a secure and undisclosed location.
The selection of  Perdue  to lead the hypothetically decimated government is an arguably bipartisan one. The former governor of Georgia was one of Trump's Cabinet selections who didn't cause a stir  as he was confirmed by the Senate last April by a vote of 87-11  with dozens of Democrats voting for him.
 Perdue  grew up on a farm in central Georgia and worked as a veterinarian before serving as the state's governor from 2003 to 2011.
It's unclear where exactly  he  was Tuesday during Trump's speech.

Agriculture Secretary Sonny Perdue Was 2018's 'Designated Survivor' : NPR