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ADDICTION continued from page 1
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believe that using the drugs they are prescribed is“ good”! They do not worry about getting addicted to the script!
Physicians need to be aware or at the very least inquire about a patient’ s lifestyle and substance usage, especially if they are prescribing pain killers, stimulants or depressants to their clients. As patients use their drugs with frequency, even having increased doses of the substance, their ability to moderately manage their intake and control over the use of the substance diminishes when they possess an addictive personality. Furthermore, some studies show that when someone engages in drugs or substance use for 21 days, they have the propensity to turn it into a lifestyle and continue use, even when they do not need it for medicinal reasons. When they get to this point they may not control their substance use any longer. Instead, the withdrawal symptoms and cravings took control over their daily lives.
In my new book Right Now Enough Is Enough, I tackle the underlying issues which keep so many people“ addicted” or habituated to their bad habits. I use a process
LEGAL AFFAIRS continued from page 13
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products;( 5) physician-owners are pressured to arrange for the purchase of the POD’ s products;( 6) the POD will repurchase an owner’ s interest in the event the physician does not generate sufficient business for the POD;( 7) the POD is a shell entity;( 8) the POD does not actively oversee all distribution functions;( 9) physician-owners do not disclose their interest in PODs to hospitals;( 10) the POD exclusively serves the physician-owners’ patients;( 11) the POD has a small number of investors
INTEGRATIVE MEDICINE continued from page 12
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The final section, Part 4 is very practical with shopping lists, recipes, and information about supplements.
The book is coming out in April or May from Wiley Press and can be preordered at http:// www. wiley. com / WileyCDA / WileyTitle / productCd-1118129547. html.
In the meantime, here are some key points from SuperFoods Rx for Pregnancy to improve fertility, to have a healthier pregnancy, and a healthier baby for you, your family, or your patients:
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derived from 10 years of research working with those in recovery, still suffering from addictions, mental health professionals and addiction professionals that literally hits home and gets people onto prospective roads to recovery... fast! it’ s all about getting at the root of bitter resistance!
Whenever an individual chooses to quit using their substance of choice either by going“ cold turkey”( quitting immediately) or going into a detoxification program they are often likely to develop symptoms of withdrawal. When the body has developed a tolerance to a substance, the individual is physiologically addicted to the substance. Individuals experience unpleasant, even violent symptoms in their bodies due to quitting. If you are prescribing drugs to help patients get off of the“ withdrawal” symptoms, you need to moderate what your patients are doing with this lately drug. They may use it as a substitute and get hooked on it.
When an individual is able to quit with minimal or no disruptive bodily sensations, rather experience intense or violent changes in their moods, they are most likely addicted to their substance of choice at a psychological / mental level. The ability to eliminate the toxicity and need from their bodies is more easily achieved than those with physiological addictions. Individuals
which enables a physician-owner’ s return on investment to strongly correlate with the physician’ s referrals; and( 11) physicianowners alter their medical practices around the time that they invest in a POD.
At the end of the Fraud Alert, the OIG indicated that“ because the anti-kickback statute ascribes criminal liability to parties on both sides of an impermissible‘ kickback’ transaction, hospitals... that enter into arrangements with PODs also may be at risk under the statute.” When the OIG considers an arrangement between a POD and a hospital, the OIG will look for any evidence that the hospital purchased products from the POD in order to“ maintain or secure
Eat more SuperFoods( and their related food friends) for optimal health before, during, and after pregnancy. This applies to both mothers and fathers. Buy organic and local when you can.
Avoid environmental toxins that could have a negative impact on your baby’ s health in the womb including heavy metals, BPA, BPS, PCB, phthalates, pesticides, insecticides. Eat organic foods whenever you can and detox your home environment.
Look up the“ Dirty Dozen” and the“ Clean Fifteen” of foods with higher or lower levels of environmental toxins. Use house plants to detoxify your home and use non-toxic cleaning supplies.
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with physiological addictions may slip and use their substance of choice again because they feel the need to alleviate a physical symptom. Conversely, individuals with psychological addictions to substances may use again after a“ slip” as a form of escapism, instant gratification“ high”, or to cope mentally with psychological stress. Note that some patients will use their pain killers for physical problems to numb / mask their psychological discomforts. Through repeated use, they learn that this works. What you may have prescribed for pain management / moderation now becomes the drug of choice for abuse and addiction!
The best means of treating one’ s addiction is to encompass all aspects of the individual’ s being, bio-psycho-social, so no area is left out. By focusing on all areas, you provide the best optimal treatment plan and focus on the individual as a symmetrical being. Doctors need to start recognizing patients are more than just bodies and bring into recognition the mind-body connection in the healing process. It is also important to identify individuals to begin using medications designed to treat the body whom abuse it to“ treat the mind”!
To learn more about RIGHT NOW ENOUGH IS ENOUGH! and take the addictions and / or co-dependency tests, visit www. rightnowenoughisenough. com t
referrals from the POD’ s physician-owners.”
Physicians often request that hospitals purchase items or services from entities owned by the physicians. To ensure that hospitals are not involved in an impermissible transaction, hospitals should adopt and enforce policies that require physicians to disclose any financial interests that could potentially create a conflict of interest. Also, hospitals should adopt and implement procedures designed to ensure that the hospital’ s decision to enter into an arrangement with a physician-owned entity is a commercially reasonable, good faith decision based on concerns for high quality health care and patient safety. t
Maintain a healthy weight,“ exercise any day that you eat,” avoid giving alcohol to underage children such as your fetus, and don’ t smoke( anything).
Following these common-sense principles will result in an increased chance that you, your kids, or your patients can conceive, bear, and raise a healthy child and will personally live long and well enough to enjoy the grandchildren. I heartily recommend it to anyone in their childbearing years. t
NOTE: Portions of this article were previously published in the Galveston County Daily News.
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Publisher & Editor Mindi Szumanski mindi @ mjhnews. com
Advertising Director Tascha Turnley tascha @ mjhnews. com
Business Manager & Circulation Tom Turnley tom @ mjhnews. com
Business Development Manager Denise Ronquille-Bell denise @ mjhnews. com
Phone 281.559.4411
www. mjhnews. com
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Medical Journal- Houston is published monthly by STT Enterprises, Inc. Entire editorial content of this publication copyrighted by STT Enterprises, Inc. and must not be reproduced whole or in part without special permission. Medical Journal- Houston will assume no responsibility for unsolicited manuscripts. All letters and correspondence sent to Medical Journal- Houston are considered property of Medical Journal- Houston and are unconditionally assigned to it for publication and copyright purposes. Medical Journal- Houston reserves the right to refuse any advertising. Only publication of an advertisement shall constitute final acceptance of the advertiser ' s insertion order. Subscriptions are $ 35 per year. Subscription information or changes to addresses for existing subscriptions should be emailed to tom @ mjhnews. com or mailed to the address below.
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P. O. Box 686 Dickinson, Texas 77539-0686 |