Medical Journal - Houston April 2013 | страница 14

Medical Journal - Houston Page 14 April 2013
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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 :
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 .
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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Phone 281.559.4411
www . mjhnews . com
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