MP>JK{ I'm sick and tired of trying to get you yahoos to depend upon
MP>JK{ something else besides your own life experiences for a change.
MP>JK{ Those fall short of the mark.  There are several medications not
MP>JK{ usually thought of as addictive which require management in
MP>JK{ withdrawal.
MP>In this case you are right. But do not let that go to your head (treat
MP>that statement just like everything else you have been told here!) I
MP>wrote it early in the morning before I had my brain fully turned on.
That might well be when you write a lot of the stuff I see in print!
I spent some time working as a nurse in a step down unit from the
intensive care section of a rather busy hospital not too far away.
Since it is above a busy highway, it gets a lot of accidents.  And
since the intensive care unit had all of the 7 or so beds lined up in
a row, the use of drugs to keep the patients quiet was so liberal that
they ended up addicted and/or going on respirators due to respiratory
failure.  Giving certain folks both sedatives and opiates is most
certain to bring that on especially if the person presents with a very
high blood alcohol level.
What level?  One patient came in with .450 and was walking around the
next day, tethered to an IV and very anxious to get out of there.  He
could not be persuaded to enter an alcohol treatment facility on that
admit, did get persuaded to do so on the next admit from the ER.
The withdrawal management of those addicted by the nurses in the
intensive care unit was by a clinical pharmacist.  On a 24 bed unit, it
was common to have as high as 10-15 patients on some protocol that he
had designed for their opiate withdrawal.
Seeing patients on respirators, doing their daily care, and watching
them  be withdrawn from the artifical breathing makes a profound
impression on anyone who does this for many eight hour shifts.
 I'd say I've seen my share of patients in withdrawal there and also
in various treatment centers.   Some of it needs to be monitored by a
clincial pharmacist because all doctors do not all know what they are
doing in this regard.
MP>Now, see, I have admitted a teensy-weensy error. How about you? C'mon,
MP>it's good for you. You'll feel so relieved afterwards...it cures anal
MP>retentiveness.
I am a collector of papers and books.  There are five 2 drawer cabinets,
one five drawer cabinet, one three drawer legal sized cabinet, stacks of
papers in one corner, and another cardboad cabinet with outdated
material in it that I keep for heaven only knows why.  This is in
addition to the books that are double stacked on the shelves in this
room.
And I have read all of it.
I am fully aware that the treatment of several genetic conditions is
swinging towards remedial diet with supplements.  Your attempts to tell
me different fall on deaf ears because I am fully aware that you
haven't the first clue as to the contents of any of the things I have
here let alone the tons of materials I haven't seen yet.
I suggest you find a specialist in addiction medicine near you and call
asking only if he or she thinks that treatment of the genetic alcoholism
in any child at risk is primary before the treatment of any other
problem.
Call several. Then come back and let us know what they say.
 * SLMR 2.1a * Nothing is so smiple that it can't get screwed up.
                                                                              
                              
--- JCQWK
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