What To Know About Raising Someone Else’s Kid

We know about the dangers of second-hand smoke, but with the opioid epidemic comes a new second-hand danger. Children are being shuffled around. Friends and families are stepping forward to help, but the children are hurting. Here’s what you need to know if you’re raising someone else’s kid.

1. Addiction Is A Family Disease That Affects Generations

According to Generations United, more than 1 out of 3 kids are placed in foster care because of their parents alcohol or drug use. Even if the parent has quit using or drinking, or even if the substance abuse was two generations removed, this generation is still impacted. In recovery, we talk about the generational sins of substance and alcohol abuse. One of the most common side effects is fear, and often the fear is constant. The children you are raising are terrified, and their fear shows up as:

  • Anger
  • Hatred
  • Hoarding
  • Controlling
  • Lying

Some kids are afraid they’ll never see their parents again. Others are afraid they will. Loud noises, smells, places, and foods can all trigger flashbacks, anxiety, and nightmares.

2. You Don’t Have To Accept Unacceptable Behavior

Almost all kids test boundaries. Most kids are master manipulators, and many were born with the ability to make puppy dog eyes at will. They sense weaknesses and pounce. Like most marriages, raising someone else’s kid will have a honeymoon stage. Be advised, the honeymoon ends. Reading up on boundaries during the honeymoon will help you prepare for the upcoming drama. When correcting behaviors, you can say, “That doesn’t work for me.”

3. Don’t Fuel The Fire

When you must enforce boundaries, it’s often scary and uncomfortable. Further, enforcing boundaries initiates conflict, and sometimes arguments break out. Keeping these two things in mind helps you keep the peace:

  1. Just because she’s mad doesn’t mean you’re bad. Your feelings aren’t connected to the child’s like a yo-yo. Let her feel her feelings independently from you.
  2. “You might be right,” almost always ends arguments. Your foster son or daughter might be right. You might be right, and in an alternate universe, you might both be right.

4. What Happened In The Womb Doesn’t Stay In The Womb

If the child’s biological Mom drank or used any number of drugs (including legally prescribed meds) during pregnancy, the child may have lasting birth defects. These defects often go undiagnosed. These children may present with ADHD like symptoms, and they may act too young for their age.  Often, these kids need extra help in school. Frequently, alcohol-exposed children struggle with Math. You might have to meet with the child’s teachers to discuss accommodations and interventions.

Sometimes, raising someone else’s kid requires professional help. Recovery Guidance provides an exhaustive list of counselors and therapists.

Want help, but not sure where to start? Click here try our self-assessment guide.


This Week In Recovery News 11-3

Here’s your don’t want to miss recovery news for the week ending November 3, 2017. Our news stories are often overlooked. Please share to get our voices heard.

Dollar General Heroin Mom Is Back

One year ago, Erika Hurt rose to fame, in a horrific fashion. Cops found Erika in her car, passed out from using heroin. Her 10-month-old baby boy was in the backseat of the car. Erika still had the needle in her hand, and police administered several doses of Narcan to save her. Once revived, she was charged on several counts.

This week, she’s back and better than ever! The photos of her in the Dollar General parking lot went viral, but more importantly, they forced her to see her addiction. Erika writes:

Recovery News 11-3I’ve decided to repost the picture simply because it displays exactly what heroin addiction is.

Also because I do not want to ever forget where the road of addiction has taken me. Little did I know that day, my life was about to change, drastically.

Today, I am able to focus on the good that came from that picture.

Today, I am able to be grateful to actually have solid proof where addiction will only lead you, and today I am able to say that I am ONE YEAR SOBER!

I have thousands of shout outs, too many to list.

Just know that I DO NOT tackle recovery alone, I have a very large group of supporters standing behind me each and every day to help make sobriety possible for me!

A Hot Cocoa Read:

Way to go Erika! Thank you for being brave and bold enough to share how your “Mess became a message.” Hug that sweet baby boy and do everything to fight for your sobriety. So glad to see you back in recovery news as a success!

91 Americans Were Killed Yesterday…

…Is not in any recovery news headlines today. In any other mass killing, CNN, MSNBC, and FoxNews would have a scrolling news feed and live coverage. Reporters would interview bystanders. The FBI would launch an exhaustive man hunt. Yet, none of those things are happening, and the death toll is rising. Ninety-one Americans were also killed on Wednesday. And 91 more on Tuesday. So far today, we can safely assume 30 more victims will die before most Americans get to the office. Why is no one reporting about this?

Because we don’t want to be honest about the cause. Unlike most other mass killings, many blame the victims. Extremists say their death is a glorified suicide because they did after all chose to take the first hit of Heroin. No one forced them to take the first pain pill after all. Yet, scientific evidence says addiction is a chronic and relapsing illness. Officials arrested a Big Pharma CEO for bribing doctors and misleading insurance companies.

A One Cup Read:

This is read is smooth, yet bold and flavorful. Authors David Blumenthal and Shanoor Seervai present a clear overview of how we got where we are. Their statistics are refreshingly different from the CDC and NIDA stats.

Recovery Costs More Than Addiction

Word on the street is, heroin is cheep, but getting off of heroin isn’t. Last week, Recovery Guidance’s article, What Is Methadone explained how it is used to help wean people off of heroin and other opioids. Methadone is one example of a Medical Assisted Treatment program, and buprenorphine is another.

More than 2 million Americans are addicted to some type of opioid, yet only 1 out of 10 are likely to find treatment. Only 350,000 Americans are in a Methadone treatment program. Another 75,000 are in buprenorphine treatment. Too many people live in areas without licensed treatment providers, and too many people with access to the treatment can’t afford it.

Elizabeth Brico reports, “Methadone ranged from $350 per month to $200 per week. Buprenorphine patients reported clinic costs between $100 and $300 per month, with medication costs broaching the thousands for those without insurance.”

A Two Cup Read:

This article is a tough recovery news read unless you’ve had enough coffee. First, it’s full of stats. Second, it’s heartbreaking to realize that recovery comes with a price tag.

Want help, but not sure where to start? Click here try our self-assessment guide.

Is Sugar Sabotaging Your Sobriety

You’re trying to quit pain meds., but the chronic pain is relentless. And the pain makes you depressed. Perhaps you muddle through, doing the best you can. Since you didn’t give up and take a pill you treat yourself to some ice cream. The pain, cravings, depression, and fear of relapse come in cycles. How can you cope? Here’s one way sugar might be sabotaging your sobriety.

Sugar, Heroin, and Cocaine, Oh My

Researchers at NIDA and Princeton University found in brain scans that sugar, heroin and cocaine all light up the same areas of the brain. Gambling and alcohol also follow the same path. Scientists have found another common connection between sugar, heroin, and cocaine; many people come into treatment with low levels of dopamine. Dopamine is also known as the happiness molecule. When the brain notices dopamine levels are low, it wants more. Thus, strong cravings begin. The cravings can be directed at drugs, if the person is addicted, or at food. So, we give in. The brain is happy for a short while. Then dopamine gets low. The brain remembers what worked before, but this time, it will need even more.  In Dopamine for Dinner, Dr. Laura LaPiana, PsyD, explains, “The number one transfer addiction is sugar and that complicates issues of the brain healing, depression, and mood.”

Sugar Causes Pain

We’ve all felt the emotional pain of jeans that no longer fit, or a killer sweater that’s become a casualty of the ice cream war. Sugar can also cause physical pain. How? Some foods cause our bodies to have an adverse reaction. When we eat those foods, our body attacks the food as if it were intruder. It attacks by sending extra blood to the injured area. The increased blood flow creates redness, warmth, swelling and pain. We also call this inflammation. Sugar is a highly inflammatory food.

Sugar harms in another way too. While your body is busy fighting off the effects of sugar, it doesn’t have the extra resources to fight other injuries and illnesses. As a result, some people experience chronic low-grade pain.  The more you eat, the more your body reacts to attack the sugar. You have more pain.

Pain Triggers The Need For Pain Meds

In 2007, counselors and yoga teachers at Malibu Beach Recovery Center connected the dots between eating sugar and drug cravings. They found that “addicts of all sorts (illicit drugs, prescription drugs, and/or alcohol) can recover more easily by following a version of the Montignac diet.”  Their “diet,” also known as the Malibu Beach Recovery Diet, is based on these principles:

  1. Protein increases the number of dopamine receptors in your brain.
  2. Omega 3 fatty acids help the dopamine receptors function better.
  3. Fresh fruit helps your body make its own serotonin, which also helps the function of dopamine.
  4. Processed sugars including corn syrup, molasses, and honey are avoided. Instead, use Stevia, agave syrup, and small amounts of Splenda.


Cutting sugar from your diet won’t eliminate all of your cravings for highly addictive substances, but it is one way you can take control of your sobriety.

Want help, but not sure where to start? Click here try our self-assessment guide.

Keeping Kids And Pets Safe From Drug Waste

Three month old lab puppy, Zoey got more than she bargained for yesterday. She was curious about a discarded cigarette case, but the puppy accidentally found some hazardous drug waste instead.  Only minutes after her owner, Peter, took the carton away, little Zoey passed out. When they got home, she got progressively worse. Zoey’s eyes rolled back in her head and her tongue hung out. Peter rushed her to the vet. Fortunately, the vet gave her several doses of Narcan.

Drug Waste In Parks Puts Pets And Kids At Risk

Zoey lives in Andover, Massachusetts, just down the street from Moxie and Kevin, the dynamic duo that forms Tough Love Intervention. Kevin and Moxie know about these hidden dangers all to well. By day, they search area treatment centers and schools for narcotics. On the weekends, they voluntarily search neighborhood parks. Moxie regularly finds buckets of used needles and other drug waste in public parks.

Of all the potential dangers drug waste poses, fentanyl is especially dangerous because it can be absorbed through the skin or inhaled. A small dose, about the size of three sugar grains, is lethal to an adult. Zoey’s vet suspects she ingested Fentanyl.

What Parents Need To Know

Parents today need to keep a closer eye on their kids. Be especially watchful of their touching or chewing on foreign objects. While needles are obvious dangers, fentanyl patches can also be cast aside. Finally, remember S-B-S-B-S; these are the five most common signs of opioid poisoning:

S – Severe sleepiness

B – Breathing slowly

S – Small pinpoint pupils

B – Blue fingernails & lips

S – Slow heartbeat

If your child shows any of the above signs without reason, seek help.  Most importantly, if you suspect an overdose, do not force the person or pet to vomit. Also, be prepared to do rescue breathing. Opioids slow the respiratory system. You might have to keep it going until the professionals arrive.

Want help, but not sure where to start? Click here try our self-assessment guide.

This Week In Recovery News 10-27

Here’s what’s happening in recovery news for the week ending October 27, 2017.

President Declares Public Health Emergency


President Trump’s big announcement on Thursday, October 26, 2017, declared an emergency, but it wasn’t the type of emergency some were expecting. He didn’t declare a national disasters like the ones often declared during blizzards, widespread fires, and hurricanes. Those types of emergencies allow for the immediate release of federal FEMA funds.

Instead, he declared a public health emergency. This type of emergency could help us get better results, but it lacks the quick fix many so desperately want. Rafael Lemaitre was the communications director for the White House Drug Policy Office under President Obama’s administration.

He explains “I do think the Public Health Service Act is more appropriate route to take than the Stafford Act designation,” he said. “I worked at FEMA for two years and dealt with multiple disasters. The Stafford Act is not structured to deal with a long term, complicated public health crisis like the opioid crisis.”

Two Important Recovery News Details Fall Through The Cracks

1) Trump’s order relies heavily on the presidential commission he convened earlier this year, yet they urged the President to use either the Public Health Services Act or the Stafford Act to declare a state of emergency. New Jersey’s Gov. Chris Christie wrote:

“The first and most urgent recommendation of this commission is direct and completely within your control. Declare a national emergency under either the Public Health Service Act or the Stafford Act. With approximately 142 Americans dying every day, America is enduring a death toll equal to September 11th every three weeks.”

2) Way back in August, the reports surrounding this declaration said the national emergency declaration would expanding treatment facilities and supplying police officers with the anti-overdose remedy naloxone. This need wasn’t discussed yesterday.

A One Cup Read:

CNN’s Dan Merica did a great job explaining the difference between the types of emergencies. It’s an easy recovery news read. One cup should do it, just make sure you pick a dark roast.


Billionaire CEO Arrested For Fentanyl Connection

Background Info:

Fentanyl is an extremely powerful drug. It was only meant for cancer patients who were fighting severe pain. On the streets, Fentanyl is cut with heroin, and it’s responsible for many of the opioid overdoses.


John Kapoor is the former CEO of Insys Therapeutics. Insys created Subsys, which transmits an extremely powerful dose of narcotic fentanyl in spray form. Patients place the drug under their tongue for fast, potent pain relief.

Kappor and his company are accused of:

  1. Bribing doctors to write “large numbers of prescriptions for the patients, most of whom were not diagnosed with cancer.”
  2. Misleading insurance companies who were reluctant to approve the payments for the drug when it wasn’t prescribed appropriately.

A Two Cup Read:

This recovery news article has a lot of legal jargon. It’s a tough read unless you’ve had enough coffee. First, many speculate that Kappor is only the first of many to be accused. Second, when prosecutors say Kapoor’s charges, which include mail and wire fraud, I can’t help but think of John Grisham’s The Firm.


Inventor Creates Addiction Prohibiting Pill Bottle


Joseph Hamilton understands the struggle that drug addicts go through because he spent years with a girlfriend who abused prescription drugs. “I told her one day, I’m gonna come up with something you can’t argue with. The doctors will know exactly how you’ve taken you’re medicine, and you won’t be able to get it until it’s due.” But that day didn’t come soon enough. “Last time she was on life support she didn’t come back,” Hamilton said.

Big Pharma Wants The Bottle Stopped

Hamilton got the patent three months ago and said a pharmaceutical company approached him. They offered him more than one million dollars for the patent to keep the bottles off the market.

He refused, saying this is too important for him to sell out and be silenced now.

“People are dying every day. People are losing their kids, their husbands, wives, parents, their lives to opioids,” he said.

Hamilton already has the plaststics factory, the computer programmers, and the patent; he just needs the money to mass produce the bottles.

A Hot Cocoa Read:

This man’s passion for helping others is heartwarming. Critics claim this bottle would not stop someone who is addicted. Others say people will just turn to the streets. What if his bottle prevents someone who’s taking post-op pain pills from becoming addicted?


Guardian Angel In The Bathroom


These days, former security guard, Hector Mata spends most of his time in the bathroom. Officially known as the Corner Project, Hector works for a place where people can exchange used needles for clean ones. Unfortunately, once heroin users get their clean needles, they often head to the bathroom to inject drugs. Not surprisingly, there was an overdose in the bathroom, followed by another and so on.

If a user in the bathroom doesn’t respond on the check-in, Mata, or someone similarly trained, will press a button to unlock the door. Mata rushes in, armed with a syringe full of naloxone. Naloxone is also known as Narcan. Narcan is used to reverse the effects of an opioid overdose. After seven years and at least 25 overdoses, he says he has never failed.

Background Info:

We are in the worst drug crisis in American history. Americans consume more than 80% of the world’s supply of opioid pain pills, even though we are less than 5% of the world’s population. Many of those prescriptions have led to heroin use; three out of four new heroin users started with prescription narcotics.

A Hot Cocoa Read:

This is a heartwarming yet controversial recovery news must read. The idea of harm-reduction in addiction and recovery is polarizing. Hector and other workers at the Corner Project are committed to saving lives. Thank you Dr. Gupta for shining a light on these unsung heroes.

Want help, but not sure where to start? Click here try our self-assessment guide.

Inventor Creates Pill Bottle To End Opioid Misuse

According to the CDC, more than 1,000 people are treated for an opioid misuse overdose in emergency rooms every day across the country.  A Virginia man said he’s created something that will drastically cut those numbers.

Opioid Misuse Hits Home

Joseph Hamilton understands the struggle that drug addicts go through after he spent years with a girlfriend who abused prescription drugs. “I told her one day I said, I’m gonna come up with something you can’t argue with. The doctors will know exactly how you’ve taken you’re medicine, and you won’t be able to get it until it’s due,” Hamilton said. But that day didn’t come soon enough. “Last time she was on life support she didn’t come back,” Hamilton said.

For the past seven years Hamilton has spent $70,000 to invent a pill bottle that is computer programmed. It only dispenses one pill at a time. Eventually, the bottle will be connected to software. The software will alert doctors or law enforcement if the seal is broken and pills are missing.

“It can record every time and date that the pill comes out and even where they were at,” Hamilton added. There will even be finger print recognition, to be sure the person taking the medicine is the person who has the prescription.

Big Pharma Wants The Bottle Stopped

Hamilton got the patent three months ago and said a pharmaceutical company approached him. They offered him more than one million dollars for the patent to keep the bottles off the market.

He refused, saying this is too important for him to sell out and be silenced now.

“People are dying every day. People are losing their kids, their husbands, wives, parents, their lives to opioids,” he said.

Hamilton said what’s holding him back right now is the funds to mass produce the bottles. He already has the plastsics factory, the computer programmers, and the patent.  He just needs the money to mass produce the bottles.

Hamilton said he needs $4 million to distribute them across the country, but with less, he can get the product made on a smaller scale. He’s reaching out to government organizations to try and get their support as well. Eventually, he wants all opioid prescriptions to be in his bottle. If you would like to help, you can email Hamilton at [email protected]

Content Originally Published By: WSET.com

Need help getting off opiods but not sure where to start? Click on the orange bar above to take our self-assessment.

What Is Methadone

Some people say methadone’s a life saver while others say its just another drug. Who is right? Methadone has been used for over 50 years here and in Europe to treat heroin and other opioid addictions. When used correctly, it helps many patients.

Is Methadone Dangerous?

The FDA schedules drugs to classify their risks vs. benefits. Risky drugs without redeeming benefits are banned from medical practice; these are schedule one drugs. Methadone is a FDA schedule two drug, and it’s in the same class as:

  • Dilaudid
  • Percocet
  • Oxycontin
  • Oxycodone
  • Opium
  • Morphine
  • Codeine.

Drugs like codeine cough syrup, a schedule five drug, are less risky.

What Does It Treat?

First, it’s a narcotic pain reliever that lasts longer than heroin and short-acting narcotics like Percocet and Oxycodone. Second, it’s also used in Medical Assisted Treatment (MAT) because it is an opioid replacement medication. In clinics, a person addicted to heroin or other narcotics takes methadone instead of the drug that gives them a “high.” Doctors then gradually lower dose the dose.

Why Is There So Much Controversy?

The Pros: Methadone reduces the drug cravings and harsh withdrawal symptoms. It helps lower the risk of relapse. About 4,000 inmates at Rikers Island in New York have taken it and shown promising results. Dr. Lipi Roy is the former chief of addiction medicine for New York City jails. He explains,

“People who are on this medication, when it is prescribed and used appropriately, and people are monitored, they not only live, they can thrive.”

The Cons: Federal laws dictate the med must be dispensed from a clinic. Some of these clinics are run as pill mills, and prescribing patterns vary from clinic to clinic. It’s a long-acting opioid, so patients who take too much risk an overdose. In fact, in 2014 Methadone was on the list of ten most deadliest drugs. Further, some traditional 12-step programs are critical of methadone use because they feel people are substituting one addiction for another.

Need help but not sure where to start? Click on the orange bar above to take our self-assessment.

A Recovery Guidance Exclusive By: Dr. Gail Dudley

Gail Dudley, DO, MHA, FACOFP, is board certified in four areas of medicine. For more than twenty years Gail Dudley had a busy family practice with a hospital and nursing home component. Dr. Gail now works full time for a company that has contracts with Medicare and Medicaid to evaluate fraud, waste and abuse in the medical world.

This Week In Recovery News 10-19

Here’s what’s happening in recovery news for the week ending October 19, 2017.

Addiction Recovery Needs A Cure


Substance use alters your brain function, and those with altered brain function cannot control their use. If you’re under the influence, you’re not the same person you were before you began experimenting. Addiction doesn’t go away on its own; and promises, yelling, or behavior contracts won’t lead to recovery. Instead, addiction has to be assessed, diagnosed, and treated like any chronic life-threatening disease.

Furthermore, these problems impede  a nation-wide solution:

  1. Inmates don’t receive any treatment in prison.
  2. Many of the drugs prescribed by doctors are actually designed to be addictive but marketed as safe.
  3. Pills sold on the street and Internet are laced with poison so lethal even first responders are at risk.
  4. Alcohol is made stronger and stronger, and marketed like juice.

Recovery does work, but not the way we are funding it now. People who have Substance Use Disorder need two or three year programs to fully restore brain function (where possible), and they need a lifetime of follow up.

A One Cup Read:

This is a hard hitting piece that’s easy to process, and you can enjoy it with little or no coffee.


A Drug Czar Was Not Appointed

Background Info:

First of all, Drug Czar is an informal title. Back in 1982, then Sentator Joe Bidden coined this flippant term.  Each Presidential Administration appoints someone to direct the nation’s drug control policies, and we are still awaiting President Trump’s.


President Trump nominated Republican Pennsylvania Representative Tom Marino for the position. On Sunday, October 15, CBS’s 60 Minutes revealed Marino’s role in pushing through the drug industry-backed Ensuring Patient Access and Effective Drug Enforcement Act. As a result, Marino declined the appointment.

Buried In This Recovery News Article:

Additionally, Trump told reporters he will sign his Aug. 10 National Emergency Declaration, and he will send it to Congress this week. Most noteworthy, the Declaration will fund new drug treatment facilities and Naloxone for cops.

A Three Cup Read:

This recovery news article includes past policy actions and two tweets, it’s best tackled after three or more cups of java.


200,000 Overdoses Are Blamed On Congress


Joe Rannazzisi is a tough, blunt former DEA deputy assistant administrator. This week, he told CBS’s Sixty Minutes how Congress, lobbyists, and the industry fueled the epidemic. Rannazzisi says,

“This is an industry that’s out of control. This is an industry that allowed millions and millions of drugs to go into bad pharmacies and doctors’ offices.  That distributed them out to people who had no legitimate need for those drugs. That’s just it, and people die.”

In 2001, a Purdue Executive told congress, “Addiction is not common, addiction is rare in the pain patient who is properly managed.” Therefore, doctors believed the drugs posed few risks; so prescriptions skyrocketed, and so did addiction.

Unfortunately, these “non-addictive” painkillers are addictive. Once addicted, people turned to shady pill mills. Rogue doctors in these pain clinics wrote bad prescriptions, and complicit pharmacists filled them. Therefore, these shady pill mills became one-stop shopping for controlled narcotics.

Buried In This Recovery News Article:

In 2013, members of Congress and the drug industry quietly paved the way for a crippling legislation. Pennsylvania Congressman Tom Marino and Congresswoman Marsha Blackburn of Tennessee introduced the bill. It was supposed to give patients access to the pain meds they needed.

While the drug distributors celebrated, then DEA chief administrative law judge, John J. Mulrooney spoke out. In a soon-to-be-published Marquette Law Review article, he said the new law “would make it all but…impossible” to prosecute unethical distributors.

A One Pot Read:

This article is a cornerstone news piece for our industry, but it is long. Hence, it’s a tough read and best understood with a pot of coffee.

Revolving Door Rehab Treatment Must End


Julie Oziah-Gideon wants insurers to change the way they cover in-patient therapy and addiction treatment. Julie’s 20-year-old daughter, Samantha Huntley, battled a heroin addiction for two years. This summer, Samantha went to Florida for inpatient rehab. After only 30 days, the insurance quit paying for treatment, and the center sent Samantha home on August 31. Consequently, she died on September 3 from an overdose.

Most importantly, Oziah-Gideon says, “This generation needs more than a 30-day treatment.  They need a least 90 to 100 days, inpatient. I did everything in my power and beyond to help her, to try to get her treatment.”

A Hot Cocoa Read:

Never underestimate a Mom’s power, and look for more to stories like this to come. Similarly, Megan Kelly did a piece exposing this same phenomenon over the summer. More will be revealed.

Want help, but not sure where to start? Click on the button below to try our self-assessment guide:

Assess Your Needs Here

Which Surgeries Pose The Biggest Addiction Risk

Some people who become addicted to opioid pain relievers begin taking the drugs after painful surgeries. Which surgeries increase patients’ addiction risk?

In 2016, doctors handed out so many pain pills prescriptions that 3.3 billion pills went unused. Research firm, QuintilesIMS Institute for Healthcare Informatics, ties this factor to the current American opioid epidemic.

Some Surgeries Carry A Bigger Addiction Risk

Colectomy was the most dangerous risk with 18% of patients becoming long-term users, according to QuintilesIMS. Knee replacement patients came in second at 17% of patients who took the drugs. Hernia and hysterectomy surgeries showed to be lower-risk with about a 7% risk of misuse each. Women, overall, showed to be particularly vulnerable.

According to the report, almost three million Americans took opioids after surgery. Doctors prescribed pain meds to one in 10 post-operative patients for three to six months after their first dose post-surgery.

“The bigger the incision, the more painful something ought to be,” anesthesiologist Dr. Eric Sun told HuffPost.  The colectomy is often an invasive surgery that removes part or all of the colon. He also said that “knee surgeries tend to be very painful,” and that “people complain about those.”

Refilling Script 10 Times Is A Warning Sign

A study published in Jama Internal Medicine defines chronic opioid users as:

Those who fill 10 or more prescriptions after a few months have passed since their surgeries.

Knee replacement and open gallbladder surgical patients had the highest risk for developing opioid addictions based on Jama’s research.

Who Is To Blame?

Some may blame doctors as the root cause of addiction through excessive prescription-writing, but post-op pain is real and doctors are required by law to compassionately treat their patients for their pain.

“There’s a lot of other things you can give that can help, but at the end of the day, if someone is in a lot of pain, opioids are part of the mainstay,” Sun said.

“That’s sort of the next phase in all this research,” he said. “We know there’s a problem. The question is: What do you do about it? How do you keep these people from transitioning to long-term use?”

Content Originally Published By: Ariel Scotti @ New York Daily News

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Three Tips For Finding The Best Treatment

To find the BEST treatment center, first we have to define best. Do you want the best price? The best location? The best counselors? What are you looking for, and how can you avoid making a fear-based decision out of desperation?

1. Consider The Motives For Treatment

Treatment centers must make money to keep operating, and every center is likely to claim they are the BEST treatment center. When you ask them about their facility, what’s their motive? What’s their main selling point? Do they have a heart for helping people? Are they successful? When they look at a potential client, do they see a person or dollar signs?

Also, consider your own motive. Are you choosing the first option you find out of fear? If you are helping someone choose a center, does the patient have a voice? Treatment will be more successful if the patient has a say in the decision.

2. Consider Which Treatment Works Best For You

Pause to consider diabetes. Diabetes is a life long diagnosis. Sometimes it is caught early and can be managed by lifestyle changes. In other cases, diabetes can be controlled by taking a pill. Sometimes, the case is so severe that monitoring and injections are required multiple times every day. Deciding the best treatment for diabetes requires some patient education and sometimes a second opinion. The same principles apply when treating addiction. Commonly, people look at these three choices for treatment:

Residential Treatment – The Good, The Bad, And The Ugly

Also known as inpatient treatment, residential usually lasts 30 to 45 days. The good:

  • It’s a great way to kick start your recovery.
  • You are immersed in meetings with other people going through the same challenges.
  • You have support and monitoring during detox.
  • Residential treatment gives you a break from your addictive lifestyle.

The bad news about residential treatment is:

  • The costs for residential treatment can be staggering, even after insurance covers some of the cost.
  • Leaving your job or responsibilities for 30 to 45 days may not be an option.

Some ugly sides to inpatient treatment have been making news headlines. Terms like “body brokering” and the “Florida shuffle” shine a light on how vulnerable our population is. Remember these keys to keep you safe:

  • Ask hard questions. Put the staff on the spot and make sure everybody has the same story.
  • Trust your gut instinct.
  • The more expensive the program doesn’t mean a better outcome.

Outpatient Treatment

Inpatient treatment isn’t the only answer. Outpatient rehab lets patients keep up on their responsibilities. This type of treatment is longer, sometimes up to three years long. Outpatient treatment gives the patient more support, flexibility and stability. For many, a long-term commitment to an on-going program often means long-term success.

Long-term Inpatient Treatment

Extended or long-term inpatient recovery facilities treat the most severe addiction cases. This type of program might be a good fit for patients who haven’t found success in outpatient or inpatient programs. Patient suffering from a dual-diagnosis may also find a place here.

Long-term inpatient treatment usually lasts three months or longer. As a result, patients have more time to rebuild a healthy lifestyle. Conversely, this much care is more expensive and a greater risk to the patient’s employment.

3. Consider Alternatives To The “BEST” Treatment

These types of treatment aren’t your only option. Recovery Guidance has an exhaustive list of Recovery Centers as well as Recovery Physicians and support group meetings. Additionally, Recovery Guidance lists AA and NA meetings. To find a meeting, click on the Recovery Centers tab. You can use the Search By Name box to enter a meeting type like AA or NA.