Mountaineering is a popular pastime for the very adventurous and healthy. Climbing and scaling mountains incrusted with snow and ice for days at a time is an extremely difficult task and those who attempt it must be in excellent health and condition. There have been many “famous” mountaineers over the years and some have made quite a name for themselves such as Sir Edmund Hillary a mountaineer from New Zealand. Hillary’s most famous climb was the ascent of Mount Everest in 1953. According to records, the first bona fide climber of tall mountains was someone who was named Ötzi the Iceman, whose mummified body was found in the Alps at an elevation of around 3000 metres and thought to have been there for at least 5300 years! His discovery has been the subject of much study and research since it was found in 1991.
Mountaineering is a sport for some and profession for others
Many consider mountain climbing a sport or challenging hobby while some take it very seriously and have even made a profession out of scaling tall mountains. They rise to the challenge to prove something to themselves or gain recognition, fame, and fortune. Sponsorship makes financial gain possible for those who work hard to maintain the strength and health it takes for this rigorous task. Rock, ice, snow, and extreme weather conditions make for a risky yet rewarding lifestyle for those who take up the challenge. Women have also become adventurous and prominent as a result of their mountaineering skills. Annabelle Bond, who was born in 1969, is one of four British women to have climbed Mount Everest (2004). She went on to become the fastest woman to scale that famous mountain.
Climbing is an addictive pastime that reaps big rewards
Edward Whymper (another Londoner) was the first explorer and climber to ascend the Matterhorn back in 1865. His claim to fame on that particular climb may have been that he survived! Four members of the group he was with perished during the ascent.
Aron Lee Ralston, born in Indianapolis, Indiana, USA in 1975 made himself renowned by having to cut his own arm off in order to be freed after falling and being stuck between rocks for five days, seven hours. His perilous climb is depicted in a movie titled 127 Hours.
Major William Bill Tilman is another well known English explorer and mountaineer noted for his climbing in the Himalayans as well as sailing voyages.
Matthias Zurbriggen, born in Geneva in 1856 climbed the Alps extensively as a mountain guide and alpinist. He climbed the Aconcagua which is the highest peak of the Americas. He has a New Zealand mountain peak named after him, the Zurbriggen Ridge.
Reccardo Cassin, born in Italy in 1909 made over 2500 ascents and considered one of the leading mountaineers of his time.
George Mallory, noted Englishman and mountaineer became obsessed with the conquest of Mount Everest back in the 1920’s and upon his death his explanation of why he did it “Because it is there” caused him to become famous throughout the world.
Maurice Herzog, a Frenchman, was the first man to scale a peak over 8000 metres (8091m above sea level). He lost his gloves and nearly his life after developing painful frostbite on the fingers of both hands as well as some toes. He and his fellow climbers did make it down successfully however.
The above climbers and many others risk their lives but continue on, thriving on the challenge.
Suboxone has produced the least amount of acclaim for drug addiction treatment, yet it is the one drug that is widely dispensed by physicians.
If you are taking a prescription drug right now, chances are you are taking it incorrectly. Misuse is a major health problem in the United States. The U.S. Government estimates approximately 11 Million Americans are dependent on drugs, but there are more addicts than drug centers. A large percentage of addicts seeking help face long waiting lists and thus become hesitant to start a program once their name surfaces to the top of the list. Almost 70 percent of people face a waiting list for longer than thirty days.
Those dependent on prescription drugs have a mind-set that is different from what addiction-free individuals believe. Addicts are resistant to letting go of their drugs. They typically justify their drug use because for many, they have gotten the drugs legitimately, from their doctor. Some addicts do not realize they are prone to addiction, and they can become hooked on a legal drug. Equally unfortunate is the addict who finally realizes they require help, and then seek help only to be placed on a waiting list. In the end, far too many addicts go untreated. It would seem the odds are against addiction treatment, but Suboxone relieves this problem since the guidelines to prescribe the drug is more relaxed and offer greater flexibility.
What is Suboxone?
Suboxone contains two active substances, buprenorphine and naloxone, both used to treat dependence on opioid drugs. The cost of treatment depends on the dose used and the frequency of services. This cost is higher than that of methadone treatment when the two drugs are served daily; however, there is greater flexibility in prescribing Suboxone.
How Does Suboxone Work?
Suboxone binds to opioid receptors, and thus produces welcoming effects of euphoria, and a secure comforting feeling, although at much lower levels than those addicts would of total opioid agonists such as methadone. The effects of these agonists are sufficient to allow addicts to stop the misuse of opiates, without encountering withdrawal symptoms.
The Benefits of Suboxone
· Less risk of respiratory problems
· Lower risk of overdose
· The withdrawal symptoms are less profound than when using methadone to combat addiction
· Euphoric symptoms occur less
Adverse Effects of Suboxone
The side effects of Suboxone mainly occur when too much of the drug is taken. The symptoms are similar to the side effects of opiates:
· Constipation (delayed bowel function)
· Poor sleep
· Breathing difficulties (always contact a doctor)
· Dry mouth (brushing your teeth regularly and extra good care of your teeth)
· Slight pain is felt with less risk of causing more inflammation or untreated injuries
· Psychological problems (hallucinations, nightmares, depression) treatment should be coordinated with psychologist
· Itchy rash (contact your physician in connection with possible allergic reaction)
· Sleep apnea (consult a physician)
· Difficult to urinate (call a physician)
Every drug has an adverse effect, yet the result of using Suboxone is positive.
In my line of work as addiction professional, I’m often asked “Do people with addiction get better?” The question may sound simple but it’s not really that simple. There are so many facets to addiction. The chemicals are but one aspect. There also are the addict’s personality attributes, attitudes, lifestyle, and values – all contributing and feeding the addiction syndrome. For most people, the obsession by the addict to consume chemicals is the most salient aspect of addiction. This becomes their focus of attention when asking the question, “Do addicts really recover?” Meaning can they give up drugs and become “normal” people again?
After a closer look at addiction, one begins to realize that the chemical abuse is intimately tied to the person’s mental health, lifestyle, and personal values. For example, it is hard to ignore an addict’s criminal activities related to supporting his drug habit or an alcoholic’s scheming and manipulating behavior to hide his alcoholism when the addicted or alcoholic is trying to pursue “recovery.” Can people “recover” from addiction and still carry on with these criminal or anti-social inclinations? What are the chances of a recovering person remaining abstinent while continuing to sell drugs or maintaining his connection with friends who are involved in criminal activities? Can a recovering alcoholic remain sober while bar-tending?
My point is that there is a “quality of life” a recovering addict or alcoholic must maintain to achieve a certain level of healthy living. For some this may mean pursuing counseling or following medication regime to control psychiatric symptoms. For others, a complete lifestyle change may be necessary to re-align personal priorities and internalize pro-social values. With addiction, old associations — people, places, and things – can easily trigger a relapse to old “bad habits.” There is a common belief among recovering persons that “picking-up” drugs or any substances is the last step in the relapse process. Long before the actual substance use, the person has already relapsed in his thinking – reflected in noticeable changes in attitude, values, and over-all behavior.
To go back to the original question: “Do addicts really recover?” The answer is a relative yes. For some who consider their addiction as a disorder of the whole person and take a holistic view of recovery, they aspire more than giving up the chemicals to include a reinvention of themselves, psychologically, socially, and spiritually. Others are content with minimizing the harmful effects of illicit drug use but still resort to alcohol use. Still others give up drugs but continue to have dysfunctional patterns of coping or residual manifestations of personality disorders.
Do Addicts Really Recover?
Dr. Fernando B. Perfas
In simple terms, the primary difference between acute and post acute withdrawal is the severity and potential consequences of related symptoms. As the key words indicate, acute withdrawal is generally more severe than post-acute withdrawal. However, both conditions are in actuality different stages of the disease of addiction: first comes active addiction, followed by cessation and acute withdrawal and finally transitioning to post acute withdrawal. Although part of the same disease, these conditions should be made distinct to addicts and those in recovery and the people who support them.
Primary Difference: Risk of Serious Medical Complications
The most important difference between acute and post acute withdrawal is the potential consequences of symptoms that may arise. During acute withdrawal syndrome or AWS, symptoms can be severe; in fact, symptoms of detox and withdrawal from some drugs can cause life-threatening complications. These include alcohol, (Louis A. Trevisan, M.D., Nashaat Boutros, M.D., Ismene L. Petrakis, M.D., and John H. Krystal, M.D. Complications of Alcohol Withdrawal National Institute on Alcohol Abuse and Alcoholism) benzodiazepines (Lann MA, Molina DK, A Fatal Case of Benzodiazepine Withdrawal National Center for Biotechnology Information) and barbiturates. For some people withdrawing from these substances can cause seizures, respiratory depression, heart attack, coma, delirium tremens and rarely, death.
While post acute withdrawal symptoms do not generally pose risk of death or even serious medical symptoms, the condition does cause severe disruptions in the lives of many people in recovery. In some cases symptoms may require medication in order to successfully manage, while in others a healthy diet and plenty of exercise allow for a strong recovery plan. In fact, some people in recovery report little to no PAWS symptoms at all.
Acuity of Urge to Abuse Substances
One of the most troubling symptoms of both AWS and PAWS is a strong, compelling desire to use drugs or drink again. These types of powerful feelings are strongest during the early stages of clinical withdrawal and slowly taper off over a period of about 5 days to 2 weeks. After this time drug or alcohol cravings may still arise and they may even be consistently present, however, they are rarely as compelling during PAWS as during AWS.
However, like AWS, the desire to abuse drugs is often at its peak during the early stages of PAWS and slowly lessens over time. This is one of the reasons that most people attend treatment in the following manner:
Stage 1: Immediate drug abuse cessation and resulting clinical withdrawal, with potential for serious medical complications. Treatment consists in most cases of a professional detox program lasting for 5 to 10 days.
Stage 2: Upon completion of detox (drugs are no longer in the person’s system) patients attend longer-term treatment, during which time post acute withdrawal symptoms set in. These symptoms theoretically are at their worst levels during this time. Most rehab programs post-detox are around 30-90 days in duration, by which time the severity of PAWS symptoms should have subsided enough to safely permit the person to reintegrate with their communities. (Wexner Medical Center, Ohio State University Post Acute Withdrawal Syndrome)
Stages of the Same Disease
In reality there is little true difference between acute withdrawal and post withdrawal: they are both part of the disease of addiction. In the early days of recovery, symptoms are at their most severe points. As recovery progresses, symptoms lessen, gradually shifting away from physical symptoms, and instead transitioning into longer-term mental and emotional symptoms. While these symptoms may not prompt the need for serious medical care, they do cause many addicts to relapse and thereby start the entire cycle all over again.
Ultimately, addiction is the disease and AWS and PAWS are merely stages. Unfortunately, few addicts recognize or appreciate the difference, and therefore many are unprepared, do not have the proper expectations, do not work a daily recovery program and subsequently doom themselves to relapse. If this sounds like you or someone you love, the time to act is now. Each progressive relapse episode is generally more severe and damaging than the last as a result of what is known as the Kindling Effect, so there’s not a moment to waste.
Need to pass a Civil service exam as part of getting a job at the state, county or local level?
If the answer is yes, then you should know that many applicants choose to get some practice with the types of questions most likely to be on the civil service exam.
What types of questions are most likely to be on your exam? To answer that question, let’s break down and explore some of the most common content used on many civil services exams.
Most civil service exams include questions that deal with such subjects as reading comprehension, math, verbal reasoning, working with codes, charts, graphs, vacabulary and grammar.
While many people have worked with this kind on content before, not too many people have taken tests that format the questions similiar to those found on many civil service exams.
It is precisely that reason (various question formats) why many applicants choose to use a civil service study guide or practice exam.
Getting a civil service sample test allows an applicant to get a “sneak peek” at how the questions will likely be formatted. In addition, it allows an applicant to have the opportunity to work with problems that are similiar to the actual exam they will be required to take.
In addition, a study guide will allow you to test your skills at solving many different questions. And you will have the opportunity to check your answers. As a result, you will be able to detect your strengths and weaknesses/
There really is no better to prepare for any exam. Getting a civil service sample test or study guide may be the key to passing your civil service exam.
Cigarette And allows you to relax without risk to eHealth(ehealth).
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