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For those of you who don’t know, I also write the blog for Sunrise Detoxification Centers (Sunrise Detox Blog).  Some posts I link to here, but not all.  I think there’s some pretty good stuff there, so go to the blog and look around the categories if you’re interested.

Alcohol Disrupts Women’s Sleep More Than Men’s: Study

It’s long been known that alcohol can deepen sleep during the early part of the night but disrupt sleep later in the night, something called the “rebound effect.” But there’s been little research into how alcohol’s effects on sleep may differ in women and men.

This study included 59 women and 34 men in their 20s who consumed either alcohol until they were drunk or a non-alcoholic beverage before they went to bed. Researchers then monitored the participants’ sleep.

 

via Alcohol Disrupts Women’s Sleep More Than Men’s: Study.

2010 in review

The stats helper monkeys at WordPress.com mulled over how this blog did in 2010, and here’s a high level summary of its overall blog health:

Healthy blog!

The Blog-Health-o-Meter™ reads This blog is on fire!.

Crunchy numbers

Featured image

A helper monkey made this abstract painting, inspired by your stats.

The average container ship can carry about 4,500 containers. This blog was viewed about 14,000 times in 2010. If each view were a shipping container, your blog would have filled about 3 fully loaded ships.

 

In 2010, there were 68 new posts, growing the total archive of this blog to 431 posts. There were 10 pictures uploaded, taking up a total of 692kb. That’s about a picture per month.

The busiest day of the year was January 7th with 139 views. The most popular post that day was Why We Don’t Get Better Immediately: Post-acute Withdrawal Syndrome (PAWS).

 

Where did they come from?

The top referring sites in 2010 were digital-dharma.net, gettingpastyourpast.wordpress.com, guineveregetssober.com, sunrisedetox.com, and deanesmay.com.

Some visitors came searching, mostly for post acute withdrawal syndrome, committing an alcoholic, post acute withdrawal symptoms, post acute withdrawal, and can you commit an alcoholic.

Attractions in 2010

These are the posts and pages that got the most views in 2010.

1

Why We Don’t Get Better Immediately: Post-acute Withdrawal Syndrome (PAWS) May 2008
6 comments

2

Q&A December 2008

3

Can you commit an alcoholic or other drug addict? July 2009

4

Articles May 2008
1 comment

5

If you get drunk once a week, are you an alcoholic? August 2009
1 comment

Alcoholism: A Progressive, Predictable Disease

One of the interesting things about alcohol abuse and alcoholism is the way one progresses into the other over time.  The progression runs in the same general sequence regardless of our age or gender.  Unless interrupted by some sort of incident that causes us to stop drinking, it is entirely predictable — in everything but the details — from the first signs of abuse to our final drink. 

Dr. Marc Schuckit and colleagues at the San Diego VA Medical Center recently completed interviews with over 600 alcoholics who were admitted for inpatient treaatment.  They ranged from their early 20′s to their late forties and, although they were all white males, the description of alcoholic progression that they determined to be the “norm” from the interviews has been found to hold across gender and racial boundaries as well.  Folks who start earlier tend to have longer runs, while those who begin drinking later tend to progress faster.  Those who have been abstinent and resumed drinking go down the fastest of all.

Here, then, is the slide down the rocky, slippery slope.

  • Having started off with some control and enjoyment, our drinking accelerates.  It becomes difficult or impossible to get and keep that nice “buzz.”  We have difficulty setting limits on our drinking.  We progress to staying drunk for longer periods, assisted by a hair o’ the dog in the morning.  We begin to have job problems related to alcohol: missed days at work, mistakes due to hangovers, irritability that makes it difficult to get along with co-workers.

  • Our alcohol-related problems increase rapidly.  Outsiders see, and may comment on, difficulties functioning in many areas of our lives.  We have our first alcohol-related arrests — DUI, public intoxication, fighting, domestic disturbances and so forth.  We may have morning shakes, auto accidents, accidents on the job, and begin drinking instead of eating properly.  Our bodies are totally addicted to alcohol, and we cannot function without it.  If we are unable to drink, we think about it constantly.  We hide our drinking from others.

    By this time most of us will have begun to suspect that there might be a problem.  We see our lives falling apart, but often fail to make the connection with our drinking.  (“Hey, if you had my problems, you’d drink too!”) We see the social damage increase in the form of lost jobs and ruined relationships. We get fired. We get divorced.  We get to know the booking officers almost as well as our bartenders.

  • Our medical problems begin, or increase. Falls, scrapes, broken bones, and big nasty bruises become more frequent.  The damage becomes more noticeable to others because of deterioration of our body systems that prevents efficient healing.  Diabetics find it impossible to control their blood sugar. We may have dangerous or fatal convulsions if we cannot get a drink, may have hallucinations, and may vomit blood or dark-colored material.  Normal bowel movements become only a memory.

  • In the last stages of physical deterioration, long-term medical problems such as hepatitis or pancreatitis occur.  Various cancers associated with alcohol abuse, such as esophageal or pancreatic cancer, may be part of our jackpot.  Hospitalizations are frequent.

Then, unless we are lucky enough to get into some form of recovery that involves complete abstinence, we die.  I got lucky, but that’s about the way it went for me otherwise.

My name is Bill.  I’m an alcoholic, and I approved this message.

Maven No More

Some of you may notice that the “Health Maven” badge is missing from beneath George’s bit of wisdom on the right.   I find that most of Wellsphere’s professionals are waaaay up in their heads, and seem to have mostly theoretical notions about alcoholism and addiction.  Beyond that, the site is so diluted by other issues that I see no likelihood of its becoming a particularly useful resource for the recovering community at large.  The other sites and online resources in which I participate seem to be far more effective in both attracting and informing folks who are serious about recovery.

I’m sure Wellsphere’s founders have their hearts in the right place, but they are trying to re-invent the wheel.  WebMD does it better, as do any number of other sites.  As to addicts and alcoholics: they’re dying right now.  I don’t have time to mess with start-ups that aren’t — in my opinion — sufficiently focused.

Email Subscriptions Now Available

For the three of you who might like to keep track of this blog, in case any of you don’t use feed readers, I’ve added an option to subscribe via email.  You will see the link at the top of the sidebar, just below the feed link.

Subscribing will get you an email in the morning around 7:00 AM, so that you can have blog goodness with your Wheaties.  It contains links to each post from the last 24 hours, along with a short blurb extracted from each first paragraph. 

Please consider subscribing.

Nicotine In Recovery — Revisited

     I posted the remarks below, about whether or not a person is really in recovery if they’re still using nicotine, on TheSecondRoad.org.  Many people agreed with me, but some were absolutely vehement in their defense of smoking — or of having smoked well after they had ceased using other drugs.  People got so emotional about their right to continue to poison themselves, and these are folks who read blogs on recovery sites.
     There’s something different about nicotine addiction and the way people view it as opposed to other drugs.  It almost has to be the lack of perception of immediate harm, the “this won’t be the one that kills me” factor — truly insidious denial.  Along with that, I believe, goes the knowledge that giving up nicotine is truly throwing away the last crutch.  When you put down the smokes, or the last chaw, you’d better be ready to take recovery seriously, because that’s about all there is left, or so it must seem.
     Of course there are all sorts of addictive behaviors left, and when we can no longer mood alter at will we have no choice but to address them.  In addition to those remnants, there are substitute addictions and behaviors.  I chewed toothpicks for a couple of years after I quit smoking cigarettes, and did considerable damage to my teeth.  I also found myself with a chronic cough due to tiny splinters (and perhaps some chemicals in the wood) but I had to have that oral relief.  There cropped up, in addition, other forms of addictive behavior — some of which remain with me to this day.
     Tobacco use, especially smoking, is instant gratification to the nth degree: drugs delivered through the lungs reach the brain faster than any others except for those that are injected, and it is known that the faster a chemical affects the brain (the quicker the behavior is rewarded) the more addictive the substance.  Therefore we have a physical habit and ritual, one of the most addictive substances known, certain social behaviors, and nicotine withdrawal — all in one package.
     Quitting nicotine is serious recovery.

Facts on Binge Drinking — CDC

Binge drinking is a common pattern of excessive alcohol use in the United States. The National Institute of Alcohol Abuse and Alcoholism defines binge drinking as a pattern of drinking that brings a person’s blood alcohol concentration (BAC) to 0.08 grams percent or above. This typically happens when men consume 5 or more drinks, and when women consume 4 or more drinks, in about 2 hours.1

Most people who binge drink are not alcohol dependent.

According to national surveys

  • Approximately 92% of U.S. adults who drink excessively report binge drinking in the past 30 days.2
  • Although college students commonly binge drink, 70% of binge drinking episodes involve adults over age 25 years.3
  • The prevalence of binge drinking among men is 2 times the prevalence among women.4
  • Binge drinkers are 14 times more likely to report alcohol-impaired driving than non-binge drinkers.3
  • About 90% of the alcohol consumed by youth under the age of 21 years in the United States is in the form of binge drinks.5
  • About 75% of the alcohol consumed by adults in the United States is in the form of binge drinks.5
  • The proportion of current drinkers that binge is highest in the 18- to 20-year-old group (51%).3

Binge drinking is associated with many health problems, including but not limited to

  • Unintentional injuries (e.g., car crashes, falls, burns, drowning).
  • Intentional injuries (e.g., firearm injuries, sexual assault, domestic violence).
  • Alcohol poisoning.
  • Sexually transmitted diseases.
  • Unintended pregnancy.
  • Children born with Fetal Alcohol Spectrum Disorders.
  • High blood pressure, stroke, and other cardiovascular diseases.
  • Liver disease.
  • Neurological damage.
  • Sexual dysfunction.
  • Poor control of diabetes.

Evidence-based interventions to prevent binge drinking and related harms6,7,8,9,10 include

  • Increasing alcoholic beverage costs and excise taxes.
  • Limiting the number of retail alcohol outlets that sell alcoholic beverages in a given area.
  • Consistent enforcement of laws against underage drinking and alcohol-impaired driving.
  • Screening and counseling for alcohol misuse.

References:

  1. National Institute of Alcohol Abuse and Alcoholism. NIAAA council approves definition of binge drinking. NIAAA Newsletter 2004; No. 3, p. 3. Available at http://pubs.niaaa.nih.gov/publications/Newsletter/winter2004/Newsletter_Number3.pdf (PDF). Accessed March 31, 2008.
  2. Town M, Naimi TS, Mokdad AH, Brewer RD. Health care access among U.S. adults who drink alcohol excessively: missed opportunities for prevention. Prev Chronic Dis [serial online] April 2006. Accessed March 31, 2008.
  3. Naimi TS, Brewer RD, Mokdad A, Clark D, Serdula MK, Marks JS. Binge drinking among US adults. JAMA 2003;289(1):70–75.
  4. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System prevalence data. Atlanta, GA: CDC. Available at www.cdc.gov/brfss. Accessed March 27, 2008.
  5. Office of Juvenile Justice and Delinquency Prevention. Drinking in America: Myths, Realities, and Prevention Policy. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2005. Available at http://www.udetc.org/documents/Drinking_in_America.pdf* (PDF). Accessed March 28, 2008.
  6. Babor TF, Caetano, R., Casswell S, et al. Alcohol and Public Policy: No Ordinary Commodity. New York: Oxford University Press; 2003
  7. The Community Guide. Alcohol Abuse and Misuse Prevention. Interventions Directed to the General Population. Atlanta, GA: Centers for Disease Control and Prevention, 2008. Available at http://www.thecommunityguide.org/alcohol/default.htm.* Date accessed: May 9, 2008.
  8. National Research Council and Institute of Medicine. Reducing Underage Drinking: A Collective Responsibility. Washington, DC: National Academies Press; 2004.
  9. U.S. Department of Health and Human Services. The Surgeon General’s Call to Action to Prevent and Reduce Underage Drinking. U.S. Department of Health and Human Services, Office of the Surgeon General; 2007. Available at http://www.surgeongeneral.gov/topics/underagedrinking/. Accessed May 9, 2008.
  10. U.S. Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. Ann Intern Med 2004;140:554–556.

* Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.

One or more documents on this Web page is available in Portable Document Format (PDF). You will need Acrobat Reader to view and print these documents.

Page last reviewed: August 6, 2008
Page last modified: August 6, 2008
Content source: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion

Dog Days

We’re well into the Dog Days – an interesting time of year for a number of reasons, from traditional harvest festivals to hot nights and their well-documented ill effects on our tempers. I’m therefore honoring the effects on our minds, bodies and spirits, with a short discussion of how the term Dog Days has come down to us over many centuries. From where did such an odd expression arise? Continue reading

Am I an addict?

You try beer, booze or pot, maybe cocaine, whatever. It feels good. Youprogress from doing it only at parties or with lovers and/or friends.Now you occasionally have a drink and light up when you are alone. Usebecomes customary: maybe a drink or two before dinner, TGIF, Saturdaynight becomes party night … so do the other nights too … and you nolonger are someone who drinks at meals or social celebrations. Now youare someone who drinks, period.

That oft-asked question: Am I an addict?

See also:

What About The Way I Drink?

Who Are The “Winners?”

by Bill

Around the 12-step rooms we are frequently told that we should not “take another person’s inventory,” often used in the sense that we ought not criticize another person’s program. The rationale behind such statements seems to be the fear that since (presumably) that person is doing the best they can, it might be bad for their recovery to tell them to their face what we believe they are doing wrong.

While this is no doubt true (addicts and alcoholics of every stripe being less than fond of criticism), it is certainly within the purview of their sponsors — although it should be handled diplomatically and with consideration for the individual’s issues, length of sobriety and other factors. The rest of us would probably serve them best by keeping our less-informed opinions to ourselves, since speaking from ignorance can lead to grievous error. That is why we share OUR experience, strength and hope, with no cross-talk.

We need also to avoid gossip, one of the favorite pastimes of people with poor recovery skills.

However, this does not imply that we should not take inventories at all. Continue reading