I can quit whenever I want. "

Lying is tailored out of something ... Parallels between the art of weaving and telling tales, on the other hand the use of hemp as a narcotic plants dissolve the reality speaks of how much drugs affect the language of the soul (T. McKenna, "Food of the Gods"). Devastating effect on the mind, as a consequence - deadweight loss of mental resources, teen, values ??superseded, remains the mud of cynicism, the poison of evil. Very difficult it is to return the spark of God, and through it, the purity of light and goodness. ("Rainbow", 4-2002, Tallinn)

Alcohol: the management of critically ill patients

Richard Latcham, MD, a member of the Royal College of Psychiatrists honorary member of the Secretariat of the State Advisory Board for Psychiatry Detection and treatment of patients who abuse alcohol - a common problem, directly linked with the general practitioner. Surprising how often the alcoholic goes unnoticed; symptoms are detected only when the storm has broken out and the treatment is less effective. Patients usually do not attach importance to such factors caused by craving for alcohol, a loss of jobs, the growth of tension in the family, irritability, depression, break a close relationship, as well as all sorts of ailments, such as night sweats, diarrhea, vomiting in the mornings, slight tension, which vanishes after the first drink. Doctor should certainly alert the statements like: "I have never tremble. I have not touched alcohol. I can quit whenever I want. " To make a diagnosis, it is necessary to estimate the amount of alcohol consumed. Most patients typically say that last week they drank a lot of strange coincidence, but these "strange circumstances" is proving to be quite common, so the number of drunk alcohol in the past seven days may be considered an indicator of average alcohol consumption. It is important to assess the degree of alcohol dependence - here can help determine the level of gamma-glutamattransferazy (GGT) and mean cell volume (SD), increased as a result of direct toxic effects of alcohol on the bone marrow. I must say that only 65% ??of alcoholic patients to modify one of these parameters [1]. If these rates above the norm, should explain to the patient what it means. Later a similar diagnosis should be carried out to test the effectiveness of treatment. GGT level more accurately reflects the use of alcohol in the past few days. At very high numbers required weeks to reduce it, although he bounces back faster than standard deviation. On the latter can be judged on the duration of drinking, as in the blood taken for analysis, the average lifetime of erythrocytes is 60 days, respectively, can reveal the amount of alcohol consumed during the past few weeks. Systematically drinkers are usually heavily underestimate the amount of alcohol consumed and remain silent about the consequences, so it is important to interview their relatives.