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Rapid Detox, a First Step in Recovery, Not a Replacement for RecoveryRapid detox, or ultra rapid detox, should only be the initial part of therecovery process, to always be followed by extensive psycho-social counseling,therapies and life habit-changing arrangement. Without these follow-up steps, thereis chance for relapse. Rapid detox only stops the physical addiction, without puttingthe patients through the torture of feeling the withdrawal process, but it does notaddress the psychological and social underpinning of the addiction. The patientmust get psycho-social counseling and realignment therapies following rapid detox.With Rapid Detox, patients can enter the long recovery process without the bulk of the suffering from physical withdrawal. In this context, it is an advantageous firststep, because it quickly achieves significant reduction in addiction and physicalwithdrawal if performed correctly. It does not require super-human will power ortolerance for the physical withdrawal process that may last 5 to 10 days. WithoutRapid Detox, patients may be dissuaded from even trying, or they may not even beable to sit through counseling sessions due to the evolving physical withdrawal.As a board-certified anesthesiologist with 19 years of clinical experience,especially with constant exposures to both pain management and cardiacanesthesia, I have come to appreciate some finer points of the techniques of rapiddetox. We perform what I believe to be a more advanced rapid detox technique atour center,www.rapid-detox-clinic.org. For example, we keep patients underanesthesia and receiving intravenous naloxone for at least 8 hours, longer than anyother treatment center (they do between 2 to 4 hours). This works better becausethe displaced opiate molecules, away from the opiate receptors, still needs time tobe eliminated by the liver and kidneys, a process that cannot be accelerated,requiring at least 8 hours. This and many other variations in technique andexpertise among rapid detox treatment centers make it difficult for scholars tocompare the efficacy and safety between rapid detox and other methods.Since the central nervous system is the site where most of the competitiveinhibition takes place between the naloxone molecules and the opiate molecules, itmakes sense to monitor the brain. That is why in our treatment, we monitor thebrain’s electro-encephalogram (EEG) and cerebral oximetry (rSO2) continuously toensure adequate and appropriate anesthetic depth and optimal brain oxygenationand perfusion. These are techniques adopted from my parallel practice as a cardiacanesthesiologist providing service to open-heart surgeries. It is essential to monitorthe patients as if they are undergoing major surgeries. Being over-prepared andbeing over-cautious are very important in creating a safe rapid detox process.Our detox center,www.rapid-detox-clinic.org, actually performs the rapiddetox procedure at Desert Springs Hospital,www.desertspringshospital.com, in LasVegas. during a patients’ 48 hour stay in the hospital, we never have fewer than 1person dedicated to staying with the patient, by the bed-side, at all time. Not only isit always at least one-on-one, but often two-on-one. This is important not just totake care of the patient’s comfort needs, but also to provide constant and
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