Watched the local news last night: Headline was: "Increased efforts by Law enforcement to crack down on prescription drug abuse". I did not "buy it". There has been no more increase in prescription drug abuse than there has been an increase in alcoholism. So why the hype?
In the 80's there was the : "Just say No": campaign, which showed the complete ignorance of the body politic of drug addiction and alcoholism. Coincidentally that was also the period of the treatment center boon. Alcoholism and drug addiction were; "qualified disabilities" by the Social Security administration guidelines. In Rhode Island alone there were as many as 8 Treatment centers for drug and alcohol abuse. Nationally, there were staggering numbers of these facilities opening their doors, with prices tags ranging from $26000.00 to $48,000.00 from a 28 day stay. It appeared Alcoholics and Addicts were "un-mined" Gold.
In The Mid to Late 1980's there was a Federally funded program : "The War on Drugs" started. It targeted the large drug dealers of Columbia and South America and their associates in the States. In short it failed miserably. But it led to the discovery that: There was more money in arresting and jailing alcoholics and drug addicts than there was in treating them.
MADD stepped up their efforts and managed to gain some power and "took out" , the; probable cause law from the legal system. Law enforcement could stop at will any driver they thought was "suspicious". Of course any person out in the evening on a Friday or Saturday night was suspicious. Also, the level of intoxication by breathalyzer reading was also lowered and has been ever since. The penalties for drunk driving or Driving under the influence was raised to lengthy jail sentences. ( The last I was aware of, was 25 years for third offense DUI). New jails were built and an entire industry of arresting alcoholics and addicts was born. Coincidentally< The alcoholics and addicts were now disqualified from Disability benefits: by the very fact of they were alcoholic or drug addicted at any time, in their past.> Strange, It was no longer a "disease": but now a matter of lacking morals, and a matter of choice: bad choice.
What happened to the War on Drugs? Well by all appearances, minus the occasional arrest of a drug kingpin, which made the news, It all but died. But alas: witness it's rebirth.....In the beginning It was re focused on the minority neighborhoods, and the small meth and crack dealers. Mostly underprivileged youth looking for a " shortcut" to the American dream. The arrest of the " small" dealers had literally no effect on the drug distribution in any area. One would be arrested, and three would take their place.But it jailed many; mostly minorities who could not get adequate legal representation.
The new" rise" in prescription drug abuse? Prescription drug abuse has been around for a long, long time. The abusers are addicts plain and simple. But why the sudden focus, like it is a new trend?
Big Money! Law enforcement has been arresting Doctors, and patients. ( The privilege of Doctor /Patient confidentiality has been eradicated) The DEA monitors prescriptions dispensed and views the Doctor's Medical recommendations through the lens of : " Community Norms" .
To explain this new criteria: "Community Norms". It is oversimplified here but will summarize the theory: If all the average people in an area, being treated by physician for chronic pain, require 3 Ibuprofen for their Pain management: This becomes the community Norm. So, In essence if a patient presents with a sprained ankle or broken finger, It is the same, in this view, as: Cancer patients, and Other chronic pain disorders. When a Doctor attempts to treat their more serious pain patients conditions, by prescribing any Class of medication other than OTC pain control. . It triggers a " Red Flag" with Law enforcement. The Doctor has to be able to " explain" their treatment and prescribing practices or face the " inquisition" of any number of Law enforcement agencies and possibly be arrested.
Little wonder most Doctors, are frightened, and hesitant to attempt to treat serious pain patients, with debilitating conditions. The patients can find No relief for their condition, and often are discarded, and forced to go to local Emergency rooms to get temporary pain relief. Spoke with a physician the other day: They stated: " they do not dispense any Pain medication whatsoever, regardless the condition". Could anyone blame them? Doctors generally have money, and targeting them < is pure Profit genius at work.
This is not say; there Does not exist a serious problem with the abuse of prescription drugs. There is and it has been around for a very long time. The abusers are drug addicts: The medication prescribed; can form a dependency in any person, and addiction to the "med" is often a realistic outcome for many. But this requires medical monitoring and treatment and education. Not arrests of Doctors and patients.
Though the Illegal sale of the prescribed medication, by patients; is, and should be, qualified as a crime. Law enforcement has found the " Golden Cow" for funding the "War On Drugs" all over again. Increased budgets for building a force of agents, and stiffer sentences for those who violate the Law. More jails and more jobs for correctional officers. It is completely understandable and to an effect; desirable. We all want a "safer" community and one free of drugs and illegal activities. But drug addicts are physically sick people, who need treatment.
Though "they" may be a "collateral damage" factor, when estimating the need for enforcement.There seems to be no apparent reduction of drug addiction, by these efforts. Only a Fearful Medical community; not willing to treat their patients, with medical procedures and prescription medication, when such is indicated. There is also a large group of chronic pain patients who suffer needlessly because of the " community norm" model.
The Patient /Doctor confidentiality privilege needs to be maintained. If not: patients in agonizing pain will seek remedy by illegal means or any means necessary for relief. Thus fueling the Illegal Sale of prescription drugs or a rise in alcohol abuse.
Having no privilege of confidentiality: What drug addict or alcoholic,( seeking help) in their right mind, would mention their activities to a Doctor; who might report them to Law enforcement? Remember most of them. do not believe they are addicted or even have a problem. So, the addiction problem grows, and alcohol abuse will rise as Pain Patients will seek relief through readily available and Legal means.
This blog is not an attack on the Law enforcement efforts, It is a request to review the actions and consider: Medical conditions need Medical treatment. History provides a lesson: Prohibition brought about an entire industry of "underground" methods to get alcohol. Yet did not curb American's desire for alcohol. This effort is creating a similar situation. Some States now have doctors who are setting up shop: Take a quick MRI and then prescribe Narcotics, to patients, collect a nice little profit and "treat" the next " patient" . Sort of the modern day: " speakeasy".
Though, certain there are no easy answers; treatment is surely needed, as well as education about Addiction and Dependency. The illegal activities do need " shut down" and prosecuted.Law enforcement needs support to assist their efforts. An community that is aware, and educated can provide such assistance.
While the budget for arresting and jailing offenders has grown, There have been sharp cut-backs in available funding for Treatment and Education of the Addicts and Community. Hopefully this will be reviewed.
Addiction and Alcoholism are real Medical diseases and require treatment. "They" were correct in earlier decades in the AMA stating such. The change took place because no one had any idea of the gravity of the problem. ( and of course there were those who used the system to get a Free ride.) So the AMA rescinded their previous declaration of " disease". Now the " disease" has reached epidemic proportions, and treatment is " classified: as "self-help/self improvement."
If you or a loved one are Taking prescription meds or experiencing a lack of control with alcohol or gambling or any other compulsive behavior. There is help available. In complete confidence. Contact Us Today. Our service is Free! A New life can be found through a Holistic approach Treatment ( One that includes Medical evaluation and alternative therapies geared towards your total health; through an individually developed treatment plan.) We can guide you. There is hope!
Thursday, December 16, 2010
Monday, December 6, 2010
Is there a Gambling Addict: You Know?
Seems completely harmless: Some Internet Poker, A Weekly Poker Game, A Few Powerball tickets, A Quick stop by the Video Slots.....For most: it is not a problem, it is an enjoyable activity and entertainment. I personally play professional poker: Texas Hold' em. But when does a "hobby" become an all consuming obsession?
It will be difficult to tell: Most gamblers: do not discuss their' spending/playing habits openly, and the Gambling Addict; Themselves often has no idea they have " crossed the line" from; Activity to Addiction.
But there are some warning signs for the Addict themselves and their Loved ones:
1.) Do (You) or they spend money, you do not have or is budgeted for other "things". - If you have an ample discretionary income and budget a small amount of it for "playing & entertainment" and are able to stick to that budget. You are most likely not a Gambling Addict. If you are putting up your vacation money or car payment, mortgage payment. There is definitely a problem. In Fact anything over 5% of income would send off alarm bells.
2.) If the money ( question 1) is spent: is there the thought, that it is an investment, or I am going to win this time? If you truly believe or entertain the notion of: "winning or profiting" from spending on gambling, you are the start of an obsession / preoccupation, In fact a poll among casual players: They felt the small amount, they were playing with was; "money tossed away or donated"- This group rarely entertains the notion of winning, They expressed they "hoped they would win , but really believed the truth, It was entertainment money and winning was only a remote possibility. Gambling Addicts generally believed: the "odds" were in their favor, or they were due for a win.
3.) Have you ever used an ATM or drawn money against a Credit Card to play: Gone over your budget? This is not referring to a one-time withdrawal to fund your budgeted expense money. A warning should be noted: if you use the ATM or Credit Card because you" ran out of money". One reason: It means you are going over your budgeted, spending money, Two: You are paying a fee (ATM) to generate "disposable" money, and If you are using a Credit card; not only are you paing a fee for Cash withdrawal, You are paying interest on the balance of what you withdraw.
4.) Do you spend more time than you planned to, a the local slots, or casino? If you have a budgeted your time to "play" and find: you are getting cell phone calls, and the family is ready to send a search party out... You may be involved in a mental obsession, and ignoring; other activities in your life and/or work related responsibilities, just to engage in gambling . This is a "red light" signal your "play" has gone past the casual social activity to a dangerous obsession.
5.) Have you ever lied about your Play: Either in Money spent or Time spent playing? Darn right! You are entitled to some quality relaxation time! People are trying to call you and you put your cell phone on silent, or walk to the other room away from the machine noise...Maybe you tell a small white lie: " I'm on the way home." I'm at work an have to call you back later...I only spent $10.00 ( when you really spent $100.00). I'm winning and ahead? ( Did you really total up all your losses?) If you began lying; even casually You surely have a problem.Yes, even: If, it is so you do not get in a senseless argument with the spouse!
If you answered the above questions honestly; for yourself or a loved one, or associate, You can review your answers. Really: only you can decide when enough is enough.
I have conducted a small study here in my state. I have gone to various, small "casino" establishments and viewed the players. Most are retired and I watched them shovel in $ 20.00 Bill after 20.00 Bill, up to $ 300.00- $400.00 an hour. When, I left, I noted the vehicle they were driving; was older model and looked a bit neglected. When I spoke, with a few customers: They stated: they were on SSI, Or retirement income.
These establishments are on ever corner and there are as many as 100 in our small town. Most have vehicles filling the parking lots...Business is good for them. In Fact: they offer NO Food, or any other social activity they strictly have: Gambling.
This area is economically depressed, Jobs: do not pay even the national average.So, Why would "they" want to put gambling "casinos" in an area where the income level was so poor? (Note the weird law the State generated was: "No advertisement could state these operations were Gambling establishments") Which means they were not going to be marketed to bring in tourists, They were targeted at the locals. ( Being it so only they (locals) knew what these strange little places actually were. The marketing rationale: The poor ( Lower incomes) will be enticed to play with the "promise " of potentially large winnings. It works Great!
What it has generated here is an epidemic of Gambling addiction.
Signs and symptoms of Gambling Addiction:
- Pre-occupation with the activity- Obsession like behavior
- Over spending budget
- Hiding activity or spending and lying
- Depression or mood changes- Anger, frustration...
- Distance from loved ones Isolation
- Talk about "winning it back"
- Denial
- Breaks promises to stop or limit their "play".
If you have concerns about yourself or a loved one, or associate: Contact us in complete privacy and confidentiality, at http://www.addictionsconsult.com or email: addictionhope@addictionsconsult.com
Friday, December 3, 2010
Is There an Addiction Problem in your Business?
Is addiction or Professional Burn-out in your organization? Best to find out before the costs accumulate.
Not only is there the humanitarian interest; the cost to a business: the loss of a trained and
productive employee can be considerable.
I am a Professional Addictions Consultant: I am available to your organization for consultation with Management, and Owners, and Human resource departments. I can also provide: workshops, and guest lecturers; to speak to your employees, managers, or group. These speakers are experts in their respective fields and part of my network. They Include Medical Doctors, Research PhD’s,Practitioners, Inspirational and Motivational speakers, Authors, and Celebrities: Who can educate motivate and intervene.
I am also a Treatment Liaison, for many of the Treatment centers nationwide. I am available to visit your location and conduct casual assessments, and develop Your organization’s plan for eliminating the problem, help you to identify potential problems and provide you with literature and direct contact referral: for those you suspect are having difficulties: all in complete confidentiality.
I have over 20 years in the Alcohol/ Addiction Treatment field and an impressive success rate with clients, both business and addicts / alcoholics themselves.
A New area we have been working in is: “Professional Burn-out” we have discovered this to be a growing problem in many High-stress or performance related positions: High Level Executives,Business Owners, Judges, Lawyers, Sales Staff, Firefighters, Law Enforcement…Of course this is an area which requires the strictest adherence to complete confidentiality, and You will find we have Never, had a breach! These individuals are often difficult to approach given their position and what exposure could mean in terms of loss. Our Professional Burn-out Program is tailor-made for these individuals, and addresses the causes and works from a Holistic approach to remedy the problem.
Including: Medical evaluation and alternative therapies.
So Who is the Addict?: In some instances this will be quite obvious, but more than likely “they” have been able to avoid detection. “They” are not being purposefully deceptive: They are often unaware themselves; (What
they believed to be recreational enjoyment is actually the early stages of addiction.)
productive employee can be considerable.
I am a Professional Addictions Consultant: I am available to your organization for consultation with Management, and Owners, and Human resource departments. I can also provide: workshops, and guest lecturers; to speak to your employees, managers, or group. These speakers are experts in their respective fields and part of my network. They Include Medical Doctors, Research PhD’s,Practitioners, Inspirational and Motivational speakers, Authors, and Celebrities: Who can educate motivate and intervene.
I am also a Treatment Liaison, for many of the Treatment centers nationwide. I am available to visit your location and conduct casual assessments, and develop Your organization’s plan for eliminating the problem, help you to identify potential problems and provide you with literature and direct contact referral: for those you suspect are having difficulties: all in complete confidentiality.
I have over 20 years in the Alcohol/ Addiction Treatment field and an impressive success rate with clients, both business and addicts / alcoholics themselves.
A New area we have been working in is: “Professional Burn-out” we have discovered this to be a growing problem in many High-stress or performance related positions: High Level Executives,Business Owners, Judges, Lawyers, Sales Staff, Firefighters, Law Enforcement…Of course this is an area which requires the strictest adherence to complete confidentiality, and You will find we have Never, had a breach! These individuals are often difficult to approach given their position and what exposure could mean in terms of loss. Our Professional Burn-out Program is tailor-made for these individuals, and addresses the causes and works from a Holistic approach to remedy the problem.
Including: Medical evaluation and alternative therapies.
So Who is the Addict?: In some instances this will be quite obvious, but more than likely “they” have been able to avoid detection. “They” are not being purposefully deceptive: They are often unaware themselves; (What
they believed to be recreational enjoyment is actually the early stages of addiction.)
** ( Addiction will be the term used from this point forward to address both: Drug Addiction and or Alcoholism).
One component of the disease, almost universal, is: “Denial”. The addicted justifies their behavior and ignores warning signs there might exist a problem. Being an Employer, this makes the task of identifying “troubled” employees even more difficult. Some warning signs to watch for:
- Frequent tardiness or missing work
- Lethargy or loss of interest, maybe loss of their normal humor or lack of social engagements
- Decrease in work productivity or work quality; missed deadlines…
- Changes in behavior, attitude or occasionally physical signs, appearance, grooming,
shakiness, nervous energy, isolation
- Smell of alcohol, or heavy masking scents cologne, perfume, mouthwash, mints,etc.
The list is by no means comprehensive just some basic signs, that might be observed. The most definitive parameter: would be changes in work product and other “Changes” you might observe.
You, more than likely conduct periodic performance reviews or directly observe employees work habits. As part of such review you might need to get a bit: ”personal” and ask questions tactfully about any problems the employee might be experiencing. On Occasion; they will be quite frank with you,and discuss family situations or deaths, or other personal issues openly. If you notice a problem related to Addiction: Be quite forthright with your supposition, ( Note not accusation) In the form of a question: “ I noticed your have missed three days of work last month, Do you have an alcohol or drug problem? “ (The wording is of course optional but the question should be asked: outright.) Await their response, and observe their reaction. Some might be shocked or offended, and some may offer another explanation for their behavior or deficit. If you find no progress in the personal assessment and interview, You may need wait and observe their behavior, Monitoring for any additional signs or
problems.
If it is obvious, Or they state: They are in fact wondering or admit they are having an addiction problem. ( Of course this depends on your organizations policies and procedures, and employees job capacity) You might offer them a stern but helpful alternative. Tell them what help is available and/ or
that they need to immediately address the issue, or their position will be in jeopardy. If they are obviously addicted and their behavior is placing the organization or others in harms way, You might have to discharge them, or suspend them for a period, and demand they seek assistance with the
problem. You can provide our contact information in either event. 267-7WE HELP (267-793-4357)
If; they are in fact addicted, and desire no help with their problem; IT may be best to simply terminate them. Over time, they will get progressively worse and place your company and others in greater danger. This action might also cause them to look seriously at their problem and seek resolution/
treatment or at least investigate the possibility that; they are; indeed sick.
Addiction is, in fact: a disease, much like: Cancer, Schizophrenia, Depression, and Arthritis….It is progressive and often fatal. It has both physical and mental symptoms, it can be diagnosed clinically and identified by it’s symptoms. Which include:
- Increased tolerance to the substance- By some strange mechanism in the physical body,
The addict begins to have an increased tolerance to the substance. The original dose des not bring the desired “effect.” i.e( Pain Pill- where one pill would bring pain relief, after a short period of usage, it will require a higher dosage to achieve the same level of relief,. So now 1.5 or 2 pills is required and again after a time 3-4 might be needed…..) With alcohol. The addict
might be able to consume amounts, which would hospitalize the average social drinker. ( they are often “proud “ of the amount they can consume.)
- Withdrawal physical and mental symptoms- A classic sign that addiction is present: When
the addicted attempts to stop usage of the substance, there is a phenomenon :”withdrawal” physically the heart rate can change, sickness and lethargy, or restless energy and hyperactivity, mentally; confusion, irritability, anger, sadness/depression, discontent. ( This is of course a cursory listing, there are many more symptoms which would appear) In extreme cases, there are hallucinations, and suicidal tendencies.
In fact, The addict will be resistant; to quit the use of the substance , because they have become reliant upon the effects produced: Euphoria, Energy, Lack of concern, …..They develop a mental obsession or fixation with the substance. They cannot get the thought “out of their head” Until they can once again, experience the effects produced by the substance.
They will often demonstrate many undesirable personality traits: Dishonesty, Unreasonable fear, and other behaviors to “protect” their usage. If approached, they can often become, defensive, and aggressive. ( again this is a summary list and many more exhibitions may manifest depending upon
the substance, and period of abuse)
The disease is progressive and many times fatal, at the very least it will eventually lead to Legal complications, Family and Work-related problems. The hopeful news is: This disease can be successfully treated. The behaviors eliminated, and over a period of time the addict can once again
become: a productive and loyal employee and member of society. They can acquire; Peace, contentment and joy, restore relations with family, friends, and work associates.
- Frequent tardiness or missing work
- Lethargy or loss of interest, maybe loss of their normal humor or lack of social engagements
- Decrease in work productivity or work quality; missed deadlines…
- Changes in behavior, attitude or occasionally physical signs, appearance, grooming,
shakiness, nervous energy, isolation
- Smell of alcohol, or heavy masking scents cologne, perfume, mouthwash, mints,etc.
The list is by no means comprehensive just some basic signs, that might be observed. The most definitive parameter: would be changes in work product and other “Changes” you might observe.
You, more than likely conduct periodic performance reviews or directly observe employees work habits. As part of such review you might need to get a bit: ”personal” and ask questions tactfully about any problems the employee might be experiencing. On Occasion; they will be quite frank with you,and discuss family situations or deaths, or other personal issues openly. If you notice a problem related to Addiction: Be quite forthright with your supposition, ( Note not accusation) In the form of a question: “ I noticed your have missed three days of work last month, Do you have an alcohol or drug problem? “ (The wording is of course optional but the question should be asked: outright.) Await their response, and observe their reaction. Some might be shocked or offended, and some may offer another explanation for their behavior or deficit. If you find no progress in the personal assessment and interview, You may need wait and observe their behavior, Monitoring for any additional signs or
problems.
If it is obvious, Or they state: They are in fact wondering or admit they are having an addiction problem. ( Of course this depends on your organizations policies and procedures, and employees job capacity) You might offer them a stern but helpful alternative. Tell them what help is available and/ or
that they need to immediately address the issue, or their position will be in jeopardy. If they are obviously addicted and their behavior is placing the organization or others in harms way, You might have to discharge them, or suspend them for a period, and demand they seek assistance with the
problem. You can provide our contact information in either event. 267-7WE HELP (267-793-4357)
If; they are in fact addicted, and desire no help with their problem; IT may be best to simply terminate them. Over time, they will get progressively worse and place your company and others in greater danger. This action might also cause them to look seriously at their problem and seek resolution/
treatment or at least investigate the possibility that; they are; indeed sick.
Addiction is, in fact: a disease, much like: Cancer, Schizophrenia, Depression, and Arthritis….It is progressive and often fatal. It has both physical and mental symptoms, it can be diagnosed clinically and identified by it’s symptoms. Which include:
- Increased tolerance to the substance- By some strange mechanism in the physical body,
The addict begins to have an increased tolerance to the substance. The original dose des not bring the desired “effect.” i.e( Pain Pill- where one pill would bring pain relief, after a short period of usage, it will require a higher dosage to achieve the same level of relief,. So now 1.5 or 2 pills is required and again after a time 3-4 might be needed…..) With alcohol. The addict
might be able to consume amounts, which would hospitalize the average social drinker. ( they are often “proud “ of the amount they can consume.)
- Withdrawal physical and mental symptoms- A classic sign that addiction is present: When
the addicted attempts to stop usage of the substance, there is a phenomenon :”withdrawal” physically the heart rate can change, sickness and lethargy, or restless energy and hyperactivity, mentally; confusion, irritability, anger, sadness/depression, discontent. ( This is of course a cursory listing, there are many more symptoms which would appear) In extreme cases, there are hallucinations, and suicidal tendencies.
In fact, The addict will be resistant; to quit the use of the substance , because they have become reliant upon the effects produced: Euphoria, Energy, Lack of concern, …..They develop a mental obsession or fixation with the substance. They cannot get the thought “out of their head” Until they can once again, experience the effects produced by the substance.
They will often demonstrate many undesirable personality traits: Dishonesty, Unreasonable fear, and other behaviors to “protect” their usage. If approached, they can often become, defensive, and aggressive. ( again this is a summary list and many more exhibitions may manifest depending upon
the substance, and period of abuse)
The disease is progressive and many times fatal, at the very least it will eventually lead to Legal complications, Family and Work-related problems. The hopeful news is: This disease can be successfully treated. The behaviors eliminated, and over a period of time the addict can once again
become: a productive and loyal employee and member of society. They can acquire; Peace, contentment and joy, restore relations with family, friends, and work associates.
Visit us at http://www.addictionsconsult.com
Todays Observance of Inadequate Recovery Treatment Addiction & Alcoholism
Today : I had a chance to visit with some new Girls in Recovery House locally. I was taken aback when I realized how really lost they were. They seemed to have no direction and no idea what they being treated for. Yet; They all had individual counselors assigned.
Seems like the typical protocol has been to refer to 12 step meetings and let " them figure it out". Then report back to the counselor what they have discovered. Thankfully they were finding some support at the 12 step meetings, but it seemed like the counselors, were doing nothing more than journaling client' activities. . I found this to be plain sad. So; I did I as normally do. I took some time and helped explain to the girls some basic things about the meetings and recovery in general. . Then listened to them describe their difficulties.I offered some suggestions and left my phone number for contact. ( Urging them to use it.) I also provided several other people's numbers for contacts.
It occurred to me to this practice is not limited to the local area, it is a national trend. Certified counselors are dropping the ball ( Not all of course but far too many) They are not individualizing treatment programs for the client : They are short-cutting to the " one size fits all ( Least amount of work ) route.
Clients deserve the best of our ability and all of our effort. We need be up to date with information and alternatives, and consults with Medical and Holistic Practitioners. Clients deserve every effort we can make to hlp them change their lives.
Seems like the typical protocol has been to refer to 12 step meetings and let " them figure it out". Then report back to the counselor what they have discovered. Thankfully they were finding some support at the 12 step meetings, but it seemed like the counselors, were doing nothing more than journaling client' activities. . I found this to be plain sad. So; I did I as normally do. I took some time and helped explain to the girls some basic things about the meetings and recovery in general. . Then listened to them describe their difficulties.I offered some suggestions and left my phone number for contact. ( Urging them to use it.) I also provided several other people's numbers for contacts.
It occurred to me to this practice is not limited to the local area, it is a national trend. Certified counselors are dropping the ball ( Not all of course but far too many) They are not individualizing treatment programs for the client : They are short-cutting to the " one size fits all ( Least amount of work ) route.
Clients deserve the best of our ability and all of our effort. We need be up to date with information and alternatives, and consults with Medical and Holistic Practitioners. Clients deserve every effort we can make to hlp them change their lives.
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