Dr. O
Pattern Altitude
Per my post above, Mr. Babbit will be getting off quite easy...
Let me comment about Bruce's comments about habituation... In a previous lifetime I was in a drug and alcohol withdrawal clinic - ummm, not as a patient, let me hastily point out...
We had a businessman from the Detroit area call and arrange to be admitted for rehab... He drive upstate on I-75 in his car... Talked to the guard at the booth and moved his car to the long term parking lot... Carried his suitcase to the front desk and schmoozed with the receptionist... Rode the elevator upstairs to the clinic floor... Schmoozed with the admitting clerk, schmoozed with the nurses and house keeping staff as they got him settled.. They loved him and told me they could not understand what he was doing in our clinic...
His admitting blood level for ETOH came back at 0.42....
He went into DT's - screaming, snakes, the whole nine yards... At one point I had to start an ethanol drip plus Nitroprusside - his systolic blood pressure hit 260 and was not at all responsive to oral meds plus he was hallucinating and thrashing out of control... At the mid point of the 3rd day I thought we would lose him and that is when I started the ethanol drip... It took five days before he could be managed without the IV drugs and even then I had him on a Q4h Phenobarbital ladder IM for another day and a half...
His is the most spectacular case I had... He was also partly the reason I quit doing withdrawal treatment... Too depressing... It was either get away from it or start drinking myself...
denny-o
Let me comment about Bruce's comments about habituation... In a previous lifetime I was in a drug and alcohol withdrawal clinic - ummm, not as a patient, let me hastily point out...
We had a businessman from the Detroit area call and arrange to be admitted for rehab... He drive upstate on I-75 in his car... Talked to the guard at the booth and moved his car to the long term parking lot... Carried his suitcase to the front desk and schmoozed with the receptionist... Rode the elevator upstairs to the clinic floor... Schmoozed with the admitting clerk, schmoozed with the nurses and house keeping staff as they got him settled.. They loved him and told me they could not understand what he was doing in our clinic...
His admitting blood level for ETOH came back at 0.42....
He went into DT's - screaming, snakes, the whole nine yards... At one point I had to start an ethanol drip plus Nitroprusside - his systolic blood pressure hit 260 and was not at all responsive to oral meds plus he was hallucinating and thrashing out of control... At the mid point of the 3rd day I thought we would lose him and that is when I started the ethanol drip... It took five days before he could be managed without the IV drugs and even then I had him on a Q4h Phenobarbital ladder IM for another day and a half...
His is the most spectacular case I had... He was also partly the reason I quit doing withdrawal treatment... Too depressing... It was either get away from it or start drinking myself...
denny-o