Skip to Main Content

++

  1. The incidence of opioid abuse among anesthesia providers is 1%.

  2. Addiction is a treatable chronic, relapsing disease with a genetic predisposition.

  3. Seventy-five percent of addicts declare themselves by age 27 years.

  4. Drugs change the brain. The brain changes associated with addiction are independent of drug of abuse.

  5. Addiction among anesthesia providers is most commonly detected through observed behavioral changes.

  6. Interventions should be based on concern over wellness. Substance abuse is only one of several potential diagnoses that threaten wellness.

  7. Intervention at an early stage of addiction is associated with greater treatment success than intervention at later stages.

  8. Evidence-based treatment of addiction reduces relapse rates.

  9. Most addicts have psychiatric comorbidities that must be treated concurrently to prevent relapse.

  10. Reentry requires a contract between the abstinent colleague and his employer.

++
++

"[T]here is always soma, delicious soma, half a gramme for a half-holiday, a gramme for a weekend … A gramme is better than a damn … I wish I had my soma."

+

—Aldous Huxley, Brave New World, 1932

++

The United States manifests a significant ambivalence toward drugs. While the federal government wages war against the illicit drug industry and organized medicine campaigns against the nonmedical use of prescription drugs, the entertainment and advertising industries, in the spirit of Lieutenant Milo Minderbinder in Joseph Heller's Catch-22, bombard its citizens daily with prodrug references. Lyrics from Toby Keith's popular country music song "Get Drunk and Be Somebody" reflect a common mantra:

++
++

All week long, we're real nobodies,

++

But we just punched out: it's paycheck Friday.

++

Weekend's here, good God Almighty:

++

People, let's get drunk an' be somebody

++

Comedians receive knowing laughs and applause from their audiences when they reference or parody recreational drug use. Television, Internet, and movie advertisements suggest that life is more enjoyable in social settings involving alcohol and more manageable with medications ("Ask your doctor if this medication is right for you."). Helping people to "pass" drug tests is also a big business. For example, if "urine luck" is entered into an Internet search engine, almost 2 million citations are offered. Physicians and major pharmaceutical companies tout the benefit of medications to relieve pain. Anesthesia providers make their living daily demonstrating that drugs of high abuse potential can be safely administered. Even a brochure for the Wood Library Museum of Anesthesiology proclaims, "Thank Goodness They Inhaled." Drug and alcohol misuse is commonly associated with youthful experimentation. However, misuse also is triggered by internal and external pressures to improve self-confidence and performance on the athletic field, in the classroom, on competitive examinations, in the workplace, and in the bedroom to achieve a better body image, to feel more comfortable socially, to cope with the stresses of highly competitive work and study environments, and to escape from dysfunctional social relationships and unsatisfactory living situations. College students call this "pharming."...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessAnesthesiology Full Site: One-Year Subscription

Connect to the full suite of AccessAnesthesiology content and resources including procedural videos, interactive self-assessment, real-life cases, 20+ textbooks, and more

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessAnesthesiology

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.