What causes, say, heroin addiction this is a really stupid question, right it's obvious we all know it heroin causes heroin addiction.Here's how it works if you use heroin for 20 days, by day 21, your body would physically crave the drug ferociously because there are chemical hooks in the drug.That's what addiction means.But there's a catch.Almost everything we think we know about addiction is wrong.If you, for example, break your hip, you'll be taken to a hospital and you'll be given loads of diamorphine for weeks or even months.
Diamorphine is heroin.It's, in fact, much stronger heroin than any addict can get on the street because it's not contaminated by all the stuff drug dealers dilute it with.There are people near you being given loads of deluxe heroin in hospitals right now.So at least some of them should become addicts but this has been closely studied it doesn't happen.Your grandmother wasn't turned into a junkie by her hip replacement.Why is that our current theory of addiction comes in part from a series of experiments that were carried out earlier in the 20th century.
The experiment is simple you take a rat and put it in a cage with two water bottles.One is just water, the other is water laced with heroin or cocaine.Almost every time you run this experiment, the rat will become obsessed with the drugged water and keep coming back for more and more, until it kills itself.But in the 1970s, bruce alexander, a professor of psychology, noticed something odd about this experiment the rat is put in the cage all alone.It has nothing to do but take the drugs.
What would happen, he wondered, if we tried this differently so he built rat park, which is basically heaven for rats it's a lush cage where the rats would have colored balls, tunnels to scamper down, plenty of friends to play with, and they could have loads of sex everything a rat about town could want.And they would have the drugged water and the normal water bottles.But here's the fascinating thing in rat park, rats hardly ever use the drugged water none of them ever use it compulsively none of them ever overdose.
But maybe this is a quirk of rats, right well, helpfully, there was a human experiment along the same lines the vietnam war.20 of american troops in vietnam were using a lot of heroin.People back home were really panicked, because they thought there would be hundreds of thousands of junkies on the streets of the united states when the war was over.But a study followed the soliders home and found something striking they didn't go to rehab they didn't even go into withdrawal 95 of them just stopped after they got home.
If you believe the old theory of addiction, that makes no sense.But if you believe prof.Alexander's theory, it makes perfect sense, because if you're put into a horrific jungle in a foreign country where you don't want to be, and you could be forced to kill or die at any moment, doing heroin is a great way to spend your time but if you go back to your nice home with your friends and your family, it's the equivalent of being taken out of that first cage and put into a human rat park.
It's not the chemicals, it's your cage.We need to think about addiction differently.Human beings have an innate need to bond and connect.When we are happy and healthy, we will bond with the people around us.But when we can't, because we're traumatized, isolated, or beaten down by life, we will bond with something that gives us some sense of relief.It might be endlessly checking a smartphone it might be pornography, tutorial games, reddit, gambling, or it might be cocaine.But we will bond with something, because that is our human nature.
The path out of unhealthy bonds is to form healthy bonds, to be connected to people you want to be present with.Addiction is just one symptom of the crisis of disconnection that's happening all around us.We all feel it.Since the 1950s, the average number of close friends an american has has been steadily declining.At the same time, the amount of floor space in their homes has been steadily increasing.To choose floor space over friends, to choose stuff over connection.The war on drugs we've been fighting for almost a century now.
Has made everything worse.Instead of helping people heal and getting their life together, we have cast them out from society, we have made it harder for them to get jobs and become stable, we take benefits and support away from them if we catch them with drugs, we throw them in prison cells, which are literally cages, we put people who are not well in a situation which makes them feel worse and hate them for not recovering.For too long, we've talked only about individual recovery from addiction.But we need now to talk about social recovery.
Because something has gone wrong with us as a group.We have to build a society that looks a lot more like rat park and a lot less like those isolated cages.We are going to have to change the unnatural way we live and rediscover each other.The opposite of addiction is not sobriety the opposite of addiction is connection.This tutorial is a collaboration with johann hari, the author of the book chasing the scream the first and last days of the war on drugs.He was very kind to work with us on this tutorial to spread the word.
Physician Contracting 101 Physicians Duties and Responsibilities by Paul Drey
Greetings, and welcome to part 2 of our sixpart series physician contracting 101.Again, my name is paul drey, and i am an attorney with the brick gentry law firm.As i indicated in part 1, much of my practice deals with working with physicians or physician groups in regard to their business contracting needs, part of that being the employment contract.In part 2 of this series we are going to look at what are some of the key provisions within your employment contract, and then we are going to begin looking in detail specifically.
Today, at what are the provisions, or what are the requirements within a provision dealing with a physician's duties and responsibilities.So let's begin by looking at some of the key provisions that occur and are identified within your employment agreement.First, we'll look at what are the duties and responsibilities of the physician.A second key provision deals with compensation and benefits.Sometimes this will be an actual provision within the contract, and sometimes it will be included as an exhibit, where the whole compensation policy or package is set forth.A third key negotiable provision deals.
With buyins.Another provision deals with professional liability insurance.We will also look at noncompete provisions as well as some of the other provisions within the contract, in particular the entire agreement provisions, wherein everything that is included within the contract itself, in the written contract, becomes the contract, and nothing else.And finally, we will look at termination, and the provisions involved in the termination provision.What we will look at today, is looking at the duties and responsibilities that are identified within your employment contract.These provisions sometimes seem quite innocuous, and not important, but in reality they are very important, as.
It really sets forth in great detail what you are going to be doing for the either the physician group, or the hospital itself.You need to read this carefully to determine what are the expectations do you have an hourly expectation set forth do you have a certain day provision set forth you are also going to have to look at what are your call provisions.How often are you going to be expected to participate in the call coverage is it divided equally among the number of physicians there, or, since you are going to be one of the newer.
Physicians, do you carry a heavier burden you should know this going into the contract, and make sure that you are comfortable with how this is going to be provided.You also need to take a look at in regard to whether you are going to be able to do anything outside of your employment arrangement.Many contracts have provisions that set forth your responsibilities and duties, and identify that if you anything medically inclusive, you will not be able to provide those services.For instance, if you are thinking about teaching,.
Or providing locum tenens coverage, you will need to make sure that you are able to do so under your contract.In many instances, a contract provides that if you do provide teaching coverage or teaching responsibilities, or you provide locum tenens coverage, that if you receive any compensation for those services, they will go to your employer rather than to you.If you want to make sure that this does not occur, you need to make sure that the language in your contract provides that the stipend or the compensation that.
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