Rehabilitaion Clinic

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If you are looking into drug and alcohol rehab centers, then perhaps the first thing you should ask yourself is what you are really expecting the moment you walk right through the door. Do you think it will be like a Hollywood rehab clinic, with individual rooms, delicious meals, and friendly staff to pamper you and give you everything you ask for? If so, you might want to rethink this expectation because most drug and alcohol rehab centers are not like that.

On television, the people in treatment appear as if they are on some kind of vacation, but for you, treatment will not be a holiday at all. That's not how it works in real life - not by a long shot!

Drug and alcohol rehab centers come in a variety of forms, and most average people do not end up in the high-end treatment centers of the stars. You should expect to share a room with someone else, you should expect to do chores, to cook, to clean and to pitch in around the home. You will definitely not be waited on hand and foot.

As far as methods of treatment go, there are many for you to choose from. Here are some of your options:

Biophysical Drug and Alcohol Rehab Centers - This center uses a drug-free model which takes more than 30 days. Treatment methods require more than withdrawal; it emphasizes eliminating the drug residue in the body. The good news is that the biophysical approach is said to be three times more effective than other programs.

Dual-Diagnosis Drug and Alcohol Rehab Centers - This approach is heavily reliant on medication. Put more simply, if you sign up for the dual-diagnosis program, expect your addiction to be treated as a chemical problem - and they will treat your chemical problem with even more chemicals!

Many drug and alcohol rehab centers stick to the teachings of Alcoholics Anonymous and the twelve-step program model. This program has worked for millions of people around the world for close to a century now, but it is by no means foolproof. In fact, more people will fail in their treatment than succeed. Do not let this stop you from seeking treatment, however. If you are truly committed to getting rehabilitated, nothing can stop you from getting rid of your addiction completely.

You see, when people fail at the twelve-step program, it is generally not because the program is inadequate or because it is not as helpful as it is believed to be. No, the twelve-step model is not at fault. Rather, people fail because they simply do not dedicate themselves to the program as well as they should. So no matter what type of treatment you are looking for or believe will work for you, if you don't treat it as if it is the only way to save your life, your chances of success are not that good. But by dedicating yourself to your sobriety, you will be giving yourself the best chance possible, no matter what type of drug and alcohol rehab center you end up in.

Milfred Kennelly is a writer and researcher on drug and alcohol rehab centers. Learn how you can fight addiction and help yourself or a loved one start the necessary journey to recovery using the Recovery Ways system: recoveryaddictiontreatment.com

Ongoing research in colorectal disease

Dr. Eric Haas, Houston colon surgeon, is committed to furthering research in colorectal disease. There are currently six studies that Dr. Eric Haas is involved in.

Comparison of outcomes between robotic-assisted laparoscopic surgery and conventional laparoscopic surgery for colorectal disease
Several studies have shown that new surgical techniques have the potential of improving outcomes following colorectal surgery. Robotic-assisted laparoscopic surgery has emerged as a viable option for colorectal procedures, offering various visual and operative advantages. The purpose of the this study is to compare short-term and pathology outcomes in patients that undergo colorectal surgery, either with robotic-assisted laparoscopic surgery or conventional laparoscopic surgery.  This study involves gathering anonymous data from patient records in order to compare and evaluate the efficacy of this new surgical approach with an established surgical technique.

Comparison of outcomes between single-site laparoscopic surgery and conventional laparoscopic surgery for colectomy
Single-site or single-incision laparoscopic surgery offers many potential advantages for the surgical treatment of colorectal diseases. This minimally invasive laparoscopic technique is performed entirely through the umbilicus and results in minimal scar with diminished pain. This trial will compare the clinical outcomes of single-site laparoscopic surgery with those obtained through conventional laparoscopic surgery of the colon and rectum.

Assessment of quality of life (QOL) following minimally invasive colorectal surgery
Minimally invasive surgery has emerged as a viable option for the treatment of benign and malignant colorectal disease.  Comparisons of intra-operative results and post-operative outcomes have been well documented in the literature. While comparisons between laparoscopic and open surgery are well reported, there are few, if any, reports of comparisons between the different types of minimally invasive surgery (e.g., conventional, hand-assisted, single-incision, or robotic-assisted laparoscopic surgery). Short- and long-term outcomes with regard to quality of life are seldom reported following any surgical procedure.  The purpose of this study is to assess QOL outcomes, through completed questionnaires, in patients undergoing minimally invasive surgery for colorectal disease.

A prospective study in patients with fecal incontinence: evaluating the clinical and anatomical benefits following the minimally invasive SECCA procedure
Fecal incontinence (FI) affects between 2% and 17% of the population and seriously affects their quality of life (QOL).  FI is observed most often in females, the elderly, and individuals of poor health.  Conservative treatments (e.g., avoidance of spicy foods, increased fiber intake, and bowel retraining programs) are successful for some patients but result in no improvement for others.  For these frustrated patients, radiofrequency energy delivery to the anal canal musculature using the SECCA device may provide a viable option combined with the advantage of a minimally invasive approach. Numerous studies have reported on the safety of SECCA and outcomes have been assessed with conventional QOL indicators such as the CCFIS and FIQL scores. However, the effect of SECCA has not yet been objectively evaluated using anatomic and functional measurements of sphincter muscles. The purpose of this study is to quantitatively evaluate physiological outcomes (through use of 3D ultrasound and anal manometry) after SECCA and correlate these with traditionally assessed QOL outcomes.

Prospective evaluation of the effectiveness of pelvic muscle rehabilitation (PMR) as a non-invasive cure for those with fecal incontinence (FI)
Pelvic muscle rehabilitation (PMR) is a modern and non-invasive treatment modality involving cognitive retraining of the pelvic floor and abdominal wall muscles. Patients are counseled to optimize strength, endurance and reproducibility of pelvic muscle contractions under the guidance of a trained therapist with continuous functional analysis not visible to the patient. Each session consists of: 1) muscle strength and endurance, 2) isolation and control of accessory muscles and 3) electrical muscle stimulation. Each PMR session lasts for approximately 30 minutes and is repeated at 1-2 week intervals. Dietary and behavioral education is discussed at each session and the patient is prescribed a home exercise program. Presently, there are no published reports in regards to the efficacy of PMR for the treatment of FI. The purpose of this study is to assess outcomes of PMR on pelvic floor disorders, specificall fecal incontinence (FI), through quantitative (muscle strength, endurance, fatigue, percent improvement) and qualitative (QOL questionnaires) measures.

Prospective evaluation of the efficacy of pelvis muscle rehabilitaion (PMR) as a non-invasive treatment for obstructive defecation syndrome (ODS)
Pelvic muscle rehabilitation (PMR) is a non-invasive, modern modification of traditional biofeedback involving cognitive retraining of the pelvic floor and abdominal wall muscles. Patients are counseled to optimize strength, endurance and reproducibility of pelvic muscle contractions under the guidance of a trained therapist with continuous anal manometry and electromyography not visible to the patient. Each session consists of: 1) muscle strength and endurance, 2) isolation and control of accessory muscles and 3) electrical muscle stimulation. Each PMR session lasts for approximately 30 minutes and is repeated at 1-2 week intervals. Dietary and behavioral education is discussed at each session and the patient is prescribed a home exercise program. Presently, there are no published reports in regards to the efficacy of PMR for the treatment of ODS. The purpose of this study is to access outcomes of PMR on pelvis floor disorders, specifically obstructed defecation (ODS)/constipation, through quantitative (muscle strength, endurance, fatigue, percent improvement) and qualitative (QOL questionnaires) measures.

About the Author

Holding positions as director, chief, or faculty of three teaching hospitals and two medical schools, Dr. Eric Haas, Houston colorectal surgeon, promotes and conductions many research projects with the aim of improving quality of life for people suffering from colorectal dysfunction, and reducing the loss of function associated with colon cancer and colorectal surgery in Houston.

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