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anonymous

The Disease of Addiction is on Trial - 0 views

www.asam.org/...sease-of-addiction-is-on-trial

disease aviation Airlines pilots HIMS law FAA FAA HIMS program FAA Special Issuance FAA's HIMS-program medical certificate medical doctor medical privacy medical providers medications medicine standard of care substance abuse substance dependence Addictio

shared by anonymous on 10 Jan 15 - No Cached
  • anonymous on 10 Jan 15
     
    Steven Kassels has been Board Certified in Emergency Medicine and Addiction Medicine. He is a Co-Founder and Medical Director of Community Substance Abuse Centers, with treatment facilities located throughout New England. He has served as the Chair of the Massachusetts ASAM Public Policy Committee; a member of the ASAM Medical Specialty Advisory Group; and as CARF Expert Medical Consultant for Opioid Treatment Programs. When giving talks, he frequently donates his author proceeds to local treatment centers and he has personally subsidized the publishing costs to keep the price affordable. "Medicine has been very good to me and it is my way of trying to give back." Steve will Skype into book groups and they can be scheduled through his website. The book is available at Amazon, iBooks and Barnes and Noble online.
anonymous

WEYHRAUCH LAW GROUP Provides legal support to the aviation community & pilots in the HI... - 0 views

www.weyhrauchlaw.com/HIMS%20Documents_2.html

law aviation AASI AME Alcohol Breathalyzer Alcohol Blood Testing Liver Function FAA Special Issuance Human Intervention Motivation Study himsprogram.com Airlines pilots HIMS hims discrimination HIMS Pilots United HIMS process HIMS related discrimination F

shared by anonymous on 21 Jan 15 - No Cached
  • 'Special Issuance,' may take several YEARS to accomplish. During this time, there is almost always NO salary, the costs associated with it are NOT reimbursed
  • It is, quite literally, the FAA's way, "or the highway." In effect, the pilot is beholden to his/her assigned medical providers (about whom she has no choice) and treatment philosophy.
  • this becomes the pilot's only mode of maintaining sobriety, and the only method about which she can be forthcoming; other modes of maintaining sobriety will elicit suspicion, and delay issuance of the below:
  • anonymous on 21 Jan 15
     
    Human Intervention Motivation Study (HIMS) Related Documents: FAA Special Issuance Allowing ONLY Alcohol Breathalyzer and/or Blood Testing for Alcohol and/or Liver Function
anonymous

Should Addicts Be Forced Into 12-Step Rehab Programs? No | Chaotic Pharmacology - 0 views

chaoticpharmacology.com/...into-12-step-rehab-programs-no

aviation Airlines Pilots HIMS law hims discrimination HIMS Pilots United HIMS process HIMS related discrimination FAA HIMS program FAA FAA Special Issuance FAA's HIMS-program Special Issuance standard of care substance abuse medical certificate medical do

shared by anonymous on 23 Jan 15 - No Cached
  • Should Addicts Be Forced Into 12-Step Rehab Programs? No
  • Forced interventions such as forced psychiatric therapy (used sometimes to addict patients) is considered as torture by governmental (e.g, United Nations) and non-profit organizations (e.g., Mad in America
  • There is no sufficient evidence to support 12-Step rehab programs as a safe and effective intervention for the treatment of addictions
  • ...2 more annotations...
  • There is also insufficient evidence supporting the routine use of drug testing (e.g., phosphatidylethanol – PEth)
  • AA is Faith-Based, Not Evidence-Based
  • anonymous on 23 Jan 15
     
    Chaotic Pharmacology: Should Addicts Be Forced Into 12-Step Rehab Programs?
anonymous

FAA's HIMS Program (Human Intervention Motivation Study) - 0 views

himsprogram.blogspot.com

aviation news Airlines Pilots HIMS law FAA Special Issuance human intervention motivation study hims discrimination HIMS Pilots United HIMS process Hamm FAA FAA HIMS program FAA's HIMS-program Special Issuance standard of care access to justice access to

shared by anonymous on 26 Jan 15 - No Cached
  • Medical school, or any kind of medical training for that matter, is obviously overrated.
  • one of this airline's 'finest aviators' (aka flight qualified supervisors) known as a 'management pilot,' was put in charge of performing the equivalent of (or something close to) a mental status exam
  • in aviation knows of, has heard, or likely has experienced first-hand the quarrelsome relationship that has long existed between labor and management.
  • anonymous on 26 Jan 15
     
    MEDICAL TRAINING NOT NEEDED! Who needs a qualified physician when one of this airline's "finest aviators" will do...
anonymous

A Different Path to Fighting Addiction - NYTimes.com - 0 views

www.nytimes.com/...ath-to-fighting-addiction.html

addiction nytimes nytimes com aviation Airlines Pilots FAA HIMS law FAA HIMS program FAA Special Issuance FAA's HIMS-program scientific Special Issuance standard of care abuse AASI hims discrimination HIMS Pilots United HIMS process

shared by anonymous on 13 Feb 15 - No Cached
  • The psychologists also support the use of anti-craving medications like naltrexone, which block the brain’s ability to release endorphins and the high of using the substance.
  • A 2002 study conducted by researchers at the University of New Mexico and published in the journal Addiction showed that motivational interviewing, cognitive behavioral therapy and naltrexone, which are often used together, are far more effective in stopping or reducing drug and alcohol use than the faith-and-abstinence-based model of A.A. and other “TSF” — for 12-step facilitation — programs.
  • Researchers elsewhere have come up with similar findings. In 2006, the Cochrane Library, a health care research group, reviewed four decades of global alcohol treatment studies and concluded, “No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.” Despite that research, A.A.’s 12-step model is by far the dominant approach to addiction in America.
  • ...8 more annotations...
  • lifelong abstinence and adherence to the 12 steps mapped out in the Big Book, published four years after the organization was founded in 1935.
  • relies heavily on faith; God is mentioned in five of the 12 steps.
  • Instead of addict or alcoholic, she prefers the terms favored by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or the DSM-V, which says that patients suffer from “alcohol use disorder” or “substance abuse disorder,” terms that convey a spectrum of severity.
  • “Substance use takes on a lot of different shapes and sizes,” Dr. Kosanke said. “There are real downsides to labeling a child with a lifetime identity, when that truly may or may not turn out to be the case.”
  • “We don’t have a judgment on how you address your substance use problem. Maybe A.A. is helpful to you and you find everything you need there. If it’s not, we genuinely believe there are many strategies for helping to resolve them.”
  • Stanton Peele, a Brooklyn psychologist who has studied substance use for decades and is a longtime critic of the A.A. model.
  • That approach runs through the book she wrote with Dr. Foote and Dr. Kosanke, “Beyond Addiction: How Science and Kindness Can Help People Change.”
  • “She’s not a problem to be solved, but a child to be loved and guided toward a better life.”
  • anonymous on 13 Feb 15
     
    Gabrielle Glaser's NYT article, July 3, 2014
anonymous

The Regret of Honesty: A Policy of Truth? - 0 views

I'm an airline pilot-turned "alcoholic." In a world full of heavy drinkers, you might think that a poor career move; you'd be right. In September of 2009, after a rather rowdy three-night stay in...

HIMS Pilots United HIMS related discrimination HIMS-program HIMS process himsprogram.com Human Intervention Motivation Study Aviation Legal Aid Aviation Family Fund standard of care Special Issuance senior aviation medical examiner American Substance Abus

started by anonymous on 14 Feb 15 no follow-up yet
anonymous

The Regret of Honesty: A Policy of Truth? - 0 views

I'm an airline pilot-turned "alcoholic." In a world full of heavy drinkers, you might think that a poor career move; you'd be right. In September of 2009, after a rather rowdy three-night stay in...

HIMS Pilots United HIMS related discrimination HIMS-program HIMS process himsprogram.com Human Intervention Motivation Study Aviation Legal Aid Aviation Family Fund standard of care Special Issuance senior aviation medical examiner American Substance Abus

started by anonymous on 14 Feb 15 no follow-up yet
Wallid pilots

NTSB: Boeing Tests Should Have Shown Danger - 0 views

www.mepilots.com/tests-should-have-shown-danger

aviation news airlines

shared by Wallid pilots on 08 Feb 13 - No Cached
  • Wallid pilots on 08 Feb 13
     
    Tests by Boeing that were approved by the Federal Aviation Administration (FAA) before the 787 Dreamliner was certified to fly showed minimal danger of smoke, let alone fire
Wallid pilots

Video: FAA to allow Dreamliner test flights - 0 views

www.mepilots.com/-allow-dreamliner-test-flights

airlines news aviation

shared by Wallid pilots on 08 Feb 13 - No Cached
  • Wallid pilots on 08 Feb 13
     
    The troubled 787 Dreamliner, grounded in the wake of problems with the plane's lithium-ion batteries, will be sent on crew-only test flights. NBC's Brian Williams reports.
anonymous

Policy of Truth? Maybe not when it comes to HIMS… | WEYHRAUCH LAW GROUP, LLP - 0 views

www.weyhrauchlaw.com/...2070

law policy truth Aviation pilots news FAA HIMS program FAA Special Issuance flying HIMS HIMS process himsprogram.com Human Intervention Motivation Study medical certificate Termination wrongful termination firing discrimination religious discrimination fe

shared by anonymous on 07 Jan 15 - No Cached
    • anonymous
      anonymous on 07 Jan 15
       
      After four years of not flying, after having been "grounded" w/out pay or benefits, pilot was terminated by major air cargo carrier for voluntarily participating in HIMS.
  • anonymous on 07 Jan 15
     
    After four years of not flying, after having been "grounded" w/out pay or benefits, pilot was terminated by major air cargo carrier for voluntarily participating in HIMS.
anonymous

A Prescription to End Drinking - WSJ - 0 views

www.wsj.com/...ion-to-end-drinking-1418687580

HIMS HIMS process himsprogram.com Human Intervention Motivation Study FAA HIMS program FAA Special Issuance flying AASI Abuse Airline Alcohol Blood Testing Alcohol Breathalyzer ALPA AMAS AME ASAP American Substance Abuse Professionals

shared by anonymous on 10 Jan 15 - No Cached
  • prompting addiction experts to make a push for using medications to help people quit or cut down on excessive drinking.
  • As a result, experts say, the most effective treatments are highly individualized.
  • The Food and Drug Administration has approved three prescription drugs to treat alcohol problems. But they are seldom used, largely because 12-step programs have dominated the treatment field, NIAAA experts say.
  • ...4 more annotations...
  • neurobiologist George Koob, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), which is leading the effort to bring new, evidence-based treatments to more people.
  • “We not only use it, we encourage it. If there’s something that can improve your chances of recovery, all the better,” says Joseph Lee, medical director for youth at the Hazelden Betty Ford Foundation, which uses naltrexone and acamprosate.
  • newer behavioral treatments try to empower patients instead, and focus on developing skills to stay sober.
  • “Over the last 25 to 30 years, much of the neurocircuitry of addiction has been identified,” opening up new targets for interventions, says David Goldman, chief of the NIAAA’s neurogenetics lab
  • anonymous on 10 Jan 15
     
    A Prescription to End Drinking Data on Medicine for Alcohol Disorders Pushes Doctors Beyond 12-Step Programs -- **Also see Melinda Beck's radio interview on same page**
anonymous

Should Addicts Be Forced Into 12-Step Rehab Programs? No (Part 2) | Disrupted Physician - 0 views

disruptedphysician.com/...-step-rehab-programs-no-part-2

physician rehab aviation HIMS law Airlines Pilots hims discrimination HIMS Pilots United HIMS related discrimination FAA HIMS program FAA Special Issuance FAA's HIMS-program medical certificate medical doctor medical privacy medical providers medicine sub

shared by anonymous on 23 Jan 15 - No Cached
  • The argument is often advanced that without coercion there is insufficient incentive to enter treatment and, within a medical paradigm, not wanting to enter treatment is considered a symptom of the disease.
  • 12-step recovery model is being used to coerce treatment on those who do not need it
  • anonymous on 23 Jan 15
     
    Dr. Michael L. Langan on "Should Addicts Be Forced Into 12-Step Rehab Programs."
anonymous

What Tangled Webs We Weave When We Place Profit Before People - 0 views

What tangled webs we weave when we place #profit before people: http://bit.ly/1yjhpSV #FAA #aviation #UPS #flying #addiction #medicine #USDOT #NTSB

psychiatry psychology aviation medicine aviation medical examiner senior aviation medical examiner airline major airline commercial airline administrative law NIAAA FAA Federal Aviation Administration American Substance Abuse Professionals

started by anonymous on 01 Feb 15 no follow-up yet
anonymous

What Tangled Webs We Weave When We Place Profit Before People - 0 views

What tangled webs we weave when we place #profit before people: http://bit.ly/1yjhpSV #FAA #aviation #UPS #flying #addiction #medicine #USDOT #NTSB

psychiatry psychology aviation medicine aviation medical examiner senior aviation medical examiner airline major airline commercial airline administrative law NIAAA FAA Federal Aviation Administration American Substance Abuse Professionals

started by anonymous on 01 Feb 15 no follow-up yet
anonymous

What if We Really Treated Addiction Like the Disease It Is? | The Fix - 0 views

www.thefix.com/...y-treated-addiction-disease-it

aviation Airlines Pilots FAA HIMS FAA HIMS program

shared by anonymous on 26 Feb 15 - No Cached
  • Dr. Howard Wetsman argues that most addiction treatment has been misguided and ineffective but that we are finally able to "throw away the cookie cutter" and "treat addiction like the disease it is."...Richard Juman, PsyD
  • We don’t really believe that addiction is a disease!
  • in spite of the language that we use in describing addiction as a disease, we don’t actually treat it like it is a disease
  • ...8 more annotations...
  • That’s because with every other chronic disease we look at data. With addiction, we believe.
  • As long as we think of addiction as something a “normal person” has done to himself by using a drug, we will only see it as a temporary abnormality brought on by bad behavior.
  • The mindset behind this advice is that addiction is really just a long-lasting intoxication that will eventually go away, leaving the person normal again; this is not a true understanding of addiction as a disease.
  • I found that she had a polymorphism of Methylenetetrahydrofolate Reductase (MTHFR), an enzyme that turns folic acid from our diet into L-methylfolate, the only form that our brains can use. One use for L-methylfolate is as a co-enzyme in two stages of the production of dopamine.
  • based in biology and developed from essential principles.
  • “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.”
  • We can finally treat addiction like the disease it is in nature.
  • Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
  • anonymous on 26 Feb 15
     
    Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
docderz

Instrument Rating: Use it to Your Advantage - Disciples of Flight - 0 views

disciplesofflight.com/instrument-rating-advantages

shared by docderz on 29 Jun 15 - No Cached
  • I’ve heard many accomplished pilots with multiple ratings say they found the Instrument rating the most challenging to achieve. Getting an IFR ticket takes time, brains, and money. So I’m always surprised how many pilots, having gone through all the effort and expense to earn their instrument rating, fail to use it much.
  • There are times when you might consider using your IFR rating even when the weather is technically VFR. Filing, flying, and remaining IFR won’t just keep you proficient; it may someday save you from an FAA violation, spatial disorientation, or a tragic CFIT accident.
    • docderz
      docderz on 29 Jun 15
       
      If you get your IFR rating, this article details a number of ways you can use it to help your flying.
  • ...2 more annotations...
  • Enroute, even on a daytime VFR flight, you could encounter haze, smoke, marine layers, or flat light on snow-covered terrain, all of which can cause you to lose reference to the horizon. A fellow up here in Idaho was flying over a frozen, snow-covered lake on a gray day with no horizon and literally flew his plane into the snow. He had no idea how low he was, similar to a glassy-water situation for a seaplane. Fortunately, he was fine, although his plane was totaled.
  • Weather that is technically VFR but actually marginal can fool you on departure or arrival, as well.
anonymous

WEYHRAUCH LAW GROUP Provides legal support to the aviation community & pilots in the HI... - 0 views

www.weyhrauchlaw.com/HIMS%20Documents_6.html

pilots law AASI Airline Termination ALPA AMAS American Substance Abuse Professionals AMSA ASAP Inc. attorney Bill Brath Blake Westhoff Carrie Frazier T. Cathy Cline Chris Williams SCP System Chief UPS Christopher D. Parker Dave David Discrimination DOT Dr

shared by anonymous on 07 Jan 15 - No Cached
    • anonymous
      anonymous on 07 Jan 15
       
      Pilot voluntarily disclosed w/out incident and successfully completed HIMS process/returned to work/received FAA Special Issuance Medical. Shortly thereafter, the airline terminated said pilot for reasons that remain undisclosed.
  • anonymous on 07 Jan 15
     
    The Regret of Honesty: A Policy of Truth?
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