Julia M Aharonov, DO  
Female, 54
Pontiac, MI

Specialties: Addiction, Drug abuse and dependence

Interests: My family
Advanced Rapid Detox
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How to choose your rapid drug detox center?

Jul 30, 2012 - 6 comments

Once you decided to get opiate free and you know that you need help to get there, how do you pick where to get that help? Well, I’m going to try to clear the muddy waters for you. Yes, I would love for everyone to come to my clinic, however that is not always reasonable or a viable option for all. But here are some things that every one of you should consider.

The Staff - that is probably the most important part of your procedure. Who is around you during your procedure and how they get you through it is vital to how you do during the process and in the long run. How well they prepare you, what expectations they give and what support you receive afterwards will determine your overall success or failure.

The Physicians - even though it is true that a Board Certified Anesthesiologist is a must, only a few of us actually know the process of rapid drug detox. Experience in this field is extremely important. They do not teach this in anesthesia residency or fellowship. There are clinics that just hire board certified Anesthesiologists or even CRNAs to do the procedure for them by following their "protocol". That is not good enough. The doctor needs to have done many, many procedures and understand the addiction physiology to do this right.  There should also be an Internist/Addictionologist who will take care of you prior to, during and after the procedure and is an integral part of your experience. S/he guides you though your follow up Naltrexone therapy and helps you through all the lumps and bumps on the road of recovery.

The Facility - should be equipped with the kind of state of art equipment you would see in any operating room.  Then following the procedure you should be in a room that has the same equipment as any hospital’s ICU or post anesthesia recovery unit (PACU). Does the rapid drug detox have to be done in a hospital? No, it does not, not at all.  It only increases your costs and decreases your privacy and confidentiality.  If the rapid detox clinic is a safe facility that is equipped with appropriate equipment and medications, and is staffed with experienced staff, they will be equipped to deal with any emergency, akin to any other free standing outpatient surgical center.  It is helpful if they are located close to a large medical center.

The Follow-up – if rapid drug detox is the best way for you to get opiate free, Naltrexone therapy is the lynchpin of staying opiate free. The best clinics include 2 month Naltrexone pellet into the cost of the procedure. To continue naltrexone therapy at home, Alkermes, the pharmaceutical company that produces Vivitrol (injectable naltrexone) to help those patient who have and are willing to use their Medical Insurance to fully cover these injections for as long as one year after  rapid detox procedure, ensuring sobriety.  For those patients who are willing to pay for injections out-of-pocket, Alkermes is willing to help with substantial discounts.
Please, be certain you are getting Vivitrol after an opiate detox procedure, and not a compounded generic substitute, as the dose and the delivery mode may not be accurate. Such generic substitutes have been known to be used by some detox clinics.

The Location - can play an important role in making your decision. You may choose to stay close to home to keep the costs down depending on where you live or go half way across the country to keep your confidentiality. You may choose a place that has cheaper tickets to fly into or you may just choose the best clinic there is. You may also choose a clinic by reading the testimonials. Some locations may just be cheaper because of simple matter of local economics or because the clinic is owned by doctors who run it, so they do not have to answer to a corporate entity. This brings me to the last point.

The Cost - is still important to most people, especially in this economic climate. Some centers attract patients with beautiful buildings and surroundings, promises of spa treatments or even scare them into doing it in some “hospital”. They can name amazing university credentials and whatnots, but the basic calculation should be: who are the staff and how are they treating you, do they care about you or your money? Do the doctors have appropriate experience? Are you getting appropriate Naltrexone follow-through treatment? Is the facility well equipped and close to a major medical center? Is location easily accessible? And is the cost reasonable for what you are getting?

Here are all the things you need to consider before you choose. I do hope I made it easier for you.

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Avatar universal
by kase27, Aug 11, 2012
I'm on this site looking up a cream I found to see if it will help a rash my husband has and I see this. Almost like a sign from above, I have been praying for a long time for God to take this "addiction" away from me, I'm really not sure what Naltrexone is or exactly what all your saying here (my next thing to look up) but I felt I had to comment before I left.  I am a 28 yr old woman, mother of 3 and have been addicted to suboxone for 2 1/2 years, never used opiates execpt for after giving birth and didn't even take half of that prescription. What I thought was a good friend had just heard of suboxone and asked me if I wanted to try it, that a tiny piece would have me cleaning the whole house and that it was for pain. I have a misplaced hip but always took advil etc. That's how it started I went to a dr he told me about who wrote me 60 and ultram and on the script it said for pain it got outta control that dr got shut down and that's when  reality hit. I'm hooked I went from normal to dependant, can't get up outta bed, it's like another person inside me. I have goverment insurance, no money but want more than anything not to ever need this drug again. Hopefully one day that will happen just want to be a productive citizien to my community, don't know why but felt a need to comment this on here.
God bless

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by hempem, Aug 17, 2012
Kase27, God did not give you this addiction - and God will not take the addiction away from you.  You began to take the medication, and only you can stop taking the medication.  It will not be easy, but if you begin to change your thinking from passive to active, that is when God will begin to help you find answers.  It isn't "Hopefully one day I will never need this drug again," it is, "I choose to get off this medication in spite of how badly the withdrawal may feel temporarily."  It isn't, "I pray that God would take this addiction away," is it "I am ready to take responsibility for my body and my choice of what to put into my body - God lead me to the right resources," and then you take action.

Go go Google and do a search for "low income assistance Suboxone addiction/withdrawal" and enter the name of your City.  You have three children.  You say you have no money.  You are not working.  Who is giving you this drug?  You obviously have money enough to support your habit.  Take that money and GO TO A CLINIC and tell them your situation - you do not have to reveal your name or information - just tell them your situation.  You may find that people are more than willing to help you once you decide to put your children's lives and your own well-being ahead of the desire not to feel the temporary pain and discomfort of withdrawal.  It may cost money, but you will never know until you take that first step.

Avatar universal
by bubbleynomore, Aug 19, 2012
To hempem, really? you think that comment was helpful to kase? yes it is up to her, but with three children to take care of at 27 maybe she can't do the withdrawal thing, may she need to hear someone who has been through what she is going through and can offer something uplifting. I am sure she has already beat herself up enough.

Avatar universal
by omhome, Aug 20, 2012
i agree with bubbley. Hemp! have you gone thru subox wd while with 3 kids and pain and no money and people like you sort of on their kase! so you may say bubbley and i are co-depending kase! not so my friend...we are supporting her efforts and her desire to be free of the subox and realize her difficulty..this site is support and education not judgment and condemnation!
which i will say i don't think you meant to do. that tough love has it's place but maybe not so soon for kase. good luck kase and let us know your thoughts and hoow it goes and  bless bless bless the children     OM  

Avatar universal
by chucktownegal, Aug 20, 2012
dear kase27,
I am a fifty-eight year old female. I have been an addict all my life. Like I was predisposition ed at birth.
I have withdrawn at home at least a hundred times, I have ended up in psych wards,  and   i was in the ICU last September from opiate overdose. I almost died.
Don't ever try to detox at home. Very dangerous. When you are ready you may want to get the help of an NA chapter in your area. Good luck.

Avatar universal
by deecb28, Aug 21, 2012
\Dear kase27
Yeah no kiddin it"s dangerous to "detox"at home. I've been an opiate addict for 11 years my older brother at 38 and healthy muscular hard working addicted to pain killers tried to supplement with alcohol and mouth wash anything...., he had a heart attack that wa s4 years ago he has been in a coma ever since, now he has morphine patches and is in a coma. So you decide for yourselves but I wanted you all to have a little heads up before tryin to heal yourselves at home esspecially with little ones dependant on you.I mnyself have been on and off methadone for 10 years presently I'm on. I'm also a mother of 6 children, 5 adult and one 2year old.

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