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  • Categories of Ethical Dilemmas in Business

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    First published in Exchange, the magazine of the Brigham Young University School of Business, the following twelve categories were developed to cover the root or cause of most ethical business dilemmas that one might encounter in their jobs. I have summarized them to keep them short and simple.

    1. Taking Things That Don’t Belong To You

    Everything from taking highlighters from the storage room, to sending personal mail through the mailroom, to downloading unauthorized games to play on your work computer fall into this category. A CFO of a major corporation took a cab from the airport to his home in the city. When he asked the cabbie for receipt, he was handed a full book of blank receipts. Apparently this dilemma of accurately reporting business expenses involves more than just one employee.

    2. Saying Things That You Know Are Not True

    When a car salesperson insists to a customer that a used car has not been in a previous accident, when it has, an ethical breach has occurred. When a clerk in a store assures a customer that a product has a money-back guarantee, when only trade-ins are allowed, another ethical violation occurred (and perhaps a violation of the law).

    3. Giving Or Allowing False Impressions

    There is an urban legend in which 2 CD’s were being sold on a TV infomercial that claimed that that all the hits of the 1980’s were on the CDs. The infomercial emphasized over and over again that all songs were performed by the original artists. When they received the CDs, upon closer inspection, they found that all songs had been covered by a band called The Original Artists. While technically true, the impression given by the infomercial was false.

    4. Buying Influence or Engaging in Conflict of Interest

    When a company awards a construction contract to an organization owned by the brother of the attorney general, or when a county committee who is charged with choosing a new road construction company is traveling around the state looking at roads at the expense of one of the bidders, a conflict of interest arises which might affect the results of that choice.

    5. Hiding or Divulging Information

    Failing to divulge information from the results of a study on the safety of a new product, or choosing to take your companies proprietary product information to a new job are examples that fall into this category.

    6. Taking Unfair Advantage

    Have you ever wondered why there seem to be so many product safety rules and procedures? It is primarily the result of laws passed by government institutions to protect the consumer from companies that previously took unfair advantage of them because of their lack of knowledge or through complex contractual obligations.

    7. Committing Acts of Personal Decadence

    Over time, it has become increasing clear that the acts of employees outside of work can have a negative effect on a businesses image. This is one of the primary reasons companies are minimizing social interactions or events, outside of the office, so that drug or alcohol related events can not be tracked back to the company.

    8. Perpetuating Interpersonal Abuse

    At the heart of this category of ethical misbehavior is the abuse of employees through sexual harassment, verbal lashing, or public humiliation by a company leader.

    9. Permitting Organizational Abuse

    When an organization chooses to operate in another country, it sometimes butts up against social culture in which child labor, demeaning work environments or excessive hours are required. It is at this point that the leaders of the company have a choice…whether to perpetuate that abuse or alleviate it.

    10. Violating Rules

    In some cases, people or organizations violate rules to expedite a process or decision. In many of these cases, the results would have been the same regardless, but by violating the rules or required procedures for that outcome, they can potentially scar the reputation of the organization they work for.

    11. Condoning Unethical Actions

    Suppose you are at work one day and you notice that a colleague of yours is using petty cash for personal purchases and fail to report it. Perhaps you know that a new product in development has safety issues, but you don’t speak out. In these examples, failing to do right creates a wrong.

    12. Balancing Ethical Dilemmas

    What about a situation that would be considered neither right, nor wrong? What should be done here? Should Google or Microsoft do business in China when human rights violations are committed daily? Sometimes an organization must balance the need to do business with any ethical dilemmas that might arise from doing business.

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    Source by John Bascom

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  • The Importance of Randomized DOT Drug Testing

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    Catch Drivers Off-Guard

    There is a reason for randomizing the DOT drug testing. If drivers know when to expect the drug test every month or every quarter, they’re going to know when to stop using drugs, if they are using. They will know exactly how long it takes to flush out of their system in order to get a negative result.

    By randomizing it, you catch drug abusing drivers off guard. They never know when you are going to call them in for a drug test, and therefore if they are using, you are likely going to catch it. This will allow you to learn more about your drivers and keep the roads safe. If for any reason you catch an employee who is using, you will be able to apply the necessary disciplinary action, which can include termination.

    Deter Drug Users

    You want to be smart about who you bring onto your team. You don’t want drug users and therefore, you may be able to detect any of them when you announce that you offer a randomized DOT drug testing. The moment they hear randomized, they know they will not be able to beat the system. Therefore, they are likely not even going to apply to your company – they will move on to someone who has yet to randomize their testing.

    Ensure No One is Being Targeted

    Employees often like to say that employers play favorites. This is something you have to be extremely cautious of. If you don’t randomize your drug testing, it’s likely that someone will feel as though they are being targeted. Particularly if you have a third-party running the program, no one will be able to claim such a thing.

    It Allows You to Be Complaint

    The DOT wants to be sure that you are running the best program possible. This means that they want you to be randomized, and being compliant is of the utmost importance. If the Department of Transportation decides to conduct an audit on your location and you are found to not be randomizing your DOT drug testing, you could be fined.

    In the end, there are plenty of reasons as to why you want to conduct a randomized drug test. Whether you are a large company or an owner-operator, you need to remain compliant. This doesn’t have to be a task that you do completely on your own. Assistance is available to conduct all of the drug testing, and manage the entire program, should you desire.

    Take the time to explore your current system and determine whether it is running effectively or not. If you aren’t randomizing the drug testing, get started right away. If you are inundated with the process, seek assistance.

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    Source by Jeff Weigang

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  • Life Lessons Learnt Post Drug Detox

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    Drug addiction is a chronic illness that brings misery not only to the life of the individual addicted, but also to his or her loved ones. In recent years, drug addiction has become a matter of serious concern for the United States as a large number of young adults in the country are getting addicted to prescriptions drugs and illegal substances at an alarming rate.

    The “drug culture” rampant in the American society takes a heavy toll on the people’s personal as well as professional lives. Sometimes, the influence of the drug can be so strong that it may lead to several other serious issues, such as increased risk for physical and mental ailments, suicidal thoughts, and even death.

    However, drug addiction is a preventable and curable disease that can be treated with medications and counseling. Medical detoxification is the first step toward quitting the vice of addiction and leading a productive life. Though the detox process is essentially aimed at removing toxins from the body after a long-term drug use, it teaches some incredible life lessons along the way.

    Listed below are some of the lessons that people learn during drug detox in a rehabilitation program, which can be carried out for many years to come:

    1. Addiction does not discriminate

    Drug addiction can affect anybody regardless of age, gender, ethnicity, race, or even socio-economic class. Often starting as an experiment, people gradually cross the illusive line of addiction, from where there is no turning back. However, the good news is that an effective detox program can help such people get rid of the devastating habit.

    2. Increasing awareness about addiction is important

    Being aware about the ways in which a particular drug can affect an individual and knowing about the legal repercussions of its addiction can motivate a person and his or her loved ones to stay away from the drug. Also, being aware of the right detox program is important to ensure a speedy recovery for a person who is already in the clutches of destructive drug use.

    3. Addiction leaves one lonely

    Drug addiction is a chronic illness that makes an individual live in solitude. Those fighting substance abuse disconnect themselves from the external world and stay aloof from friends, relatives and other loved ones. Undergoing a detox program teaches a person to make friends, lead a social life and engage in healthy habits.

    4. Self-care is essential

    Taking care of own body and mind is important to keep oneself fit and healthy. This is also required to ensure that a vulnerable individual does not get trapped into drug addiction, and continues to lead an addiction-free life post detox.

    5. Running away from stress does not prevent drug addiction

    For many individuals, addiction generally develops when they feel low, sad or depressed. However, in a detox program, a person comes face-to-face with such negative emotions and makes efforts to develop “emotional sobriety” first, in order to lead a drug-free life.

    Leading a drug-free life is possible

    Abusing any form of drugs, including prescription drugs, is illegal and can deteriorate the life of any individual. A comprehensive detoxification is a must in every drug rehabilitation program as it prepares the patient for further treatment procedure. The complexity of detoxification depends on the nature and length of the abuse.

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    Source by Barbara Odozi

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  • Does God Heal Today?

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    I’d never faced this decision before… I didn’t know what to do. When I was first diagnosed with the HIV virus, I read innumerable articles on it and later suffered from an information overload and depressing confusion. One article would speak in favor of taking the highly toxic HIV/AIDS medicines, and then I’d read another one that spoke against it with just as convincing of an argument.

    As a Church of God member, I knew we encourage members to have faith in God and teach doctors have their place but that it is very limited. As I told my doctor: “Miracles have no side effects and are for free.” We’re all familiar with the poor lady in the scriptures who spent all she had on doctors and wasn’t any better for it and then Jesus mercifully healed her.

    I cried out to God: “I don’t know what to do. What should I do? I know you can heal me, but what am I supposed to do for myself?” And shortly thereafter called my mother, who simply said: “You could always try the medicines and if you don’t like them, you can always stop taking them.” How logical!

    I immediately began my HIV drug therapy, my AIDS “cocktail.” I know some who have taken meds with few side effects but I could hardly walk when I first started — it was worse than being a staggering drunk — and the nightmares were out of this world…when you finally fell asleep. Later I regained my balance but the nightmares, nightsweats and irritability continued. I would be drenched like I had just gotten out of the shower and I would have some tingling in my arms and legs. Regardless, I strictly adhered to the program for over a year and then said enough was enough. I admit it reduced the HIV viral load to “undetectable” (although it’s still lurking).

    I decided I wanted quality over quantity of life. I would rather feel good for less years than have more years in misery. At least that sounded good. Again, I saw stories on television about others who praised the meds and were near death and bounced back, but one thing is sure: everybody is an individual and everybody must make up their own mind about whether or not to take medicines.

    My infectious disease doctor wanted me on the meds and encouraged me to try another regimen. So I tried nine pills a day of this with two a day of that and endured for several weeks and then said I would rather be dead and stopped again. Later I went on other drugs, and took Bactrim to fight off infections and although I didn’t have any serious side effects, I just didn’t feel right. I actually felt so much better off the drugs!

    So I created my own program: on drugs for 6-8 weeks to knock my viral load down (because I start to get scared as it escalates) and then go off them. I discovered it’s called “Systematic Treatment Interruption” which some studies suggested was good but now the consensus appears to be it’s bad, although I’m skeptical about the lucrative drug industry, a view that has been reinforced by Dr. Peter Duesberg.

    I’ve seen Scriptures where God promises to forgive all your sins and heal all your diseases (Ps. 103:3), and wonder why God hasn’t removed this self-inflicted dreaded disease from me since I have confessed and forsaken my sins (Jer. 30:15, 17). (Some have diseases through no fault of their own). I also know AIDS has helped me to stay celibate, as the Bible prescribes for all singles, and that God says, “My grace is sufficient for you” (2 Cor. 12:9).

    I’ve had miraculous answers to prayer; I’m confident God can heal:

    “I shall not die, but live and declare the works of the LORD. The LORD has chastened me sore, but He has not given me over to death” (Ps. 118:17-18).

    Thy will be done.

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    Source by David Ben-Ariel

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  • Top Network Marketing Company – Why Are the Products So Expensive?

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    I’m sure you’ve heard this question before, Why are top network marketing company’s products so expensive?

    This is one of those ever-present questions that networkers and direct sales people will continue to encounter (probably) forever–and there’s always more to it than meets a simple answer.

    One key is not to side-step it. There are good and genuine reasons for legitimate, premium-priced products–and of course there are over-priced ones as well. Honesty is best, as always, and I’ll endeavor to give you the general truth with my answer to the question.

    Special Products at Special Prices

    First, the products available through top network marketing companies sales and distribution model are mostly what are called “specialty” items. They are higher priced products to begin with, having more costly ingredients and more complex designs or formulas; they are simply more expensive to make and package. Some well-known non-network marketed examples are Clinique makeup and fragrance products, Apple computers, iPods and iPhones, Armani clothing, Mercedes and Lexus automobiles.

    Unless you’re dealing with a scheme or a scam, these premium products outperform their cheaper, off-the-shelf counterparts, giving consumers more and better benefits. Since they have greater value, they cost more.

    If these products are being outsourced by the networking company (produced by a “third-party” vendor/supplier), they tend to be manufactured in smaller production runs that do not allow for all the optimal low-cost advantages of buying and making in the high volumes mass-marketers enjoy. The manufacturing processes are more complex and exclusive. The profit margins are higher. This results in a higher quality product with more attention to detail and quality control.

    The reason manufacturers and marketing companies select network marketing and direct sales is because these higher-priced products are of higher quality, and they therefore require special methods of distribution and sales.

    Simply put, they cannot compete with the lower-priced, lower quality “commodity” products, which are sold based mainly on discounted mass-market pricing and brand awareness alone. Think Wal-Mart and Costco.

    Specialty products are “education-intensive.” They need greater explanation; for example, what formula, ingredients and/or processes makes the product more expensive than those mass-market goods available through direct response marketing (such as the Internet and mail-order) or retail chain store sales. Many require demonstration.

    Mass-market products depend on advertising, promotion and merchandising at “point-of-purchase,” all of which are required to get consumers’ attention, let them know the product exists (to create “trial” especially if it’s “brand” new), and to give them enough compelling reasons to purchase and keep on purchasing.

    Going head-to-head with nationally advertised products, many to most of which are heavily discounted and sold at the lowest price possible, is a tough game for just about all smaller businesses to win. Imagine trying to sell vitamins or nutritional beverages or “prestige” cosmetics against a major manufacturer selling through Wal-Mart, or a natural toothpaste against a tube of Crest® through Kroger or Publix supermarkets.

    Specialty products are perfect for the person-to-person, information-rich education, demonstration and service oriented methods of network marketing.

    And that’s where the important second aspect of network marketing’s “higher price” comes in: the added value which you as a “distributor” add to the specialty products you sell.

    Added Value Added

    Network marketing and direct sales representatives add significant value to the product they sell and they are well paid when they do so successfully.

    We reach consumers with the awareness of new products and services that ads and merchandising–no matter how persuasive or promiscuous–would not be able to reach out and touch. And by virtue of our one-on-one, personal relationship with these buyers, we appeal to them with a level of trust and service no mass-market, retail product advertiser could hope to compete with.

    The extraordinary level of service Network Marketers provide is not available when buying through mail order or retail outlets. It is a real and tangible benefit, part of the product’s value–and its price.

    For example: Someone tries a network marketing anti-aging health product. It’s personally presented for them–either in person or via mail–with a host of educational material about the product: scientific studies, article reprints, even books or tapes explaining how the product was made, how to use it, its unique features and its benefits.

    Within one to two days, the network marketer again contacts the person to follow up, asking how they are doing, checking to see that their customer is following use directions properly, make recommendations, etceteras. These service calls continue daily, bi-weekly or weekly until the customer is satisfied and happy.

    The network marketer will also continue to send informative and educational material such as updates from scientific literature. He or she will also let the customer know about other products the company offers that this particular customer with his or her unique needs and wants might also enjoy.

    This is an extraordinary level of service that is a real and tangible benefit for the consumer. This kind of personal and knowledgeable attention is not available when buying through the Internet alone, or mail-order or most all retail outlets. It is one of the things network marketers are paid for and it is part of the product’s value–and its price.

    Are there cases where the above education and service are not offered? Of course.

    Are there products that do not have special ingredients or qualities that support a higher price? Sure.

    And are there times when a network marketed product is simply more expensive to pay for the multiple-level commission structure? Yes.

    Back in the early 1950s, a dog grooming service was opened in New York City to serve people living in the exclusive Park Avenue, 70th and 80th Streets area. They charged $25 to shampoo and clip a dog. They had no customers. Then they jacked-up their prices to $250 per visit–and were an instant success. The Cadillac Seville, when first introduced in test-market showrooms priced at under $10,000, bombed; at $14,000 the very same automobile became an instant best-seller.

    Value is a perception. The relationship between quality, benefit and price, i.e., value, is in the mind of the consumer-beholder. Businesses price goods and services according to what the market will bear. Successful marketers come up with just the right mix of value-benefit-price.

    The majority of network marketing direct sales products are of the genuine higher-quality variety, not available in stores, special in ingredients, design and making.

    Most offer the convenience of in-home or on-line ordering and to-the-door delivery. They are also special in terms of…

    Marketing and Customer Service

    The network marketing “sales person” adds value to the product through his or her education, service and sales to the customer.

    All of this has its price. And according to consumer trends and the explosive growth of network marketing direct sales companies and their products worldwide, more and more people every day think it’s worth it.

    What’s the truth about the price of products offered through network marketing? Are they too high? And if so, why?

    The full answer to this one is complicated. If you need a short one, mine is:

    High? Usually, yes.

    Too high? Sometimes… yes, but generally no.

    So, if they are high, why? Let’s start with looking at what kind of products we’re really talking about here.

    The Truth is, Specialty Products Cost More

    Network marketing is predominantly a “specialty products” business: The products we sell most often tend not to be the type you’d find in supermarkets, drug stores or any other mass merchandiser. They are not the kind that combines the lowest possible price for the least acceptable level of quality. For a conventional retail parallel, look at the products in a natural or health food store, beauty salon, boutique or upscale department store.

    Specialty products cost more to make. The ingredients are unique and high quality and production is low quantity–the amounts manufactured usually are not great enough to take advantage of the economies of scale enjoyed by big-time, high-volume, mass-market producers. So these products more expensive–both to make and to buy.

    Also, specialty product makers usually cannot depend on major advertising to increase sales: they don’t have that kind of money. So they have to use more expensive forms of distribution, such as small, individual retail outlets whose profit margins are higher than mass-market stores and chains.

    Profit Margins and Markups

    Here’s an example: a discount chain drug store might be able to markup a bottle of vitamins that normally sells for $3.00 wholesale for less than the normal 33 percent retail profit margin. And, because they buy in large volumes, they’ll get the product for less than $3.00 to begin with.

    A natural or health food store might buy that same product at the full $3.00 wholesale price, and use a markup of 50 percent to get their full 33.3 percent retail profit margin.

    To the consumer, buying at retail, here’s the difference: $3.99 at the drug store and $4.50 at the health food store.

    And then there’s “what the traffic will bear.”

    There are sexy boxes of imported chocolate that go for $38.00 each, and poly-bags of 50 mini Reeses Peanut Butter Cups you can get for less than $3.80. If your taste tends towards expensive, you’ll generally pay more–in “margin” percentages to middle-people and in total dollars.

    Let’s look at a comparison of one single product offered through the conventional manufacturer-to-retailer distribution system and the exact same product sold through network marketing.

    $$$ From Conventional Manufacturer to Consumer

    We know specialty products cost more to make; again, the ingredients are unique and high quality, and the production is low quantity, so they are simply more expensive.

    Manufacturers speak of “Cost of Goods” (CoG): that’s the figure that a product costs the company to make, including overhead, ingredients, packaging and labeling, sales commissions (such as broker’s fees), etc.

    The very minimum a manufacturer needs to sell that product for is double, or a 50 percent margin. Considering that most competitive businesses operate on a six percent pre-tax profit, that leaves them 44 percent to pay for everything else. So, the $2.00 CoG product they make, they sell for $4.00.

    Now, some manufacturers sell direct to retailers–not many, but a few do, and when they do, they’ll take a higher profit margin to pay for the Cost of Sales (CoS).

    However, most manufacturing companies deal through distributors, who charge for warehousing, shipping and selling the products to retail stores. Normal wholesale is a 25 percent markup, which you get by multiplying the purchase price–plus freight if not included–by 1.33. So, our $4.00 item would be sold by a wholesale-distributor to the retailer for $5.32. (Again, plus or not freight costs which can run 10 to 15 percent additional.)

    To achieve a 33.3 percent profit margin, the retailer has a 50 percent mark-up–or higher. Our $5.32 product ends up on the shelf at $7.98.

    Now, this is the minimum scenario–not what normally happens except in the more strongly competitive markets. It’s not the least bit unusual to find the manufacturer selling that $2.00 CoG product for $5.00 or $6.00… the distributor working on 35 percent instead of 25 percent… and a retailer – especially from a specialty market segment–look for a 50 percent profit (i.e., a 100 percent markup), instead of “only” one third.

    And if all of that were true, the retail price of the product through that sales and distribution system would be more like $14.95.

    $$$ In Network Marketing Direct Sales

    Let’s work this one backwards (because that’s how most of the numbers are figured for your commissions).

    If the networking company’s product sells to consumers for $15.00 it will have an average retail commission to the networker of from 20 percent to 40 percent. So, using a 30 percent retail commission, the company’s “wholesale” price to the mlm distributor will be about $10.50.

    Let’s say that your company pays out a full 50 percent in “downline” or organizational commissions. That means that the company’s lowest from-the-warehouse price for the product would be half of wholesale, or $5.25.

    That’s right in the ballpark for specialty manufacturing, distribution and sales.

    It’s a Question of Value

    There is also a greater value, beyond the “specialty products” issues of ingredient quality, cost of manufacture and so forth and that’s the education, information and service delivered by the person-to-person distribution network.

    Learning the product’s proper use, additional uses, history, all about the ingredients, etceteras, is all part of its value. And products offered through word-of-mouth network marketing have more of this “added value” than any others.

    This last point begs the question:

    “Are products purchased through network marketing higher priced to make up for the compensation or commission payments to distributors and their networks?”

    Can they be? Yes.

    Are they… usually? No and Yes.

    In an authentic, intelligent, sincere and sensible network marketing direct sales company, one that’s well-managed and directed… a company that understands that the financial health and well-being of the men and women in the field MUST lead their mission, decisions, strategy, policies and procedures… no.

    But that new ostentatious corporate headquarters in the prestige location… corporate jet… an army of “distributor service” personnel… rock concert “conventions”… $50,000 “big name” keynote speakers… resort vacations and incentive cruses to exotic locations paid for by the company… luxury car allowances… are all expenses that need to be paid for. Where does that money come from?

    Directly (in terms of potential commissions that will not be paid out to people) or indirectly (in over-priced products and/or inflated charges for marketing materials, self-replicating websites, business building tools and trainings), the money comes from only one place… the men and women in the field.

    “So… do network marketed products cost more?” Sometimes yes and other times no.

    Can they be more expensive than similar items of equal value offered in a conventional market such as a retail store? Yes, they can.

    In fact, you can find numerous examples of both conventionally retailed products and networking products of similar sizes, shapes and qualities at prices that vary by as much as 30 to 40 percent or more.

    The only sure rule in product pricing the world over is, “What the traffic will bear…” No matter what distribution and sales route the product travels. It’s not so much a game of “Let the Buyer Beware,” as it is and always will be…

    “Let the Buyer Be Aware.”

    Factor in the at-home shopping convenience… the customer service… the satisfaction guarantee… personal attention… education and information–and in today’s increasingly competitive global marketplace, the “aggressive pricing” posture being taken by more and more networking companies around the world–along with the generally superior quality of the products available through network marketing and direct sales…

    … and I believe a growing number quality-conscious consumers will agree with me, top network marketing company’s products represent outstanding value.

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    Source by John Milton Fogg

    Views: 0

  • Addiction Doctors – Can an Addiction Doctor Help You?

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    Suboxone doctors are something that are in big demand, right now. Unfortunately, more and more people find themselves on the losing end of an opiate addiction with each and every day that passes. In the past, there were other treatment methods that were used to treat addiction to opiates, whether your drug of choice was heroin, hydrocodone, oxycodone, or one of the other many pain prescriptions that are often abused.

    Some of the other courses of treatment include In patient rehabilitation centers and methadone treatment. Because of the restrictions that come with those forms of treatment suboxone doctors have become a more popular choice with each new person that tells of their experience with the suboxone doctor that they were able to find.

    Rehabilitation Centers in many cases require that you actually “check in”. when you do so, you are for the most part separated from the outside world, your family, job, and anything else that you hold close to you in the real world. The goal of most rehabs is to make you comfortable and to provide you with counseling in an attempt to get you through the opiate withdrawals. The biggest problem that most people find with this is the fact that opiate withdrawals are extremely unpleasant, and the absence of any sort of medication to curb the most undesirable symptoms of withdrawal make the process more than difficult. On top of that, it’s said that opiate withdrawal can, and usually does at least psychologically last for 45 – 60 days. So, even if the rehabilitation facility is able to keep them clean for a week or so, as soon as they hit the street, in most cases the urge to get high will have them running back to their opiate of choice again.

    A regimented methadone treatment has often proven effective, and in many cases has pulled people from the clutches of addiction. However, there is a very serious downside. Methadone in itself is a very addictive substance, and in many cases, the people using it to rid themselves of their opiate addiction find themselves as addicted to the methadone as they were their drug of choice. At the end of the day, they still end up having to take a substance day after day to be able to get through their lives. Basically, they are trading one drug for another, and if they should happen to stop taking the methadone abruptly, they will find themselves right back in withdrawal. Doesn’t sound quite right, does it?

    On the other hand, suboxone doctors are able to offer a solution to your addiction problem that is not only highly regarded as the most effective opiate addiction tool ever known, but it is temporary. Suboxone works by attaching itself to the same receptors that your opiate of choice used to, so your brain in essence still believes that you are “getting high”. In reality, you are stone cold sober. Typically suboxone doctors will put you on a short term program that is what I like to call, front heavy. What I mean is, in the beginning you will take a large dose of the medicine, and after a couple weeks, you start to ween off. By the time 45 days comes, your opiate withdrawal is over, and best of all, you no longer have the urge to abuse whatever your drug of choice is or was.

    The biggest problem with suboxone doctors though, is finding them. In order to have the ability to prescribe the drug, doctors have to go through a special training and education program. Plus, since the treatment itself is still relatively new, it hasn’t caught on yet the way something like methadone has.

    If you are starting to realize that you have a problem, and you’re ready to do something about it, I highly recommend searching out a suboxone doctor near you. If there isn’t one relatively close to you, look in the next city, county, or state. Finding one might be the only way you get clean, and it very well could save your life.

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    Source by Jeffery Mellenthal

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  • How Smoking (Drug Abuse) and Drinking (Alcohol) Affects Your Academic Performance

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    One day, Barack’s mother, Ann Dunham marched into his room, wanting to know the details of Pablo’s arrest. “Don’t you think you are a little casual about your future?” she asked. “What do you mean? he responded. “Bar, you know exactly what I mean. Your friend Pablo was just arrested for drug possession, and your grades are slipping. You haven’t even started on your college application.”

    Barack Obama was a serious and brilliant student before he gained admission into Punahou School, Honolulu. In this school, he joined the “Choom gang”. It was a self-named gang that spent time together drinking alcohol, smoking marijuana and sniffing cocaine. Drugs made the choom gang popular in school. His relationship with the choom gang prospered, but his academics suffered. Drugs and alcohol made him lose focus. All he thought about was how to get high. He and his friends Ray, Pablo, Mark and others exhausted their time devising simply ways of doing drugs, which include total absorption (TA), the antithesis and the choomwagon. Reading was difficult because he was always high and confused. Indeed, he was heading towards becoming a junkie.

    His performance in school was a mess. Barack’s mother was right. His grades were going down every term. He was not even bothered about admission to college. All he thought was drugs because it was part of him. Truly, his friend Pablo was arrested by the police for drug possession.

    When pressure from his mum and his poor performance became unbearable, he thought about not going to college. Nevertheless, Barack’s mother kept encouraging him. She always told him that he could get into any school in the country if he just put in a little effort. Within him, he knew that the “effort” he needed was to quit drugs.

    He managed to graduate without mishap and was admitted into Occidental College in Los Angeles. Even without the choom gang around, Barack continued his drug escapade. To continue his education, Barack was transferred to Columbia University, New York.

    In New York, he decided to stop getting high. For the first time in years, Barack applied himself to his studies. He regained his love and strength for reading. Reading and understanding became easy because he was focused and at alert always. Barack began to trace out his future. It became clear that he had been wasting his precious time on drugs. He attended class regularly and soon graduated with good grades.

    “Using drugs and alcohol was a seriously misguided mistake. It was my greatest moral failure that could have destroyed my future. Maybe if I had not stopped doing drugs, I might have dropped out of school and wouldn’t have become the 44th President of the United States”, he once said.

    Lesson

    Drug and alcohol use on campus is universal. Students articulate many reasons why they do it, but most neglect to consider the academic and long-time consequences of their actions. Some are compelled to use drugs at social gatherings either because everyone else seems to be doing it or they believe it’s the cool thing to do. Others feel that drug and alcohol abuse offers an escape away from school or work-related stress, financial worries or relationship problems. Some feel that alcohol and drug abuse provide a way to compensate for feelings of shyness or low esteem.

    According to one study, 90% of teens said they have used alcohol; 50% have used marijuana; 17% have used cocaine, and 13% have used some form of hallucinogenic drugs. Drug use has been classified as a major problem of students as early as in primary 4. A recent report published by the Substance Abuse and Mental Health Services Administration suggests that adolescents who receive grades of D or below are more likely than those in good academic standing to have recently used cigarettes, alcohol and/or other illicit drugs.

    The new research is part of a large-scale study of health and development conducted in New Zealand. Researchers administered IQ tests to over 1,000 individuals at age 13 (born in 1972 and 1973) and assessed their patterns of cannabis use at several points as they aged. Participants were again tested for IQ at age 38, and their two scores were compared as a function of their marijuana use. The results were striking: Participants who used cannabis heavily in their teens and continued through adulthood showed a significant drop in IQ between the ages of 13 and 38-an average of 8 points for those who met criteria for cannabis dependence. (For context, a loss of 8 IQ points could drop a person of average intelligence into the lowest third of the intelligence range.) Those who started using marijuana regularly or heavily after age 18 showed minor declines. By comparison, those who never used marijuana showed no declines in IQ.

    Researchers studying the effects of alcohol use on the brain are aided by advanced technology such as magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), position emission tomography (PET) and electrophysiological brain mapping (EBM) showed that long-term heavy drinking lead to shrinking of the brain which impairs learning, memory formation and retrieval. That is why most times we read and forget within a short period.

    The process of generating new brain cells (i.e., neurons) is called neurogenesis. High level of alcohol leads to a disruption in the growth of brain cells. The decline of the number of brain cells leads to problems in learning and behaviour. The number of brain cell a student possesses determines his level of understanding. A student who has a higher amount of brain cells will do better academically.

    Thiamine, also known as vitamin B1, is an essential nutrient required by the brain. Up to 80% of alcoholics have a deficiency in thiamine, which may lead to memory loss and mental confusion. It might also affect your attention and concentration. Substance abusers easily get distracted; misplace things, forgetting to keep appointments and so on. As the brain continues to adapt to the presence of the drug, regions outside of the reward pathway are also affected. Brain regions responsible for judgment, learning, and memory begin to physically change or become “hardwired.” Learning, reading, and comprehension becomes difficult because the brain had been wired to focus on alcohol.

    Alcohol can produce detectable impairment in memory after only a few drinks and as the amount of alcohol increases so does the degree of impairment. Large quantity of alcohol can produce a blackout or an interval of time for which the intoxicated person cannot recall key details of events or even an entire event. Think about how much study time you have lost because you were too hung-over the next day to go to class. Drug abusers oversleep and are always tired.

    Severe Hallucination is another problem faced by drug users. Most times they lose touch with realities during lectures or examination. Physically they are in class but mentally they are somewhere else. Academics requires both physical and mental alertness. Therefore, a “high” students can attend lecture but will derive nothing because he was busy building castles in the air. Hallucination leads to academic failure.

    Everyone who became a drug or alcohol addict started with “let me taste or try it.” Smoking cigarette or Indian hemp or drinking alcohol is not a sign of “big boy or big girl”. It is not a sign of maturity but immaturity. You should not please your company by abusing drugs or alcohol. Drugs and alcohol are slow poisons. It solves no problem, if you get high because of financial stress, relationship problems, shyness or peer pressure, after some minute, you will get low and the problem will still be there.

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    Source by Anyaehie George Kelechi

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  • Tony Robbins – Personal Power II – Day 17 – Wealth Conditioning

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    “Money is nothing but a means to measure the exchange of value between people.”

    ~ Tony Robbins

    Many of us have pain associated with wealth in an approach/avoidance dance. Because of events in our past, we can call these “wealth wounds”. There can be lots of sensitivity about financial issues and so if these wounds are not healed, it is impossible to gain a ton of financial resources.

    Generally speaking, poverty and lack brings out the worst in people and abundance brings out the best. People who are living in poverty tend to have the highest criminal records, the most drug use and the most unhappiness. Being one of the consistently broke group of people doesn’t help you or the group. You can do more good by becoming wealthy in order to be able to give back.

    There are seven reasons why most people never make it financially.

    1). They associate negative things to having or making money. Remember, the past does not equal the future.

    2). They do not set having an abundance of money as an absolute must. Unless we decide what is a necessity, not an option, how can there be any improvement?

    3). Having an effective strategy of building wealth is non-existent for them. To condition yourself for great wealth, strategies must be developed for

    • attracting money into your life
    • managing your dollars
    • sharing your money, which will give you much happiness

    4). They are unable to follow through consistently on their financial goals. Finding ways for your money to work for you, such as harnessing compound interest which can take a lot of pressure off if you have time to watch it grow.

    5). They depend too much on the “experts.” There is no one who cares more about your money than you do. Experts are valuable, but you need to take care of your money and taxes. If you make errors in these types of decisions and planning, you will be ultimately responsible, not your professional.

    6). They become financially complacent. Many people take their wealth for granted. Whatever you fail to use, you will lose. It is a good idea to note that if you do well with what you have, you’ll be able to get more and, if you don’t actively create welth, itwhat you have will be taken from us. Don’t hoard what you have.

    7). They allow financial challenges go from bad to worse into financial ruin. Most likely, the road to wealth is not a straight line. If and when problems arise, stay in the game and ask great questions to help get back on track.

    Be willing to transform crisis into opportunity. By having financial faith, you can learn from the situation and find even more opportunities.

    The assignment:

    Give yourself a financial checkup to find out your “wealth wounds” so you can heal yourself quickly:

    1). Ask yourself to list the beliefs that you have that hold you back.

    2). Is there a specific amount of money that is an absolute MUST? Is this number the “must” for your life, or is this number the ability to live comfortably by paying your current bills?

    3). “Never leave the site of setting a goal or making a decision without taking some action towards its fulfillment. Make sure you do some action to set you on the course for financial mastery.

    4). Find something in today’s session to start feeling like you’re making progress. Remember, tiny actions lead to a pattern of habits which ultimately can be used to create the financial freedom we all deserve.

    5). You can make a list of financial terms or aspects of financial management that are not fully understood. Find the people or resources who cn provide answers about these things.

    6). Remember we talked about complacency? Write a paragraph about the “why” you will follow through with your plan and avoid complacency. Recognize the excuses you used in the past. Mastery is the only option now.

    7). Ultimately, what frees us from fear, is the belief that we are much more than anything that could ever happen to us financially. Write down one or two situations that seemed very difficult that you pulled yourself through. Remind yourself that you have this capacity to turn challenges into success.

    Sometimes our “wealth wounds” are most tender to try and heal, but the good news is that there are ways to heal them. One way is to find someone who has successfully gotten where you’d like to be. You can “model” after their example if you find out exactly what they did and then follow that pattern.

    Taking the time to do these exercises will teach you more about yourself. Fine tuning the skills in this lesson will provide additional ways to condition yourself for success.

    Onward.

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    Source by Deb Bauer

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  • Department Administrator Interference in the Doctor-Patient Relationship

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    I contacted a resident doctor in Internal Medicine at a teaching hospital and asked if he would be interested in becoming my primary care physician (PCP). My note briefly described my background in health outcomes research and two of my prescription drugs. He wrote back that he would be honored to be my PCP, and came across as professional, humble, and sincere. A new doctor-patient relationship was formed, and I contacted my existing doctor’s office to arrange for my medical records to be transferred, which immediately informed that office that I must be dissatisfied and going to a new doctor. I also shared with the resident doctor confidential information from my medical records and a copy of one of my professional presentations at a health care conference.

    A department administrator then contacted me to say the resident doctors are not available every day of the week for clinic and are not even here when they do their ICU rotation. Also, the Internal Medicine department protocol would not allow the resident doctor to write me a drug prescription for off label use. Finally, she was concerned that in the past I have ordered and correctly interpreted my own blood tests. The administrator’s attitude reflects one of the chief complaints Americans have with the health care system: the system is coming at them and requiring them to get health services in some predefined structure to which the facility is accustomed but which eliminate any potential for individualized treatment according to individual patients’ needs.

    Apparently the administrator did not spend enough “careful consideration” to get her facts straight. I do not need to see my PCP daily or even monthly. My track record shows I saw my existing doctor once in a calendar year, and the prior doctor before him I saw once in a 15-month period. So the administrator based her decision on her own ignorance of the facts.

    She also misstated facts concerning off-label prescriptions for drugs by resident doctors. One of the drugs we are talking about is Clomiphene. Both a resident doctor and an attending faculty physician at the teaching hospital advised me that they would be willing to write me (off-label) prescriptions for this drug, and the attending physician did indeed phone in a prescription for one of the drugs at my request. Similarly, the Dept. of Obstetrics and Gynecology (OB-GYN) advised me that their doctors, both resident and attending, have prescribed Clomiphene to patients. Therefore, residents in Family Medicine and OB-GYN (both primary care departments) can write prescriptions for Clomiphene, but “protocol” prevents residents in Internal Medicine (also primary care) from writing off-label prescriptions. What kind of a cockamamie rule is that? What, the residents in Internal Medicine are too dumb or too naive to understand off-label benefits of medicines?

    Finally, I had planned for my resident PCP to order and interpret blood tests each time I visited him. The administrator could have learned that fact if she had bothered to call or write me before jumping to conclusions and interfering in my doctor-patient relationship. I strongly reject the Director’s paternalistic view of medicine in which she feels she has to protect resident doctors from patients who order or interpret their own blood tests. These resident doctors are young professionals who have completed their medical degrees; they don’t need paternalistic oversight from a department administrator telling them who they can and cannot invite to be patients.

    Apparently, an overwhelming number of patients who visit this teaching hospital’s doctors want to be told what to do and how to feel. I am the exact opposite; I take personal responsibility for and manage my own health, which is strongly advocated under health care reform. Having a more equal, collaborative relationship with my PCP works for me, and that seems to be the true reason for the administrator’s interference. Studies show that medical malpractice rates drop with a non-paternalistic model of health care services. That fact of reducing litigation risks is pushing more health care systems across the country to migrate to a non-paternalistic model.

    LEGAL ANALYSIS

    I. Formation of Doctor-Patient Relationship

    The first question to address is whether, based on this fact pattern, a doctor-patient relationship was formed. When I gave the Internal Medicine resident doctor confidential information on two off-label drugs that I take, that act would be analogous to a prospective client approaching a lawyer with facts about his case to see if the lawyer will assist him. Contacting a lawyer this way does not create an attorney-client relationship. However, the lawyer is under an ethical duty to protect the confidentiality of the information shared by the prospective client. Similarly, the resident doctor was under an ethical duty to keep the information I shared with him confidential.

    When a lawyer responds to a prospective client, “I agree to take your case,” or “I will be your lawyer,” or words to that effect, then an attorney-client relationship is created, and the protection afforded to the client’s information rises to the level of constitutionally protected attorney-client privilege. In this case, when the resident doctor responded that he would be honored to be my PCP, we have offer and acceptance forming a contract. The offer-acceptance could be construed as my offering to be his patient, which he accepted, or his offer to be my PCP, which I accepted.

    But offer and acceptance are only two of the three required elements to form a contract. The third essential element is exchange of consideration, expressed in Latin as the quid pro quo. In this case, there were several separate exchanges of consideration that complete the formation of a contract and thereby render it enforceable in a court of law. Consideration is defined as some act or some transfer of an item from one party to the other, for which the receiving party had no legal right to otherwise obtain that consideration. There is no requirement that the consideration have intrisinc value. For example, the transfer of a scrap piece of paper can constitute valid consideration that renders a contract binding and enforceable.

    The initial disclosure of confidential information from my health history amounts to sufficient consideration. Second, the fact that both I and the doctor each began pursuing scheduling an appointment for me to see him is also consideration: neither of us had a prior legal right entitling us to that action by the other person. Third, when we continued to correspond after offer and acceptance, with additional information being shared back and forth, further consideration was exchanged. My sending the resident doctor a copy of one of my professional presentations was a fourth example of consideration. Finally, my request that my medical records be transferred to the resident doctor’s clinic constituted an obvious legal detriment based on reliance rendering the contract enforceable.

    If a lawsuit were filed for enforcement of this contract, I am confident that the plaintiff would overcome any attempt to dismiss the lawsuit by the teaching hospital’s attorneys based on the absence of a contract. Defendant might attempt to argue that no contract could be formed, because the resident doctor is not licensed. According to the website http://medical-dictionary.thefreedictionary.com/resident+physician, a “resident physician is a graduate and licensed physician receiving training in a specialty, usually in a hospital.” The resident’s licensing status would not prevent the formation of an enforceable contract, as we have in this fact pattern, for treatment in the supervised residents’ clinic.

    In court, we would pose a series of questions: 1) Is the resident a graduate of a medical school? Yes! 2) Was our conversation focused on health care treatment? Yes! 3) Does the resident see other patients (whether supervised or unsupervised) in the resident clinic? Yes! 4) Are the resident’s services billed to the U.S. government and to private insurers as the services of a doctor (not a student or a doctor’s aide)? Yes! 5) Did we both use the term PCP in describing our relationship? Yes. 6) Did the resident undertake to assist me in obtaining a medical appointment to see him? Yes! With these answers, any court of law is going to recognize if it looks like a duck, swims like a duck, and quacks like a duck, then it is a duck. Therefore, the defendant’s argument on licensing will be viewed as a red herring and will fail. In a similar vein, courts have noted “it is axiomatic that a doctor-patient relationship may arise from, briefly exist, and be limited by the unique circumstances presented in a transfer situation.” Sterling v. Johns Hopkins Hosp., 145 Md. App. 161 (Md. Ct. Spec. App. 2002). It does not matter how long the doctor has been seeing patients or how brief the contact with any given patient, a doctor-patient relationship can be formed.

    Selection of a PCP and other medical decisions are “core” private decisions. A fundamental tenet of privacy jurisprudence, as it has been applied to other types of personal matters, is that the individual most directly concerned is entitled to make and implement the protected decision autonomously and free from paternalistic government intrusion. See, e.g., Zablocki v. Redhail, 434 U.S. 374, 54 L. Ed. 2d 618, 98 S. Ct. 673 (1978) (decision to marry); Moore v. East Cleveland, 431 U.S. 494, 52 L. Ed. 2d 531, 97 S. Ct. 1932 (1977) (decision to live with extended family members); Griswold v. Connecticut, 381 U.S. 479, 14 L. Ed. 2d 510, 85 S. Ct. 1678 (1965)(reproductive choice). I would argue that the constitutional right to privacy also protects autonomy in selecting a PCP among a wide choice of available doctors, selecting which medications I want prescribed, and choosing what lab tests I want to order myself to monitor my health.

    In 2005, the Supreme Court of Arkansas provided the best statement in American jurisprudence on the elevated status of the doctor-patient relationship. The court noted the relationship of doctor-patient is unique. “The loss of this relationship, even temporarily, causes irreparable damage to the doctor and the patient. There is no adequate remedy at law because the loss is a loss of a one-time opportunity.” Baptist Health v. Murphy, 362 Ark. 506 (Ark. 2005)

    The court noted that the hospital had violated the Arkansas Department of Health rules and regulations for hospitals by failing to enforce policies that protected the doctor’s selection of patients and the patient’s choice of a physician. “We interpret this to mean that an otherwise qualified doctor must be granted access to his patient for the purpose of treating his patient, if that is what both the doctor and the patient want. Or, stated another way, a hospital cannot deny the services of a physician of the patient’s choice if the patient is already being seen by physicians at the hospital. Baptist Health v. Murphy, 362 Ark. 510-511 (Ark. 2005)

    Based on reading Baptist Health, I will now forward a copy of this article to the state Department of Health to determine whether the teaching hospital violated any of my state’s regulations requiring Tennessee-licensed medical centers to have policies or bylaws that respect the patient’s right to select his own physician. If so, then the teaching hospital is violating those regulations.

    II. Tennessee’s Tortious Interference Statute

    Tenn. Code Ann. § 47-50-109 is captioned, “Procurement of breach of contracts unlawful – Damages.” The administrator tortiously interfered in my doctor-patient relationship and prevented the resident doctor from performing his services under our contract. She therefore procured a breach of that contract. The administrator will argue that she was merely performing her duties, but that is no excuse for interfering in an existing doctor-patient relationship.

    Although Tennessee jurisprudence does not have a case on point, courts across the country have taken a dim view and expressed disapproval of employer interference in the doctor-patient relationship. For example, the U.S. Supreme Court stated, “The ethical objection has been that intervention by employer… makes a tripartite matter of the doctor-patient relation. Since the contract doctor owes his employment and looks for his pay to the employer… rather than to the patient, he serves two masters with conflicting interests.” United States v. Oregon State Medical Soc., 343 U.S. 326, 329 (U.S. 1952).

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    Source by Michael Guth

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