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These were not my words, but the words of a patient who completed a 5-day opioid detox with us a few weeks ago. A couple of years ago, his detox would probably have been 3 days—he believed he was using a gram or a gram and a half of heroin a day—but when fentanyl was discovered in his urine, the length of his outpatient detox was increased.

Over eleven years ago I answered an ad in the paper for a job as a Family Nurse Practitioner. (Yes, we actually still used the newspapers and looked in the classifieds for jobs at that time.)

The office was an easy commute (check).

I liked the staff and the ambience of the office (check).

The schedule and benefits met my needs (check, check).

It looked like the perfect job, and I appeared to be a good fit, based on how nicely the interview was going.

Every now and then, I get questions about whether we still do the Anesthesia Detox. This treatment method has many names and variations, including an Advanced Rapid Detox, an Ultra-Rapid Detox (URD or UROD), the Waismann Method®, a Rapid Drug Detox, an Anesthesia-Assisted Rapid Opioid Detoxification (AAROD), or a Rapid Opiate Detox under Sedation. Of course, the answer is that the Coleman Institute has not performed an opioid detox using anesthesia since 2001 - so it really is yesterday’s treatment.

Our Coleman Institute staff regularly meets to discuss the kinds of things medical offices must discuss. Occasionally at these meetings we look at our website and ask ourselves if it is communicating what we are truly about. It is interesting to note how many of the people who choose an opioid detox from Dilaudid®, Percocet® and other forms of oxycodone, Vicodin® and other forms of hydrocodone, fentanyl (prescribed or bought on the streets), heroin, methadone, or variations on buprenorphine—have been referred to us by their friends and family members.

A body, left to its own devices, manages pretty well.

Breathing, digestion, circulation, and metabolism are all nicely orchestrated with only the minimal input from the inhabitant of said body. A little food, a little water, a little oxygen and the body is good to go.

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