All Inclusive Cruise Vacations

Cruise vacations can be romantic, serene, luxurious, casual, and formal; they provide an amazing experience that allows one to get away from reality and indulge yourself with the amazing sites that can be seen. All inclusive cruises are usually the direction most vacationers go as it offers the best price on an absolutely stunning vacation.

With these types of cruises everything is included. This includes accommodations, entertainment, meals, child care, and even classes as well as exotic locations where the ship will dock. These types of vacations are typically considered a floating resort because of the extensive amount of activities and amenities that are offered. They are great for family vacations, groups, honeymoons, and even singles.

When taking this type of luxury vacation you will be able to both see and experience everything you ever dreamed about on a vacation. Destinations are absolutely breathtaking and provide both new cruisers and experienced cruisers the opportunity to see almost everything you can. The most common all inclusive cruises include locations such as the Bahamas (for shorter time periods and newbies), Hawaii, Bermuda, Caribbean, Alaska, and the Mediterranean. They offer activities for cruisers Travel agent deals of all ages including water parks, an array of dining choices, full sized swimming pools, luxury spas and suites, wireless Internet connection, many recreational activities that are appropriate for all ages, and even golf courses.

All inclusive luxury vacations such as these are available on several different cruise lines and each ship is always adding something new and exciting both on board and on the itinerary. You can get pampered and have all your needs catered to without ever having to lift a finger. If you are looking for a vacation that includes everything you want and need from breakfast in bed and fine dining to water parks and golf courses; ships have everything you need to make your vacation an amazing experience for the entire family.

Is The Current Prescription Opioid Abuse Epidemic In The US Spreading To Thailand?

The snack bowl at a “pharm party” includes a mix of prescription drugs-from Adderall to OxyContin to Xanax-and most of them come directly from the household medicine cabinet.

The ABC News program, ‘Pharm Country’, examines a disturbing and rapidly growing trend in teenage drug abuse: getting high on legal drugs, often obtained through parents’ prescriptions or from questionable sources over the Internet. Presenting studies showing a rapid spike in pharmaceutical abuse among students as young as eighth-graders, the program visits a Houston substance-abuse treatment center where recovering teenage addicts and their parents share their eye-opening experiences. (Pharm, 03:12)

This study will take a closer look at the origins of the current opioid epidemic, it’s roots in the US, and is spreading across the globe.

Here in Thailand, I have experienced first-hand the evidence that the epidemic is alive and well and on the rise in Asia.

The goal of this study is to provide knowledge of the dangers of these drugs to physicians here in Thailand who are already prescribing them, and by distributing the survey located at the end of this article to physicians throughout the Kingdom of Thailand.

My qualifications:

On the 22nd of May 1988, I checked Buy Tramadol online in to The Santa Barbara New House, an Alcoholics Anonymous 12-Step Recovery Center.

Best decision I ever made. I’ve been living life on life’s terms ever since without having to take any ‘mind altering’ substances that effect me from the neck up.

Santa Barbara New House is an ‘AA 12-Step House’ for men.

However, a majority of the residents are struggling, not just from the disease of “alcoholism”, but also from the wider definition of the disease of “addiction”. This includes a very wide spectrum of doctor prescribed, “mind altering” substances that do, in fact, effect the user from the neck up.

I come from an AA school of thought that states that we have to be very careful not to take anything that effects us “from the neck up”.

AA is the original twelve-step program that was created for ‘alcoholics’ who suffer from the disease of ‘alcoholism’. The traditions and “primary purpose” of AA provide an interesting loophole for some alcoholics who tend to advocate for big Pharma and the use of prescription drugs.

The incident:

“By far the worst day, hour, minute, moment in my 27+ years of sobriety.”

When I got the call from my daughter-in-law, I could only think of the worst.

She called at around 1:30 in the afternoon to say that my son wasn’t picking up his phone and that she hadn’t been able to wake him up in the morning because he was too, “out of it”.

I knew he’d been using again and suspected it started with his recent knee surgery. I was with him the previous Saturday night at an AA meeting I’d asked him to chair and he was actually nodding out. Instead of facing my fears and confronting him directly, I took the easier softer route of passively checking in on him, “give it the light touch”, (as my old sponsor would warn me about matters involving family).

As I drove the 30 minutes or so from my office to their house, I couldn’t chase the images of his lifeless body from my mind’s eye. I prayed for his life to be spared. I promised to devote my entire remaining days to service in recovery.

By the time I pulled up in front of his house, I expected to find the worst. I’d already thought about what I would do if the door had been locked and I imagined all the painful calls to family and friends. I also knew it had been a good 4 or 5 hours since anyone saw him breath.

The door was open and when I went in, all my fears became a tragic reality.

His lifeless body was lying face up on the bed and his life color was gone.

The only difference between what I’d imagined during my drive over and what I was looking at now reminded me of the scene from a TV series. Where a girl had overdosed on opiates and was choking on her vomit. The girl had all this froth coming out of her mouth. I remembered how I’d thought at the time that the effects of drugs and overdose were always sensationalized in Hollywood, yet this was what I was looking at, and my son’s lifeless body was lying on the bed in front of me. It also appeared to be past what I’d seen on the television. All that was left was that froth on his mouth. He was pale yellowish-white and he wasn’t moving.

Back in my active addition days, I’d brought back a total of three people after they OD’d, all three had overdosed on opiates, and none of which had that foam. Keep in mind I’ve been sober for over 25 years and don’t see much from the inside anymore. I just hear the newcomer stories and can only imagine.

I listened for signs of any life left and frantically tried to find a plus in his neck, nothing.

I immediately started yelling at the top of my lungs, “wake up, wake up”! I thought that would at least kill two birds with one stone and get some help from the neighbors at the same time. It didn’t. It became like a ghost town, not a soul. Just us.

I intuitively sat him up and started pushing him back and forth and yelling, “spit it out, spit it out”. I heard a gurgle.

I grabbed the trashcan out of the bathroom and filled it with cold water, rushed back and dumped it on him.

He moved so I just kept up the screaming and pulled him from the bed. For a moment I thought I was instantly given divine power and adrenaline until I tried picking him up. (Like six or seven bags of old stale rice!)

I called my daughter-in-law and told her to get an ambulance.

By then he started coming around and kept slurring, “What happened?” and “I can’t hear you”. After a while I thought the “I can’t hear you’s” were in response to my direct questioning about what he took. He was clearly damaged beyond opiate overdose and I knew I had to get him to the hospital.

My son had finally passed my bottom with this disease. I don’t think I ever really overdosed and I’m sure I never made it to the point of that froth. He’s always compared his addiction to mine and I always saw that was an excuse to keep using.

Finally, people started showing up. Neighbors, relatives, my daughter-in-law. The only thing missing was an ambulance so I decided to give up and drive him to the hospital myself.

One of the most absurd things I’ve ever witnessed in my sober life was right before we gave up on the ambulance and were about to head to the hospital in my car. I’d opened the refrigerator to get him some water and he grabbed a little bottle of liquid and quickly drank it. I said, “what was that?” and he said, “Retox”. Come to find out it was more Methadone.

“There in lies the rub… ”

Several factors are likely to have contributed to the severity of the current prescription drug abuse problem. They include drastic increases in the number of prescriptions written and dispensed, greater social acceptability for using medications for different purposes, and aggressive marketing by pharmaceutical companies. These factors together have helped create the broad “environmental availability” of prescription medications in general and opioid analgesics in particular. (Volkow)

Some types of opioid drugs include:

codeine (only available in generic form)
fentanyl (Actiq, Duragesic, Fentora)
hydrocodone (Hysingla ER, Zohydro ER)
hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
hydromorphone (Dilaudid, Exalgo)
meperidine (Demerol)
methadone (Dolophine, Methadose)
morphine (Astramorph, Avinza, Kadian, MS Contin, Ora-Morph SR)
oxycodone (OxyContin, Oxecta, Roxicodone)
oxycodone and acetaminophen (Percocet, Endocet, Roxicet)
oxycodone and naloxone (Targiniq ER)
The typical scenario is that the patient is prescribed any of the above for pain, gets hooked, can’t successfully detox and graduates to street opioids.

All of the above are readily available and prescribed in Thailand and I believe, without proper Physician knowledge of the dangers involved.

The five-question survey at the end of this document is intended to provoke and inspire Doctor attention to this problem.

In his book, “Overcoming Prescription Drug Addiction: A Guide to Coping and Understanding”, author Rod Colvin compiles stories from individuals in recovery from addiction to prescription drugs. The concept of an “unwitting addict” is identified as someone who has been prescribed pain medication and becomes addicted. (Colvin)

In the book, “Managing Patients with Chronic Pain and Opioid Addiction”, Dr Donald Taylor’s interest in the treatment of opioid addiction arose from his observations of the development of addiction in his own patients with chronic pain, and his recognition of the fact that few pain specialists knew how to manage this group of patients.

Dr Taylor currently divides his practice between treating patients with chronic pain without addiction, patients with chronic pain with addiction, and patients without pain but with drug addiction. He is a Diplomat of the American Board of Addiction Medicine and a Diplomat of the American Board of Anesthesiology, with added qualifications in Pain Medicine. (Taylor)

“The Long Winding Road of Opioid Substitution Therapy Implementation in South-East Asia: Challenges to Scale Up”, is a study in the South-East Asia Region which contains an estimated 400,000-500,000 people who inject drugs (PWID). HIV prevalence among PWID is commonly 20% or higher in Indonesia, Thailand, Myanmar and some regions of India. Opioid substitution therapy (OST) is an important HIV prevention intervention in this part of the world. (Reid et al.)

Although this World Health Organization sanctioned “substitution” program is effective in the spread of HIV, I have to ask myself whether it will fuel the increase of the prescription drug epidemic.

The deadly combination of Benzodiazepines and Opioids are behind the bulk of deaths in the current prescription drug epidemic. Benzodiazepines are prescribed for “Anxiety”, (fear of future), and “Depression”, (regret from past actions). There’s a healthy solution, outlaw these harmful drugs and treat with cognitive behavioral counseling. (Bachhuber et al.)

5 Tips to Clicker Train Your Dog

Many dog training techniques involve yanking dogs around on their leads and maneuvering them into certain positions, whereas clicker training works purely on positive reinforcement. Clicker training is such an effective form of training that it can be used to train any animal, regardless of its size. Sea World in Florida, for example, has been using this method to train their dolphins, whales, etc. for several years now. It is also the preferred training method for animals used in film and television.

Clicker training is simple and inexpensive to carry out. It involves a small toy-like device that clicks every time you press a button. This device is easy to carry around with you and is comfortable to hold. They come in a variety of colors and cost as little as a couple of dollars. Clickers can be used to teach your dog basic training techniques, as well as more advanced tricks and difficult training routines. They can also be used to correct any behavioral problems.

When positive reinforcement is used, it prevents you from forcing your dog to do something it may not want to do. Instead of getting bored with the whole training process, your dog will actually want to learn and will be eager right from the beginning of the training session Free Online Clicker Games through to the very end of it. Many reinforcements can be used, such as treats, toys, and games, although treats are generally the most popular choice in the early stages of training.

How to begin clicker training

Before you begin training, you need to choose a quiet time when you do not anticipate any interruptions or have to be anywhere at a set time. This will allow you and your dog time to relax and enjoy some quality time together. Clicker training can be performed indoors or outdoors, depending on which location suits you the best:

1. Make sure that you have plenty of tasty and healthy treats ready for the training session.

2. Check that your clicker is working correctly and keep it in your hand at all times during training.

3. Ask your dog to sit.

4. The second your dog obeys the command, you must press the clicker straightaway and then immediately reward your dog with a treat.

5. Once your dog has mastered the “sit” command, you can move onto other commands, such as lie down, roll over, etc. You can eventually use this method for leash training and perhaps some more advanced tricks, once your dog is happy with all the basic training.

It is actually the sound of the clicker that the dog begins to love, as he/she soon learns to associate the clicking sound with a reward. It may take you a little time to perfect the timing of the clicker, but with plenty of practice you should soon master it. After a while, you can gradually begin to introduce signals for each command and phase out the clicker. The clicker will eventually have served its purpose by helping your dog to communicate with you and recognize acceptable behavior.