Do Addicts Really Recover?

In my line of work as addiction professional, I’m often asked “Do people with addiction get better?” The question may sound simple but it’s not really that simple. There are so many facets to addiction. The chemicals are but one aspect. There also are the addict’s personality attributes, attitudes, lifestyle, and values – all contributing and feeding the addiction syndrome. For most people, the obsession by the addict to consume chemicals is the most salient aspect of addiction. This becomes their focus of attention when asking the question, “Do addicts really recover?” Meaning can they give up drugs and become “normal” people again?

After a closer look at addiction, one begins to realize that the chemical abuse is intimately tied to the person’s mental health, lifestyle, and personal values. For example, it is hard to ignore an addict’s criminal activities related to supporting his drug habit or an alcoholic’s scheming and manipulating behavior to hide his alcoholism when the addicted or alcoholic is trying to pursue “recovery.” Can people “recover” from addiction and still carry on with these criminal or anti-social inclinations? What are the chances of a recovering person remaining abstinent while continuing to sell drugs or maintaining his connection with friends who are involved in criminal activities? Can a recovering alcoholic remain sober while bar-tending?

My point is that there is a “quality of life” a recovering addict or alcoholic must maintain to achieve a certain level of healthy living. For some this may mean pursuing counseling or following medication regime to control psychiatric symptoms. For others, a complete lifestyle change may be necessary to re-align personal priorities and internalize pro-social values. With addiction, old associations — people, places, and things – can easily trigger a relapse to old “bad habits.” There is a common belief among recovering persons that “picking-up” drugs or any substances is the last step in the relapse process. Long before the actual substance use, the person has already relapsed in his thinking – reflected in noticeable changes in attitude, values, and over-all behavior.

To go back to the original question: “Do addicts really recover?” The answer is a relative yes. For some who consider their addiction as a disorder of the whole person and take a holistic view of recovery, they aspire more than giving up the chemicals to include a reinvention of themselves, psychologically, socially, and spiritually. Others are content with minimizing the harmful effects of illicit drug use but still resort to alcohol use. Still others give up drugs but continue to have dysfunctional patterns of coping or residual manifestations of personality disorders.

Do Addicts Really Recover?
Dr. Fernando B. Perfas

Laparoscopic Surgical Instruments

Pacing the Trocar in its correct spot is one of the most crucial procedures of laparoscopic surgery for your medical instrument. Many crucial problems have been reported as a result of incorrect placement of laparoscopic instruments. You need to make positively sure that you are placing the trocar correctly.

Their is so many different types of trocars on the marketplace, some of the most easiest to use are the trocars with the safety mechanisms with robust blades. While basic handling is the same for most trocars, it is important to understand the different functions of the different types.

Laparoscopy approach, When pressing to see if the space can be entered you should view the area through another trocar to be positive that the space can be entered safely. Make sure the patient is free from abdominal wall vessels, darkened the room and view the area under transmitted light. Hold the trocar perpendicular to the abdominal wall. Stretch your finger along the length of the trocar while using your other hand to provide support and prevent accidentally going in to deep. twist and trun the trocar, while maintaining even force until the tip passes through the wall. When using your medical equipment try not to press to hard. Hard pressure may shrink the internal space, increasing the risk of hitting an organ and causing damage. Once the tip is passed through adjust its direction so that it points to an area of open space and press it in further. Locking the safety mechanism will help decrease the risk. However some trocars do not have a lock mechanism safety. You need to be especially careful when inserting this sort of device. A malacar trocar is the best for this operation. It has a self-securing lock you can use during the procedure.

Things I Have Learnt About Prospecting and Cold Calling in Commercial Real Estate

In any real estate market and economy, the prospecting process remains fundamentally important to the success of the real estate agent and individual salesperson. Prospecting on a daily basis is the key to progress and success with both territory control and domination.

Here are some key facts that I have learned from prospecting and cold calling over the years:

  1. Most people working in the industry rank very poorly when it comes to prospecting on a regular basis. This is a significant opportunity for those that get their prospecting model under control.
  2. Face to face contact remains the ultimate conversion factor when it comes to prospecting. Everything you do should point towards a successful introductory meeting with the qualified parties.
  3. The telephone is a very powerful tool for creating meetings and contact with the right people. The cold calling process you use must be consistent and professional. Gone are the days of sleazy sales pitches.
  4. One of the more successful traditional methods of marketing that has been around for years is the signboard. The more signboards you get into your territory, the more momentum and ease you will have with building listing and sales opportunity. The signboard infers that you have market presence and domination. That is what the local community and property investors think, providing you have a good number of signboards placed on quality property throughout the area.
  5. E-mail marketing and database use is now critical to both the individual salesperson and the real estate agency office. It remains a tool of constant contact of relevant property information to qualified prospects. These are people that already know you and expect information and property updates from time to time. Growing and shaping the database each day from personal contact across the sales team is fundamental to progress and market share.
  6. Some less experienced salespeople tend to rely on E mail as the first and final point of contact. The process of Email is convenient and easy to use, however it has little benefit in prospecting and will not replace the benefit of one to one contact. If the prospect does not respond to the Email, a typical salesperson will usually discard and forget the prospect. The reality of the prospecting emails that you send is that most of them are deleted and discarded.

Prospecting for commercial real estate listing opportunity should be based around unique and personal contact. The more that local people know you personally as a professional and knowledgeable real estate expert, the more listings you will achieve. This image and mantle takes time to develop but it will occur through diligent personal contact.

Boost Your Cold Calling Results in Commercial Real Estate

To make your prospecting system work for you in commercial real estate, you really do need to systemise it and set some priorities. Systems help build the future; random undirected action does little for you as a commercial real estate agent.

When you set the priorities you will not be wasting your time on things that don’t matter or perhaps have little results and conversions for you. It’s tough enough finding the time to prospect every day, let alone spending time on things that are not good converters of business opportunity for you.

So what can you do here? You can set a plan up that keeps you focused on the highly converting prospecting processes. You need new business to make your career work for you and prospecting is the key to pulling it all together.

Here is a priority model used by salespeople that I have helped in shaping their market share.

  1. Practice your call pitch for 30 minutes at 8:00am every day. This single one fact will help you convert more people faster to opportunities.
  2. Start the day with cold calls to new people. This should happen for a period of 2 hours. Start your calls at 8:30am.
  3. It will take you 30 minutes to build momentum as part of the call contact process. After 30 minutes you will be comfortable with what you are doing and the conversations will flow. The calls will get easier.
  4. Remove any meetings from the start of a business day. That includes team meetings. Focus on prospecting before anything else. Don’t let other people waste your prospecting time.
  5. Any follow up calls to established contacts should happen later in the day outside of your prospecting time. Create a habit of prospecting for new business. Don’t let existing customers or contacts derail your prospecting system.
  6. Towards the end of the day you should enter the results of the calls into your database. Perhaps you can do that as you are making the calls; the data does however have to be entered and you must take responsibility for that.
  7. End the day with research related to new prospects that you are to call tomorrow. Who are they and why are you calling them. You will need to know those facts as part of the process.

So these are some very rigid rules. When you stick to them you will find that opportunities develop. In any market and at any time the business is out there; it is just a matter of opening up the relationships with the right people.

Everything About Payday Loans

The statement that a payday loan will be your sheet anchor when you desperately require cash is rather sketchy. They, without any doubt, have got their very own positive factors. Nonetheless there are actually many disadvantages to this type of financial loans. I personally try to step back from this form of lending services. Nonetheless let us evaluate pretty much all advantages and drawbacks of these loans to create an objective view on this credit service.

In actual fact, payday loans are money advances. When you get caught up in between your pay days with no money in your purse, you desperately require some funds from an outside source. Moreover if you are faced with various unpredicted expenses, you have got very poor credit rating, and credit cards aren’t any option for you, a payday loan is what exactly will be able to assist you to make it through until you obtain your next paycheck.

Dealing with such kind of financing is merely like dealing with pretty much any other loan. You simply borrow a certain amount of cash with a commitment to return it back at the pre-agreed fee and rate.

Payday Loans Costs

Different creditors sanction loans at various fees and rates. And this particular problem actually is a drawback of these loans. You will often shell out from $ 15 – $ 30 for receiving $ 100. In terms of interest you would require to pay, it’s really drop-dead enormous. The interest rates range in between 390% and 780%. And this is really the worst part with regard to these loans. Let’s now proceed to the more pleasant aspects.

Applying for a Payday Loan

The procedure for payday loans application is very simple. You can execute it on the Web, or go to a loan office. You complete a loan application and give a few personal details for a loan provider to make a loan decision. The requirements are usually pretty much the same: you have to be at least 18 or above, need to have a stable employment with a minimum monthly income of $ 1,000, and also a checking bank account. You will, quite possibly, be asked to give your social security number, copies of bank accounts and pay stubs. In case you fulfill all the specifications, you can be positive that you would be approved for a loan. Thereafter you normally have got to hang around for 24 hours (or less in some instances) and you will have the access to your cash.

Payday Loans Positives and Negatives

Payday loans really are a solution for cash-strapped individuals. In the event that you desperately want to get hold of some cash and you need the same fast, using a payday loan is certainly much better than stealing a bank. Another nice thing with regard to such sort of loans is that by getting one you do not expose yourself to a long term obligation, such as whenever managing a typical bank (when you get a mortgage, a car loan, or a reward charge card). You’ve got to pay back the money borrowed soon after you receive your next paycheck. Usually, the ceiling on the highest possible sum of money you can borrow is $ 2,500. Therefore, this is one more advantage of such loans. You just won’t bury yourself in big debts. And payday loans end up being significantly less expensive as compared to bounced checks.

So, when you have a heap of bills to pay one day and no credit line or cash available for doing it, consider getting a payday loan. It is usually a good backup strategy for you. However be responsible with respect to paying it off on time, otherwise, you will encounter big charges and might get the sticky end of the stick. Recollect payday loans primarily in some cases of unexpected emergency, not whenever you feel like purchasing a new designer’s suit or jewelry.

Tips To A Cheap Bathroom Remodeling

Most homeowners think of remodeling their bedroom and bathroom at least every year but they neglect to see the importance of remodeling a bathroom. This part of the house is most likely to be neglected even if it is one of the most important room in the house. The bathroom is the only place wherein homeowners get to clean themselves not only that but the bathroom can be a solitary place wherein one can relax and get cozy after a hard day’s work or after a stressful day with the kids. So, why neglect this part of the house? If you plan to remodel your house but do not have enough budget to include the bathroom do not worry because you can still remodel your bathroom even if you are tight on budget.

Those who have smaller bathroom are lucky because it is easier to remodel smaller bathroom compared to larger bathrooms. The only problem with smaller bathrooms when remodeling is the trick in making the room look larger than it actually appears. The good news about remodeling smaller bathrooms? it cost less compared to giving a larger and luxurious bathroom a facelift. Here are simple tips on how to maximize your small amount of money so that it will go a long way in bathroom remodeling:

-Know what you want in a bathroom. Know if you want a powder room, a sauna room/bathroom, bathroom in a dressing room or a full bath. Big or small bathroom these two need almost the same thing: you need to take into consideration the type of flooring you want to have, ventilation of the room (this would include the exhaust fan as well as the windows), decide on the type of bathroom cabinetry you would want to bring in the bathroom and other bathroom furnishings. A tip for those homeowners who have smaller bathrooms is to use furniture or furnishings that are either multi-functional or that can be hang on the wall to maximize the space.

-Remodel the bathroom yourself. If you do the job yourself you can save almost 50% of the total amount from the expenses. Research through magazine and online articles on tips on how to remodel a bathroom. If you are unsure about the task you can do the easy ones like the demolition, flooring and painting and you can hire a pro to do the rest of the job.

How Nicotine Test Helps Employers to Establish Smoke-Free Workplace

Nicotine abuse is an issue affecting the profitability of businesses and the environment at workplaces. Employers are insisting on measures that will help them make the workplaces free from smoking of tobacco so as to make their businesses more productive.

Employers in US imposing ban on smokers:

Increasing numbers of employers in US are rejecting the applications of candidates who smoke. They are abiding by the laws framed by the government for the purpose and are not hiring who they find to be smokers. To know whether the prospective hired is smoker, they conduct tests. Those who are found positive for smoking are not offered employment.

Nicotine test helps them to detect smokers – instantly:

Employers apply different techniques to tackle the issue of smoking. These include testing for tobacco (nicotine) by different methods. These tests are helpful to identify if the applicant really smokes tobacco or not. Generally, a nicotine test can be conducted using urine, saliva or hair follicle samples. Employers use any or a combination of these techniques.

Benefits of establishing smoke-free environment:

A smoke-free environment improves productivity of the employees and reduces health insurance costs. Employers find smoke-free workplace beneficial on the following grounds.

Increased productive hours:

A no-smoking environment results in higher number of productive hours than in a smoking permitted one. Employees not used to smoking concentrate better on work and hence there is greater number of productive hours. They are healthy and take few sick leaves.

Whereas, smoking employees take unauthorized breaks to smoke, which is waste of productive time.

Healthy atmosphere:

As healthy employees are more focused on productivity, there is cordial relation between employees as well as employers. Such workplaces boost the employees’ morale and work potential and encourage talented workforce to work for more number of hours. Employers too reciprocate and get prompted to take positive action on any issue.

Shows professional approach of the business:

A smoke-free workplace, places the employer’s image in a positive view among the employees, peers, government, and social groups. The welfare measures taken serve as an example for professional approach taken by the employer. This will enhance mutual trust between the employer and employees.

Reduces healthcare costs:

Following a no-smoking policy at workplace would result in less healthcare costs. This is because, the employees are healthy and need lower health maintenance expenses – be it insurance premium or medical emergencies. These factors are known to cause increased medical expenses to employers in case of employees habituated to smoking. Studies show that, post non-smoking policy there is remarkable decline in the tobacco caused heart attacks, making current smokers to quit (Source: Forbes, 12 June, 2012).

Taking up nicotine tests to enforce a smoking-free environment at workplace is beneficial. The measures, of course, entail costs to the employers.

You May Be Statistically At Risk For A Payday Loan

Recently, there has been a lot of talk about percentiles. With the presidential election on the horizon, Americans are being flooded with percentages and many are drowning in confusion. Payday loan lenders have been inundated with borrowers who are trying to stay on top of their bills. A deluge of mass media has emerged to cover the politic elections, surfacing statistical claims about economic differences among the American population and submerging any consistent sense of where one fits into the fiscal scheme of things.

These statistics raise questions that come with a lot of political baggage: Am I one of Occupation Wall Street’s 99 %? Am I one of Mitt Romney’s 47% who rely on federal benefits? And, if so, is this a bad thing?

These ‘factual’ numbers, which are meant to act as clear, logical backing for political campaigns, are leaving many Americans mystified, obscuring political agendas behind a silk-screen of percentages.

Let’s face it; politicians employ these statistics, which may or may not be whole truths, to inspire voters to stand up for a cause–their cause. Among the aforementioned percentages, there is one common denominator: they all target or discuss an audience of low income families. In some cases, these statistics are used to draw attention to discrepancies between high and low income families, while others demonize those in the low income demographic as moochers and/or freeloaders.

Yet, another statistic that has not been addressed in the campaigns but that directly relates to low income families is the number of households in this demographic that utilize payday loan services. A PEW survey recently exposed that 72 % of payday loan borrowers have a combined family income of less than $40,000 per year. Clearly, those in lower income demographics are more inclined to borrow these high interest loans, which they are required to pay off at their own expense.

It is easy to comprehend the reasons that those in low income families are more inclined to borrow–utility bills need to be paid, children need to be fed and clothed, cars need to be in working order and fueled up. This becomes even clearer when considering that most payday loans are taken out to accommodate recurrent, necessary life expenses. Evidently, many low income American families are treading water, relying on temporary safety rafts, like payday loan lenders, to stay afloat, and getting closer and closer to a tidal wave of unavoidable debt.

This raises the questions: do the aforementioned political percentages and statistics accurately represent low income families who are relying on payday loans?

To answer the question, statistics rarely speak for themselves. Yes, over 40 % of Americans rely on federal benefits, but it is important to note that this percentage is largely made up of impoverished families, mothers with young children, and senior citizens. Without such services, more people from these demographics would be pushed to rely on payday loans and cash advances, furthering their debt and making them more susceptible to extreme financial circumstances, such as bankruptcy, which ultimately costs tax payers a great deal of money. It is important to note, additionally, that a person must be employed to take out a payday loan, challenging the idea that the low income families and individuals who rely on such services are freeloaders.

In short, not only is the onslaught of political statistics confusing, it is often unreliable, as it only presents a partial picture of the current circumstances of low income American families–a demographic which makes up a significant portion of the American population.

Car Rental Deals – Why People Like Car Rental Deals

I know that you can relate when I say that I love to get a good deal on something. It shouldn’t take a lot of explaining why car rental deals are some of the most important things that you can partake in when shopping for a rental car. Some people will go to great lengths to find the best car rental deals that they can while others will be more willing to pay the advertised normal price. But did you know that you can just type in the name of the company you are looking for followed by the word coupon and you can find a better price. That is just one of the ways that you can get easy and cheap car rental deals.

There are many other techniques that one can use to get good car rental deals, one little known fact is just ask the company what deals they are offering at the time. A lot of agencies will have a special if you are willing to rent the car for a week, or if you are only going to have it for the weekend. Prices can vary and change depending upon the holiday season or during peak times in the summer, one can really never know how much it is going to cost to rent a car but you can also try to get the best car rental deals.

Don’t get discouraged when one company offers you a high price for a car, there are always more options than you could believe when you look for that perfect rental car for you. You also have to make a choice between two different options, let’s say for example you are on a very tight budget and you just want get the cheapest car possible than you may want to rent an economy style car and try to get the best possible deal on it, but on the other hand you also have the option of getting car rental deals in another way. You could go to an agency and request for a luxury vehicle at the price of a budget or hybrid style vehicle. You would be surprised at how many companies or agencies would be willing to make this switch simply if you ask. They may be having a special and would never have told you about it if you didn’t ask, who would have guessed?

Regardless of what deals or techniques you go after everyone and their moms love good deals so don’t let yourself charge full price for anything that you can get at a discount! I know you would rather have a luxury car instead of a budget car and drive in style, or maybe you just want to get a budget style car even cheaper than they say it is. The most important thing to learn is don’t be afraid to ask, there are many options out there when dealing with rental car deals!

Hire the Right Tree Removal Company For the Job

The tree removal company offers services related to trees, including tree removal, tree trimming, stump removal, tree thinning and pruning. The companies provide services to residential as well as commercial properties. They comprise of experienced arborists or trained men who safely trim trees, saw them, remove their stump or prune them for you. They also carry out bush or shrubs clearing or clearing the mess left after a storm. Some of these companies also provide landscaping solutions. You could approach such companies in case of emergencies like storm also. Report sudden tree falls on your property immediately to these companies.

The important point is that companies that offer this kind of services ensure that work completion is safe and effective. Emphasis is on human life and taking care reduces the odds of an injury occurrence to any individual. In case there is a power cable down due to a tree fall, it is not easy to handle the situation. The power cable could be hazardous and it might be quite a task to remove it carefully, without causing a regrettable situation. The professionals working with such companies have intense training to handle situations like these.

The next priority is to save trees. Trees are very important for the environment. The professionals for any tree removal company are able to mitigate the loss of trees after a terrible storm. In case the storm continues, they know what to do to prevent a risky happening once again. It might not be possible for you to assess, which trees you could salvage without endangering the lives of people, animals and properties. You may not know which trees you should discard. Experts who are skilled in such services will advice you on how you can save trees that can grow even after the storm.

The arborists might advice you to support the tree, provide some kind of cabling, or support that would enhance the life of the tree. They try to provide alternatives to tree removal. Weak trees need to protection and intense care. If you provide adequate support, then it is possible to save them. Moreover, if you support the trees perfectly, then it is possible they will withstand a storm. This will save your property, home or cars from in case there is a dangerous storm coming.

The tree removal companies will advice you on how to prune the trees, to beautify them and make them stronger. They know which branches are dead, are broken or have diseases that you should eliminate. This will prevent unwanted growth of fungi on them. Thinning of trees is very essential to improve the landscaping. Trees that grow out of proportion do not fit well in the garden and look tacky. They need thorough trimming from different areas so that they look beautiful in the garden. There also could be situations where branches hanging from trees obstruct driveways or pathways.

You need to have the company remove them for you or to clear the pathways. Then at times, weak branches that are about to break off from the tree might just be hanging loose. This could be dangerous as it could fall on any one walking beneath, causing unfortunate accidents. The experienced companies provide all such services. As you can see, a tree removal company provides a host of services relating to trees. Its skilled manpower knows how to deal with different situations. You must hire company services for a proper and systematic handling of tree-related problems.