Detoxification and Medically Managed Withdrawal

Detoxification is the process by which the body clears itself of drugs. Unpleasant and sometimes even fatal side effects caused by withdrawal accompany detoxification. Detoxification alone does not address the psychological, social, behavioral problems associated with addiction, and therefore detoxification treatment alone does not typically result in lasting behavioral changes necessary for recovery. Doctors administer medications to manage the process of detoxification in an inpatient or outpatient setting. Detoxification is medically managed withdrawal. Detoxification is a precursor to or the first stage of treatment because it manages the acute and potentially dangerous physiological effects of stopping drug use. Medications assist in the withdrawal from opioids, benzodiazepines, alcohol, nicotine, barbiturates and other sedatives. Detoxification precedes a formal assessment and referral to subsequent drug addiction treatment.

Self Help

Self help groups can complement and extend the effects of professional treatment. The most prominent self help groups are Alcoholics Anonymous, Narcotics Anonymous and Cocaine Anonymous. These help groups operate on the 12-step model. Most drug addiction treatment programs encourage patients to participate in self help group therapy during and after formal treatment. These groups can be particularly helpful during recovery, offering an added layer of community and social support to help people achieve and maintain abstinence and other healthy lifestyle behaviors over the course of a lifetime.

Poker Paigow

Paigow

Pai-gow poker is a banking poker game played in some of the California card clubs and casinos. The object of pai-gow poker is to make two poker hands that beat the banker's hands. The player is dealt 7 cards that he makes into a five card hand (high hand) and a two card hand (low hand). The hands are played and ranked as traditional poker hands (with one exception: A2345 is the second highest straight), and the 5 card hand must be higher than the 2 card hand. If both hands are better than the banker's hand, you win, if both lose, you lose, otherwise it's a push. The banker wins absolute ties (i.e. K Q vs K Q). The game is played with a 52 cards plus one joker. The joker can be used as an Ace or to complete a flush or straight.

Each player spot has spaces for a bet, low hand, high hand and sometimes the house commission. The dealer deals 7 7-card hands in front of the chip tray. The banker can be a player, but is usually the house. The banker designates which hands go to which player by shaking a dice cup with three dice; the banker's position is either 1, 8 or 15 and the hands are passed out counterclockwise. So, if the dealer is the bank and the dice total to 6, player 5 gets the first hand, player 6 gets the second, the dealer gets the third and so on. The dice mumbo-jumbo appears to be ritual stuff --- you don't need to worry about anything until you get your hand.

In pai-gow poker, the only strategic decisions are how much to bet and how to set your hand. The simple basic strategy for setting your hand is to make the highest 2-card hand that is less than your five card hand. If you can't figure out what to do, you can show your hand to the dealer and they will tell you how the house would set it.

In the California card clubs, all wagering is between players, so the option to be the bank rotates among the active players. The rule differences from the IP rules are that the Joker is wild, and the house commission is a flat $1 per hand ($10 minimum bet).

Pai-gow poker is an easy game to play, and since each hand takes a while to play (dealer has to shuffle for each game) and most hands push, you can play on $20 at a $5 table for quite a while.

Poker Crazy Pineapple

Crazy Pineapple

Crazy Pineapple Poker is played with a standard 52-card deck. Blinds are posted by players who sit in consecutive clockwise order from the button. Action is initiated on the first betting round by the player to the left of the person who posted blind clockwise from the button. The blinds act last on the first betting.

All players receive three cards dealt face down (hole cards) as their initial hand. The first round of poker betting occurs. Check and raises are permitted. Three cards are turned face up in the middle of the board simultaneously (flop). These board cards are community cards and available to all players. The second round of betting occurs. At this time poker players choose to keep two of their three cards hole cards from their initial hand and discard the third. The next two board cards are turned up one at a time with a round of betting after each card. After the final round of poker betting has been completed, a player may use any combination of five cards (for example, one hole card and four from the board, etc.) to determine their best hand. A player may use all of the board cards (playing the board). The winning poker hand must show both hole cards face up on the table. The best five-card poker hand wins the pot. In the event of a tie, the pot is split equally.