“I’d hate to be a teetotaler. Imagine getting up in the morning and knowing that’s as good as you’re going to feel all day.”
-- Dean Martin
One of the challenges in writing for a general audiences is deciding what they might find interesting, as opposed to thinking something is important in your own head, when in truth it holds no interest for anyone but you. So forgive me if this bores, and exit at your leisure (as if I have to tell you this). As a technical note, if you try this at home, you’ll have to cut and paste the e-mail into a word document and then reverse the order of the thread as a way of making the entire post reader friendly. I suppose some of you might prefer the Rubic’s rhetoric model, but I’ve reassembled the thread in a chronological way. Today’s topics are substance abuse, specifically alcoholism and its vicissitudes, and writing assessment, specifically whining students.
Context: The first e-mail exchange is between one Dr. A. and myself (he’s mentioned earlier in the blog in connection with suboxone, substance abuse, and pain management). My query was in regard to a Jane Brody article in the 05/12/09 New York Times suggesting that “the day is not far off when giving a pill and five minutes of advice to an alcohol abuser will be all that is needed to keep drinking under control.” The good doc knows his chemistry and the medical theories surrounding substance abuse, but his practical understanding of alcohol and drug usage demonstrates a certain naivete in terms of the diversity of addictive behaviors (Note his implication that weed -- the MJ reference -- is a “mind-bending drug”). It should also be noted that I confuse naloxone, the compound in suboxone, with naltrexone, the stuff discussed in Brody’s article.
The second exchange is between me and a long time athletic advisor I know concerning the matter of a student petitioning me to change his grade.
“The bulk of alcohol abusers could get well in primary care settings and not have to wait until they are at the end of their rope and forced into a rehabilitation program, which can be so stigmatizing.”
-- Dr. Mark Willenbring, director of the Division of Treatment and Recovery Research at the National Institute on alcohol Abuse and alcoholism
Randall Tessier5/14/2009 6:06 PM >>>
Dear Dr. A.:
I think you remember me. I’m Randy, the fast dive suboxone escapee.Something I saw in the New York Times Science Times on Tuesday, May 12 intrigued me. Let me preface this excerpt with a little addiction talk.
As I recall, when I took the suboxone I noticed my desire in general ebbed. In that sense, I seemed to drink less, have less sex, and even eat less. So I had thought perhaps the lowest dose possible might be away to curb the desire to drink. But after further consideration, I decided I didn’t want the opioid presence.
Here’s the excerpt:
“Primary Care for Alcoholics:…The two [drugs] already available -- naltrexone and Topamax -- are not yet the equivalent of Prozac for depression, but they can help many alcohol abusers learn to drink more moderately or abstain altogether. Naltrexone, now a low-cost generic, was originally developed to control drug addiction but was found to be more effective at reducing cravings for alcohol. Topamax, an antiseizure drug not yet available as a generic, has also been used to treat alcohol dependence, among other conditions. Taken an hour before consuming alcohol, naltrexone blocks receptors in the brain that register “reward” and that reinforce a craving for alcohol. Within three to four months of starting treatment, naltrexone, when compared with a placebo, can reduce relapse to heavy drinking 20 to 40 percent, Dr. Willenbring said. Some European practitioners claim even greater effectiveness. By eliminating cravings for alcohol, the drug enables an abuser to drink more moderately or abstain entirely.”
This article came as a pleasant surprise, because, my companion has been taking Topamax for a few months for migraines, and now we find out, not coincidentally, there’s a good reason she hasn’t drank or had the urge to drink -- the Topamax! Correct me if I’m wrong, good doctor, but I believe naltrexone (anopioid antagonist) combined with buprenorphine (an opioid agonist) is what constitutes suboxone. My questions are these: is naltrexone addictive? I would assume it’s not; if not, wouldn’t it be wonderful to take something that puts one in a state of having little if any desire to drink? I also came across this on the web:
FDA-approved naltrexone, in a low dose, can boost the immune system -- helping those with HIV/AIDS, cancer, autoimmune diseases, and central nervous system disorders.
If naltrexone is easy on the system (liver), I’d like to try it.
Best - Randy Tessier
Quoting Dr. A.
Randy, You got some of it right. Naltrexone and Topamax are useful for preventing alcohol relapses. About Suboxone, it has nothing to dowith naltrexone. It has naloxone in it, a different antagonist. Taken under the tongue, naloxone has absolutely no action. It's there to discourage people from grinding up the tabs and injecting them. Opiate users would promptly go into withdrawal - ouch. As for drinking, are you hinting to me you're craving? Are you drinking? Naltrexone would be a good choice if you are not incontrol. Otherwise, you OK? -- Dr. A
Dear Dr. A.:
I'm not craving, it's no longer a problem. Nor do I drink too much. It's just that, if there is a drug that is mostly benign, and it would reduce drinking 5 beers to two beers, why not take it, sorta use it like an anti-substance abuse vitamin.
Peace - Randy
Quoting Dr. A.:
5 beers at once? How often? You'll get fat if not worse.
Randall Tessier5/14/2009 7:34 PM >>>
Dear Dr. A.:
Not at once, every night, and I'm already fat.
So give me the official scoop on naltrexone.
By the way, we're playing opening night at the Top of the Park, Friday, June 12.
Peace & Luv - Randy
PS: You're cool, but I heartily disagreed with your Ann Arbor News letter and have already applied for my medical marijuana card.
Subject:
Re: Randy Tessier, Local Musician
RE MJ, Don't go there. For some it's fine and should be decriminalized. As for involving doctors to legitimize it, that's a totally different story. In your case, you're an "addict" and mind-bending drugs are not appropriate for you. Try other ways to get hedonic tone: sex, chocolate, social good, work, AA meetings (try the Saturday night open meeting at St. Joe's - it's a blast), you get the picture. As for drinking, would keep it down to not more than 5/week or two in a day, given your history. I'll be out of town 6/12. Sorry to miss you this year. Dr. A
What follows is a series of posts regarding a student I had who couldn’t write a lick. He had been trying to contact me about a grade change, and I took pretty much the same attitude towards his e-mails that he did towards the class -- I ignored them. Seeing that I wasn’t responding, he contacted his advisor, #9., who I have known for a long time.
Quoting #9 :
Hi Randy,
How are you? One of my student-athletes, #1., who was in your section of ENGL 225 this past winter, has been trying to reach you via email. Is this the best way to contact you? He would really like to talk to you. If there is a better way to reach you, please let me know and I'll relay it to #1. Hopefully, they will still be in town next week, but it all depends on whether they win against Northwestern and how Illinois fares against Purdue.
-----Original Message-----From: Randall Tessier]
Sent: Thursday, May 14, 2009 10:09 AM
To: #9.
Subject: Re: Hi
Dear #9:
Hi, nice to hear from you. As you know, I am very sympathetic to the athletes. I've helped out M., and more recently, G., with grade changes. The deal is this, if a student has done poorly in all of his classes, which I suspect #1. has, why is it me he wants to convince to change it? I got the e-mail, just as I have from J., and didn't answer it. J. could have easily gotten an “A” in the class -- he's actually a decent writer. Problem is, he turned in most of the scheduled assignments way late, like the day before grades were due! What's the story with #1.'s semester? If I had some context it might help.
Best - Randy
Quoting #9:
Hi Randy, #1 did not do poorly in his classes, and this is not about eligibility. #1 works incredibly hard and is one of my more conscientious students. He wants to get into the SM program and is concerned about how a C+ will affect his application next year. He just wanted to understand why he got the grade that he did. He came in to meet with me about summer online courses and mentioned that he was disappointed with his grade and was trying to reach you. I am concerned that so many student-athletes -- that may or may not have done their work in your class -- are contacting you for grade changes if they are in trouble. Please do not group #1 in with those students, because this is not the case.
#9.
-----Original Message-----From: Randall Tessier]
Sent: Thursday, May 14, 2009 10:37 AM
To: #9.
Subject: RE: Hi
Dear #9.:
#1. may be good in those other subjects, but I'd be happy to show you some of his written assignments. I'm sure you're right about his conscientiousness, but when a teacher (Me) sees poor writing skills in an English class, it usually follows, and I emphasize usually, that they struggle in other classes. As for grouping him in with other students, each student is different. J. is a better writer, but got a grade equivalent to #1's. Many athletes are attending the U. because they generate revenue, which is exactly why I think they deserve a sympathetic teacher. I'm going to my office in a bit, and I'll take another look at his papers.
Best - Randy
Quoting #9:
Thanks Randy,
I realize that #1.'s writing may not be the best, and if he deserved a C+ then so be it. He needs to hear that message so he can continue to improve his skills. Please understand, I know that you have had some of my lazier and immature students and I just wanted to assure you that #1 was not in that category. I apologize if I offended you in any way.
#9.
Date: Thu, 14 May 2009 10:54:22 -0400 [05/14/2009 10:54:22 AM EDT]
From: Randall Tessier
To: #9:
Subject: RE: Hi
Dear #9:
You know you're one of my favorite people. You're right to care about your charges, and as soon as I'm done typing this, I'm going to open my next message, which is from, of course, you know who.
Peace & luv -- Randy
-- Dean Martin
One of the challenges in writing for a general audiences is deciding what they might find interesting, as opposed to thinking something is important in your own head, when in truth it holds no interest for anyone but you. So forgive me if this bores, and exit at your leisure (as if I have to tell you this). As a technical note, if you try this at home, you’ll have to cut and paste the e-mail into a word document and then reverse the order of the thread as a way of making the entire post reader friendly. I suppose some of you might prefer the Rubic’s rhetoric model, but I’ve reassembled the thread in a chronological way. Today’s topics are substance abuse, specifically alcoholism and its vicissitudes, and writing assessment, specifically whining students.
Context: The first e-mail exchange is between one Dr. A. and myself (he’s mentioned earlier in the blog in connection with suboxone, substance abuse, and pain management). My query was in regard to a Jane Brody article in the 05/12/09 New York Times suggesting that “the day is not far off when giving a pill and five minutes of advice to an alcohol abuser will be all that is needed to keep drinking under control.” The good doc knows his chemistry and the medical theories surrounding substance abuse, but his practical understanding of alcohol and drug usage demonstrates a certain naivete in terms of the diversity of addictive behaviors (Note his implication that weed -- the MJ reference -- is a “mind-bending drug”). It should also be noted that I confuse naloxone, the compound in suboxone, with naltrexone, the stuff discussed in Brody’s article.
The second exchange is between me and a long time athletic advisor I know concerning the matter of a student petitioning me to change his grade.
“The bulk of alcohol abusers could get well in primary care settings and not have to wait until they are at the end of their rope and forced into a rehabilitation program, which can be so stigmatizing.”
-- Dr. Mark Willenbring, director of the Division of Treatment and Recovery Research at the National Institute on alcohol Abuse and alcoholism
Randall Tessier
Dear Dr. A.:
I think you remember me. I’m Randy, the fast dive suboxone escapee.Something I saw in the New York Times Science Times on Tuesday, May 12 intrigued me. Let me preface this excerpt with a little addiction talk.
As I recall, when I took the suboxone I noticed my desire in general ebbed. In that sense, I seemed to drink less, have less sex, and even eat less. So I had thought perhaps the lowest dose possible might be away to curb the desire to drink. But after further consideration, I decided I didn’t want the opioid presence.
Here’s the excerpt:
“Primary Care for Alcoholics:…The two [drugs] already available -- naltrexone and Topamax -- are not yet the equivalent of Prozac for depression, but they can help many alcohol abusers learn to drink more moderately or abstain altogether. Naltrexone, now a low-cost generic, was originally developed to control drug addiction but was found to be more effective at reducing cravings for alcohol. Topamax, an antiseizure drug not yet available as a generic, has also been used to treat alcohol dependence, among other conditions. Taken an hour before consuming alcohol, naltrexone blocks receptors in the brain that register “reward” and that reinforce a craving for alcohol. Within three to four months of starting treatment, naltrexone, when compared with a placebo, can reduce relapse to heavy drinking 20 to 40 percent, Dr. Willenbring said. Some European practitioners claim even greater effectiveness. By eliminating cravings for alcohol, the drug enables an abuser to drink more moderately or abstain entirely.”
This article came as a pleasant surprise, because, my companion has been taking Topamax for a few months for migraines, and now we find out, not coincidentally, there’s a good reason she hasn’t drank or had the urge to drink -- the Topamax! Correct me if I’m wrong, good doctor, but I believe naltrexone (anopioid antagonist) combined with buprenorphine (an opioid agonist) is what constitutes suboxone. My questions are these: is naltrexone addictive? I would assume it’s not; if not, wouldn’t it be wonderful to take something that puts one in a state of having little if any desire to drink? I also came across this on the web:
FDA-approved naltrexone, in a low dose, can boost the immune system -- helping those with HIV/AIDS, cancer, autoimmune diseases, and central nervous system disorders.
If naltrexone is easy on the system (liver), I’d like to try it.
Best - Randy Tessier
Quoting Dr. A.
Randy, You got some of it right. Naltrexone and Topamax are useful for preventing alcohol relapses. About Suboxone, it has nothing to dowith naltrexone. It has naloxone in it, a different antagonist. Taken under the tongue, naloxone has absolutely no action. It's there to discourage people from grinding up the tabs and injecting them. Opiate users would promptly go into withdrawal - ouch. As for drinking, are you hinting to me you're craving? Are you drinking? Naltrexone would be a good choice if you are not incontrol. Otherwise, you OK? -- Dr. A
Dear Dr. A.:
I'm not craving, it's no longer a problem. Nor do I drink too much. It's just that, if there is a drug that is mostly benign, and it would reduce drinking 5 beers to two beers, why not take it, sorta use it like an anti-substance abuse vitamin.
Peace - Randy
Quoting Dr. A.:
5 beers at once? How often? You'll get fat if not worse.
Randall Tessier
Dear Dr. A.:
Not at once, every night, and I'm already fat.
So give me the official scoop on naltrexone.
By the way, we're playing opening night at the Top of the Park, Friday, June 12.
Peace & Luv - Randy
PS: You're cool, but I heartily disagreed with your Ann Arbor News letter and have already applied for my medical marijuana card.
Subject:
Re: Randy Tessier, Local Musician
RE MJ, Don't go there. For some it's fine and should be decriminalized. As for involving doctors to legitimize it, that's a totally different story. In your case, you're an "addict" and mind-bending drugs are not appropriate for you. Try other ways to get hedonic tone: sex, chocolate, social good, work, AA meetings (try the Saturday night open meeting at St. Joe's - it's a blast), you get the picture. As for drinking, would keep it down to not more than 5/week or two in a day, given your history. I'll be out of town 6/12. Sorry to miss you this year. Dr. A
What follows is a series of posts regarding a student I had who couldn’t write a lick. He had been trying to contact me about a grade change, and I took pretty much the same attitude towards his e-mails that he did towards the class -- I ignored them. Seeing that I wasn’t responding, he contacted his advisor, #9., who I have known for a long time.
Quoting #9 :
Hi Randy,
How are you? One of my student-athletes, #1., who was in your section of ENGL 225 this past winter, has been trying to reach you via email. Is this the best way to contact you? He would really like to talk to you. If there is a better way to reach you, please let me know and I'll relay it to #1. Hopefully, they will still be in town next week, but it all depends on whether they win against Northwestern and how Illinois fares against Purdue.
-----Original Message-----From: Randall Tessier]
Sent: Thursday, May 14, 2009 10:09 AM
To: #9.
Subject: Re: Hi
Dear #9:
Hi, nice to hear from you. As you know, I am very sympathetic to the athletes. I've helped out M., and more recently, G., with grade changes. The deal is this, if a student has done poorly in all of his classes, which I suspect #1. has, why is it me he wants to convince to change it? I got the e-mail, just as I have from J., and didn't answer it. J. could have easily gotten an “A” in the class -- he's actually a decent writer. Problem is, he turned in most of the scheduled assignments way late, like the day before grades were due! What's the story with #1.'s semester? If I had some context it might help.
Best - Randy
Quoting #9:
Hi Randy, #1 did not do poorly in his classes, and this is not about eligibility. #1 works incredibly hard and is one of my more conscientious students. He wants to get into the SM program and is concerned about how a C+ will affect his application next year. He just wanted to understand why he got the grade that he did. He came in to meet with me about summer online courses and mentioned that he was disappointed with his grade and was trying to reach you. I am concerned that so many student-athletes -- that may or may not have done their work in your class -- are contacting you for grade changes if they are in trouble. Please do not group #1 in with those students, because this is not the case.
#9.
-----Original Message-----From: Randall Tessier]
Sent: Thursday, May 14, 2009 10:37 AM
To: #9.
Subject: RE: Hi
Dear #9.:
#1. may be good in those other subjects, but I'd be happy to show you some of his written assignments. I'm sure you're right about his conscientiousness, but when a teacher (Me) sees poor writing skills in an English class, it usually follows, and I emphasize usually, that they struggle in other classes. As for grouping him in with other students, each student is different. J. is a better writer, but got a grade equivalent to #1's. Many athletes are attending the U. because they generate revenue, which is exactly why I think they deserve a sympathetic teacher. I'm going to my office in a bit, and I'll take another look at his papers.
Best - Randy
Quoting #9:
Thanks Randy,
I realize that #1.'s writing may not be the best, and if he deserved a C+ then so be it. He needs to hear that message so he can continue to improve his skills. Please understand, I know that you have had some of my lazier and immature students and I just wanted to assure you that #1 was not in that category. I apologize if I offended you in any way.
#9.
Date: Thu, 14 May 2009 10:54:22 -0400 [05/14/2009 10:54:22 AM EDT]
From: Randall Tessier
To: #9:
Subject: RE: Hi
Dear #9:
You know you're one of my favorite people. You're right to care about your charges, and as soon as I'm done typing this, I'm going to open my next message, which is from, of course, you know who.
Peace & luv -- Randy
20 comments:
i want to read the message from "you know who"
Randy-- I love the photo on this post!
I made a recent post on my blog regarding two Detroit art shows, one of which was titled Free Alcohol[ism].
I think you might find it of interest.
http://rjart.blogspot.com/2009/05/two-detroit-art-shows-in-one-night.html
(I may have already sent you this information, not sure. Hey, I just noticed I'm logged in on my new "Richard Pickman" blog; you might want to check that out as well.)
RJ
Randy,nice reading your work your bro pauliwog.
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