What makes concierge home detox better than going to an inpatient detox program?
Have you ever watched the reality show, Keeping Up With The Kardashians? Until recently, I had not seen even a minute of any of the episodes of this popular series. That is, until a family member became interested and started watching it, so I sat down to watch parts of some of the episodes.
While much of the show seems to be staged, I do not believe that it is overly rehearsed or scripted. It does appear that with extended watching, the personalities and issues of these real human beings with real problems become apparent.
Kris Jenner is the matriarch of the family and one of the masterminds behind the program. Scott Disick is the father of several of her grandchildren, and he is one of the most popular characters on the show.
In one scene, Scott and other family members are distraught because information about his rehab admission had been leaked to the media. They were not certain how to handle this betrayal. Clearly, a staff member or patient profited from illegally sharing his protected health information.
Is it possible to count on a private experience in rehab or detox?
In Alcoholics Anonymous and Narcotics Anonymous meetings, there is usually an assurance that what is said in the meeting stays in the meeting. Unfortunately, there is no way that the members of the group can control what information leaks from the meeting.
What happens if you walk into a recovery meeting and see a coworker or your boss sitting in the meeting? You might hope for the best, thinking that if they are there, you are both in the same boat. But clearly, that is no guarantee that you will not suffer consequences of having your anonymity breached by walking into a public addiction recovery meeting.
The same problem can occur in a medical facility for addiction treatment. If you go to detox or rehab for alcoholism or drug addiction, you expect the facility to observe state and federal privacy laws, including HIPAA.
In most cases, the staff will do their best to protect your privacy. Of course, if you are a publicly recognizable person, such as a celebrity, well known socialite, or company CEO, it is always possible that a staff member will sneak away from their desk and make a clandestine phone call to a tabloid willing to pay top dollar for such information.
Another more likely source for information leaking is from fellow inpatients. Even though detox/rehab programs are medical programs, they are also typically based on the Alcoholics Anonymous model. Patients interact throughout the day and they meet frequently in moderated groups. They are also often bussed out to local AA and NA meetings to acclimate to the experience of attending meetings.
Imagine that you are sitting in a group and you disclose information about your experience driving drunk or buying heroin on the streets. You feel better at first, getting these secrets off your chest and out into the group.
Then, you look up and look around at the faces of your fellow patients and you recognize a familiar face. You see a cop who pulled you over once, sitting in the group. He is admitted for drinking too much and was committed by his wife.
He looks back at you from across the group circle with a gleam in his eye. You were able to beat the DUI/DWI charges in court from his arrest. Can he use your admission in a group against you? Could he possibly get a judge to sign a search warrant to get access to your chart?
Even in such a situation, which has really happened on more than one occasion, you are probably safe. Addiction treatment records are highly protected and, most likely, cannot be accessed and used against you.
But, what if you are a lawyer and you see a competing lawyer in the group? What if you are a doctor or nurse and a member of the medical board is sitting across from you? Is your secret safe? Do you really want to have to worry about it?
Concierge home detox is a truly safe and secure, private form of treatment for alcoholism and drug addiction if you must keep your addiction and recovery a secret.
If you have a secret, the less people who know it, the more likely it is to stay a secret. In recovery, they sometimes say, “you are only as sick as your secrets.” Yet, keeping your addiction and recovery a secret is important, because the stigma against recovering people is deep rooted in society and probably will not go away in our lifetimes.
For example, I worked in a medical clinic years ago where one of my co-workers was a recovering alcoholic. She took pride in her recovery and had no reservations about sharing this status with other co-workers and patients.
She believed that by sharing her experience, that she might inspire others who need help with alcoholism or addiction to get help. Unfortunately, the result of her going public with her story of addiction to alcohol and her recovery, she opened herself up to vicious attacks from co-workers and management.
Whenever she was involved in any conflict in the office, it was quietly spoken behind her back of her history of alcoholism. That must be the cause of her anger or disagreement. Maybe she’s drinking again.
At one point, there was an incident where a patient was unhappy with her outcome from an in-office procedure. The management was quick to look for a narrative that would protect them from blame and put the blame squarely on someone else.
As you can imagine, this particular co-worker, who took pride in her recovery was pointed out as having an issue with alcohol and maybe it was now affecting her work. By doing what she thought was the right thing, sharing her experience to give others hope, she put herself in the crosshairs of a potential legal attack.
There are secrets that must be kept.
Careers have been destroyed by word of an addiction getting out to the wrong people. Not everyone can have the magical success story of Robert Downey Jr. When people outside of your closest circle of supporters within your family and friends get word of your condition, you may be at risk for your past being used against you.
If you detox at home, without going to a formal detox program, you do not have to worry about issues of privacy and leaks to the public, especially if you work with a concierge addiction treatment doctor. In fact, by seeing your doctor using new telemedicine technology, you can complete the entire process from the comfort of your own home.
Recently, there has been a trend for telemedicine to be commoditized by a variety of new tech startups. Because telemedicine involves one-on-one video conferencing between a patient and healthcare provider, tech founders see it as being in their “wheelhouse.”
One issue with signing up for a telemedicine visit through a website is that you are in a similar situation to going to a large rehab program. Your information may pass through many hands along the way.
On the other hand, a concierge telemedicine doctor provides a high level of personalized care with full around the clock availability, but without a large office staff of workforce. Typically, a concierge addiction treatment doctor works alone, maybe with one or two trusted staff members.
Concierge home detox gives you full access to your doctor at all times.
One of the great benefits of concierge medicine is being able to directly contact your doctor at any time without having to go through a protective wall of staff members. A patient recently shared with me the story of how things were at his previous doctor’s office with staff that would play games with his health care.
They would take a message to handle his important issue and would promise a call back soon. Then, they would call just before closing, if they called at all, and report that the doctor had left and refused to handle his issue.
This patient did not believe what they were telling him. He knew that the doctor would have helped him if only he was able to get him on the phone. He blamed the office staff rather than the doctor. Yet, the doctor chose to put himself in that position of being protected from interruptions by a dysfunctional office system.
Now, that same patient enjoys full access to concierge services. When his pharmacy did not have his medication in stock, he sent a quick message to ask me to resolve the issue. It was a simple administrative problem, easily solved, but apparently a nightmare with his previous doctor’s busy office.
Besides solving annoying pharmacy problems, it is nice to be able to speak to your doctor when you just are not feeling well during the detox process. It’s not easy to detox in a facility or at home, but it is much nicer to be in the privacy of your home with your doctor an easy phone call away.
Imagine the fanciest rehab that you could possibly attend. There are beautiful facilities in places like the Blueridge mountains of North Carolina, and in quiet seaside towns of New England. You can sip coffee or tea in the luxurious common areas with your fellow residents for anywhere from $30K to 100K for a month of treatment.
Yet, these fancy rehabs will likely still put you in a small room with a roommate. Who will you be sleeping next to every night for the next month? Is this evidence-based treatment, to put you in a room with a stranger in the darkness of the night?
It is very likely that there is no rehab program, no matter how fancy and luxurious, that will provide the peaceful experience of being in your own personal environment with the attentive care of your personal physician available by phone or video telemedicine at all hours.
Do you want to play or get work done with your phone or your computer? Do not worry, your concierge telemedicine is not going to confiscate your devices and put you on a strict schedule of 12-step facilitation and group therapy every day.
What you will get is medical management and guidance in following an effective concierge home detox program. There are concierge home care alcohol detox programs and concierge home opioid detox programs. Additionally, programs are available for other types of addiction as well.
Is concierge home detox as effective as inpatient detox?
Not only is concierge home drug detox highly effective, it is often far more effective than inpatient programs, especially in supporting long-term success. How is it possible that an expensive inpatient program where you are confined and monitored for a week or two is not as effective as a doctor calling you at home, via telemedicine?
In many cases, inpatient detox programs are dysfunctional and poorly designed in such a way that patients are more likely to relapse after discharge and require readmission. Do the detox programs take responsibility for this? Of course not. Relapse is always blamed on the patient.
For example, many opioid detox facilities offer a fast taper with buprenorphine to get patients off of opioids quickly and get them to a medication-free state in a week or two. The problem is that this protocol has been demonstrated to be poorly effective time and time again.
Ideally, medication-assisted treatment should be provided for an extended period of time, preferably one year or more. When a medication such as buprenorphine is used for a fast detox and the patient is not given ongoing medical therapy, the chance of relapse within the weeks and months after discharge is high compared to long-term treatment.
Similarly, alcohol detox provided at many facilities is not optimal for long-term recovery. Patients are safely detoxed with medical support for a week or two, yet, they are often not given long-term medication-assisted treatment, which has proven effective. They often do not offer effective alternative treatments, such as The Sinclair Method.
Treatment with a concierge home detox program makes it possible to discuss alternatives with an open-minded experienced doctor who will take the time to listen to you. Your recovery will work best if it is customized and designed carefully just for you.
Who should consider concierge home detox to help quit alcohol or opioids?
As described in the beginning, celebrities, high-profile individuals, and c-suite, c-level executives will enjoy the privacy and confidentiality of a concierge home detox program, especially using telemedicine. Yet, many other people will also find that concierge detox works best for them.
Concierge home health care sounds expensive and exclusive, but keep in mind that detox and rehab establishments are often outrageously expensive. Often, the cost is overlooked because it is covered by insurance, or the success of the program is overpromised.
How much is your life and sanity worth to you and to your family? Many programs prey on the fact that you and your loved ones are willing to do anything to get you past your addiction challenge.
Even the best addiction treatment protocols have failure rates that might be between 25% to 50% or more. Do not believe a program that claims near 100% success rates. And, ask that they provide a clear definition of what they are calling success.
Concierge home detox is private, confidential, safe, and effective. Treatment is provided directly by a real doctor at all times. You may be pleasantly surprised to learn about the benefits of concierge home detox by telemedicine, where you get to recover with top-notch medical care in the comfort of your own home.
If you happen to live in Florida and you are looking for concierge addiction treatment services in Port St. Lucie, Fort Lauderdale, Miami, Palm Beach, or most other regions of Florida, please contact us for more information about our medical practice.