Unexpected alcohol lapse traps in the medicine cabinet

The usual cast of characters that can escort a sober person down the trail toward a lapse goes by the initials PPT: People, Places and Things. For example, you hang out with the same 'ol crew of drinking buddies, what would you expect to happen? They'd just leave you alone? Every Silver Lining Has a Cloud encapsules PPT in a layer of four emotional stressors: Guilt, Shame, Grief and Forgiveness. There could be a relapse lurking in the medicine chest, as well. (Watch the YouTube vid or read the article)

Of course there are cough suppressants that contain alcohol, that's the easy one to figure out. When you're early in sobriety, feeling that familiar burn down the throat could bring on memories of the good old days – which really weren't that good, or you wouldn't be catching Sobriety :60 videos. Alcohol is alcohol, whether it comes in a shotglass or cough syrup.

Sleep aids aren't quite as obvious as relapse traps. Alcohol is a depressant. Sleep aids are depressants. The brain doesn't make such an exact distinction between the two, and historically, drinkers have used alcohol as a sleep aid – or excused their drinking by saying it helps them sleep. It isn't just the prescription sleep aid like abilify. It's also the over-the-counter one, and especially concoctions like Motrin PM or Tylenol PM. I'm guilty as hell on this one, it's in my night stand, too, until this segment is over.

What happens is this...You start using it... Then you “need” it a couple nights in a row. Then one pill isn't doing it, so we take three, because that's the way the alcoholic mind works. You may be developing a dependency, not so much on the actual chemical, but on the feeling of sedation. When the sleep aids don't work for you anymore, where does that leave a person? Back to alcohol. It's a slippery slope. There's another famous relapse acronym to go with PPT, it's HALT: Hungry, Angry, Lonely and Tired.

Here's the very alcoholic reason why I still have the Ibuprofen PM in my nightstand: Because it won't happen to me, the warning is only for those other guys. Right.

Visit alcohologist.com for a replay of CBS Sports' Power Up Your Health featuring Scott Stevens.  Host Ed Forteau led a discussion on risky myths of about "healthy" drinking.  Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus the NEW book, Adding Fire to the Fuel, is now available. Download the FREE Alcohology app in the Google PlayStore today.

Immediate and long-term stroke risk connected to alcohol use

Stroke disables more people in the United States than breast cancer and is a leading cause of long-term disability. Evidence-based studies prove a connection between alcohol use, stroke onset and slower recovery from a stroke. (View the whole article and share the YouTube video)

Ninety percent of strokes are ischemic, where a blood clot halts the flow of blood to the brain. The University of California San Francisco notes the one in five strokes may be alcohol-related. That's 160,000 alcohol-related strokes every year, and 26,000 alcohol-related stroke deaths annually. That toll is more than two times the number of people killed each year in alcohol-involved traffic crashes.

Alcohol use is a risk factor for stroke because booze increases the progression of atherosclerosis, which is doctorspeak for a hardening of the arteries. The risk sharpens for those who have one binge weekly, or at least one hangover a year. That's from the UCSF study.

A separate study in the journal Stroke in Jan. 2015 found that people who average more than two drinks a day have a 34 percent higher risk of stroke compared to those whose daily average amounts to less than half a drink. By age 75, high blood pressure and diabetes are the leading stroke risk factors, but for men and women younger than 75, how they use alcohol increases stroke risk just as much as those other two conditions. In fact, Midlife heavy drinkers were likely to have a stroke five years earlier in life, regardless of genetic and lifestyle factors. Not coincidentally, either: Earlier Sobriety :60+ episodes point out prediabetes and type 2 diabetes (see episode 6) and high blood pressure (see episode) also are caused by alcohol use.

The stroke risk in those two studies, of course, is long term, but there's immediate danger as well. According to a 2010 Canadian study, one drink instantly doubles stroke risk. Two hours following that drink, the stroke risk remains 1.6 times higher than someone who isn't drinking. The stroke danger alone is reason enough to consider that sobriety is a better thing to have than to lack.

Visit alcohologist.com for a replay of CBS Sports' Power Up Your Health featuring Scott Stevens.  Host Ed Forteau led a discussion on risky myths of about "healthy" drinking.  Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus the NEW book, Adding Fire to the Fuel, is now available. Download the FREE Alcohology app in the Google PlayStore today.

Recovery Month: Explaining the differences between abstinence, sobriety and recovery

Abstinence, sobriety and recovery aren't interchangeable words. Abstinence is simply (or sometimes not so simply) compliance with not putting alcohol into the body. Sobriety is when it works and you begin to put it into play in your life. Recovery is when you reap the rewards of living a life contently with the fact that sobriety is a better thing to have than to lack. (Watch the episode on YouTube or read the entire article)

Think of sobriety being the first tee of the first hole on a golf course. It leads down a long fairway, sometimes you hit terrible shots, but you keep moving toward the first hole. The first hole is reaching recovery. You've snatched a victory from the bottle for now. Keep in mind that the round isn't over with the first hole… similar to the way you're not finished with recovery regardless of how great you played your sobriety. You can throw the whole round if you get cocky or start getting lazy after just one hole.

Abstinence… that's just the driving range. Some of us hit a few more balls on the range than others. Each one, though, could lead up to the first tee.

National Recovery Month celebrates the new life that begins with reaching that first green. Personally, I try to make every month a recovery month celebration. Beats going back to the driving range.

Two things to remember about sobriety and recovery. First, neither word is a synonym for boring or miserable. Second, they don't mean life is going to be perfect. It wasn't before, either. You know why they just write numbers on the golf score card? Because if you drew pictures, par sometimes wouldn't look so pretty and nobody would play on. Doesn't matter how you reach recovery, just that you take your swings at it. It works out fine. Don't need to take my word for it: Give sobriety a try and if it isn't better, I'm certain the liquor store – or the 19th hole – will still take your money and gladly allow you to return to the misery. If that's the case, hope to see you back on the driving range... and the first tee.

Visit alcohologist.com for a replay of CBS Sports' Power Up Your Health featuring Scott Stevens.  Host Ed Forteau led a discussion on risky myths of about "healthy" drinking.  Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus the NEW book, Adding Fire to the Fuel, is now available. Download the FREE Alcohology app in the Google PlayStore today.

Vitamin A disruption documented with alcohol use

Several of The Sobriety :60+ video segments have mentioned how even moderate alcohol use plays havoc with vitamins. It raids the body of B-vitamins, covered in the episodes on the heart and brain. Alcohol also has a dramatic impact on the way vitamin A is handled. Part of that was alluded to in the episodes on the eyes, immune system and the liver. A new study published in the Sept. 2, 2015 Federation of American Societies for Experimental Biology (FASEB) Journal gives a little more detail. (Read the full article or share the YouTube video.)

The study suggests long-term alcohol use lowers vitamin A levels in the liver, which is the main site of both, alcohol metabolism and vitamin A storage, while bumping up vitamin A levels in many other tissues. Initially 15 percent of the body's vitamin A migrates out of the liver to other tissues. Ultimately, around 60 percent of the vitamin is lost with chronic drinking. “We hope this study will lead to a broader understanding and appreciation of the fact that excessive consumption of alcohol has a negative effect on vitamin A function in the body," said researcher, Robin Clugston, from Columbia University Medical Center in New York.

So it's a wash if liver vitamin A is low and vitamin A in other tissues is elevated, right? Not exactly. The liver needs the vitamin A to stave off liver disease. And the other tissues don't feed the A into the bloodstream the way the liver does. You'll know you're deficient in the vitamin if you get night blindness or blotchy rashes or both.

If it builds up in other tissues, it can become toxic. Self medicating with vitamin A supplements would worsen it, even if the liver stores are low. Vitamin A toxicity usually reveals itself with headaches, nausea, drowsiness, vomiting… which could be confused with the alcohol itself. In recovery, addiction care from professionals will focus on diets that contain vitamin-rich food, not simply pill supplements, for this reason.

One of the best things about recovery is feeling “well” again… sometimes for what feels like the first time ever. Part of where that feeling comes from is not dumping a toxin into the body, and part comes from a healthy diet. The rest? That comes from knowing you don't have to live the old way anymore.

Visit alcohologist.com for a replay of CBS Sports' Power Up Your Health featuring Scott Stevens.  Host Ed Forteau led a discussion on risky myths of about "healthy" drinking.  Lucy Pireel's "All That's Written" included a feature on Every Silver Lining Has a Cloud called "When alcohol doesn't work for you anymore."  Details on the third literary award for Every Silver Lining Has a Cloud also can be found on www.alcohologist.com, plus the NEW book, Adding Fire to the Fuel, is now available. Download the FREE Alcohology app in the Google PlayStore today.