Mersy mentions several ways doctors can determine whether a person has an alcohol or substance abuse problem or addiction. First, he discusses red flags that can be found during physical examinations and screenings for medical problems. These include, but are not limited to frequent absences from work or school, sexual dysfunction, sleep issues, depression, nasal irritation, conjunctival irritation, gastrointestinal symptoms, overuse of mouthwash/aftershave, always smells of marijuana, and inappropriate responses to diagnosis related to frequent alcohol or substance abuse. These red flags prompt doctors to screen patients for drug and alcohol use, however, doctors should still screen suspicious patients.
There are several different screening tools that can be used to screen patients for alcohol and d...
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...e of how his article is too brief and incomplete. The article reads like an introduction on alcohol and drug abuse to a much larger piece of literature, then concludes vaguely with special populations and treatments by stating both are too broad to be thoroughly discussed.
Overall, Mersy presents a great definition of substance abuse and uses reliable sources in his article. He starts his article strong then falls short due to lack of information and exclusion to greater populations. If his article concluded in another way, without mentioning treatment and summed up how somebody received a diagnosis for alcohol or drug addiction it would be more complete and less confusing due to gaps in his article. Otherwise, he presents a strong case that the family physician has an important role in recognizing routine patients’ who develop substance problems and addictions.
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