Content notes for "The Fourth for My Enemies"
These are the content notes for "The Fourth for My Enemies."
"The first glass is for myself, the second for my friends, the third for good humor, and the fourth for my enemies."
- William Temple
"You have problems, you think drink helps, then you have two problems."
-- George Peppard
The stages of intoxication go from tipsy through staggering to passed out, and can end in death. People typically process about one drink per hour, but various factors can affect this. Superpowers often raise the speed of metabolizing alcohol and other drugs, just as they tend to burn through more calories faster. A soup who needs only a modest increase in calories may not notice much more tolerance, but it's common for their limit to be about one drink higher than ordinary.
This chart shows blood alcohol concentration. Most people will get buzzed on 1-2 drinks, drunk on 3-4 drinks, dangerously smashed on 5-6 drinks, and alcohol poisoning at 7+ drinks. Genetics and drinking experience factor in, but body mass is the major factor in tolerance. This chart shows the hours to zero BAC.
A double drink has twice the alcohol (but not any other ingredients), so a standard 1.5 ounce portion becomes 3 ounces. It is often, though not always, served in a larger glass. This is popular with soups, especially those with a high-burn metabolism, but it's easy to overcompensate and wind up getting drunker than intended.
Alcohol consumption covers a spectrum from casual drinking through problem drinking to alcoholism. Problem drinking comes in different types. Worrisome habits include drinking to get drunk and drinking to cope with life, both of which Tarnish is doing here. He's not an addict, but he's doing very risky things that have a significant risk of getting worse over time. There are ways to stop using alcohol as a crutch.
It's important to distinguish that binge drinking means drinking to get drunk, often as fast as possible. Definitions based on drinks "per occasion" may fail to acknowledge that people can have one drink an hour for a long event and never even get drunk, and those based on number fail to account for body mass differences. Blood alcohol level is more accurate in showing where physical consequences are likely to begin. Intent to get drunk is more accurate in revealing poor choices that can lead to personal consequences.
Know how to take care of a drunk friend and how to talk with a friend about their risky behavior. Terramagne-America has better options than here when it comes to finding help; most areas have one or more services that take care of intoxicated people.
Read about sobering centers.
Sobering centers vs. mobile hangover therapy
Sobering centers provide ongoing supervision. Mobile hangover therapy typically lasts only 30-60 minutes. An advantage of sobering centers is that they can give give care as long as needed, changing over time, until the client has recovered. Mobile hangover therapy works, but the benefits may wear off after several hours. Sobering centers also have the advantages of a fixed location, which means they can stock a much wider range of remedies from medical to practical. They take advantage of the opportunity to offer healthy beverages and foods.
Sobering centers vs. hospitals
Sobering centers provide care and compassion for cases of intoxication that do not involve a medical emergency; cases of alcohol poisoning, drug overdose, or severe complications go to a hospital. Sobering centers monitor clients to ensure that a mild to moderate case does not become an emergency through contextual complications like hypothermia or inhaling vomit, and if a client's condition declines for internal reasons, that person can be transferred to a hospital. The emergency room at a hospital has more equipment like stomach pumps and life support to handle substance use emergencies. Terramagne-America uses distributed providers to prevent clogging its health service at vital points, so it reserves emergency rooms for problems that threaten life or limb and routes other problems elsewhere. Close networking within the system allows fast transfers of cases that initially present at the wrong location.
Sobering centers vs. detoxification centers
Sobering centers support give people a safe place to come down from that session of substance use, whereas detoxification centers aim to get someone completely off the misuse of substances. Local-America limits sobering care to less than 24 hours, to distinguish it from detoxification. This has two problems: 1) If the person is not completely recovered at that time, they get pushed out while still at some level of intoxication or subsequent impairment. 2) It tends to fragment care across divergent services. T-America tends to provide sobering care until the client is fully recovered and clear-headed enough to discuss aftercare. This improves the chance of clients accepting further help. When sobering centers belong to a cluster of services offered by the same organization and/or network closely with separate organizations in the caregiving field, more people achieve ongoing treatment.
Sobering centers vs. substance assistance centers
Sobering centers provide acute physical and mental care while people come down from a session of substance use. Substance assistance centers provide ongoing care to people struggling with substance misuse, abuse, or addiction. The services typically target people who are sober at the moment, and may welcome walk-ins or may belong to a formal aftercare plan. In T-America, the two connect closely. Sobering centers refer sobered-up clients to substance assistance centers for further support. If someone shows up drunk to a substance assistance center, they are typically transferred to a sobering center. The two target audiences are different, and sometimes incompatible if sober people are distressed by intoxicated people. For this reason, the two services often set up nearby, and if they belong to the same umbrella organization, they may share a building.
In T-America, clients can stay at a sobering center until someone responsible comes to take charge of them or they sober up enough to leave on their own. In case of emergency, they can be transferred to the nearest hospital. Anyone who wants help gets referred to their choice of rehab centers or other support programs. Options include both abstinence and harm reduction approaches, along with quality of life assistance such as housing and food.
Sobering centers provide the most cost-effective way of handling hangovers or intoxication:
Sobering center -- $127/day
Jail -- $286/day
IV therapy -- $80-875/visit, average $200-300 for mobile
Average Wyoming emergency room -- $1,411/visit
Expensive hangover ER visit -- $12,460/visit
The mobile services are still popular, though, and cover more than just hangovers.
Most people with substance abuse issues don't get treatment, for a variety of reasons. One of those is feeling that the options offered just aren't useful to them.
Compare moderate drinking to abstinence as goals. Abstinence is harder to achieve and maintain, and abstinence-only programs like Alcoholics Anonymous can make matters worse for some people. There are reasons why moderate drinking may work better. Another approach is "sober curious" where people try giving up alcohol temporarily to see its impact on their lives. Here is one example of a moderate drinking program. Follow the tips to drink in moderation.
"The first glass is for myself, the second for my friends, the third for good humor, and the fourth for my enemies."
- William Temple
"You have problems, you think drink helps, then you have two problems."
-- George Peppard
The stages of intoxication go from tipsy through staggering to passed out, and can end in death. People typically process about one drink per hour, but various factors can affect this. Superpowers often raise the speed of metabolizing alcohol and other drugs, just as they tend to burn through more calories faster. A soup who needs only a modest increase in calories may not notice much more tolerance, but it's common for their limit to be about one drink higher than ordinary.
This chart shows blood alcohol concentration. Most people will get buzzed on 1-2 drinks, drunk on 3-4 drinks, dangerously smashed on 5-6 drinks, and alcohol poisoning at 7+ drinks. Genetics and drinking experience factor in, but body mass is the major factor in tolerance. This chart shows the hours to zero BAC.
A double drink has twice the alcohol (but not any other ingredients), so a standard 1.5 ounce portion becomes 3 ounces. It is often, though not always, served in a larger glass. This is popular with soups, especially those with a high-burn metabolism, but it's easy to overcompensate and wind up getting drunker than intended.
Alcohol consumption covers a spectrum from casual drinking through problem drinking to alcoholism. Problem drinking comes in different types. Worrisome habits include drinking to get drunk and drinking to cope with life, both of which Tarnish is doing here. He's not an addict, but he's doing very risky things that have a significant risk of getting worse over time. There are ways to stop using alcohol as a crutch.
It's important to distinguish that binge drinking means drinking to get drunk, often as fast as possible. Definitions based on drinks "per occasion" may fail to acknowledge that people can have one drink an hour for a long event and never even get drunk, and those based on number fail to account for body mass differences. Blood alcohol level is more accurate in showing where physical consequences are likely to begin. Intent to get drunk is more accurate in revealing poor choices that can lead to personal consequences.
Know how to take care of a drunk friend and how to talk with a friend about their risky behavior. Terramagne-America has better options than here when it comes to finding help; most areas have one or more services that take care of intoxicated people.
Read about sobering centers.
Sobering centers vs. mobile hangover therapy
Sobering centers provide ongoing supervision. Mobile hangover therapy typically lasts only 30-60 minutes. An advantage of sobering centers is that they can give give care as long as needed, changing over time, until the client has recovered. Mobile hangover therapy works, but the benefits may wear off after several hours. Sobering centers also have the advantages of a fixed location, which means they can stock a much wider range of remedies from medical to practical. They take advantage of the opportunity to offer healthy beverages and foods.
Sobering centers vs. hospitals
Sobering centers provide care and compassion for cases of intoxication that do not involve a medical emergency; cases of alcohol poisoning, drug overdose, or severe complications go to a hospital. Sobering centers monitor clients to ensure that a mild to moderate case does not become an emergency through contextual complications like hypothermia or inhaling vomit, and if a client's condition declines for internal reasons, that person can be transferred to a hospital. The emergency room at a hospital has more equipment like stomach pumps and life support to handle substance use emergencies. Terramagne-America uses distributed providers to prevent clogging its health service at vital points, so it reserves emergency rooms for problems that threaten life or limb and routes other problems elsewhere. Close networking within the system allows fast transfers of cases that initially present at the wrong location.
Sobering centers vs. detoxification centers
Sobering centers support give people a safe place to come down from that session of substance use, whereas detoxification centers aim to get someone completely off the misuse of substances. Local-America limits sobering care to less than 24 hours, to distinguish it from detoxification. This has two problems: 1) If the person is not completely recovered at that time, they get pushed out while still at some level of intoxication or subsequent impairment. 2) It tends to fragment care across divergent services. T-America tends to provide sobering care until the client is fully recovered and clear-headed enough to discuss aftercare. This improves the chance of clients accepting further help. When sobering centers belong to a cluster of services offered by the same organization and/or network closely with separate organizations in the caregiving field, more people achieve ongoing treatment.
Sobering centers vs. substance assistance centers
Sobering centers provide acute physical and mental care while people come down from a session of substance use. Substance assistance centers provide ongoing care to people struggling with substance misuse, abuse, or addiction. The services typically target people who are sober at the moment, and may welcome walk-ins or may belong to a formal aftercare plan. In T-America, the two connect closely. Sobering centers refer sobered-up clients to substance assistance centers for further support. If someone shows up drunk to a substance assistance center, they are typically transferred to a sobering center. The two target audiences are different, and sometimes incompatible if sober people are distressed by intoxicated people. For this reason, the two services often set up nearby, and if they belong to the same umbrella organization, they may share a building.
In T-America, clients can stay at a sobering center until someone responsible comes to take charge of them or they sober up enough to leave on their own. In case of emergency, they can be transferred to the nearest hospital. Anyone who wants help gets referred to their choice of rehab centers or other support programs. Options include both abstinence and harm reduction approaches, along with quality of life assistance such as housing and food.
Sobering centers provide the most cost-effective way of handling hangovers or intoxication:
Sobering center -- $127/day
Jail -- $286/day
IV therapy -- $80-875/visit, average $200-300 for mobile
Average Wyoming emergency room -- $1,411/visit
Expensive hangover ER visit -- $12,460/visit
The mobile services are still popular, though, and cover more than just hangovers.
Most people with substance abuse issues don't get treatment, for a variety of reasons. One of those is feeling that the options offered just aren't useful to them.
Compare moderate drinking to abstinence as goals. Abstinence is harder to achieve and maintain, and abstinence-only programs like Alcoholics Anonymous can make matters worse for some people. There are reasons why moderate drinking may work better. Another approach is "sober curious" where people try giving up alcohol temporarily to see its impact on their lives. Here is one example of a moderate drinking program. Follow the tips to drink in moderation.