(307) 635-5347 Alternatives Counseling and Cons Treatment and Insurance for Addiction Cheyenne Info: Alternatives Counseling and Cons Treatme

(307) 688-5000 Behavioral Health Services Outpa Treatment and Insurance for Addiction Gillette www.ccmh.net
Info: Behavioral Health Services Outpa Treatme

(307) 548-6543 Big Horn Basin Counseling Servic Treatment and Insurance for Addiction Lovell www.bighornbasincounseling.com
Info: Big Horn Basin Counseling Servic Treatme

(307) 568-2020 Big Horn Basin Counseling Treatment and Insurance for Addiction Basin www.bighornbasincounseling.com
Info: Big Horn Basin Counseling Treatment and

(307) 673-4647 Big Horn Mountain Recovery Cente Treatment and Insurance for Addiction Sheridan www.bighornrecovery.com
Info: Big Horn Mountain Recovery Cente Treatme

(307) 673-4647 Big Horn Mountain Recovery Cente Treatment and Insurance for Addiction Sheridan www.bighornrecovery.com
Info: Big Horn Mountain Recovery Cente Treatme

(307) 324-7156 Carbon County Counseling Center Treatment and Insurance for Addiction Rawlins www.cccounselingcenter.org
Info: Carbon County Counseling Center Treatmen

(307) 578-2421 Cedar Mountain Center at West Pa Treatment and Insurance for Addiction Cody www.cedarmountain-cody.org
Info: Cedar Mountain Center at West Pa Treatme

(307) 578-2919 Cedar Mountain Center Outpatient Treatment and Insurance for Addiction Cody Info: Cedar Mountain Center Outpatient Treatme

(307) 237-1800 Central Wyoming Counseling Cente Treatment and Insurance for Addiction Casper www.cwcc.us
Info: Central Wyoming Counseling Cente Treatme

(307) 635-0256 Cheyenne Community Drug Abuse Tr Treatment and Insurance for Addiction Cheyenne Info: Cheyenne Community Drug Abuse Tr Treatme

(307) 778-7550x7130 Cheyenne VA Medical Center Subst Treatment and Insurance for Addiction Cheyenne Info: Cheyenne VA Medical Center Subst Treatme

(307) 245-3444 Chrysalis House Treatment and Insurance for Addiction Pine Bluffs www.peakwellnesscenter.org
Info: Chrysalis House Treatment and Insurance

(307) 733-3908 Curran Seeley Foundation Treatment and Insurance for Addiction Jackson www.curranseeley.com
Info: Curran Seeley Foundation Treatment and I

(307) 856-6587 Fremont Counseling Service River Treatment and Insurance for Addiction Riverton Info: Fremont Counseling Service River Treatme

(307) 332-2231 Fremont Counseling Service Treatment and Insurance for Addiction Lander Info: Fremont Counseling Service Treatment and

(307) 864-3138 Hot Springs County Counseling Se Treatment and Insurance for Addiction Thermopolis www.hsccs.com
Info: Hot Springs County Counseling Se Treatme

(307) 789-0715 Mountain Regional Services DBA C Treatment and Insurance for Addiction Evanston www.cornerstonebh.com
Info: Mountain Regional Services DBA C Treatme

(307) 746-4456 Northern Wyoming Mental Health C Treatment and Insurance for Addiction Newcastle Info: Northern Wyoming Mental Health C Treatme

(307) 684-5531 Northern Wyoming Mental Health C Treatment and Insurance for Addiction Buffalo www.wyomentalhealth.org
Info: Northern Wyoming Mental Health C Treatme

(307) 674-7702 Northern Wyoming Mental Health C Treatment and Insurance for Addiction Sheridan Info: Northern Wyoming Mental Health C Treatme

(307) 745-8915x251 Peak Wellness Center Albany Coun Treatment and Insurance for Addiction Laramie www.peakwellnesscenter.org
Info: Peak Wellness Center Albany Coun Treatme

(307) 532-4091 Peak Wellness Center Goshen Coun Treatment and Insurance for Addiction Torrington www.peakwellnesscenter.org
Info: Peak Wellness Center Goshen Coun Treatme

(307) 322-3190 Peak Wellness Center Substance A Treatment and Insurance for Addiction Wheatland www.peakwellnesscenter.org
Info: Peak Wellness Center Substance A Treatme

(307) 632-6433 Peak Wellness Center Transitions Treatment and Insurance for Addiction Cheyenne www.peakwellnesscenter.org
Info: Peak Wellness Center Transitions Treatme

(307) 634-9653 Peak Wellness Center Treatment and Insurance for Addiction Cheyenne www.peakwellnesscenter.org
Info: Peak Wellness Center Treatment and Insur

(307) 686-1189 Personal Frontiers Inc Treatment and Insurance for Addiction Gillette Info: Personal Frontiers Inc Treatment and Ins

(307) 672-2468 Piedmont Psychological Practice Treatment and Insurance for Addiction Sheridan www.piedmontpp.com
Info: Piedmont Psychological Practice Treatmen

(307) 235-2814 Self-Help Center (SHC) Treatment and Insurance for Addiction Casper selfhelpcentercasperwy.com
Info: Self-Help Center (SHC) Treatment and Ins

(307) 358-2846 Solutions for Life Substance Fre Treatment and Insurance for Addiction Douglas www.wysfl.com
Info: Solutions for Life Substance Fre Treatme

(307) 334-3666 Solutions for Life Treatment and Insurance for Addiction Lusk www.wysfl.com
Info: Solutions for Life Treatment and Insuran

(307) 352-6677 Southwest Counseling Service Treatment and Insurance for Addiction Rock Springs www.swcounseling.org
Info: Southwest Counseling Service Treatment a

(307) 265-2555 Transitions Family Counseling an Treatment and Insurance for Addiction Casper Info: Transitions Family Counseling an Treatme

(307) 362-6641 VA Outpatient Clinic Treatment and Insurance for Addiction Rock Springs Info: VA Outpatient Clinic Treatment and Insur

(307) 672-3473 Veterans Affairs Medical Center Treatment and Insurance for Addiction Sheridan Info: Veterans Affairs Medical Center Treatme

(307) 673-2510 Volunteers of America Northern R Treatment and Insurance for Addiction Sheridan www.voawymt.org
Info: Volunteers of America Northern R Treatme

(307) 672-2044 Volunteers of America WYSTAR Out Treatment and Insurance for Addiction Sheridan www.voawymt.org
Info: Volunteers of America WYSTAR Out Treatme

(307) 721-4164 Wyoming Counseling and Outreach Treatment and Insurance for Addiction Laramie Info: Wyoming Counseling and Outreach Treatme

(307) 265-3791 Wyoming Recovery Treatment and Insurance for Addiction Casper www.wyomingrecovery.com
Info: Wyoming Recovery Treatment and Insurance

(307) 686-7434 Youth Emergency Services (YES) H Treatment and Insurance for Addiction Gillette www.youthemergencyservices.org
Info: Youth Emergency Services (YES) H Treatme

Treatment Gap

The treatment gap is massive among those who need treatment for a substance use disorder and do not receive it. In 2007, 23.2 million people aged 12 or older required treatment for an illicit drug or alcohol use problem, but only 3.9 million received treatment at a specialty substance abuse facility. Reducing this gap requires a multipronged approach. Strategies include increasing access to effective treatment, achieving insurance parity, and reducing stigmas and raising awareness among both patients and health care professionals.

Skin Tag

A skin tag is a common, benign condition that consists of a bit of skin which projects from the surrounding skin and may appear attached to the skin. Skin tags can vary quite a bit in appearance. They may be smooth or irregular, flesh colored or more deeply pigmented, and either simply be raised above the surrounding skin or have a stalk so that the skin tag hangs from the skin. Americans spend billions of dollars each year on skin care products that promise to erase wrinkles, lighten age spots and eliminate itching, flaking or redness. Yet, the simplest and cheapest way to keep skin healthy and young looking is to stay out of the sun. Sunlight is a major cause of the skin changes we think of as aging--changes such as wrinkles, dryness and age spots. The skin does change as it ages. For example, with age, people sweat less, leading to increased skin dryness. As the skin ages, it becomes thinner and loses fat, so it looks less plump and smooth. Underlying structures--veins and bones in particular--become more prominent. Skin can take longer to heal when injured.

Gastric Bypass

Gastric bypass procedures are any of a group of similar operations used to treat morbid obesity—the severe accumulation of excess weight as fatty tissue—and the health problems it causes. Bariatric surgery is the term encompassing all of the surgical treatments for morbid obesity, not just gastric bypasses, which make up only one class of such operations. A gastric bypass first divides the stomach into a small upper pouch and a much larger, lower remnant pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different bypass names. Any bypass leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food. The resulting weight loss, typically dramatic, markedly reduces comorbidities. The long-term mortality rate of gastric bypass patients has reduction of up to 40 percent. The gastric bypass, in its various forms, accounts for a large majority of the bariatric surgical procedures performed. An increasing number of these operations are by limited access techniques, termed laparoscopy. Laparoscopic surgery uses several small incisions, or ports, one of which conveys a surgical telescope connected to a video camera, and others permit access of specialized operating instruments. The surgeon actually views his operation on a video screen. The method is limited access surgery, reflecting both the limitation on handling and feeling tissues, and also the limited resolution and two-dimensionality of the video image. With experience, a skilled laparoscopic surgeon can perform most procedures as expeditiously as with an open incision—with the option of using an incision should the need arise. The gastric bypass reduces the size of the stomach by well over 90 percent. A normal stomach can stretch, sometimes to over 1000 ml, while the pouch of the gastric bypass may be 15 ml in size. The gastric bypass pouch is formed from the part of the stomach, which is least susceptible to stretching. That, and its small original size, prevents any significant long-term change in pouch volume. What does change, over time, is the size of the connection between stomach and bowel, and the ability of the small bowel to hold a greater volume of food. Over time, the functional capacity of the pouch increases, and by that time, weight loss has occurred, and the increased capacity serves to allow maintenance of a lower body weight. When the patient ingests just a small amount of food, the first response is a stretching of the wall of the stomach pouch, stimulating nerves, which tell the brain that the stomach is full. The patient feels a sensation of fullness, as if they had just eaten a large meal—but with just a thumbful of food.