Pias Place
(928) 445-5081
www.piasplace.com
615 Hillside Avenue
Prescott AZ 86301

Rehab Locator

Mix of mental health and substance abuse services
Services Provided: Substance abuse treatment
Type of Care: Residential long-term treatment (more than 30 days)
Special Programs/Groups: Persons with co-occurring mental and substance abuse disorders

Ketamine

At lower doses, ketamine acts a weak stimulant. When dosage increases, ketamine hits users as an intense psychedelic. As a dissociative drug, ketamine causes users to feel painlessness by impeding messages between the brain and body. Ketamine distorts perception and users often experience an effect known as "the K-hole" at high doses, where the reality of a user involves abstracted thought and pseudo-spiritual experiences. In fact, many ketamine users report depersonalization and de-realization, causing out-of-body or near death experiences. While some ketamine users find these dissociative effects pleasant, others experience them as a deep sense of loneliness or emptiness. Hallucinations, both visual and auditory, can also take place during a ketamine trip. Ketamine trips do not tend to lend themselves to social interaction at high doses, but are introspective experiences as users withdraw into themselves. Within 10 to 20 minutes, the effects of ketamine become discernable for users. Muscle paralysis sets in, making it difficult to move. Ketamine users often fall into a "trance" state, finding themselves encountering difficulty speaking and cognitively processing. Ketamine trips are short lived, lasting between 45 minutes and an hour and a half, depending on tolerance. Users often feel drained and exhausted after a ketamine trip and muscle aches often tend to set in as users come down from a ketamine high. Ketamine users experience temporary paralysis of the muscles, loss of physical coordination and become prone to accidental falls and injuries. Research studies indicate that ketamine addiction can lead to brain damage, particularly the formation of vacuoles, also known as "Olney’s lesions." Ketamine use does not usually result in overdoses from self-administered use, largely because unconsciousness sets in before the body reaches the level of overdose. However, if ketamine a user intakes ketamine from a third party, overdose can occur if dosage continues after loss of consciousness.

Insurance Protocols

Insurance companies use statistics to define protocols for the average patient and the statistically most cost effective treatment. These results in rules requiring doctors to get approvals from insurance companies to do procedures or prescribe certain drugs hinder doctors' ability to provide good timely care. Insurers are in the business of making cost effective health care decisions. Insurers often require doctors to get approvals before they can authorize certain types of care in an attempt to save costs and prevent unnecessary procedures. On average, this can be cost effective for the insurance policy. However, for many, those decisions result is slower treatment, worse outcomes, and adverse side effects.

Medical Device Registration

Medical device registration offers a single place for patients to learn about registered devices and provides information about recalls. Medical devices include a wide range of products that vary in complexity and application. The Food and Drug Administration recognizes three classes of medical devices based on the level of control necessary in order to assure the safety and effectiveness of the device. An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure or enhance an existing biological structure. Medical implants are manufactured devices. The surface of implants that come in contact with body might be made of a biomedical material such as titanium, silicone or apatite, depending on what is the most functional. In some cases, implants contain electronics e.g. artificial pacemaker and cochlear implants. Some implants are bioactive, such as subcutaneous drug delivery devices in the form of implantable pills or drug-eluting stents. Among the most common types of medical implants are pins, rods, screws and plates used to anchor fractured bones as they heal. There have been many examples of implant failures, including rupture of silicone breast implants, faulty hip replacement joints and breakable artificial heart valves. The consequences of implant failure depend on the critical nature of the implant and its position in the body. Thus, heart valve failure is likely to threaten the life of the individual, while breast implant or hip joint failure is less likely to be life threatening. The process of implantation of medical devices is subject to the same complications as any other invasive medical procedure, including infection, inflammation and pain. Patients also run the risk of implant rejection if the immune system of the host reacts poorly.

Urticaria

Urticaria, or hives, is a skin condition commonly caused by an allergic reaction, characterized by raised red skin wheals (welts). Hives are a skin-disease--itis or --uredo. Wheals from urticaria can appear anywhere on the body, including the face, lips, tongue, throat and ears. The wheals may vary in size from about 5 mm (0.2 inches) in diameter to the size of a dinner plate; they typically itch severely, sting or burn, and often have a pale border. Direct contact with an allergic substance or an immune response to food or some other allergen, causes urticaria, but it also appears for other reasons, notably emotional stress or innocent events, such as mere rubbing or exposure to cold.