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Monte Nido’s trusted leadership includes clinicians with decades of experience and recovered professionals. We have evaluated and published the only peer-reviewed, decadelong, post-graduate outcome study on residential eating disorder clients. The professionals at Monte Nido Laurel Hill in Boston are unique in that they not only provide very effective treatment for eating disorders – they do so in a safe, caring and patient friendly environment.
I have never experienced such unconditional love, support and more than that hope, a home that is so full of love and care, and nothing but safety.
I have known and worked with Carolyn Costin for over 15 years and consider her as a friend and mentor. As a psychotherapist in private practice who specializes in eating disorders I often need to refer a client for in-patient treatment. My experience of working closely with their staff for the past 9 years has given me a great deal of confidence in their ability to treat eating disorders. While not everyone who enters the doors of Monte Nido may be quite ready to let go of their eating disorder, they all are given a chance to be surrounded by professionals whose intention it is to give them inspiration and a sense of hope that one day they can be recovered and fully embrace their appetites for life’s many delicious treats. Monte Nido Treatment Center is a safe haven for any individual on the path to recovery from an eating disorder. Monte Nido is one of the best residential treatment centers, for eating disorders, in the country. WE JUST CAN’T FIND THE WORDS to adequately express our profound gratitude to Carolyn Costin and her incredibly dedicated team of professionals at Monte Nido. There was a time when I felt that only I could save my child-just like taking her to the doctor for an ear infection. MY FAMILY AND I WANT TO EXPRESS OUR HEARTFELT thanks for the caring environment you provided for our daughter while she was in residence. As overwhelming and difficult as last year was at times we know that when everything was said and done that it evolved as it was meant to. Over the course of the past couple of months I have had the blessing of watching my sister fight to win her life back, and it has changed how I live mine. As a family, you have shown us that although this world is messy at times, there is so much love.
The professionals at Monte Nido at Laurel Hill in Boston are unique in that they not only provide very effective treatment for eating disorders – they do so in a safe, caring and patient friendly environment.
Dear Carolyn Costin- It has taken me an entire week to formulate my words of thanks to you for what you have offered my daughter. I want to thank you from the bottom of my heart for all that you do and for creating such and amazing healing space and for providing me with the opportunity at the transition house, Bella Mar, to build a life for myself. For a long time, I have tried to find the words to express the amount of gratitude I have towards Carolyn and the Monte Nido Staff. I strongly believe that what you have created at Monte Nido is unique and very special indeed.
After several failed stints in treatment centers and medical procedures I admitted to Monte Nido Vista. March 27, 2013, one year ago today I packed my suitcase, hugged my two babies tight not knowing when I would see them again and got on that 10 o’clock flight to Los Angeles. I remember my time at Monte Nido was one of my most terrible moments in life because it made me face reality, my struggles, and self-doubts. Although it is so hard to be gentle with my soul, Monte Nido has shown me that it is there. Patients receive rehabilitation modalities from some of the world's preeminent experts in pain and addiction medicine.
Located in Augusta, Georgia, Home to the Augusta National Golf Club and Masters Golf Tournament. Bluff Plantation's Amenities include Equine Therapy, Yoga, Meditation, Exercise Physiology, Gardening and Nature Trails.
Spanning 178 lush acres on the Savannah River in the heart of Augusta, Georgia, Bluff Plantation provides evidence-based pain and addiction evaluations and multi-disciplinary treatment therapies in a secluded, five star residential setting.
Bluff Plantation is one of the most comprehensive, luxurious residential addiction treatment and rehabilitation centers on the East Coast. Located in Augusta, Georgia, home of the Augusta National Golf Club and Masters Tournament, Bluff Plantation offers those seeking addiction recovery a discrete and private setting nestled among 178 sweeping acres on the Savannah River. Patients seeking residential treatment for alcohol and drug dependency, dual disorders and chronic pain receive multi-dimensional, evidence-based therapeutic modalities from some the world’s preeminent experts in pain and addiction medicine, led by our Medical Director, William S. Each year, more than 76 million people suffer from chronic pain — pain that lasts longer than 24 hours — and millions more suffer from acute pain. Bluff Plantation will offer equine therapy also known as Equine-Assisted Therapy (EAT), a form of treatment that promotes healing to those suffering from addiction or dual disorders, by facilitating physical and emotional healing and development. Mindfulness, a meditative practice, is an important component of the addiction rehabilitation process taught at Bluff Plantation. While we recognize addiction as a chronic brain disease, we also believe that one’s recovery is significantly improved by Yoga, a system of exercise that improves one’s physical well being and state of mind. Nestled in the midst of 178 lush acres on the Savannah River, Bluff Plantation offers patients and clients a beautiful, natural environment perfect for therapeutic walks or runs along the property’s many serene nature trails.
As the Executive Director of Bluff Plantation, Duke Vinson leads all counseling, recovery and business administrative operations of this world class, recovery destination and treatment center.
Prior to Bluff Plantation, Duke Vinson was the Executive Director at Oxford Centre, a comprehensive addiction treatment center in the academic, college town where Ole Miss is located. Duke Vinson’s personal experience with addiction and recovery allows him to bring his own unique message of hope, help, commitment, enthusiasm and compassion to prospective clients and their families.
Duke Vinson is a Licensed Clinical Professional Counselor, Nationally Certified Clinical Mental Health Counselor and Co-Occurring Disorder Professional-Diplomate, and a Clinical Advanced Addiction Counselor. Bluff Plantation will accept a wide variety of health insurance provider plans as well as fee for service cash payments for residential pain and addiction treatment and rehabilitation. Because insurance plan coverage can change frequently and we are always adding new health insurers, we recommend calling the Bluff Plantation intake team at (844) 242-0806 to discuss insurance coverage, financial planning and payment arrangements for the treatment of alcohol and drug dependency, dual disorders, eating disorders, obesity and chronic pain delivered at Bluff Plantation. Bluff Plantation is located in Augusta, Georgia just fifteen minutes from the Augusta Regional Airport, a two hour drive from Atlanta, Georgia or a one hour and twenty minute drive from Columbia, South Carolina.
Tomatoes have few pestsa€“other than deer and the tomato hornworma€“but they have many diseases. Drought, sustained high temperatures, and heavy fruiting can stress tomatoes, making them more vulnerable to fungal diseases like fusarium wilt, verticilium wilt, and blights. Tomatoes are also subject to viral diseases like Tobacco Mosaic Virus (TMV) and Western Yellows (Beet Curly Top). I've had problems with fusarium wilt, verticilium wilt, and late blight in the past, but brown is the color of failure in the garden, so I didn't take pictures.
For each tomato disease, I reviewed several publications, and link to the one with the clearest photos or the most concise descriptions of the disease.
It can be hard to distinguish one tomato disease from another, especially if a symptom is "yellow leaves" or "wilting". But while identifying the disease that's hitting your plants is important, most tomato diseases are fungal diseases, and the organic approach to preventing and treating fungal diseases of tomatoes is the same.
Most extension services recommend chemical fungicides as solutions, so be sure to check What to Do About Tomato Diseases for organic solutions. Fusarium Wilt and Verticilium Wilt are common tomato diseases that have been the bane of gardeners for generations. In both of these diseases, symptoms may not be severe until the plants start setting fruit, and the plant's energy is diverted to fruit and seed production. Fusarium wilt is characterized by a generalized wilting of the plant that becomes more pronounced after fruit set.
Early in the disease you may see the chararcteristic "shepherd's crook" wilting at the top of the plant (see photo at the top of this section), along with lesions on the lower leaves.
Eventually, the crown of the plant loses all its leaves, and the remaining leaves curl upward before dropping. Early Blight is a fungal tomato disease that's common on the east coast and in the midwest, but is only seen occasionally on the west coast. Symptoms begin early in the season as small, irregular brown patches with a yellow halo on the leaves, often affecting lower and interior leaves that stay wet after rain.
You can find photos of Early Blight and more information in this The Ontario Ministry of Agriculture Food and Rural Affairs Crop IPM Web Site.
Septoria Leaf Spot is another fungal disease that attacks tomato leaves, especially the lower leaves of plants. Infected plants are stunted, may have a yellowish cast to all their leaves (as opposed to just the bottom leaves), and wilt easily on hot days. The classic organic solution to root-knot nematodes is to interplant marigolds between tomatoes, or plant tomatoes where marigolds were grown the summer before. Where summers are long and warm, you can also amend the soil with shrimp meal or crab meal. This only works where summers are long and the soil temperatures remain high for several months. The University of Maryland Extension Service has an excellent publication on root-knot nematodes.
Western yellows is a viral disease that's transmitted by leaf hoppersa€“the adult form of the "spittlebugs" you often see on plant stalks in the spring. Solution: Leaf hoppers move into cultivated areas from adjacent fields and weedy areas, so the best control is to keep weeds in check near tomato plots.
Tobacco Mosaic Virus (TMV): is a virus that attacks tomatoes, eggplants, peppers, cucurbits, and a wide range of other plants. It causes dark, puckered patches on tomato leaves, and produces stunted plants and mottled, pithy fruit. Tobacco Mosaic Virus is endemic in tobacco-growing areas, and can easily be transmitted by smokers who handle tomato plants.
The University of Florida Extension Service has a good photo of Tobacco Mosaic Virus (TMV) in leaves and fruit. There are a lot of steps that can be taken to make life difficult for disease-causing fungi, but once a tomato disease has taken hold, there may not be much you can do to save the plant.



If you haven't read these guidelines, do check them outa€“they can help prevent a wide range of vegetable diseases, not just tomato diseases. Some of these guidelines are more important than others with regard to tomato diseases, and should be highlighted.
By far the most effective strategy for preventing tomato diseases is to plant resistant varieties. Resistant tomato varieties are labeled "VFN", for varieties resistant to verticillium wilt, fusarium wilt, and root-knot nematode, or "VFN TMV" for varieties resistant to those three diseases plus tobacco mosaic virus. Resistant varieties still get the disease, they just don't get it as severely, and they're still able to produce fruit in spite of the disease. Tomato diseases overwinter in plant debris left in the field, so garden sanitation and crop rotation are critical to preventing plant diseases of all kinds. Mulching is also a neglected, but effective, way of preventing tomato diseases, especially foliar diseases like early blight, late blight, and septoria leaf spot.
Growing Tomatoes for information on soil amendments and preparation to grow vigourous plants like this. Actinovate is an OMRI-approved organic fungicide that employs Streptomyces lydicaans, a bacterial strain that vigorously attacks fungal pathogens on leaves and in soil.
You can use a soil drench at the beginning of the season to knock back verticillium and fusarium wilt, and foliar sprays when the first flowers set for fungi that attack leaves, like late blight, early blight, and septoria leaf spot. Your e-mail address is totally secure.I promise to use it only to send youThe GiO Newsline.
She has an encyclopedic knowledge of eating disorder treatment, and has a remarkable gift to provide state of the art care.
Their thorough understanding of the complexities involved in the process of recovering from anorexia and bulimia, in conjunction with Carolyn Costin’s unique perspective on healing, offers their clients an opportunity to receive help in an atmosphere where they will given expert medical and psychological care while being treated as individuals who deserve to have their voices heard and their bodies honored. The center combines a beautiful natural healing environment with a staff of highly trained experts specializing in treating eating disorders. As a registered dietitian specializing in eating disorders, I have known and respected Carolyn Costin’s work for over 20 years.
Costin, who herself recovered from an eating disorder, is founder and executive director of The Eating Disorder Center of California and Monte Nido, with centers in California and Oregon.
While non-food issues (anxiety, trauma) may have helped trigger the disorder, you need to regain a healthy relationship with food in order to recover. After multiple stays in two other major programs, the uniqueness of the program at Monte Nido is the reason our daughter is alive today and getting on with her life. After checking into a number of programs in several states, we selected Monte Nido and are profoundly grateful we did. When all of my efforts failed, and she continued spiraling downward, I somehow summoned the courage to put her in the hands of Monte Nido. You cannot imagine how impressed we all were with not only the treatment she received and continues to receive but the amount of warmth and love offered to all the young women and their families. There was a reason that our daughter traveled out west and a reason that she didn’t enter the doors of treatment elsewhere. You have reminded us to stop aiming for perfection and start accepting each other…with all our beautiful imperfections. Our daughter had been in two previous treatment facilities for anorexia that proved to be abject failures.
You have given her not just incredible nurturing but unprecedented support in her struggle. Thus began a journey for us which has been confronting, full of uncertainty, at many times frightening and ultimately exhausting.
You continuously said that you just wanted to show me the life I could have and then it would be my choice whether I chose it or not. The first program I attended took away all my control over my ability to manage by Type 1 diabetes, which proved to be both scary and also physically dangerous to my health. There’s a perfect interweave of firmness, warmth and skill that Carolyn Costin has been able to create at this facility.
Despite that, it was a place of comfort at the same time in which I felt safe and not judged.
In fact, alcohol abuse and addiction are medical conditions that affect an estimated 18 million people each year. Learning to manage chronic pain can be a stressful, debilitating experience, leading many down a road where they find themselves dependent upon pain medication to get through the day. During a patient’s residential treatment, our clinical and therapeutic experts teach and share best practices for developing meditation skills which are proven and effective methods for achieving better self-awareness, enabling the management of anxiety, depression, stress, addiction and rejuvenating one’s mind, body and spirit. At Bluff Plantation, our therapeutic treatment experts teach the art and science of recovery so that you manage your long-term management of your chronic illness. Jacobs is a national clinical expert, triple board certified in Anesthesiology, Pain Medicine, and Addiction Medicine physician. Jacobs has been a national expert, testifying on Capitol Hill on MDMA and prescription misuse and abuse. Jacobs was a principal investigator or co-PI for the Florida site of the pivotal trials for bupropion vs placebo in smoking cessation as well as in pharmacological studies of naltrexone, depression, OCD, and anxiety. Duke brings a wealth of practical know how, personal and professional experiences which has made him a valued strategic leader to recovery programs from Georgia to Mississippi.
William Jacobs, Medical Director of Bluff Plantation and the partners at the Medical College of Georgia, Duke Vinson ensures that leading-edge programs and services are provided and are consistent with client needs to achieve census and clinical goals in accordance with Bluff Plantation’s policies and procedures. His experiences helped make the transition to the Bluff Plantation, Georgia Regents University and the Medical College of Georgia seamless. Following his own successful treatment, Duke completed his educational and other requirements to become an addiction professional allowing him to give back to the community. He holds a Master of Science in Human Relations with an emphasis in Counseling and Helping Professions from the University of Oklahoma, a Master of Science in Professional Counseling and a Master of Science in Addiction Counseling from Grand Canyon University in Phoenix, Arizona. In California, Western Yellows can infect tomatoes early in the season, but not show up until the plants start fruiting. Lesions often have a characteristic bullseye pattern As with most tomato diseases, the disease accelerates when the plant sets fruit. An infected plant will hum along nicely, growing as fast as un-infected neighbors, but as soon as they start setting fruit, the leaves start twisting under and getting leathery, the plant stops flowering, and it stops growing entirely. And while a hot compost pile will kill disease spores, all the diseased tissue needs to be in the hottest core of the pile.
To solarize a bed, till the soil in early summer to loosen it, water thoroughly, and cover with clear plastic, weighed down at the edges by rocks. Without a doubt, the Monte Nido treatment program is my first call residential treatment facility. I have worked with many other inpatient and residential treatment programs, none of which, in my opinion, appreciate how nurturing a person’s soul is just as important as addressing the eating disorder behaviors. Monte Nido is unique to all other eating disorder facilities in that it provides an individualized and empathetic approach to helping clients recover.
In my private practice, I am often in the position of referring patients to inpatient eating disorder programs. Staffed by individuals who not only talked the talk, but had literally walked the walk and were able to relate to our daughter on every level. Carolyn Costin and the staff at Monte Nido addressed the physical and psychological issues facing our daughter in a way no one else had. Slowly, patiently, and always lovingly, they led Molly to the truth and helped her achieve independence from her disease. In our opinion you cannot walk away from Monte Nido without a good feeling in your heart; knowing that the person you love is in the right place to help her overcome her behavior problems. The staff at Monte Nido understands what both the patient and their families are going through as some of them are recovered anorexic patients! Please know that she never could have found a stronger endorsement from outside herself of how important she is.
We tried absolutely everything we could to seek help for our daughter in Australia, and to find ways to help her survive the starvation and self harm that comes with this little understood disease.
Every time you spoke I knew my eyes were going to be opened up to a new part of myself that I hadn’t looked at yet or was avoiding looking at. That is something I have never really believed to be possible – you don’t receive that message in my country. My heart was still beating but my eating disorder had sucked out all life from me… I was surrounded by beautiful and loving people while in treatment. I never felt as much love as I did there, where people genuinely showed their love and kindness to me.
Seeking help and facing your addiction is a brave decision, and recovery is not far from reach at RiverMend Health. Our comprehensive, multi-disciplinary treatment program provides you with all of the tools necessary to achieve a sustained lifelong recovery and live a healthy, and fulfilled life. Just when you find that your pain is manageable, you become at risk of becoming addicted to the pain medication that has brought you relief. Concerns about permanently damaging your career and earning potential as well as your personal reputation can make it especially difficult to seek assistance.
A Phi Beta Kappa, Magna Cum Laude University of Georgia undergraduate and graduate of the Medical College of Georgia, Dr. He is the author of peer reviewed scientific papers, abstracts, textbook chapters, and practice guidelines including highly cited studies on naltrexone, urine drug testing, and body mass index and alcohol use.
Back home in Georgia, Duke has brought his vision, work ethic and dedication to treatment and recovery to the Bluff Plantation. Duke led the center by integrating medical, clinical and experiential components of addiction recovery, providing comprehensive treatment models that were outcome and evidence-based. He obtained his undergraduate degree in Business Marketing and Business Management from The University of Mobile in Alabama. Infected plants are stunted, with thick, leathery, yellow leaves that twist up and under, and may have raised purple veins.
The beautiful surroundings, the competent and caring staff and the dedication of all who work for Carolyn allows me to know that my private clients are getting the best possible care.


The staff, which consists of professionals and other individuals who have recovered from eating disorders, offers some of the best treatment interventions and techniques to help clients accomplish their goals in recovery. Although I refer to a select number of inpatient programs, when I have a patient whose prognosis is especially difficult or poor, I usually call Monte Nido. It was the meeting with Carolyn that provided the first glimmer of hope that my daughter would survive this illness. No matter what a client’s belief system is, every client at Monte Nido is treated with the love and respect they deserve. We believe that our daughter is not the only person in the family to have been benefited from your system. I am so thankful for the love and the care that my daughter is receiving from the MN staff.
Previously, she described herself as “half a person.” You gave her the additional half a person she was seeking.
At some points we saw signs of improvement and felt there was hope, but these were always dashed as she would invariably relapse to an even more dangerous weight and loss of mental health. And for the incredible feeling of being able to trust that even after I leave, I can always come visit or call Monte Nido and I will be loved and supported. The miracle in this case being Monte Nido and all the wonderful people who are associated with it. From the start, the people at Monte Nido listened to me about what worked for managing my diabetes and allowed me to participate in treatment decisions about my diabetic care. I have often felt like a hopeless case – that I will never be better than I am now, but you have changed that for me, thank you.
They pool their resources together to create an individualized treatment plan within a nurturing, supportive atmosphere, which is conducive to healing.
I have taken the skills you taught me and have continued to heal such that now I am a very happy, healthy and nearly “normal eater”.
Our multi-dimensional, evidence-based therapeutic modalities and nationwide network of treatment centers provides you or your loved one with all the tools and support necessary to manage your chronic illness and achieve a sustained, lifelong recovery. Highly skilled and accomplished professionals are accustomed to exceling at what they do and as a result, are not always comfortable asking for help.
He also serves as Chief Medical Officer for RiverMend Health Centers and Medical Director of Bluff Plantation.
Jacobs did his Anesthesiology Residency at the University of Alabama-Birmingham where he won the Dripps Award for the Best Anesthesiology Resident. He was a medical and scientific Consultant to the US Senate Crime and Drugs Subcommittee as well as the Department of Labor. He is translating his efforts into measurable strategies and concrete actions that advance Bluff Plantation’s mission to be one of the most comprehensive, luxurious residential addiction treatment and rehabilitation centers on the East Coast. Prior to joining The Oxford Centre, he worked as a clinical expert and therapist at Talbott Recovery in Atlanta before being appointed Director of Business Development. In addition I appreciate the cooperative and collaborative approach they take with me, the referring therapist. I highly recommended the program to clients and professionals, who are looking for a thoughtful, unique and understanding program, which promotes hope and healing from eating disorders.
I think one of the advantages to this facility is its very small size and very individualized care. In 30 minutes Carolyn had connected with my daughter and identified some of the struggles and secrets she’d held inside for so long.
Our dying daughter’s response to treatment at Monte Nido was nothing short of miraculous. Today, she is again healthy, full of life and increased self-worth, and succeeding in college.
But she learned mostly to love and care about herself and to release herself from the demands anorexia was making on her. Our daughter found Monte Nido from the internet and discovered a holistic approach to managing and seeking to cure eating disorders. The head nurse even called me before I arrived at Monte Nido to ask me about my diabetic needs and reassured me that they were there to help. Today I have a job, I’m going to school, I have friends, I have relationships deeper than I could ever imagine, I eat my food, and most of all I know I have people who love me. I have learned more about being alive, and about relationships in my time here than I ever have in the past. I appreciated and often reflect on the tasteful and personal touches that enhanced my experience there i.e.
Learning how to speak my truth however scary it may be and truly living from my soul self has been life changing. He had a 13-year career as a private practitioner in anesthesiology and pain management before matriculating to UF for his Addiction Medicine Fellowship.
A native of Columbus, Georgia, Duke Vinson held a career in marketing and management before entering the field of addiction treatment. In one particular case, Monte Nido was able to help one of the most challenging patients of my career come to terms with her anorexia, bulimia, social and family issues and enable her to return to college and begin the process of normalizing the relationships in her life.
Monte Nido deserves a great deal of credit, and we unhesitatingly recommend Monte Nido to others. Each of us feels our own personal attachment to Monte Nido because of the help and consideration we were afforded on our visits.
It is holistic in the sense that the program seeks to both keep the patient alive (avoid starvation), as well as rebuild mental health which as the core of the disease.
I am able to laugh and love again because of the wisdom and encouragement you and Monte Nido have provided for me. You’ve given me the gift of life and for that I shall never be able to thank you enough. All the nurses were extremely caring and trusted me to know what I needed to do in order to manage my diabetes. Thank you for giving me the opportunity to meet myself, the stillness to reach my soul, and the power to know I deserve this new life. Jacobs has also testified and consulted for the DEA on safe prescribing of narcotic drugs and the model of ideal treatment programs. With great confidence and personal conviction, I would recommend Monte Nido most highly and most sincerely.
Prior to our experience at Monte Nido, our outlook was dark and we felt that there was no real hope for her recovery. We thank you for what I sincerely describe as a “miracle.” It takes courage to both give and receive…thank you, thank you, thank you, for your courage!!! Finally the program offers a step by step path back to a more normal life where the patient can manage their own eating, mental health, self perception and self esteem, and ultimately reestablish independence.
It hasn’t been easy and I still have my struggles but I have continued to work hard in my recovery. The best part, however, was seeing the beaming face of my patient as she went through graduation at Monte Nido.
At Monte Nido Carolyn has brought together a wondrous group of individuals who soften the treatment demands with love and support.
When we became aware of the program, it was the first time we saw a potential path for our daughter to survive. When I get overwhelmed and want to throw my hands up in the air and give up, I have to stop and remember to take life moment by moment.
Jacobs, a gifted clinician and addiction medical director has been the Medical Director of non-profit, profit, and academic chemical dependency detoxification, residential, partial hospitalization, intensive outpatient, and hospital programs.
I was not there in person on the day of her graduation, but because Monte Nido graciously called and asked if I would like a copy of the graduation, I was able to see the graduation process and share my patients experience and excitement. 18 months ago she attended the program, and since then has gone through a remarkable turnaround, and is now able to eat healthily, and live an independent life. I never knew what it was like to be surrounded by people who offer such love and support and yet don’t ask for anything in return. A year after leaving Monte Nido, I am doing well and managing my diabetes better than ever. They cared enough about me to find me an outpatient therapist that is perfect for me and has continued to guide and support me over the last nine months. Over his career, he has served as Chief Medical Officer or Medical Director at Gateway Community & Rehabilitation Services (Jacksonville), Wekiva Springs Psychiatric Hospital (Jacksonville), Stewart Marchman (Daytona), Lakeview (Jacksonville), Stepping Stone (Jacksonville), Nancy Reagan TPC Village (Jacksonville), as well as serving as an Attending Physician at UF Health Vista West Dual Diagnosis unit (Gainesville) and River Region Methadone Maintenance Program (Jacksonville).
That was the first time I had been so included in a patient’s recovery from an inpatient program and I found the opportunity thrilling for both me and my patient. I would like to take this opportunity to thank Carolyn for a great job to manage Monte Nido together with her capable team of staff.
I can finally look back and have clarity that has helped me make choices and take action that brings hope and optimism rather than replicating the same old destructive behaviors. He has been a monitoring physician for the Florida Board of Medicine and an evaluator and treatment provider for Florida Professionals Resource Network, Intervention Project for Nurses, and Lawyers Assistance programs.
I now apply the tools that I’ve obtained at Vista and in my current therapy and as a result, I am creating a life that I’ve always wanted. Thank you to all of the beautiful souls that have come into my life since being at Monte Nido. After his promotion to Associate Professor, he left academia and started NexStep Integrated Pain Care Inc., a model program for the treatment of patients with both chronic pain and addiction disorders in Jacksonville.
He returned to the University of Florida full time as Associate Professor in Psychiatry and Addiction Medicine: Co-Chief of Pain Medicine in 2012.
I think to the future when many will have come and gone, and success and the exposure will be great. He also is a national forensic expert in iatrogenic addiction and accidental overdose, injury and death as well as tobacco.



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