Core IM | Internal Medicine Podcast

#19 Unhealthy Alcohol Use: 5 Pearls segment

Jul 11, 2018
Dr. Kate Lawrence, a third-year internal medicine resident at NYU, and Dr. Jennifer McNeely, an associate professor specializing in addiction medicine, delve into the nuances of unhealthy alcohol use. They clarify the distinction between alcohol use disorder and unhealthy drinking patterns. The conversation covers crucial screening methods, the implications of moderate alcohol consumption, and the importance of tailored assessments. The duo also highlights screening strategies for hepatocellular carcinoma in chronic hepatitis B patients, emphasizing collaboration in primary care.
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ADVICE

Terminology for Alcohol Use

  • Avoid using the term "alcohol abuse" because it's stigmatizing.
  • Use "unhealthy alcohol use" instead, encompassing risky use to alcohol use disorder.
INSIGHT

Understanding Unhealthy Alcohol Use

  • Unhealthy alcohol use is a spectrum, from risky use to alcohol use disorder.
  • Alcohol use disorder is drinking that significantly impairs one's life, health, and relationships.
ADVICE

Recommended Alcohol Limits

  • For men under 65, limit to 14 drinks/week or 4/day.
  • For women and men over 65, limit to 7 drinks/week or 3/day.
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