Mr. Wilko is a 40-year-old salesperson with a wife andthree teenage children. He has recently begun to have a beer atlunch and a few drinks after work to reduce his work-relatedstress. An economic downturn in the housing industry has reducedthe need for new home appliances and his income and sales recordhas been affected. Several other salespeople have been laid off athis firm. He has been told that if his sales and attendance recordsdo not improve he will be fired. He and his wife are constantlyarguing about finances and the childrens increasing demands formoney. His drinking has increased to several beers at lunch andcontinued drinking after dinner. When he returns to work withalcohol on his breath, he is dismissed from his job. He continuesto consume alcohol during the day as he attempts a job search. Hiswife is very concerned, as are his teenage children. Mr. Wilko states he is a social drinker and can stop atany time. How accurate is his self-assessment? What stressors are present in Mr. Wilkos case? Why does Mr. Wilko continue to increase his alcoholintake? What changes in liver function can Mr. Wilko expect if hecontinues to drink large amounts of alcohol? Mr. Wilko complains to his wife that all the stress iscausing indigestion. How do stress and alcohol consumption affectGI function? Why is Mr. Wilko at greater risk of trauma?
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