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The objective of this case report is to describe a patient with prolonged alcohol withdrawal requiring massive standing doses of benzodiazepines. The setting is the medical intensive care unit of the Tripler Army Medical Center, Honolulu, Hawaii. The patient is a 58-year-old alcohol-dependent male presenting with mental status changes and agitation following an uncomplicated cystoprostatectomy, who ultimately required massive doses of benzodiazepines to treat his symptoms effectively. We conclude that symptom-triggered therapy proved ineffective in this case due to inability to achieve adequate frequency of assessments. Ultimately, a lengthy, high-dose, fixed interval benzodiazepine regimen was required. The 5-week period of intensive care illustrated that scheduled doses of benzodiazepines may be required and massive and prolonged doses are sometimes necessary. Adherence to a slow-weaning protocol understood by an interdisciplinary team was critical to this patient's recovery. Additionally, toxicity from the high-dose medication was not observed.

The article offers information on the Stormwater Retention Credit (SRC) trading program adopted by Washington, D.C. as part of an update to building codes and federal water quality permitting regime and establish replicable standards.

The article discusses the meeting hosted by the West Midlands Branch and sponsored by Hobart Catering that was held at University College Birmingham (UCB) in March 2016, wherein David Grundy and Mike Burns gave message to young chefs studying in Birmingham.

The article offers updates from the West Midlands Branch of the Hospital Caterers Association including meetings it held throughout the Midlands, return of Phil Shelley as Branch Chairman, and its attendance at the Williams F1 centre in Oxford.

Several letters to the editor are presented in response to articles in previous issues including "A Clockwork Shade" and "Award: U.S. Land Port of Entry, Van Buren, Maine," both in the February 2011 issue, and "Samitaur Tower" in the January 2011 issue.

Several letters to the editor responding to articles in previous issues including "Once Upon a Time," in the March 27, 2006 issue, "Air and Space," in the March 27, 2006 issue, "Writing Up a Storm," in the March 27, 2006 issue, and "Scorecard," in the March 27, 2006 issue, are presented.