Category: addiction

Everything must go

I’ve been struggling lately. I am reluctant to say that I have been sad, but I have been isolating more than usual and feel like I’m searching for something. Despite my lack of physical activity this past week, the mental energy expended was triathlon level. I have been evaluating everything, challenging my own viewpoints and beliefs, and wondering why someone with such a fulfilling life can feel such despair.
I sought the advice of a friend, which is hard for me because I don’t tend to share the very personal with people. I tend to laugh off, minimize and generally suppress that which gnaws at me. To my amazement, after hearing about my funk, he asked me if I ever properly processed the difficult events in my life.
I scoffed at him, it’s what I do.
He was ready for that. He knew that was what I do. So I thought about it, and I wasn’t happy with what I came up with. I may have handled the situation(s) but I never dealt with them.

Yes, those who know me may assume that the myriad of health problems that I have experienced would be the most traumatic experiences of my life. They would be wrong. Health is easy to deal with. With illness, it may take a while but you deal with it. You accept it, if you’re smart you will follow directions and maybe change some habits, and leave the rest up to fate. You either live or you don’t, the very “out of ones hands” nature of illness makes it that simple. The only obstacle is pain, but you get used to that as well.
What I never dealt with is the emotional trauma, which goes way back, of everything from the bullying in school to my failed marriage and everything in between. It was a nice revelation but I am clueless to how to act on it.

Enter one of the things that I do like about myself, my persistent tendency to always be on the lookout for a sign. I believe in signs. It is my belief that the universe communicates with those in tune through signs. I actively look for them everywhere and in everything; by studying my surroundings with an open mind and heart, in my choice of shows or movies, even in interactions with others. I have been inspired by the smallest of things and in the most unlikely of places. Today, I found great inspiration and even some answers in a Will Ferrell movie, of all things.

Everthing Must Go is a sleeper movie that slipped under the mainstream but caught the attention of a few respected movie critics. It is the rare Drama done by a comedian considered to be out of his depth that surprises you. Not unlike Reign Over Me with Adam Sandler and Moscow on the Hudson with Robin Williams. Of course, Robin Williams would go on to be a respected dramatic actor but you get the point.
In Everything Must Go, the main character loses his job and marriage on the same day. Both due to his chronic alcoholism. He returns to his house to find all of his belongings in the front yard, door locks changed and his bank accounts frozen. With no funds or other means to do anything, he chooses to live with all of his belongings in his front yard. In the ensuing days he endures a crash course in confronting the issues of his life. As expected, what unfolded was a painful emotional roller coaster. One that I related to almost to the point of tears.
He was forced to deal with his alcoholism, his choices, his accountability for his role in the failure of his marriage and career, and I was held in rapt attention. The familiarity was staggering. The impact of alcohol on his life was particularly poignant. The failure of his marriage was downright painful. All of it was just too close to home. And it proved to me that my friend was SPOT ON correct that I never dealt with my marriage, my choices, my place in life and my deeply repressed emotions on ALL of it.
Watching the movie unfold, I felt the despair, the frustration, the longing, the pain as if it was my own. And like my life, the story did not have a happy ending. Yes, I know my life is not over but I’m not expecting great things in the future.
The only positive takeaway I have is that it was a movie. I still have time, not to recover that which was lost, but to finally deal with the trauma of my past. It’s critical to mention here that my use of the word “trauma” is a rarity. I tend to downplay, even be derisive, of people who use the word. But it’s time that I face up to it, finally.
Being minimized at work and home, being forced to tolerate rampant abuse by employers who knew that I needed the job and could do nothing about it, being a mere roommate to my wife, and then finally having the chewed-up carcass of what was left of my life spit out by chronic illness nearly destroyed me.
That is trauma. The fact that I am still standing notwithstanding, it needs to be dealt with.

I may have to focus on that for a while.

Jeremey

A story of addiction, recovery and a friendship for the ages

I got a text today from Jeremey.
Hey buddy, just wanted to let you know that I’m doing great. Love you and appreciate you.
It warmed my heart to hear from him. It also served to remind me of how much I miss my job. Two things you need to know here:
I took a hiatus (possibly for good, I just don’t know right now) from a job that I love.
Jeremey is letting me know that he is doing great not only out of friendship but over an incredible bond that we formed when I was his Case Manager at a Drug/Alcohol Recovery Center. Affectionately known as a Rehab.

When I met Jeremey he was not great. Anything but. I met him at the lowest point of his life.

It was a cold December morning when I made the 1500-yard trek to the Detox building to meet the new client assigned to me. I walked in, shook the cold off of me and went to the common area to find my Client. I called out the name and a man about my age weakly forced himself out of the deep cushion of the sofa and slowly trudged his way towards the chair I motioned for him to sit. I was amazed at the effort it took for him to get to it. Then he spoke. Over the course of the interview, as I explained our program, my role as case manager and his expectations for treatment, I must have asked him to repeat almost everything. He was too weak to speak clearly and with any volume.
What he was able to say was nothing but pure denial and resistance. The broken man before me was utilizing all the strength he had to fight me on whether he needed treatment or not. He wanted to leave after Detox, I politely suggested that a full program would do him better. I didn’t fight him. At the Detox level, that is not atypical. As they say, De-Nile (denial) ain’t just a river in Egypt.

This went on for days. Despite my requirement of seeing a client twice a week, I met with him every day. As his strength grew, so did his insistence that he didn’t have a problem. Recognizing that I had a challenge, and a chance to do some good I pushed back. Day after day. Finally, he agreed to stay for 2 weeks. This was a victory. This one became, against all judgment, personal for me.

Jeremey would fight me on everything for those 2 weeks. I dug in and challenged him. I couldn’t work harder on his recovery than he was willing to, but I really wanted to see him get better. 3 weeks became 4weeks. He began to buy in and just when I thought that the therapy sessions and meetings were working, after 4 weeks he made a huge push to leave. I worked with him more, throwing everything I knew about the model of addiction I had to have discussions. I paired him with other clients that were where I was hoping he would get to and he still wanted to leave. Finally, everything combined wore him down. He finished the program.
And in the process, we became wonderful friends. It evolved to the point that when we saw each other we would hug and often he asked how I was doing before I could ask him.
On the last day of his 9th week Jeremey left our care. The man who was too weak to speak, a disbarred lawyer and 25 year career-alcoholic whose most recent memory was waking up in his brother’s recliner (he was homeless), vomiting on himself in front of his 2 nephews, swigging a beer and passing out again, was leaving with a reservation at a Sober House, a job (we coordinated interviews while he was in rehab) and an entirely new outlook on life.
I was so proud to have been a small part of such an amazing story.
So back to the text.
We parted as amazing friends. He made a commitment to check in with me periodically, knowing that my failure to hear from him may indicate that he may have relapsed. I hadn’t heard from him in a while. To get that text means that he is still doing great.

That’s why I became a Case Manager. To become part of something like that.

Inventory

Having gone on a retreat/hiatus of sorts, I have had some much-needed down time to decompress and do some thinking. The deep thinking predictably led me to assess my life and do a proper inventory. Inventories are difficult and can be painful. If a business owner were to become complacent in the inventory of his goods, he may find that he is in worse off than he thought financially. It works the same way when you inventory your own life. You may not like what you come up with and at that point you are faced with a choice; to accept it as it is or to seek a solution. To seek a solution requires asking questions, and that is where I am at in the process. I began questioning everything.

The first thing major question I addressed was whether I left my job for the right reasons. I had put in 6 months as a Recovery Case Manager working with those struggling with addiction. I loved it and by all accounts I was great at it. Entering a field such as Recovery without a background (educationally or by virtue of being an addict oneself) is difficult and requires a specific skill set and a proven ability to display empathy, understanding, and listening skills. Despite not using my Psych degree since I graduated in the early 90’s, it was a roll of the dice. But the complicated series of events that I call my life qualified me just fine. I became a thorough, relatable, competent and effective Case Manager and I was making a difference.
 But it kicked my physical and emotional ass. Health reasons, physical more than mental, drove my decision. I am immunocompromised due to my Kidney Transplant and I was working in a fucking Petrie Dish. After contracting COVID twice, a stomach flu and a cold that I couldn’t shake for over a month I made the decision. But the job satisfaction aspect nagged at me. If you need to know just ONE thing about me to understand the possible loftiness and intense nature of my statements, know that I am ALL about purpose. I have received the gift of life and have escaped the Bastard known as DEATH more times than any one many should be allowed. I therefore have the attitude of gratitude. If I stopped doing a job that satisfies my mentality of giving back and paying it forward, what am I going to do in its place? 
It didn’t take me long to realize that I am not going to lose that side of me, as I have lost so many other things that gave me joy. Therefore, I resolved that I would continue to volunteer my time and resources to causes that matter to me. That gave me comfort about my decision to leave a job that satisfied my soul. I vowed to research local charities that I could volunteer for; Make-A-Wish, Animal Shelters, Veteran’s causes and Motorcycle groups that focus on charitable rides. Therein would lie my answer.

I was then troubled to realize, after a few weeks of semi-retirement that another question had risen up and begged answering. Why was I not full of that desire to go do all of those things that would adequately fill the void created by leaving my job? Where was that motivated guy? That guy was laying on the sofa, eating junk food, watching TV and not doing anything productive at all. I will cut myself a small break, I wasn’t feeling good. I was still recovering from the virus that made me leave my job. And it was Winter. The cold weather, constant snow storms and lack of sunlight are not my friends. Not excuses but worthy of mention. Still, I was concerned that I was going to fall into a regrettable cycle; lazy, unmotivated, unaccomplished, and lacking purpose.

That is when I decided to head to see Mom in West Palm. I vowed to get moving physically and mentally. To walk, workout, read and write at a pace that I have never before. I have checked all the boxes so far. But to write everything I have come up with is going to take some time, due to the number of questions that I have raised and, thankfully, I have the desire to put to paper.

Fortunately, time is something I now have a lot of.

The Art Collector

There is a museum in the vicinity of Harvard Yard that houses pieces of Art from the Eastern and Western worlds pre-1200 AD. The museum is named for its collector, a known Philanthropist who made 14 Billion dollars off of one product. He is famous for a quote,
“I’ve often said I approached collecting as a Biologist. I want enough data to be able to draw valid conclusions. Art is a passion pursued with discipline. Science is a discipline pursued with passion. You have to really pursue the object, you don’t just sit there and have the objects come to you. You want to be a great collector, you better think of the fact that you’re gonna commit yourself to a real passionate treasure hunt.”
Recognize it? Ok let’s try this one,
“The drug isn’t the problem the user is the problem.”
Still drawing a blank? The museum is named after Arthur Sackler, owner of Purdue Fredericks, later Purdue Pharma, the company that introduced the world to OxyContin.

To be fair, Sackler wasn’t alive when Oxycontin was released in 1994. But he would have been proud to know that his background in Medical Advertising, in which he created “new and innovative ways to ways to make ill people into regular customers”, was passed on to his younger Brother Richard after his death. As the owner of MS Contin, a slow release Opiod (slow delivery due to its shell, Contin =Continuous) used largely for end-of-life care and in Cancer Patients, Richard Sackler of Purdue was painfully aware that the patent was soon running out and they would need a “Blockbuster” drug (take a second to absorb that concept) to recover their revenue stream. They came up with taking the much stronger opioid Oxcodone and blending it with the slow release Contin to create a more powerful and long lasting pain killer. Herein lay the dilemma; the market for End of Life and Cancer Care didn’t provide a large enough customer base for a long enough period of time. So they improvised.
Purdue shamelessly hired a Doctor within the FDA, spent 3 days in a rented room and wrote a blatantly deceptive application for approval that they were assured by their FDA indider would easily pass. The application included false research and outright lies about the lack of danger of long term dependency and addiction.
It passed. Thus began the crime of the Century. After their marketing campaing, perhaps more appropriately dubbed “push”, in which slick Pharmaceutical reps with uncapped bonus plans incentivised reluctant Dr.’s through any means, legal or otherwise to get the new drug to be described to a wider demographic for ailments as innocuous as knee pain. There is not enough room on this page to list the unfunny comedy of errors that occurred as Purdue relentlessly pushed this product through any means, misinformation campaigns or greasing the palms of all-too-willing Congressman (who looked away as their own districts were collapsing under the weight of the epidemic) happy to lie to their constituents and peers about the extent of the problem. It is a truly disgusting story of Corporate Greed, Political power through dirty money donations, manipulation of Government regulations and the frightening power of the media as evidenced by “America’s mayor”, Rudy Giuliani taking Purdue’s filthy money to make commercials praising Purdue’s commitment to assist those Americans who suffer from chronic pain.

It worked. Tragically well. At its high point 125 million Americans had a prescription for Oxycontin. That is half of the estimated population of this country. If you weren’t in pain, there were plenty of Doctors in Ferrari’s that could set you up in their “pill mills”. Even CVS got in on the game.
20 years later 500,000 Americans had died of overdoses. For reference, as many Americans die EACH YEAR of Opiod overdoses as perished in the entire Vietnam Conflict.

So let’s look at a segment of Richard Sackler’s quote again,
“You have to really pursue the object, you don’t just sit there and have the objects come to you. You want to be a great collector, you better think of the fact that you’re gonna commit yourself to a real passionate treasure hunt.“

Purdue didn’t wait for them to come to him, they went on a real passionate treasure hunt. 14 Billion dollars worth of treasure.