Dreams

I was recently asked if I have any dreams I want to realize before I die. When you have dealt with the ups and downs of chronic illness, you don’t have dreams. You have a bucket list. Mine is extensive.

Before I die, and that’s really what it comes down to, I hope to accomplish many things. They range from the very serious to the “that looks fun.” Before I die, I want to;

Go skydiving. There are a lot of reasons to want to do this. However, the appeal to me is primarily about overcoming a great fear. I am terrified of heights. I have nightmares of falling (many people do). Jumping out of a plane will be a brave stand against both. I may go to my grave feeling a bit less of a pussy.
I will likely do this before it is too late.

Go across country in a RV. I’ve always wanted to see America in a Kerouac way. I want to be present, not an observer. I dream of seeing this great country through a windshield. I dream of taking my time. Asking locals where they go to drink and eat. To meet people and learn the small details of their corner of the world. I would love to do this with the love of my life. If not, I will definitely do it with a dog by my side.
This is a doable dream. Although it might be modified to a convertible and motels.

I would like to make a long motorcycle trip. I’ve done trips as long as a few days. I want to do one over a month or more.

Fortunately, I’ve made a strong comeback in life recently. I have crossed many small items off the list. I’ve also crossed a few big ones off.
So let’s move on to the big ones.
I want to find peace of mind. I am tired of the anxiety and the negative thinking. A dream of mine is to do whatever I must do, including therapy if that’s what it takes, to reach a mental place where I can enjoy some of the time I have left in harmony with the world around me. I know this is an odd one, but it really is that important to me.

Here’s the big one. I want to fall in love. It saddens me to say this, but my wife wasn’t my greatest love. I loved her, but there is a feeling I crave that is yet unfilled. I want to meet The One. The person that I think of first when I wake and last when I go to sleep. I want a woman who makes me glad I’m alive. A woman so great that her happiness will always be my greatest concern.

This just occurred to me. I also have a dream of being a man of such great character. I want to be deserving of True Love. That one wraps up nicely.

Understanding Sobriety: Not All Drinkers Are Alcoholics

Today will be my 58th day of sobriety. I can honestly say that my life has been a nonstop improvement since I decided to pursue a healthier lifestyle. And let’s make no mistake about it, being healthier is why I did it.
Why make a point of contention about that? you may ask.
Because I’m weary of people telling me that I’m not an alcoholic.

So many people have been supportive of my decision, but there has been some confusion. Some have suggested that I overreacted by joining AA. They thought I didn’t belong there. They believed it was for people in much poorer condition than myself.
They were correct.
I like AA. I believe it is a wonderful program that has helped millions of people worldwide. But it’s not for everyone. As a Recovery Case Manager, I toed the company line. We were a 12-step program, and I worked them with my clients. Despite many ideological disagreements. I disagreed with relinquishing all control to a higher power. While there is merit to the concept, I believe that we are allowed to be pleased with ourselves. We should acknowledge our own part in getting sober. I don’t believe that only God played a role in motivating us to seek help. We also had our own part in bettering ourselves.
I don’t believe that all addiction stems from significant trauma. Nor do I believe that we need to seek the forgiveness of everyone and everything. There are major events that require reckoning, but most of it is just better left in the past. If you have wronged someone and have the ability to make it right, have at it. Otherwise move on. I know this is a controversial opinion and it’s not intended to come off as harsh as it sounds.
Additionally, while members hate to hear this and will get VERY indignant when they do, some of us are different. You’ll hear it at all beginner’s meetings; if you are there, then you are the same as all of them. In fact, we are not all the same. I will not tumble down a wormhole of depravity if I have one drink. Many in the room would. I don’t need to go to 7 meetings a week to stay vigilant. I can do it on my own.
I don’t need to do the steps. I have few resentments and I have made peace with everyone I have hurt (that I know of) already. Many would be furious at that statement, but it’s correct.
Does my assertion that I am different make me an outsider? Or does it just mean that maybe I’m not an alcoholic? See, there is no room in AA for the person who simply likes to drink. There are a lot of those, myself included. I have a problem with alcohol, but I’m not an alcoholic.

So here I am, 58 days later, and I am benefiting from all of the blessings of sobriety. I feel better. I am making great strides in my physical fitness. I have mental clarity. Most importantly, I don’t beat myself up constantly over my drinking. The self-loathing and feelings of inadequacy are over.

I don’t even know if I want to be completely sober for the rest of my life. There will be an opportunity or occasion that arises in which a drink will be warranted. During this time, having a drink will be appropriate and even fun. Or I will say no with confidence and pleasure because I like what saying no has done for me. In the meantime I will continue to go to the occasional meeting. The people are nice, the atmosphere is uplifting, and it is good for the soul.

But I still struggle with calling myself an alcoholic. I think I’m actually just a guy who liked to drink. I found the resolve to recognize that it was just getting old.

Finding Strength in Sobriety Without AA

At the time of this writing, I am 32 days sober. I have to say, it’s going quite well. Almost too well. I’m not miserable. I’m not struggling. I’m not craving booze and calling a sponsor to talk me off of the ledge. Everything I’ve seen in the movies and TV is wrong.
Actually, I’m not serious about that. I understand addiction. I know alcoholism. I have seen the wake of destruction left by addicts of booze and drugs. My understanding is further validated by my time as a Recovery Case Manager. I know that everyone is different in their story, the severity of their illness and the battles of recovery. We all do it differently with varying results.

Alcoholics Anonymous is not for everyone. A major point of contention is embracing the whole “higher power” thing. Others don’t believe in “turning it all over” to the higher power. They fail to embrace the notion of powerlessness. The first step of AA is to admit powerless over their addiction. A LOT of people push back on that one. That’s probably where I also struggle. I believe in a higher power. I also believe that my life was becoming unmanageable(ish). But I fail to believe that my willpower and strength to commit to sobriety play no part in its success. You can tell me all you want that maybe my higher power gave me the strength. The fact is that I am the one who got myself to the meetings and avoided drinking. It’s not about pride, it’s about accomplishment.

After 31 days, I am starting to think that AA will be a part of my recovery. However, it will not be all of it.

I like the meetings. Contrary to what I have heard from some, meetings are not a depressing place of self-commiseration. To the contrary, the people I have sat with celebrate the program and the manifest blessings it has provided them. These are happy, positive, and grateful people. Additionally, they are friendly and helpful. I will never forget my first meeting. I was greeted, welcomed, and offered phone numbers with offers of support. I have already made many friends. The meetings have been enjoyable and have helped in my having stopped drinking.
But they’re already getting old. It’s the same people and the same stories. I’m not feeling as inspired as I once was. I’m not feeling like they’re helping me. I’m not even sure they are worth the time and lost income. I like them, I really do. I’ll keep going. But I don’t want to do the steps. At least not now.

I’m not drinking. I’m not tempted to drink. I feel better without drinking and I want to keep on. Much to the chagrin of the AA die-hards, AA may not be for me.

This is not an anti-AA post. I have said many positive things about it and I believe in it. It works. I have seen more than enough evidence. I am only pointing out that it is not the only way to get sober. I will continue to discuss this in future posts.

More on this later.

Top Life Lessons I’ve Learned

The subject of lessons learned in life came up the other day. I felt inspired to compose a list of some of the most important life lessons that I have learned. Oh, there are so many. And I’m sure I’m not done learning more. Still, it was interesting timing as I am now evaluating almost everything in my life in the interest of self-improvement.

I have learned to be nice always. Some people are barely hanging on and it’s better to be decent to people. Do so until you can’t or the deserving of such treatment fades. We can’t always fix people but we can take comfort if we at least try to help them.

I have learned that it’s not always necessary to be right. Knowing you are and keeping it to yourself is better than trying to prove it.

When reacting to situations, take a deep breath. Act on your second instinct if you must. Words hurt and impressions matter. As the Stoics say, it’s not what happens, it’s how you react to it.

I have learned that it’s true about the fool. Better to be silent and thought a fool than speak and confirm it. On that topic, ears don’t work when jaws are moving. 

I’ve learned to forgive without resolution and to not wait for apologies that aren’t coming. Resentment is like drinking poison and hoping the other person dies. 

If you aren’t invited, don’t go. Nobody should be treated as an afterthought. There was a time when I would allow myself to do this, but I have learned my worth since.

Listen to my gut. It is always right. I remember situations that went south. Relationships that failed are also clear in my mind. I can vividly recall disregarding a stern warning from my gut. I am now keenly aware of my inner voice and plan to follow it.

Finally, as experience has taught me, I need to talk less. While I come from a gregarious and friendly place, I overshare and generally say too much. Maybe it stems from insecurity or trying too hard to make someone like me. Regardless, I’m not engaging in either of those ever again. From now on, my focus will be to listen more and talk less.

I have learned to accept my appearance. I have terrible body issues. I look ok for a person whose body has gone through what mine has. I need to accept that I have limitations to how “fit” I can be. I need to focus on doing what I can and being consistent. I can’t continue to dive behind sofas every time someone points a camera at me. I am depriving the people who care about me of a potential memory. Because one day all that will remain of me are pictures.

There are so many more, but there isn’t enough bandwidth to accommodate all of it.

How Sobriety Changed My Morning Motivation

Occasionally, I look for topics outside of my wheelhouse to avoid repetitiveness and overkill. I have several books on affirmations, daily motivations, and such at an easy reach. This morning I picked up my “Question of the Day” book and opened it to today’s date. The question was a simple one. One that I would have moved past any other day.
The question is, “My favorite way to start the day is?”

This is a timely question. That is to say, had I been asked this 2 weeks ago my answer would have been very different.

11 days ago, I would start my day by waking early to my alarm. Then I would promptly hit the snooze button. Not always, but more often than not. When doing Car details or going to appointments, I sometimes had to leave early. Mostly, my morning routine was to get up and instantly make coffee and find my way to the sofa. There, I would sip my wake-up juice and watch the news as I searched for inspiration. Inspiration, for the sake of this conversation, meant that I was trying to find something to do. Many of those days I procrastinated until the wish to be productive passed.
Often, this was exacerbated by an upset stomach. I have been feeling sick in the morning. Many days I made many trips to the bathroom as I battled with an upset stomach. That certainly added to the procrastination and made it difficult to get out the door.
Many evenings I would think negatively about my day, wishing that I stop procrastinating and be more productive.
I had no excuse for not having a clean apartment. I was wasting opportunities to read the stack of books I had on my bucket list. I squandered opportunities to work on my blog, or the book that is actually shaping up to be something. Instead, later in the afternoon, I would see the glass of whiskey or beer in front of me. Then, I would figuratively beat the crap out of myself.

As of Jan 1st, in the absence of alcohol, I have been a morning person. Not the first day, but more and more so each day. This is odd to me because I rarely drank to to point of drunkenness. If so I attribute it to a hangover. It’s not. But that says more about my tolerance than about my portions. Clearly, the alcohol and consequent food choices had an effect on my system. Needless to say, no upset stomach in the morning. When the alarm goes off I get up instead of hitting the snooze. I get out of the house with ease, often leaving early to Drive Uber or hit an early AA meeting.

Today, I woke up and decided to do some things I had been putting off. I cleaned the entire apartment, paid bills, read Affirmations and started this blog. I was out the door by 10 for an appointment. Normally, that would be it. To be fair, disabled people set lower goals than healthy people. We’re happy to get one major task done each day to feel accomplished. That would be when I gave myself permission to have the first of many drinks. Instead, I kept going.

This is a pleasant side effect of a major life decision. I never knew that I would feel so much better physically and mentally in such a short time. I know I made the right decision.

My favorite way to start my day? Sober.

My Journey to Sobriety: 7 AA Meetings in 7 Days

Interesting observation. Well, you decide that, not me. Or call it a joke. Instead of ordering a 7 and 7, I have been to 7 AA meetings in 7 days.

It was an enormous but necessary decision to seek sobriety. I have been wanting to do it for a very long time. I have been in a cycle of indulging, self-loathing, and indulging again.
Wash, rinse, and repeat.
I finally realized I wouldn’t be able to do it alone. My bullshit was just too powerful. Alcoholics are master manipulators. I didn’t know it applied to our own selves. What bullshit, you ask?
Thinking about every possible reason why I shouldn’t quit. I tried to convince myself that my lifestyle didn’t support sobriety. Because, after all, everything I’m involved in has alcohol consumption as a component.
Bullshit, there are a ton of people that don’t drink.
I can do it by myself, I don’t need to attend meetings.
No, I can’t. I have tried dozens of times and my car continues to “auto-steer” into bars and Liquor stores.
I’m not really an alcoholic. After all, I don’t Blackout, I hardly ever get drunk, and it hasn’t affected my life.
Yes, but I drank every day. I did mental inventories on my liquor supply on the way home every day. I thought about what I would drink with who every day. And I got drunk or significantly inebriated most every day. I just had control, tenuous at best, but still control over it.

Control. That is what lies at the center of all of this. It is also the thing I struggle with about AA. As a Recovery Case Manager I found that many clients struggled with turning it all over to the Higher Power. I do believe in a higher power. I believe that it is I that refuses to drink today. It is I that forces myself to go to meetings. It is I who develops the determination to stay focused and determined. Yet, I was told today that it is all about surrendering it all. I didn’t argue with him. Instead, I am going to leave it alone. I will let it be revealed to me as I read the Big Book. I will listen to the shares.

I believe in the program and I can honestly say that I am enjoying it. I actually look forward to attending meetings. I always feel good when I walk out the door and the people are nothing short of amazingly supportive.

That is good because the suggestion is to attend 90 in 90 days.

While I struggle with the surrender aspect of it, I know the program works. It has done amazing things for millions. Everyone I have met who has achieved prolonged sobriety was once at a Crossroads. By virtue of hearing their tales, they chose the right path. So I’m going to give it a real try.


The Evolving Role of a Dad at Christmas

It’s Christmas Eve and I am very excited about spending time with my family tonight. With my children now grown adults, the dynamic of the Holiday has transformed greatly. Permanently etched in my mind are the Christmases of old. It was always a huge ordeal at my house when I was a kid. My parents loved Christmas and were very generous. My Dad was so dedicated to my mother that he truly could not stop getting her gifts. Sadly, I think it was insecurity masked by generosity but it was certainly based on his love for her. The exchange of gifts was borderline excessive. But I was always provided for and I enjoyed the Christmas holiday.
I enjoyed it less and less as I got older. I began to see it for the rampant and crass commercialism that it was. When the kids were young, I enjoyed it through them. As they got older, I smiled and acted happy. Holidays would become a major stressor for my wife, and consequently on me and I soured on most all of them. But I suppose that is a story for another day.

I did enjoy Christmas Eve. Christmas Eve was always a great night at my house as a kid and remains a fond memory. The house was full of family and friends imbibing in drinks and snacking on holiday treats. It was a zero pressure evening, the gifts were already wrapped, the toys were assembled, there was nothing to do but enjoy the calm before the storm.

Christmas now consists of a party on Christmas Eve, and everyone goes their separate ways on Christmas Day. I love this transition. It reminds me of the old days. But it is much to my ex’s chagrin that hosting duties have been passed on to the kids. She wants to still do it. I think she misses the Holidays when the kids were young. I suppose it’s a natural reaction to aging.

My oldest daughter has hosted for the last few years. It is such a great time. I look ahead to it all year. The kids, their spouses, and significant others gather. A smattering of family friends and new in-laws join for drinks, a nice meal, and then games.
I missed it last year. I had COVID. I was miserably sick and depressed about missing it.
This year, my oldest boy and his Fiance welcomed us all to their nice new apartment. Just reading his texts and emails are warming to my heart, they are so excited to host us all.

This is a small chapter in the “How to be a parent to adult kids” manual. My role of the father has evolved. While my children would disagree with this, I would argue that my children don’t “need” me anymore. It’s not that I don’t have a role, it’s that I’m not depended on by them anymore. This is troublesome for me because that is something that I miss in both my personal and professional life. I was always an integral part of things. Now, I have a support role.
To put a positive spin on this, it is a victory of sorts to be in this situation. During the days of family turmoil, there was a lot of arguing and resentment. I often worried that my children would resent us. I feared they would not have need for us once they were on their own. I now believe that we made the repairs in time. By acknowledging that fear and being proactive about repairing those fractured relationships.
My role now is to be there when they need me, otherwise to sit back and beam with sheer pride at how magnificent they all really are. It’s not about taking credit, it’s just gratitude that it all worked out.

I am so excited about tonight. Still, I harbor a fair amount of sadness. My youngest daughter and my ex are still not speaking. As a result, my daughter will miss yet another family event. This I hate, so many magical moments have happened recently; a wedding, engagement, the birth of a beautiful little baby…she’s missed them all. I can’t say if she is bothered by it but I sure am.

It’s difficult to enjoy a holiday while missing someone. I miss having her around. I need harmony in my life. I guess you can’t always get what you want.

A familiar face

Over the last year I have made a lot of meaningful changes in my life. It was a good year, but not without its challenges. While I have seized a tentative grip on my physical health, my mental health has suffered a bit. Last winter, I was quite prone to depression. This resulted in an increased alcohol intake. It also led to some long periods of self-isolation. The symptom of isolation is particularly damaging. It often involves days, if not weeks, of inactivity and bad dietary choices. The physical implications are as bad as the mental. It was if my mind and body atrophied at the same moment.

Fortunately, I am self-aware enough to take measures to make sure that doesn’t happen to me this winter. I am back at the workout club. It is remarkable how much better I feel when I get off of my ass and move my body. This simple act improves me both physically and mentally. In addition, the new “chill” and “reasonable” Bill is not worried about the long road I have ahead. He is also not concerned about reaching a level of acceptable fitness. Chill and Reasonable Bill doesn’t worry about how much weight I have to lose. I’ve been down many long roads before. If I keep my head down and keep walking, I will get there. Worrying and putting pressure on myself will not get me there any sooner.

Tuesday I was doing my best imitation of a workout. It wasn’t great but I was pleased with myself for just getting myself there. As I rested for a bit after a tiring set, I did some people-watching. I do this against my better judgment as I have a tendency to compare myself to others and that is a dangerous thing to do as a fat 60’ish guy. There are a lot of very fit people and it’s intimidating. Fortunately, I am comfortable with my expectations, and it doesn’t really bother me anymore. As I scanned the room I saw a familiar face.
Where did I know him from? That is a often-played game for me. I have met a lot of people from a lot of chapters of my life and I get confused easily. In addition, my memory is not like it once was. It’s frustrating.
He walked towards me and stuck his hand out. “Hey, Bill.”
Damn, it was Adam. One of my clients from my days as a Case Manager. Side note, coincidence that I blogged the day before about those days? He recognized me right away. Not surprisingly, after all the amount of time I spent with the guy was not insignificant. I felt bad, he knew that I didn’t recognize him right away.
“Sorry, man. I didn’t make the connection because of where we are.”
“You know I live in this area, right?”
“Yes, but I didn’t when we met. I recently moved back.” The facility was 100 miles away, near my Mom’s house where I formerly lived. I explained it to him.
“You look great. Can I assume that you’re still living the sober life?”, I asked. He explained that, with the exception of a couple of slips he was doing well.
I learned that he is now divorced. I remembered that his wife was not supportive of him during his recovery. So, I wasn’t surprised to hear this. I also learned that he was living with his parents, which he was not happy about. But he was still at his job, and he was in great shape. I didn’t push with any more questions.
We made some small talk and parted ways. I was sure that I would see him again as long as I kept going. I hope we can talk some more I hope.

As I’m recalling the run-in, I remember that a toxic trait emerged briefly. I wanted to ask him if I was a good Case Manager to him. Did I make any difference at all for him. I then chased that out of my head. If he hated me, he wouldn’t have greeted me. Recovery in general clearly was working for him. I knew I was good at the job, by several accounts. I know, for better or worse, that I did the absolute best I was able for him. I did the absolute best for all of my clients. I’ve come to place a lot of value on that notion, win or lose do the best you can. That’s all you can do. I’m pleased with myself for not being insecure and asking him that question. It’s not about me, it was always about him.

Supermarket Stress

I used to poke fun at my late Grandmother for going shopping on a Saturday morning. My grandmother never worked and had her days to herself. While she kept a nice house for her husband, she had ample time during the week to shop for food. Yet, there she was every Saturday morning. She fought the “stop/start walkers”. She also faced the “I’m not paying any attention to who’s around me” people, and the long register lines. I never understood how she wouldn’t go during off hours, as well as question how she was so calm.

I would later learn that she liked being around all of the people. Despite her Yankee Blue-Blood mannerisms, she was quite sociable and found the supermarket to be stimulating. I also like to be around people. However, my going to the market today was a mistake. I forgot it was a Saturday. Before Christmas. My God, what was I thinking?

I am in the accountability phase of my life, which I imposed on myself. I think a segment of my blog will be about what I did right and wrong each day. I believe this exercise will help me. I often struggle to reconcile my desired behavior with my actual behavior. I want to walk the walk, as it were. In this vein, let me say that I could have done better today.

I like to food shop. I always have a carefully prepared list, often in order based on the setup of the store. I put my ear buds in, find a good playlist and do my thing. With the music drowning it all out I do my thing. I’m usually patient with the unaware aisle blockers. I always wait patiently and graciously accept the inevitable apologies for holding things up. I make sure that I am not in the way. I also look out for the short person who can’t reach something on the top shelf. It’s a great opportunity to do something nice, and it is much in need. And above all, I’m always pleasant.

Today, while I don’t think I was rude or offensive to anyone, I could have done better. As a well-established sufferer of General Anxiety, I have mastered preventative measures. One of them is to recognize situations as potentially anxiety-inducing and either brace for it or avoid it entirely. Pulling into the parking lot today was a more than adequate warning. The lot was packed. People were scampering back and forth. The impatience of people waiting for a parking spot was evident. That served as fair warning. I contemplated not going in. I did need food but only a couple of items were needed to get through today. I decided that I would only grab a few items. Which would have been a good plan had I stuck to it.

I would pay for that error in judgment. I set myself up to get aggravated. Normally, I can handle a little aggravation. But I wasn’t prepared for the sudden stops. The aisles were blocked. People were completely unaware and perusing labels. Carts were stacked up like planes on a snowy runway. Add to this stress soup my very favorite occurrence. Every item I searched for had at least one person standing right in front of it.
That is where I could have done better.
With every aisle that I attempted to navigate, I was trying to make sure that I wasn’t in anyone’s way. A courtesy I was clearly alone in extending. It got to the point that everything I was trying to get was blocked by someone. I became overwhelmed, and while I didn’t actually say anything my face surely spoke volumes. I’m know for that, unfortunately.

I do not believe that I hurt any feelings. But, in my anxiety-fueled quest to get out of the congestion and chaos, I am sure that I looked annoyed. I might have even looked angry. And for that, I wish I could have done better. I consider myself a tolerant, patient and social person. I try to not be in a hurry, and I always take a deep breath and remind myself that I share this planet with other people. It bothers me that I failed to exhibit that today. I was simply overwhelmed.

This is a victimless crime. I’m sure nobody is thinking about the rude guy in the black hoodie. Because I wasn’t rude and it wasn’t that big of a deal. To them. To me, whenever I fail to act as the person I want to be I make a big deal out of it. It is part of my quest to be a better, more virtuous person.

Which brings me to the heart of the issue. I am not perfect, and I don’t understand why I am so hard on myself for merely being human. I think it’s fair to say that most mere mortals don’t hold themselves to such a standard. My only consolation is that I know it comes from a good place. I’m just trying to be accountable.

The Case Manager

As I mentioned in the previous post, upon my recovery, I realized that the following life changes were within my grasp.

I could get my own place.
I could go back to work.
I could date again.
I could move back closer to my family, friends, and groups that I belonged to.

Let’s talk about going back to work. The only person more grateful for the gift of another chance at life was me in 2011, after my first Transplant. I was a grateful S.O.B. to the Nth degree. I resolved to hit the ground running while doing good and paying it my gift forward. I wasn’t trying to redeem myself, I was merely trying to be a better, more moral, kind, and humble person. Sitting in a hospital bed for extended periods of time, with the nights being especially dark and lonely, a man has much time to evaluate his life. During my recovery I concluded that I was not the man I wanted to be. Not bad, not immoral. I simply wasn’t being the person I knew I could be and wanted to be. So when I got healthy I was a new man physically and spiritually. Then I got sick again.
Sigh.
2011 Grateful me was no match for 2021 Grateful Me. That sonofabitch was motivated.
I wanted to go back to work. I wanted to reclaim something. I had missed the satisfaction of a job well done since leaving the workforce. I also missed helping someone in the process. I decided that I wanted to be a Recovery Case Manager at a Drug and Alcohol treatment center. I had heard from someone who worked at the local center. They said training was being offered. No previous experience was needed. They also said that I would be a good fit.

As it turned out, I was. The interview went swimmingly well. The lead Case Managers were impressed with my story, they recognized and appreciated my real-world experience and, as I was told later, they thought my personality was perfect for the job. Wouldn’t you know it? I was a natural fit for the job.

The training was long and difficult. Recovery patients are a particularly challenging demographic. They have little in common with each other than addictive tendencies and their ability to lie and manipulate. I could handle that. I have an excellent Bullshit detector and I know how to handle people. At first, my customer service background limited me, I had a customer is always right mentality. My trainers broke me of that quickly. I was allowed, even encouraged, to call out lies and BS in order to obtain breakthroughs. I soon became regarded as one of the best RCM’s at the facility. As it turns, my style was appreciated.

I loved the job. I worked hard and I gave my clients all that I had. My fellow RCM’s and managers told me not to give so much, that the clients would use me and my good nature against me. And they did. But still, I helped many more than I hurt. I say this without ego or hubris; I was great at it.

Until I started getting sick. All the time. The clients came in from so many hazardous conditions and places. Living on the streets, halfway houses, jails, post-benders. Many were sick and there I was, an immunocompromised transplant patient being sneezed on at the height of Covid. It would lead me to make a very difficult decision.

I was able to work due to the Social Security Disabilty Insurance Ticket to Work program. For up to 9 months, I could earn any amount of money while still collecting my benefits. At the end of the trial period, I faced a decision. I had to choose whether to go back to work and lose my benefits or stay on them. At 8 months, I was suffering from a head cold that I had enjoyed for over a month. I was constantly sick due to my weak immune system. My doctor sounded the alarm. My kidney would not withstand constant attacks on my system.
Reluctantly, I had to choose to stay on benefits.

I could tell you that I have regrets, but I made the right decision. I needed to accept, finally, that I had limitations that couldn’t be ignored. I really miss that job. It was strenuous, it paid poorly and I took it home with me every night. But I did some good, made a positive impact on some, and was part of some great stories. I wish I could do it again, but it’s just not wise. The new grateful me is also interested in living for a while longer

I’m sure I will talk about my time as a Case Manager frequently. It was a special time.