Moving forward

I’ve been in a good place recently. I feel well, my upcoming biopsy is on my mind, but not consuming me. I’ve maintained the weight loss and am getting frequent comments of support. Also, I am rapidly approaching the 12-month milestone of sobriety. It pleases me that I’m not tempted to imbibe despite the high prevalence of alcohol everywhere during the Holiday Season. Additionally, my mental health has been better. In particular, I am struggling less with the self-worth issues that have plagued me.

I really don’t understand why I struggle so with self-worth. Particularly at this stage in my life. I am definitely on the back nine of life. I have nothing to prove to anyone. My children are grown, and by all measures, successful. The worrying never ceases as a parent. However, now that they are grown, my children are a source of comfort, not worry.
My career is over. Any work I undertake going forward will be done at my discretion and on my own terms. The days of worrying about my job are over. Gone with it are the endless attempts at pleasing thankless employers through giving entirely too much of myself. Now, money is about survival.
I have a thriving social life. I actually have more events to attend than time to do them. While most men my age, according to studies, have few friends, I have an abundance.
Things are good because I’m trying to look at things through a different lense.

I have been feeling overwhelmed of late. I continue to ignore my limitations and carry a full calendar. I do too much and then lament how tired I am. It’s because I can’t say no.
As an active Mason, I have the ability to be out as much as I want. There is always something going on. Being known as an active Mason, I get invited to a lot of events. Masonic events are a true joy for me. I truly enjoy the company of my Brothers, some of the best men I have ever met. And Masonry itself, what can I say, I love everything about it. The civility, historical significance, the fraternal atmosphere appeal to my very being. It is hard saying no because everything is a “can’t miss.”
But it takes a toll on me. I get so tired that I need time to recover.

Since my recovery I have been Jim Carrey in Yes Man. I hit the ground running and started to live my life as if living itself were dependent upon saying YES! After spending so much time dealing with being sick and potentially without a future, I began to spend my time enjoying being healthy with the prospect of living a full life. I love saying Yes.
But then I got tired. I began to have difficulty bouncing back from too many nights out and required more rest. Every instinct told me to take a break, that not everything requires me to be there. So I took a small break. That wasn’t the answer. Slowing down is the exact opposite of what I need. If I have to pick one, because I am totally incapable of walking a line down the middle, I have to pick being busy.
I can rest when I’m dead.

What I have come to realize is that being active has been very good for my mental health.

Connection

When I first decided to take advantage of alternate ways to earn extra income I asked around. Ride Share and Food delivery were the unanimous answers. The prospect of either of them sent my anxiety through the roof. But I knew I had to get past that. My benefits allow me to earn up to 12k/yr without penalty. I liken not earning that money to leaving it on the table. It also keeps Social Security Disability (SSDI) off of my back. When you try to earn, SSDI often overlooks your case. They do not find it necessary to do a Medical review and closely examine your ability to work full-time. Not that a medical review would result in an issue for me, my condition is certainly confirmed. But it is a hassle, one that I would rather avoid. And I like to work.

I enrolled in Lyft, Uber, and DoorDash. Uber wouldn’t accept me because my car was ineligible due to age. I decided against Door Dash because I really don’t like handling people’s food. Lyft terrified me because, while I’m a good driver I am bad at directions. I procrastinated for a month (I put the PRO in procrastinate) but finally took the leap. It wasn’t bad once I was used to the Application. It is notorious for being wrong and I dreaded getting grief from riders. As it turns, they are very forgiving and understanding, most of them are aware of the erratic directions and mistakes. I forget sometimes, people are almost never as bad as you expect them to be.

I immediately took to Lyft. I got the hang of the App. I was beginning to earn a respectable part-time income. And I discovered the source of the appeal of giving strangers rides over delivering their food.
Connection.
I crave connection. To those who know me, you are aware that I am not at a loss for friends. My support network is vast. Through Masonry and other activities, I have something that many men my age do not. Did you know that most men over 50, regardless of marital status, have almost no close friends?
Despite my obvious wealth in this department, I can’t meet enough new people. I love it.

Riders are a mixed bag of personalities. In training for Ride Share, we learn to be mindful of topics of conversation while on a fare. We must also be mindful that some people do not talk. This is not ideal for me and my big mouth, but I get it. Many of my passengers get rides every day. They either enjoy the alone time. Alternatively, they don’t want to engage in conversation with an old bald guy with a goatee.
Then there are the ones that talk a little. They are easy to recognize, they choose who they want to engage with. Then there are the ones that talk with you the whole ride. They want to know about you, they want to talk about their day, or simply want to make a connection. I have come to appreciate them all.

Most days that I drive I end the shift tired but energized. The knowledge that some money was made doing something that I enjoy comforts me. It is good for my soul. There are days that I have a memorable passenger with whom I shared a connection. It can go both ways; maybe they helped me, maybe I helped them. Maybe…we helped each other. It makes me feel valued. The kids are grown now. I am out of the workforce. I long for the days when I was needed. I truly believe that sometimes we were meant to meet certain people. Now, I am not suggesting that it’s a privilege to meet me. I am suggesting that sometimes one person is exactly what someone needs at that particular moment in time.

I suspect that you can not get that from dropping off a bag of Taco Bell on someone’s doorstep.

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.

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.

Where are the shovels?

Helicopter parenting has reached a new level.

The other day I read a fascinating, yet disturbing study. According to a survey conducted by Intelligent, an online magazine focused on student life, 19% of Gen Z job seekers have brought their parents to job interviews.
While I can certainly understand that jobseekers may feel nervous or anxious during interviews, bringing parents to job interviews is generally perceived as unprofessional and, dare I say, immature. It may reflect poorly on the jobseeker’s preparedness and independence.
Isn’t it important for job seekers to demonstrate their ability to work independently and make decisions on their own? A job is a rite of passage, and every job you take, and the hopefully increased responsibilities earned through accumulated experience makes you a stronger and more capable employer. While I can only speak for myself, I know that starting a new job can be overwhelming and even terrifying, but employers know that and it is all a test of your resolve and dedication to growing professionally. Everything is a test. Bringing Mommy to the interview is not going to help you pass it.

Not shockingly, 39% of employers admitted going above and beyond to not hire recent college graduates for roles they are qualified for in favor of older workers, a new survey found.
The survey uncovered many reasons why older applicants are preferred — in addition to Gen Z jobseekers bringing mom and dad to interviews.
One in five employers say that recent college graduates are “unprepared” for interviews — and are often unprofessional.
Fifty-three percent of employers surveyed said that recent college graduates struggle with eye contact.
50% said they ask for unreasonable compensation.
47% said they don’t dress appropriately for interviews.
21% said they refuse to turn their cameras on for virtual interviews.
Additionally, 61% said they are frequently late to work.
59% claimed they often miss deadlines.
53% noted that they are frequently late to meetings.

Diane M. Gayeski, a professor of strategic communications at Ithaca College, suggested that these behaviors aren’t entirely their fault — a lot of it is circumstantial. Personally, I do give some leeway to the COVID epidemic and the impact it had on Education and socialization in general. But it started much farther back. I need to look no further than my own childhood compared to how I raised my own kids.
I am Gen X. We were named that because they didn’t know what to call us. We defied all definition. We were tough, resourceful and resilient. We were latchkey kids. Some of us raised ourselves. We were always outside.We knew how to fight, and how to deal with it when we lost. We learned to stand up for ourselves because nobody else would. We were taught that lessons came from Black eyes, skinned knees and hurt feelings. We learned how to work. That having a job sucked but if you wanted money you had better have one. Our parents prepared us for life. They told us that life is tough, cruel, merciless, and unfair but to go and make the most of it. And we did. Our parents were there for us, but they were not our friends.
Fast forward to today. Years of “Participation trophies”, and countless campaigns designed to not make anyone feel bad, combined with Parents who somehow are afraid to discipline their children and instead want to be their friends. Parents schedule and plan “Play-dates” instead of letting their kids learn how to make friends.
If I could pick one thing that has derailed today’s youth to the point of no return; parents refuse to let their kids fail at anything. Nothing teaches you more than failure does. The lessons and accompanying wisdom gained can only come from disappointment, embarrassment, and heartbreak. It can’t be presumed, imitated, intimated, or faked. In order to rise strong from the ashes, you must first crash to the ground. I understand that it is happening out of love, but no matter how you slice it, sheltering children from the world will only make them reluctant and unprepared to enter it.

The study further found the following, all of which demonstrate the damage done by not teaching our kids old-fashioned concepts such as promptness, dressing well, making eye contact and having a firm handshake, and of possessing strong communication skills. Think they’re outdated, old-fashioned and irrelevant? Not to employers. Here are the employer observations on Gen Z attitudes.

Fifty-eight percent said Gen Z jobseekers get offended too easily and are unprepared for the workforce in general.
63% said they are entitled.
57% believed they lack professionalism.
55% said they don’t respond well to constructive feedback.
52% claimed they have poor communication skills.
Of those surveyed, 47% admitted that they had fired a recent college graduate.
46% even said they are willing to hire an older employee who is overqualified for the job just to avoid working with someone younger.
The list of reasons these hiring professionals gave for avoiding Gen Z hires is a long one.

Here is one great example of the difference between Gen X and today. If you live in an area that sees snow in the Winter, ask yourself how many kids do you see with shovels during a snowstorm hustling to make money off of their neighbors? If not, substitute pushing a lawnmower?
Almost none.
The ability to recognize opportunity, financial or otherwise is critical. Being willing to work for it is increasingly rare. It isn’t about money, it’s about being resourceful and the independence that earning your own money gives you. I don’t believe our youth understands the difference between expecting and taking vs earning. It is part of becoming an adult, in an age of perpetual childhood.

My first job

When I was in High School everyone I knew had a job. With rare exceptions, parents of Gen-X kids like myself tended to respond to requests for money with the well-worn phrase, “Get a job.” Now, I can only speak for my little corner of the world, a small Middle-to lower-middle-class town in Eastern Massachusetts. Still, my understanding was that when it came to giving money to your kids it wasn’t about whether it was affordable to the parent. It was about teaching valuable lessons, primarily the value of money and the sense of accomplishment that comes with a paycheck in exchange for honest work.

I, like many of my friends, received an allowance from my parents. It was a mere pittance, enough for a young man to be able to afford to go to the local store and get a candy bar and a soda a few times a week. Looking back, it was laughable how little it was, even when adjusted for today’s value. But it was something. Looking back, I can immediately recognize that one thing a meager allowance taught me was how to budget. As much as I may have learned about budgeting. I can’t say I practiced it very well. I could never live on my allowance.

Fortunately, what I lacked in money management skills, I compensated with a work ethic. I had an amazing role model in my father in many aspects; honesty, accountability, eye contact and a firm handshake, and to always be kind and respectful. But there was one area where Dad simply excelled, to the point in which I was in awe of him, and that was his unfaltering work ethic. One of my earliest memories is of waking up at 4 AM to relieve myself, only to find Dad shaving for work. He left the house at 4:30 every day and in the winter months (he delivered home heating oil) he wouldn’t be home until 6 or 7 most nights. He would come in, exhausted and cold, to a hot dinner waiting for him, the biggest piece of steak or chicken reserved for him. He would shove it down and then begin working on the house, which was under construction from my earliest memory. He would go to bed after me. On the weekends, whatever chores needed to be done he would tackle as soon as he got up. The man didn’t know how to procrastinate.

I did. But I learned how to overcome that because I could not, once I was old enough to be of use, sit and watch the man I admired most in the world, work his ass off to provide for me and not help. So I learned how to cut grass. I worked out by chopping firewood. I shoveled the driveway. I even held the flashlight as he toiled under the hood of his always broken-down truck. Beyond the pleasure of just being around him, holding the flashlight proved to enhance my vocabulary because the expletives FLEW when I didn’t point it in the right area or dropped a wrench.

One day, when I was 11, we were in Sears Roebuck. We were in the tool section and I was waiting for Dad to select another tool that he already had several of. It was his process. A shiny new socket set made him happy and who was I to stand in his way? As we were leaving the store we walked by a beautiful 10-speed bike on display. At the time, the 10-speed bike was all the rage and I wanted one. I showed my Dad the price tag. 94 Dollars. He smiled and motioned for me to go. In the car, he finally spoke.

“I could buy that bike for you, but I don’t want to.” I asked him why.

“Because you’ll like and appreciate it more if you buy it.”

“With what?”, I asked him.

“Your earnings. Go out and knock on some doors. Half of our neighborhood is elderly, I guarantee that they would pay you to mow their lawns and shovel their driveways and whatnot. Buy it with money earned and you will appreciate that bike and take care of it and you’ll have it forever. Not leave it out in the rain like your friends do. It’s different when you earn it, Bill.”

I will never, ever forget that moment.

He offered our lawnmower for me to use, and I would pay the gas. I jumped at the opportunity.

In the 70’s the sight of young people dragging snow shovels down streets in the wake of big storms was a common sight. Kids were industrious, even competitive and fought to earn and keep customers. Some customers were loyal regulars, others would give the work to whoever rang the bell first. I was one of the only kids in my neighborhood that was willing to work. Don’t think I didn’t take advantage of that. I had a slew of loyal neighbors that were waiting to give me money. It wasn’t much money by today’s standards but it was consistent and, as my father had suggested, it felt like a treasure because I had earned it.

Approximately 4 months later my Dad asked me how much money I had. Now, I hadn’t saved everything I had earned. It was a new experience to me to have money so I bought a few things, went out for subs with my friends, etc. But I had saved $80.00. I showed it to him.

“Get your shoes on, and fold that money into a neat roll. We’re going out.”

“Where are we going?”, I asked as I climbed into his truck.

“You’ll see”, he said.

As it turned out, we were going to Sears and Roebuck. I followed him to the Sporting Goods section. He asked the clerk for the assembled bike on display, amazingly it was the same one, and told him that we would be purchasing it. He turned to me with open hand and motioned for me to hand over the money I had in my pocket. The clerk gave him the total and my Dad reached into his pocket and plucked the differential out of a roll of bills. Not wanting to spoil the moment, I didn’t say anything. We walked the bike out of the store, he carefully placed it in the back, and we drove out of the parking lot. Finally, I said,”Thanks Dad, you didn’t have to do that.”

“Sure I did”, he said. I pointed you in the right direction but you did the work. I could have waited until you had all of it but it was never about the money. It’s about appreciating what you have and every time you ride that bike you’ll think about the sweat and back-breaking work you did to buy it.”

I had that bike for 10 years. I sold it in near-perfect condition at a yard sale.

I would go on to earn enough to buy 10 bikes as I became the neighborhood odd jobs kid. Even when other kids caught on to what I was doing, many of my regulars turned them away. They got what I didn’t want. This would continue until I got my first “real job” bagging groceries at a local supermarket.

Interestingly, I now run a small side business that consists mostly of locals who loyally retain my services and feel compelled to recommend me to whoever they meet.

I’m ready

At one point in life, there is that moment in which one must reconcile what they are versus what they think they are. I have had more than one such moment, but yesterday I arrived at one of my more painful but necessary epiphanies; I have limitations that I must own up to and embrace.

After a series of brief bouts of employment that all ended with my leaving due to illness or fatigue, I recognized that I have been trying to do things that my physical condition simply will not allow. To be precise, I am on Disability for a reason and it’s time that I own that.

Disability, as does Social Security, allows recipients to work on a limited income basis. If earnings do not exceed a designated level, you can keep your benefits without penalty. It is not a lot of money but it does make a difference. To me, the ability to work part-time provided more than additional income, it allowed me to feel useful and accomplished, even if to a lesser degree. Before I became sick the second time, I had a meaningful job with great responsibility, the ability to help people, and very lucrative compensation. I went from that to being unemployed, living in a small town with my mother, and nobody needing me for much of anything. I hated it, I lacked relevance. Work has always defined me to a degree, and it left me with a void.
Once I was able to return to part-time work post-transplant, I was excited. Unfortunately, what followed was my enthusiastically accepting positions that, had I thought deeply before accepting, ended in disappointment as I was forced time and time again to quit due to health reasons. Primarily, my compromised immune system caused me to get sick frequently and profoundly. But instead of realizing the problem at hand, that I need to have realistic expectations about what I am capable of doing in my current condition, I instead beat myself up about being a quitter.
It took too long, but I finally realized I needed to accept that I have limitations. And that’s ok.

If I can find work that is appropriate for me, unfortunately I think that means not being around a lot of people, then I will pursue that. Otherwise, I am going to graciously accept the help from Disability and focus on what makes me happy. And to not feel bad about it.

This is my chance to do what makes me happy. I will find my relevance in doing some good, I want to get more involved in Masonry, The Shriners and my motorcycle club. Charity and volunteerism is good for my soul and I can never do too much of it. I want to enjoy the Granddaughter that will arrive in April. I want to exercise more and be outside as often as possible. I have never given myself permission to do one thing in my life and it is time; I need to let go and just see where things take me and stop trying to control everything.

I need to do this. I need to take the limited time I have left and find my true calling in life. I’m fortunate and blessed enough to know that I may have several callings, now it is time to immerse myself in one or all of them.

Of all of the elements of this epiphany, one stands taller than the rest. It is definitely time that I gave myself a break. For once. It will be a record change of pace.

Calling the Universe, I’m ready so please show me the way. I’m ready.

Good tired

It’s a bitter cold Sunday morning here in NH and I am sitting here, coffee in hand enjoying Day one of my weekend. I am comforted by how tired I am because it is a good tired, a culmination of a whirlwind week of doing good work for good people. I feel like I made a difference this week. For me that is the best of all possible feelings.

I can honestly say that I have been on top of my game lately. I have grown into the role I’m supposed to play. I’ve overcome most of the challenges that have kept me feeling less competent than my peers; the administrative tasks (which are formidable), the organizational pieces that make my job harder such as scheduling and overall time management, and I have learned to rise to the level of my biggest foe, myself, to a point where I at last long feel like I belong.
Let me drill down on that for a moment. I work in a high-pressure, high-turnover position. I have spent most of my career in such situations. One of the unfortunate realities is that people don’t accept you right away because the possibility of liking someone and investing in them and then have that person not work out is very real. In addition, I’m additionally challenging to accept because I’m awkward. Let’s call it what it is. I’m intense, hard to read at first, a little overbearing and somewhat neurotic. In short, I’m a lot. Now, the people that once cautiously said hello to me in the cafeteria are calling me to join them. People who left me out of the conversation now involve me and enlist my thoughts. My peers in my department and everyone else I interact with as we all work towards the same goal have recognized what I want to be my most visible and dominant traits: a good heart and a genuine desire to do a good job.
And I think I am. I’ve built the foundation and now I’m interjecting my own style, the culmination of years of dealing with people, my own experiences, and personal battles. Pepper in what I feel is a relatable manner and some small acts or kindness and I’ve found my niche.

Last night, on the way out the door I received a call from the tearful wife of one of my clients. She was missing her husband terribly and wanted to know how he was doing. He wasn’t due for a sanctioned call to speak with her but I told her I would get a message to him. I drove to Detox, found my client, pulled him downstairs to a private room, dialed the number and gave him my phone. Ten minutes later he gave it back to me and tearfully thanked me. He didn’t have to, it’s what I try to bring to the job. Small acts of kindness are, or at least should be, part of the job description.

A matter of days

Tuesday was one of my worst days to date as a Case Manager. It was only exacerbated by my anxiety being in full flare. The stars collided perfectly and tragically, as it were.

Case Management in Addiction is a numbers game. Simply put, while there is never an expectation of 100%, if the successes outnumber the losses (we don’t use the word failures) then it is a rewarding use of your time. Even a ratio of 51/49 is fairly aggressive. For the sake of this conversation, success is a patient who buys in, makes an effort to dedicate themselves to healing, or at least surrenders (addiction treatment is about relinquishing control above all else) themselves to the process and completes all or most of the recommended continuum of care. We have ZERO control over what happens after they leave us but the numbers support that a full stay tends to lead to a more positive likelihood of positive outcome.
Tuesday I myself seemed to have ZERO control of ANYTHING. I was pushed to my absolute emotional limit. I went home questioning everything. Fortunately, I didn’t go home alone. I had Miss Anxiety with me and she was piling on.
You should quit!
No, I love my job.
Then why are you so upset?
Because I have no control.
Like your patients?
They have to be there…
You think you do too. Maybe you don’t?
I can handle it. I think.
Can you?
Fuck you, I have skills.
Not today you didn’t.
You’re right…
Of course I am, I’m always right. Especially when I tell you that you suck.
Tomorrow will be better. LEAVE ME ALONE BITCH!

I questioned everything and argued with myself for hours. I was low, lower than I’ve been for a while and it bothered me. Then it came to me. Late of course, as it always does.
Change your mindset. Do what you tell your clients. Worry about what you can control, put behind you what you can’t. Stop trying to save the world, help the ones that let you.

For the last 2 days I managed to keep the duct tape over the mouth of Miss Anxiety and focused on positivity. It must have oozed out of every pore of my aura because the last 3 days were so much better. I came home tonight knowing that I did some good and at the very least did nobody harm. Perhaps most importantly, I know that I did the absolute best that I could. And that, on a anxiety-free day, is all that matters to me.

Angels and Demons

I was warned when I started my job as a Case Manager in addiction, that there will be times when my entire client list would catch fire.

The addiction patient comes in several forms, ranging from first-time in recovery, young or older (sometimes in their 70’s) to the “readmit” who has been in multiple times (I have one young man in his 30’s who has been in rehab 41 times). Some are very motivated and others are counting the days. They come to us for many reasons. Some are court-ordered and others made the brave choice to change their lives and are willing to make bold moves to do so. One thing I have learned is that there is no room for assumptions about outcomes (that is obviously way beyond our scope) and there is no connection between willingness, enthusiasm and cooperation and stability during treatment.
There is no such thing as a stable patient.
Any patient can turn on a dime in one day, often defying every expectation. The addiction patient is dealing with a plethora of internal forces that pull and tug at them. One day there are doing fine; motivated, encouraged, and on course. The next day they may decide that it’s too hard, that they are needed at home, that they can deal with their addiction on their own, that getting back to work is the key, and my personal favorite…they think they are ready. Even when they are not. It is the mental push/pull that comes with making major change against a force that is larger than them. I attribute it to the dichotomy of human nature. Think of it as the scene in the Flintstones when Fred has a little devil Fred on one side and a little angel Fred on the other.

When this occurs, the adrenalin kicks in and the push to keep them from leaving begins. I know it sounds awful, but we know what is good for them even when they don’t. We have at our disposal the research to support it, compiled over millions of patients worldwide. We are trained, and we have the additional resource of many co-workers who have been through recovery themselves. We are armed with every tool, backed by sheer good intentions to help them recover. When we tackle this obstacle, it is exhausting. At least to the new guy, which I am, and my more experienced colleagues are more able to cope with it than I. While these waves of change occur in nearly all patients, it happened with too many of mine this week.

I approach my position as I do my own matters. aggressively and with passion. I challenge, poke and prod, tell the truth, and insist on reciprocation. While I am not a clinician, I get the information we need and I learn the ins and outs of the person in front of me. I invest, and I am here acknowledging that I do so at the sake of my well-being, of myself into my clients. I know it sounds corny as hell, but I care about people and despite my best efforts to dial it down, I can’t. Sue me, I give a shit. I need to know at the end of each day/week/month that I did the absolute fucking best that I could for those in my charge.

And it is taking its pound of flesh.