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.

Me time

Greetings from West Palm Gardens, FL. As I write this I am poolside enjoying an 80 degree day. This is relevant because I should be on a plane right now. When Mom asked me to drive her to her new Condo in West Palm (she doesn’t fly the dog) my original plan was to drive two days and fly back the next. After all, there is work to be done. But then I thought about it and checked my calendar at work. I’ve been there for a year now so I must be due some time off. Oops, I was looking at the wrong column, I was looking at the “feels like” column. I’ve been there 3 months it just feels like a year. I don’t have paid time coming to me but I’m taking a few days off.

Work has been a lot. Life as a Recovery Case Manager is rewarding, challenging and exhausting. If you do it right, and by that I mean give a shit, then Empathy deprivation is possible and burnout is expected. My supervisors have continuously warned me against doing too much and I did what Bill does and ignored their warnings. At my own peril. I’m exhausted.

Today I am going to take a nap after I publish this. Then I plan to eat something bad for me, go to bed early and fall asleep while binging Netflix in the AC. Tomorrow I am going to connect with a lovely friend from High School and her Cougar friend. I plan to have dinner and drinks and a late evening. Then I plan to sleep late even if I have to do it alone. I have earned it. My Clients are well taken care of. All of their outside needs and distractions are handled and I attend to everything that I can to make sure they attend to the business at hand…recovering from their addiction and the often horrible consequences. I am a good Case Manager because I give everything I have to my Clients. Now I am doing something for me.

That’s why it’s called “me time.”

Newly emerged personality traits

For the almost 6 years that I spent sick and out of work, I missed a lot of things. One thing I missed most was working. For better or worse, my work was closely tied to my identity as well as my self-worth. I was always known as a hard worker, most of the time I was the best at what I did among my peers, and it wasn’t always about money. I actually got off on the feeling of accomplishment. My last great job before I got sick was a great opportunity for me. I got to be a part of the higher-level decisions, I made a good living and I was able to turn my role into one that actually helped people. I wish that the company never closed. I was busy as a one-armed paper hanger but I was comfortable and relaxed about my position and confident of my worth.
What I didn’t know was that in the series of unsuccessful jobs that followed, I would learn something about myself that I hadn’t realized before. I was a neurotic and paranoid knucklehead once taken out of my comfort zone.

I don’t know when it happened. I was always confident, cocky even. Then, suddenly I worried about what other people are doing, about perceived inequities, that I wasn’t getting treated fairly. I was never mean-spirited or petty, I just cared about things that previously had not occupied my mind. I suppose when my entire life was collapsing as I dealt with divorce, foreclosure, and kidney failure it naturally follows that I would be a little insecure, even paranoid. After all, when I go to a football game, I don’t think, I KNOW that they’re talking about me in the huddle.

Now that I’m healthy, relatively unconcerned about money, and too low on the totem pole at work to worry about being knocked off, I worry about the neurotic side that has emerged.
I am a Recovery Case Manager. I work with people trying to recover from addiction. There are no performance metrics other than documentation. The rest consists of managing your own caseload with empathy and efficiency. There is no competition, we all run our own affairs with adherence to general protocol and a lot of individual styles. Management is supportive and largely hands-off. And I am fucking good at it. My clients are well-served and have everything they need handled. So why do I care how many cases the woman who started after I did has? Why do I immediately assume the worst when my manager sends me a simple email telling me that they want to go over something with me? Why do I have to remind myself that by all accounts I am doing really well?
I can handle a lot, and my job gives me a lot of satisfaction. I sure don’t do it for the money. So why do I always wonder if I’m in trouble?

I hate this side of my personality. I love my job and I am really really good at it. I wish I knew where it came from so I can stick a stamp on it and send it the fuck back where it came from.

Entitlement

Nothing screams hypocrisy more than a tiktok video generated by a white woman in a car with leather seats, wearing a designer sweatshirt, with expensive sunglasses adorning her head screaming into a $1000.00 iPhone about “entitled Americans.”

I shouldn’t have to say this, and I probably shouldn’t, but here goes…all Americans are entitled. You can see it everywhere if you look for it. It starts with the sayings we hear all the time.
“I’m going to get what’s mine!”
Excuse me, but what exactly is yours? Is there a locker at the local bus station containing a box labeled yours? Are the contents a bag of cash and guaranteed happiness? No, nothing is yours. You have to earn it. Through hard work, dedication, and sacrifice. Even then there are no guarantees, just opportunities.
“I deserve it.”
The three words I will never, ever say. I deserved to get my ass kicked in High School when I shot my stupid mouth off to the wrong guy. I don’t deserve anything else. Nor does anyone else. If you’re fortunate, life will repay you for what you put into it. If you work, you get a check. If you help someone they may help you back. Any other expectations might as well come from rubbing a bottle. Nobody deserves a damn thing.
“The Constitution guarantees my happiness.” No, it guarantees the pursuit of it, not the actual happiness.

That’s the point here after all, when did we start believing that we are supposed to be happy and something is wrong and worse, that it is somehow due to a failure on someone else’s part?

We’ve been sold the American Dream, which is a bill of goods that basically says that we are exceptional and are not vulnerable to the same perils as every other country. So we feel comfortable in the future so we don’t save money; we don’t think about consequences because we believe everything will work out. We’re entitled to it, or a bailout when it doesn’t happen. And when it doesn’t, we expect it to even itself out. And there is no guarantee. Life is not fair, nor is it always fun, and in a lot of cases it just plain sucks. People have problems, bad ones, and it is often due to no fault of their own. Life can be brutal yet we, as entitled Americans, expect happiness. I am of the opinion that happiness is a subjective notion. It is based on expectations and those expectations must be modified for the times we live in. With all of the stressors of the world today, even those with a relatively problem-free life consider happiness what you can experience in your free time. After work, weekends if you’re lucky enough to have them off is the time that we do what makes us happy. Spending time with our families or friends or indulging in activities or hobbies, you get the point. If we get enough of that to balance out the effect of what sucks in our lives, we can say that to a point, we are happy. But thrilled is questionable, ecstatic unlikely, and euphoric is just not happening.
Because life is hard.


I don’t mean it as an insult. It’s just a fact. Americans are entitled. Even the lowest among us has a life that any of the millions of people trying to get into this country would call happy.

The Horseshoe

I’m a fortunate man. Things seem to fall in my lap sometimes. S0 often in fact, that I began to believe an idiom that I used to scoff at,”Everything happens for a reason.” I was always a shit is random kind of guy. But so many things, series of events, and happenings have occurred for it to be random. Tonight’s tale is the latest.

I clean cars for people in town. It has become an illustrious little enterprise for me and, in three years, has netted some much-needed disposable income and also some great relationships. One such relationship is Ellen, a Nurse who lives in a Condo development in town. I dropped off her car early this summer and she waiting with a check and a cash tip. As I pulled into my driveway I noticed that she had given me two 20’s. I called her and asked if she meant to. She hadn’t, the bills were stuck together. I brought her the money back. She was very impressed with my honesty and told me that in turn, she would spread the word about my services in her development. I thanked her of course, but that wasn’t why I did it.

Last month I got a call from a woman in that development, referred by Ellen. I gladly cleaned her car for her and when I dropped it off she was quite talkative. She had heard through the grapevine the story of Bill’s health journey and she wanted to know if I was ready to go back to work. I told her about my Insurance license and the position I had committed to. She told me that her company was hiring. She is a therapist at a Drug/Alcohol Recovery center. Undeterred by the fact that I told her I was about to be employed, she continued. I was intrigued and told her that if the Ins gig didn’t work out, I would reach out. I drove home excited, working with people in recovery is something I have mentioned many times as a career choice. But I was committed so I put it out of my mind.

Then the Insurance thing didn’t work out. I immediately called her. She gave me a contact to call. I told my mother and she immediately recognized that I had expressed interest in that field before but I had moved on because I didn’t have a Social Work License. As it turns out, the available Case Manager position doesn’t require one. I made the call and it was requested that I fill out an online application. I did it that evening. The next day I got a call and ten minutes later I had an interview for the following day.

The interview went great. I was prepared and dressed to the nines. Interview equals suit to me, my dad would roll over in his grave if I showed up to an interview without it. I made the right call. The interview was great. I wish I had the confidence I have now in what I bring to the table twenty years ago. I explained my reasons for wanting to work with people in recovery. Wanting to help people is paramount of course and that was the central theme. I came across as humble, genuine, caring, and compassionate. It wasn’t an act, I don’t state those qualities, I exemplify them. I knew the role of Case Manager in and out and made sure they knew that. They repeatedly emphasized how hard the job is. I wasn’t phased. They even admitted that they try to talk people out of it to see if they are intimidated. It didn’t work. I like to work hard.
I left excited and I knew that they had seen the real me.
That was Thursday.
I got the call today. I was offered the position.

I did a job. I went the extra mile to the point where someone felt the need to help me. That effort resulted in meeting a person who had access to something that I have always wanted to do. At a time when I most needed it. That is not a coincidence. I have a lucky horseshoe lodged in my ass and I will leave it there.

It is definitely bringing me luck.

The awkward reunion

I did a series recently on the trials and tribulations of a new job that I had started at a local restaurant.

The long and short of it was that it didn’t work out. Among all of the disappointments, one stood high above all. I was mad at myself for walking out. I have never in my life left a job without leaving notice and completing it. But this one time, I had an argument with a co-worker that drove me to leave at the end of my shift.

I had trained a kid with a smug expression and an entitled attitude. It wasn’t an assumption, I knew from the moment I met him that he was going to do a bare minimum, help no one but himself and think he’s entitled to more than he deserved. Sounds like a leap to you I’m sure, but I was right on and he took little to no time to prove me right. But I tried to make it work, I may be cynical but I’m fair and I trained him the best I could. He proved to be a decent worker but I knew his snarky attitude was going to cause a problem. On his second week, it happened.

On a busy Saturday he became overwhelmed. I stepped in to help him and he snapped and started yelling at me. He didn’t want help. I knew for the sake of the business that he needed it. It got ugly. I was furious. Normally people who talk to me like that end up spitting out some teeth but I walked away. But I was so disgusted at the fact that my owner did nothing and my coworkers showed me no support that I decided that there was no way I could work there anymore. I was pissed off, and I was embarrassed. The only positive was that I didn’t say or do something that I would regret to the kid. I’m not a violent person but I can be spiteful when wronged and he really pushed my buttons.
I finished my shift, three and a half hours of barely suppressed rage, and I headed for the door. I gave my friend and boss a chance to say something, anything, and he didn’t so I punched out and never went back.

I took a few days to process it. I felt real bad about leaving with no notice and I would address that later. My anger at the kid was still boiling up inside me. I began to imagine scenarios in which I would see him again. What would I do? It’s a small area, I knew there was a good chance that we would meet again.

Last week I went to my local Wal-Mart to pick up some prescriptions. When I approached the counter I saw a familiar face. Yup, my little friend from the restaurant was now a Pharmacy Tech. He saw me and his face was priceless. I grinned as he ducked into the back room. I was told that my scripts were going to be a few so I sat and waited. I watched as he moved about and knew he was clearly avoiding eye contact with me. I averted my stare and asked myself how I wanted to handle this. Several minutes later, I watched as the woman at the counter asked to leave for her break. I laughed to myself as my little friend reluctantly approached the register to replace her. I nearly laughed openly when I was called. Yup, he was going to be the one to serve me. It was too perfect. By then I knew what I was going to do.

I approached the register, gave him my name and DOB and waited for him to gather my order. As he began to ring me up, with almost ZERO eye contact, I stepped to my left to get around the plastic sneeze shield that separated us and I said “Kid, for all it’s worth I have no hard feelings. The past is the past.” The relief visibly washed off of him. He smiled and replied,
“I was hoping that was the case.”
We talked a bit about the restaurant, I congratulated him on getting a better job and I left. I thought about it on the way out. Sure, I could have wanted an apology. I also could have been rude in so many different ways. But I was pleased with the way I handled it. Anger, bitterness and resentment are heavy and cumbersome. I don’t like carrying it around. I chose to forgive it for me, not for him.

I think I did the right thing.

A much needed reminder

How are you don’t lieInstead of heading straight downstairs to find a seat for dinner I asked my Brother John to save me a seat. I knew many people at the event but I always prefer to sit with close friends at these events and for some reason, one which will reveal itself at the end of this post, I wanted to sit with John. I can’t put my finger on it but for some reason, we really click. He agreed and I went outside to clear my head and put on my “everything is fine” face. I knew that I would be asked how I was doing by many. My health history is well known and it is a blessing and a curse that many inquiries regarding my progress are made. I needed to be ready. You see, it is my opinion that for some the greeting “How are you?” is generic at best. But among my brethren they really mean it. And they know me, I have famously said “fine” to the greeting hundreds of times when I was anything but. A true friend would push and ask for the truth. That night, it was going to be difficult to satisfy those people because despite my robust physical appearance, I was bearing the weight of the world. Someone was going to call me on it.

The walls really were closing in on me. I was beating myself up over leaving my first Insurance Job. Three weeks in I was being pushed too hard and trained too little and despite my Herculean efforts to learn and apply TONS of information from Licenses to Certifications they weren’t happy with my progress and we parted ways. It really isn’t a huge deal career-wise. It wasn’t a good fit and I wasn’t contracted yet. Still, I felt like a failure, as I am prone to do. I was miserable. On top of that, I was disgusted and upset that my recently-broken-up-with ex-girlfriend didn’t have the decency to even text me after I drove over an hour out of my way to give back some belongings. Why would she be so childish and angry with me after she dumped my ass? She broke my heart and n top of reeling from that, now I have to wonder about this? I was consumed and my mind was racing. I shook it off and went inside.

I joined John and a few other good friends for dinner. It really was a tremendous set up. The room was full of well-dressed happy people. The decorations were lovely, the food was amazing and the bar was open. As expected, many inquiries were made about my health. I think I fooled all of them. Then John says to the whole table, hand resting on my shoulder, “Bill has the most amazing attitude. He is the most determined, optimistic and cheerful guy I’ve ever met. He’s been through so much and he keeps dusting himself off. He’s an inspiration to me.” Everyone at the table offered up similar sentiments. I gratefully acknowledged them and thanked them profusely.
Then it hit me.
There was the reason I had felt compelled to sit with John that evening. Because I was destined to hear that. Not for the praise, despite how flattering and humbling it was. No, it was a REMINDER to stop spiraling down the drain of negative thinking and remember that I have survived so much big and important shit in my life that I can’t let a couple of setbacks get me down. Somehow I had lost my mojo but John’s words snapped me right out of it. To Hell with the heartbreak, it’s her loss. To Hell with the job, it wasn’t the right company but I’ve still got the license and I will use it. To Hell with negativity in general, I needed to get back on track.

I know this is hard for some people to believe, but sometimes things really do happen for a reason. I was at an absolute low and by the end of dinner, I was actually in a decent place. I can’t begin to understand how it happened that quickly, but I can’t deny that it happened.

Today, I’m not 100%. I still miss her terribly and I still wish the job had turned out better. But neither of them are getting me down. And for now that is good enough.

A new venture

I’ve been away a while. When I get really involved in something I totally dive into it and I don’t allow time for other things. This includes Blogging. I really got into something and I just now feel that I have time to get back to putting my thoughts to paper (as it were).

The biggest change in my life of late is the confirmation that I am in good health and should be, depending on how diligent and committed I am to maintaining it, for a very long time. While this is to be rejoiced, it presents a new set of challenges. For one, my Disability Benefits are expiring and I have to return to work. I’ve known this for some time but it’s getting closer and closer to the day they cut me off. I look forward to going back to work, I’m not really a big “collecting” kinda guy. I’m excited actually because this time around I may be able to find something I want to do as opposed to a life of tolerating jobs because my family and finances required it. Fuck money, I’m never going to be rich and my overhead is a lot lower now. Satisfaction and the possibility of helping someone is the goal.

So I started interviewing.

Despite hiring a professional Resume service, with the specific request that my skillset acquired through years in the car business was presented in a more universal manner because I believe that the skills are transferable. Many hundreds of dollars and several weeks on job sites later…you guessed it. Car sales were what I was being offered. Double sigh.

Then I got a call from a recruiter who offered me an interview in a business that had always interested me, Insurance. So I interviewed. A good group of people with a lot of good products in a fairly friendly atmosphere. They offered to take me on, as a contractor. Agents are generally not salaried and benefitted employees. Again, at this point in my life, I can do something like that so I asked for the next step. I was told I couldn’t do anything until I got my State Insurance license.

Oh boy, testing. My favorite thing, with the possible exception of shaving my scrotum with a cheese grater. But I decided that an Insurance License would give me a tool for life to earn a living. There are so many possibilities. I was excited. So I signed up for the prep course.

For 3 weeks I lived, ate and breathed Life, Accident and Health Insurance and Annuities. I worked my ass off. All the while the agency checked in with me on my progress. I registered for the test on the following Monday and 2 excruciating hours later I passed with an 84. A 71 was the minimum score allowed. With one click of the mouse I received my license and producer number and I became a licensed Insurance Agent. My life was about to change.