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About this blog : I intend to make recovery fun with lists and contests that lead to a point that supports recovery. Alas, until my mem...

Saturday, May 21, 2016

Do You Know the Difference between a Dog and a Fox?

A 12-Pack of beer.
For those who don’t understand the reference, check out this link, or Jimi’s musical explanation.
The joke, which often turns sour, is based on the phenomenon, known as “beer goggles” that see a “ten” in the bar at 2, but a “two” in bed at 10 the next morning. One Sunday morning I gave my roommate’s Saturday Night Special a ride home. He jumped into the back seat of my Mustang and she rode up front. A sidelong glance told me all I needed to know. As we pulled away from her place, I noted, “She has moss on her teeth!” He agreed, but qualified it: “Only on the north side!” 

Lest this seem sexist, it also applies when the gender roles are reversed. There were ladies who slipped quietly out the door after waking up next to my unattractive form on a hungover morning.
The point of the joke is this: If you will change your standards about who you will sleep with, you’ll change your mind about whether you will drive after that same Package 12. Especially if said prospect indicates a need for a ride home. 
Bottom line: I believe you, this sober client sitting in group, outlining your plans to drink, but avoid another DUI. But I don’t believe you plus twelve. That person isn’t present right now and they are likely to have a different plan.
We use alcohol, other drugs and gambling to change the way we feel. The trouble is, it works. Too well. When we change the way we feel, it changes the way we think and behave. When we change from “shy” to “confident,” it doesn’t stop at the ability to walk across an empty dance floor and ask someone to dance. It includes the confidence to think we can drive just fine. Or, not think at all. Just turn that key.
One guy decided to walk home as it was only six blocks. He headed in the wrong direction as he left the bar, wandered around for a bit, happened upon his pickup and, you guessed it, decided to drive home. Arrested. The good news there was that he now believes the arrest to be the best thing that ever happened to him. He still calls me on his “birthday,” still in recovery ten years later. I have a post in semi-progress on that.
In 20 years of working with over a thousand clients, I heard numerous examples of the power of alcohol to dissolve sensible vows made with a fully functioning brain. How that works deserves a post of its own. Other drugs have their own, not always useful, effects.

If you have a topic you would like me to write about, please leave a comment on the blog, reached by clicking on the title, underlined in blue

Monday, May 16, 2016

"Ain't That a Shame" That It’s a Shame...

...when it should be just another medical diagnosis: Substance Use Disorder.
Instead, it’s a Shame that Prince had to die.
Imagine that Prince suffered a heart attack on that flight back from Atlanta. They’d have flown him in a helicopter, with a full air-evacuation crew, to the nearest heart hospital, publicity be damned.  After the necessary procedure, he would have been recovering at home. But, no. He had to keep this problem a secret, because, you know, he had this shameful issue with drugs.
It's a Shame that due to moral judgments about a physical illness, people with a Substance Use Disorder hide their problem instead of seeking help.
Prince’s death was not his Shame. It is society’s Shame that we made a Shame out of a Substance Use Disorder. A physical illness. Not a moral failing.
If it wasn’t a “Shame,” Prince and a lot of other people might be alive and thriving today. 


*I wrote this during the week, to post Saturday night, but apparently everyone one from hip-hop artists to the President share my concern with “Shame.” Here are excerpts from the link below. (My emphases)
You can watch President Obama’s weekly address above.
Read the transcript of President Obama’s Weekly Address below.
POTUS: Hi, everybody. I’ve got a special guest with me this week – Macklemore. For those of you who don’t share the same love for hip-hop, he’s a Grammy-winning artist – but he’s also an advocate who’s giving voice to a disease we too often just whisper about: the disease of addiction.
MACKLEMORE: Hey, everybody. I’m here with President Obama because I take this personally. I have abused prescription drugs and battled addiction. If I hadn’t gotten the help I needed when I needed it, I might not be here today. And I want to help others facing the same challenges I did.
POTUS: Overdoses now take more lives every year than traffic accidents.
MACKLEMORE: I didn’t just know someone – I lost someone. My friend Kevin overdosed on painkillers when he was just 21 years old…

POTUS: On top of funding, doctors also need more training about the power of the pain medication they prescribe, and the risks they carry. And another way our country can help those suffering in private is to make this conversation public.
MACKLEMORE: When you’re going through it, it’s hard to imagine there could be anything worse than addiction. Shame and the stigma associated with the disease keeps too many people from seeking the help they need. Addiction isn’t a personal choice or a personal failing. And sometimes it takes more than a strong will to get better – it takes a strong community and accessible resources.

POTUS: When we talk about opioid abuse as the public health problem it is, more people will seek the help they need. More people will find the strength to recover, just like Ben and millions of Americans have. We’ll see fewer preventable deaths and fewer broken families.
MACKLEMORE: We have to tell people who need help that it’s OK to ask for it. We’ve got to make sure they know where to get it.

Read More: Macklemore Joins President Obama's Weekly Address to Talk Opioid Addiction | http://theboombox.com/macklemore-president-obamas-weekly-address-opioid-addiction/?trackback=tsmclip


Saturday, May 7, 2016

A Shame Prince Didn’t Know This Lady*

She might have advised Prince to reconsider the high-heeled high-jumps that led to the pain that led to the pills that led to the addiction that led to his untimely death. Since he “had an unflinching reputation  (New York Times) among those close to him for leading an assiduously clean lifestyle” he probably never dreamt his “Purple Reign” would come to an end at 57.
Hint: Legal does not mean “risk-free.” “Risky” does not mean unnecessary. Surgery can be necessary. Using a scalpel to cut on myself, isn’t. Alas, for some folks, cutting might feel necessary. Slick has many faces. Two faces aren’t enough for this consummate liar.
To minimize the risk of using prescription painkillers, typically "opioids” (related to heroin), do not try to drive your pain to “zero.” The prescriber should ask you, “On a scale of 1 to 10, how bad is your pain?” If you answer “9,” they should ask, “On that scale, how much pain could you tolerate?” If you say “6,” then you should take enough to drop the pain to “6” and no further.
When you use drugs to alleviate physical or emotional pain, your brain doesn’t eliminate the cause of the pain, just your awareness of pain. The brain discovers that the messages informing you “Houston, we have a problem!” have been blocked, so it "shouts" them louder. Like a kid in a grocery store trying get his mother’s attention as she chats with a friend. She automatically tunes him out, he shouts louder. By the time he punches through, he can be heard by people in the parking lot.
This is the mechanism that drives “tolerance” to drugs. This is why we need to stop at “6.” This is also why we can’t use the meds to “play with pain,” even if they allow us to keep the pain at a tolerable “6.” Pain is our friend! Pain says, “Knock that off! You are damaging our body! Stop it! You hear me? No? Well, let’s amp it up a little more!” The more we use, the more we need to use to drown out our brain’s pleas for stronger and stronger relief, until finally the “therapeutic dose” is dangerously close to the “lethal dose.”
Eventually, this bastard “child” *** is screaming so loud that the pain messages are still coming through despite the opioid’s attempts to block them. Quitting the drug “cold turkey” allows those amplified messages to come pouring in all at once. This is known as withdrawal. Now the person is confronted by a choice of two “evils,” and their brain is in no condition to make an accurate assessment to determine which is “the lesser.”
In the case of opioids, the withdrawal feels like death is imminent, although alcohol withdrawal is more likely to kill a person. A person attempting to abstain or even cut back, after having already burned through most of their month’s prescription, goes into that extremely painful withdrawal and desperation sets in. If they “score” the drug via “doctor shopping,” a friend, a dealer or someone’s medicine cabinet, they are especially liable to overdose. Like the time you were totally dehydrated, nearing heat stroke and given ice water. “I better sip this slowly…glug, glug, glug."

Prince was supposed to meet with a doctor specializing in addiction treatment the day after he died ... to deal with a "grave medical condition." (TMZ)
Another dangerous situation occurs once Slick becomes aware that serious plans are afoot to deprive him of his sustenance. Slick does not communicate via language. He has much more powerful means at hand. Emotional messages. Emotions screaming from our Survival Circuits: “We’re going to die if we don’t get our drug!” Wrong again, Slimeball! We’re going to die if we don’t stop getting our drug. The same Survival Circuit that goes after that water like it was the last H2O molecule on earth tears into the new supply with the same ferocity. Down the hatch! Into the vein! Relief! So, so, sweet. So, so, so deadly. (Cue The Final Last Hurrah).
Have you ever noticed that we don't have to wake up every minute all night long and remind ourselves to breathe? That's because Slick is just a hijacker in our Survival Circuit, which is our autopilot for breathing and sending reminders to eat or drink water. The key to breathing is that our autopilot never goes to sleep. Opioids and alcohol put your brain to sleep in levels, judgment famously being the first to go. The last level is our autopilot. A sleeping autopilot steers us quickly into “The Big Sleep.”
If you have never experienced withdrawal, but would like to get a sense of its power over people, give me less than two minutes of your time and I will put you there: Sit in a chair with arms. Take three deep, slow, breaths. Hold the last one as long as you can, without fainting. Few people will have to worry about that anyway. Our Survival Circuit will scream loudly enough to let you know the experiment succeeded. You have just gone into withdrawal from oxygen.
*From the obituary of a rural woman who just died at 101:
While a student at Doland High School in 1929, Ethel’s…project studied the “harmful effects on our bodies from wearing high heeled shoes…”
For a look into a now-quaint lifestyle, but a useful and well-lived life, see the rest of her obituary here.
**From NIDA heroin search results”
“Heroin can be injected, inhaled by snorting or sniffing, or smoked. All three routes of administration deliver the drug to the brain very rapidly, which contributes to its health risks and to its high risk for addiction, which is a chronic relapsing disease caused by changes in the brain and characterized by uncontrollable drug-seeking no matter the consequences.” (my emphasis)
“Changes in the brain” emphasized because it matters not what your brain thought and, more importantly, felt, before you used a drug. If your brain changes, you change. You change your feelings, thoughts, behaviors and attitudes. Slick changes you for the worse a lot easier than you are going to be able to change back. Only sure fire means of prevention: Don’t sample or you might wind up being the specimen. More on this in another post.

***My brother says, “There are no illegitimate children. Just illegitimate parents.”