(Eleventh in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
Honesty is one of the main themes that ripple under the surface of “The Blues.” Expressions of honest feelings, whatever they may be at the moment – themes of lost love, painful relationships, dashed hopes, and heartache. The majority of us have or will experience heartache in our lives. Although it seems counterintuitive, most of us feel consoled by songs that express what we are feeling deep inside but may have a hard time putting into words. In order for me to be honest, I have to acknowledge that I am singing The Blues.
(Tenth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
When there is a rupture in the earth’s crust it creates a seismic disturbance, the prelude to an earthquake. Something seismic happened deep inside us the day our son died – a fissure opened, and all our energy was expelled. What followed that shock was the onset of grief and, as with earthquakes, the aftershocks. But unlike earthquakes, the aftershocks of grief continue for days and months and even years.
(Eighth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
When I was young, I only went to one funeral. I can’t remember who it was for or where it was, but it must have been for a close relative or I wouldn’t have been there. I do remember seeing everyone dressed in black. It was a very somber setting, people talking in hushed voices, and I didn’t comprehend what was happening. I just knew everyone was sad. After that day, I never thought about that person again – and even if my parents thought about him or her, their acts of mourning seemed to stop with the funeral. And I had no knowledge of any grieving on their part because at that time and in their cultural setting, people kept feelings regarding their grief to themselves.
It wasn’t until 20 years ago when my younger brother died from AIDS that I was faced with a death that was so close I felt a personal loss that tore at my heart. There was no way to just quickly plan a funeral and burial and then move on. My life as I had known it, now had a gaping chasm where my brother had once been and it was not going to close up anytime in the near future. I needed someone who had travelled this path before me to guide me through the overwhelmingly disturbing and depressing feelings. None of my friends had experienced a close loss like this. So, I looked to the books that were most recommended: On Grief and Grieving by Elisabeth Kübler-Ross and A Grief Observed by C. S. Lewis.
(Fifth in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right.)
After many years of not having a dog, we decided to adopt one from our local shelter. We found a beautiful German-shepherd/wolf mix who was 18 months old. Bella was docile, sweet and quiet. The next day, as I headed out to the grocery store, I gave her a hug and saw her watch me through the window as I got into the car.
When I returned an hour later, I was met with a shock. I found her, panting rapidly and pacing nervously in our bedroom where our wooden shutters were open and had bite marks. She had tried to escape while I was gone. I had no idea why. I immediately called the shelter. “She is having separation anxiety: she needed to escape being left alone.” We found out that she had been with two families previously when she was dumped at the shelter because she continued to try to escape when she was left alone for hours on end. They gave us the name of a dog behaviorist and we started down the long road of helping Bella manage her fear when we had to leave her at home.
Children and adults can experience separation anxiety when someone they are attached to leaves them. They can have recurrent and excessive distress just anticipating being separated from loved ones and the anxiety can be so intense that it is hard to function in everyday life. Panic attacks and physical symptoms such as nausea and headaches can occur. For me and my husband, on the morning of our son’s death from overdose, standing over our son in that body bag we experienced the ultimate separation anxiety. The overriding emotion we felt was fear: fear of the unknown future we were facing. We couldn’t visualize how we would survive without our son as part of our lives and the future we thought we all had together. He had not only been an integral part of our lives for 25 years but he was literally a part of us–the combination of our DNA that formed him as a particular and unique human being. To say that it was like having part of you taken away doesn’t describe it. This was having our hearts torn out.
We would never embrace or kiss or stroke the cheek of our son again. We were facing an existential crisis, shaken to the core, questioning our reason for living. Regardless of our strong faith that had seen us through many other deaths in our families, this separation seemed incomprehensible and cruel. It was only by falling down on our faces and waiting for Mercy to gradually pick us up that we were able to survive this traumatic separation from our son and move forward again in life.
We are a global community – like it or not. We are connected down to the minutia of life, from what we breathe, to what we eat, to what we think, to what infects us. And right now, the world, our world is in a life-or-death struggle with a microscopic enemy that seems to keep gaining the upper hand. The result in just one area is massive unemployment and the subsequent loss of access and funding for public and private support services.
I don’t want to get in to the politics of whether economies should be opened up regardless of Covid-19 and suffer the consequences in lives lost, verses lives ruined by no work and massive personal and societal debt. What I am concerned about are the consequences of what so many millions of people are facing from having lost their means of livelihood, and in particular, those whose lives were already balanced on a knife edge on a daily basis.
With so much distress in the world with the Covid-19 Pandemic, especially the effects it is having on the weakest and vulnerable members of our societies, I have hesitated to announce a personal accomplishment. Yet, my hope is that as Opiate Nation gains more visibility, it will get into the hands of people who could be most encouraged and benefit from our story.
I am a member of a group of 35,000 women called “The Addict’s Mom” on Facebook. I confess, I rarely read the posts because it is so depressing: Story after story of mom’s who have been holding out for years to see their daughter or son released from the hell-hold of addiction to drugs, only to then post that “…today I lost my daughter/son…can someone tell me how I will survive this?” It is for these mom’s and dad’s and siblings and friends that we wrote Opiate Nation, but one of the stipulations of being a member of the group is no self-promotion. So I hope that, with more visibility and more reviews and re-posts on social media, our book will get to these most desperate of people.
“Drug Overdoses Soaring: Suspected overdoses nationally jumped 18% in March, 29% in April, 42% in May, data from ambulance teams, hospitals, and police shows.”
As a young man in America who wanted more than anything to be free of his deadly heroin addiction, how would he be weathering the Covid-19 pandemic?
“The drug-overdose-and-death epidemic already was hurting communities before COVID-19, but during the pandemic there have been reports from every region of the country on spikes in opioid-related calls to first responders, visits to emergency rooms, fentanyl and tainted-drug-related overdoses. There also have been challenges to accessing sterile needle and syringe and exchange services.”
As the months have passed since Opiate Nation was released last October, we have received many very encouraging reviews and comments. I have gathered some of them together and created a new page entitled “Recommendations & Reviews.” (see Menu) If you have wondered whether our story is worth the read, especially if you have no personal experience with addiction or heartbreaking loss, then perhaps these reviews will have some insight that will inspire you to order a copy for yourself or a loved one. If you have already read it, we would love to hear from you and know how you have been supported and reassured through our book. It is the reason we have written and published it.
Last week, our son would have turned 31. My husband and I still wonder what that would have been like? Would we have enjoyed celebrating as he got married like most of his friends have? Would he be living nearby or in a distant state for a new job? Would he and his wife be planning to start a family and give us grandchildren? These are questions we can only visit in our imaginations, and yes, they bring pain.
On our son’s FB memorial page and our Instagram this week, I posted a photo of the desert after a storm when a rainbow appeared, with this quote: “As in nature, so in life: it takes both clouds and sunshine to make a rainbow.” I have been pondering these apparent paradoxes in nature and in life, especially the concept of darkness & light. While reading A Grace Disguised by Jerry Sittser, I was reminded again of how we felt from the moment we heard the words from the sheriff’s mouth: “I’m sorry to have to tell you, but your son is dead.” Sittser lost his mother, his wife, and his daughter together in a head-on collision by a drunk driver and says, “Sudden and tragic loss leads to terrible darkness.” Yes. Existential darkness.
He describes a dream of seeing the sun setting and running frantically west toward it in order to remain in some vestige of light – but the sun was outpacing him to sink below the horizon. As he looked back over his shoulder, utter darkness and despair was closing in behind him. He later realized that “the quickest way to reach the light of day is to head east, plunging into the darkness, until one comes to the sunrise.”
When I was growing up, this metaphor was commonly espoused: “Don’t air your dirty laundry in public.” That is, you shouldn’t reveal things from your private life that people usually don’t want others to know and they don’t want to hear anyway. Things like inappropriate confessions and unpleasant family secrets. Everyone will be embarrassed and people will feel ashamed.
Now we are more likely to hear someone respond with “TMI – Too much information” when someone goes beyond the bounds of information that no one wants to hear – either too creepy or medical or personal. Totally understandable.
But is it airing dirty laundry for us to speak openly about conditions or situations that are of a communal nature? Topics such as physical or sexual abuse, or complicity and criminal behavior by politicians or leaders, or suicide, or addiction? Of course, there are some details about issues that plague us as a community that do not need to be part of the public discussion in certain situations. But that is different than bringing an issue into the light of day so that it can be discussed in order to work towards a solution.
The Ohio Society of Addiction Medicine is a chapter of ASAM - A professional society actively seeking to define and expand the field of addiction medicine.
Opiate Nation 