Mirror Mirror

(I am re-posting this from July 4th for those who were on holiday and missed it.)

Topical blogs taken from OPIATE NATION. Translation into most languages at tab on right.

I was listening to a young man who had been heavily addicted to crystal meth. As he told his story, one of his “ah-ha” moments was walking into a bathroom in his parents’ home and seeing himself in the mirror. As he looked at the vestige of his former self – an emaciated, festered, hollow-eyed man – he remembered who he once was: a happy and carefree young person with good friends, a star athlete, a kind and honest person, a loving son. That moment of realization caused him to reach out and ask for help which eventually led to the beginning of his recovery journey.

As I heard his story, a photo flashed before my eyes of my son, JL – one we found on his phone after he died from a heroin overdose. It was a selfie he had taken after he had relapsed, just days before he died, standing in front of a full-length mirror in a public bathroom. He was dressed for work in slacks and a dress shirt. No smile. I have always wondered why he took that photo. Was it to remind himself of who he really was? To be able to be honest with himself when he might look at it later when he was high? Was he attempting to make himself stop using? To ask someone for help?

I’ll never know.

But after listening to this other young man, I’m guessing my son had similar thoughts going through his mind. Yet, what seems to have happened is that his addicted mind told himself that he could handle it on his own – that he could just cut down his use and not have to go through withdrawal one more time, not have to be embarrassed by telling us he had relapsed after 6 months of sobriety, not have to start all over again.

Perception refers to how we interpret things and it is the motivation behind our actions and reactions. His perception of his ability to use his willpower was skewed, because our self-perception is influenced by many factors including our perceived needs, our experiences, and our expectations.

Beneath self-perception is our self-concept, our view of our self, which influences our decisions, our feelings, and our judgement. It may include genuine self-knowledge or varying degrees of distortion.

Many times, we choose – albeit unconsciously – to be self-deceived because it is too painful to be honest with ourselves, to interpret what we see in the mirror with unbiased and accurate judgement. There is a saying written in the first century AD that sums this up:

“Those who hear (a clear direction) and don’t act are like those who glance in the mirror, walk away, and two minutes later have no idea who they are or what they look like.”

Because of this very human tendency, we all need a few close friends and a safe community who love us enough to honestly reflect back what we saw in the mirror – which we can so conveniently forget.

Mirror Mirror

Topical blogs taken from OPIATE NATION. Translation into most languages at tab on right.

I was listening to a young man who had been heavily addicted to crystal meth. As he told his story, one of his “ah-ha” moments was walking into a bathroom in his parents’ home and seeing himself in the mirror. As he looked at the vestige of his former self – an emaciated, festered, hollow-eyed man – he remembered who he once was: a happy and carefree young person with good friends, a star athlete, a kind and honest person, a loving son. That moment of realization caused him to reach out and ask for help which eventually led to the beginning of his recovery journey.

As I heard his story, a photo flashed before my eyes of my son, JL – one we found on his phone after he died from a heroin overdose. It was a selfie he had taken after he had relapsed, just days before he died, standing in front of a full-length mirror in a public bathroom. He was dressed for work in slacks and a dress shirt. No smile. I have always wondered why he took that photo. Was it to remind himself of who he really was? To be able to be honest with himself when he might look at it later when he was high? Was he attempting to make himself stop using? To ask someone for help?

I’ll never know.

But after listening to this other young man, I’m guessing my son had similar thoughts going through his mind. Yet, what seems to have happened is that his addicted mind told himself that he could handle it on his own – that he could just cut down his use and not have to go through withdrawal one more time, not have to be embarrassed by telling us he had relapsed after 6 months of sobriety, not have to start all over again.

Perception refers to how we interpret things and it is the motivation behind our actions and reactions. His perception of his ability to use his willpower was skewed, because our self-perception is influenced by many factors including our perceived needs, our experiences, and our expectations.

Beneath self-perception is our self-concept, our view of our self, which influences our decisions, our feelings, and our judgement. It may include genuine self-knowledge or varying degrees of distortion.

Many times, we choose – albeit unconsciously – to be self-deceived because it is too painful to be honest with ourselves, to interpret what we see in the mirror with unbiased and accurate judgement. There is a saying written in the first century AD that sums this up:

“Those who hear (a clear direction) and don’t act are like those who glance in the mirror, walk away, and two minutes later have no idea who they are or what they look like.”

Because of this very human tendency, we all need a few close friends and a safe community who love us enough to honestly reflect back what we saw in the mirror – which we can so conveniently forget.

Lifespan of Heroin & Opioid Addicts

(Second in a series of topical blogs based on chapter by chapter excerpts from Opiate Nation. Translation into most languages is available to the right. If you feel this blog is important, please repost to your social media using the buttons below. Thank You!)

When our 25 yr old son died of a heroin overdose in 2014, the statistics for the average life-span of a heroin addict was 5 years. Five years. Not very long if you are 15 or 20 or even 30, the age when most young adults’ nowadays are just getting in gear with their career, a long-term relationship, and planning a family. To have your life swept away before you have a chance to experience some of the most wonderful years of living on this earth is painful to consider.

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Woefully Unprepared

(Today begins a series of topical blogs based on excerpts from Opiate Nation, chapter by chapter, that will run for 28 weeks. Translation into most languages is available to the right.)

It’s a bit ironic that as I begin blogging through Opiate Nation we are in the midst of a pandemic. Ironic in several significant ways.

Opiate Nation was written because of the opioid epidemic – which, in reality, is a pandemic. Every industrialized nation, and many emerging and third-world nations too, are dealing with the results from the ease of availability of opioids, whether natural and home-grown, or synthetic and imported. Or both, as is the case in America.

And like the Coronavirus pandemic that crept up on us so gradually that it’s deadliness caught us by surprise and mostly unprepared as nations, the opioid epidemic crept up on us too. In both cases, certain international players were unscrupulous for various reasons, causing delays in awareness when there might have been a chance for all of us to not be caught off balance.

The “inoculation” that should have happened, especially in the United States, by way of accurate scientific information disseminated by responsible leaders, didn’t happen. Instead, false information fueled by political agendas and financial motivation created a scenario that so crippled a timely public health response that, for many nations, it became too little too late.

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Advocacy Makes a Difference

A few months ago, John was on a phone call with a physician who was asking his input about a new drug to help with opioid addiction. At the end of the call, as I walked into the room, John told him about our son’s addiction and death and how we hoped that by speaking openly about him and through our book and blog we could help in some small way. His response was something I will never forget. He said “Don’t underestimate advocacy because it is the surest way to change things. Science and medicine take a long time and have limited effectiveness.”

His comment came to mind in the recent weeks as I watched millions of people around the world protesting against racial prejudice that lay at the heart of police brutality to People of Color (POC). They are advocates of racial equality as a basic human right. I thought: how I wish I could be helpful in a practical way to a problem I have watched change very little over the decades of my life. I felt anger and also frustration, wondering if all the sacrifice and effort would actually bring about real, lasting change.

It is the same feeling I have when I see a young person on the streets, homeless and struggling, enslaved to a substance that is stealing their life. Or anyone living with addiction of any sort. And if I feel discouraged and hopeless, how must they feel? What will help bring real, substantive change and hope in all these circumstances?

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What people are saying about Opiate Nation

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.

CAN MONEY REALLY COMPENSATE ?

CNN reported this week that Mallinckrodt, a large opioid manufacturer, has reached a settlement agreement in principle worth $1.6 billion with attorneys general for 47 states and US territories. Mallinckrodt announced that the proposed deal will resolve all opioid-related claims against the company and its subsidiaries if it moves forward. Plaintiffs (states) would receive payments over an eight-year period to cover the costs of opioid-addiction treatments and other needs.

Compensation: recompense given for loss injury, or harm suffered. Are the settlements that are being levied against Purdue Pharma, Johnson & Johnson, TEVA, Mallinckrodt, McKesson Corp., Cardinal Health Inc., AmerisourceBergen Corp. really compensation for the millions of lives ruined by opioid addiction? Or for all the lives lost in the past 20 years?

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AIRING DIRTY LAUNDRY?

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.

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Benefits of Public Dialogue

John and I live in Melbourne, Australia with our daughter and her family several months of the year. Since our son’s death by overdose from heroin 5 years ago, we have become interested in and involved with some of the Alcohol and Other Drug (AOD) programs there. We also receive news reports on current trends etc.

What is interesting to me is the contrast between the Australian approach to AOD use and the American approach. Australians accept that there will be drug and alcohol abuse in their society and therefore speak openly and candidly about it. A recent newsletter (Dec. 13, 2019) from VAADA (Victorian Alcohol and Drug Association) is a perfect example of their approach. It was an alert about “ increasing numbers of reports about very strong heroin in Melbourne, which has resulted in an increase in accidental overdoses.”

The alert asks providers in the AOD sector to alert their clients (heroin users) to this problem and to be careful and look out for their fellow users. They also urge providers to share specific harm reduction information to help reduce the risk of overdose, such as: get naloxone and keep it handy; try not to mix drugs (there is a lot of methamphetamine use mixed with heroin/opioid use); be smart about your tolerance, knowing it can change if you haven’t used for even a few days; and try not to use alone or in an unfamiliar place where you wouldn’t get help if you do overdose (which was the case for our son).

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OPIUM: UBIQUITOUS THEN AND NOW

When I was in Melbourne, Australia recently with our family, I was starkly reminded of the ubiquitous presence of opium in the past as well as the present. Not that I can ever really forget it’s demon-like presence. But when I am asked what I do and I respond that I am a new author, the next question is what my book is about. After I give a short description, I am always surprised at how many people have stories of their own involving this ancient plant – a plant that truly offers humankind a double-edged sword. It can so wondrously relieve pain when our bodies have been injured or undergone surgery. Yet it has a mysterious way of latching on to a large percentage of we mortals who, having once legitimately used this soothing balm, then find the memory of that bliss like an oasis in the desert that we chase after at all cost.

Within a week, I heard three stories. One seems like something out of another era. A 60-yr old man, after hearing about our son and Opiate Nation, began to tell me about his years growing up in Singapore. He explained that both his mother and his father were addicted to opium and would regularly go to the opium dens to smoke. He remembers the intoxicating smell when he would go to find them to use the opportunity of their being in a blissful state to get money from them. He never wanted to use that drug or any other.Melbourne, Australia

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