addiction – Page 7 – Nick Grant

Nick Grant

Tag: addiction

  • Promoting Health

    This is a story about being counter-productive…

    Fire alarm

    95% of my fellow patients smoke cigarettes. There’s nothing to do on the psych ward, so I can see why they would. Cigarettes are a way to pass the time; to deal with boredom; to relieve some of the stress of being locked up with a load of mentally ill people; to self-medicate for all manner of problems.

    Nicotine is fiendishly addictive and a psych ward is not the right environment to kick the habit. As a non-smoker I’m well aware that I’m not involved in the activity that dominates the lives of my fellow patients – obtaining tobacco, rolling cigarettes and harassing the staff to be let outside to smoke.

    There is a small outdoor area which can be accessed via some steps, enclosed in a cage so that nobody can jump and injure themselves, or attempt to escape. Every hour, the door to the steps is opened for 15 minutes, and the smokers all cluster around the top of the steps, getting their nicotine fix. Nobody goes down the steps into the outdoor area – they remain in the cage.

    I challenge the staff – why don’t they leave the door open the whole time? Nobody could escape from the outdoor area, because it’s surrounded by high fences. The outdoor area is well covered by CCTV, and it’s no harder to keep an eye on people than any other part of the ward.

    The standard response from the staff is that it’s “promoting health” to deny nicotine addicts access to the only place they’re allowed to smoke. I call bullshit on this, because there’s no data to support the hypothesis. “Look around – everybody smokes… nobody is smoking less because of this rule” I say. The staff argue that the NHS can’t be seen to be “promoting” smoking. This is a completely ridiculous idea. The nurses and support workers hand out the cigarettes and cigarette lighters – the NHS is intimately involved in the whole process of smoking, far more than if the patients were given the choice as to how they dealt with their addiction.

    Steps down

    I’m in a dorm with 3 other men. It’s a lot quieter than the single room right next to the TV – the TV blasted out for 19 hours in every 24 at full volume. The noise was unbearable. My fellow patients in my dorm report that they’re lulled off to sleep by the rhythmic tapping of my keyboard, as I pound out these words. I was concerned that I was being a noisy nuisance, but they reassure me that it’s quite the opposite – it’s a kind of white noise that’s relaxing, like hearing raindrops falling on the roof or hitting the windows, driven by the wind.

    A guy is coming out of my dorm, but he doesn’t sleep in my dorm – he has his own room. What’s he doing down at this end of the ward? Then, my nostrils are assaulted by the smell of smoke. I push the door to the bathroom open and it stinks – there isn’t even a decent extractor fan to get rid of the smell. I write a note and secretly pass it to a nurse, pretending to pass her my laptop to be charged in the office. I scurry away down the corridor but she yells after me “tell XXXXX about the smoking in the toilet” waving the note, right in front of the guy I’m dobbing in. I cringe – does she not know that snitches get stitches?

    Another nurse comes to our dorm and she starts accusing one of my dorm mates of smoking in the toilet. I leap to his defence. “Who was it?” she asks, and then bellows out his name when I whisper the answer. The fact that many of my fellow patients have a criminal past and have been in prison, does not seem to concern the staff members. Perhaps there aren’t fights in here. Perhaps they never see any violence. Perhaps my fears are unfounded. Am I being paranoid?

    The fire escape is padlocked shut, there are no fire extinguishers or sprinklers, the break-glass buttons are enclosed in plastic boxes that prevent the fire alarms from being set off – a fire in here would be catastrophic. Yet, I am certain that there are at least 2 cigarette lighters that are being used in my dorm. The patients smoke openly when the staff are doing their handover between shifts, when there’s absolutely nobody around.

    I make subtle enquiries with my fellow patients – how do they feel about the restrictions on smoking? Everybody agrees that the restriction on access to the outdoor area is more about control than it is about “promoting health” – they feel that the staff have created a system that allows them to exercise dominion over their inmates. “Smoke time!” demands one of the more aggressive patients, banging on the window of the office. “Calm down! Stop shouting!” yells back a staff member. This is an artificial and avoidable situation – why does it exist, when it’s creating conflict between staff and patients, and making people stressed and unhappy?

    When I was confined to the ward I would have made use of the outdoor area to walk around, get some fresh air and get some natural light. However, I couldn’t get past the gaggle of smokers clustered around the top of the steps. To leave the door open all the time wouldn’t create this ridiculous situation, where all the patients are fixated on this controlling aspect of their lives.

    It’s saddening, to see 19 men all hanging around waiting to be given a lighter and be let out, like they’re animals; pets.

    In defiance of the pointless draconian controlling bullshit, a handful of patients have smuggled cigarette lighters and tobacco into the ward – it’s not hard when some patients are allowed unaccompanied leave from the ward. “Have you got any bottles or lighters on you?” a nurse asks me when I get back from an outing – I’m not breathalyzed or searched, even though I’m carrying a bulging bag.

    I suppose the privilege of being allowed to leave the ward could be revoked, as a punishment for misbehaviour. The chance of being discharged early and allowed home is also under threat, for any patient who’s troublesome. Most patients are here for a 6-month stay. It’s up to 6 months, but it’s more often longer, not shorter. The reaction to not being allowed to go home is rarely handled well – can you imagine that people who are unwell are able to remain calm and represent themselves clearly and articulately, when their liberty is at stake?

    In terms of mental health, nothing could be more stressful, adversarial and paranoia-inducing, than having doctors and nurses discuss you behind your back, having been peeked at through the curtains every 15 minutes – patients are literally spied on and judged. Life, liberty and free-will are all interfered with in an institutional environment that’s a cross between a prison and a school. Notices on the wall tell us they promote “independence and well-being” while also telling patients the very strict times that they need to be at the dispensary hatch to get their medications. At 8:54am I’m harassed by a nurse to go for my 9am meds… I’m well aware what the time is and also well aware that to be early is to be turned away empty handed. At 11:54am I’m harassed to go and stand in line for some food which is not even being served until 12 noon at the earliest, and is often delayed.

    I’m aware that I’m lucky to have a sought-after psych bed – many people who are having a mental health crisis will have no access to inpatient care. To bite the hand that feeds me seems churlish, but I do feel sorry for my fellow patients who can’t articulate their frustrations effectively.

    The only patient I know to have attempted to file a complaint is the guy who’s relentlessly trying to get 8mg more Subutex out of the doctors… unwilling to go along with the treatment that will wean him off his opiate addiction and quite determined to sabotage his recovery, perhaps.

    Nobody’s stopping smoking because of the “health promoting” rules around access to the outdoor area, but I’m certainly missing out on exercise and fresh air because of it.

    It all looks rather counter-productive to me.

     

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  • Blue Tablet

    This is a story about customer service…

    Bedside table

    Amongst a small group of my friends, we have all found that a medication called pregabalin – marketed as Lyrica in the UK – has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves – I can’t feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia – what goes up must come down.

    Soon pregabalin – “the new Valium” – will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

    Here on the psych ward, a man screams for a “blue tablet”. Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff – he’s been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a “blue tablet” is actually asking for a 10mg diazepam pill – blue in colour – which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can’t leave because he’s going to take heroin. “It’s my body! I do what I want!” he screams. Then, he starts getting abusive.

    Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here… I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don’t have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

    A doctor comes to take my blood. She doesn’t shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn’t ask the doctor to close the door or get up and close it myself – surely the sight of a needle going into a vein is going to be a terrible trigger. There’s good evidence that addicts’ brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

    Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening – some wine or some beer – to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don’t want to sabotage my treatment and recovery.

    I’m incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose – my suicide attempt. Being physically dependent on a medication is to be shackled to it – to stop taking it would cause seizures and potentially death. There wasn’t a ‘buzz’ that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

    Am I glorifying drug taking, or making light of serious matters? Don’t be so ridiculous.

    An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what’s happening all around us.

    Carfentanil – a synthetic opioid – is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil’s less potent – but still deadly – chemical cousin, fentanyl, is quite common now in batches of street heroin. If you’re worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

    My fellow patients are unrelenting. There’s been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There’s not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they’ve got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor’s decision has not gone the way he would prefer.

    “You’ve not done anything wrong. You can come back and you won’t be in any trouble” a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room – presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

    I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

    It should be noted, that the quality of care does not vary with one’s behaviour – the staff are supremely professional – but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

    Good manners cost nothing.

     

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  • Winning Friends & Influencing People

    This is a story about trying too hard…

    Coke can

    “You’ve got to meet my friend…” she enthuses. “Can [my friend] stay at your place on Saturday?” she asks, well in advance of the weekend. “You two were separated at birth – you share the same spirit animal” she tells me. The pressure to get along with this new person – talked about in reverential terms – is immense.

    She’s planning a meal out. At the restaurant, I’m told that I’m going to be sat specifically next to this over-hyped friend, because it’s assumed that we are going to get along like a house on fire. That’s an arson joke, but we’ll get to that later.

    Friday – the night of the meal – all my new friends-to-be had signed a card to welcome me into their lives. There was a helium balloon on the table, like at a 5-year-old’s birthday party. Nobody ever went to such elaborate lengths to make me feel a sense of belonging; acceptance. I was almost moved to tears, but I had a job to do that night: to meet & greet and make a good first impression.

    We were eating dinner – Brazilian barbecue meats – and my ‘spirit animal’ was sat in the corner of our booth, not eating. It was announced – against her wishes – that she had been on a 4-day drug binge, taking what is colloquially known as “meow meow”. Unsurprisingly, an exclusive diet of powerful stimulant drugs does not give you an appetite for anything of nutritional value. Sitting in a restaurant is probably the last place on earth I’d ever want to be after a binge like that. I decided to temporarily park any “getting to know you” chit-chat with her until a time that my spirit animal was in a better place, physically & mentally.

    After dinner, the group began to fracture. There were some who wanted to go to a packed noisy pub selling lousy overpriced drinks, and others who preferred to come back to my nearby apartment, where we could all have a comfortable seat on my big couches, and converse without having to shout – a bona fide middle-class thirty-something cliché: the house party.

    One reason for the success of the house party is that it’s a far better environment for the consumption of recreational drugs. I’m not foresworn from drug use, but to me, addiction is not a social activity. My general personality and attitude – no fear & everything to excess – had led me to drug overdoses of supercrack that put me in hospital with multiple organ failure. My drug taking was not recreational – it was abusive, reckless and akin to playing Russian roulette with a 6-bullet revolver loaded with 5 bullets.

    If you have successfully made yourself a comfortable wealthy middle-class life, it’s your mortgage repayments and other household bills that keep you awake all night, not powerful Class-A narcotics. To lose just one night of sleep and have the mentally destabilising effects of recreational drugs, has a profoundly negative effect on the week that follows. I never noticed that my weekend partying had a negative knock-on effect on me when I was young, but now my age has now become a factor.

    One of my new friends – who’s the same age as me – did the sensible thing and headed home at a reasonable hour. He had his sister’s wedding on the Saturday and he appointed me as the responsible adult, in charge of putting the girl who was going to drive him to the wedding, into a cab, in time for her to then drive a gazillion miles across the country. “How are you going to stay awake and concentrate on the road after partying all night?” I asked her. “Amphetamines” was her answer. I can’t fault her logic – if it works for fighter pilots, then why wouldn’t it work for an ordinary car driver.

    Fighter pilots have “go pills” and “no-go pills” which are taken respectively at the beginning and end of a mission. I offered to make her one of my special “no-go” preparations, so that she wasn’t wired as hell at the wedding and clearly off her nut on speed, but she declined.

    At the first ever party I’ve thrown in my new apartment, it was snowing. When the “good stuff” started to run out, Billy Whizz came out for a run. The white dusting on a makeup mirror started to become a hybrid mix of different substances. Molly came for a visit too.

    Predictably, like any party that Charles is invited to, the whole room was talking over the top of each other and making boastful claims. For some reason, my reaction to this was to admit that I’m a grower not a show-er. This prompted one of the guys to claim that he was both a grower AND a show-er. Having been dared to get my dick out and show him I duly obliged in front of my guests. This guy then took me in the kitchen to prove one part of his aforementioned claim: he did have a substantially proportioned soft penis.

    I then asked the room for their opinion on a classic ethical philosophical dilemma thought experiment, knowing that it would provoke lively and entertaining debate. Soon, this prompted a couple to leave the party, almost without saying goodbye because they were still arguing about the ‘right’ answer to a question that divides legal, moral and scientific opinion. “Bullseye” I thought to myself.

    With Charles still having a strong influence on the room, oneupmanship raged out of control. We ended up comparing scars. While the girls were not exactly thrilled to show off any evidence of self-harm, me and the guy with the big [soft] dick debated who had the better scar from an operation. This segued into “who’s spent more weeks in hospital?” as I steered the competition towards “who’s the most insane?” knowing that I would easily be the undisputed champion.

    At this point I was getting a bit bored with the war of words, so I just rolled up my sleeve and slashed 3 or 4 cuts into my arm with a kitchen knife. I then became immediately aware that I was so desperate to impress my new friends that I had just mutilated my body in a sudden act of self-harm.

    With the theme returning to dares again, my ‘spirit animal’ dared me to suck my own penis. I explained that without an erection, it would be a difficult act to fulfil, but in the spirit of the dare, I asked if she would be content to see me lick my own foreskin. She confirmed that it would satisfy the conditions of the dare. Without hesitation, I dropped my trousers and got my soft penis as close to my mouth as I could, and then pulled my foreskin until I could touch it with my tongue – it was actually easier than I thought it would be. Obviously, there are not that many people – especially growers not show-ers – who would drop their trousers and suck their own dick for the amusement of their guests. This was a far more impressive feat of courage than cutting my arm with a kitchen knife.

    After that, the number of crazy anecdotes that I could tell were stories that all revolved around a similar theme: being hospitalised or locked up in police cells. The stories that drug addicts tell are not that varied or interesting.

    I decided to demonstrate my culinary skills in the kitchen. With an unspecified secret ingredient – some of the snow that was falling earlier in the evening – I gave a practical demonstration of a chemistry experiment. Namely the conversion of a salt to a “free base” where water, carbon dioxide and sodium chloride are isolated as ‘useless’ byproducts. This chemical reaction allows a salt with a high melting point – which would combust in the presence of a naked flame – to be altered into a crystal with a low melting point, allowing it to be vaporised without burning.

    With sodium bicarbonate mixed with the mystery ingredient, in a spoon, a few droplets of water were added. The carbon dioxide fizzed away in a delightful effervescent chemical reaction. A few pinches of sodium bicarb later and we reached the point where the fizzing stopped. Then, I heated the spoon and boiled away the salty water, leaving only the “free base” crystals.

    What would you do with this crystalline substance, one might ask?

    Well, first, you need to take an empty beer or soda can and make an indentation at the opposite end from the bit you drink out of. Then, perforating the thin aluminium of the can with a pin, you can create an area where air may enter the can, when you to suck on the end you’d normally drink out of. Another option – if you can find such an object – is to take a hollow glass tube and put wire wool (Brillo pads work well for this) into one end.

    Having allegedly made this concoction and strange contraption – which was all part of me showing off what a badass I am – I had allegedly demonstrated how to make crack cocaine and a pipe to smoke it. There couldn’t have been a more “fuck you – I’m fucking hardcore” demonstration of how ‘streetwise’ I am, unless I’d whipped out some rubber tubing, a thin aluminium spoon, clean pins (hypodermic syringes), a small ball of cotton wool and proceeded to ‘cook’ a batch of heroin and prepare it for injection. I’ve never injected heroin by the way, although I did have fentanyl – which is 1,000 times more powerful – injected into me in hospital. Most people are afraid of needles and associate needle use with people whose drug addiction has led them to a completely dysfunctional life that consists of a miserable merry-go-round of theft/robbery/prostitution, ‘fencing’ stolen property, scoring herion and then getting high until there’s no drugs left and there’s only 4 hours until you get “junk sick” and have to repeat the whole exercise again.

    Before I put the last of my party guests into a taxi – my friend who was driving to the wedding – at about 6:30am, three of us insufflated a few final lines of white powder, allegedly.

    My spirit animal had a nice time until the drugs started to wear off, and then cognitive impairment, a drug-induced panic attack and akathisia (inability to stop twitching/tic’ing and/or jiggling of legs) left her in a rather sorry state where it was pretty clear that she was suffering from an unpleasant ordeal. I tried laughing at her. I tried telling her to stop being such a wuss, given the relatively ‘mild’ binge that she’d been on – just 4 or 5 sleepless nights, and relatively low doses of very impure drugs. In the end, I took pity on her and made her a little shot glass with things to cure her anxiety, replace lost dopamine and serotonin, and basically put her to sleep – there’s no ‘magic bullet’ for insomnia and sleep deprivation, but sleeping pills damn well help. I threw all manner of things into my special ‘comedown cure’ that would ease her suffering. She was talking gibberish; she couldn’t understand what I was saying, and I had to spend 20 minutes trying to maintain her concentration and eye contact for long enough that she could swallow what I’d prepared for her. Then, finally she fell asleep with a look of calm on her face. I don’t mind babysitting the occasional person who’s going through the consequences of ‘self-inflicted’ shit, but it would have been inhumane to let her suffer unnecessarily.

    Saturday night, I made her another concoction that would prevent “the Sunday from Hell” where the consequences of an outrageous drug binge were brought into sharp focus by the need to start work again on Monday. “I want to order a pizza” she announced at about 11:30pm, having swallowed the curative remedy only 10 minutes earlier. “You have 10 minutes to get into bed, otherwise you’re going to pass out on the floor” I warned her. My earlier good work had moved her out of binge mode and into a state where her appetite had returned, but 8 more hours of quality sleep was vital for both of us. The die was cast.

    10 minutes later, I pulled her mobile phone out of her hand – the pizza company’s number half-dialled – picked her up from the floor where she had collapsed in a most unladylike position, and carried her to bed. I was so tired that I could barely see straight to send a couple of texts before I passed out too.

    After 9 hours sleep, we both awoke feeling pretty damn refreshed, considering the way we’d abused our bodies. I’d improved her average daily sleep time for the week, from 2.5 hours to 5.3 – more than 100% better. Ideally, we would all have perfect sleep hygiene and get 8 hours a night. I needed to end her drug binge, save her from many hours of unnecessary suffering and let her catch up on desperately needed sleep. I was giving her a fighting chance of not losing her job, thus spiralling even further downwards. This is about the best you can ever hope to do for an addict until they’re ready to acknowledge that their addiction is rampaging out of control. Addiction always leads to complete & indiscriminate destruction of your entire life, health and will prematurely kill you.

    I incurred the wrath of my ‘spirit animal’s’ best friend for not condemning her addictive behaviour. Do I have the moral authority to lecture anyone on their lifestyle? I know better than anybody else I’ve ever met, how you can go from riches to rags. Supercrack was the paving stones of the road to Hell – hospitals, police cells, hostels and sleeping rough. I overcame my addiction to one of the most powerful drugs on the planet, as well as dealing with the total destruction of my life – divorcing my wife, selling my house, losing my job. So it would seem that if anybody’s got an opinion that’s worth respecting, it’d be mine. However, humans’ relationship with drugs & alcohol is way more complex than “this is bad for me so I’m going to stop”… otherwise nobody would take drugs, get drunk, smoke cigarettes, drink coffee or energy drinks.

    We live in a world where we try to find somebody with anatomically opposite genitals to us, squirt some love snot into them, and then spend the next 18+ years looking after our blood and mucous covered alien-like midget progeny, that was painfully ejected from the girl’s sex hole. Human behaviour does not follow purely rational rules.

    Human use of intoxicating beverages and preparations of plants that contain bitter alkaloids – with the intention of seeking psychoactive effects – is behaviour that’s almost as old as cave painting, making fire and sharpening pieces of flint to make spears.

    My kidneys are over 50% recovered from my last hospital visit. The facial tic that was caused – quite literally – by brain damage, has now repaired itself. The people and places that are no longer in my life because of supercrack addiction, have been replaced by a new city, new home, new job and new friends. Yes, it could’ve been worse, but believe me… nobody needs or wants to be told the bleedin’ obvious. If it was just a case of saying “fire is hot and will burn you” and “knives are sharp and will cut you” then we’d see a 100% reduction in those injuries, by the bullshit logic that we need to nag and shame addicts into fixing their dirty little habits.

    Often an addict is conveniently labelled as a black sheep, and becomes entertainment for the group that surrounds them. Lots of concerned hand-wringing and “we need to do something” empty talk goes on, but all that really happens is that the addict becomes a pariah, with nobody nonjudgemental left to turn to – it’s the loneliest thing… lonelier even than being a homeless person injecting heroin under a bridge. Trust me: to spend time in the company of addicts and alcoholics who make no secret of their loss of control and the destruction of their lives, is to gain a nonjudgemental social support network that can make the difference between life & death. Fuck any condescending prick who thinks they’re a moral authority who can sit in judgement and save you from yourself. Even with my stories of drug-induced insanity, hospitals, police cells and psych wards being by the far the most extreme you’ve ever heard, I can’t tell an addict or alcoholic what to do with their life.

    To hear the same hectoring, lecturing bollocks from people who [do or don’t] know what it’s like to realise you’ve overdosed and you’ve got 30 seconds to dial 999, or just let yourself die… it’s not working, is it? I don’t know if you’ve seen the stats, but only Portugal is winning “the war on drugs” and the way they’re doing that is to destigmatise and decriminalise drugs, despite immense pressure from the United States to stop saving lives and improving the wellbeing of the Portuguese people.

    So, that was the weekend that was full of drug-fuelled insanity that would supposedly trigger me to relapse back onto supercrack. Bullshit.

     

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  • A Man Slept Here

    This is a story about winos…

    Cardboard city

    If you’ve ever spent a night in a cheap sleeping bag, you’ll know what it’s like in the small hours of the morning, when the temperature plummets and you can’t get warm – you’re frozen to the bone and your body shakes to move your muscles, burning energy to heat your blood, which keeps you awake. All you can think about is how nice it would be to be snug and warm and cosy. A rough night will teach you to appreciate your duvet, blankets, heating boiler or furnace, roaring fire and other sources of warmth, like spooning with your sweetheart.

    I’ve slept on a glacier, and it’s horrible how quickly the ice leeches away the heat from any body part that strays off your sleeping mat. Concrete is just the same – without some insulating barrier between you and the floor, the cold seems to rise up and enter you… your lips turn blue and your teeth chatter.

    In this city of concrete, brick & cement, limestone and granite, there are far more homeless people than I’m ever used to seeing. I’ve been homeless and slept rough in London. The UK’s capital city is a magnet for those seeking to improve their fortunes, through employment opportunities, begging from rich tourists or simply the high quality narcotics.

    “Have you scored?” yells a man behind me, to a man at the other end of the road. It’s 9:30am on a Wednesday, and these two beggars look familiar to me. My ten minute walk to the office takes me past almost 15 men, who all congregate along the route between the city’s two main railway stations – each with their own ‘patch’. Some sit quietly with a paper cup on the pavement in front of them; eyes downcast but intently watching the world go by in their peripheral vision. Some look me square in the eye from several hundred metres away – well aware that I am pretending to not notice them – before timing a polite and muted “spare some change please?” request to perfection… all I can say is “sorry mate”. Some linger at an intersection, where they step into my path… “excuse me” they say, and my eyes flick up to meet theirs… they know immediately that the element of surprise has not worked – I saw them before they saw me – and I continue my walk undiverted.

    How do I know that it’s a man who slept rough in that doorway, and he was probably an alcoholic and/or a heroin addict? If one wishes to be pedantic, I don’t.

    Speaking frankly, a woman who sleeps rough is is at risk of becoming a rape victim at some point. Another unspeakable and unpalatable truth is that a woman in the grips of addiction is not going to spend her nights having her body illegally violently sexually violated against her will, when she could spend that time turning tricks – there are an insatiable number of punters for blowjobs and sex – to pay for just enough heroin and crack to numb the pain of another shitty day of human existence.

    What I say is not sexism, prejudiced or anything other than the situation as it stands in the UK – sadly, there are enough rapists out there to make sleeping on the streets a dangerous thing for a woman to do, so our local government will ensure that they are not complicit in any acts of rape or sexual assault that get perpetrated on the streets, though their negligent inaction.

    A single man with an alcohol and/or drug problem is not considered to be vulnerable enough to be housed by the local government. In fact, the alcoholics and addicts who line the busy thoroughfares of this bustling city, are viewed as a liability with regards to giving them money and a place to live. “They’ll only spend it on drink and drugs” completely misses the point about cause and effect, but statistically it’s proven to be mostly correct. Council houses (a.k.a. social housing) and apartments have been turned into absolute shitholes by so many men in the past, that the local authority treats their homeless adult single male population like a plague of modern-day lepers.

    Thus, I can make an educated guess that this almost entirely unused fire exit doorway, was where a man laid his head to rest last night. He was probably a heroin addict, but this means nothing – whether it’s a symptom or the cause of his destitution is a non sequitur, because homelessness and addiction are intractable. It is as if we ask “which came first? the eggshell or the egg yolk?” without considering the ridiculous notion of having one without the other, and completely ignoring the chicken.

    The United Kingdom was flooded with cheap alcohol during the boom years of the 1980s, when the British pound sterling was strong versus the French franc, and enterprising men and women set off across the English Channel to bring back vast quantities of wine. France grew grapes and fermented them in a country that was predominantly rural and agricultural. England, by comparison with our nearest neighbour, has dense areas of population clustering around factories, coal mines, steel mills, dockyards and other organs that were necessitated for the functioning of an empire, as well as the defence of the realm.

    Heroin’s quality and availability once fluctuated wildly in the UK. The fields of opium-yielding poppies flourish in Afghanistan and Thailand, but the trade routes – the Silk Road – were at the mercy of incredible geopolitical forces. Now, thanks to the intervention of the USA and the UK in illegal foreign wars and ‘regime’ toppling, the supply of high-quality cheap narcotics has never been in more rude health.

    If you think a homeless heroin addict single man is a fool and a failure, you are wrong; completely wrong. If you think in terms of ‘bang for your buck’ a £10 bag of heroin is going to get you a lot more fucked up than £10 of alcohol. If you think that injecting drugs is insane, you haven’t considered the insanity of putting something you’ve paid your hard-earned money for, into your acidic stomach, where nearly 1/3rd of it will be destroyed. The rational thing to do is to put 100% of your intoxicant directly into your bloodstream.

    If we followed the logic of the homeless man, we would all have a canula in one of our veins, and we would pay £1 for pure ethanol to be squirted into our bodies from a syringe, whereupon we would be immediately intoxicated to the point of near-blackout.

    –

    Before we go any further, I should make it clear that I am not advocating injecting drugs – or drug abuse of any kind – nor have I ever injected any drugs, or had another person inject me with narcotics.

    –

    If one wishes to consider the desperate plight of an addict or alcoholic, one only needs to think about the period when many homeless men would drink methylated spirits. Methanol differs from ethanol chemically, but methylated spirits – known colloquially as meths – has been deliberately poisoned by manufacturers, in an effort to discourage human consumption, without success. I can buy 5 litres of meths – roughly the same volume as 7 bottles of wine – for around £10, but to drink it would kill me. Out of desperation to avoid delirium tremens, which can cause seizures and death, alcoholics will drink small amounts of meths to self-medicate for their physical dependence on alcohol, despite the fact that it will cause them to go blind.

    The war on drugs and the war on terror have now created a reliable supply chain, whereby the most powerful narcotics on the planet are available at unsurpassed purity and at rock-bottom prices, as never before witnessed in human history.

    Competitive free-market economics has given rise to a swathe of pharmaceutical giants, vying to innovate with new medications that are ‘better’ than anything seen before, in a race for profits. Fentanyl and carfentanil were born into this world in the 1960s and 1970s, respectively. Carfentanil is so potent, that an aerosol mist of it could be used as a weapon of mass destruction. Although the Russian government does not officially acknowledge it, carfentanil has been used in a terrorist hostage situation – pumped into a building as a gas – resulting in the deaths of 125 innocent civilians in a single incident, from opiate overdose.

    The rise and rise of the zero-hours contract McJob and a hopeless future for unskilled labourers, in the face of global capitalism, has created insecurity and the total destruction of the prospect of happy and contented family life for a scandalous number of men. While pram-faced mothers, with gold hoop earrings and their hair held back tightly in a scrunchie, will be prioritised for social housing, our entire welfare system discourages work and parental bonds. Economically, a single mother is better off than one who stays with the father of her children. Dads have been made redundant by cheap Far-Eastern labour. People respond to incentives, and so we have created a generation of children from broken homes. We have created an unacknowledged mountainous scrap-heap of homeless single male drug addicts, in a society that has no better use for them, other than to let them rot.

    We are all familiar with the concept of supply and demand, but there is also something intrinsic in our genetic programming that makes us seek out value for money. It seems obvious that given the choice of intoxicants, I would select 1 gram of carfentanil instead of 1 gram of morphine. An amount of carfentanil the same size as a grain of salt is enough to kill me by overdose – carfentanil is better value for money, being about 10,000 times more potent than morphine.

    The opium smokers became morphine addicts, then diacetylmorphine (heroin) addicts, then fentanyl addicts and now carfentanil addicts. The subsection of the population who have abandoned hope are always driven to seek the strongest mind-altering substance that they can obtain, for the money which they beg (panhandle), borrow or steal in order to support their ‘habit’ each day.

    1 kilogram of carfentanil could kill the entire population of the United Kingdom. Carfentanil is produced in bulk quantities in the Far-East, where – ironically – all the manufacturing and mining jobs have gone, leaving vast numbers of men economically redundant.

    In this city where I now live, the capitalists drove the cloth-making industry into a race to the bottom, negatively affecting the prosperity of nations such as India, which has over a billion inhabitants. It seems apt that the ‘payback’ for this global suicide pact should be so publicly conspicuous. Homelessness and addiction are openly on display, as symptoms of a world that is sick with an illness that’s called capitalism; vulgar greed and hoarding of wealth.

    I am full of sorrow that so many of my fellow citizens are left bewildered as to what happened to their once-great nation, and seek solace in all the wrong places. To help even one man () exhausted my economic reserves. All I have left is the power to spread word to more people than I could ever manage to speak to individually, using the power and freedom of the Internet. I preach to the converted, so often, but to stop and speak to the abandoned men – each in their ‘patch’ – is impossible in the face of a capitalists waving a fistfuls of dollars in front of a sea of hungry people.

    All I can say to my readers who own computers, smartphones and Internet connections – you have a golden ticket that the man who slept on the cardboard in the doorway last night, does not have. He’s viewed as trash, just the same as the remnants of his existence left behind when he awoke and moved elsewhere this morning.

     

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  • Spread Thin

    This is a story about succession planning…

    Beef bovril

    The British have always liked hot drinks.

    Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

    Tea symbolises imperial Great Britain. The Indian town of Darjeeling – formerly part of the British Empire – is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. “Put the kettle on” are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

    Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as ‘hot drinks’ I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread – a jar of Bovril beef extract.

    The flavour of Bovril is closer to Marmite and Vegemite – or any other brand of yeast extract – than it is to beef, in my opinion. How exactly they “extract” Bovril from a cow is something that I don’t really want to think about. I suppose it’s a macroscopic version of what they do with microscopic yeast – microorganisms are just the same as cattle really… eating, shitting, reproducing and not doing much else.

    In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden – for religious reasons – from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

    In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage “bap” can be procured as a traditional breakfast snack.

    India – before she was partitioned in 1947 – was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

    Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent ‘fad’.

    The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages – hot or cold – are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England – so far as I know – do people consume a hot drink made from Bovril.

    I hate being spread thin. I’m adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you’re paying me enough and you’re not open to persuasion that your ideas are probably terrible in their original unmodified form.

    Why have a dog and bark yourself?

    Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

    I’m withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way – mimicking the brain’s own ‘brakes’ and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the ‘signature’ of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

    I must juggle social drinking – alcohol is a mandatory social lubricant in most UK culture – with the need to use alcohol as a form of self-medication for the stress I’m under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I’m doing it the other way round, because I know I can stop drinking – I plan on doing so in October, when I will use the excuse that I’m going teetotal to raise money for charity (a.k.a. Stoptober) – as I have done successfully before.

    How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

    My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency – I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

    I’ve skippered yachts and kept my crew safe in stormy weather; I’ve led groups safely up and down dangerous mountains covered with snow and ice; I’ve become blasé about near-death experiences, because I’ve now had so many. I don’t think I’m exaggerating or being hyperbolic when I say that I’m facing my life’s toughest challenge so far.

    The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline – beggars can’t be choosers.

    Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I’m ‘entitled’ to live at the expense of the government – i.e. my fellow citizens – because of the taxes I have paid in my life, and because my mental illness disqualifies me from being ‘fit for work’. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there’s a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

    Like concentrated beef extract, I’m intense; I’m focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours… what happened to all those ‘overnight successes’ and ‘one-hit wonders’? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

    Once you’ve figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work – the heavy lifting – then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

    And so, I desperately need to find my successor – somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I’ve done before a thousand times.

    It’s hard to find somebody who’s willing to do a shitty job, and it’s hard to find somebody who’s able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn’t mean it’s a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I’m desperate enough.

    Having a desperation-driven economy, with most of us spread thinly – stressed out and always on the brink of breakdown and ruin – is a terrible, terrible thing to do to people.

    Hunger will drive ingenuity and industriousness, but it’s not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

     

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  • Glitch

    This is a story about panic attacks…

    This way up

    Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can’t cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped – I don’t know which way is up and which way is down.

    If somebody was to burgle my home, I’m not sure whether they’d be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

    I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn’t that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions – withdrawal was over eventually and I don’t even remember it being that bad, in hindsight.

    How long have I been drinking a bottle of wine every day for? Tonight I’ve had a tiny bottle of beer and that’s it, but my drinking has raged out of control, as I’ve sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

    How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It’s a miracle that I haven’t had a fit, but the gaps I’ve had in-between handfuls of pills – lasting two or three days – could have killed me in a multitude of other ways anyway.

    Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair – I become convinced that I’m unable to function; unable to face the future.

    Like many addicts any alcoholics, I’m overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself – quickly by suicide, or slowly with drink & drugs.

    Without structure & routine – social contact and the prospect of a happy & contented life – it’s a miracle that I’ve not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

    No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol – of course – but the urge to drink was relatively easily resisted.

    If you wished to categorise me as an alcoholic and/or a drug addict, I’m afraid your attempt would be thwarted by the facts. Alcoholics can’t stop drinking and drug addicts can’t stop taking drugs. Guess again, sucker.

    I’m suffering unspeakable discomfort at the moment, but I’m forcing my body – including my brain – down a path that it’s reluctant to take, but it’s for its own good. It will be weeks, maybe even months before I feel the benefits of what I’m putting myself through, but I know that if I don’t do it, the alternative outcomes are very undesirable, to say the least.

    Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers… perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

    Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn’t have a lot of triumphs to crow about – if superbugs don’t kill you, then mental illness will probably ruin what little quality of life you had anyway.

    My brain tells me I’m about to die or that I should kill myself. I know – rationally – that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn’t make me feel any different at all.

    Eventually, it’s too much.

     

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  • Judge a Book by its Cover

    This is a story about pulling the wool over somebody’s eyes…

    River view

    Every day, between 6pm and 8pm, I get a visit from a different stranger. They all belong to Tower Hamlets’ Community Mental Health Team, and specifically to the home treatment Crisis Team, but it must be a big team because I almost never see the same person more than once. Everybody’s reaction is the same when I let them in: “wow! look at the view!”.

    The fact is, I have enough money to last me 2 more weeks, but then I’m not just skint… I’m actually insolvent. I have a lease that doesn’t expire until September and I have to service various debts that I ran up, just trying to stay alive.

    “Oh, you probably spent all your money on drugs” I hear you say.

    Recently, I was on the dark web, looking for something for a friend – something to relieve pain that wasn’t on offer on the NHS. Having located some vape oil, containing medical cannabis, I then couldn’t resist the urge to continue window shopping. To my alarm, the worldwide supply of supercrack had dried up, due to the Chinese very effectively banning the production and sale of it.

    There was one supplier – in the whole world – selling his remaining stock of supercrack. 10 grams. That amount of good quality cocaine might cost you £900. For 10 grams of supercrack, I paid the princely sum of $134.

    How long do you think 10 grams of supercrack lasts? Well, we can work it out. A severe addiction might consume as much at 15 milligrams per day – that would be enough to not sleep for a whole day and night. So, easy maths then…. 10,000 divided by 15 = 667 days. One year and ten months, of daily drug abuse for $134. No. I did not spend my money on drugs.

    So, back to the strangers in my home each evening. I sit them down on the sofa, next to the patio doors that lead onto the balcony.

    Still somewhat wowed by the view, they can also see a number of expensive electronic trinkets lying around. The conclusion that is instantly drawn is that I’m not really in crisis, but in fact I’m wealthy, successful and totally in control of my life. They couldn’t be more wrong.

    Empty bottles

    I wrote about this the other day, but lurking behind the door into the kitchen, are a load of bottles for recycling. In theory, I’ve stopped drinking, but that’s just a technicality. If you’re in the grips of a mental health crisis or drug-induced behaviour, then you don’t tend to have a glass of wine in front of the TV. Remarkably, I’ve had a bottle of white wine in the fridge, unopened, for over a week.

    “Why don’t you just have one glass and stop?” a psychiatrist asked me. I replied that oxygen would make the wine go off, so I needed to finish the bottle once it was open. She suggested a vacuum pump wine preserver, to which I replied that I bet I’d never be able to find one. The penny dropped, and she realised I was taking the piss. The reason why I don’t stop is because I don’t want to. Alcohol is an effective way of getting intoxicated, so you don’t give a fuck about your problems… except I do seem to give a fuck in a strange way, because whenever I get ridiculously drunk, I punch my bathroom door so hard that it makes a hole in it. Then I wake up and think “why did I do that?” and I’m filled with regret.

    Screwed

    Strangers who come in my house don’t see my bedrooms. My main bedroom with the ensuite has got blood spots all over the floor from some accidental injury or something. There’s lots of evidence that I imprisoned myself in that room, for some reason. In fact, there’s lots of evidence outside the communal areas, that I’ve absolutely lost my mind at times.

    Recently, being in possession of quite a good set of tools, as well as a box of screws, I set about attempting to screw a desk to the door of my spare bedroom, or something like that. The plan wasn’t even clear to me. Once you lose more than about 3 nights of sleep, your priorities are quite corrupted. Instead of hydration, food and sleep, my focus switched to barricading the bedroom door. If you have a dark sense of humour, you may chuckle at the fact that as soon as I had completed my task, I then needed to undo my work because I needed to use the lavatory.

    These are the kinds of things that are quite important if you want to understand just how sick I am, but the ‘window dressing’ which is my lounge, balcony and view, rather distracts from the piles and piles of dirty dishes, and overbrimming laundry baskets. The home visit team members walk away thinking “I must tell my colleagues about that awesome view”, rather than “I must tell the doctor that the patient looked like he hadn’t slept for days, or eaten much”.

    Can I fix things? I’ve pretty much given up hope. There just isn’t time.

    10 grams of supercrack certainly doesn’t help, and I knew that a relapse would be one problem too many, on top of a giant shit sandwich. However, the things I’ve tried that are a sensible and realistic approach, have brought in way too little cash for way too much effort. I’d rather have my MacBook Air and iPad Pro, than a few pennies, even if they’re surplus to requirements most of the time.

    I could keep up appearances for friends and family, but I lived in fear of my work colleagues discovering that I suffered from mental illness for so long, that the exhaustion became unbearable. It was an open secret that I would be late to work during periods of depression, or not turn up at all. Everybody knew that I liked a drink, but I surrounded myself with other heavy drinkers. The problems worsened, and I had to run twice as fast to just to stand still. I came to London, knowing I could burn a bunch of bridges, and never exhaust all the options open to me, but it’s bullshit, having to interview for jobs when you’ve got a 20 year career behind you and countless people who know you’re good at what you do. Also, why shouldn’t my friends know what’s going on in my life. If they’re true friends, they’ll see that I’m still me, but I’m in crisis – they won’t suddenly change their opinion of me, because of prejudice, although one close friend did and it broke my heart.

    Don’t lift up the rugs or look under anything: I’ve swept so many things under the carpet. Out of sight out of mind. I don’t bear close scrutiny, but nobody looks very carefully anyway. First impressions count for everything.

    After the insanity comes a further insanity – a paranoia that my flat is trashed and I’ll never be able to bodge it up good enough to escape hefty bills for repairs that are completely over-inflated by the unscrupulous letting agents.

    Where am I going to go? What am I going to do? The fact that you’re asking those questions is the clue as to why I might wish to escape into alcoholic oblivion, or take supercrack. There are no easy answers. I know I keep going on about it, but the whole hospital/dialysis/job loss fiasco has left me questioning what the f**k I’m doing, working IT contracts in London, except for the staggering amount of money that it brings in. It doesn’t compensate for the up-front stress, followed by the abject boredom and misery.

    You’ll probably find me sidling up to you in a bar in 20 years time – the known local drunk – and saying to you “I remember the time I lived by the River Thames and worked for the world’s biggest companies” and you’ll think that I’m some delusional twat.

    I hope I just die before I suffer that indignity.

     

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  • Unfinished Wine

    This is a story about habituation…

    Wine bottle

    What a surprise! There’s a small glass of wine left in the bottle today. How did I end up missing that? I normally drink the house dry, every single night. I’ve stopped buying gin, Pimms and other spirits, to avoid the temptation of a strong early-evening drink, to take the edge off the day; the nightcap that sends me to bed completely sozzled.

    I’m not saying I’ve become some pious teetotaler who rather too proudly proclaims their abstinence, as if it makes them a better person somehow. I respect former alcoholics who know that once they pop they can’t stop, but anybody who chooses not to eat or drink something because of their beliefs and values can bloody well keep it to themselves.

    The French – during a water shortage – put up public notices saying “SAVE WATER: DRINK WINE”. I fucking love the French.

    I’ve been having my rocket fuel antidepressants for a few weeks now, but I’m sleeping 14 hours a day and I’m almost completely incapacitated by depression. The doc told me to take two pills a day, so I’m taking four, trying to speed things along a bit. The timing could not be worse. I need to be up and about, earning money, enjoying our all-too-brief British summer. Instead, I’m in bed with the curtains closed.

    The friend who challenged me to 100 days of sobriety now takes 3 day breaks from drinking. I can’t remember the last day where I didn’t have any alcohol. Probably when I was in hospital, or maybe the day of the London Marathon, when I momentarily relapsed onto the really hard stuff: supercrack.

    Perhaps that’s one of the main reasons why I’m still depressed – it was only a month ago that I was convinced the sound of helicopters and yelling crowds, was an angry mob and the police, out to get me. Paranoia like that is awful. Supercrack is a Hell of a drug.

    What a year. Starting well with a contract for Lloyds, but then suddenly my foot was numb and swollen. By the time I made it to Accident & Emergency, my whole left leg had swollen up. Acute kidney failure meant two weeks on dialysis and an operation to put a 25cm long rubber tube into a vein in my groin. Managed four days work then lost the contract – too sick to work. My flatmate had buggered off and owes me thousands of pounds in rent & bills; made a complete mess of my spare bedroom. Nobody knew why my foot was numb and I couldn’t move it very much, despite being poked and prodded by various doctors. I was taking huge doses of opiates to manage the pain, and had to endure horrible withdrawal – nausea, cold sweats, diarrhoea – when I decided to try and get off the painkillers.

    Gawd knows how long I’ve been taking Xanax and Valium for. I probably need a benzo detox. Opiate withdrawal is unpleasant but benzo withdrawal can kill you.

    But, one step at a time. I’m going to try and only drink half a bottle of wine tonight. She wants to drink early and then stop; I want to drink late and then go to bed. It’s going to be a test of my willpower, which is severely compromised by alcohol.

    If tonight goes well, I’ll try and do three consecutive days with no booze; see if it helps my mood. I’m sure my liver will thank me – it’s already pretty busy trying to process all those chemicals I put into my body; all those pretty pills.

    It’s true, the more someting is ubiquitous, the harder it is to abstain from it. I hadn’t dabbled in drugs for a decade, when the Dark Web brought a drug superstore right into my living room. Little packages of joy coming through the letterbox, allegedly. It’s easier to get booze though. If you really have the thirst for it, you can nip to your local convenience store or even have it delivered to your door in London, 24 hours a day.

    They tell recovering addicts to delete all their dealers’ numbers from their phone; avoid friends who are still using drugs; change your lifestyle to avoid reminders of the places you used to use drugs. But what if you only ever did drugs on your own? What if you never met a dealer in your life? What if you could never forget the steps to access the Dark Web?

    Why am I so hard on myself when I’m dealing with so much? Addiction, hospitalisation, psychiatric wards, mental health conditions, painful injuries, money worries, people owing me lots of money, need to get another contract, need to get a new flatmate, need to fix stuff up, need to stabilise and get into a sustainable position.

    Alcohol’s probably the most health-destroying drug; the most dangerous to quit if you’re dependent; the most ubiquitous; the drug I’ve been abusing for the longest.

    One step at a time.

     

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  • Better Living Through Chemistry

    This is a story about decisive weapons….

    Stop and go pills

    Would I rather have the pilot of my plane, the driver of my bus, taxi or train, as a completely drug-free ‘clean’ individual, or would I rather that they had taken 5mg of dextroamphetamine before our journey? The answer is the latter, obviously, because they will be more alert, have improved ability to concentrate and faster reaction times.

    US fighter jet pilots routinely use ‘go’ pills before a mission, which confer the abilities above, as well as allowing them to fly longer missions with less risk of dangerous sleepiness. Many road accidents are caused by people falling asleep at the wheel. Coffee will only give you a tiny fraction of the benefits of a ‘go’ pill.

    Do you find that after a really important day at work, where you had to be at the top of your game, and you were firing on all cylinders; perhaps you had a bunch of coffee to keep you sharp…. do you find that you’re still buzzing when you get home, and you have trouble switching off and going to sleep?

    Coffee – especially the super-strong stuff we seem to drink in London and New York – can contain up to 300 to 400mg of caffeine, in for example a Pret-a-Manger strong cappuccino.

    The problem with caffeine is that it’s a bit of a crude stimulant with lots of extrapyramidal side effects. That is to say, as you increase the dose of caffeine, most people can’t tolerate the way it makes them feel. Interestingly, intravenously, amphetamine addicts can’t tell the difference between amphetamine and caffeine. Also, most intravenous amphetamine users believe they are being chased by ‘them’ – the police, men in black, shadow people, ninjas, whatever – but these side effects are just part of the fun.

    So, the beauty of the ‘go’ pill is that it seems that I get all those desirable effects, with no side effects. You would be completely unable to tell that I was under the influence of 5mg of dextroamphetamine. Recreational use of amphetamines is normally quite obvious to spot: talking too fast, sweating, dilated pupils, restlessness, jerky unnatural movement. No side effects? Well, not quite.

    US fighter jet pilots use ‘no-go’ pills at the end of a mission. Having been kept awake and alert for hours, it’s now time to go to sleep or at least chill the fuck out. Sleep can be difficult without a ‘no-go’ pill.

    My personal ‘no-go’ cocktail allegedly contains Xanax (alprazolam) and zopiclone, which have hypnotic, sedative, muscle relaxant and anxiolytic properties. To be honest, you could probably get to sleep naturally if you took your ‘go’ pill as soon as you got up, but it’s pretty exhausting spending a full day in a highly alert state.

    Isn’t it madness, me taking all these pills? Shouldn’t I just go ‘clean’? Isn’t it best that I’m completely drug-free?

    Do you remember when you quit smoking? You chewed a lot of gum, ate a lot more, drank more tea and coffee. Do you remember when the kids were little and life was really stressful? You drank a lot more gin. Do you remember when there was that project with a really tight deadline and you were working really hard; drinking lots of coffee? You were drinking lots of wine in the evenings to relax. Basically, humans will compensate to make sure things remain balanced. If you hurt your foot, you might find your back is aching, because you’ve shifted your body weight to one side, to put less pressure on your injury.

    My injury’s a brain injury and the best thing you can do for the brain is to allow it to find its own equilibrium. However, life must go on. My brain’s telling me to go to sleep in a dark room for a month or two, but I need to attend hospital appointments, do the administration for my company, line up my next IT contract, find a new flatmate, move money around and make sure the cash keeps flowing and doesn’t run out.

    A bit of dextroamphetamine is an effective antidepressant and helps fight any supercrack cravings. It’s like methadone for a supercrack addict.

    I’m on a mission to get back to coffee and wine as my ‘go’ and ‘no-go’ substances. I actually worked really hard to break my caffeine addiction, and now I only drink caffeinated drinks on extremely rare occasions. I’m certainly not habituated into having my morning coffee or cups of tea throughout the day, like the majority of adults are. This is how addiction works: you don’t cure the addiction, you just replace it with something else. There was a time when I loved playing with toy cars. I had hundreds of them, and I played with them all the time. Then, I got a computer, and I loved playing computer games… and the process of swapping one addiction for another continued. I’ll be just fine and dandy with some tasty food, wine to wash it down with, TV and film to distract me and a girl to put my arm around and take to bed for some rumpy-pumpy later on. That ought to just about tick all my boxes.

    In the last two weeks, I broke my addiction to two opiates – tramadol & codeine – and I’ve obviously been off the supercrack for the best part of a week now. That’s fairly impressive. Please forgive me for having the occasional G&T, glass of wine and my little ‘go’ and ‘no-go’ pills, just to keep the pedals turning.

    I’ve got a torn muscle and ligament, damaged nerve and fractured ulna (bone in my arm) but I spend most of the day with no pain relief at all. It’s only at night that for some reason all these injuries start feeling super painful and I might take a couple of co-codamol.

    Interestingly, amongst the opiates, heroin was named because it was thought it would have military applications, making soldiers more heroic. Heroin addicts certainly do seem to be prepared to do almost anything to get their fix and not get junk sick. I guess the idea was perhaps to addict the soldiers, and then deny them their heroin until they had done their mission. I can’t really imagine it’d be a great idea to have a platoon of men who are pretty much just dribbling and half-asleep. The Nazis had the better idea, giving their soldiers crystal meth. The nickname “marching powder” for cocaine is literally what it sounds like: cocaine was given to soldiers so that they could go on longer marches. You might think of the pharmaceutical industry as concerned only with the treatment of disease, but they have profited handsomely from military concoctions.

    Adding fluoride to the water supply has made a major impact on the rates of tooth decay. Drug evangelists have touted LSD and MDMA as other candidate chemicals to be added to our drinking water. The idea being that criminal and aggressive behaviour might be replaced with love and empathy, or the ‘sheeple’ might have their consciousness expanded. For clarity: I do not endorse such ideas.

    “Go to the doctor” is now a synonym for “go get some pills”. People are extremely disappointed if they don’t come away from a doctor’s appointment with a prescription for some lotion or potion. The reflexive response of people if you ever say you are in pain, is to offer you aspirin, paracetamol, ibuprofen or preparations containing codeine (e.g. co-codamol and Solpadeine). People have looked at me in shock and horror, when I tell them that I don’t take any medication for the incurable mutative virus: the common cold. What part of incurable didn’t you understand?

    Many people with mental health issues are asked “did you take your pills today?” or told “maybe you should up your dose” by people with no medical training or expertise, who they simply encounter in their day to day life, such as family members, friends and work colleagues.

    We should be mindful that psychopharmacology is only 60 or 70 years old at most, as a fairly advanced field with the accompanying branch of medicine: psychiatry. Before psychiatry, chemists could offer preparations containing opium, cocaine, cannabis; all of which treat symptoms, not underlying issues. We will look back 50 or 100 years from now, and laugh at how primitive our medicine was… especially when it comes to addiction, mental health and the psychoactive compounds.

    One final thought: if the majority of us are taking medication for depression, stress and anxiety, are we sick or are we actually victims of a sick society?

     

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  • It Gets Worse Before It Gets Better

    This is a story about nonlinear progression…

    Barricade

    There’s my bedroom door. As you can see, you can bolt it closed, which is a security feature I added myself. Later, I decided to slide a knife behind the wooden surround and screw that into the wood that surrounds the door. Then I decided that a second knife was probably needed, in case the first one snapped as the blade flexed. Then I decided that I needed something else and finally arrived at the decision to dismantle one of my crutches and part of my bed, so that I had a wooden slat and an aluminium tube, which in theory provided some kind of extra security…. I don’t know. I’d been doing this for hours by this point, completely exhausted.

    What you’re really looking at is the mind, after losing five or six nights of sleep, skipping fifteen to eighteen meals, and being confined to one room, with all the windows obscured.

    Who would want to come and do me any harm? Well, when you attempt to balance a crutch and a bed slat on a door handle at 4am – in total darkness – I imagine anybody within earshot would probably want to see me lynched.

    I used to go and hide in the bathroom, because it had a proper lock, but then my flatmate unlocked it from outside with a butter knife. Luckily I was right by the door so I locked it again. He was only checking if I was alive, but it’s strange how nobody talks to you when you descend into one of these periods of isolation.

    In my mind, the lock on my balcony door had been picked. Then, the large glass patio door had been noiselessly slid open, and men clad in black wearing stealth shoes had been able to cross my wooden floor without alerting me to their presence. Meanwhile, more men clad in black, had entered my spare bedroom through a window. These men removed the ‘security’ features from my front door – for example, a hammer that falls on the floor if the door is opened, which is a kind of improvised intruder alarm – allowing more of their team to enter my flat and prepare to batter down my bedroom door.

    Hiding in bathrooms is awful. The floor is freezing tiles and that’s about it. There’s plenty to drink and you can answer the call of nature, but other than that, it’s just cold and boring. I spend half my time barricading the bathroom door and the other half looking through the crack under the door, to see if I can see the men in black in my bedroom. It’s a really narrow crack and you can hardly see anything, so you start to imagine that you’ve seen things. This is why I’ve stopped hiding in bathrooms.

    I have a bed that lifts up so you can store stuff underneath it. If you didn’t know, you’d just think it was regular Ikea bed. I actually slept under there for 8 hours or so. It’s fucking roasting and I’m sure there’s inadequate air recirculation, but I seemed to survive.

    Every time I get so hungry or thirsty or just fed up with the bullshit of it all, I take down the barricades and say “come on then, men in black, do your worst!”. Then I usually just collapse in bed and sleep for hours and hours. Nothing bad has happened in my home, ever. The police have kicked the bedroom door in a couple of times at my parents’, which is what triggered this whole paranoia. That’s my parents for you: they’d rather have a door smashed off its hinges than talk to their son. I’ve tried the basics, like saying “use your words” but that’s obviously too much effort for them.

    That’s the thing about paranoia: it doesn’t come from nowhere. There are seeds and they grow into nightmares. Doesn’t it creep you out, the idea of some twisted sick voyeur watching you while you take a shit or even just sleeping peacefully in bed? Doesn’t it creep you out, the idea of your bedroom becoming a viewing gallery, where people come and go as they please, to watch whatever you’re up to?

    I haven’t written in a while, and that’s because I’d given up hope. I’d given up hope that my foot/ankle could be fixed and I could stop the massive doses of painkillers, that were making me so doped up I couldn’t work. I’d given up hope that I had enough runway left, to be able to get another IT contract, especially after HSBC lowered my overdraft limit by the best part of £2,000. None of the sums added up. None of the calculations could show that there was a way that I could make my money last until I got some more income.

    Then, a windfall from an investment I was managing on somebody else’s behalf. A gift from a kind and caring person. Some help getting my spare bedroom ready to rent out to a flatmate – it had been left in an awful state by the last guy, who owes me approximately £6,000 – which will bring deposit money and cut my burn rate by half. Finally, I managed to get a bridging loan, which is getting paid into my account today. Turns out my credit rating is pretty awesome. One of my non-HSBC credit cards just had its limit doubled, so I can live on that to some extent. My interest bill is awful, but put in the context of what I can earn as an IT contractor, it don’t mean shit.

    I’m crashing at my girlfriend’s so that I’m in a different environment. Also, because there are workmen replacing the planking on my balcony, but the amount of noise they’re making, you’d think they were demolishing the entire block of flats.

    The lounge/diner/kitchen massive room in my flat – with patio doors onto the balcony at one end and a dual-aspect panoramic view of the River Thames – is fucking awesome, but when I’m depressed I only go in there to get more unhealthy snacks, which I take back to my stinky bedroom, with the curtains drawn, to watch endless amounts of on-demand TV.

    I don’t like it when alcoholics describe themselves as ‘in recovery’ when they’ve been teetotal for years and years. I’m ‘in recovery’ in that I lost at least 14kg in body weight, since my peak (although that was somewhat skewed by fluid retention). I lost more sleep and skipped more meals than you’d ever believe. I need to recover. I need to catch up on sleep. I need nutrients and to allow my body to lay down a bit of fat. I need to have some time where I’m not worried about men in black kicking the door in, and where I can have sex with my girlfriend without worrying that some sicko voyeur is watching through a tiny gap in the curtains.

    Working so hard, with such enormous effort and stress, to get out of hospital and get to the first day of my new job, was one of the most difficult, challenging and against-the-odds things I’ve ever done. I did it. I fucking did it. Then, to have it snatched away was a cruelty that broke me. It broke me. It broke my will to live. It broke my will to keep trying. I had to hide from the world for an entire week, just in shock, unable to allow myself to think, because my thoughts would have turned straight to suicide. I had to get through a week without a single bit of thinking, otherwise I was dead; it hurt me that badly and left me in such a shitty situation.

    Since then, I’ve been careless with my life and everything in it. I’ve got an amazing girlfriend, but I risked losing her. I’ve got a super helpful friend who’s always there for me, but I risked pushing them away. I know people are monitoring the situation through this blog and social media, and would act if they were worried, perhaps to send the police round to find my corpse. It’d be a better idea to just reach out and ask if I’m OK and say you’re worried, using any of the tech communication channels we have – SMS, iMessage, Whatsapp, Facebook Messenger, Twitter DM… the list is endless.

    My long-suffering girlfriend ended up speaking with somebody I know through my blog and Facebook, because he was quite rightly concerned. I’m really touched when I find out about these little webs of people who are like a safety net. Nets have holes and I might fall through one – as I have fallen through many of the cracks in life – but it does feel like I have more to live for, knowing that people care enough to speak to each other; share information; discuss what to do.

    I’m now admiring my newly flat stomach (but seriously, don’t do the supercrack diet) and feeling a little bit more relaxed about having some runway to get back to work once my foot/ankle is fixed… although ironically, I stopped taking the painkillers, but I broke my wrist, so go figure.

    You’d seriously hate me if you knew everything about my charmed existence. I left my apartment which faces West – a view of almost every famous London landmark: Shard, London Eye, Tower Bridge, St Paul’s Cathedral, Walkie Talkie, Cheesegrater, Gherkin, BT Tower etc. etc. – and I’m now recovering in my girlfriend’s apartment which faces East, so I can look at the cable cars going over the Thames, the O2 Centre (a.k.a. the Millennium Dome), the Cutty Sark and Royal Naval College and other parts of beautiful old Greenwich.

    I’m off most of the meds now. Coming off a high dose of Tramadol, I wondered why I was itchy, nauseous and sweaty, and realised I was junk sick. Opiate withdrawal ain’t that bad really.

    I’ve had an MRI scan of my foot/ankle, and on Friday somebody is going to test the nerve wiring from my foot all the way up my leg, to check for any broken connections. Then, there’ll be another consultation and possibly an operation. Things are going quite quick because the NHS outsourced me to a private hospital.

    Just need to remember not to get too relaxed at the moment!

     

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