addicts

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Ask Joe:

Q. Why is addiction called an “insidious” disease?

A. Because it is.

Insidious: working or spreading harmfully in a subtle or stealthy
manner. awaiting a chance to entrap; treacherous. harmful but enticing.
Developing so gradually as to be well established before becoming
apparent. —Webster’s Dictionary

“Insidious” means to spread harm in a subtle manner; to entrap in a seductive way. Addicts or alcoholics may be the last ones to realize their dependence problem. The drug works in a seductive manner and its victim often doesn’t realize what has happened until it’s too late—a housewife realizes that she needs a glass of wine to keep her hands from trembling; a college student realizes that he drove home the previous night but can’t remember doing so; a businessman finds that he needs to have multiple drinks throughout the day to maintain his façade.

At this stage, the addict is often living in denial, trying to prove to himself and the world that he is in control. No one likes to admit that they have been tricked. This is exactly what the drug is able to do. For the user, it is as though their best friend has betrayed them. Because of this slow and gradual process, most addicts aren’t aware of what is happening to them and don’t understand the changes taking place in their bodies and minds.

When a user’s brain ceases to function normally, he is no longer able to see clearly. People in recovery will often look back and say that it was as if their brain had been hijacked. This is why intervention is so important.

Excerpted from the revised/updated edition of: Why Don’t They Just Quit? What families and friends need to know about addiction and recovery
Part 5: Q&A with Joe

January 31, 2010 by jherzanek | 2 comments


Q. Isn’t addiction just a willpower problem?

A. No.
When men or women begin using alcohol or drugs, willpower does play an important role. Deciding to drink or use drugs the first few times is simply a choice. The person may find the initial experiences enjoyable and pleasurable, but that doesn’t make them an addict or alcoholic. Certain drugs can have a much more powerful effect than others, which the user may want to repeat. Just the same, it takes time to become physically and mentally dependent.

Over time, the brain and central nervous system will expect the drug to come in from the outside. This is where physical dependence begins: stopping the use now will result in some signs of withdrawal. Mental or psychological dependence also plays a role in addiction. Once the person develops a physical and mental dependency (i.e. an obsession), willpower becomes less effective. The longer a person continues to use and build tolerance, the more difficult it is to just quit with willpower alone.

There is much to be said regarding this subject of willpower, or lack of it. Many recovering people swear, If not for a power greater than myself, I would still be using. Many addicts who recognize their need to quit do not want to quit. Where then will this desire come from?

Whether this power comes from the person’s spiritual life, or the power of their group or caring friends, recovering people recognize that sheer willpower does not work for them. At some point in recovery, a desire to stop using manifests itself in a person’s consciousness.

Call it what you will; I call this a miracle.
–Joe Herzanek


~ Footprints in the Sand ~

One night I dreamed I was walking along the beach with the Lord.
Many scenes from my life flashed across the sky.
In each scene I noticed footprints in the sand.
Sometimes there were two sets of footprints, other times there was one only.
This bothered me because I noticed that during the low periods of my life, when I was suffering from anguish, sorrow or defeat,
I could see only one set of footprints, so I said to the Lord,
“You promised me Lord, that if I followed you, you would walk with me always.
But I have noticed that during the most trying periods of my life
there has only been one set of footprints in the sand.
Why, when I needed you most,
have you not been there for me?”
The Lord replied,
“The years when you have seen only one set of footprints, my child,
is when I carried you.”

–Author (still) unknown

This article is excerpted from the 2010 Revised and updated book “Why Don’t They JUST QUIT? What friends and families need to know about addiction and recovery.

Article photos by Judy Herzanek

January 14, 2010 by jherzanek | No comments

A great post by our friend and Addiction Chaplain Ned Wicker:

My friend Joe Herzanek wrote a terrific book, “Why Don’t They Just Quit” which is a fitting title because that’s the question people always ask. If somebody drinks, why don’t they just quit? The short answer is simply that’s it’s not that easy. Just because they do quit doesn’t mean they’re not a drunk.

Before you get all riled up and offended understand one important point—just because somebody isn’t using doesn’t mean they are not an addict. People who abstain from using alcohol for long periods of time, people who have been diagnosed as being alcoholics, may be dry, but they are still alcoholics. All of the pieces are in place for their lives to go out of control; it’s just that the triggering element, alcohol, is missing. That is why Alcoholics Anonymous strongly advocates for abstinence. Even people who have been in recovery for years understand that all it takes is alcohol for them to be right back on a destructive path.

Over the years I have known many people who have gone through the criminal justice system and served time for DUI. The police arrest them, the judge convicts them and they spend time behind bars. However, while in jail they do not receive treatment. Yes, they are dry, but that only lasts while they are physically prevented from getting a drink. They are still addicts, but they just aren’t using the drug alcohol at the time. Jason comes to mind. He was serving after being convicted yet again of DUI, but like his first time, he was receiving no treatment. There was a program, but a waiting list to get into it was a mile long. Jason got an early release and never did get into treatment. He was a dry drunk. The first opportunity that came along was all he needed to get a snoot full.

Recovery programs are not just limited to going to meetings and not drinking. They are about the rebuilding of one’s life and learning new skills and habits. People who have honestly and openly journeyed through the 12 Step process understand that recovery is about a return to wholeness. People are transformed from drunks, to dry drunks, to recovering drunks. I do not use the term drunks in the pejorative, but instead use it intentionally to illustrate an important point. No matter the addiction, no matter the human condition, just because one is not directly engaged in an activity does not exempt them from potential danger. What is needed to prevent relapse is a change of lifestyle and a commitment to healthy activity.

It wasn’t long after Jason was released that he was in trouble with the law for another DUI. This time the judge wasn’t at all understanding and the sentence was for four years or so. He was back on the waiting list for treatment, but with more time, he finally got in. He was given the opportunity to go from dry drunk to “recovering.” As he learned new ways of dealing with his life, with his cravings and with his out of control lifestyle, he began to realize that, like millions of others, he was in need of help and could get into recovery with the right kind of support and guidance.

It was a major turning point for him. He was not longer the “victim” of the criminal justice system, but a grateful recipient of treatment for his illness. Unlike others who were going through a prison 12 Step program to earn brownie points with the parole board, Jason was earnestly and actively working the program for its long-term benefits. He wasn’t merely going through the motions. When he was released, he continued his recovery program on the outside, this time with a new sense of purpose and direction. He was no longer a dry drunk.

Abstinence is good, but abstinence along does not get the alcoholic out of the woods. You can lock them up and deny them alcohol, but they are still drunks. Treatment and the right kind of support program is what makes the difference. Jason knows that difference.

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Technology is wonderful—up to a point. The medical and pharmaceutical industries have made huge advances to help those suffering from all sorts of diseases. Most of these advances are genuine lifesavers.

Americans are enjoying longer and higher quality lives—so much so, that we have come to expect many things as normal (diseases cured, symptoms gone and less pain for those suffering the debilitating affects of certain health problems).

Much Too Popular
One class of drugs—opiate painkillers, has become much too popular. These meds will not only relieve physical pain but will also give the user a pleasant euphoric effect at the same time. For a significant and growing number if people this euphoric state of mind is becoming more and more difficult to let go of (similar to the popularity of Valium in the 70′s—which by the way, has been recently increasing as well).

So how and why is this happening? How do pain meds cause even more pain? Let me start by saying that these drugs are very necessary for genuine pain—such as pain experienced after a surgery, broken bones, dental work and more. When used as prescribed, for short periods of time these drugs make life manageable. In some very rare cases they may be appropriate for extended periods of time—especially when a person has a terminal disease. A very small percentage of people fall into this category. Thank God for these medications.

The majority of people who take these medications do not fall in this group. Here is where the problem starts. Rarely does anyone start out to become dependent on opiate pain meds. It happens slowly without being noticed. This is an insidious process. Usually, there comes a time when a person’s physical pain is gone. With regular use of painkilling drugs, the central nervous system has come to expect the drug and the sedative affect it produces—as normal.

Withdrawal
When a person stops using the drug, the body revolts. This is called withdrawal. It’s normal. Much less extreme, but nonetheless similar, a heavy coffee drinker who suddenly quits drinking coffee altogether will experience headaches for a few days. This is because their central nervous system has become accustomed to regular jolts of caffeine throughout the day. Withdrawal from caffeine is usually short-lived and not too difficult. Stopping opiate pain meds is similar, but much, much more intense. The withdrawal symptoms are often very painful—so much so that the person will start to think that their pain is not really gone and they must get and take more pain meds.

A Vicious Cycle
Not only is the body expecting this drug, but a person who is taking pain medication is also building a tolerance to it. Their body is requiring more, sometimes lots more—to feel better. This is a vicious cycle that feeds on itself and only gets worse over time. The person taking theses drugs will also become much more sensitive to all pain—as the normal ability to handle mild pain with over-the-counter medications is now diminished.

I’ve recently watched this problem arise close to home, as a family member needed surgery. He had been regularly taking large amounts of pain meds for back pain. While in the hospital for knee-replacement surgery, he found that he required a much larger dosage of pain meds than a normal person would need. After he was given the maximum safe dosage—excruciating pain still persisted. One feels helpless in these situations.

To ensure that this doesn’t happen, pain meds really should only be used when truly needed. Otherwise, when the time comes that a person genuinely needs them—these pain-relieving drugs may not work at all.

How large is this problem really? In 2007 there were a total of 3.7 billion prescriptions written in the United States. 182 million were for pain meds*! I have double-checked these numbers because I thought they couldn’t be correct. Pain meds are second only to prescriptions written for lowering cholesterol (192 million prescriptions). Anti-depressant prescriptions came in third with 158 million.

If you subtract people aged 21 and under from these numbers—that leaves 230 million adults. According to these calculations, over 15 million people are taking opiate pain medications every day. This is 5% of the entire adult population.

Do all these people need opiate pain medication every day? The only way to know for sure is to quit, go through withdrawal and see how you feel after a few months—drug-free. More and more people are unwilling to go through this process. Today, addiction to opiate pain medications is one of the main reasons people are checking into rehab centers.

So how does one avoid becoming dependant on pain medications? And once a person has become dependant on them, how do they learn to safely quit?

Read more about this topic—chapter 27, Why Don’t They JUST QUIT?

* IMS Health Services (2007 Research Statistics)

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The Internet Review of Books
Julie McGuire
October 2008

Why Don’t They Just Quit: What Family and Friends Need To Know About Addiction and Recovery
By Joe Herzanek

Joe Herzanek, former drug and alcohol abuser, has done more than get treatment for his addictions. Herzanek conquered his demons and has spent his sober life serving others suffering from addiction. He founded the Changing Lives Foundation (www.changinglivesfoundation.org) and has served as a chaplain and counselor at jails and prisons for fifteen years. Herzanek is currently the Chaplain at the Boulder County Jail in Boulder, Colorado.

Why Don’t They JUST QUIT? is more than the typical self-help book. The winner of a Next Generation Indie Book Award, this book is gritty, honest, and full of practical tips, resources, and an Alcohol and Drug Addiction Self Test.

I loved the myriad quotes sprinkled throughout from such diverse individuals as Mother Theresa, Winston Churchill, Mark Twain, Abraham Lincoln, and Herzanek’s own family members. In the foreword, Joe’s wife, Judy, the Creative Manager for the Changing Lives Foundation says, “Joe speaks from firsthand experience, having survived shattered relationships, a life-threatening disease, physical and mental withdrawal, police problems, and raising two teenagers.”

It is the intimate way in which the author shares himself that lends what could be “just another addiction recovery book” a fresh and hopeful voice. I would recommend this for anyone who has been impacted by the effects of addiction.

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This story below was recently sent to us at Changing Lives. We share this candid and powerful account of one woman’s struggle and ultimate healing (with the author’s permission) with hope that it will provide inspiration to others who may be experiencing some of the same struggles. You are not alone.


I Was the Wife of an Alcoholic.

There are so many books out there about alcohol recovery, the addict, what addiction means and what family members are supposed to do. We are led to believe we need to be the addict’s personal cheerleader. Support them thru all the chaos they create in the lives around them.  Pick them up when they fall, as relapse is a part of addiction. They skirt around withdrawal. Maybe because the people writing these books were the ones going thru withdrawal and not seeing it from the perspective of the people actually witnessing the withdrawal.

My question was always “when does he start taking responsibility for his own actions? When does the disappointment stop?” This  tells a real life story about what family members go through on a daily basis living with an addict. I am not skirting around the withdrawal. The havoc it causes in your life. This is the story of my life.

I was the wife of an alcoholic.

I have two amazing children. I feel I am a very straightforward person. I try not to pull any punches- this tends to get me in trouble, as I have been known to hurt people by what comes out of my mouth. I usually remain calm and composed during difficult situations.

My husband could not be depended upon to be there for us. My son once described to me our family- “there is me you and Sarah who live upstairs and there is Dad who chooses to live downstairs”. Profoundly true. We have a dysfunctional family “true by every meaning of dysfunctional.” I have tried my hardest to make things as normal as possible for my children. I feel I have been a good mother. I know things haven’t been smooth sailing with them, but I feel our past has made us stronger people and we will be better people because of it.

My parents are still married. They have been my lifeline. When things were really bad and I knew I needed to get out of my house with the children I went to my parents. I did not have the financial means to get my own place. Without hesitation my father came up with a plan. We will convert the finished downstairs into two bedrooms with a small sitting area. Sarah could have my old bedroom because she only had a year before moving away to college. Within days the renovations started. My parents are both strong, opinionated people. My dad is the “take control of the situation” type person. My mom thinks nothing of helping with whatever needs to be done.

Sarah is my eighteen-year-old daughter. She has been an adult since she was a child. She loves to have fun and when you hear her laugh it brings a smile to your face. She doesn’t show her emotions. She is straightforward. Sarah loves life-she loves to try new things, she loves to be original and is truly comfortable with her uniqueness.

I have a sixteen-year-old son Greg. He too is old beyond his years. Prior to all the chaos in our lives, Greg would smile and laugh all the time. He loved to be hugged and give hugs. That all changed-partly because of the family situation and partly because of his age. Looking at him, he has this tough exterior. He is quiet and usually only talks when he is being talked to or needs something. He is such an observant kid. He takes everything in. He too is straightforward and always feels the need to protect himself from being hurt.

And so it began–

I met my husband when we were freshman in high school. We became friends. I was a cheerleader, he was a football player. When we were juniors in high school we started dating. I remember it like it was yesterday. I was cheering at a basketball game. He came to the game. At half time we were walking down the hallway, he put his arm around my shoulder and asked me to go to the party after the game with him. I should have seen it. He was drunk but we were in high school and everyone was drinking.

Fast-forward nineteen years- (more detail later)

July 28th, 2007

Hospital Stay #3: I was only out of the house for two weeks. My phone rings at 6:30AM. It was my husband. “Kim, I need you to come to the house. I’m sick and need to go to the hospital.” I tell him I’ll be right up. I arrived within minutes of his call. He was sitting in his recliner, smiling at me. I ask him what’s wrong, as if I don’t already know. He said with the faint smell of alcohol on his breath “I just need you to give me a ride to the bathroom.” I know this isn’t good. I am not a nurse or a doctor but I’ve been here before-he has encephalopathy again. I know that ammonia is going to his brain causing this confusion. I asked him if he called the ambulance yet, he said, “No I was waiting for you.”

Seconds later there is a knock on the door. The paramedics have arrived. I didn’t call them, they told me my husband did. (This has been a constant in my life these past few months. Asking him questions, getting a response from him, but never knowing whether or not to trust the answer that comes from his mouth.) He wanted to change his clothes before he went in the ambulance as he told them “I soiled myself a little”. The paramedics told him he was fine and were taking his vitals. I needed to walk out of the house. I was so angry. One of the paramedics came outside with me to ask some medical questions. They smelled the alcohol on him too. I just shook my head. My thought of “My God Greg you knew if you drank again you were going to die. Why???” I knew what we were all in for. I called his parents. I was crying and telling them that I had the ambulance at the house and their son needed to go to the hospital. I told them that this is exactly what I did not want to be doing, that I could not do this anymore. They reassured me they would meet me at the hospital. They lived twenty minutes from the hospital. Two and a half hours later they arrived. Of course, my own mother knew what was going on and immediately met me at the hospital. She walked into the ER room that my husband was in, talked to him like he was going to be OK. Thoughts of “Am I insane? Am I seeing something that nobody else is? Am I exaggerating his medical condition and what the GI doctor told me- if he drinks again he would die? My mom walked out in tears. She never showed him those tears; she wanted him to have hope.

I needed to leave the ER as I had a second job I needed to go to. I know this may sound cold of me to leave him alone, at the hospital; waiting for his parents to arrive but mine was the only income. I was responsible for the mortgage, utilities, food etc. I had no choice but to go to work. I was the responsible one. I had two teenage children to care for.

I just pulled into the parking lot for my job when, my husband’s GI doctor was calling my cell phone. He said, “Kim, I know we just worked really closely on your husband’s case a few weeks ago, but his parents are telling me that you are estranged and they will be making all the medical decisions.” I explained to him that I moved out two weeks ago, however, I was still his wife, knew what my husband wanted and that I would in fact be making any and all medical decisions if my husband could not. He asked me to please come to the hospital as soon as possible. I ran inside Bed Bath and Beyond where I worked, found my manager, trying to hold back my tears I explained to her that my husband was in ICU, and I needed to go to the hospital immediately and would be unable to work my shift. I told her I would call later as I didn’t know what the week would hold for me. Running out of the store and to my car my thoughts were “Damn you Greg! I can’t believe you are doing this to us again!”

So now I’m feeling anger at him, anger at his parents, fear for what’s ahead. It’s always been a feeling like getting punched hard in the stomach when you’re not looking. On the ride to the hospital, I played it out in my head, what I would say to his parents, what I would do, how I needed to keep composure. Falling apart was not a part of the plan.

By the time I arrived at the intensive care unit, the nurses were already giving him a blood transfusion. His parents were sitting in the waiting area. I stopped briefly, and calmly told them I knew that they told the doctor that I was the estranged wife and that they would be making the medical decisions. I told them that I have lived with their son for the past nineteen years, and lived the hell of his addiction. I told them that I was still his wife, I would include them in on any medical decisions that needed to be made, however my decision would be the final one. They of course, denied ever saying that to the doctor. My thought was “let it slide, Kim- just take a deep breath and let it slide.” The reality of it all was I knew my husband was dying; I didn’t need a doctor to come out and speak those words. I knew in my heart, that my in-laws could not make the tough decisions that were ahead. And I was his wife; it was my responsibility to make those decisions.

I met with the GI doctor. Based on my husband’s blood levels, he felt he was bleeding internally, and wanted to perform an endoscopy to see if there was varicies. I signed the consent for it, because my husband was incapable of signing. The doctor also informed me that he would like to wait until the next morning to do it, however, if things got worse today he might need to do it on an emergency basis.

I needed to go home and tell my two children what was happening. They were numb to what I was telling them. You tend to feel emotionless when you’ve been thru this enough times. How many times can you hear “you need to be prepared, your father probably won’t make it thru this time.” I have always been honest with my children about their father’s disease. I knew it was so important for them to be able to trust me with this, to know I was always going to be straight forward no matter what the outcome may be. This was one of the best decisions I have ever made.

My daughter was accepting of it. She was angry but wanted to see her father. It’s been a crazy year for her. Between her father going in and out of the hospital, leaving for rehab on her birthday, in June she left for an economics leadership program, she was home for a week, she spent a week at my brothers house taking care of his animals while they were on vacation and then she left for Washington DC to volunteer at the Hugh O’Brien World Leadership Congress. She arrived back home late on July 28th. On July 29th her father was admitted to the hospital and she hadn’t seen him in weeks. She was exhausted to say the least.  Another emotional roller coaster for her.

Can you imagine going from a World Leadership Congress with 400 plus teenagers from all over the World who excel in academics, leadership and volunteerism, a place where when you walk into a room with these teenagers you can’t help but feel their enthusiasm for life, their positive spirit and feel through your entire body the energy that radiates from them to a place where death is imminent? All I can say is she is a remarkable person.

My son was angry.  He told me he was not going to see his father at the hospital. I respected his decision. My family did not understand my acceptance of his decision. You see, they didn’t live in our house; they didn’t experience the day-to-day chaos that the alcohol brought into our lives. You need to experience it to truly understand it. I was told “he will regret this the rest of his life if you don’t make him go see his father.” I knew my son. I knew he absolutely needed to feel he controlled his own decisions. I was truly fine with his decision. In a lot of ways I envied him.

It’s funny now, how really “in control” I was during this time. I guess I had been preparing myself for years. During the last week of my husband’s life, I stayed calmly in control. I listened to people’s opinion; I saw their concern, their hurt, and their tears. I was able to take it all in and feel for them, be there for them. I was able to talk to doctors rationally about their expectations, plans, and reasoning’s behind certain tests. I amazed myself. I believe so much of this was due to me making a promise to myself and my family to do everything possible to help my husband with his addiction. I knew that this day would come and I was going to need to say “you have done all you could for him, it was in his hands and Gods hands.” As this promise came into play, I shared it with my children- always using the words “we are” or “we will”. Always letting them know I would be truthful with them. In the end, they too, were able to feel “we” did all we could for him. There was no guilt attached. What a good feeling.

There are a few parts of this that remain foggy to me. This next part is one of them.

My brothers and their wives arrived at the house. I sat downstairs with them, explained to them what was happening with my husband and we all held each other and cried together.

During this time, my father was walking around on crutches. He badly needed to get his hip replaced and was in agony from the pain. My father was angry with my husband for all he put us through. He had a difficult time accepting that my husband couldn’t just stop drinking. He made a lot of excuses for not going to the hospital to see him. My mom is a very forgiving person, and while her son-in-law hurt her daughter and grandchildren, she completely understood the disease and forgave him.

I went back to the hospital. I know I said I would not do the hospital scene ever again. But the truth was, I still loved this man. I hated the alcoholic but loved the man. I realized I was finally able to separate the two. He was going downhill fast. Blood transfusions had been running throughout the day, he still had brain confusion when he was awake.

My family (minus my father) arrived shortly after. (My father did eventually come up to the hospital and then we couldn’t get him to leave).

I remember walking into my husband’s hospital room with my twin brother and standing by him. His anger now gone. His compassion, immeasurable. He walked over and kissed his friend (my husband) on the forehead. My husband opened his eyes and smiled. I remember my brother walking out of the room, tears running down his face, and I hugged him. He has felt that blinded punch in the stomach that I have lived with for so long. As I write this, I have tears running down my cheeks. It is like opening newly healed wounds

Monday July 29th:

It’s early Monday morning and there is some confusion as to whether or not the endoscopy will be done. The resident doctor comes out to speak to me. We talk about a DNR. We talk about the expected outcome, it’s grim. I am confident with my answer to the DNR. I know, without a doubt, a DNR order needs to be in place. This is something my husband and I talked about in depth.

The doctor covering for our primary care physician arrives. We sit on the couch of the waiting room in the ICU. It’s eerily quiet. We talk about the lab results, the blood transfusion, and the encephalopathy. He explains to me what to anticipate. I told him I signed a DNR order. He said it was a good decision. I remember looking him straight in the eyes, hoping for an honest answer. I asked him, “When will I know it’s time to stop everything?” He said, “You will know that it is time when the blood transfusions are being hung one after another after another. When you see that he has had three or four transfusions and nothing has improved it will be time to consider stopping all help.

At this point all we will be doing is playing games with numbers. One transfusion brings the lab levels up only to drop again and another transfusion is given to bring numbers up again. Follow your heart, you will know.”

My husband’s GI doctor arrives. He sits and talks briefly to me. He said, “I understand there is some confusion as to whether you want this test done.” His GI doctor is all business. Bedside manner could be better, but he is the best in his field. So I ask him, “Why are we doing the endoscopy if there is little chance of him pulling thru this?” He said, “Kim, you brought him to a hospital, at a hospital we do what we can to give the patient a chance. I am not saying this will help anything but if there are varicies and we can clip them so they stop bleeding, maybe it will help. If you didn’t want to take these chances then you should have gone to hospice.”

I thought he was fair with his answer. I didn’t need him babying me with words. Short and sweet and to the point. Perfect for me. I said go ahead do the test.

The endoscopy was done right inside the ICU room. I remember my parents, my twin brother, and my best friend being there. (It seems like my best friend NEVER left my side during this week). It seemed like an eternity before the doctor came out. But he came out and called me over to the side away from everyone. I remember seeing his face how pale it was for a doctor, so I listened to him and looked down at his clogged feet. He told me to prepare myself for the worst; my husband was in congestive heart failure. My husband had minimal varices. That was good right? Wrong- Instead, the doctor explained to me that my husband’s entire GI tract was oozing blood. It was described as “kinda like when you scrape your knee and it just keeps oozing and stings.”

The doctor told me he put an oxygen mask on my husband to try to help him breathe a little easier, and I should go in and be with him. I called the family over and explained to them what was explained to me. I then walked into my husband’s room totally unprepared for what I was about to see. The hospital staff had my husband propped sitting straight up; his eyes were bulging as he was gasping for air. There was blood everywhere. On his face, on his Johnny coat, on the sheets. He then began to make a God-awful noise. It was loud, so very loud. I didn’t know what to do. He was looking at me with his bulging eyes looking for me to help him. I wanted to run. I needed to get out of that room. I am a strong person but I was not prepared for this.

I can’t tell you how many times I walked quickly away to the door leading to the hallway- the hallway where I could escape and not see that image any longer. At that moment I knew what it was like to be insane. I would walk away only to tell myself I couldn’t leave him alone like that, alone and scared. I think by the fourth time I just had to leave. The nurse actually came in and told me to leave she wanted to clean him up. She did this to save me from making the decision. I remember just barely being able to walk out of his room, my energy completely drained from my body.

Everyone was standing there wanting to know how he was, I couldn’t speak. Instead I let my knees give out and I slid down the wall in a crouched position, my hands covering my eyes, and I sobbed uncontrollably. While this was happening, his moaning increased in volume and everyone in the waiting area could hear him. I didn’t need to say anything else. They all cried along with me. I would not allow anyone to go in to see him like that, I wanted him cleaned up. I knew that vision was going to haunt me the rest of my life. No need for anyone else to experience it.

It was an extremely long day of not knowing what was going to happen. My husband was not going to pull through this time. I called both of the kids and told them that I did not think their father was going to live much longer. Throughout the afternoon we all went in to say our good byes. At one point both families had encircled his bed and you could feel the love for him in the room. I remember holding his hand and telling him that it was okay to let go. I was trying to give him permission to die. We stood around and cried, and hugged one another and tried to console each other. I didn’t care who was in the room; he needed to know it was time to let go. I never thought I would actually know that he was dying. I always said he was going to die from the alcohol, I didn’t know that I would actually know when but I could feel it in every fiber of my being that my husband was going to die. I knew what I needed. I needed to turn back time and find a way to change the outcome of my husband’s addiction. That wasn’t going to happen.

Everyone was trying to support me the only way they knew how. You need to remember this was a new experience for all of us. No one planned on my husband dying at the age of 42.

During this stressful day, I took a few minutes to call my divorce attorney. I told her my husband was in the hospital and was not going to pull through this time. I needed to stop the proceedings. She didn’t really know what to say, so she told me she was there for me-anything I needed just call. When I look back at this, I wonder why I made this call from the hospital.

Later in the afternoon, my son called me. Mom I’m coming up. I’m not staying more than twenty minutes. I told him “whatever you want to do.” He was walking to the hospital. Everyone offered to give him a ride, but I know my son, walking is a kind of therapy; he can collect his thoughts and feelings. I called him back to see if he knew where to go, he didn’t so I met him at the elevators. He was so angry. But I know he came for me. We sat at the furthest waiting area, and we talked. I told him what was happening with his dad. He didn’t want to go in to see him. He told me he was leaving.

July 30th:

It’s now Tuesday morning. I arrive at the ICU room at approximately 630am

Slowly, the last day, he slipped in and out of consciousness.  When he was awake he kept asking for water. WATER

WAAAAAAAAAAAAAAAATER.

At some point on this day, the hospital social worker stopped by to see me. This is the same social worker that walked out on me when my husband was standing over me with his fist, the same social worker that told me I was speaking out of anger and would not get inpatient rehab the first time around. She came up to me and told me she was there for me and whatever I needed she would be there for me. I said thanks and walked away shaking my head laughing. Now she wants to help me? Now when there was no hope left. What help could she possibly be? I didn’t need a friend or support- I had my family.

On August 4, 2007 my husband passed away, quietly in his sleep. The death certificate read heart failure. The reality was his death was caused from alcohol dependency.

My daughter just recently graduated from high school.I am so proud of all that she has accomplished. Throughout the year after her father died, she maintained her high honor status, graduating as Valedictorian of her class. She was involved with HOBY, National Honor Society, Spanish Honor Society, United Way- to name a few. She will be leaving in August for The George Washington University.  She is looking forward to moving away and starting fresh. I can’t say I blame her. I just hope she isn’t trying to run away from memories.

My son is still struggling thru high school. He is such a smart kid, but lacks the motivation to use what he has. I see a more relaxed kid, someone who talks to me instead of yelling at me. I see him smiling a little more and every now and then I even get a semi- hug. To me this is huge. I still see a very protective teenager with his “walls up”- always ready to never let anyone hurt him again.

As for me- I struggle every single day. I have a difficult time trusting people. I don’t let people in easily. My philosophy on this is if people aren’t in your life they can’t hurt you. It’s hard to even let family members in. I don’t want them feeling sorry for me. I close my eyes and see the last week of my husband’s life. Sometimes it will be a vision of him after his endoscopy when he was in congestive heart failure, sitting straight up in his bed with an oxygen mask on his face, eyes bulging, and blood all over him AND HIS BED another time it may be him prior to his final hospital stay, bloated to the point where fluid was leaking thru his skin and running down his legs. He would take a sanitary napkin and put it inside his sock to soak up the fluid so it didn’t drench his sock. These are two memories that haunt me. This is what the other books don’t tell you. The insanity of living with an alcoholic.

It’s funny how the people around you judge you when they don’t know what’s going on in your life and then feels the need to feel sorry for you when they realize the hell you’ve been thru. I remember people I went to school with my entire life, making statements behind my back about my lack of participation in my children’s school events, sports, meetings etc. during the past year. It really hurt but in the grand scheme of things it just didn’t matter at the time. If they only knew the insanity in my life, my kids life, if they only knew I had all I could do to keep things together for the kids and myself.

I’ve learned a very important lesson thru all of this and that is not to judge people. When you think that someone is snubbing you off stop and think that maybe they have something going on in their own lives that they aren’t ready to share.” Walk away with a smile because if they are snubbing you off your smile will be an indication that it’s not really bothering you, and if they have something going on that smile may just brighten their day a little even if they don’t show it.

After my husband died, I began to hate these two simple phrases; “so how are you doing?? ” and “how are you?” The walls go immediately up. What I really want to say is “how the hell do you think I’m doing– I lost my husband, my house, my life”– but I realize that would be my anger being thrown at people who simply are just asking a question of concern. So I simply smile and say, “I’m fine”.

My life has been forever changed. But I am moving forward. I am currently enrolled in college. I am working toward obtaining a BS degree in psychology. My goal is to become a Substance Abuse and Behavioral Disorder Counselor.

What you read above, is a small section of the book I am in the process of writing. It is a slow process–mainly because it becomes too painful to write at times. But I have a goal to finish it.

I want other people to know they are not alone.

(I can be contacted at: kmtimp1@yahoo.com)

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After speaking to and emailing hundreds of parents, spouses and other family members, I know this is a lot easier said, than done. Raising the bottom is especially difficult for mothers and is one of the reasons I wrote the book Why Don’t They JUST QUIT? — to get the message to as many as possible.

Exactly what do I mean by”raising the bottom”? This whole idea of “hitting bottom” is out of date. Some people will wait years–even decades–for their friend to reach this mythical point in their alcohol and drug use. But why wait for them to “hit bottom”? Why not help them by raising their bottom? There are ways to encourage someone to reach for help much earlier. In doing so, we can avoid a lot of unnecessary pain and heartache and maybe even save their life. For some people, hitting bottom will be six feet underground.

So does everyone have to hit rock bottom? I would say no. Tough love can prevent a substance abuser from prolonging their usage. There are loving ways to refuse to rescue someone that in the long run will help him or her to choose recovery. Loving means doing the right thing to help. This can take all of our strength and energy at times. “We all hate to see someone suffereven when the suffering is a consequence of their bad choices. This approach, or some form of it, is something you might consider: Raise the bottom. Whether it is a teenage son or daughter, a spouse, boyfriend, aunt or uncle, the same principles can apply. A few nights in jail could be the best thing that ever happens to them. The next time this person you care about appeals to you to get them out of a bind (loan them money, pay their electric bill, buy them gas, pay for a lawyer), think twice. You just might be prolonging their disease and robbing them of the natural consequences that they need to experience in order to seek help and begin to connect the dots.

I receive a lot of mail from family members who are searching for “Al-anon type” answers and information. Here’s a typical email and my response (I’ve changed the name and some of the details to protect the identity of this woman).

Dear Joe,
I have just ordered Why Don’t They JUST QUIT? as my last resort to get off the emotional rollercoaster my alcoholic husband has put me on! He has been an alcoholic since he was a teenager. It’s like living with Jekyl & Hyde! The physical & emotional rollercoaster is killing me. He has been incarcerated about 4 times and was in many different programs for alcohol, at least 5 or 6. He drives while drinking, and gambles when he drinks. I could go on forever. I constantly walk on eggshells and don’t know how much more I can handle. This book is my last resort before I suffer a mental breakdown.

Thanks Joe,
Sarah

Hi Sarah,
Thanks for your email. Sorry to hear about your current struggle. Your life does not have to be this way! The book will definitely help and give you some insights on the addiction problem. The difficult part will be sticking with the tough love that is necessary to motivate your husband to begin recovery. You can do it and so can he.

I don’t know your entire situation, but the number one issue must be dealt with, and that is HIS alcohol and or drug use.

Keep that in mind. You didn’t cause this problem and you can’t control or cure it. What you can do is confront it and perhaps give ultimatums. You can force him to see the light or feel the heat.

At some point he needs to choose which relationship is the most important–his relationship with you or his relationship with alcohol. Let him know there is a high cost to continue his current way of living. The pain of consequences is often the best teacher.

Hang in there.
Joe

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