Thread: My Addicted Son
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Old 02-10-2005, 07:42 PM   #4
MavKikiNYC
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Default RE: My Addicted Son

When I was a child, my parents implored me to stay away from drugs. I dismissed them, because they didn't know what they were talking about. They were -- still are -- teetotalers. I, on the other hand, knew about drugs, including methamphetamine. On a Berkeley evening in the early 1970's, my college roommate arrived home, yanked the thrift-shop mirror off the wall and set it upon a coffee table. He unfolded an origami packet and poured out its contents onto the mirror: a mound of crystalline powder. From his wallet he produced a single-edge razor, with which he chipped at the crystals, the steel tapping rhythmically on the glass. While arranging the powder in four parallel rails, he explained that Michael the Mechanic, our drug dealer, had been out of cocaine. In its place, he purchased crystal methamphetamine.

I snorted the lines through a rolled-up dollar bill. The chemical burned my nasal passages, and my eyes watered. Whether the drug is sniffed, smoked, swallowed or injected, the body quickly absorbs methamphetamine. Once it reaches the circulatory system, it's a near-instant flume ride to the central nervous system. When it reached mine, I heard cacophonous music like a calliope and felt as if Roman candles had been lighted inside my skull. Methamphetamine triggers the brain's neurotransmitters, particularly dopamine, which spray like bullets from a gangster's tommy gun. The drug destroys the receptors and as a result may, over time, permanently reduce dopamine levels, sometimes leading to symptoms normally associated with Parkinson's disease like tremors and muscle twitches. Meth increases the heart rate and blood pressure and can cause irreversible damage to blood vessels in the brain, which can lead to strokes. It can also cause arrhythmia and cardiovascular collapse, possibly leading to death. But I felt fantastic -- supremely confident, euphoric.

After methamphetamine triggers the release of neurotransmitters, it blocks their reuptake back into their storage pouches, much as cocaine and other stimulants do. Unlike cocaine, however, meth also blocks the enzymes that help to break down invasive drugs, so the released chemicals float freely until they wear off. Methamphetamine remains active for 10 to 12 hours, compared with 45 minutes for cocaine. When the dawn began to seep through the cracked window blinds, I felt bleak, depleted and agitated. I went to bed and eventually slept for a full day, blowing off school.

I never touched methamphetamine again, but my roommate returned again and again to Michael the Mechanic's, and his meth run lasted for two weeks. Not long afterward, he moved away, and I lost touch with him. I later learned that after college, his life was defined by his drug abuse. There were voluntary and court-ordered rehabs, car crashes, a house that went up in flames when he fell asleep with a burning cigarette in his mouth, ambulance rides to emergency rooms after overdoses and accidents and incarcerations, both in hospitals and jails. He died on the eve of his 40th birthday.

When I told Nick cautionary stories like this and warned him about crystal, I thought that I might have some credibility. I have heard drug counselors tell parents of my generation to lie to our children about our past drug use. Famous athletes show up at school assemblies or on television and tell kids, ''Man, don't do this stuff, I almost died,'' and yet there they stand, diamonds, gold, multimillion-dollar salaries and fame. The words: I barely survived. The message: I survived, thrived and you can, too. Kids see that their parents turned out all right in spite of the drugs. So maybe I should have lied, and maybe I'll try lying to Daisy and Jasper. Nick, however, knew the truth. I don't know how much it mattered. Part of me feels solely responsible -- if only his mother and I had stayed together; if only she and I had lived in the same city after the divorce and had a joint-custody arrangement that was easier on him; if only I had set stricter limits; if only I had been more consistent. And yet I also sense that Nick's course was determined by his first puff of pot and sip of wine and sealed with the first hit of speed the summer before he began college.

When Nick's therapist said that college would straighten him out, I wanted to believe him. When change takes place gradually, it's difficult to comprehend its meaning. At what point is a child no longer experimenting, no longer a typical teenager, no longer going through a phase or a rite of passage? I am astounded -- no, appalled -- by my ability to deceive myself into believing that everything would turn out all right in spite of mounting evidence to the contrary.

At the University of California at Berkeley, Nick almost immediately began dealing to pay for his escalating meth habit. After three months, he dropped out, claiming that he had to pull himself together. I encouraged him to check into a drug-rehabilitation facility, but he refused. (He was over 18, and I could not commit him.) He disappeared. When he finally called after a week, his voice trembled. It nonetheless brought a wave of relief -- he was alive. I drove to meet him in a weedy and garbage-strewn alleyway in San Rafael. My son, the svelte and muscular swimmer, water-polo player and surfer with an ebullient smile, was bruised, sallow, skin and bone, and his eyes were vacant black holes. Ill and rambling, he spent the next three days curled up in bed.

I was bombarded with advice, much of it contradictory. I was advised to kick him out. I was advised not to let him out of my sight. One counselor warned, ''Don't come down too hard on him or his drug use will just go underground.'' One mother recommended a lockup school in Mexico, where she sent her daughter to live for two years. A police officer told me that I should send Nick to a boot camp where children, roused and shackled in the middle of the night, are taken by force.

His mother and I decided that we had to do everything possible to get Nick into a drug-rehabilitation program, so we researched them, calling recommended facilities, inquiring about their success rates for treating meth addicts. These conversations provided my initial glimpse of what must be the most chaotic, flailing field of health care in America. I was quoted success rates in a range from 20 to 85 percent. An admitting nurse at a Northern California hospital insisted: ''The true number for meth addicts is in the single digits. Anyone who promises more is lying.'' But what else could we try? I used what was left of my waning influence -- the threat of kicking him out of the house and withdrawing all of my financial support -- to get him to commit himself into the Ohlhoff Recovery Program in San Francisco. It is a well-respected program, recommended by many of the experts in the Bay Area. A friend of a friend told me that the program turned around the life of her heroin-addicted son.

Nick trembled when I dropped him off. Driving home afterward, I felt as if I would collapse from more emotion than I could handle. Incongruously, I felt as if I had betrayed him, though I did take some small consolation in the fact that I knew where he was; for the first time in a while, I slept through the night.

For their initial week, patients were forbidden to use the telephone, but Nick managed to call, begging to come home. When I refused, he slammed down the receiver. His counselor reported that he was surly, depressed and belligerent, threatening to run away. But he made it through the first week, which consisted of morning walks, lectures, individual and group sessions with counselors, 12-step-program meetings and meditation and acupuncture. Family groups were added in the second week. My wife and I, other visiting parents and spouses or partners, along with our addicts, sat in worn couches and folding chairs, and a grandmotherly, whiskey-voiced (though sober for 20 years) counselor led us in conversation.

''Tell your parents what it means that they're here with you, Nick,'' she said.

''Whatever. It's fine.''

By the fourth and final week, he seemed open and apologetic, claiming to be determined to take responsibility for the mess he'd made of his life. He said that he knew that he needed more time in treatment, and so we agreed to his request to move into the transitional residential program. He did, and then three days later he bolted. At some point, parents may become inured to a child's self-destruction, but I never did. I called the police and hospital emergency rooms. I didn't hear anything for a week. When he finally called, I told him that he had two choices as far as I was concerned: another try at rehab or the streets. He maintained that it was unnecessary -- he would stop on his own -- but I told him that it wasn't negotiable. He listlessly agreed to try again.

I called another recommended program, this one at the St. Helena Hospital Center for Behavioral Health, improbably located in the Napa Valley wine country. Many families drain every penny, mortgaging their homes and bankrupting their college funds and retirement accounts, trying successive drug-rehab programs. My insurance and his mother's paid most of the costs of these programs. Without this coverage, I'm not sure what we would have done. By then I was no longer sanguine about rehabilitation, but in spite of our experience and the questionable success rates, there seemed to be nothing more effective for meth addiction.

Patients in the St. Helena program keep journals. In Nick's, he wrote one day: ''How the hell did I get here? It doesn't seem that long ago that I was on the water-polo team. I was an editor of the school newspaper, acting in the spring play, obsessing about which girls I liked, talking Marx and Dostoevsky with my classmates. The kids in my class will be starting their junior years of college. This isn't so much sad as baffling. It all seemed so positive and harmless, until it wasn't.''

By the time he completed the fourth week, Nick once again seemed determined to stay away from drugs. He applied to a number of small liberal-arts schools on the East Coast. His transcripts were still good enough for him to be accepted at the colleges to which he applied, and he selected Hampshire, located in a former apple orchard in Western Massachusetts.

In August, my wife and I flew east with him for freshman orientation. At the welcoming picnic, Karen and I surveyed the incoming freshmen for potential drug dealers. We probably would have seen this on most campuses, but we were not reassured when we noticed a number of students wearing T-shirts decorated with marijuana leaves, portraits of Bob Marley smoking a spliff and logos for the Church of LSD.

In spite of his protestations and maybe (though I'm not sure) his good intentions and in spite of his room in substance-free housing, Nick didn't stand a chance. He tried for a few weeks. When he stopped returning my phone calls, I assumed that he had relapsed. I asked a friend, who was visiting Amherst, to stop by to check on him. He found Nick holed up in his room. He was obviously high. I later learned that not only had Nick relapsed, but he had supplemented methamphetamine with heroin and morphine, because, he explained, at the time meth was scarce in Western Massachusetts. ''Everyone told me not to try it, you know?'' Nick later said about heroin. ''They were like, 'Whatever you do, stay away from dope.' I wish I'd got the same warning about meth. By the time I got around to doing heroin, I really didn't see what the big deal was.''

I prepared to follow through on my threat and stop paying his tuition unless he returned to rehab, but I called a health counselor, who advised patience, saying that often ''relapse is part of recovery.'' A few days later, Nick called and told me that he would stop using. He went to 12-step program meetings and, he claimed, suffered the detox and early meth withdrawal that is characterized by insuperable depression and acute anxiety -- a drawn-out agony. He kept in close touch and got through the year, doing well in some writing and history classes, newly in love with a girl who drove him to Narcotics Anonymous meetings and eager to see Jasper and Daisy. His homecoming was marked by trepidation, but also promise, which is why it was so devastating when we discovered the truth.
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