Published
So, I am a recovering addict. I like to think of my addiction as "acute" "in remission" or dare I say it "cured".
I never tried a drug until I became a nurse. I didn't take them simply because they were accessible. I took them initially after a surgery for pain and then I took them because my body craved them so intensely that I would stoop to any level to get them.
I made my decision making "drug focused". Every action I took could be related to finding the drug, getting the drug and using the drug. I worked in the ICU and used 10 mg Morphine vials multiple times for post-op patients.
When a patient comes out of surgery it is really fast paced. The process of signing out and then wasting each unused drug took precious time away from patients. Why waste 8 mg's of MS when you will probably be giving an additional 2 mg's Q 10 mins for the 1st hour post-op anyway. So, you would give 2 mg's and put the vial in your pocket and pull it out each time you needed it until the patient was comfortable. Then you would chart the doses and waste what was left with another nurse.
One morning when I got home from work, I had forgotten to check my pockets. There it was. 6 mg's of MS. So, I set it aside and planned on taking it back on my next shift. But I had to put it someplace safe so no one would see it. What would they think.
It happened over and over again, intentionally, maybe, maybe not. Never used it, just put it in the drawer. I think I was afraid to use it cause what if I had a reaction? Or took too much and my kids found me on the floor unconscious?
One day, I put it in my hip. I felt like I was energized. I got so much done at home that day. After about a month of IM Demerol and Morphine, I had a patient on dilauded.
Took the excess drug home........along with an insulin syringe. I must have tried for 30 minutes to find a vein. I can find them blind-folded on my patients, but it is more difficult when your doing it upside down. After another month, I was shooting MS and demerol 4 or 5 times a day. But I did not believe I was an addict.
It all started with the Lortab after my tonsillectomy. I felt efficient, loving, attentive, smarter and focused when I took opiates. I didn't have to use every day. I was PRN so I would go a week without working and without using. I went on vacation for 2 weeks and didn't have any problems.
When I came back I worked 1 shift, took some dilauded and used it when I got off. I was called in the next day, I thought to work a shift, and was confronted by the DON, HR and several Admin nurses. I denied diverting but said I had partied while on vacation and would probably test + on the UDS.
Ignorant as I was, I gave them the urine and went home totally freaked out. I knew it would be positive and could not begin to imagine what would happen next. Looking back, I should have just quit and dealt with "suspicions" of diversion instead of giving them a dirty drug screen. But I didn't know I had a choice.
I broke down and told my husband that I was suspected, tested and probably terminated for using. But I didn't tell him what I used or that I was diverting. Told him it was Lortab, but I didn't have a current RX for it. So, when I was terminated and reported to TPAPN, I had to finally tell him what really happened. He reamed me up and down. Not supportive, did not recognize a "problem", just called me a junkie and was more concerned that I had potentially screwed my career. Our marriage is fine, believe it or not, and we only bring it up when we are really angry.
I have been sober since June 2 2006, the day after I got caught. Been through treatment, meetings and so on. I am working in LTC and have access to Lortab, MS tablets and Roxinal. Do I have cravings or feel compelled to take them? Nope. Did I learn my lesson? Yep.
But if you ask the professionals if I am "cured" they say there is "no cure". Once an addict, always an addict. But why? If I never did drugs until they were prescribed and have quit without issue and have proven my ability to be around the same drugs that I was addicted to?
Simply because I am the child of an alcoholic, the sister of an addict and the daughter of an undiagnosed and untreated mother with depression and bi-polar. Since I was molested as a child and my father died when I was 16. Since I slept around during high school so I could avoid the abuse at home. Since I dated men twice my age looking for a father figure until, Thank GOD, I met my husband and became a responsible adult and a mother.
Do all of these characteristic combined with the exposure to and subsequent physical addiction to Lortab define me as an addict for the rest of my life. Does that mean AA and NA meetings forever? Does that mean I can't drink at parties and dinner with friends because I might relapse and start using?
Someone please explain this to me. All addicts deny the addiction at some point in recovery, but don't people recover from the physical addiction and are strong enough to make the right choices when confronted with similar situations? HELP!! Thanks
I'm glad this topic came up. I never did drugs until I became a nurse in 1997. Started out with a tooth abscess and an idiot dentist who called in 30 Percocet before I even saw him, and once I had that euphoric feeling, I knew what I wanted. I began using more and more, no needles, just pills, which are harder to get away with in the count. I got caught in Florida in 1998 and went through the IPN program for three years and 'graduated." Hurray, I was now a clean nurse who gave narcotics without thinking of them.. then I got breast cancer and had surgery and since I didn't tell my doc I was a recovering addict and I was also afraid of the pain, guess what I got for thepain? Vicodin. Within 4 days, I knew I was off to the races again. I eventually started diverting at work again, got fired this time, and didn't have the money to jump through the hoops. That was 2002. I gave up my liscence on the stipulation that I could reapply in 5 years as long as I go through another nurse recovery program. I have no problem with that. I just wonder if it is worth it. I moved back to Tulsa and reapplied in Oklahoma but I failed the boards and i'm just wondering if I want to go through the hassle of studying again, then trying to find a job after 7 years WITH a narcotic restriction and going through the PAProgram. I believe addicts brains are wired differently. The only 'remission' is believing that, going to meetings, and not taking that first taste of drug in your mouth or body. But I don't believe it is a matter of being 'cured.'
I just read further on and hearing longhorn 1's response on march 30th. YOU are the only one who can call yourself a drunk or dry drunk. Again, alot of even your history as a child I know well too. did I blame my mom for my misery..you bet. the point is you are not unique, nor circumstances special. and I too, have done ICU > 25yrs. and never diverted.never thought about it either.
If you want help, then you need to be honest[normal nurses are not on TPAPN] open..put the cotton in your mouth and out of your ears. and willing...
sounds like you haven't done or know what step 1 is yet. I am very passionate about recovery now. and I won't suger coat the truth.. if you are looking for someone to tell you you aren't an addict and all you need is a vacation...good luck finding that person, because they will either be normies who don't know "us" or it's someone who will co-miserate with you and give each other permission to use. QUIT PLAYING MIND GAMES....DIDN'T YOUR BEST THINKING GET YOU HERE?? THIS STUFF KILLS US!!!! AND IT STARTS WITH THE THINKING!!!
Once an addict, always an addict. A normal person doesn't have to think twice about whether they liked the way a drug made them feel, prescribed or not. I don't mean to be harsh but I take my daily doses of medicine (12 steppers anonymous) even though I haven't used for several years. I don't want to return to the hell that I came from so I stay in the now and practice cautious medicine. But I know what I am, a recovering addict that is slowly becoming better ( a better person, a better thinker, a better friend, a better wife, a new mother, etc.)
Right. My point with that is mainly to suggest that psychological addictions can be overcome through various means. I think that the "disease" mindset is great for some people... But for others it is detrimental. For some, the idea that they can overcome their addiction via self work, therapy, whatever else is empowering and quite effective. Look at food addicts, for example. Food addicts go on to enjoy the occasional slice of pizza or cake- and not necessarily relapse into binge eating/eating to excess/addictively. Does that mean they are still food addicts? Does it mean they are recovered? Is their addiction in remission? If it is psychological I think the definition of "disease" is far more subjective than if it were a biological disease with quantifyable physical/chemical markers. Now, some substances DO carry such markers- cocaine addiction for example. However, I don't find any material on non-physically addictive substances carrying biological benchmarks (not saying they aren't there- by all means please do direct me- anyone- if the research is there and I just haven't come across it) but things like food addiction etc. I don't see any concrete evidence of more than psychologic addiction. This is as close as I'm finding- and that's a study- not evidence... http://www.psychiatry.ufl.edu/faculty/kobaissy-mainshort.shtml
Anyway- the point is- I don't think there is enough to say whether it's objectively a case of "once an addict, always an addict"- but there is certainly loads of *subjective* evidence that says that is certainly the case for many people. Now- whether that is because that is the more effective/easier way of dealing with it and overcoming it? That's a debate that I have yet to find objectively based answers for Looking forward to that previously mentioned special from CNN though
*always curious*
i believe the AMA says it is a psychological disease, dont they?i believe that it is a psychological disease too. not to say "its all in my head", but really...it IS all in my head, lol. and my husband says that is one BAD neighborhood to live in, lol.
Addiction is a holistic disease. It effects people physically, psychologically, socially, and spiritually.
Yes- it affects people on a holistic level- but at what point does it originate? Psychologic? Physical? Can psychologic addictions be 'cured' while physical addictions can't? Vice versa? Can both be cured? Neither? The effects clearly span the holistic spectrum- but what is the root cause? And is the best we can do really to just put a Band-Aid on it and hope for the best?
What do you mean a "dry drunk"? A person who doesn't drink or use, hasn't done anything with the "stinkin thinkin" that goes along with the disease and is still acting like a butt hole? Unfortunately those people who are in other addiction categories do not have an equivilent to the dry drunk but they sure do have the mental symptoms of being active in the disease without the "buzz"
Quote from pg 16 of the Basic Text
The only way to keep from getting or continuing a habit is not to take that first fix, pill or drink. (YES, a choice)If you are like us you know that one is too many and a thousand never enough. We put great emphasis on this for we know that when we use drugs in any form,or substitue one for another, we release our addiction all over again or create a new one....We seem to forget that alcohol is one of the oldest known DRUGS.
As for the OP, "Do all of these characteristic combined with the exposure to and subsequent physical addiction to Lortab define me as an addict for the rest of my life. Does that mean AA and NA meetings forever? Does that mean I can't drink at parties and dinner with friends because I might relapse and start using? "
Sounds like you need to do a step 1 and get honest. Are you looking for someone to say, oh yes, you are cured now! No need for those meetings...you can drink at parties etc. Have you talked to your sponsor? Do you have a sponsor? Sounds to me like you are asking someone to give you permission and you are rationalizing. You can find any excuse to use. but don't try to get any of us who have been around to help you find one! I'm sure that you have heard that the most dangerous place for an addict to be is "up in their head" All I know and have seen is that this type thinking can get people into trouble.
Right. My point with that is mainly to suggest that psychological addictions can be overcome through various means. I think that the "disease" mindset is great for some people... But for others it is detrimental. For some, the idea that they can overcome their addiction via self work, therapy, whatever else is empowering and quite effective. Look at food addicts, for example. Food addicts go on to enjoy the occasional slice of pizza or cake- and not necessarily relapse into binge eating/eating to excess/addictively. Does that mean they are still food addicts? Does it mean they are recovered? Is their addiction in remission? If it is psychological I think the definition of "disease" is far more subjective than if it were a biological disease with quantifyable physical/chemical markers. Now, some substances DO carry such markers- cocaine addiction for example. However, I don't find any material on non-physically addictive substances carrying biological benchmarks (not saying they aren't there- by all means please do direct me- anyone- if the research is there and I just haven't come across it) but things like food addiction etc. I don't see any concrete evidence of more than psychologic addiction. This is as close as I'm finding- and that's a study- not evidence... http://www.psychiatry.ufl.edu/faculty/kobaissy-mainshort.shtmlAnyway- the point is- I don't think there is enough to say whether it's objectively a case of "once an addict, always an addict"- but there is certainly loads of *subjective* evidence that says that is certainly the case for many people. Now- whether that is because that is the more effective/easier way of dealing with it and overcoming it? That's a debate that I have yet to find objectively based answers for
Looking forward to that previously mentioned special from CNN though
*always curious*
Let me give you some websites regarding food addiction for your perusal. Overeaters anonymous, food addicts in recovery, food addicts anonymous, and eating disorders anonymous. Each of these groups has a little different take on food addiction but many people cannot take the first bite of cake, or whatever their particular binge food is. There have been studies recently that show that sugar can be addictive...just need to find the link for you.
Let me give you some websites regarding food addiction for your perusal. Overeaters anonymous, food addicts in recovery, food addicts anonymous, and eating disorders anonymous. Each of these groups has a little different take on food addiction but many people cannot take the first bite of cake, or whatever their particular binge food is. There have been studies recently that show that sugar can be addictive...just need to find the link for you.
Certain foods can be addictive- I agree. Sugar is being studied- caffeine is certainly physically addictive. Chocolate is another I believe I've seen evidence regarding physical properties...
However- what I am talking about are those with psychological addictions to food in general- not to sugar, or chocolate or specific foods with specific properties (chocolate that affects seratonin levels, sugar that sets off physical events that affect blood sugar, etc.) And even then- even if a food/beverage has addictive properties doesn't mean that the problem is the food or a disease. With food particularly I've heard of many people who, after getting into a proper diet/exercise plan say they no longer even *desire* that first bite of cake or whatever
"their binge food" may have been. That leads me to believe that in at least some cases, the issue isn't a disease- it is a personal psychological issue that can be resolved. (An 'issue' that is resolveable without active maintenance/treatment I would not call a disease.) OR- alternatively- in the case of addictive foods- it may be that after getting into said proper eating and exercise program- their physiology changes to the extent that it no longer affects them. At all.
Also- another point is that addiction to a substance may not be about either the addiction itself or the object of the addiction. It may be an issue of displacement or other indirect psychologic concepts that are used to circumvent the real issue/problem.
You say that 'many people can never take that first bite of...' But what I wonder is- is this a result of poor mental/impulse control or is it truly an issue of being incapable of saying 'no'. I have seen what the human mind is capable of- with training, and self-work... Or hey- maybe it IS a 'disease'- but it's one that is able to be overcome and that one doesn't have to 'have' forever.
The point being- there is not an objective evidence based single school of thought regarding addiction that I am aware of. So saying that "addiction is never able to be overcome and will be with you forever and ever" may be helpful and true for many people... but not for everyone necessarily... For some the idea may even be detrimental to thier recovery.
Addiction is similar to depression- in that there is raging debate as to whether it is/is not a disease. This article explains more of what I'm trying to get across, only along the lines of depression. I think that given the debates regarding addiction- that one could read this article and apply it also to the issue of addiction. http://blogs.psychologytoday.com/blog/evil-deeds/200809/is-depression-a-disease-part-2-the-great-debate
Yes- it affects people on a holistic level- but at what point does it originate? Psychologic? Physical? Can psychologic addictions be 'cured' while physical addictions can't? Vice versa? Can both be cured? Neither? The effects clearly span the holistic spectrum- but what is the root cause? And is the best we can do really to just put a Band-Aid on it and hope for the best?
It's a chicken or egg question. Some people start using for a variety of reasons: to fit in socially because the drug crowd accepts everyone as long as you do what they do, to stifle psychological pain and trauma, to take care of physical pain and illness, or to expand their awareness. Once addiction kicks in, these issues tend to blend and snowball into one another hiding the original intent.
Cure really depends on a lot of factors. Could depression be cured before the person chose to drug as a coping skill? It depends on if the depression was a neurochemical imbalance or a situational depression. Could physical pain be cured before someone chose to abuse pain killers? Again, it depends on where the pain originated. These issues with addiction become very convoluted. The problem with that is that it leaves a lot open to interpretation as we have seen here.
Once present, addiction is considered a chronic illness. The popular view of science is, that like any chronic illness, there is not cure, only management.
Longhornfan-Why does it matter so much that you were "termed" a dry drunk for 30 something years? Big deal? It is only a phrase. Sometimes our addicitions do not reveal themselves until later on in life. Be happy with the fact that you are clean, sober, and have gotten your life together for the most part. I don't know anyone, with addiction issues or without, that couldn't benefit from a little therapy! Like a previous poster said, it's just semantics you are focusing on and you could argue semantics til the end of time! Congrats on overcoming all the hardships that you have been through and just keep up the good work!
The link to psychology today from Equinox 93 regarding depression and if it and other mental health disorders fit into the disease model is interesting. Here is a statement from the author of the article that I believe is relative to this thread;
"To be biogenetically and temperamentally prone to depression or bipolar disorder or schizoaffective disorder may be one's fate. But it need not totally dictate one's destiny. That remains the individual's responsibility. And one's existential freedom to transcend fate and participate in creating one's destiny."
(Is Depression a Disease? ( Part 2): The Great Debate. By Dr. Stephen A. Diamond, Ph.D. on September 15, 2008)
I have been working in addiction for several years and when I first started I had a difficult time with the disease model but overtime I came to accept it as a simple means to explain addiction to our clients. However, I believe that people are accountable for their actions when they are cognizant of what they do. I also believe that addiction, and mental health problems are multi-factorial that often times do not fit into a neat little model.
People with mental health problems including addictive disorders are responsible to work towards their recoveries and we as providers are responsible to make the efforts to help them be successful in that and not pigeon hole people into little diagnostic categories and drug them to death.
As health care providers we should try to pick up the signs and symptoms of these problems but it takes time and a willingness to engage a client for more than the 5 or 10 minutes that is frequently allotted particularly in managed care practices. It also requires a real interest on the part of the provider to see his/her patient in a holistic way and I wonder how many providers have the interest to do so.
Whether addiction is a disease or not, curative or not is like getting a cold and them trying to discover who gave it to you...you may never know that and on some level it doesn't matter, you still have to deal with its symptoms and discomfort and later, learn how to avoid getting it again but sometimes with the best efforts to avoid it, the cold comes again. Like a relapse of any kind of addiction.
I don't believe that we can change our destiny but I am not a fatalist either, just waiting for the inevitable to happen. We do not know the future but we should work hard to try to ensure it is a good one and what befalls us will be dealt with at that time. At least we will have the the comfort of knowing we worked towards something good and beneficial.
Is addiction a disease? Can it be cured? Does it recur-Yes. So, why not take the steps to protect oneself from falling into its jaws again.
nanann825
6 Posts
YOU HAVE ALMOST TOLD MY STORY. I've been sober since 7/95. and never think about taking a drink. But, after years of back surgeries and pain, guess what?, pain management and the spiral starts. I am part of TPAPN now and it's o.k., remember we have consequences and it never gets better, only worse. Recently, I had to have a surgery that placed me back on opiates at home. That thought of more is better snuck up, but thank God, I have a 12 step program and people who understand close to me.
What I learned is that the addict in me is as strong and powerful as the alcoholic. I CAN NEVER EVER SAFELY USE, and that OMG Motrin works just fine. Since I threw out the pills, and asked God to remove any thought of using, guess what? Hadn't thought about it till I read your [my] story. I know life can be fantastic..I had that with not drinking since 1995, but "my thinking" later got more painful, and I don't mean the back pain.
Today, I am happy and free. Even with TPAPN!!
Remember always, "IT" is cunning..baffling..and powerful, but also very PATIENT. I've been at the "Y" in the road and I know where they both lead.
My mantra is.. I know I'm bound for heaven, cuz I've done my time in hell.