Tag: mary elizabeth

  • Dear Sarah: A Letter to a Friend Who Can't Get Clean

    Dear Sarah: A Letter to a Friend Who Can't Get Clean

    Two and a half years pass, and you have just gotten out of jail again. I know it won’t be your last time, but I wish it were.

    To the Most Interesting Girl I’ve Ever Known:

    Do you remember the first day that we met? I do. I was sitting on a couch with a few other girls and we were watching a movie. That was pretty much all we could do to pass the time in detox. It was my first rehab and your fifth. That night you came out of the bathroom in ridiculous unicorn pajamas and your hair was wrapped in a towel. I didn’t even realize you were there until you started violently throwing up into a trash can. Everyone was watching you and shaking their heads. I found it sad that these women were judging you for getting sick. After all, we were all there to get better…weren’t we?

    I wasn’t. You weren’t either. I was in rehab because I had nowhere else to go and you were there because your parents forced you to get clean.

    The next day, you wandered into my room, jumped up onto my bed, and we talked about everything. We talked about how miserable it was to be stuck in this building when all we really wanted to do was to go out and get high. We didn’t want to be there, but it was really the best option for both of us at that time. 

    I learned so much about you during our time in that place. I found out that you were three years younger than me and that when your dad died, he left your mom an obscene amount of money. You have never lived in a house with less than five bedrooms and have never gone hungry. All your clothes came from the mall and you judged people based on what their teeth looked like. Your mom was used to you going to rehab every other month and she would make sure that you had plenty of cigarettes and nice things to wear.

    I had nice things to wear, too. My dad made sure that I had new clothes and nice shampoo for my first trip to rehab. I was homeless but far from hitting rock bottom…that came later. We bonded over our love of superficial things and our misery there. You confided in me that you were a new mother and embarrassed about it. You did not want to be a mom and you shot up every day during your pregnancy. You gave birth to a little boy three months early because you went into withdrawal and weren’t able to get your dope that morning. It pissed you off because you didn’t like children and still didn’t want any.

    I understood and didn’t judge you because I didn’t want children, either. I knew that if I were ever pregnant, there would be even less time and money for me to get high. After social services told you that your drug use prevented you from keeping the sick baby in your care, your mom adopted your son and took on all of the responsibility that you didn’t want to have.

    I understood you and you understood me.

    We were moved together to the residential area of the rehab program where they took away our comfort medications and forced us to interact with the other women there. That didn’t last long. We didn’t want anything to do with these women who had hit their rock bottom. We didn’t want to hear their sad stories or participate in anything therapeutic. If we talked about other people there, it was to judge or make fun of their appearance.

    Looking back on my behavior during this time, I am remorseful and embarrassed by our cruelty. We were both sick and should have taken advantage of the help that was being offered, but we weren’t ready. We fed off each other, encouraging destructive behavior. A few days after being moved, we were kicked out of that rehab together for buying drugs from a man in a different unit.

    Do you remember sitting on that curb in the sunshine with our freedom and trash bags full of clothing? A guy that you knew picked us up and bought us each a gram of heroin and a brand-new bag of needles. He then took us to a hotel in a sketchy part of town and we stayed there for the next three days. We looked at each other as we pulled out of the rehab parking lot and smiled so big. We had won our freedom and were now able to get as high as we wanted without consequence.

    We didn’t think about the fact that we’d both just screwed up a really good chance to fix our lives and to rebuild the trust we had broken with our respective families. We weren’t thinking about anything past the three days that the hotel was paid for. We bonded and became closer during that long weekend. You overdosed in the bathtub and I brought you back. The first thing you said to me was, “where’s my shit?” I laughed, you laughed, and we continued to get high. After being kicked out of the hotel we went our separate ways but continued to stay in touch. You went home to your big house and I continued to crash where I could because it was getting cold out. We even planned our next rehab stay together!

    We really had our priorities straight, didn’t we?

    The next “vacation” we took together was a bit more successful. We didn’t get kicked out, but we came close. We didn’t take it seriously and continued to judge people, something that I’m still ashamed of. You told me you’d been arrested twice since we’d seen each other last, both times for felony possession. You saw your son and he’s walking now, but you still hate being a mom. I nod and agree, it sounds like a hassle to me at that time in my life. We graduate from this 30-day program and go our separate ways again. You go back home again to your fancy house and I go to a sober living facility, something I wasn’t ready for. You came to visit me often and took me out for coffee on my birthday.

    I got kicked out of that place too and had to stay on a lot of different couches, each more desperate and filthier than the previous. My parents were done housing me because they saw me getting sicker with each visit. They saw me lose weight and gain track marks and strung out boyfriends while you were sleeping in your childhood home with a fridge full of food. I never compared myself to you and I never complained about my situation, especially to you. In rehab, we judged people like me; I had become one of the unfortunate. I was someone whose addiction had completely taken over her life. I was paying for my heroin with money that I stole or earned in ways that I don’t like to talk about. You paid for your drugs with money that your mom handed you and if that wasn’t enough you stole it from your stepdad.

    Maybe I was a little jealous.

    The following summer I hit my rock bottom. I won’t tell you how it happened, but it was brutal. The drugs we so enjoyed doing in your car ended up taking my soul and my self-respect. I decided that I needed to change and right after making that decision I met the man who changed my life. I’d started taking methadone a few months prior to meeting him and finally my life was starting to make sense. I had a home, a job, and someone who loved me unconditionally.

    I still called you every few weeks to check in. You told me you were still getting high and that you overdosed a few times and that you had just gotten out of jail again. We laughed about it and then we didn’t talk for almost six months because we were both so busy with life. The next time I called you, you kept talking about how “nasty” the girls in jail are and how they’re missing their teeth and you’re sick of having to pee in front of your probation officer.

    I didn’t tell you that the damage I caused to my own teeth led to them all being pulled and replaced with porcelain ones.

    You asked the last time I used and when I said eight months, you yelled at me. “How?! You were the WORST! You LOVE getting high!”

    I told you about the methadone and how it was really helping me fix my life. You said you will never be on that stuff because you don’t want to have to take something every day. I wish you would at least try. If not methadone… just try something. 

    I tell you I’m pregnant and getting married and you are in disbelief again. You say my child will have issues and I won’t be able to bond with him. In the same conversation, you get upset because I don’t invite you to my baby shower. My husband doesn’t want us to see each other and I agree with him. You are now dangerous for me and the little life that he and I built together. Perhaps you always were. I imagine you falling asleep or getting high in the bathroom as I open presents.

    I am a different person now and happy about it, a different kind of selfish.

    Two and a half years pass, and you have just gotten out of jail again. I know it won’t be your last time, but I wish it were. You don’t look three years younger than me anymore. We don’t talk on the phone because we don’t have anything to talk about. I know how you feel about the medication I take and that’s okay. I have a family now and a home, and I wish that one day you’ll get to have the same things. I want you to know that the unconditional love that your child has for you is better than the best heroin you’ve ever done. I want you to know that eventually, once you stop using, you can enjoy things again. Sushi is amazing. Sleeping in late is amazing. Not being sick and desperate every morning is amazing, too.

    We might never see each other again but I just wanted you to know that I still think about you and that if you give it a chance, you can find happiness too. You deserve to have a good life, we all do. Just try, okay?

    Your friend always, 

    Mary

    View the original article at thefix.com

  • My Methadone Pregnancy

    My Methadone Pregnancy

    I listened to what my doctor told me. I did my research and I am at peace with my decision: getting off methadone while I was pregnant just wasn’t an option.

    The last time I stuck a needle in my arm was three whole months before I conceived my son, and I’m grateful that he’s never experienced me in active addiction. I say three whole months as if it were a lifetime, but it really is to anyone in early recovery. I was fortunate, I stopped using heroin before I found out that I was pregnant. I had just turned 29 and was in a stable relationship with my now-husband.

    For many women, getting on methadone doesn’t happen until they find out they’re pregnant. Their options are to either keep using or get into treatment. I started taking methadone five months before I stopped using and faced a bit of a learning curve. It was difficult to separate myself from the lifestyle and the people who I interacted with on a daily basis. I also had a needle addiction, and there’s no maintenance medication for that.

    When I decided to stop getting high, I immediately started trying to fix everything that I had destroyed. I was in a new relationship with someone who understood that I was broken and he took me to the methadone clinic every day. We met shortly after I got clean and he never once judged me for my past actions or made me feel bad for taking methadone during my pregnancy. Every expecting mom who takes opioids knows that if you just stop taking them, there is a high risk you will miscarry. Your baby experiences the withdrawal symptoms more strongly than you and in many cases they just aren’t strong enough to withstand it.

    Making The Best Painful Choice

    I was in a heartbreaking situation, but I needed to do what was best for the baby. I can see the comments already: How could you continue to take a medication like that while pregnant?! How could you do that to a tiny human, he’s going to withdraw! I heard this from my mother and a few other opinionated individuals who believed it was appropriate to weigh in on my treatment. I listened to what my doctor told me. I did my research and I am at peace with my decision: getting off methadone while I was pregnant just wasn’t an option.

    The doctor at the treatment facility gave me a ton of information as to what to expect with my continuing treatment. She told me that as the baby grew, I would most likely need to take more methadone to accommodate the increased blood volume. I needed to pay attention to my symptoms and try to tell the difference between normal pregnancy discomfort and methadone withdrawal. I was really grateful for her kindness and advice, especially in the beginning.

    After I had my baby, I found out that there are many online support groups for pregnant women on maintenance medication. These sites provide information on symptoms, what is normal, the rights you have as someone who has struggled with opioid addiction, and more. It’s especially important to know what your hospital’s protocols are for infants going through opioid withdrawal. I know a lot more after giving birth than I ever did in my pregnancy.

    I Would Judge Me, Too

    I was afraid that Child Protective Services would be getting involved during and after my pregnancy, but I was assured by my OB-GYN and the doctor at the methadone clinic that as long as I stayed clean, I would have nothing to worry about. Still, as someone who has worked in the medical field, I knew the stigma attached to my condition. I worried at every appointment that people would look down on me and talk negatively about me after I left. I mean, I was an ex-heroin addict who was pregnant and who was continuing to put something addictive into my body. I would judge me, too.

    My apprehension was unnecessary, my OB-GYN was very supportive. She referred me to a high risk maternal/fetal medicine doctor who I also saw regularly. I went to every appointment, took my methadone as prescribed, and continued to go to therapy.

    When I was about 10 weeks along, I told my parents I was pregnant. I wish I waited a little longer, but I was so excited to be a mom. Their reaction was concern that once my baby was born, he would go through withdrawal from the methadone. I tried not to take it as criticism and judgement, because their concerns were valid. I felt very guilty and scared that this little soul was going to suffer and it was all my fault.

    My stepmother threw me the biggest, most elaborate baby shower that I had ever been to. She invited all of her friends and they brought me nice gifts and things I didn’t know I needed. I remember eating the cherry cake she’d ordered especially for me and starting to cry. This party was thrown for me by a woman who I’d lied to and stolen from during my addiction but none of that seemed to matter to her. She invited her friends because I only had one or two left. I’d cut contact with everyone from my previous life when I stopped using.

    I chose to not go to meetings or participate in any 12-step activities because I did not want to be around other people who were struggling in the same way I was. I know that NA is a great support system and helps many people stay clean, but it wasn’t the right fit for me. Of all the resources available to me, I was the most successful with just the support of my husband, my parents, and our church.

    Induction

    At my 37-week appointment, the doctor found that I was low on amniotic fluid and decided I should be induced that day. I was ready, even though I was afraid of the pain and even more afraid that the painkillers wouldn’t work due to the methadone.

    My husband and I hustled over to the labor and delivery wing of the hospital, excited and nervous. As expected, when I got there, I was drug tested. It was mandatory since I had a recorded history of heroin use but it still made me sad.

    The induction process was incredibly painful. I remember not wanting to ask for anything to help with the pain because I didn’t want to be judged, but as soon as I felt my cervix start to stretch, I stopped caring what anyone thought. It was brutal. After 18 hours of agony, I received an epidural. I was exhausted and excited and running on encouragement from my husband.

    Before I knew it, I was 10 centimeters dilated and surrounded by doctors who were telling me to push with each contraction. A few minutes after they set up their delivery equipment, he was here! I have never cried harder than the moment they handed me this pink, messy, angry little person. He was gooey and gross and perfect. I felt so much at once; it’s hard to explain those first few moments. He was on my chest for about 45 minutes before they cleaned him up and took him to the NICU because his blood sugar was low.

    Because I had methadone in my system during my pregnancy, we had to stay for an extra five days so they could monitor my baby for withdrawal symptoms. I spent that time trying to breastfeed, learning to hold a baby properly, and getting sleep.

    My New Baby, in Opioid Withdrawal

    I would like to end this by saying that we went home after the five days and lived happily ever after, but that’s not the whole story. My husband and I went home but our little boy had to stay for an extra two weeks. He started to show signs of methadone withdrawal around day five.

    There are lots of myths about babies in withdrawal and what they look like. Yes, some are inconsolable and have tremors, but that isn’t always the case. I wasn’t able to recognize the symptoms in my baby because he didn’t match the picture in my head of a baby in withdrawal.

    He had a high-pitched cry; I held him against me and nursed him constantly. Sometimes it calmed him down, sometimes it wouldn’t.

    In the hospital, they use a chart called the Finnegan Scale to assess the severity of withdrawal and determine if the infant needs medication, and my son’s symptoms indicated that he needed to be medicated. The doctor in the NICU told us they were going to start my baby on a small amount of morphine to calm him down and make him more comfortable. I didn’t want them to give him morphine, but I felt more strongly that I didn’t want him to suffer.

    Seeing my baby for the first time after he was medicated gave me some peace. I knew that was best for him, just like taking my methadone was best for him during my pregnancy. It’s hard to convince someone unfamiliar to the world of maintenance medications and opioid addiction that I did what was right for my baby, but I know I did.

    He started getting better immediately and every day he received a little less morphine. My husband and I were lucky enough to have a private room in the NICU and be able to be with him 24-7. The most important things I did for his recovery were keeping him close to me (skin to skin contact), keeping the lights low, and the noises to a minimum. They recommended that I breastfeed as often as possible and my baby had an amazing nurse who taught me how to do this. She constantly encouraged me and kept me informed about his treatment.

    A Healthy, Happy Boy

    Per hospital protocol, my husband and I were interviewed by social services. I had to be completely transparent with them and give my doctor at the methadone clinic permission to speak with them. They even came to look at my home to make sure that it was a safe place for my baby to be. I went through a variety of emotions during this time. I felt violated, angry, insulted, and even confused. I had passed every drug test for the past year and my ability to be a good mom was being questioned. The whole process lasted about a week and then we never heard from them again. I was told that the only reason that social services (CPS or DYFS depending on your state) were contacted was because there were traces of methadone in his meconium.

    Our baby boy has been growing and thriving ever since we brought him home. I still have guilt about his first few weeks in the world, but that’s okay. I try to tell myself that he wouldn’t even be here if I didn’t get on methadone in the first place, but that might just be me justifying it. I now have a smart, healthy, beautiful two-year-old little boy who never stops smiling. When he gets older, I will have to explain to him why he got sick right after he was born. I hope he understands and forgives me.

    View the original article at thefix.com

  • 5 Ways That Methadone Maintenance Treatment Changed My Life

    5 Ways That Methadone Maintenance Treatment Changed My Life

    When you’re an IV drug addict, you risk overdose, HIV, endocarditis and other infections, amputations, abscesses, and more. When I was stable on methadone and stopped using, these risks just disappeared.

    Telling someone that you take methadone is a big deal. You’re not just telling them that you’re taking responsibility for your recovery and your health, you’re also telling them that in your pre-recovery life you probably stole, lied, and did some other terrible thing to support your addiction. You’re not just revealing you had an addiction, you’re saying that it got so bad that going to a clinic every morning to take medicine in front of someone is preferable to the life you were living.

    I am not here to argue about whether MMT (methadone maintenance treatment) is the solution to the opioid crisis because it’s not for everyone. But for me, it was a chance to have a normal happy life. Here’s why:

    1. It Gave Me Accountability

    When you start off as a new patient at any methadone clinic, you have to come every day. You also have to submit to drug testing and therapy, both individual and group sessions. These are all requirements if you want that little cup with your medicine that keeps you from getting sick. As an active drug user, I would have done absolutely anything to keep from getting sick. Show up someplace between 5 and 10 a.m.? No problem! Let someone watch me pee in a cup? Sure thing!

    I, like many people, started MMT as a way to keep myself from crippling heroin withdrawals. I wasn’t at all ready to get clean and stop using. But I had to make and keep appointments with the doctor at the clinic if I wanted to get more methadone, and I had to have bloodwork done if I wanted to keep being an active patient. 

    Slowly, after months of going to this clinic every day, the methadone built up in my body. My opioid receptors were full of methadone and the heroin that I was still putting in my body was no longer getting me high.

    Once I passed my first few drug tests, I was allowed to take a bottle home with me for the next day, which motivated me to keep attending my therapy sessions and to go to work so that I could afford transportation to the clinic. When I was using, the only accountability I had was to my drug dealer. I never would have gotten checked for diseases or spoken with a mental health professional.

    Without even realizing it, I was keeping commitments and getting the help that I desperately needed. Now, years after initially becoming a patient, I have other responsibilities like making sure my rent is paid and not forgetting that I need to renew my license plates next month. My priorities have shifted.

    2. My Health Improved

    I know that this one might sound like a contradiction to everything you think that you know about methadone. A lot of media still portrays people who go to methadone clinics as underweight, shaking, pale, and covered in track marks. This image accurately described me when I first started going, but over the years I’ve been able to change myself internally and externally. When I first started treatment, I was required to get bloodwork to check for the diseases that IV drug users expose themselves to. When I was injecting, I would occasionally get infections in my arms and sometimes end up in the hospital due to these or one of my many overdoses.

    Almost instantly after getting on a therapeutic dose of methadone, I started to care about my body and what I was putting into it. I started taking vitamins and eating food other than what I could steal from a gas station. I felt stable enough to look towards the future and start doing what was required for me to have a long and happy life.

    When you’re an IV drug addict, you risk overdose, HIV, endocarditis and other infections, amputations, abscesses, and more. When I was stable on methadone and stopped using, these risks just disappeared. I became lucid enough to take care of myself and to fix my body and the incredible damage that I had done to it. I’d had a terrible diet and had stopped caring about myself. Now, I take daily vitamins, get a flu shot, get an annual check up at an OBGYN, and try to eat healthy when I can. I also got extensive dental work to fix damage to my teeth from years of neglect.

    3. I Became a Wife and Mother

    This is a very specific and personal way that being on methadone has changed my life. In my addiction, I was in a toxic relationship that revolved around using together and endless dishonesty. We were together because it was easy. When I decided to stop getting high, he wasn’t ready to quit and the relationship ended abruptly. I met my husband shortly after and he took a chance on getting into a relationship with someone new in recovery. I wasn’t using anymore but I still had a lot of addict behaviors.

    I navigated through this new relationship, trying to be honest with my new partner. I wasn’t familiar with honesty in the beginning and he was aware of this and very patient with me. I learned what kindness and love really were for the first time without drugs involved. We also learned early into our relationship that we were expecting a baby boy. I stayed clean throughout my pregnancy, took my methadone as prescribed, and discussed my fears and worries with my therapist at the clinic.

    In two years, I went from living in a car, unable to feed myself, to a wife and mother. None of this would have had the chance to happen if I didn’t take the first step and start treatment.

    4. I Have a Relationship with My Parents

    It has taken years to earn back my parents’ trust. They’d stopped answering the phone when I called because I always asked for money. It became too painful for them to be an active part of my life. They were just waiting for that final phone call telling them they’d lost their daughter to her addiction.

    When I first started going to the methadone clinic, they were skeptical; they knew very little about how the medication worked. Then, after about six months, the begging for money stopped and the tone of our conversations changed. I called just to talk about my day and for the first time I didn’t ask for anything. They noticed that my living situation had changed – I’d gone from living in a car to staying in a cheap motel, then finally I moved into an apartment. I was awake during the holidays and not spending a half hour at a time in the bathroom trying to shoot up. I was gaining weight and smiling again.

    After I passed my first drug test, I wanted everything to go back to the way that it was before I started using. I had a hard time understanding why they didn’t trust me. Then I realized that it didn’t take a month for me to lose their trust, it was years of lies and heartbreak.

    I am now able to look back and see the hurt that I caused and ask for their forgiveness. I am a mother now and I couldn’t imagine watching my sweet happy child deteriorate the way that I did. I am grateful for this real second chance to have them be proud of me. But I didn’t get clean for them, I had to do it for myself. The great relationship that I have with them now is just an extra benefit.

    5. I Have Goals for My Future Self

    During my addiction, the only goal I had was to come up with enough money to stay high that day. I felt like queen of the world if I was able to have enough heroin for two days. That was my life for years: After finding money and drugs, I would work on shelter and then maybe food.

    Once I became stable on a therapeutic dose of methadone, I didn’t have to spend energy and time finding drugs because I wasn’t worried about withdrawal. I suddenly had all of this time to spend on making money and cleaning up all the messes I’d made.

    My primary goal for the first few months I was clean was to make sure I got to the clinic on time. It might sound like kind of a sad existence but without my medicine, I wasn’t going to be able to function. I know the term “liquid handcuffs” is used a lot in reference to methadone treatment and I understand the frustration of having to go to the clinic every day. But if you are completing all the requirements of your clinic, you get to work up to going biweekly or even monthly. The program is designed to give you a normal life.

    My next goal was to have a stable place to live and to be someone who others could count on. There were a ton of baby steps I had to take to get there and I was only able to do that initially because I started MMT. I did the rest of the work with my counselor, my church, and my husband.

    It’s been three years since I started treatment and I’m in the middle of my third term in college and my husband and I are looking into buying our first home this fall. My next goal will be to get off methadone completely, but I will not rush this process.

    I am so thankful that this form of treatment was available to me. Methadone should always be an option for those of us who have had a difficult time getting clean with other methods. There is still a huge stigma attached to MMT patients and clinics and I could say that another goal of mine is to help break that. It’s not a magical cure for opioid addiction, but it played a vital role in my recovery.


    What are your thoughts on methadone maintenance treatment? Share with us in the comments.

    View the original article at thefix.com