Sorry all-- I be the junkie

Started by the junkie
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the junkie

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I am the guy featured in the article. I last 'passed gas' in 2001, then went to 13 weeks of residential treatment... took a couple years off... then did a psychiatry residency. I'm now in my own solo, independent psychiatry practice, and Assistant Clinical Prof of Psychiatry at the Medical College of Wisconsin.

I don't know how the magazine happened to zero in on me, but they contacted me 6 months ago out of the blue. The reporter said that they were doing an article about 'professionals and successful people who perservere (sp?) through addictions. He 'assured' me a number of times that it was not a 'gotcha' story, and I really thought it would be about my perceptions about the personality factors that predispose one to addiction. I had never read Mens Health-- I genuinely thought it was a 'health magazine'. It is generally accurate...

When he told me about the aerosolized fentanyl study, I told him that I considered it to be no factor in my case, and I considered the idea of the inhaled narcotic as a risk factor to be a stretch.

The main things that I wish had come out: first, it is impressive how fast a doc can become disposable. I was chief of our 8-person department, elected, for 8 of my 10 years; I was the guy who the surgeons requested for the complicated cases, I was friends with everyone, sitting on the executive committee, friends (I thought) with the CEO... and yes, I understand the horrible risks that put patients through... but the weekly dinner party invitations ended, never to return... no spouses contacted my wife, who struggled alone with our three kids while was gone to treatment for 13 weeks... my partners fired me by driving by the house and placing a letter in my mailbox... the most painful part of the whole thing was that my partners in our independent, single specialty group, who I had joined at Christmas parties, dinners, family get-togethers, all just disappeared. I will still see them around town, and they walk the other way, I assume to avoid having to deal with the feelings one has when they act the way they acted...

As an 'aa' guy, I'm not bitter, but the experience did change my perception of the nature of friendship. I lost a bit of my idealism. Which maybe is good, because I consider my idealism to be one of the many personality traits that allowed me to do the stupid things that I did.

I also wanted to encourage addicted docs to seek help early, before they lose everything or kill themselves. I wanted to get across how things have worked out OK, after once fearing that I had lost everything. Yes, I do miss anesthesia-- I was good at it, I truly enjoyed it, I made tons of money-- I considered myself to be the luckiest guy in the world, to have such a career. But I also enjoy the new things I do... teaching med students once a week, running a private practice, writing a quarterly column for Psychiatry Times, marketing my practice...

I would gladly share my experiences and discoveries with anybody out there who fears they have a problem. I now know of so many options out there for treatment, including ways to keep things confidential. I would never disclose anything that anyone decide to share with me (unless someone tells me about a concrete plan to do harm to others, or concrete plans to commit suicide).

One more thing, speaking of confidentiality... in 13 weeks of treatment, I went through tons of individual and group psychotherapy. The State Medical Board demanded my treatment records in order to try to get my license back, and the local hospital demanded all of my records to consider keeping me on staff. The medical board posts all of their decisions on the internet, including some details of my history from my treatment records. So essentially I sign a release of very sensitive material to the Board, and then they do whatever they want with it as part of the public record. The hospital shared my records with the executive committee--basically all of my peers in my small town--and then cut my privileges. And when I came back 5 years later to apply for psychiatry privileges, discussions with administrators included references to particulars that were known only from my treatment records. I still have no idea how many people have read through some very personal stuff.

Anyway... comments welcome. Please contact me if you are in trouble. And sorry about the black eye to the profession. I still tell med students to go into anesthesiology... but to never consider themselves smart enough, or good enough, to ignore the rules.
 
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Definitely one of the best posts I've read on this site. Every one of us can learn from the humility that you've demonstrated here. Thank you so much.
 
i think it would be even more exemplary if you wrote directly to men's health and stated what you stated here, namely that you are extremely disappointed and alarmed that they turned an opportunity to teach the public about one of the well-known pitfalls of our profession into a prurient 'gotcha' story, just as they'd dishonorably and falsely assured you they wouldn't.

http://www.asahq.org/news/lemaletter110606.htm
 
I know a couple of people who have walked in your shoes. They have a very similar and humbled attitude about life. Truly outstanding people. I believe it is rare that people that fall into this trap are the monsters that they are portrayed to be. We all have our skeletons in the closet and none of us are perfect. We must always keep our guard up against falling into this same situation that has taken so many of our esteemed colleagues. If faced with the situation of a colleague with this problem, please be supportive and understanding, but definitely do the right thing and help them get the help they need. It is a matter of life and death. But always remember, there, but for the grace of God, go I. Kudos to the original poster for turning things around and having a successful life despite the struggles you have encountered. Keep up the good work.
 
I'm glad things have worked out for you. I can't imagine the hell you and your family have been through and it sucks that the media used you to sensationalize an article to sell magazines. Thanks for the post and all the best for the future.

ray
 
I can't imagine what you've gone through and how much courage it takes to make that post. It's sad how easily we crucify our own. Media sensationalism is ridiculous. It seems you've got your life back and you and your family are doing well; best of luck. That article and your post here was discussed at one of our resident lectures so your experience is helping and educating others.
 
Thank you for posting- your first person account of your ordeal is worth much more than any million "rag" articles looking to sell copy.

I am glad to hear you have not only survived your troubles but are using the experience to help others in need. I wish you much success and happiness.
 
Why not use your experience and become a spokesperson for the ASA in addiction issues? I would not mind if my dues went to fund someone like you who could provide great insight into this problem.

I think many can learn from your experience and you could be a voice of reason to many who are struggling with the same challenges you faced and overcame.
 
I don't think any of us can imagine what you have had to go through. I commend on your strength & intestinal fortitude to so openly disclose. I wholly agree that such info, while leaving you open to criticism & feeling violated, can go a long way to help others. As we have told many times in our program, the most common way anesthesiologists who abuse are found is, "down & out"...potentially a sad ending to a life full of potential.

Thank you & please persevere in your efforts to help other addictied physicians.
 
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