How many licks does it take to get an OxyContin habit?

There was a TV commercial millions of years ago for Tootsie Pops, a hard candy sucker on a stick that had at its very center, a Tootsie Roll, which is a nasty, fake chololate thing that's more aptly suited as a chew-toy for a dog, and probably made out of that stuff you seal head-gaskets with. The commercial asked "How many licks does it take to get to the chewy center of a Tootsie Roll Tootsie Pop?"

I got an email today that reminded me of that old commercial, and I think you'll see why.

First, let me just say, that I get tons of letters, and that you are welcome to write to me anytime. I will do my best to answer and help you. I will never forward or republish your email to me, and it will always remain confidential. As a writer I do have some control over the confidentiality of my sources, so you don't have to worry that some asshole from the NSA is going to send the DEA over to get you because you wrote me about the OxyContin you gobbled down and now have questions about it. Lastly, I legally have to remind you that I am not a doctor, have no medical experience, and you should never ever take any action whatsoever based on what I say because I am an idiot. Doctors on the other hand are smarter than everybody in the whole world, and we know this is true because the government tells us so, and demonstrates this by giving exclusive licenses to them.

Now, all of that being said, I did receive an email today that I need to share with you. However, there's no way I would ever post the actual text of anyone's email, so I am going to paraphrase its content for you.

Somone wrote to me, we'll give her some really fancy original name like "Jane," and she wanted to know how long she has to keep doing OxyContin before she's going to feel the effects of withdrawal.

Uh, yep.

She managed to get her hands on a huge, family-sized bucket of 80s. She got them so cheap too! Back when I was using, if I'd stumbled across a deal like the one he scored, I'd be happer than if I'd won the lottery. Suffice it to say it was a huge quantity of OxyContin tablets and she acquired them for about ten cents on the dollar as compared to the typical street price. Oh, and no, they weren't those smarmy little 10 milligram scooby snacks either. She hit the motherlode. Got it?

She'd never used them before this acquisition. A virgin to opioids, she has been using them for about 75 days, but did not say by what method she is administering the OxyContin. She has noticed though, that after a nice smooth buzz for a couple of days, she's felt kind of icky when she decided it was time to get back to the real world. As a result, she decided she'd extend her run for a week or so, and now she feels oh so good!

She's now a little concerned. She has no street contact to get more when her 44 ounce sized Big Gulp Prescription runneth out. She asked me if she was likely to go through withdrawals when the well finally runs dry.

I don't mean to embarass her, and I am teasing her just a bit, but in the event that there are other people out in the world who are in the same situation, asking the same questions, I thought it would be beneificial for them in the event anyone comes across my extremely wordy and obscure blog.

Before I let you read my response, I just want to say this: if you are in the same situation as this young woman, please realize that you are in dangerous territory. If you have to wonder, have to ask, whether or not what you might have felt is the onset of withdrawal, then the question isn't "What will it be like when I finally stop?" Nope. The question is, "Why the hell don't I stop NOW?"

Go smoke a joint, drink a bottle of Belvedere, go to Disneyland, go get laid, go eat chocolate, go do whatever it is that gets you off, but stop taking the OxyContin. Stop now. Any vice that you have is better than the one you are exposing yourself to. And, let me state that 'vice' is a really stupid word, because it says something about those activities being somehow morally wrong, and in my mind, they aren't. In my mind, there's nothing morally wrong about using OxyContin either. What's 'wrong' with OxyContin is twofold. First, if you get hooked, you are cooked. It's a living hell. Secondly, even if you get past the hooked part without OD'ing, without going broke, without dying, without losing your sanity, friends, and everything else that matters to you......even if you survive all that, I promise you this:

You might never, ever again, find so much pleasure in anything else on this planet.

Jack Nicholson made a movie years ago, in which there's a scene I will never forget. He plays a character who has a lot of psychological/emotional problems. He's in the packed waiting room of a psychotherapists office, and it's a foregone conclusion of course, that all those people are there because life just aint' giving them what they want. As he looks over the sad crowd before exiting the room, he glares, and loudly addresses the whole room with the following question:

"What if this is as good as it gets?" He turns, quietly shuts the door, and leaves.

Damn, that is cruel! OxyContin is cruel in exactly the same way. Forget the withdrawals, dependency, and everything else. If you survive, what if OxyContin is as good as it gets?

The real answer of course, is that life goes on. My shrink actually suggested that I might be correct to assume that I will never again find anything as alluring as OxyContin. He may be right, but that doesn't mean I should, or anyone else should, give up. Life will go on, but why put yourself through the hell that most of the people who write to me have gone through (myself included).

Oxy sucks. Oxy is wonderful.

Getting screwed over sucks. Revenge is fulfilling. Somehow we manage to avoid killing the bastards who have screwed us over and life goes on. Maybe it's the same with OxyContin.

So to answer Jane's questions...

Are you going to go through withdrawal syndrome after such a short duration? I think you probably will, but you might not. Nobody knows for sure. I can assure you of one thing though:

...You will find out.

Do you want to find out now, or later?

Stop taking the shit right now, Jane.

Peace,

Gus

I've recently been conducting research for my book about OxyContin, and my subsequent treatment with Suboxone. This entails digging up books, and articles from medical journals, the Internet, and the library at the university near my home.

One of the documents I recently examined is 365 pages long and carries the ridiculous title, "Medication Assisted Treatment for Opioid Addiction in Opioid Treatment Programs: A Treatment Improvement Protocol." The document seeks to instruct doctors on how addicts should be handled when submitting themselves for treatment with Methadone or Suboxone.

As you might have already suspected, this document was written by the U.S. Government. It is published by an organization that is as complex as the silly title of the document. It is published by "The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, of the U.S. Department of Health and Human Services."

The document (which is really more of a book) describes how every doctor, in every clinic, should handle every junkie who comes through their door. A committee of no fewer than 20 names, each foll wed by M.D. or PhD, claim credit for writing this fun little paper. The document describes how dope fiends like me should be inspected, detected, injected, dejected, rejected, signed, sealed, delivered, and blah, blah, blah. I wonder how many of the people on the committee have ever been a patient at a an opioid treatment clinic (or whatever the hell they are calling it).

Here's what strikes me: When I went to see my doctor about Suboxone, he and I went into an exam room, shut the door, and talked about my drug problem. Together we created a plan that we hoped would work. It did. Now I'm done. We never once referred to the government's protocol for how I should be screened, tested, interrogated, etc. Like any other disease, my doctor and I decided how to treat it, and we did it without any help from the government.

I wouldn't recommend it, but for the curious, anyone can take a look at the government's silly book yourself. It's available in PDF format at http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.82676 .

Treating people like me is a big business. I wonder how many people the government employs to decide how my drug problem should be handled. I wonder how much that costs. Add all of those people to the thousands who work at public and private treatment centers, and you get the idea.

What would the world be like if everyone who had a drug problem could just go to a doctor and get treated like any other disease? I can hear those thousands of people in the "treatment industry" screaming that such a thing just isn't possible. But for them, I have some chilling, shocking news.

Someday they may be obsolete.

My shrink just came back from a conference where future methods of treatment were discussed. One of the items is what they are calling "Addiction Vaccination." That's right. By creating killed viruses that resemble, say an opioid molecule, and injecting it into your bloodstream, your body will develop antibodies to the opioid. Get vaccinated for Oxy, go out and snort an 80, and before you know it, your body thinks you are infected with a disease and sends out cells that eat the drug and eliminate it.

Yeah, o.k., so that's pretty futuristic, but it's going to happen. Why? Because the smart money is betting on treating my drug habit just like any other damn ailment that might befall me. Not to mention the fact that the drug companies who will develop this futuristic treatment have already figured out that the "treatment industry" is chock full of cash, making it a great place to take away some market share.

I can't wait to get my shot.