All posts by 40sarethenew40s

Death on a Budget

Despite my well-intended delusions of gallantry, staying awake for two nights in a row just made me a useless, hot mess. And taking a nip or two from the bottle of bourbon in the kitchen during these sleepless marathons made me even more useless. So tonight I eschewed the alcohol, bought a pack of cigarettes, and let Dad propose taking half-night shifts. For four hours, I slept well, even with strange dreams of hiding myself and a bunch of children in secret compartments under furniture in order to escape some kind of unearthly menace in female form with an army of fugitive-sniffing cats. That’s a new one. I should be keeping a dream log as well as a death log.

When I left the warm bed to take my 2:00 a.m. shift, I found Dad sleeping on the couch. Just dozing, he said. Just dozing under a comfy quilt. Let’s face it, we’re not RNs or home health aides. We’re tired family members who crave our beds, with or without apocalyptic nightmares.

Mom asked my sister-in-law what happened to the local hospice facility where my grandmother had died twenty years ago. I think she had envisioned herself staying there when the time came and not in the middle of her living room being cared for, largely, by tired family members. Apparently, our local hospice facility had been shut down because it wasn’t “feasible,” its staff of PAs, RNs, and aides turned into traveling pill peddlers instead.   It’s a sinisterly brilliant way to cut corners. The professional caregivers get to keep their jobs, and the operating costs disappear. Now we have a solution that’s “feasible” because the dying can still receive their care twenty-four-seven, but in the comfort of their own homes. Oh joy.

Here’s where the plan gets more brilliant: our loved-ones definitely can receive care twenty-four-seven. Whenever we make the phone call to the emergency number on the whiteboard magnetted to our refrigerators, our questions and concerns are relayed to a nurse on call, who will call us back and answer our questions. Sometimes, if we sound sad enough, she’ll even offer to come out to the house for an hour or two—even more if we want. If we don’t call, however, we get a daily visit from a nurse (on weekdays), and a daily visit from an aide who will do the yucky stuff like bathe and change catheter bags. In a rural area like this one, where people spend their wholes lives NOT asking questions, removing the whole hospice facility from the equation is most certainly a feasible plan.

I decided that I prefer the 2:00 a.m. to whenever-Dad-wakes-up-again shift because it’s a perfect time to call that hotline and ask questions without Dad knowing I’m calling the hotline and asking questions. The very first hospice nurse I met this week stayed at our house for six hours so Dad and I could go out to dinner for his birthday. We were only gone for three, but she stuck around long after and helped Mom and counseled me. Dad, being Dad, just wanted her to leave. Me, being me, wanted the help and guidance. Why not? If a hospice is going to close down its facility and leave all the dirty work to us, we should accept as much of that help as it will provide.  We should not accept the death-on-a-budget excuse.

The nurses know this. The whiteboard on the fridge says “for emergencies call,” leaving it up the caller to determine the scope of an emergency. Luckily, I was counseled by a hospice nurse before I had even seen this semantic deterrent. Call any time, she said. No question is a stupid question, she said. That’s what we’re here for, she said. So I do, and I will, just not when Dad knows I’m doing it.

It isn’t that Dad doesn’t care. He cares a whole lot. His love is infinite. This morning, the RN assigned to our case watched him interact with her and said, “They clearly love each other. It’s adorable.” It was adorable, five weeks ago, now it’s very heartbreaking. The man needs two shoulder operations. He has a bad back. He carries around his own, permanent, catheter bag. And he just lost his brother. This is too much for him. He isn’t healthy enough, physically, mentally, or emotionally to be caring for a wife of fifty-five years round-the-clock. He needs a place where he can go that’s away from his grief, like his home. Oh wait, his home is now a makeshift hospice.

If I can do anything around here besides be in the way, and I often feel like I’m in the way, I can call in the professionals to help Mom instead of leaving Dad to do all the guesswork. I’m confused, and I’m younger, healthier, and more alert. I can’t imagine how he manages to do anything, let alone almost everything. I’m gonna keep calling that number because it helps and because I refuse the let “feasibility” and bottom-line win here.

Tiny Windows of Time

I’m on Mom watch tonight. My dad thinks I’m going to wake him up at 3:00 a.m. so we can split the shift, but I’m not. I’ve determined that he is more handy during the day, while I sleep in my mother’s king-sized bed with all the windows open, sunlight and the sounds and smells of a rural fall day streaming in. I’m a good day sleeper. Dad, I have determined since I arrived home yesterday, needs a full night’s sleep more than I do.

He’s brilliant with her. I don’t know how he does it. Love, I suppose. My poor brother showed up this evening around six o’clock to catch her waking up from a four-hour doze, and she told him to stay away from her blinds. There had been talk of my brother’s changing out the blinds for more functional ones. Since her hospital bed sits in front of the big bay window in my parents’ living room, my father, at one point in the many stages of helplessness family members experience in the face of terminal illness, thought new blinds would do the trick, and he recruited my brother to do the job. After learning of this plan, the blinds became my mother’s point of reference any time she saw my brother’s face. Then Mom thought we were all sitting around her bedside in the morning, rather than at dinnertime, so she asked my brother why he had showed up in the early morning. It came out like this:

“Why are you here so early in the morning? Are you here to watch me croak or something?”

She never minced words in reality; she doesn’t mince them in terminal illness, either. Dad eventually convinced her it was evening, but she continued to press my brother about his presence in the room until Dad quipped, “We’re all here to give you a bath, all three of us.” Until she realized he was busting her ass, just like he always does, Mom didn’t give my poor brother a break.

My brother doesn’t know what to do any more than any of us. Dad has the most experience caring for Mom, but her symptoms change rapidly, hourly, in hospice. Nurses who know the most about what is happening come around once in a while and take charge and sometimes provide useful advice, but then one hour lapses into the other, and Dad and I begin to bicker about how we’ve interpreted that advice. Dad often won’t accept my interpretation.

I feel like I’m in the way. Mom wakes up from time-to-time, and I try to give her medicine (ahem, morphine), and she tells me to go back to bed, that I’m making her nervous. She’s not used to 24-hour vigilance. She just wants to die.

My friend who recently lost her mother in at-home hospice told me to tell Mom what I wanted to tell her and do it as soon as possible. Turns out that the best time was any day prior to yesterday, when I arrived here. I wasn’t expecting to see what I saw. Dad had never said the word “hospice” when I’d called him. Two weeks ago, she’d been a different woman, reading and checking out Facebook and fretting about the state of the sheets in the spare bedroom or the laundry, basically being a sicker version of her usual self. She still hadn’t tried chemo, and we all still had a little hope. My father hadn’t been forthright about how rapidly she was declining, I think because he was too busy caring for her in ways that his own frail body couldn’t sustain.

She was still tinkering around a little with her tablet early yesterday, before I arrived, which means she was tinkering around on Facebook. Last night, when I cried to the hospice nurse about how difficult it would be to tell her what I wanted to tell her because of her hearing loss, she said, “Write it. Make the font really big and say it on her tablet.” So, as I sat around on Mom duty in the wee early morning hours of yesterday, and I opened up Facebook messenger, and I said what I wanted to say. Too bad she hasn’t picked up her tablet since yesterday, and she probably never will again. That tiny window of time, while I was dragging my feet to get out the door because I didn’t want to face what I had to face, had closed quietly.

Cancer is the New Black

I upset my husband last night with a little dose of dark humor. I asked him what cancer he thought would be the cancer that did each of us in, and he knocked on the wall. Apparently, he doesn’t want to joke about dying. I guess that’s alright, but personally, I would rather think about it now than be surprised by its sudden appearance. What is death, anyway, but just a phase of life, that seventh age, “sans teeth, sans eyes, sans taste, sans everything”? We should be so lucky.

Most of us aren’t going to make it to that seventh age that Shakespeare described in his seven ages of man speech. We’re not going to die in our nineties, drifting peacefully into oblivion while our family sits around the bedside, our spouses spooning soft food into our birdlike mouths. We can’t expect our deaths anymore, can’t plan for them. They’ll just announce themselves. Perhaps our family will be sitting around us when we go, but that probably isn’t going to be in our nineties.

Cheery, no? Maybe it’s the Fluoxetine, or maybe it’s just all the preparation I’ve had, but I don’t find death depressing. For me, it is not a debilitating thought. Do I want to lose my mother? Absolutely not. Do I feel that she and I still have a bucket list the size of Texas full of items that never will be checked off? Absolutely. Is she or I or anyone in our world ready for this? No. But it’s gonna happen, and it might happen far sooner than any of us thought it would. My mother has stage 4 pancreatic cancer, a nasty cancer that has metastasized into her liver. She can’t eat. She can’t sleep. She can’t even sit up comfortably. Two months ago, we were on a vacation together in Maine. She and I walked down to the main drag in Bar Harbor, and she nagged me about how much money I spent. Now, she’s homebound, using a wheelchair, wearing great big t-shirts twenty-four-seven, and not eating a single thing. She wants to go, man. Who am I to stop her? I can’t do anything except be there for her. And that’s what I intend to do.

I remember when my dad first got prostate cancer back in 2005. I was strung out back then, and so I bawled and bawled and made my dad’s tragedy all about me and my business, and my personal regrets. I didn’t really do much to help him or mom. That was a long time ago.  I’ve since done a lot of helping. Like my recently departed uncle, I’ve showed up at hospitals with my sleeves rolled up, ready for action. What else the fuck can one do?

For three days, I’ve been wearing a tatty old dress that I bought on a road trip that I took with my mother. We spent seven days driving around Michigan together, sightseeing and driving each other nuts, and listening to the Grateful Dead channel, and bonding. It was the best vacation I’ve ever taken. In a little shop on Mackinaw Island, I bought a Woolrich dress that I wore almost every day for the rest of the trip. Somewhere, there’s a picture of me in that dress at the edge of the Sleeping Bear Dunes in Western Michigan, white sands that dropped so steeply into the shores of Lake Michigan that the park service posted warnings: you attempt to go down there, you will pay heavily for your rescue. And still, hundreds of tourists slid down those slopes and snaked their way back up the dunes. They looked like ant trails from our perspective at the top. What an awe-inspiring American vista. And I shared it alone with her. And now I’m still wearing that dress, even though the ass is worn out, and you can see the color of my underwear through the holes. I will never throw away that dress. I said I was accepting of death, I didn’t say I wasn’t sentimental.

There’s a lot of kids out there who treat their parents like shit. And there’s a lot of kids out there who are perennially lost. They need to look death in the face, stop knocking on walls. Cancer is the new black.

The Next-Day Regretsies

This afternoon, I was horrified to “discover” an unedited, terrible blog post that drifted into incoherence by the fourth paragraph—my very own post. I remember writing it, and I remember checking the Word .doc this morning and taking notes on it—“add transition” here and “delete this entire paragraph?” there. I DON’T, however, remember posting it. I have a void where a memory should be. Comes with the territory.

So I deleted it, just like my addled brain deleted those moments when I opened up WordPress and put some poorly-written piece of garbage out for the whole world to read (I wish). If you are one of the four people who read it and “liked” it, I thank you, and I apologize. Figures that the one post I was forced to delete got the most traffic in one day of anything I’ve posted thus far. I’m not the most effective blogger, but I sure like doing it! When I’m conscious enough to edit, that is.

I’m actually seeing an addiction therapist, and we’re making a little progress together. Today we talked about my friends. Who is a good influence, who is bad. I really don’t have any friends whom I would consider a bad influence anymore. They all kind of drifted out of my life with my ex-husband. He was the ultimate bad influence. He was cheap, narcissistic, alcoholic (my doing, he claimed), and selfish. And he brought out all those qualities in me. With him gone, all the lousy people that he attracted like flypaper are gone, too. My only remaining friends from that union went straight-edge and vegan, and their former debauched selves are unrecognizable. When we crazies put our minds to something, we really go all in, eh?

I’m still waiting for that “aha” moment when I finally go all in on sobriety. It won’t be today. I can hear the grocery store calling already. My favorite checker is waiting there to crack a joke about my odd assortment of items that inevitably contains alcohol. I’m fond of waltzing in there around 11:00 and buying things like beer and oatmeal (“Breakfast of champions!” she said), or red wine and beef jerky.

This post is also unedited, but far more coherent than last night’s. After I hit “publish” this time, the laptop is going off for the evening. There’s a way around every problem.

 

 

Does Anyone Else Feel Old?

I‘m having one of those, “Can this really be happening?” weeks. Yes, it can, and yes, it is.   This week was the double whammy of a sudden death in the family and the potential for much worse endings, pending a few tests. I feel old.   Mom and Dad have been careful about when to call me with news. They expect me to break down while I’m driving or whatnot, so they wait until I’m sitting on a couch with my husband nearby to tell me whatever it is they have to say. Then they marvel at my ability to just hear it.   I guess I grew up.

I’ve noticed lately that I keep thinking that I’m forty-six, even though I’m forty-five. In fact, for the past year, I’ve considered myself closer to fifty than I really am. Why is that? Why am I making myself old, rushing through the remainder of my forties?   Maybe it’s because the forties kinda suck. I just have this feeling that the forties are gonna go down in my history as the decade I lost everyone.

I’ll explain: My favorite uncle had a stroke on the operating table and died exactly a week later. We all thought it was gonna be a quick and easy operation. We all expected this summer to be the worst of his trials. Not even close. I don’t think anyone was prepared for an end. My father sure wasn’t. He lost his little brother, his closest sibling, and his greatest ally. This uncle and I spent weeks together while my mother and father were in the hospital or recuperating from one illness or the next. He was always there to help. I thought my mom was being morbid when she alluded to his last visit, while he was still on chemo, as a potential final hurrah. Damn, these people in their seventies who are so starkly aware of death.

And that’s one bit of bad news that has colored my week. There’s more, but the test results aren’t in, and I’m still allowed hope. Hope feels very different lately. It’s not a positive or a negative, it’s just an unknown. Sometimes, the unknown is better. For a little while anyway, while we process what we do know.

Embracing Rock-Bottom

Although the forties are the new forties in many more ways than one, sometimes we get snagged on one feature that plagues us throughout the decade, like alcoholism has me now. And while these snags are not just a forties thing, I suspect they’re a distinct characteristic of the forties in the Western world. The Washington Post recently published an article titled, “Under 50? You still haven’t hit rock-bottom, happiness-wise,” in its “Wonkblog” section (soooo millennial… the blog AND the title). The writer contends that our general sense of happiness reaches its nadir in our forties, supporting the claim with evidence from a survey designed to determine the life-satisfaction of over a million subjects. In one more line, I can summarize his point: people in their forties are the most unhappy people in the Western world.

A line graph attached to the article makes it easier to digest this generalization—our lives seem to follow a U pattern—first, life’s one big party—all the wavy lines are at the top of the graph; then we hit rock-bottom; finally, we turn fifty, and all the wavy lines rise again to the top of the graph, like a middle-aged phoenix soaring from its ashes—life becomes one big party again. How nifty.

Ordinarily, I would ignore or vehemently argue against such conjectures, i.e., the whole point of this blog; however, we experience some pretty heavy stuff during our forties, enough for us to question our own life satisfaction and possibly admit doubts on a survey designed to assess our “happiness levels.” Here’s what I know: the forties are humbling. It’s the decade when we finally start to see life for what it really is—a finite series of choices that we make, choices with results that could affect us for the remainder of our lives. I was unhappy with my job in my thirties, but I was too busy being a born-again single lady to notice. I ignored the really big choice—staying at my job—for the simple choices like where to go for Sunday brunch. I dreaded going to work five days a week, but I lived it up on the weekends, and I thought that was happiness. That’s not being happy. That’s just being delusional. If a representative from the “General Social Survey” had asked me about my happiness levels when I was, say, 33, I might have responded, “Yeah, all good here,” even though I didn’t know what the fuck I was talking about.

The other side of this spectrum takes a different, yet no less delusional, approach to its life satisfaction. Have you ever asked an elderly person how it’s going? How often do we hear something like of “Oh, can’t complain!” That’s right. Once you’ve already faced your life’s choices, once you’ve recognized your own mortality, and your friends and family start dying off, you might feel fortunate to still be breathing. At that age, it’s probably easier to frame the definition of happiness in an “I’m still standing, so what?” kind of attitude. Life isn’t one big party on the young or old sides of the line graph, life is just one big fantasy to get us through our days.

Our forties tend to be the years when we face those life snags, when we start ruminating over questions like, “How much longer do I have with my parents?” or “Is this really the only career I’m ever going to have?” or “Did I really sign up to spend the rest of my days with this asshole?” The term “mid-life crisis” had to come from somewhere. I’ve ruminated over those questions, except for maybe the last one because I chose wisely the second time around the marriage-go-round. These thoughts become big, existential dilemmas in our forties. Rather than considering the forties our time of greatest unhappiness, I would rather consider it our time of greatest introspection.

It takes a lot of strength to confront reality. I think that if you can come to grips with your choices, attempt to solve your problems without ignoring them, and find peace with whatever you can’t change (like crepe-neck or aging parents), then you have a right to label yourself “satisfied” or “happy” or whatever it is that the young and old are saying on this survey. To paraphrase Dickens, it’s quite possible that our forties could be the worst of times and also the best of times.

The $1300 Pee Test

I lived abroad for one year once, and during that time I learned to appreciate the perks of having been born and raised in the U.S. Engaging in a healthy discussion about opposing viewpoints, for instance, didn’t really happen in my host country. Opportunities for women’s advancement, as well, were certainly lacking in my host country as compared to the U.S.

Then there’s that “purple mountains’ majesty”—it exists.   I used to live on one of those old, East Coast mountains, along those ranges that change color with the seasons and even the time of day. Sometimes they do look purple, in certain shadow. In the U.S., one can drive a car for twenty-four hours, from those old ranges in the east to the newer ones out west, and still be in the U.S., and not even near a coastline.  That’s kind of awesome.

But I’m already running out material…

What else? Well, lines certainly aren’t long, not by third-world standards, anyway. You can wait in some semblance of a line in the U.S. and eventually get to the end of it and receive some kind of answer to your question (unless it’s the Department of Motor Vehicles). The answer isn’t always satisfactory, but you get one.

And that’s how far I got in my “perks of living the U.S. inventory” before settling for not-so-third-worldish line organization. There’s something wrong with this picture. Obviously, there is, or I wouldn’t be struggling to come up with five perks of living here, the fifth one being kind of a non-perk because one can compare any social or cultural institution to the worst the world has to offer, but that doesn’t make said institution an efficient one or even a good one.

It must be my mood today that got me thinking about how many things actually suck about living in the U.S. I’ve been attending the odd assortment of AA and SMART recovery meetings, the latter being a free hour or so of cognitive behavioral therapy, which definitely appeals to my pragmatic side. I’m following through with what I said I would do and getting help. Isn’t that what my closest friends and family have suggested I do for twenty years or more? To get help?

Yesterday, I got a bill in the mail for the remaining costs of that sham of a treatment center I visited for one evaluation. I was in the place for three hours—I took a breathalyzer and a pee test, then I talked to a zombie doctor for another hour or so, and then I received a summons to arrive at 9:00 sharp the next morning for five weeks of treatment. After paying an initial $160 upfront, the remaining costs of that afternoon, after my insurance kicked in a healthy sum, was $605. That pee test alone cost $1300.

This treatment center represents my view of how the U.S. works. There’s a lot of wealth floating around, and our business and institutions thrive on it—charging insurance companies $1300 for pee tests and whatnot.   The desire to “get help” in the U.S. is as profitable for some as the desire to buy the latest electronics—it’s big business. But desiring mental well-being for your own health and the sake of others around you really shouldn’t be a desire like buying the latest Samsung. It’s a need, not a desire. In the U.S., however, where everything’s for sale, there is very little difference between our basic needs and our base desires. Nothing is free, except for maybe groups like AA, and unsolicited advice from acquaintances.

In the U.S., if you’re not born into a family or a community that can provide you with opportunities, or if you’re not savvy, you will sink. Many of us do. And many of us drown. Getting that bill for the remaining costs of a $1300 pee test yesterday clearly drove that point home. Knowing that I potentially got screwed by this treatment center is enough to make me want to buy a box wine and check out for the remainder of my weekend. Perhaps last week I would have done that.

But this week, not so much. Perhaps it’s the week of sobriety whispering in my ear, “There’s so much more than anger.”  I’m going to do a few searches and make a few phone calls. Perhaps the $1300 pee test is an error.  Meantime, I still have my five perks, like the purple mountains’ majesty.  It’s a lovely morning.

 

Drunks and Reprobates… bring ’em on?

I have many skills and abilities. Some are useful and some not so much. I’m a good cook, for instance. There’s a useful ability. I can also give a decent blowjob, also a useful skill, especially after several years of marriage. I can edit the hell out of anything in print, sometimes useful (sometimes just an annoying voice in my head because most people don’t concern themselves with using correct object pronouns and active voice and such). I can plan and deliver a pretty good lesson, especially if it involves grammar!

Among my less than useful skills are my keen knowledge of nearly obsolete Office programs; my ability to see a vehicle from a distance and know the exact make, model, and ballpark year of assembly; and my keen introspection, which does nothing for me at the moment but bring on waves and waves of guilt.

Here’s what I know about myself today (because, like the subtitle of an old blog of mine once read, I’ve been psychoanalyzing myself since the seventies):

My alcoholism has indeed progressed to a new stage. My cousin’s method of “following skinny bitches on Instagram,” i.e., using women who look hot for inspiration to lose those extra pounds, ain’t working anymore. I don’t even fit into the fat clothes I bought at a thrift store last month to tide me over until I lost my extra weight. That was during a blissful week of sobriety, when I had almost reached that “how could I have done this to myself for so long?” stage. Almost. Then came the concert, always my undoing.

Anyway, my introspection makes me aware of this problem. My alcoholism doesn’t care. And my intelligence can’t ignore my alcoholism. We’re a strange trinity.

Today I thought about some of the infamous drunks I’ve known in my lifetime. There was the friend who, after a night of drinking with me and my ex, ate a whole pizza in our half bathroom. We woke up to no leftovers and crumbs all over the bathroom floor and thought, “What the fuck?” I display that kind of behavior now—the double-binge—when I drink too much and feel like I need to put something else in my stomach and that something else becomes everything I can get my hands on. That’s new.

I also thought about the two friends my ex and I drove five hours to visit one weekend. Infamous drinkers, they were. I had been drinking with one of them since I was twenty-two (a year of firsts in debauchery and experimentation, by the way). We knocked at their door, and knocked and knocked. Finally, one of them answered the door in his underwear, bleary and vaguely coherent. They’d been drinking all day, knowing that we were coming to visit. That truth didn’t stop them. Because, eventually, nothing does.

Am I there yet? God, I really judged all those reprobates that my ex-husband loved so much. Now, I’m secretly one of them. Secretly. I can still call some shots and avoid mimicking the behaviors of people I have respected least in my lifetime.

Just the times

Oh, my goodness gracious–what are these HGTV house hunters thinking when they turn down a perfectly good property because the kitchen isn’t white or the bathroom doesn’t feature a bidet?  You know what they are thinking?  Nothing.  Nothing of any substance, that is.

I’ll admit that I couldn’t criticize your average HGTV house hunter if I weren’t watching the show.  And I watch the show religiously, like my Catholic friend never misses a mass. It’s a guilty pleasure that also provides for my edification.   For instance, I know that someday none of this will matter.

But for now there’s something very compelling about watching your fellow Americans search for their dream house.  They have their little wishes–a fish pond or a white kitchen or a Japanese toilet.  Whether they know it or not, they have been made the fools in this network drama.

Times are changing, and owning the sizable walk-in closet to house your shoes isn’t gonna fly if this country puts itself on the chopping block.  We gotta think about our place in the world.

Instead of reading this, you should probably be following the news…

Kool Aid Man… but the news is terrifying, so let’s talk about the state of mental health treatment in the United States instead:

I gave it a shot. I dutifully called up a recommended treatment center, I filled out a stack of papers and answered hundreds of questions about my personal habits. I gave them everything except my social security number, which they asked for, but which I declined to give. And what did I get in return? A bad, bad feeling in my gut.

That’s how it began anyway, with a bad feeling in my gut. Since this brief encounter with a profit-motivated addiction treatment facility, my feelings have evolved.

Have you ever felt that mixture of sadness, foolishness, and indignation after you’ve realized that someone is just trying to sell you the Kool Aid?

(It stings much worse when the peddler is a friend—For instance, I have a very good friend who started getting weird about a year ago, seemed to be trying too hard to make me happy. I attended one of her life coaching sessions, mainly to show my support for her newfound bliss, and I thought it was quite useful. Fast forward about six months, and I’m on the phone with her, trying to explain my need for peace, and she offers me a special private life coaching series, taught by hers truly, for the low price of $3000. Enter bad, bad feeling in the my gut—but I digress…)

 

I think the majority of mental health professionals in the U.S. mean well, but they’re just little people in a much bigger, much more powerful system. I think this judgey humorless robot doctor who now possesses a lengthy checklist that vaguely represents a lifetime of my impulsive behavior and alcohol and even sometimes drug use probably means well, but to put this whole stream-of-consciousness post into simpler terms, “She don’t know me.”

After getting steamrolled through her reductive questionnaire, which now, unfortunately, will become a part of my permanent record—there to fuck me if I want to buy life insurance or join the police force or what-have-you in the future—I waited in a very calming room on a very cushy couch while she scuttled off down the hall to consult with some other “professionals” with administrative-type titles about a recommended treatment plan for me. I never actually saw these people who attempted to decide my fate, and now I wonder if they existed at all. Perhaps, my charmless robot doctor just took a trip to the loo and read a magazine for a half an hour while I wondered about gravity of my “condition.”

When she recommended a treatment plan, a very expensive and time-consuming plan that would require me to spend every day of the next five weeks attending group therapy and doing yoga at the center—this is after I explicitly told her that if she recommended such a plan, I would not do it, that if she couldn’t offer a less-intrusive outpatient program, then we were just wasting our time (and my money)—I told her I needed time to think about it and discuss it with my husband.

Dr. Robot then handed me another stack of papers and told me I could discuss my decision with some other professional (whom I had never met and whose phone number I never received) when I came back next morning for “processing.” Man, this bitch was itching for my signature.

As you probably already figured out, I didn’t sign and I never went back. Like the time I slipped out of that weird job interview in the nondescript office building, but unlike the time I bought the timeshare, I didn’t drink the Kool Aid.

Sadly, I think that if this doctor had been more charming (or possessed any people skills at all), I might be sitting in a costly treatment center right now, costing my family so much more money than just insurance deductibles for child care and animal boarding, losing a potential new job, and losing and the job I already have because I’d be scheduled to do yoga at same time I was scheduled to teach. Since my stepkids’ mom is in charge of the neighborhood social committee, everyone I know would also know I was in rehab. NOPE, nope, nope. I’ll explore other options.

Even AA is starting to look good to me right now. Those people might be trying to sell me an ideology that I don’t entirely agree with, but they’re not asking for my money. I’d rather join a cult for free than join a group therapy treatment that costs thousands of dollars.

Ah, the things in this country that should be a part of our basic rights as human beings—basic health care, mental health care, addiction treatment—are all treats for the wealthy… But I digress again, and if you’d read this far, I’ve already taken too much of your precious time.  Thank you, and Namaste.