Stoned and Panicked on the Interstate

The memory was buried until yesterday, and frankly I’d have been happy had it stayed buried. Funny thing about suppressed memories — they spill out during the damndest moments, like a drive down I-95 in Maine.

We were returning from a family camping trip near Old Orchard Beach yesterday, and as I drove the camper south, my stare caught the north-bound lanes.

Sometime in the summer of 1991, Sean Marley, a couple others and I sped north into Maine around midnight. We were in my beat-up 1981 Mercury Marque, and Sean was driving. I was in the back, about to have a panic attack thanks to my decision to read a newspaper after smoking weed.

Mood music:

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I can’t remember if Sean was high, but I do remember him being in the midst of some fucked-up sleeping experiments. One phase of the experiment involved him sleeping in a different room of his house each night, the goal being to break himself of the comfort you get from going to the same familiar bed at the end of each day. Another part of the experiment involved not sleeping at all for multiple days.

He was pretty gone at that point and kept chanting “Jesuses penises” over and over. The more he did it, the more unhinged I became. My uneasiness was based on four things:

  • I was paranoid from the weed.
  • It was dark, lonely and scary on that highway — probably because I was stoned and paranoid.
  • Sean was driving my car like an asshole, which had already suffered a smash in the rear from a hit-and-run driver a month before.
  • There was a newspaper in the back seat.

News about scary world events used to trigger my anxiety back then, and this was just after the first Gulf War. A headline in the paper said something about Saddam Hussein having come closer to getting a nuclear bomb than anyone has previously thought. I spent the next week worrying that my corner of the world would go up in a mushroom cloud, courtesy of an evil dictator pissed off over all the bombs we dropped on his country a few months before.

It’s kind of amusing that the headline set me off, given that we would learn 12 years later there were no weapons of mass destruction.

But at that moment in the middle of the night, it seemed like an imminent threat. In reality, the more imminent threat was of the car sliding off the road and into a tree.

Three years later, the sleep and drug experiments caught up with Sean, and he had a breakdown. Two years after that, he died by his own hand, another victim of depression.

I would be done with marijuana within two years of that night, but I’d spend the following decade and a half living with a more muted but persistent depression and continuing bouts of anxiety and panic. I would occasionally lean on pills (prescribed for back pain) and alcohol to numb the fear. More often than not, I would simply shove a massive amount of food down my throat.

But I survived and eventually got well. Now I can travel at all hours and not freak out over it. I might get tired and annoyed, but I don’t get scared. In a way, you could say I’ve come full circle, traveling that same stretch of road clean and sober, hauling a camper with a Chevy Tahoe full of family.

But that old memory still bothers me a little, because it shows how unhinged two close friends were slowly becoming.

Bill and Sean

How to Stop Screwing Your Patients in Four Simple Steps

A colonoscopy I was supposed to have today was abruptly canceled over missing paperwork. Normally I wouldn’t complain about something like this because life happens. But I’m hearing a lot lately about medical offices screwing up and making the patient feel stupid instead of taking responsibility.

Mood music:

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I know people who get scared shitless when they have to go for a procedure. They worry for weeks and just want to get it over with, and when they’re kicked to the curb, it makes their angst 10 times worse.

I used to get that way. I’d obsess for weeks before the colonoscopies I have to have because of the Crohn’s Disease. I’d work myself up into a frenzy about getting the damned thing over with. As a result, a cancellation would send me deep into a depressed fog, and then I’d work myself up into another frenzy for a few more weeks.

Fortunately, I got past the frenzy-depression cycle long ago. I’m deeply annoyed about today’s cancellation, but I’m not in a fog. I was happy to break my fast with an iced coffee from Starbucks and have an extra workday to get things done. But in the process, I’ve had to throw other people’s plans into chaos so that I could get this test rescheduled.

With that, I want medical professionals to understand a few things:

  • If you have to cancel someone’s procedure, it can be traumatic. Don’t be cold and make the patient feel stupid for being upset. Saying “I’m sorry, but …” isn’t good enough. You need to reassure the patient that setbacks like this happen and that everything will work out in the end.
  • Doctors shouldn’t hide behind their staff. If the doctor screws up on paperwork, sending staff to deliver the bad news isn’t enough. The doctor should call the patient and personally apologize. For a patient suffering from anxiety, that small personal gesture can be the thing that helps them reset their expectations.
  • Don’t blame HIPAA. People in the medical profession love blaming everything on HIPPA and other laws. When I noted that the botched paperwork was never necessary before, the medical assistant said new laws had taken affect since the last time I had this procedure. I’ve lost count of the times doctors’ offices held back information under the excuse of HIPPA. I’ve been writing about HIPPA in my day job for eight years, and I know you guys violate HIPAA daily. And there are ways to tell patients what they need to know without violating HIPAA.
  • Don’t save paperwork until the last minute. As I’ve said, life happens. In my case, the specialists couldn’t access needed medical records because my primary care physician was called away on a family emergency. If the specialist had sought the paperwork a week or two ago, this wouldn’t have happened.

If you’re in the medical profession and disagree with anything I’ve just said, tell me why. And spare me the HIPAA excuses.

Doctor's Office