He is no one to me. He is not my relative. He does not live in my town or go to my church. He has long ceased being a productive member of society and my taxes are paying for his care.Friday night, just as I went on duty, one of our regulars appeared at the door, very intoxicated and looking for Detox. I think Q has gone through our place at least a dozen times in the 6 years I have worked there.
For a long time he was just a drunk but these last few years he has added opiates to his repertoire and needless to say each time we see him he is a little sicker and a lot thinner. Q is a couple years older than Don, a red head, never married, does construction when he can stay sober.
The last few times he has not made it through the program without storming out half way through his protocol. When Q comes up for medication he exaggerates his symptoms in an effort to get the maximum medication. The mantra of every addict is MORE, more more more.
(I joke with our adolescent addicts that I am going to make up Detox t-shirts that read "one is good, two is better, and three is never enough!")
When an addict is faking symptoms they often employ the 'fake shake'. This is when they tremble both arms and legs in an effort to look like they are in severe withdrawal. An addict in real withdrawal tries to stop the shakes not exaggerate them. Also when I hold their arm to check a pulse or take a blood pressure, the fake shaker stops trembling that arm and continues with the other limbs. A person with a real withdrawal tremor cannot control the shake and the arm, even clutched tightly in mine, contains the faint tremor.
But is was different with Q this time. He is much much sicker and I think he is really scared. So on Friday as I did Q's intake he was as open and honest as I have ever seen him, and very very humble.
We finally finish all the paperwork and I get him a sandwich, the first solid sustenance he has had in about three days. He goes for the security walk around the now silent building with me because I am the only RA on and its scary going down the back hallway alone! He talks about the time when he lived out in our back woods and he nods with approval when I lock the link door.
We joke a little and he tries to find hope. This time he will quit drinking.
Sunday night when I came in I check on one of our young adolescent girls first (she was new to Detox and very frightened) then I go in search of Q. He is quietly talking with the RN who has cared for Q for close to 20 years now.
He looks awful, gaunt, clothes hanging off him. I offer to take him to the clothes closet to see if we can find something that fits him better but he politely declines. "Leave that stuff for the people with nothing" he says.
Throughout the night he dozes and then wakes and then wanders aimlessly about. The nurse is worried about his behavior and the sick aura that hovers about him.
Then just after 6 a.m. I am speaking with him and although he is very shaky and has a little trouble focusing he is certainly following and participating in the conversation. Suddenly the door bell rings and I hurry off to see who it is. In that moment according to the other RA Q suddenly dashed off to his room and then trots down the hallway with his bag of belongings.
When I heard that I race down the hallway and sure enough Q is desperately trying to repack. The doorbell to him signaled something in his brain and now he is a man with a mission. In his mind he is at home, and he has just missed his ride to work. He is frantic with worry and has to LEAVE NOW.
I try to orient Q to time and place but he is unable to hear me or comprehend. He has to leave now he has to go to work. I didn't know what to do. I cannot let him out the door, its cold, he is not in his right mind, and he is certainly not dressed for a cool Fall morning. But I cannot leave him to get help as he will be gone before I get back. Yelling down the long corridor would wake up 20 other patients and add to the confusion.
Plus I kept thinking, he was fine a minute ago, how can this happen so fast? Finally I go along with his reality in an effort to coax him back to his room. I figure if I can get him in his room its close enough to the nurse's station to get help. I don't feel totally comfortable in going along with his delusion but I cannot risk him getting out onto the road.
I tell him about his work clothes that he left hanging in the closet and offer to help him pack. He continues to mumble and moves with great agitation but I am able to get him to follow me. Once safely in his room I shut the door and sprint to the nurse.
After some serious conversation and redirection the RN is able to get through to Q and we medicate him and settle him back down. The nurse then informs the next shift because it is clear to her he is slipping into the real DTs.
I am off today and all I want to do is call and check up on him. How is he? Did he end up in the hospital? Will they keep a very close eye on him during the crazy busy afternoon?
He is no one to me. He is not my relative. He does not live in my town or go to my church. He has long ceased being a productive member of society and my taxes are paying for his care.
He is just a drunk, a drunk that is slowly but surely killing himself.
But I cannot stop thinking about him. I cannot stop thinking about how we were connecting like two normal human beings and then a doorbell went off and he went...where?....somewhere else, somewhere in a delusion. How his clothes hang off him because he is drinking himself to death. How he didn't want to take clothes away from people less fortunate than himself. How he came in to the Detox drunk as a skunk but had kind words for the young girl on her first night, when she was so frightened.