Recovery
by Karen Stuebing
I thought kicking cold turkey would be hard. It wasn’t my choice. I would have preferred an inpatient program but southern West Virginia does not see fit to provide these facilities despite one of the highest addiction rates per capita in the country.
So when you decide you want off, you just stop and detox at home.
It was twelve long days and nights of total agony. No sleep for five days and then just sporadically after that. Vomiting continuously for nine days. I lost twenty pounds in a week. The creepy crawlies, so named because your body seems to become possessed and your arms and legs move independently of any conscious attempt to control them. You lay down at night only to crawl constantly around the bed. Some people just get up and pace until morning because it is so horrific.
Your bones and muscles ache unbearably as you have no endorphins. Blood pressure skyrockets. Mine, normally 90/60, was 160/135. Your heart races around 135 beats per minute. You dehydrate pretty quickly and get a headache that rivals the worst migraine. You’re cold but sweating with goosebumps. You shake violently. And there isn’t a minute’s respite.
But as bad as the physical part is, the emotional impact is far worse. You knew it was going to be bad but until you’re into it you couldn’t even imagine it was this intense. The cravings kick in almost at once and your entire being centers on NOT taking a pill.
I have to admit I took a couple Lortabs two nights in a row so I wouldn’t get the creepy crawlies. It only prolonged my withdrawal.
I wandered outside on the ninth day and a neighbor saw me. She started crying and saying, “Oh honey, look at you,” over and over. She cooked some chicken soup and brought it to me.
I wasn’t hungry but it was hot so I decided to eat some. The first spoonful triggered something in my brain and I realized I was literally starving. It took a lot of willpower to just eat a small amount so I wouldn’t get sick.
That was the beginning of the end of the physical withdrawal.
This is about recovery. As bad as that was, this is the hard part. The recidivism rate for narcotic addiction is over 90%.
How do I become one of that small percentage that makes it? How do I overcome depression and cravings? How do I avoid situations where there are drugs when half the people I know are on them? I can walk 20 feet and be at another addict’s door.
I decided to use my camera to chronicle this part. It took me awhile to pick it up again. When I did I knew I really had entered into the recovery phase.
This is my journey and I’m putting it out there for the world to see. I want to be one of the winners.
*All photos by Karen Stuebing
Photo 1
Title: Where I’ve Been
Caption: Had a touch of the oxy flu.

Photo 2
Title: Self Portrait
Caption: It took my soul. I want it back.

Photo 3
Title: “That’s the Way it Goes Around Here…”
Caption:
My primary care physician of many years dropped me. Got the letter yesterday.
Today, I went to get my medical records.
While I was waiting for them to make copies, I overheard a phone call. The receptionist kept repeating “Dr. Todd and Dr. Dominguez do not treat people who take narcotics.” When she hung up, she said, “He was saying he didn’t want a prescription for narcotics. He wanted to get off them. Then he started crying.”
All the staff started laughing.
Then they remembered I was standing there. They had the decency to look embarrassed.
This just strengthens my resolve. Treatment like this gets me through those long insomniatic nights when my mind starts to play tricks on me and whispers, “just one won’t hurt anything,” and I stare at the phone and grip the armrests on the chair until my hands freeze into claws.
There will be a detox facility in southern West Virginia. I have promised myself this. No one will ever again have to go through the hell I went through.
And I will so enjoy shoving it down their throats.

Photo 4
Title: Temptation
Caption: There are friends and then there are friends.

Photo 5
Title: Wild Wind
Caption:
I listen to music a lot now.
The song Wild Wind, by Robert Earl Keen, always reminds me of my home town. It could have been written about it.
I pulled in to gas up and this car got pulled over.
My first impulse was to be real low profile and get the hell out there as fast as I could.
But no. That was the old me.
The new me took out my camera and fired off a couple quick shots.
Ok, it’s not that good. Lots of blown out areas. But you get the idea.

Photo 6
Title: Demons
Caption: I had a doctor’s appointment. With one who didn’t dump me.

Photo 7
Title: Will to Survive
Caption:
This has been a tough week. I’ve been increasing my physical activity.
I think every muscle in my body is sore. And the amazing thing is I used to hike and work out, and am not out of shape.
But to go from months of couch potato mode, to two weeks of the Withdrawal From Hell, to a mere week of recovery has wiped me out.
So this bouquet of wildflowers is to remind me why I’m pushing myself and why I stay here where my whole life fell apart. From spring onward the fields and hillsides are covered with wildflowers.
It feeds my soul.

Photo 8
Title: Retaliation
Caption:
The time-honored tradition of settling disputes in southern WV is to slash someone’s tires and/or burn their trailer down.
Here is a car I passed on my walk to the PO. There were actually three tires slashed. It is in the process of having them replaced.
Well, no one calls the police so no one goes to jail. I guess that’s a plus.
It’s not too great when you’re on the receiving end, but it does have the effect of ensuring that whatever transgression occurred usually doesn’t happen again.

Photo 9
Title: Living Fast or Dying Slow
Caption:
“One thing I have found there are just two ways to go
It all comes down to livin’ fast or dyin’ slow”
This is how I feel today. All rusted up and prickly. An antique soul in a broken down body. If I wasn’t so tired I’d go hiking to the Bluestone River. Heck, I might anyway.
“Now everyone must have some thought
That’s going to pull them through somehow
Well the fires are raging hotter and hotter
But the sisters of the sun are going to rock me on the water now”

Photo 10
Title: The Red Roofed Barn
Caption:
This barn sits atop a mountain and is visible from all angles around.
I set off to find it for about the 10th time yesterday.
I climbed the hill where I thought it would be and sure enough there it was.
Success!!
However, it was a long and arduous hike and I was pretty tired out.
I skirted the edge of the farm and managed to escape unnoticed. So no irate farmer greeted me.
The most ironic part is that I didn’t feel up to hiking down to the Bluestone River and thought this would be an easier hike. It was about 5 times as hard.
But it’s good to stay tired and not think. Thinking leads to memories and memories lead to recriminations and recriminations lead to what’s the use anyway?

Photo 11
Title: Not Whole
Caption:
Not yet anyway.
I was warned repeatedly by other addicts about post-withdrawal depression. It is the most dangerous time for relapse because who wants to live their life in a black hole?
Forewarned is forearmed.
And even the deadest wood provides a medium for growth.

Photo 12
Title: Middle Class Detox
Caption:
The paper box for the local paper was empty today when I went to buy one so I ended up getting the Charleston Gazette.
It had this sticker on it.
I went to the website and the closest facility is in Richmond. And it costs some money too. Don’t see how that helps the local folks but it’s interesting they targeted this area.
The procedure sounds awful even though they try to put a positive spin on it.
They sedate you on huge doses of valium and then introduce drugs like Ultram and Narcan to flush the narcotics out sending you into immediate withdrawal.
It’s done over a period of days. There used to be a method where it was done in a 24-hour period but people died so they’ve extended the timeframe to make it safer.
So you basically go through a quick cold turkey withdrawal but are so out of it from the valium you’re barely conscious and have benzodiazepine amnesia afterward.
Personally, I wonder about how much valium they give you. I know I took ten 1 mg Xanax one night trying to knock myself out and didn’t feel a thing. That’s equivalent to 200 mgs of valium. All it did was affect my balance and make me fall over a lot.
I don’t know that I’d choose that route even if it was available.
I suppose it’s for that middle class working junkie who has some disposable income and vacation leave. Do you know him? I don’t.

Photo 13
Title: Alluring
Caption: Unless you’re the fly.

Photo 14
Title: Sunflower
Caption: I used to nod out like this.

Photo 15
Title: Free Fall
Caption:
“I’m learning to fly
But I ain’t got wings
Coming down
Is the hardest thing.”

Photo 16
Title: The Hidden Rehab
Caption:
I went for my first appointment at the drug rehabilitation center.
First I had to find it. That was the real challenge.
I’m glad I took my cell phone.
I never really understood the directions. Just that it was near the train tracks and next to the Hillbilly Paintball store.
Like I’m into paintball and know exactly where that is.
It turned out to be on an offshoot of the main street, in a warehouse district of old falling down buildings.
Hidden from public view and damn hard to find. Or even find out about.
Note the absence of any people. No one to offend.
The company’s main building, of which this is an annex, is as large as the hospital and right next to it. They have centers in many cities and several states.
This facility is identified only by the street number and “SA Treatment” stenciled on the door. Can’t possibly spell it out even though no one will ever see it.
The new stucco exterior doesn’t prevent the old building from leaking so that all the new drywall is rotting and covered with mildew.
But what am I complaining about?
The program is staffed by competent practitioners, well thought out and comprehensive.
My intake took over two hours. Of intensive questioning. Which was a little redundant. I suppose to make sure you’re being honest.
I was very honest.
They come up with a diagnosis and treatment plan on your first visit.
My primary diagnosis was Substance Abuse Disorder. No surprise there.
Secondary was Anxiety Disorder.
I will also see a psychiatrist in case medication is needed, attend a women’s group, and receive one-on-one counseling.
And it’s on a sliding scale based on income, which in my case means I pay nothing.
So why hide it, Mercer County? It’s not like no one knows about the ever-growing addiction problem.

Photo 17
Title: The Beginning
Caption:
It’s been over a month now.
Time to move on.
Will I make it?
I’m doing all the right things. The statistics are against me though.
But I’ve been knocked down and gotten back up so many times in my life that I think I can.
I will end with these Simon and Garfunkel lyrics that have meant many different things to me at different times in my life:
“In the clearing stands a boxer,
And a fighter by his trade
And he carries the reminders
Of every glove that laid him down
Or cut him till he cried out
In his anger and his shame,
‘I am leaving, I am leaving.’
But the fighter still remains”

Karen Stuebing is a photojournalist living in southern West Virginia. Her photos have appeared in the Bluefield Daily Telegraph, West Virginia 24/7, the Appalachian Service Project and she appeared on ABCFamily’s Scariest Places on Earth. She has won several regional photo contests.
In addition to trying to capture the spirit and beauty of Appalachia, she has chronicled her own personal struggles with addiction to educate others to the danger and to help other recovering addicts.
To check out more of Karen ’s work, visit http://www.pbase.com/kstuebin.
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