I share this intimate tale so that you, my colleagues and friends in the medical field, can hear the human side of addictive disease, of its treacherous grip, and of the freedom and confidence from which I have emerged from this terrifying illness.
My drug use did not begin until medical school. I was never a drinker in high school or even in college, nor did I use drugs socially. Then, one evening when I was finding it hard to stay awake to study for an organic chemistry exam, a friend directed me to some stimulants that were available in sample form. The result was perfect.
My drug use escalated. In addition to Internet orders I would write prescriptions in the names of my family members. Suddenly, my uncle had knee pain, my father-in-law back problems, my aunt arthritis.
Throughout this time I still felt on top. I enjoyed my status and felt it was deserved, having achieved academically as well as socially since childhood.
And then one day, the Drug Enforcement Agency came to the door inquiring about fraudulent prescriptions. The reality of the situation took months to sink in. My reaction was disbelief.
The shame and magnitude of my tumble was immeasurable. Not only did I face the legal and professional ramifications of having written improper prescriptions, but I had to cope with the personal humiliation of a fall from grace. I was no longer the icon of success I had worked a lifetime to achieve. I was now tainted, not only in the eyes of my colleagues, but also, for the very first time, in my own.
Fortunately, when everything was crumbling around me, I got support and advice. With the guidance of Physician Health Services (PHS), I got into a treatment program that helped me realize that I suffered from a virulent illness and was both worthy and deserving of help. I was medically detoxified from the effects of the medications I had now stopped taking. I learned to take responsibility for my behaviors, but also to recognize that I had been sick and could certainly get well.
The greatest challenge of all was the subsequent public disgrace.
Although I was angry and frustrated with the obstacles I was facing, I now had the tools to deal with this stress. Through PHS I had a physician support group where I could meet and learn from other doctors who faced these same struggles. I had an outlet for sharing my experiences and for learning from example that there was indeed hope for my future. And most importantly, I had my sobriety and my health.
Ultimately, I did return to practice. It was no easy journey. The process took years. During this time I was doubted by others and I doubted myself. But now I am stronger. I have the confidence of knowing that whatever ills befall me, I can heal. As a result, I am a better healer.
However, to encourage wellness we, as a profession, need to provide resources and nurturance, not shame and humiliation. I am now sober and can’t imagine facing life any other way.