Tag: mental-health

  • Happy Twentieth Birthday

    Photo by Wiktoria Skrzekotowska on Unsplash

    September 4, 2006 was twenty years ago today. I celebrate that day each year because it is the day I quit smoking. Or, more accurately, it is the most recent day I quit smoking and the first time I did not start smoking again within a few months. I treat this date as though it is another birthday because quitting smoking gave me a new lease on life. And I didn’t even need to do a credit check and put down a security deposit for this one.

    I started smoking fairly late for someone who grew up in the rural south. I never smoked in high school despite my dad smoking over a pack a day for my entire life. Some of my earliest memories of my dad are of me sitting on the floor playing with toy cars while he filled the entire room with smoke that I imagined was the cool fog my mini racers were navigating on their obstacle course that included our coffee table and the legs of his chair. I never took up smoking until late in college, but I quickly made up for lost time. Smoking is one of those things you understand is disgusting and bad for you the entire time you participate, but because it is an addictive drug you are powerless to do anything about it.

    Marlboro Reds were my cigarette of choice. I loved Reds more than baseball fans in Cincinnati. Every time I smoked a cig that wasn’t a Red, I would think of how much better a Red would be. I was able to keep my habit down at about a half pack a day for the decade or so that I smoked. I tried to quit many times. Or, to be more accurate, I actually did quit many times. I just started back up again after a few weeks or months.

    I remember when Boston outlawed smoking in bars back in 2003. I was certain that was going to be the tipping point and I could easily quit if the bars were off limits. Fast forward to me standing around in the freezing cold outside of the Druid in Inman Square taking drags and shivering my ass off.

    I kept trying to quit many other times. Being in the Army sabotaged my attempts as much as anything else. I got to the point that I could quit for the entire month, but come drill weekend I just had to get a pack to smoke in order to make it through the day. One pack to survive the weekend would become a few packs to survive the entire week of, which eventually just became me starting to smoke all over again.

    I know now that my whole problem was that I never really wanted to quit for me. I wanted to quit because cigarettes cost a lot of money. Or I wanted to quit because society told me I should quit. Those were external motivations, and they just weren’t good enough for me. I never actually wanted to try and quit purely for myself until I realized just how destructive it was for my own life.

    Ben Affleck puts it very well in an interview with Howard Stern. Here, he talks about how he was not able to quit drinking until it all but ruined his life. “The cure for addiction,” as he states, “is suffering.”

    In summer 2006 my Reserve unit went to Fort McCoy in Wisconsin for Annual Training. We were there for an exercise with many other Chemical units around the country. On the way there I bought two cartons of Reds, expecting them to last the entire two week trip and beyond. I was wrong.

    I’m not sure what was different about this AT that made me smoke so much more than usual. Yes, it was hard, but AT was always hard. There was a lot of “hurry up and wait”, but that was also nothing extraordinary. Whatever it was, all I did was smoke and smoke and smoke. In two weeks, I smoked both cartons. A carton is ten packs of cigarettes, each pack containing twenty cigarettes. And yes, I did lend lots of smokes to people, but I also bummed at least as many from others.

    Basically I smoked a pack and a half each day. An explosive increase from half a pack a day. Once I got home I knew there had to be a major change. I did not want this to be my new normal. I did not want to get cancer before 40. I did not want to have trouble climbing two flights of stairs.

    The first thing I did was set a date. I chose Labor Day because it was the end of a long weekend. I spent the weekend smoking more than normal, hoping it would cause me not to miss smoking for the first couple of days. On Labor Day itself I went to Olde Country Buffet and got a gluttinous meal of meat loaf, more meat loaf, fried chicken, red velvet cake; all the normal stuff you get at Olde Country Buffet. A few alcoholic beverages were consumed as well. I did my best to make the entire weekend feel like a bacchanalia of vices.

    For the most part it worked. I spent most of the following week just recovering from all the overindulging. Probably the hardest part was not getting three or four ten-minute smoke breaks at work. I never missed cigarettes until the next weekend. By then I could tell myself “you’ve already made it four days, keep going”.

    Because I had so much resolve this time, it continued to go smoothly. My first drill after quitting was tough, just because when I told people I quit they didn’t believe me. So they spent the whole weekend trying to shove lit cigs into my mouth. Other than that, I would occasionally see someone smoking and get an overwhelming feeling of envy. It felt like an itch on my heart. I just desperately wanted to steal that person’s cigarette and smoke it for myself. This happened every few days initially, then slowly got progressively further spaced out. Even now I still get that feeling once every 9 months or so.

    The biggest downside was weight gain. There is a reason every thin, beautiful, eastern European supermodel smokes like a chimney. I slowly put on pound after pound despite doing and eating exactly what I did before. That frustrated the shit out of me, because I was supposedly getting healthier as I watched my pants get tighter and tighter. I put on about 12 pounds before I finally got a handle on it around Thanksgiving, then I needed a few months to lose it all back.

    The second biggest downside was that I picked up spitting outdoors. Like, all the time outdoors. I had developed an oral fixation with the cue that being outside meant my mouth needed to be busy. When I stopped smoking I started spitting all the time, but only outside. It’s pretty fucking disgusting but I have no idea how to stop doing it without smoking again.

    The positives are great. I save tons of money that I used to spend on cigarettes. My health and endurance are as good as I could hope. It has truly been a complete life transformation, and that is why I treat it as a second birthday.

    Of course, having a birthday on 9/4/06 means I share a birthday with the Queen Bey herself. For my 20th birthday and her 45th, we need to have a dance party celebration!

  • Worst Fear: Alpha-gal Syndrome

    The idea of spending five months walking with a heavy pack on, sleeping outside in all types of weather, and foregoing the comforts of home can sound scary. It definitely does scare me on occasion when I think about it. But, like, it scares me in a good way. Like, an I believe this will be challenging but I can handle it, kind of way. There are other things about the trail that scare me in a different way.

    I am a very risk averse person by nature. I’ve never been on a roller coaster, I’ve never scuba dived. I’ve only been outside the continental United States twice (once to Montreal and once to Puerto Rico). The reason I never take risks is because I always play out the absolute worst thing that can possibly happen over and over in my head until I’m convinced it will. Do I want to stand on the edge of this moderately high building? No, because the exact second I decide to stand there I will get hit by a minor vortex that lifts me over the edge and drops me onto a giant pile of broken concrete and rusty safety razors and horse dung. The very fact that nothing like this has ever happened to me just reinforces the idea that my abundance of caution is the reason why.

    I have several very specific fears about things that may happen to me on the Appalachian Trail. They range from the plausible to the irrationally unlikely. But rest assured that wherever on that continuum they lie, I remain equally concerned about them. Perhaps writing them out here in my blog will help to allay my fears. For my first specific fear I have something that is very real and even likely to occur. Fortunately, it is also easily preventable with care and discipline.

    My first fear (that is first chronologically, not first in terms of the amount of heebie-jeebies it gives me) is alpha-gal syndrome. Alpha-gal syndrome is an allergic disease caused by a tick bite. Being bitten causes you to develop an allergic reaction to galactose-α-1,3-galactose (also known as alpha-gal). That carbohydrate is found in the meat of most mammals, which means once you get it you will no longer be able to eat beef, pork, or most other meat. Alpha-gal is not found in humans, so Soylent Green would still be okay to eat. In the worst cases, people with the syndrome are not able to consume dairy like milk or yogurt either.

    The idea of an allergic reaction to alpha-gal is not unknown. What is scary is the idea of becoming allergic to the molecule after you eat it and it circulates in the bloodstream. Alpha-gal is the main reason why pig organs are rejected during transplantation into people. Our antibodies attack the carbohydrate and cause the organs to fail. Fortunately, scientists are engineering xenotransplants which lack that molecule.

    Unfortunately, that does not matter with alpha-gal syndrome. When the tick bites you it can take up to several months to develop the reaction. The exact mechanism is not clear. The same tick could bite two people and one can get the syndrome and the other won’t. Once you have it, a few hours after you eat red meat the allergic reaction begins. No more steak or ice cream or hot dogs, for the rest of your life.

    Which specific ticks can cause this? Way too many. Lone star tick, blacklegged tick, and western blacklegged tick are all known or suspected to cause it. Where is the lone star tick located? Why, the eastern United States of course. Isn’t that where the Appalachian Trail is? No shit. When are they most active? April to September. Well, fuck my life.

    public enemy number one

    As horrific as this is, it can be easily prevented. Permethrin is a miracle compound. Our Army uniforms were impregnated with it and I can proudly say I never got a tick bite despite sleeping on exposed ground many, many times across the southeastern United States. It is also critical to frequently check yourself and each other for ticks when you have a chance. They like to hide in your underarms and between your legs, just like many perverts you encounter.

    There are not many things worse than getting alpha-gal syndrome as far as I’m concerned. As scary as it is, practicing good hygiene and insect prevention is the key to making sure it does not happen to me. There are more than a few other scenarios I will go over in the coming months that are in some ways even more scary than this. I can’t wait to tell you all about them.