[HN Gopher] My experience of losing a friend to heroin (2020)
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       My experience of losing a friend to heroin (2020)
        
       Author : exolymph
       Score  : 24 points
       Date   : 2021-10-25 21:48 UTC (1 hours ago)
        
 (HTM) web link (mattlakeman.org)
 (TXT) w3m dump (mattlakeman.org)
        
       | aazaa wrote:
       | > I wish I had a happier note to end this on, but honestly, my
       | biggest takeaway from the whole experience is that maybe some
       | puzzles just can't be solved. We can try to attribute Jack's
       | problems to intrinsic biological/psychological issues (social
       | phobia, migraines, etc.) or to environmental causes (super high
       | rate of heroin use and OD in the community), but both sides seem
       | fundamentally lacking in explanatory power. The vast majority of
       | socially anxious people don't resort to heroin, and despite the
       | problems of these small towns, they are by no means among the
       | worst places to live in America, let alone the world.
       | 
       | Earlier on, the author does speculate about what drove Jack:
       | 
       | > To put it another way, Jack was painfully aware that his future
       | options were, "be a complete loser," or "be a complete loser who
       | feels really really good for a few hours every day." He chose the
       | latter.
       | 
       | What's striking about this is how it's possible to live this way
       | without drugs. A brain-numbing job eight hours a day and a life-
       | saving hobby for four. A toxic-family life but wonderful
       | community.
       | 
       | It almost sounds like Tennis could have been this outlet:
       | 
       | > One time when Jack was in middle school, he walked off the
       | tennis court after a well-played match, and his mother asked him
       | how he felt. Jack said something like, "when I'm out there, it's
       | so nice... it's like the rest of the world goes away and I don't
       | have any problems."
        
       | petermcneeley wrote:
       | Very well written piece. Makes me wonder if we will soon see a
       | similar piece published but s/heroin/videogames.
        
         | ipnon wrote:
         | This seems a little insensitive given the original is about a
         | friend dying from drug overdose and video games aren't deadly.
        
           | hh3k0 wrote:
           | I mean, kids occasionally die from video game marathons.
           | 
           | (And in places where heroin is legal, addicts rarely die from
           | overdose.)
           | 
           | That said, death is not all that can ruin a life.
        
       | chaircher wrote:
       | "I'm not entirely sure the migraines even existed. On a few
       | occasions, Jack admitted to me that he faked being sick to get
       | out of school. It's plausible that Jack made them up to get out
       | of school or socializing, and his well-meaning but enabling
       | parents let him do it."
       | 
       | Oh come on man, occam's razor. Debilitatingly painful and
       | difficult to treat medical condition in childhood results in
       | social isolation and an opioid addiction. A kid faking being ill
       | once doesn't discount an entire life ruining disability.
        
         | coldtea wrote:
         | > _Debilitatingly painful and difficult to treat medical
         | condition in childhood results in social isolation and an
         | opioid addiction_
         | 
         | Occams razor: tons of people have social isolation and/or
         | opioid addiction, without "Debilitatingly painful and difficult
         | to treat medical condition in childhood" (and the inverse).
         | 
         | And he didn't say "faking being ill once", he said "n a few
         | occasions", and those are just the ones he admitted to his
         | friend.
        
       | twofornone wrote:
       | >Then there were the migraines. Even after he died, I never got a
       | straight answer as to the cause or truth of this problem. All I
       | know is that he often complained about getting debilitating
       | migraines that forced him to stay in the quiet dark of his room,
       | sometimes for days straight. Jack's parents took him to doctors
       | and specialists trying to get to the bottom of it, he tried
       | numerous treatments and medicines, but I don't think the cause
       | was ever identified.
       | 
       | Migraines are frustrating because there are a thousand different
       | potential causes and no one really understands their physiology.
       | Many people don't respond to medications (outside of opioids,
       | maybe) and even then, a migraine is far more than just pain; it
       | appears to be a general disruption in brain function, possibly
       | related to a phenomenon known as cortical spreading depression,
       | and is often preceded, accompanied, and followed by vague
       | psychological and even gastrointestinal disturbances. What's
       | worse, you may be lucky enough to find a medication to mitigate
       | the pain, but the psychological disturbances generally persist
       | even in the case of a successful abortion. Frequently that means
       | cognitive slowness that can last for days.
       | 
       | Likely migraines are actually a manifestation of numerous
       | abnormalities which are not always present in all sufferers, and
       | I imagine that makes them particularly difficult to research,
       | especially with first order statistical correlational analysis.
       | Maybe ML will help here with the right data. The only certainty
       | is that a better understanding of and cure for migraines would
       | bring relief to millions of people who suffer unnecessarily.
        
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       (page generated 2021-10-25 23:00 UTC)