Showing posts with label hospitals. Show all posts
Showing posts with label hospitals. Show all posts

Tuesday, June 16, 2020

A HOSPITAL HOLDS


Not only my bones
But also my spirit.
It actually argues
For my life
When the world
Wants to kick me
Out. I never thought
I could become so attached
To something so impersonal
But I have. The little more
I've become besides
Blood pressure & bowel movement's,
Blood sugars & restrictions,
Holds me & loves me
As close to humanity's breast
That life allows.
And while I admit
It's nowhere near
What I've always wished
To drown in, it will do--
It has to.

Norman Savage
Greenwich Village, 2020

Tuesday, December 24, 2019

FORT KNOX, CHRISTMAS EVE, & MOM


Ft. Knox
was easier to heist
than was my mother's passion.
Her cunt defied
global warming,
& her heart was tighter
than a frog's ass--
and that's waterproof!
She was so cold
that at the dinner table,
(if & when she made dinner),
we wore gloves.

You might be thinking
this is a strange poem
to be writing Christmas Eve--
on any "Eve" for that matter.
But to those,
who've never been in a madhouse,
or behind a wire
in a police cruiser or lock-up,
or who've stood on a line
hoping to be medicated,
or a cop-line
hoping to be medicated,
or in a hospital bed
hoping to be medicated,
to those & for those
I reply:
good luck to you
& may the bordom
be kept at bay
from the wolves
that at midnight howl
& prance
under a blood red moon.

Norman Savage
Greenwich Village, 2019

Tuesday, September 3, 2019

TWO NURSES, A TIGHT CLOSET, AND ME


positioned between them
the heat from their white purity
invading my pubescent hospital pajamas
flushing my cheeks
igniting my regions
as I Bobby Darined my way
through Mack the Knife.
1959 was the year,
diabetes the disease,
Brooklyn the place,
an all male hospital ward my home
of dreams, rock 'n roll,
& trouble
percolating like a virus gone wild
in a rapidly aging eleven year old body
finger snappin, pretending
I was both the singer
& the song.

After the fear
loosed its grip
& needles & shots & tubes
snaking from mouths & assholes & veins
to bottles hidden beneath beds
or crucified on poles
& strange & bearded men
lost their ghostliness,
my body regained its hum
and my little Panasonic its life.
She stood propped against the door,
in all her beauty, her starched white uniform
& pronged pointed hat atop her cornsilk hair
couldn't conceal a body wanting to explode
from its confinement, watching me
mouthing lyrics, snapping fingers,
and gyrating against the pillows
allowing Bobby's hipness to take me
to where I wasn't.
I couldn't have known
that everything we are
or was going to be
was held in a tune.

I caught her
watching & smiling
a smile that wasn't--
a smile meant for a lover,
a smile that wasn't cute
but coquettish; a smile
on a different highway
with a different destination.
She held her slim index finger
up in the air...soon she was back
with another nurse. Slowly
they came to my bedside
& she reached for my hand
& led me, on trembly legs
to a supply closet across the hall
where they pressed against me:
"Sing it again, baby," she coaxed me,
"just like before."
I began to stammer.
"It's OK, baby, sing it again,
just like before."
And just like that
I snapped my fingers, found the beat,
& the shark came out
to play.

Norman Savage
Greenwich Village, 2019

Wednesday, March 27, 2019

THIS THEY KNOW:

For Jason D.

there's always
always always
a game on.
It's a "lock."
They sit back
and gorge
and kill
with impunity:
The NRA strafes you,
insurance companies
bet on suicides;
Big Pharma loads you up
with what kills you
& cures you
& blackouts you;
hospitals divide you
in sections until your heart
can't recognize your balls;
they mangle deer & refuse
to adopt doe';
they encourage the anguished,
the impoverished, the fenced-in,
locked-in locked-up locked down
to believe in miracles
like they're winning tonight,
beating the spread,
going against all odds
because The Knicks are getting 5 tonight
and playing in The Garden against lowly Sacremento
and the Sixers are plus one against Boston at home,
and Sugar Ray is fighting Sugar Free while Sugar's pussy is open to the winner;
and, hey, first pitch is tomorrow and ya never know...

Tonight you have a dinner, a six pack,
and a game--that you know. You know
your bosses prick is back in his pants
and you're back in your crib...safe
at home. The rest of the world
can go and fuck itself--as it
usually does. But first
a message from our sponsor.

Norman Savage
Greenwich Village, 2019

Monday, September 7, 2015

LOVING THE LIVING...& THE DEAD







COULD YOU MAKE THAT GENERIC, PLEASE


Harry was slumped over his breakfast tray; his beatific face sublimely nestled into a blueberry muffin. The only problem the nurses could discern was that he looked to be on the far side of blue, and, as far as they could tell, not a whisper was coming out of him.
In that instant the boredom of bedpans and blood pressure ceased, and a code blue was issued. All of a sudden from lethargy and sullenness, an immediacy sprang to life harnessing all their energy and focus on their lifesaving call to duty; I would imagine much like how a S.W.A.T team would feel being roused in pursuit of a cop killer. One thing was for sure: it beat the hell out of morning rounds, or meetings.
Unfortunately, besides taking the briefest of histories and current medical needs, they didn’t know shit about Harry, except that he almost bought it last night in the emergency room. He had screamed then about how much pain he was in and to prove it, threw up on one of the poor admitting nurses who had the bad luck to draw him. He had tried to warn her. He told her that among the many problems he has, he had a diabetic ulceration inside the cavity that remained after having four toes amputated. He was in so much pain it was making him nauseous. She said he couldn’t be seen until she had taken some history, including the type of insurance he had. It was then that his projectile vomit caught her a little below the opening in her blouse. Her first instinct was to brush it off her chest before it ran down her cleavage, but, luckily, she stopped herself before her hands, too, got into the goo.
Finally making his point, he was escorted into the bathroom where he rinsed out his mouth and was then led to a gurney. As soon as he was inside the ER and lying on his side, he calmed down and soon afterward was asleep. It was only when the same nurse came back to get the insurance information from him, this time wearing a surgical mask on her face and a plastic gown covering her torso, that anyone noticed that his chin was resting on his chest; a chest which was not going up and down and up and down and up and down.
Blessedly, all thinking stopped. For how long, nobody could know. All the powers of the emergency room, was focused and put into action. For the first time that night they were mercifully back to reciting the multiplication table the old way. Their reaction time was spellbinding. A nurse began stripping him of clothing and shoes. Into a new vinyl bag they went; it looked much like a large trash bag, only clear and thick. Another shook him, while still another nurse began to run a line into a vein; and another began attaching those electrodes to his chest and hooked him up to a heart monitor. The first nurse who was done with her assignment, ran back in with a bottle of glucose, should he be diabetic and in insulin shock. Harry, groggy, and in a fog, had tried to lift his eyelids. They fluttered. To Harry, it was all a berserk swirl. Jump cuts. A spastic’s dance.
One other thing moved in Harry’s struggle: his eyeballs. They rose into the back of his skull. We might consider that trivial, but they were all signs! And all they needed. Working even harder, having more purpose, (if that was possible), they began to rush in with antidotes for everything that Harry might have taken, as they hurled questions at him: Drugs? Poison? Dreams?
Harry, after a time, was coming around. And for some reason he was angry. Each question they asked he screamed out a wobbly “no” to. There was a nurse situated behind Harry’s head who dutifully recorded each “no” to their questions. They asked if he had mistakenly took more medication than prescribed or obtained illegally, drank, or wanted to end his life. Each time he answered he seemed to become more awake. Who’s your primary doctor, phone number? Harry was like a resistant submarine breaking water. A doctor went behind him, put his hands underneath his arms, and hoisted him up to where his head was lying on the pillow. Once satisfied that he was out of the woods, they returned to triaging more mundane patients. A little while after that, Harry was resting comfortably, his color having returned to his cheeks, (he now looked like a skinned pig slung over the back of a Chinatown butcher, the head lolling over the butcher’s shoulder), his vital signs stable.

It was a busy night as far as New York City’s sickness was concerned; there was never any shortage of disease. It was standing room only; so much so that they had to put people on stretchers in the hallways. A chorus of moans, grunts, mixed in with the smell of fear and antiseptics, greeted the new patient or civilian.
Harry had been down there twelve hours. Once they were sure he was well enough to travel, Dr. Dallas who thought Harry looked like his father, (and kept asking him if he was), persuaded whomever to allow Harry, even though he was a medicaid patient, to be brought up to an exclusive room on the fourth floor. It was a room that cost nearly a thousand dollars a day on top of what the patient’s insurance would pay; in Harry’s case next to nothing. But the hour was getting late, and they had no beds to put him in save this one. So after a little arm twisting, Harry got a break and was wheeled up to the next best thing after heaven.

Harry opened his eyes just when night was giving in to light, and thought he was in The Waldorf. At the very least, a Holiday Inn. He had no recollection of a nurse taking his blood pressure, temperature, and history last night, after he’d been brought up here. All he now saw was the wooden furniture, desk, desk chair, television in a beautiful mahogany bureau, and a red sienna leather lounge chair next to the bed he was in. There was a wooden closet near the door where, Harry figured, his duffle was stored. Holy shit, Harry thought, this is way bigger and nicer than my goddamn postage stamp apartment. He thought a mistake had been made and soon someone would be up to throw his ass out. Careful not to make a sound, he got up, tiptoed to the closet, found his duffle that held his toothbrush and paste, and made his way into the bathroom.
First he took a piss, but didn’t flush the toilet. C’mon, what are ya crazy? He pushed the lever. Fear rippled up into his chest. The sound the toilet made could have woken up King Tut. He put his finger to his lips. Ssh, he said to the swirling water. Almost sixty and still out of your fuckin mind, huh? He laughed and looked into the mirror. The face that looked back at him smiled, and made his eyes twinkle. Not bad, Harry, not fuckin bad, the face said. Just be cool, quiet, but stand your ground and you’re gonna stay here; nobody can throw you out. You’re here. That’s all you know. If a mistake was made, tough shit, it was their mistake.
Slowly, Harry turned the faucet on until a slow, but steady, stream of water reached his toothbrush. He loved the way that morning brush cleared up that disgusting mine field that was in his mouth. After washing his face he looked into the mirror again. Satisfied with everything except his hair, he turned to leave, but examined the shower first and shook his head reacting to another surge of happy disbelief. Tough shit, he said again to the voice inside his head, left, and crawled back into bed.
Panic seized him when he closed his eyes. Again, out of the bed, back to the closet where, after closing the slight crack that the door to his room made, searched out his duffle. Lying at the bottom it was, but with the huge plastic bag with his evening’s clothes and shoes on top. He, again, slipped his hand under the vinyl, and slow as a caterpillar, pulled the zipper open. His heart was beating faster as his hand was feeling around its innards. He squeezed the two individual pouches. Faster, Harry felt between underwear, t-shirts, and other garments until his fingers nibbled on the toes of the correct sock stuck into a corner of the bag. He felt the container that once held a hundred Bufferin. A puff of air came out of Harry’s mouth. He zipped up the bag and returned to bed.
No sooner had he pulled up the covers, when a nurse’s aide, dressed in janitor’s blue, came in to take his vital signs. He always thought that waking someone up to do this was a curious habit that hospitals had. Was it something written into the bylaws, or understood like the “silent you” before some sentences, for a nurse’s universal revenge?
Without a good morning, she went about her work after seeing Harry’s opened eyes. He could have been dead, but that hardly mattered. How times had changed since nurses were charged with doing those tasks. From Kate Smith to reggae. From rectal thermometers, to glass ones kept in alcohol with a mercury vein running up the middle, and finally, to almost the immediate digital kind with a throwaway plastic sheath. Harry looked at a bored, none to intelligent face, and regretted this crippled dance to modernity.
How am I doing? he asked, not out of curiosity, but a need to not only hear his own voice, but hers, too. The nurse, she be in soon, she answered. Her face didn’t reveal whether his readings were indeed good, or bad--not that he really wanted to know--and not that she gave a shit. If the listener cared enough to follow her, she really said it was about money needed, a job is the means, and if you’d like to empty bedpans, I’ll be glad to do what you do, and what, by the way, happened to the streets are paved with gold bullshit?
Anger, sometimes, breeds intelligence, Harry thought. What can you do with that; no matter, he answered himself, and closed his eyes.
Shit, closing my eyes must be the kiss of death, came to mind, as the door opened emitting light and allowing a nurse--a real one--to come into his room.
She’s white! What’s this!? was his next observation, as she came closer to his bed. He smelled blood. Good morning, Mr....
Call me Harry, Harry said, while thinking she had a voice saturated with innocent sincerity. Could be fake, a put on, he reasoned, but it still sounded good.
Harry then, good morning, she said.
Good morning to you, too.
I’m here to give you your Lantus. Where would you like it?
Happy to be on vacation, Harry looked around his body and all the spots the insulin could be administered to. Arm is O.K. She came to his left side, rolled up his sleeve, her fingertips brushing against his skin, and slid the syringe in. How did you know? he asked, with enough good humored surprise as necessary.
Know what?
Know that I took insulin.
Her body leaned away from him as her eyebrows arched and her black pupils widened. Oh, you gave at least some information to the resident and night nurse. Don’t you remember?
I don’t remember shit,” he replied, with so many different inflections that he stood in wonder at himself. They both let out little chuckles. What’s your name, he asked, capitalizing on this quick surface intimacy.
Angela, she replied, her body relaxing once more. I heard you were a bad boy in the ER last night.
Sorry about that; I told her the pain was making me nauseous. I am sorry, though. Please tell her if you see her. Please. And that really was the last thing I remember...I think. Angela in good natured fashion shook her head.
Maybe you can tell me about the pain, and some more things we didn’t get from you last night, but need to know now, today?
Fire away, and fall back.
Harry divulged what information he thought necessary, no more. Yet the way that information came out made you feel as if he was laying bare his whole life and soul. The parts he was asked, but left out, seemed to be nothing more than a man who tried to remember, but couldn’t. And what he let out, each word, each sentence, was crafted through long practice, to get the most mileage out of a gas guzzling dinosaur.
He was lucky to live not far away from the hospital, but unfortunate, (and don’t forget miserable), that he lived alone and had experienced for the last decade the complications of his childhood illness: amputations, pain in his lower extremities, loss of feeling, bypass surgery, and now this ulceration in his foot that was driving him nuts. But, despite it all, he’d never lost his humor, thirst to create, a great appetite to live each day...blah, blah, blah, etc., etc., etc.
Angela, used to hearing symptoms, not narratives, had become hooked. “Keep turning the pages; what happens next?” came her automatic, and somewhat unconscious response, after every period. Until the natural nurse in her rose up. You look tired, why don’t you get some sleep now?
I’ll try, but every time I close my eyes someone barges in here trying to save my life. The nerve of them, she quickly replied, and again they both let out small, conspiratorial laughs. Try, I’ll see you later. I’ll put up a “Do Not Disturb” sign, she said as she was walking out the door.
Harry got so immersed in her, he forgot about his pain. But not for long. No sooner had she shut the door then he was up and over to the closet. He opened up that little Bufferin bottle and shook out a few pills: Dilaudid--yellow for two and orange for four milligrams--and cute, tiny, white demerol pills. It was a combination that worked the best. It took Harry a long period of time and experimentation to arrive at that, but it was not an unpleasant trip.
Back in bed, he rang the little bedside button, and a voice came on the intercom--another strike against modernity. Yes, said the voice. I want to make sure my nurse remembers my pain medication, Harry said, loud enough for him to be reasonably sure it carried to the mouth behind his bed.
I’ll remind your nurse.
The ground was now prepped and the order in, but he was not at all sure that whomever this disembodied voice belonged to would deliver the message to nurse Angela. Harry, with some reservation, (and after he put the pills under his pillow, like baby teeth), once again closed his eyes.

Harry had painstakingly built into his body an internal alarm clock. It would go off every six to eight hours when his nerves began, with the faintest of shivers, to inform him that they were alive, but not at all that well. He knew what to do to ease them before they got fully jangled. The lack of preparation had happened to him in his distant memory past, and boy oh boy was that terrible, but he made sure that that would never happen to him again. Days, sometimes weeks, before he needed to, he began doing what he had to do to avoid another, boy oh boy. Sometimes though, Harry got fagged out, spent, tired, drained really. He needed a vacation. Not having the resources to go island hopping, or to a Roman spa, he took what best can be described as an all expenses paid, Medicaid vacation. After going through the list of hospitals Harry carried around in his head, he would chose one that matched whatever amenities he wanted to have at the moment. It was not that easy. Hospitals had a physical look and a personality all their own. Rooms, bedding, view, food, were only part of their makeup. They also had powers of observation that, depending on the hospital, were either turned on or not. As was the level of care, specialties, discipline, and rules. They, of course, effected what type of staff--interns, residents, doctors, and nurses--were allowed or attracted to work there. Lenox Hill, if it was a candidate for office, would be labeled a liberal conservative: east coast, upper east side, smart, and stuck-up.
It seemed like a second between when he closed his eyes and woke up. He looked at the wall clock which read, almost eight. Harry swung his legs over the side, gripped the styrofoam pitcher on top of his night stand, and poured some water into a paper cup. He looked around, quickly grabbed and swallowed the tiny teeth that had turned into money. Aside from wishing he had gotten up a half hour before he had, he was still pleased that he gobbled them before breakfast, before he drank hot coffee,--but preferably tea. An empty stomach coupled with a hot beverage was the perfect environment he found to allow the pills to come on and do their job--balm and heal. It sounded like a vaudeville team. Maybe burlesque tits and ass. Seriously sexy.
Speaking of sexy, a cute little island babe came into his room carrying a tray. Breakfast. But goddamn he couldn’t eat it without taking an insulin shot. And he couldn’t do that before taking a glucose test. Listen, this is Harry, I need to take a blood test and insulin shot before I can eat, he said, his mouth a few inches away from the intercom. When he needed to do that--which was a minimum of four times a day--there was always a certain urgency which made his voice sound strained. I’ll be right in Harry, came Angela’s response. Immediately, Harry felt his upper body sag. Relaxed, he turned to the tray, lifted the plastic round dome and saw some hardened scrambled eggs. Oh, man. Fuck that. Can’t do it. Just can’t. Won’t, simple as that. That’s it. There was a piece of whole wheat bread, some butter, (maybe), a nice looking large blueberry muffin, and a cup with a lid on top. Before he pulled the lid off, he saw a decaffeinated tea bag underneath the bread. Wanting the caffeine, he was a bit disappointed.
Just spoke with your doctor, Angela said. She’d come in like a gunslinger, two fisted, a syringe in one hand, testing equipment in the other, and extra ammo: another big syringe sticking out of her jacket pocket. Also, she brought a bottle of insulin, her pretty face, and her dumpling delicious body. Harry might be sick, but he wasn’t dead.
Eddie, you spoke with Eddie? Good man. He’s a goddamn good man. Harry couldn’t help but lower his eyes. Eddie was like any other croaker he came in contact with on his merry-go-round in again/out again bout with life. Only Eddie wasn’t a cut throat practitioner of the Hippocratic dictum; he really believed he was not doing any harm, but was helping the patient instead.
Besides, being white, educated, and old could be, if played properly, the holy trinity to gain access to those Wizard of Oz antidotes of common crucifixions: Marriage unraveled; parents dead; money evaporated; body betrayed. And Harry, if the truth be known, was very distinguished looking, could bullshit his way out of Berlin in the thirties, (even though he was a Jew), and be charming as he did it; well, the world, as the saying goes, was his oyster--at least the Disability/Medicaid world. As soon as the docs heard a literate, funny, and engaging utterance, out came their prescription pads. It was just a matter of time before he had them ratcheting up his dose. Not having to pay for visits the “seek and ye shall find” apparatus was in play. It wasn’t too hard to hunt down more than a few doctors who’d do the right thing, get out of his way, and have their secretaries fill out forms. Often, Harry would spy his name on charts on certain dates he knew he was out to lunch. Never there. Docs were making fiction money. And mucho, and how. Not here. Not there. You know, man. Cool. So nice to still be a hipster, glued to this modern, daisy chain, forgery.
Angela sat on Harry’s bed and put the machine on the corner of the table. Do you want to do it or do want me to do it?
I’ll do it. Harry stuck himself with the penlet and put a drop of blood on the testing strip; in five seconds they got a reading: 133. Good. Very good.
Your doctor gave me some instructions, guidelines, but they were so confusing he finally told me to listen to you; seems you know as much as him, she said, and a lovely crimson blush came into her cheeks. She smelled nice, too. Fresh. Like honeysuckle on that certain moment in spring, when it simply couldn’t wait anymore. Harry breathed deeper. He wanted to put his head under her dress; nothing dirty; he wanted just to rest there; maybe just his lips and the tip of his nose nestled against the soft flesh of her thigh. Damn, he said to himself, that sure was quick.
Angela, I could use some pain medication, Harry said, even though he felt the first inkling of what he’d already taken begin to work.
I’ll give you the insulin first.
Would you mind giving it to me in my arm; I’m so tired of injecting myself in my stomach? She smiled, happy to accommodate his request, knowing what a task it must be to stick a needle in yourself five or six times a day.
How much should I give you?
Well, I can’t eat the eggs, you can forget about that, and the bread goes with the eggs... So, if you can swipe another blueberry muffin...we’re in business?
She smiled conspiratorially. It’s sugar, Harry. Are you sure you can eat that?
Sure, I’m sure--as long as I cover myself with enough insulin, I can eat just about anything. Anything. He looked at her, with an embarrassed boyish smile and blush planted on his face, until it became uncomfortable--for both of them.
Harry, I’m trusting you...so,...
Guaranteed, Harry said, or your money will be generously refunded, the redness all but gone as he spoke. But, all right, we’ll play it safe...just a little safe. Harry showed Angela his two fingers, the thumb and index ones, just the tiniest bit away from each other.
You’re a rascal, you know that? she said, and grinned. Her fingertips brushed against his arm again; she raised the sleeve on his hospital gown and deftly gave him his shot. Your doctor said either percocet or dilaudid, but dilaudid, Harry, that’s for terminally ill cancer patients. And I’ll tell you what: I suspect, after what you told me, you might be in a lot of emotional pain that you’re using these drugs for.
Well...I think you might be right, but I’m still in a significant amount of pain, that’s no lie.
How about I give you a shot now, and alternate the percocets, but just if you need it, if you call out for it, how’s that?
Sounds good to me. Angela told Harry to lie on his side and with a syringe that was much larger than the first, being an old fashioned glass and metal kind, (Harry just loved the look of it), she slowly inserted it into the fleshy part of his upper arm. The long steel needle needed to penetrate the first layers of flesh.
What a pretty face can do to me, Harry was thinking as Angela was administering to his needs.
After the shot things got a little blurry. Harry began feeling sweaty, and his eyelids seemed to weigh pounds, but he concentrated to keep his head up--and he did--until Angela brought him another blueberry muffin. As the door closed, Harry inhaled deeply then exhaled, making the paper napkin ripple.

Next he awoke to the sight of doctors and nurses hovering above him.
Apparently, Harry was found slumped over his tray; his Elysiasn face nestled blissfully into a large, cushiony looking, blueberry muffin. One of which was flattened against his nose.
If it weren’t for morning rounds, Harry might have fought his last fight. The young, brightly scrubbed interns, their uniforms as starched and white as the Klan’s hood, trailed a chief resident who, after seeing Harry’s ear buried into the pastry, and his ol “Schnozzola” with a popped blueberry on the end of it, called a code blue, draining the newer one’s blood from their faces, the more seasoned interns into alert, and the nurses into full bodied action. A crash cart, wheeled by a deranged resident, barreled into the room, paddles at the ready. Angela called out that Harry had diabetes, and so an I.V. glucose hookup was run into his arm, lest he had fallen into insulin shock. Also, she informed the doctors that she had just given him a shot of dilaudid, but he was fine, he was fine, she repeated like a mantra. Just in case, get some narcan, a doctor instructed.
Harry, is that his name, a doctor asked.
Yes, Harry, Angela repeated.
C’mon Harry, stay with us, the doctor implored.
Harry, c’mon baby, another voice chimed in.
But the doctors were baffled. Harry, according to the monitors and test results so far, should be able to do The Charleston in the middle of the room. His pulse and breathing, while being slightly shallow and slow, were still well within the bounds of normal; his tox screens, except for the little morphine that Angela’s shot put there, showed nothing else; his blood sugar read like most humans: 123. Fearing that either they or the tests missed something, they continued to work on him.
I think I’m in heaven, Harry said, upon first seeing Angela. It was still a struggle for Harry to keep his peepers open; in fact, for a brief second he looked, with his eyelids fluttering, like an old, faded, funny, male ingenue, or something out of some fag transvestite review.
How do you feel, how do you feel, came at Harry from all directions while a blood pressure cuff was put around his arm. He thought his arm was about to suffocate; all his attention was distracted there; he felt like trying to make a muscle and break it apart. Easy, easy, Harry said to himself. Yeah, they fucked up your high a little bit, but you still feel cool, and there’s always later. Easy, buddy, easy. Buy some time. Be gracious; show some class.
Whoa, what happened? Harry asked.
You tell us, the doctor replied.
Man, how the hell do I know--one minute I was here, the next gone. Whoa. Lemme get back to myself, Harry said good humoredly. You guys probably saved my life.
From what I don’t know, the doctor said. But I’ll be happy to take the credit.
Whaddayamean ya don’t know?
Just what I said, I don’t know.
They had unhooked him from the miracles of modern science, and were now taking all the bells and whistles back to wait for their next chance to perform.
Well, Harry said, when you doctors don’t know what the fuck happened, you call it an “episode.” Harry couldn’t help but grin.
And neither could those gathered around his bed, especially Angela and the head doctor.
When it happens twice, he went on, you call it a law suit.
The grins stopped.
Only kidding, only kidding. I’m a schmuck, I don’t sue, even when they thought nothing of allowing this blind doctor--who even had a seeing eye dog--to do a little neurosurgery on me. Nothing very complicated, they said; nothing to it; just a little growth on your amygdala. It could have been my rectum for all this doctor knew. I think the expression, “can’t tell his ass from his elbow,” came from my operation. You see the shape I’m in; maybe that explains it.

Harry, they don’t even kid around like that, Angela said, after the doctors and staff filed out of his room. Just hearing the word, “sue,” is enough to make their testicles go into a vacuum. Angela!
Harry!
Angela!
Harry! Harry, I’m not as prim and proper as you might think--or want to think.
Angela, I’m not what I appear to be either.
None of us are.
Angela’s face was simply radiant. Harry, without wanting to, was slip sliding away. She left him happily munching away on the remaining blueberry muffin, but not before she promised to bring him back a tea. She was debating whether or not to tell him that a blueberry precariously hung from his nose when she returned.

Harry had some business to take care of; it was on his mind ever since he opened his eyes and saw those mostly hideous, but necessary, faces above him. Most faces were hideous. No sense in arguing, Harry thought, they just are. He crept over to the closest and dry swallowed another two tablets; he wanted to give the initial intake a little more fuel; a boost; a nudge; shove; glad tidings. Back in bed he drank the last of the now cold tea, and laid back in bed. Could be worse, could be worse, he said to himself, much worse.

This time the nod came to Harry slowly, blissfully, nice. That liquid heat ran up the back of his neck and spread across his shoulders. Intuitively he knew he could play with this feeling for as long as he wished, turn it this way and that, and still go to sleep whenever he felt like it. It was one of those moments that made doing what he did to obtain it worth every penny, every second of bullshit. There weren’t many places--or times--that would allow him to feel this much at home...safe. Safe from those persnickety pain in the ass elements that would play with his head, like dying and leaving a mess. Here, for as long as he could stretch it out, would be beyond the grave’s tentacles; beyond the gas man; beyond the chit chat of what passed for conversation between humans; and way beyond the simplicity of bowling balls and heroes.
Harry remembered the first few times he did dope--Christ, what was it now?...forty, forty-five years ago?--he couldn’t get to sleep at all. Must have been the quinine, or somethin with the cut. Or maybe it was the newness of the whole thing, but he couldn’t for the life of him, fall asleep. Not that it was unpleasant. No, not a bit, but...well, but nothin, he just couldn’t get to sleep. No big deal.
Then there were grace periods of, well, nothin. Nothin. Not a drop, or a drug--illegal, that is. Clean; a clean feeling. No filters. Barriers. No, (or little), fear. Sometimes that could last for a day, or a decade. No tellin, with Harry. Strange, huh? But then, like the old joke, “slowly, slowly, he turned”...he went back to the cooker, in one form or another. And anything could return him to that dark place. No tellin with that either. Sometimes six months before the actual action, volition, or whatever you want to call it, he set himself, or was setup, to be, once again, open to the seduction. That last sentence, or thought, had that faint smell of a lie breathing on it. The truth, better stated, was that Harry was both the seducer and the seduced. He knew exactly what would get him hard, and was willing, if it called for that, to make it a very long courtship before he would demand to get laid.
Unless, of course, it was a chick that Harry was head over heels about. Someone so lovely, so enticing, that Harry would have waited forever before he demanded any goddamn thing. After the act, however, that was another story. One chick told a friend of Harry's that her first mistake was telling him that she loved him. The second was, after having told him, she hung around, and stayed.

After five days the doctors were no closer in understanding what caused the seemingly arbitrary nature of Harry’s condition. One after the other they ruled out, in seemingly alphabetic fashion, today’s hit parade of diseases. There was no such thing as “consistency” as to when Harry would have these bouts of near unconsciousness. They thought him incredibly lucky to be found when he was, walking that ol precipice of death. One time they were ready to send him to the I.C.U., fearing that he was near extinction, only to find him, when they came back into his room, requesting cable television for the reruns of The Sopranos.
Even though Medicaid was picking up his tab, they didn’t flinch in ordering every conceivable test that could solve the riddle of Harry. The hospital figured that since Harry was lucky enough to inhabit one of their exclusive suites they’d write the whole goddamned thing off, and every other poor bastard, at the end of the year. It wasn’t quite the, “in for a penny, in for a pound,” ethic; it was more like how can I turn this bullshit around and make it work for us.
Harry, meanwhile, was living The Life Of Riley. It was Alfred E. Newman’s, What, Me Worry? take on whatever life could throw at him. It was arms behind the head, leg crossed over the other, foot dangling, television on, and getting loaded with impunity. He was also pleased with himself for dealing so well with the guilt that he felt when he was with Angela. He wished he could level with her, but even though in the previous days she had shown every indication of being cut from a different swatch than the rest, was still, he thought, too square for him to risk such a racket by coming clean. And it was so hot out that he could feel the days heat and humidity drip through his windows; his windows that looked out to Park Avenue; he couldn’t even contemplate being in the furnace and shit box he called home.

Is it possible to get a haircut around here, he asked Angela.
A haircut?
“Yeah, a haircut. Don’tcha want me to look good being your patient and everything.
You’re too much, Harry.
Answer the question, baby.
You need money for a haircut.
That’s a problem.
Hmm. What can we do. Let’s see. I could, I guess, advance you a little cash.
A little cabbage, yes, you know I’m good for it.
Never had a doubt.
How sweetly you lie.
Part of my charm, Harry.

What else do you lie about, he asked Angela the next day. He couldn’t get the last line she said to him out of his mind. Sometimes, after hearing something someone had said, they look completely different. Almost like another dimension was added. He was positive that before Angela left his room the other day he saw a few creases that life had driven into her face; they weren’t ugly, quite the contrary; they allowed Harry to enter.
Nothing...much, she replied.
Being cute, huh.
You think so; cute, I mean.
He looked at her, studying her, weighing her, Cute, no, I don’t think so.
What then.
I don’t know. Hard to say.
Hard to say, or you don’t want to say it.
Hard to say. Except that thirty forty years ago I’d be in deep trouble.
Is that so.
That’s so. Smart and looking the way you do, damn, always been a very lethal combination for me.
Harry, don’t do that.
Do what.
Harry, the woman was always in more trouble than you were.
Ya see, that’s what I mean. Trouble. Fucking trouble. I’m tellin ya...
Harry, enough. A smile broke across her face and carried Harry out with her.

Did you send up a barber or a foot doctor, were the words Harry greeted Angela with.
She stamped her foot and laughed. Her hand covering her mouth.
You don’t have to say it. Oh, my god!, comes next. I know.
Again she stamped her foot and kept her hand where it was.
I didn’t think that what I had to say to you before would be met with so much retribution. Jesus Christ.
Harry please, no more. I’m going to urinate on myself. Please.
“Urinate,” hmm, how proper we are.
Please Harry, I’m begging you.

Harry looked forward to Angela getting to work in the morning, and Angela couldn’t wait to get in. A few times she even showed up an hour or more before her shift was to begin. People started to talk. Harry felt this tingle that worked it’s way up his balls and into his stomach until it tickled his brain. Not since his early thirties had he felt this way. Usually the word, “Fuck,” was the first thing he uttered upon opening his eyes; now, his thoughts moved more to getting up, showered, shaved, and dressed; he even felt less of a need to raid his drugstore as of late. But Harry kept them there in case it all came crashing down--which was always a likely possibility.
And Angela had finally met someone who was unlike the someones that she kept meeting. Could have been his age, what he knew, the way he thought, the sound of his voice, looks, personality, or smell. Who really knows why we want to get close to the people we want to get close with? The irrational are more rational than the rational in understanding what’s what with that.

Angela came in through the door as Harry was kneeling in front of the wooden closet. It wasn’t anger, or disappointment, judgment, or fear he saw on her face. It was more like, What are you doing on the floor praying? and then she smiled. But again, it wasn’t a smile of compassion, understanding, sarcasm, or contempt. It confused him, but didn’t stop the blood from rushing up to his cheeks, making him feel hot all over.
I thought you were gone.
No, not yet; I’ve been spending so much time in here that I needed to catch up on some paperwork.
You’re flattering me.
You don’t have to do that, you know.
Do what. I was just rummaging around for a pad to write on, that’s all.
Harry.
Really.
He didn’t want to go down this road, but lying was really the only road he knew. The words, even if it were a one word sentence, kept sticking in his gullet. From nowhere he began to stutter like he did when he was five, when each word he uttered had the potential to kill him.
I’ll see you tomorrow, Harry. Have a good night. Again her words were light, neutral, and impossible to understand.
Stay...please.
Harry put his palm on the floor and pushed himself upright. He put his hand through the crook of her arm and led her over to the lounge chair. He tightened his grip, but gently guided her into a seated position. He sat down on his bed and pushed the hospital tray out of the way so there was nothing separating them. Angela, he began, what’s going on here?
I think you know.
I don’t know shit, Angela; why don’t you tell me.
No, Harry; we’re going to do something different this time--for both of us. Why don’t you tell me.
I feel like the old man at the end of, Moonstruck: “I’m confused.” Harry lowered his head and dabbed at his eyes as if he were crying.
You could charm the spots off a leopard. But, of course, you know that. You count on that...and why shouldn’t you...that’s what kept you alive these many years.
Sonofabitch.
If you keep trying to deflect this thing, we’ll never get anywhere.
‘Anywhere?’ He pondered the word. Where would you like this thing to go?
The one dim fluorescent light that was on, made the room look like the tenderness of a welcoming saloon.
No, Harry, she said, low, but resonate, where would you like to go. And please don’t tell me about the thousands of reasons why we shouldn’t go there, why this is crazy, absurd, and then go into your personal trough of misery--or perhaps ecstasy--to cement the impossible. Lets keep it simple: Is You Is Or Is You Ain’t My Baby?
Her smile tempered his heart with light, putting out fires so old and damp as wet ash they’d now become moldy with contradictions. I don’t know how you know all the stuff you know, but I’d like to know what you know.
Come home with me, then.
Come home with you?
That’s what I said. I wouldn’t have to talk so fast you’d miss, (or I’d forget), the good parts.
How can you be so sure.
Sure. Who’s sure. That’s what discovery is about. It’s art, Harry. Great art is work. A lot of work.
He stared at her for what felt like a long time. The night nurse came in to check his vitals. She said hello to Angela and then went about her business. Angela and Harry just watched her, and each other. They remained silent until she left the room.
I wish I had a cigarette, Harry said.
Makes two of us...and I never smoked.
Harry laughed despite himself. He knew what came next. Angela, you know what I was doing by the closet when you came in.
I knew two days ago.
You did?
I did.
What the hell can we do to fade that?
Do you want to “fade” it.
His body cleaved in two. The battle was defined, as it always was, but now, once again, verbalized, which somehow made it more real.
Wait, Harry. Think about it. I know it’s not an easy decision--if it’s really a decision at all. Tell me in the morning.
Maybe we both got lucky here; what do ya think?
Maybe you got lucky; I was always lucky. Oh, I see, you think I’m lucky to have you. How did I not know that that was, you were, a golden gift from the gods.
Harry just shook his head. Is it always gonna be this tough a ride with you?
Until you realize that you were always lucky, too.

That night Harry couldn’t sleep. At about two, he thought about taking a few of his pills, but decided to hold off. If he was going to start anything with Angela, it couldn’t be predicated on a foundation of shit. There had to be a reasonable semblance of good honest intention going in to this thing. He thought he had to talk with her about quitting. And wanted to know how she thought the best way to go about it would be. Harry knew that one of the reasons he was drawn to her was because she was a nurse; it was a profession that was loaded, (no pun intended), with fireworks and pitfalls of various kinds, and he was subject to explode or fall into any number of them.
Looking at this honeydew rind of a moon, he decided that he’d give himself one day to enjoy himself in his own inimitable way, and the rest of his life to enjoy with Angela. Off and on, for over forty years of his life, he had researched pleasure and escape that only an ego made of mush was built for. Sometime, the next afternoon, a road would be chosen, a vehicle established to see him down it, and perhaps a destination that he and Angela would agree that both wanted to go to.
Angela didn’t sleep either, but not for the same reason. She was nervous, apprehensive, and decided to clean her apartment. No sense in waiting for the last moment. Or worse, waiting for him to come to her, and finally get there. A sliver of a moon, she thought, the melon must have been very good. She had lived, and survived, her home and men who recreated that home over and over again. With her help, of course. No longer was she willing to pitch in. Angela was no fool, and no stranger to who Harry was; no pie in the sky for her. She knew it would be hard work, but interesting work. She felt drawn to him as soon as he opened his mouth...and not because of what he was, but what he secretly wanted to become, and could become if he gave himself half a chance. Age and circumstance were on her side. Now, if only time would give her a goddamn, and well deserved, break. A little luck.
Finally, at around five she finished and was so dirty that she decided to take a shower right there and then. Afterward, she laid down in her bed, put her hands behind her head and in a moment was asleep. Such a deep and restful sleep that she overslept and late, hurried off to work.

As was his habit, Harry accepted the shot of dilaudid before breakfast. Now, it didn’t get him that high, but still made him feel very nice. Content, safe, and secure in this blanket of near forgetfulness. When the nurse brought in his testing equipment and his insulin injection he told her he’d take it himself and engaged her in some meaningless, but funny, conversation. When he knew she was distracted enough, he secreted the empty syringe under his blanket and waited for her to leave his room before he got it and put it, along with his pills, in his duffle.
He got up and walked over to his window. The traffic was beginning to build on Park Avenue. The bustle of cars, and cabs, and people going someplace. Someplace!? Where the hell were the places that all of them were going to? Damned if I know, he thought.
Looking further upward at the high sky of a deep baby blue, he thought of 9/11 and the exact same color and canopy that day. Huh, interesting, he muttered. On that day, Harry was on the north side of The Brooklyn Bridge when the sky exploded. The ball of red, orange and yellow fire, then black smoke, rinsed the sky of reason. It was enough to knock Harry back against the doors of a high school; the heat followed immediately after. It felt like the outer edge of a furnace. It was official: Hell was New York City.
When breakfast came, he politely asked the orderly if she couldn’t get him a metal spoon to eat his oatmeal with--those plastic spoons feel like they’re melting in my mouth--and smiled at her. I be back, she said.
Harry was sipping his coffee, fully dressed after shaving and showering. He knew he’d have to sign himself out, but knowing that Angela and he would work this all out this morning wasn’t all that concerned about it. Geez, c’mon already. Where is she? he said to himself after a due amount of time went by when she should have been there already. C’mon.

Where the hell were you.
Getting things ready for you.
Harry was instantly calmed. Well in that case...
Yes, don’t worry even though I know you must be going crazy. I know that. I thought that we have two ways to go: one, I could get you into a rehab unit and they’ll do what they have to do and then you’d come to my place, or, two, I could get some methadone and do the thing myself. I worked in a detox unit for seven years and know what I’m doing...
So, that’s how you...
Harry, sweetie, Ray Charles could have seen it.
Harry thought he was invisible. All right, you got me--now what the hell are you going to do with me.
Enjoy you.
Harry didn’t ask her how she would get the methadone. It wasn’t his business. If she said she could get it, she could get it. That’s all he needed to know. That he wouldn’t be sick.
All right, I’ll sign myself out.
A.M.A., against medical advice.
What else is new?

I’ll just do it one more time, give me a jolt before I pack it in, he decided after a brief, if one-sided, debate. Harry sat on the toilet, his sleeve rolled up, a belt wrapped around his arm, with the tongue between his teeth. He held a syringe in the other hand. He had taken three four milligram dilaudid, crushed them into the metal spoon, added water, and with a pack of matches, cooked the mixture in the base. Slowly, he guided the syringe into his one useable vein and watched as the blood came into it, like a rose coming to life, its petals moving to the side of the plastic cylinder. Gently, he guided the plunger down and watched as this slightly water colored orange mixture went into his vein. A pumpkin exploded behind his eyes.

***

Norman Savage
Greenwich Village, 2005-2015


































Monday, August 31, 2015

DETOXING IN & OUT OF HELL--FROM CHAPTER VIII--CONFESSIONS OF AN UNCONTROLLED DIABETIC



Near Christmas, the real estate market, after years of unprecedented growth, tightened, much like the noose around our necks. My emotions, sloppy and unwelcome, found relief only when soothed or silenced by drugs and alcohol, in great quantities. This time, I went back to using heroin in conjunction with all other types of medications. Everyday, I’d go down to the alphabet blocks and find what I needed which would be bolstered by what I had at home, or could get from Paul. Each day presented a consistent configuration of misery, remembrance, anger, regret and avoidance--not necessarily in that order.
There were times when Jean would come into the bedroom and I’d be out cold, the needle still in my arm, blood trickling down from my vain and curling around my arm. At first, she’d run down to The Cedar Tavern and bring Dutch upstairs to discern if I was in trouble or not, but soon she’d become expert at being able to decide that on her own.
It was bad and it was ugly in the same and different ways. It’s grimly ironic that the outer world resembled my inner one. Sometimes, when I was able to stand outside myself and watch, it was hard for me to believe that it was me waiting under a bucket that contained mine, and the ten or twenty other drug addicts’ dope. The bucket would descend from the highest point, dropped by a person who balanced himself on a beam, inside the skeleton of an abandoned building of broken brick and wooden planks, and I’d watch myself watch the bucket as it came down from heaven with dollars exchanged for bags that honored the request for nepenthe. My inner world had become wizened and my imagination, my means of escape, lost the playthings so necessary for me to take flight: humor and music. I stopped listening to the latter and had subverted the former, the first and, for me, most important benchmarks in my spiritual decline. I became as boring and as predictable as bad writing. Don Quixote had wandered off, not to tilt at windmills or twirl golden curlicues of language, but to waste away in rigid habit and was tracked, not by Sancho Panza, but by Detective Joe Friday and his partner, Nurse Ratched.
My diabetes was addressed every day in this way: I’d take an insulin injection each and every morning, sixty-five units of NPH-U100 and then I’d ingest sugar, and heroin, and Luckys (“if that ain’t love it will have to do, until the real thing comes along,”). Processed love. Sugar, heroin, and nicotine coated my system and, to me, it was as important as breathing. In fact, one allowed the other to happen. If I thought that a giant condom would’ve protected me from the world in the ways that those substances did, I might have worn that as well, although I’d have probably put on my Floyd Patterson disguise. I’ve often wondered, and still do, that had I not used alcohol and drugs the way I had, would I have been alive to tell this, or any other tale. There is no way of answering that question, of course, but I’d be hard pressed to deny, out of hand, anyone’s desire to keep their life free of mood altering chemicals because of the problems they eventually cause if used in quantity over long periods of time.
My piss was white, thick, and heavy. When it mixed with the water in the toilet bowl, I could see it as a separate entity. I tried to discern how I was doing diabetically by the color of my urine; slightly yellow, or yellow meant I was better balanced than if it was white. Frequently, I’d develop what I labeled “junk hiccups.” I’d remember my first bout of heroin addiction when after a few days of constant use I’d hiccup furiously. The hiccup was sometimes accompanied by the “dry heaves.” Little did I realize that my system was so saturated with glucose that I was dehydrated. My body, having little nutrients to sustain it, coupled with a very high blood sugar count, was beginning to feast on its own proteins and fats, drying out my system. Hyperglycemia in its most crippling form. The body eats itself up. I’d drink ice water continuously to no avail. Only when the symptoms would cause me abdominal pain or other concerns like that would I slow down from my route of self-destruction and try to eliminate my use for a day, perhaps two, and eat something healthy. Even that, however, meant a bottle of wine with dinner in order to assuage my emotional brittleness. After the symptoms receded, I’d pick up where I left off. “What marvelous recuperative powers I still have,” I thought.
Periodically, Jean would reach her own point of saturation. She’d demonstrate that to me by throwing various things around the apartment in brief displays of frustration and anger, accompanied by a scream, yell, or curse. I’d ascribe various psychological determinants to her make-up depending upon the time of day, month, or year it was. She was tough as nails, a gun moll, and a man’s woman when I wanted her to go to the Lower East Side for me on a drug run. She was loyal if she covered for me, had great insight if she believed in my abilities to eventually right a listing ship. Or, she was a controlling bitch, doling out dollars to a suckling infant. Consumed by her own failure, she nurtured mine and truly believed in Hollywood’s sucker punch: love conquers all.
Jean would come home and ask me what I wanted for dinner. It would depend. It would depend on what drug I had, what drug I was shooting, what drug I wanted to get and when I wanted to get started. “You have to eat,” she’d say. I would confirm that but say I’d eat later. “Later,” sometimes meant never. “Eat” could mean a slice of pizza or Swanson chicken potpie or chocolate pudding, pie, cake or ice cream at six in the evening or three in the morning depending on nothing except circumstance. Often, after sleep would take me, I’d snap up in bed as if someone stepped on a dry twig, sweat sealing the blanket to me, dizzy, knowing I was in the grip of insulin shock but too disorganized to get out of bed and into the kitchen. I’d wake Jean. She took one look at me and knew what it was I was experiencing. She’d come back from the kitchen with soda and a Milky Way and stand over me as I ate and drank it down. She’d implore me to see Bernstein, and I’d shake my head affirmatively. She’d ask when, and I replied soon. She’d say I needed to stop, and I again nodded my head. We were all right. We were all wrong. We were helpless. Then Jean, who had never threatened to leave and who had never gave me ultimatums, did.
It was a day much like any other of recent months. I’d awakened with a knot of fear in the pit of my stomach and a sense of existential dread. It sounds (even to my own ears now) overly dramatic. It is not. Anyone who’s lived the life of an addict for any period of time can recollect what that fear felt like and, though words are more often than not inadequate to express that sense of dread I felt, it is enough to say that each moment I had to spend without the benefit of a buffer or analgesic was fraught with more than just a belief of impending doom. It was doom. An addict alone, especially an active addict, is in bad company.
Jean, I thought, had forgotten to leave me money for my day’s fix. I called her at her office, and when she told me that she was not going to do that anymore and that I should call Bernstein or anyone else who I thought could help me and take care of myself and by so doing would be taking care of her as well. I hung up on her. I was furious. The fucking nerve she had in telling me that shit now! The fucking nerve in telling me anything! Who the fuck did she think she was? I took in the sonofabitch and I can throw her ass out. I called her back and began to tell her a few of the things written above. She hung up on me. I thought for another moment and decided to change tactics. I called her up and told her we’d talk about this when she got home. She told me that wouldn’t do. Instantaneously, the fury returned. I called. Again, she hung up.
Jean had run the limit on her credit cards. I’d already kited enough checks to merchants and friends in my neighborhood to hold my own Ben Franklin convention. I walked upstairs and knocked on Paul’s door. Judy opened it and invited me in. When I asked where Paul was, she said he had gone to see his parents. She invited me to stay for coffee, but I had other things I had to do and thanked her. I left quickly. I made a few more calls but to no avail. Left with very few options, I called Jean.
After pleading, cajoling, lying, and wearing various guises masquerading as the truth, I convinced Jean that after hanging up on her I’d call Bernstein, level with him, and ask him to get me into Lenox Hill Hospital as soon as a bed was made available. It was only after that that she told me where she’d hidden some money in our apartment. Once Jean had divulged where that money enzyme was, my being turned to the broom closet, or couch, or mattress, or garment, honing in on its next task, breaking down the substrate so that digestion could occur. It could not wait to get her off the phone and fulfill its biological destiny.
My teeth brushed and money in hand, I went down to Eighth Street and Avenue D. They were selling a pretty good bag of dope there, Executive. It was cold but I hardly felt it, having my hand around the bills in my pocket.
I had enough money to buy a “deck” of heroin. It cost a hundred dollars and you’d usually get an extra bag for that amount. I gave the money to Willie, waited up the block for ten minutes and when he returned I gave him two bags from my purchase and we went our separate ways. Just having the scag in my hands the tension began to ebb. There is most definitely a physiological response before you ingest the dope; my bowels would loosen a little, a layer of sweat began to dry, my mind, geared for disappointment, betrayal, or apprehension, slowed down to where I could think of more than what I’d been obsessed over a second before.
Now, however, the walk back seemed too slow and unreasonable. There was a car service located near Tenth Street and Avenue B. Usually, a few cars were available, and for three bucks I had one drive me back to my apartment. Once inside, I thought for a few moments of all I could possibly do to delay dialing the numbers that would signify the beginning of the end of this drug run, before I decided to call Bernstein. After weighing the options I thought I had, I decided it would be better to play and manipulate this angle than any other. I’d fuck her, fuck him and fuck them! No one was going to tell me what to do without them paying a high price! The world had fucked me long enough, I thought. They’re not going to do that again without a fight from me. His receptionist told me he’d call me back within the hour. I’d be somewhat embarrassed to talk to him on the phone in an hour but I couldn’t wait without doing some of the dope. I proceeded to do what I’d hungered to do since I awoke and then waited for his phone call.
Bernstein had me come in the next day. This time I wasn’t sitting atop an examination table staring at the fish on his map, nor was I thinking of an opening line to say to him when he entered. This time, I was waiting to be called into his office like a wayward child or student about to be chastised. I wasn’t ready to give up the life, but I couldn’t let on to that. I needed to feel my way around this new set of circumstances while I figured out how it could best serve my demon.
After telling him what my life had been like these past few months, trying my best not to stink up the room with the stench of self-pity, I laid bare most of a rather boring and predictable life, which the life of a drunk or drug addict is when his habit supersedes all other entities of concern. The only facet of it that I embellished was the amount of junk I was using. I did this in expectation of his suggestion that I be hospitalized. The more heroin he thought I was using, the more methadone I’d be given to detoxify which would keep me sedated very nicely for a few more days.
Again, without criticism or judgment, Bernstein looked at me sitting across the desk from him and suggested I go into Lenox Hill Hospital. There wasn’t much more to say. I was eager to get from his office to Jean’s where, once I told her the process had begun to get a bed for me, she’d give me money to score more dope.
They got a bed for me two days after I saw Bernstein. In anticipation of that call, I waited and tracked down Paul. He supplied me with a few grams of coke which, I knew, would not be affected by the methadone they’d give me like heroin would be. Yet, on the day of my hospitalization, I was in the East Village getting as much junk as I could before reporting to the admissions office of Lenox Hill. I was supposed to be there at one P.M. but didn’t arrive until almost three because the connection I had took me and a friend of his to Williamsburg in Brooklyn to cop. He told me that the dope, which he’d had the night before, was much stronger there and the bags were bigger. We got into his friend’s car and drove over the Williamsburg Bridge. By the time we copped and drove back, I had snorted two bags and Jean, who had taken off from work that day to accompany me to the hospital, thought I’d gotten arrested or had died.
While Jean was in the living room calling Lenox Hill Hospital and telling them we were on our way and waiting for me to finish shooting a speedball into my arm and then throw some stuff in a bag to take with me, I secreted syringes, a spoon and Q-tips to go with some of the coke and the few bags of dope I had left, to the hospital. I joined her, lit-up by the cocaine pulsating through my body, wanting to do more but unable to, and we left for the hospital.

Lenox Hill Hospital is located on East 77th Street between Park and Lexington Avenues. I had no idea of what I looked like in the the admission section filling out one of many forms but, if I thought about it at all, which I didn’t, I couldn’t have looked all too good. The heroin was as my connection said it would be, strong. My head was nodding forward as I wrote, no longer buoyed by the cocaine. With this knowledge came some skewered self-consciousness. I put the pen down and went into the bathroom where, after making sure the door was locked, I proceeded to shoot some of the cocaine I’d brought. It did what it was supposed to do, and I went out and sat down and tried to finish the questionnaire without getting up and going back to the bathroom.
Finally, I finished the forms and was taken up to a room where I was told someone would come into see me shortly and to get undressed and into a hospital gown and pajamas. I’d brought my own from home and once again went into the bathroom to inject more coke and the last of the junk before being denied the opportunity. I don’t remember how long I spent in there but I heard Jean’s voice asking if there was anything wrong and that a nurse was here to take my vital signs. Quickly, I placed the syringe, spoon and drugs in a pocket of my pajamas. I was sweating some by now and when I emerged, it took me some time to adjust to the light. I looked at Jean and then the nurse looking at me and felt humiliated. The nurse, in her early thirties I thought, came over to where I stood, unable to decide where I should go or sit, and said in a voice so low as to be just audible for my ears, “Have you ever tried N.A.?”
“Huh?” I replied.
“N.A. Narcotics Anonymous.” she said.
“No, I haven’t. Should I?” I said. By this time my eyes were closing without my ability to stop them while the coke was pushing the roller coaster the other way. Here I was being asked questions and trying to conduct a conversation, about what I had no idea.
“We’ll talk some other time,” the nurse said and guided me towards the bed where she took my blood pressure and left. Jean stared at me and finally asked, “How much did you take?”
“I don’t really know,” I replied, “but obviously enough,” and smiled this ridiculous smile.
“I meant how much did you take with you? Norm, maybe you should just get dressed and leave. I know I’m going to.” And with that, she got up and left.
For a few seconds, I sat on the edge of the bed watching the empty space that her body left. I thought for a few moments before deciding to go into the bathroom and use what remained of the coke. The last shot elevated my jitters and I, with syringe, spoon and empty vial in my pocket, left my room to find a suitable place to dispose of the evidence. It wasn’t too difficult and when I returned, a young doctor, probably a resident, was waiting for me with the same nurse who was there before. I knew she’d ratted me out, but I had nothing left to feel frightened about but was frightened nonetheless. He asked me the questions I expected him to, and I invited him to search the room and my belongings, which he did. I’d secreted my last bag of heroin underneath the tongue of my sneakers for use later that night knowing that by next day I’d have gotten the first dose of methadone, negating the properties of opiates. I was pretty manic while talking to this doctor, and he must have ordered a sedative because a few minutes after he left one was brought to me and, a few hours later another one was administered as well. Late that night, while the room was dark and only the little T.V. that was hooked-up next to my bed was playing, I did the last of the drugs I’d brought with me and began thinking of who I could call that would bring me more.
Bernstein came to see me early the next morning, but I was so out of it from what I had ingested and the other doctor ordered, that he took one look at me and said he’d be back later to talk. When he did return, I’d been given methadone and some other drug to help detox me and was pretty high from that. He told me that he planned to complete this process in ten days and then release me. He suggested that I take this opportunity to speak with someone in the hospital, a psychiatrist, whom he thought would be better able to help with this problem than he could. I thanked him but did not take him up on his offer. Instead, I spoke with the nurse about what she’d told me during the first time we met. She told me about N.A. and its antecedents. It was the first I’d heard about groups like that being for people like me and not those Bowery bums that I thought A.A. was designed and designated for. I told Jean about my plan for attending those meetings and did manage not to call anyone else to bring drugs in and, in a few days, when the effects of the methadone was no longer acting like another narcotic and my blood sugars were stabilized, I felt good enough to begin thinking that I could basically do this on my own and would get a job after they released me. I told this to Jean, and she was relieved that I was finally thinking this way and sounded committed to making our lives together work.

It was a wintry snowy day when, with Brasz, I went to an agency located somewhere in the garment district, to apply for a bartending job I’d seen advertised in the papers. I was depressed and miserable but, even though I was smoking a little reefer and drinking again, didn’t look too bad. And, as usual, we needed money.
The employment agency had one long and thin rectangular room. It had plastic folding chairs on both sides of a water cooler which had no water, although an empty bottle perched on top of the mouth. Mostly Hispanics sat on the chairs while others tried to find room by standing at odd angles. Most were smoking. I pretended I had an appointment and walked into the door that had the name of the gentleman I’d spoken on the phone with earlier. He was slightly perturbed when I pushed my way in, excusing myself, but saying we’d spoken. Maybe being white had something to do with his subsequent generosity, but whatever it was, he gave me a clipboard and a card to fill out and then directed me to the restaurant that was hiring staff. It was a new Lindys, once a revered name in Broadway’s legendary eateries, but now a chain store of many different restaurants and saloons owned and operated by the infamous Riese Brothers. They were known by those who worked in their restaurants or competed with them as bastards of the first order. Their ways of doing business were cut throat and how they treated their staff was supposedly worse. I needed a gig and, as mom used to say, when you’re hungry, really hungry, a shit sandwich tastes like filet mignon.
Their new entry was located in the corner of The Port Authority, facing 42nd. Street and Eighth Avenue. Brasz and I went there and I had a talk with Mr. Avinash, the General Manager, after I filled out more forms they required. After Avinash reviewed my application, he asked me what shifts I wanted and after I told him he gave me the job. It seemed too easy.
New York’s infamous Port Authority was a refuge to America’s lost and disenfranchised, was home to our nation’s homeless, was where runaways ran to, was a hub for those who worked in New York City but lived in New Jersey, Pennsylvania, Connecticut and all points between to enter and exit, was a way station, pit stop, and bathroom for the prostitutes, transvestites, addicts, hustlers, pimps and degenerates of all stripes and colors. The Port Authority. I was getting closer to Hell, at ground level. I could smell the sulfur.
The Port Authority provided enough street level drama to host it’s own television series. Like any port offering the exchange of people and goods and services, it operated on a 24/7 basis. This bred and fostered a culture of predators and victims, a brief and illusory haven for those who’ve left their own particular rendition of hell, and all manner of peoples who operate outside the boundaries of man or god. It was a place where I could practice what I was good at and attuned to, the observation of any and all manifestations of madness in, and outside, myself. The illusions, or delusions, that I had of myself were rapidly being punctured by the reality of where I was and what I was doing. No longer could I say I was here doing “research” on the underbelly of New York’s tapestry. No longer did I think that bartending was another form of the rough and tumble night life or food for the poet in me or vehicle for romantic interludes, each so necessary, alone or in consort, for me to believe I was Savage, somebody. Yet, here and now, there was no mistaking this for what it was and, what I was. I was working in a bus station, the lowest form of commercial transportation, in an area that could be described as a urinal or armpit. There were no beautiful ladies sidling up to the bar for a drink, no athletes, performers, entertainers or artists having achieved notoriety or struggling for some. Here, I was unable to dream. Here I was “somebody,” but all in lower case. Here was nowhere for me.
Having lived in Project Return, the next block over, during the early Seventies, familiarized me with Times Square and its habitués. My eyes, from the earliest of ages, were attuned to seeking out and finding the unusual, the perverse and, the illegal. They didn’t have to look too far.
My shift began at six and I arrived at four-thirty. I wanted to eat, look over the bar and get comfortable with how it was setup. Luckily, I had no pains in the ass beer kegs to tap. We sold only bottled beer.
The restaurant section of Lindys was adjacent to the bar and could be entered from the bar by a narrow passageway than ran the width of both or from two other entrances, one on 42nd Street and the other on Eighth Avenue. Windows wrapped around the entire establishment. The saloon could also be entered by a door on Eighth Avenue or directly from a door inside The Port Authority.
Mr. Avinash welcomed me that first night and showed me my locker. They required the staff to wear uniforms. I was given a bartender’s vest with a Lindy’s logo and a name tag. I’d always despised wearing anything that smacked of orthodoxy which smelled, to me, of stupidity. If I wanted you to know my name, I’d tell you. If you wanted to know my name, you’d ask.
I was allowed to order anything from the menu except steak, lobster tails, or roast beef cuts. I ordered a bacon cheddar cheeseburger, fries and, for desert, the famous Lindy’s cheesecake and coffee. The food wasn’t bad but tasted pretty much like the standard fare you’d get at a Greek diner except, here, you’d pay double the going rate. The waitress, Beth, was a willowy dyed blond, fortyish, with bad skin and dull brown eyes. She brought me my food and, with a tired air, welcomed me into The Riese Brothers’ family by saying, “Good luck” to a person about to walk his last mile. As I ate, I watched people peer in and enter Show World across the street. Show World was a multi-floored emporium of sex shows, peep shows, massage parlors, “Hot Lesbian Sex” shows and “Chicks With Dicks,” performances by transvestites. I’d never gone inside but was always curious. .
After I finished, I left a tip larger than what I knew most patrons would leave. Beth noticed and tried to give it back to me saying I didn’t have to do that. I know that, I told her, that’s why I did what I did and to stop in for a drink after she got off from work. It wasn’t that I wanted her to return the favor, which she did, but I wanted her to bring in her friends and coworkers if she could. She couldn’t.
Some people, as soon as you lay your eyes on them, you know they’re “wrong.” You realize that in their hearts some form of depravity beats. Tony, my partner behind the bar, had multiple forms. “DEVIANT” in that beautiful old faded technocolored neon was written across his forehead, with one or two letters half-gone or missing. No bigger than five foot four or five, he seemed like Kong behind the bar. He was the kind of bartender who served you but, if you paid attention at all, knew it was not him who served you, but you who, he believed, served him. You were there merely to either pay him or have your money taken.
Tony was an old time, died in the wool, drug addict and thief. In the two weeks I worked with him, I saw him do some wicked and disturbing things. The first thing he asked, after we were introduced, was whether I did any dope. He looked at me as if he were doing a personality profile and, without any wariness, asked that question many would not, even after being acquainted for a long time. When I put that observation in front of him, he waited a beat before saying, “It’s in your eyes. I know I can trust ya.” And that was that. After that, he told me he was stepping out for a bit to cop at The Peerless Hotel, a place on 43rd. Street, off Broadway, and a known heroin spot. He brought back a few bags for me. His other actions were, how can I say this without sounding like the hypocrite I sometimes am, fucked-up. When a woman would go to the ladies room, he sometimes snatched money from inside her purse if no one else was watching. When a man would leave for a few minutes to take a leak or call someone, the money he’d left on the bar would be a little light when he returned. One evening, he said to me that if business ever picked up in this “fuckin’ hellhole” to where they were raking in some “long green,” he was thinking about bringing in his own cash register to help divest them of some of their profits. I’d heard about another bartender doing that at an East Side saloon years ago and wondered if it was him.
Mr. Avinash would not change my hours, except to the graveyard shift. I’d have to come in at eight and work until four in the morning, even though we hardly had customers there until midnight. When I tried using my diabetes as an excuse not to work those hours, he answered me with a one word expletive, “Quit.” Fortunately, I didn’t have to. Tony announced to me the evening after that, “This fuckin’ bar is a drag. Can’t make enough bread to support a habit of a flea, you know what I mean?” I shook my head indicating that of course I knew what he meant. “But I’m goin’ outa here with my guns loaded, you know what I mean?” This time I did and didn’t know what he meant, but shook my head anyway. That night, besides going out to get his dope, he didn’t ring up one sale, (not that we had many of those), and, while saying goodnight and goodbye to me, he loaded five or six bottles of booze into a duffel bag and took them with him. I never saw him again.
Hardly anyone had made this a place to stop by for a drink except those who arbitrarily came in or those you didn’t really want to see after you saw them once. I used whatever money I made on drugs and left it to Jean to pay our expenses. My world had shrunk to this expanse of habit and, without sex, without music, without humor, was fast becoming necrotic.
One evening, towards midnight, I had one person sitting at the bar. He was one of my few regulars, a big, burly construction worker from The Grand Hyatt, then being built on 42nd Street and Lexington. He seemed nice enough, although we never spoke much. He was on his third or fourth J&B when a guy straggled in and, with nineteen empty stools in front of him, sat next to the construction worker. As he did, I could see the construction worker’s neck tighten, his shoulder’s haunch and his eyes lower. I went up to them and tried to position myself in such a way that I simulated a wedge between them and leaned forward and asked the guy if he wouldn’t mind taking another seat. The guy made no motion to move nor did he acknowledge that I’d even spoke but instead asked for a vodka tonic.
“You might have had enough,” I said.
“No, no I haven’t. I’m all right, I am,” he said. “Let me have one and then I have to be going.”
I looked to the construction worker who seemed as immovable as the buildings he worked on, and turned and made the drink. When I’d finished and turned back, the guy was trying to say something to the construction worker who was trying to pretend he wasn’t there. “Shit,” I said to myself, “this is not going to be good.”
“Hey Norm, get this fuckin’ guy away from me,” the construction worker said. But the drunk, if he heard anything, made no move nor did he respond. “Norman, I’m gonna hurt this fuckin’ guy,” he said again. “This motherfucker is lookin’ to get hurt.” I placed the guys drink three stools away from where he was.
“Hey pal, let me buy you this drink. Take a seat over here, would you?” I requested, but to no avail. I then went around where they both sat. The construction worker gripped me by the crook of my arm and brought me to his left side, furthest away from where the guy could see. He then opened a gym bag he had on his lap and lying on top was a .357 magnum pistol. He placed his ham-like hand around the gun and inserted his finger into the trigger, gripping the arm.
“If you don’t do somethin’ I sure as hell will,” he said in a voice without inflection.
“Don’t do nothin’, wait here. I’ll take care of this in a second,” I instructed. I hurried to the other side of the bar to the restaurant where we employed a security man, who had about as much desire to perform his duties as anyone would who earned minimum wage to protect profits and property that had nothing to do with them. Quickly, I told him the scene around the other end and to avoid something terrible just follow my lead.
We hurried to the other side and saw the guy still trying to say something to the construction worker who now had swiveled around in his stool with his back to the other guy. The security guard and I hurried over to where the guy was sitting, put our hands on the edges of the stool, picked it up with the guy sitting on it, and carried him down to the furthest end of the bar. The security guard stood over him, not letting him off the stool. When I turned around, the construction worker had gone, leaving some money on top of the bar and a bullet, standing straight up, next to his untouched J&B.
I couldn’t live any closer to Hell without taking up permanent residency. What money I was making was going into feeding my fiend. I decided not to go back to work there except to collect my thirty-six dollar pay check. Mr. Avinash asked why I hadn’t given them notice. “Notice this,” I said as I turned my back and walked away.

My fantasies of dying would present themselves at times that were often predictable but sometimes shocking. I’d lie in bed at night wishing to be diagnosed with an incurable disease that would legitimize my eventual death like cancer, or help explain my aberrant behavior, such as having a brain tumor. But then, while standing on a train platform I’d see the lights from the impending iron horse approaching and, in a instant, imagine myself caught, in flight, across the light’s beam, splattered against the face of the oncoming beast. Sometimes, I’d laugh at the romanticism I’d given my demise but too often the truth of my despair had soiled whatever humor or irony I could generate. These thoughts, or fantasies or what some psychiatrists, psychologists, social workers or watchers of Oprah, would call suicide ideation, were not new to me. I’d had them at least since puberty, after I became diabetic. I’d never had anyone in my family offer words or actions that showed empathy or understanding in regard to my diabetes while cancer, brain tumors, leukemia and the like were fawned over, loved, understood and respected. I’ve no idea if that fact alone shaped some of what I’d become, but certainly I am sure that diabetes was, at that time, too slow a death for me and not nearly romantic enough for me to appreciate.
Perhaps, it’s not the flash of brilliant intuitive insight that lights the inter cranial sky like lightening across a hot dark humid summer late afternoon day, but the slow, almost imperceptible, accumulation of knowledge that prompts one to action. Or perhaps it was instinct; perhaps, it was just animal, protean instinct wrapped and honed in Twentieth Century human garb that appeared when my sixth digit disappeared.
Unfortunately, my mind, maddeningly ambivalent, made it difficult to decide and act, even though the evidence was overwhelming. Fortunately, money, always a prime motivator in my decisions, once again came to the fore. Having little of my own and Jean having money only to keep our bills paid and relatively up to date, prompted me to call Bernstein’s office and make an appointment. This time, I did not ask to speak with him. This time, there were no discussions weighing the merits of this and that. This time, I was not sanguine about my life after I cleaned myself up. This time, I didn’t know what came after “this time.”
Sitting opposite Bernstein I tried not to lie. I laid out for him, in detail, my diet of heroin and processed sugars, my constant depression but left out my thoughts of suicide. As I was talking, I could feel being tugged at by my demons who didn’t want me to let go of my sickness. That’s how they get paid. “Tell him this, but not that; offer to go into a hospital, but not right away. Bargain with him; negotiate this. You’re smart, see what you can arrange to stay out, just a little bit longer.”
“I wish I knew more about addiction,” Bernstein began, “but I do know something about diabetes. I’d like to put you in Montefiore Hospital, consult with some doctors there who do know about addiction, detoxify you and get your diabetes stabilized. After that if you feel, after speaking with some people up there, that you need a drug program we’ll discuss that, or if there’s outpatient alternatives, we’ll discuss that. What I do know is a program that’s just come to New York City, The Diabetes Self-Care Program, and I think it’s something you’d benefit greatly from, once we get you stabilized.”
“Yes, it’s something I’m interested in, but geez Jerry, Montefiore, the Bronx?”
“How far would you go to get some heroin Norman? C’mon will you,” he said impatiently.
“I’m sorry, I sound like an asshole. Get me a bed, please.”
“It might take a little time, but hang in there.”

Jean came home and I told her of my decision. “I’m relieved,” she said.
There was nothing to do now except wait for the phone call...and use drugs.

pgs 179-186: From Chapter VIII: JUNK SICK: CONFESSIONS OF AN UNCONTROLLED DIABETIC

Norman Savage
Greenwich Village, 2015

Tuesday, August 18, 2015

THE CRUST OF ADDICTION, INSIDE THE PLAYPEN--FROM CHAPTER VI--CONFESSIONS OF AN UNCONTROLLED DIABETIC



My folks were, by now, suspicious. My behavior and appearance looked and sounded all too familiar. While in Lenox Hill Hospital, a friend of the family, the same person who had assisted in getting me into New York City Community College, had recommended a psychologist, Dr. Irving Handelsman. After some prompting I made an appointment. I called and spoke with him, but before I could see him, I would have to take some psychological tests on 86th Street. He’d see me a week after that.

Christmas morning, 1972. Diane had gotten up first to go home and change. We were going to The Palm Court in The Plaza Hotel for brunch and then out to her family’s home in Princeton, New Jersey. I made sure that although I was spending more and more money on junk, I’d have enough to cover the tab at The Plaza. I was running with Raymond on my lunch hours up to Harlem to score. When I couldn’t go with him, he brought the stuff back to me. I got up, lit a Lucky, went into the bathroom, shaved, showered...and fixed. I remember putting on a Billie Holiday album and listening to some of her last recordings on Verve, when she was singing with Ben and Sweets, The Hawk, and the rest, sounding oh so old and young in the same moment. It was rumored that she would have to drink a fifth of scotch just to get her vocal chords to loosen before she could attempt to sing. If you could sing like that, would you make a pact with the devil? Would you be willing to live with that amount of pain in exchange for the jolts of ecstasy that come with living life a few speeds below God? I will never know, of course, what it felt like playing Bird’s alto break on Night in Tunisia, nor Billie’s way of twisting the word love around her tongue and mouth like she invented and owned, not only the existence, but the essence of it. However, I do know something about hitting the right chord with a word or sentence that came from a place I knew nothing of, and that’s magic enough for me. And so, I sat on the corner of the bed and listened while she sang, and I tried to sort out why the love of a beautiful and smart and talented woman, the talent that I obviously had, but just as obviously did not believe in and thwarted, that the friends, the job, the family, was not enough to dissuade me from doing what every fiber and bone in my body was telling me to do: destroy it.
Diane looked lovely when she came back to the hotel. We walked to The Plaza and then into The Palm Court. There is something eerily beautiful on holiday mornings in New York City, especially to those who live here year round with little or no means of escape. It is quiet and respectful. The hotel was decorated in plush reds and greens burnished woods and plants and ferns small and large and larger, Christmas trees and Christmas wreaths as centerpiece and ornament giving one the impression that this was how it looked for as long as The Plaza had been in existence. The attention to detail was still there. The silverware weighed heavy in your hand; the dishes were china, the glass, crystal; the service effusive; the food wonderful and plentiful; the cost...worth it.
We cabbed it to Penn Station and caught the train to Princeton. Her parents, she explained, were “disappointed” with her over her two divorces and lack of a “real job,” which translated into “failure” in their worldview. She needed, in their humble opinion, either by benefit of marriage or her own endeavors, to achieve financial independence and so carve a place in this world that would be a hedge against the slings and arrows of outrageous fortune. “Jewish guilt or Catholic, what’s the difference?” I thought, they were “all variations on a theme.” Today, however, I felt removed. After all, it wasn’t my family we were visiting. But I was curious to observe the dynamics of this family. For to watch heredity in action is fascinating, even when you don’t know a person very well. However, it’s enthralling when you not only know that person, but love them as well.
I was Woody Allen, to Diane’s Diane Keaton, in Annie Hall that afternoon. I felt like a Jewish caveman coming from the brisket of beef emotionalism of my family to the clipped-edged bread of Diane’s folks. Her father, dressed in a worn cardigan, button down shirt, corduroy slacks and loafers, sat in his old glove of an armchair and hardly turned his head when we came in. You might think he saw his daughter just this morning instead of last Easter. She went over to him, he nodded hello, and allowed her to kiss him on the cheek. He turned his head when she introduced us. I went and shook his hand. I asked him how he was, he said, “Fine, thanks.” and that was that. Her mom was a little more demonstrative and friendly, but not much. As nuts as my parents are, I thought, is preferable to this ice. But what the hell is “preference” in this regard? I “prefer” to get shot by a cannon instead of a bazooka? I “prefer” to get cancer instead of leukemia? Fucked is fucked. Sometimes, our sight is limited to only what we can see.
We stayed as long as was necessary. I don’t remember much about their home, the dinner, the conversation, or the ride back to the train station. Diane and I spoke about our families and how each was crazy in its own way, whether suffocating close and overprotective, or cold, aloof and castigating, each family induced feelings of failure and guilt. Merry Christmas, and pass the heroin, please.

That Tuesday, it rained all day. A cold and dirty New York City rain was falling when I left to meet my father at Handelsman’s office. I asked Diane to come along, though I told her to wait for us at a pub across the street, on Lexington Avenue and 38th Street.
My father was already there, sitting on the edge of a sofa with his back to me, talking with Handelsman. Handelsman saw me and motioned me inside. I took a seat in a swivel chair, at the farthest end from them. He looked like who he was: a retired Naval officer, in his late fifties, of medium height, well built, close-cropped bristle of gray hair on top of penetrating blue eyes. He spoke in short, direct sentences. My father turned to face me. I knew something was wrong. “Norman, no sense in wasting time--your time, my time or your father’s money--I think you should go into a drug program, tonight if possible,” Handelsman said, looking directly at me.
I paused, for effect. “What are you talking about? I’m not using any drugs, what are you talking about?”
“You’re trying to bullshit me and your father, but I’m not buying it and I hope he won’t either. I got your tests back. I’m going to say it again: Immediately, tonight if possible, go into a program, full time, 24 hours a day. It’s the only thing that we’ve seen work with addicts. And you’re an addict, no doubt about that.”
I puffed up, pretending I was egregiously wronged. “Listen, I don’t know why you’re saying that, but I’m not using drugs. I’m smoking some reefer, but I ain’t using dope and I resent you saying I am.”
“Resent it all you want,” Handelsman continued, stone cold sober, looking at me like he could see through me--which, of course, he could. “You’re shooting that shit into your veins right now. The only successful therapy for you is in a program.”
“I’m not going into a program. Why can’t you treat me?”
“I can’t. You’ll come once or twice because you’re curious, or maybe looking for magic, and then stop. You can’t do anything that’s difficult right now, and therapy is difficult. I can’t treat you; you’re simply not old enough. Emotionally, you’re just an infant, not old enough for therapy. But go into a program, complete it, and come back after you’re clean, then I can help you.”
“I’m not going into a program,” I protested. The lights in the room were starting to spin. I could not look in their eyes. My father, who had been staring at me, now turned to Handelsman.
“What should I do doc?” he asked him.
Handlesman faced him squarely and said, “Don’t be an asshole. Do him some good, but most importantly do yourself and the rest of your family some good. Cut him off. He’s been sucking on your tit for too long anyway and as long as your tit is out there and it’s fat with milk he’s going to keep on sucking it until it’s all dried up. He’ll never get any help and will probably die. I can’t make it any plainer than that.” He turned to face me and continued, “Grow up and get some help Norman, then maybe we can do something and you can be something.” With that he stood up.
Outside, I said to my father, “He’s fulla shit. I’m using a little pot, that’s all.”
My father looked long and hard at me and said, “Don’t lie to me willya? Jesus Christ, just don’t lie to me. I feel so stupid. So much like a jerk. You know that expression, Fool me once I’m a fool, fool me twice you’re a fool?”
“I don’t know,” I mumbled.
He wanted to say something but stopped short. I thought he wanted to have someone beat the shit out of me like I had seen him do many times to those he caught stealing from him, even those who had worked for him for many years, perhaps, especially them. But all he said was, “The car is parked in a lot a few blocks from here. I’ll drive you back.”
“Diane is with me; I want you to meet her.”
“I’ll get the car and meet you on the corner.” He walked away and for the first time I could detect a slight slouch in his gait.
Diane sat in the back seat on the way to The Navarro. I noticed him looking at her in the rear view mirror. I couldn’t tell if he was attracted to her, impressed, or just wondering why a woman like that was with me to begin with. If one were to look inside the car at the three figures sitting in there, no one would have guessed that we knew each other at all.

My use escalated in proportion to my fear and, I became reckless, going up to Harlem alone and at odd hours. I saw ghosts in doorways, cops in rain gutters, and stickup men and murderers waiting for me around every corner. I felt something was coming and it was coming soon.
One day to the week after the meeting with Handelsman, my parents came to my room. They looked pretty beaten themselves. “Norman,” my father began, “we’re letting you go: no money, no contact with us and especially with your brother. We’ve already sat “Shiva” for you. (“Shiva” is the Jewish word for the period when a family sits in their home for a week mourning the death of a family member.) I, we, your mother, and me want what’s best for you...and for us...always have. We want you to go into a program, but that’s up to you. We just wish you good luck.” They had stood the whole time. Now they both turned and, without saying another word, left.
I was stunned, but to keep from becoming hysterical, I used some of the junk I had stashed in my room. In fact, whether or not they would have cut me off or had given me thousands of dollars would have mattered hardly at all. For alcohol and drugs, by this time, was a prelude to, or an ending for everything. If I felt lousy, I used. If I felt good, I used. In order not to get too high, or too low, I used. I had long ago passed that line of demarcation where chemicals were used to enhance or alter my experiences. Now I used them to not experience, and used heroin because I simply did not want to feel.
But for a moment I panicked. I felt the air was being sucked out of me. I called Areba. They would not even talk to me without a deposit from my father. I called my mother. She told me there was nothing she or anybody else could do, and hung up. After a period of time, I calmed down and tried to figure my next move. My rent was paid through December, another week and half. I’d move in with Diane. I still had stolen merchandise to take back for cash, and I still had a gig. “O.K. don’t panic, you’re cool for a few weeks anyway,” I told myself and further admonished, “Get some fuckin’ backbone, will ya?”
New Years Eve, 1972. I was now out of The Navarro and living with Diane. I’d been able to lie to her for the time leading up to moving in with her about my stopping to use, blah, blah, blah, but I knew, in my heart, that Handelsman was right. I needed a 24 hour residential program to watch my ass constantly if I stood any shot at all at beating this fucking demon, but I also knew that I would not go in anywhere as long as I had a dollar in my pocket, a roof over my head, and a way to go. Steve, my old Seagate buddy, had invited us over to his apartment in Brooklyn, on Shore Road, overlooking the Verranzano Narrows Bridge, that I’d seen being built from my bedroom window in the early 60’s, to celebrate the new year. Neither of us felt much like celebrating, but we went because the alternative of being alone with each other was getting to be worse. I had a few bags of dope which I used before he picked us up and kept one for later. Raymond and I had spoke before about hooking up later in the night. Drug dealers were always more generous on the new year, and we didn’t want to miss what could be dope heaven. So with one foot planted in the past, another in the here and now, and a third waiting until I could make an excuse to leave, I sat and tried to tolerate the next few hours.
It was a small gathering. Donny and Tony and their girlfriends, Steve and his future wife, and Diane and I. To be honest, I don’t remember much of what we spoke about. I just kept watching the time and waiting. Finally, I went into his bedroom and called Raymond. Then, I went over to Steve and told him flatly that I needed to leave to meet someone and get some junk. Donny, seemingly disgusted with what I had turned into, kept his distance. “Fuckem,” I thought. I’d always remembered a line from B. Traven, Morals is the butter for people without any bread. Steve said he’d drive us back. I made no apologies but said “goodbye” and left. Diane, who could not as yet identify, nor articulate what she was feeling, sat beside me and understood that this was what it was, a struggle, a battle of herculean proportions. What she hated was her powerlessness to stop me, her inability to do battle with an inanimate substance that I’d invested with so much power over me, that was larger than this life, a life that was filled with betrayals, insecurities and fears. Steve dropped us off on 23rd Street and sped off. He would have stayed with me all night if I let him. I put Diane in a taxi and walked across the street to Raymond’s building, buzzed twice, buzzed again, and waited.

New Years week, Diane and I went to The Museum of Modern Art, to see an Avedon retrospective. I stared at his picture of Pound, with all those meaty creases in his face, his eyes were mad and beautiful and suffused with grief, fucking grief. I was done. I was just waiting for somebody to stop me. We walked back on this cold January night along Fifth Avenue from 53rd to 91st Street not saying much. There was nothing much to say. I told her how well we fit together, how our hips and flanks rubbed against each other walking and how we were probably thinking the same thoughts. She squeezed my hand tighter. Both of us knew the end was near, but we didn’t know how it would be played out.
The next day at work I noticed shoppers hanging around the book department who seemed “off.” They seemed to be watching me as I went from my register to the back to get change. Some of them who left turned up hours later. I knew it was time to leave. And I did.
Diane came home that day from work to find me in her bedroom shooting junk. Enraged, she slapped my arm that held the syringe. The needle ripped from my vein and landed on the floor. I sprang up and slapped her across the room. It was the worst thing I had ever done to a woman in my life, much less one I loved. I sat down on the edge of the bed and just stared. She came and sat beside me. “Norm,” she almost whispered while stroking my head, “I love you, but you’re going to have to do something. I’ll help you, but it’s you who’s going to have to do it. But, I have to tell you, whatever you decide to do, you can’t do it here.” She went into the bathroom to wash her face. When I heard the water running I went, picked up the syringe, injected the junk into my other arm, and told myself something I’d been saying for many, many years: “Tomorrow.”

Paula, the woman who had told me about Areba at Addiction Services Agency, now told me about programs that were free: Phoenix House, Daytop Village and Project Return. Both Phoenix House and Daytop were 12 to 24 months while Project Return was nine. Phoenix House was still shaving heads (a punitive measure designed to penetrate the denial system of hard core addicts), and Daytop’s therapeutic community was located in upstate New York. Still thinking like an addict, I opted for the shorter program.
Project Return’s storefront was in Hell’s Kitchen, on Ninth Avenue between 52nd and 53rd Streets. Chris Maples, the director of this facility, was a big, white, walrus looking man in his early thirties. He didn’t speak as much as he drawled, like he was from the midwest instead of the city where he’d grown up. The storefront was a small, ugly establishment that, upon entering, had a desk and a few chairs. There was a larger section in the back room that was setup like a classroom with many cheap folding chairs and a blackboard. I sat opposite Chris as he explained how they could arrange a hospital for me to detox in or I could go to a hospital of my choice. Either way I had to come in “clean.” “There’s something else that you should know about, Chris,” I said.
“Lay it on me,” he responded, deadpan. It seemed he had heard it all.
“I’m diabetic; I use insulin, needles, syringes everyday. I need to eat pretty much on time, need certain...”
“Whoa man, hold on a second...wait a minute baby,” he said with his mustache curling into a smile. “You mean to say,” he continued, “that you ate good out there shootin’ dope? You were really picky about what kind of food you’d put in your mouth...and takin’ care of your sickness man, that was a real priority?...are you sayin’ that to me?”
I stammered a bit, felt embarrassed but finally said, “Well, not really, but I do have to eat right, that goes hand in hand with what I have to do and I thought...”
“Yeah, I know what you thought, but don’t think too much--that’s what got you in so much fuckin’ trouble to begin with. We’ll take care of your fuckin’ diabetes man, and the food, well, it ain’t from the fuckin’ 21 Club but you’ll survive. Either you want to do this thing or your bullshittin’ yourself.”
“No man, I ain’t bullshittin’ myself; I just wanna make sure.”
“I know what you’re tryin’ to do, and I know what you’re really trying to do even if you don’t. You want to clean up but you’re gonna make it so hard that you say to yourself, ‘How can I do this man, I gotta take care of myself and this and that bullshit and sooner or later you’re gonna run yourself right out the fuckin’ door man, and into a bag of junk. Now, just get yourself detoxed and we’ll help you do the rest. You won’t eat like you did in the past, but you won’t starve either. And whatever you need, if we don’t have it, we’ll get it. Now get the fuck outa here, and call me when you’re ready to be discharged and I’ll have a staff member pick you up at the hospital. I don’t want you to spend one fuckin’ day by yourself on the street. You got that?”
“Got it. And thanks.”
“Don’t thank me for shit. I did nothin’ to get a thanks for.”
“Then thanks for nothin’.”
“Get the fuck outa here already, and try not to kill your stupid self before you get into a detox.”
I left as the next beaten up, thin, Puerto Rican took my seat at Chris’ desk, and the process began all over again. It was January and it was cold. Junkies had a harder time navigating the streets in the winter. Residential programs might be a pain in the ass, but they usually had heat.
Back at Diane’s, I made two phone calls, the first to a woman who I knew had detoxed a little while ago. She said Mt. Sinai was pretty good. She used the word “pleasant” to describe her stay. The next phone call was to Carol to ask if she was holding any dope. She was, and I went over and got some.
After a weekend of waltzing around each other’s feelings, Monday was almost welcomed, even though it meant I was going to Mt. Sinai to be admitted and Project Return after that. I imagined myself a convict about to turn himself in. I can’t help it. I’m always looking for romance, no matter how mundane and pedestrian the situation is. Besides, living it is always more boring or horrific than remembering it.
Sitting across from the admissions person in the emergency room, I had the distinct feeling that Mt. Sinai did not want to deal with drug addicts. They liked their nuts “shelled” not messy, unpredictable, intractable and “borderline” as drug addicts were generally classified in those days to be, and maybe even now as well. They had an outpatient service for addicts I was told. Quickly, I told the gentleman that only that morning I had been in a train station and imagined myself jumping into the oncoming express. He found a room for me.

They really weren’t equipped to deal with a drug addict. A psychiatric wing in a hospital is equipped to treat with a host of mental illnesses such as the many forms that depression can take, schizophrenia of certain varieties, affective and personality disorders that Jean be part of a chemically dependent persons’ profile. But chemical dependency, if that is the primary disorder, is not something that traditional hospitals were prepared for in 1972. I believe Dr. Otto Kernberg coined the term, “Borderline Personality Disorders.” The border that exists between neurosis and psychosis. I’ve always considered it more than just ironic that artists have defined the internal condition much quicker than scientists have. Maybe Homer predicted it all, but a wonderful saxophone player, Dexter Gordon, who played in “’Round Midnight,” wrote a tune in the 40’s I think titled, “Disorder At the Border,” intuitively felt “borderline.” Dexter, interestingly enough, was a drunk. At that time the professionals had not yet integrated the psychobiology, neurobiology, and the field of psychoanalysis that are now regarded as the cutting edge in treating these disorders. Now there is a scientific basis that during the period, usually preverbal, that the child’s body, in its reaction to stress--whether one traumatic episode or a cumulative series of episodes--in an effort to restore balance, “dissociates” from that stress or “object” and then “splits off” from that object which can, and often times does, result in lifelong patterns of reacting to external and internal stresses. It has been equated to an early condition of Post Traumatic Stress Disorder (PTSD).
Scratch the surface of an addict of any kind, and you’ll more likely than not, find the Janus face of “mom” deep deep into the abyss staring back at you. I wonder if that’s what Nietzshe had in mind. Addicts, as borderline personalities often are, were not good candidates for traditional verbal therapy because of their low tolerance for frustration. They were not, on the whole, very verbal in regard to identifying feelings because their traumas had taken place before they had the ability to speak; a primitive or archaic trauma(s), and usually, when they could identify what they were feeling, ran from it. They were not particularly good candidates for pharmacological interventions because of what drugs did for, and to them. In short, they were a very difficult population for traditional modes of psychotherapy and psychiatry at that time. Mt. Sinai did know enough about addiction to detox me using methadone. The process lasted about a week. Aside from individual therapy with a psychiatric resident and his attending physician, there wasn’t much else with the exception of getting my diabetes under control. My blood sugars were stabilized by keeping me on a restricted diet and, after the drugs started to leave my body, my head cleared. That was a good, and not so good, thing. I felt lighter, faster, but now, in a rush. An addict wants things yesterday, and since they had what I thought then was a “basket-weaving” approach to mental illness, I reasoned I could speed up the process. The sooner I could get out, the sooner I could go through Project Return, and the sooner I could get out, the sooner I could get back with Diane, and the sooner I could do that, the sooner I could get back with my family, and everything would be O.K. In not so many words I told this to the attending psychiatrist assigned to me. He persuaded me that just honoring a three and a half week commitment would be a step in the right direction. I couldn’t argue with him, although his interns also benefited from my decision. Fifteen of them were able to probe a white, Jewish, articulate, college educated dope fiend in sessions lasting an hour at a time. Their inquisitions felt like a beehive of dentists looking for cavities with those little silver hooks. I stared into those scrubbed-faced, bright-eyed interns and saw what a disappointment I must have been to my folks and, twisted role model for my brother. They listened to my story, asked questions, and split. Not even a “thank-you” at the end. I guess they’re used to working on cadavers which, as long as it’s nobody they knew, or love, are free of reciprocity and are, best of all, wordless.
Hospitals in general, and psychiatric wings in particular, are fascinating places. Our minds are so eccentric and so wonderfully misshapen that lending, or trying to lend, order to them so that they might function in a disordered, irrational, inchoate world leads, most directly, to many complications. I had the chance to see, and in some instances get close to, other patients struggling for equilibrium in this topsy-turvy world. There was beautiful Valerie, a fifteen year old who had the body of a ballerina, a mind of her own, and a wildness of will. Coming from divorced Park Avenue wealth, she’d had a history of running away and finding men in bars who would take her home, fuck her, and throw her out. Brad, a sixteen year old, acne faced introvert, also from divorced Fifth Avenue old money, found men to seduce and then hurt him, and had come down from a preparatory school near Saratoga, to play havoc with his body and family. Mr. Patrick, a grizzled sixty year old who, when I first met him, couldn’t talk and had to be fed by the orderlies and, after many shock treatments, began to see a curtain lift. The others wore paper slippers and did the “ol’ thorazine shuffle,” where they’d walk along, holding a railing, spit dribbling down their chins, not knowing, or caring, where they were or why they were there. And there was Carol, twenty something, who fucked interns, residents, doctors, orderlies, nurses, and anything else that showed a pulse. She had tits I wished the horses I’d bet on had for noses. We laughed and sang and tried to sort through the mess that we found ourselves in. We all walked through the same fire, but our flesh burned differently. Some people never see this side. What boring lives they must lead.
My fantasies, before sleep would claim me, were, as I view them now, childish, grandiose, bourgeois, and, finally, when all is said and done, delusional. The only thing now that keeps my embarrassment at bay is that it was simply the truth. And to me, as I recall and recollect, touching. It took a lot of work for me to be able to say that now, but at that time I’d imagine myself strong, healthy and responsible. Responsible to my diabetes, and responsibly concerned for my family. I’d imagine myself going into Project Return and coming out the other side with the riches of the world before me. I’d be driving a Porsche again, with Diane beside me, as we’d tool through a countryside, bucolic and inviting, my accomplishments, fused and translated into status and stature. I’d have the respect of artists, and the notoriety that accompanies success on the grandest of stages. I’d make up for the terrible anguish I had put the people who loved me through. We’d all be together again, this time out of love and desire and not out of a need that bordered on sickness. It does not make me proud to say that, but this work would be a lie if I didn’t.
Besides a young do-gooder social worker, who kept persisting that she be allowed to get in touch with my parents to facilitate a “constructive dialogue” between us and whom I had to tell that should she get in touch with them without my permission I would find her and strangle her in the night and probably get away with it since I happened to be in a “fuckin’ nut house” at the time, I had a pretty good stay at Mt. Sinai. Besides using the time to heal emotionally, there was a gym upstairs that allowed me to physically heal and get stronger as well.
February is Diane’s birthday month. She visited me on a frigid evening, looking beautiful and wearing a coat she loved, a fur, three quarter length, very elegant. Eyes followed her wherever she went, but on this night there was an added sensuality that made you, whether man or woman, consciously or not, follow her sight and scent until they no longer registered. We walked into my room where I kissed her lightly and wished her a happy birthday. She took my hand and led me into the bathroom, closed the door, and leaned her back against it. I smiled as she untied the belt and slipped the fur from her shoulders. There was nothing else to undo after that.
The day before I left, I spoke with Chris Maples at Project Return, and arranged for a staff member to be there when I got discharged. I didn’t want to give myself one day out on the street. I thanked some people for what they had done for me, gave out and took some phone numbers, and left. Maxwell, a young black staff member, accompanied me to the Induction Facility on Forty-Eighth street between Eighth and Ninth Avenues. But first, before getting there, we stopped for a hamburger; the first real food I had had for three and a half weeks and the last real food I would have for months.

pgs 88-94--From Chapter VI, THE DESCENT: JUNK SICK: CONFESSIONS OF AN UNCONTROLLED DIABETIC

Norman Savage
Greenwich Village, 2015