A few years ago, my friend Rob, a “purebred” alcoholic sober nearly a decade, injured his elbow and was prescribed Vicodin. In mere weeks he became addicted to opioids and, after a few years, died. Another friend, an engineer with decades of sobriety, likewise hurt his elbow. He, too, was prescribed pain medicine, left his life to chase street drugs for months, but by the grace of god did not die.
What we as alcoholic addicts can never forget is that our brains have a haywire switch. No matter how certain our rational minds are about “not liking pills” or “using only as prescribed,” our addict remains crouched in the back of our minds saying, “Right! You’ve got this!” until the moment it clinches control and says, “Ha! I’ve got YOU, bitch, and we’re on a run!” I can’t emphasize enough the degree of respect for this demon every alcoholic addict needs.
- “You’re fine! No worries!”
Last Thursday, a surgeon sliced open my hip crease, popped the ball outta the socket, sawed off the end of that femur, and commenced building me a new hip. That’s a graphic way of saying I underwent an anterior hip replacement. When I came to, I felt wonderful! In fact, I had a moment of intense spiritual clarity — see below — before things got cloudy.
I have no partner, my son’s away at college, my mom is hella old, siblings either distant or dealing with their own ailments. My main “family” is AA, but I have other circles as well. My friend Keira came to get me 30 minutes after surgery. She’s a chemo nurse, at home in medical settings. When the nurse discharging me noted that, per my request, I’d be prescribed only Tramadol — not Oxycodone — Keira interrupted. To me she said, “Dude, they just sawed through your femur. Get the Oxy. If you don’t need it, you don’t have to take it.”
An hour later in the Safeway the parking lot, my entire thigh was !!!SCREAMING!!!
as if someone had … well, just sawed through it. Keira was inside trying to get me the Oxy before the pharmacy took a lunch break. I was doing controlled breathing, shaking like mad, pressing down the panic that wanted to explode as my pain flared higher and higher.
At last Keira opened the driver’s side door. She had the Oxy. Thank god. About 10 minutes later, I could speak again in a normal voice. The pain was managed.
That’s what such drugs are for.
Over the 27 years I’ve been sober, I’ve gotten super comfortable with full-on reality. What used to seem an onslaught of jarring, demanding impressions is now just the flow of what’s happening. I knew this before my surgery. What I didn’t know until the following day was that the converse has also become true: I’m now super UN-comfortable with being fucked up.
Isn’t that crazy? What would Pink Floyd, who wrote “Comfortably Numb,” think of that? Could 34-year-old Louisa, who in 1995 lived for her daily booze and drugs, have even imagined such a mindset?
I was staying with Keira’s family for three nights. On Day 2, Friday, she invited our friend Sarah over for a card table dinner in the room next to mine. I was excited! Both these friends live an hour away from me, so I don’t get to see either as much as I’d like, let alone both together. We three are the Bikini Bitches. We climb glacial mountains and take silly Bikini Bitch photos at the summits, clean, sober, & livin’ large. That’s us.
I wanted to be fully PRESENT for this little reunion, but I also needed to sit at the table, so I took a Tramadol instead of Oxycodone. That shit may be one-sixth as strong as Oxy, but it messed me up, hit me like a wave of blur! Sarah showed up and we all sat down together, but my mind was goofing around on some mayonnaise slip n’ slide. I remember looking at my friends and thinking, I want to BE here! Again and again I struggled to focus, but I couldn’t think of words or keep track of most ideas long enough to speak them.
Every now and then, they’d look at each other. I remember Keira saying with an accepting shrug, “She’s fucked up.”
I wanted OUT of my fucked-upness as badly as I used to want OUT of full-on, clear consciousness. My friends were there, and I was MISSING it! But I could do nothing to get my sharpness back. I was half-drowned in stupidity.
On Day 3, my son surprised me by driving 6 hours across the state, using my shared location to find Keira’s house, and then phoning to say, “Mom, can you look out the window?” Such a sweet boy! Sunday, after he’d driven me home, he set up our house so I could live downstairs alone.
He also hid all my meds.
Yup. The Oxy he divvied into stashes — 2 pills, 6 pills, and the rest of the bottle — then found hiding places for them and the Tramadol. I had my ibuprofen and Tylenol. If I needed something stronger, I could call him. My son understands. He grew up around sober friends we’ve since lost to addiction, prescribed or otherwise. He mourns them, and he loves me.
As it turned out, I did need to call him. My stomach rejected the ibuprofen AGAIN and, after I caught my crutch on a gate while letting my chickens out, I stumbled and re-injured my leg, which brought on a 99.5 º fever and heightened pain. “Look in the drone box on my desk,” he told me. And there were two Oxy, right under my nose! For two nights, they controlled the pain enough to let me sleep, but I think I’m done now. I don’t need to ask for more.
What protects me from hunting for those meds is not my will. Addiction’s kryptonite is connection: love, community, and gratitude. An AA friend is coming over today to move my stuff back upstairs. Another will come tomorrow to spot me while I take a (much-needed!!) shower. Neighbors have mastered my chicken routines, gifted me a thermometer, and picked up my new anti-inflammatory meds. My dogs have gone for walks every day — 6 days in a row — with different people. Today they have a play date with the dogs of a former student of mine from 15 years back.
Here is the image I was shown when I first came out of the anesthetic, before my brain came back online to block spiritual knowing. First, I had to remember what I was doing: I recalled, “Oh, yeah, I’m doing that Louisa business!” Then, on the strip of wall in front of me above a window to the nurses’ station, I saw my life as Louisa. It was a circle at the center of a ring of smaller circles, connected by radiating lines that I understood went two ways. These were all the lives mine touches, all the people connected to me whether remotely or in person. Lean into this, my angel told me. There was more, but I’ll save that for another post.
I thought, “Wow! That wall is so awesome! I’ve got to tell the staff to put some pictures up there for people who maybe don’t have visions!” Then everything went cloudy, and I don’t remember much.
I’m on a mission here in this Louisa suit to share love and kindness. So are you. But the flipside is, we can give others a chance to do the same.
- What I saw (but more small ones)
- Keira & me
- What it meant
















AA itself is built on this oxymoron of confiding anonymously, of being open in a closeted setting. The program needs anonymity not only because every newcomer feels at first the way I did but also to preclude the rise of AA demagogues. Nevertheless, sharing our messiness openly and unsparingly is our lifeblood. The Big Book tells us “that it is only by fully disclosing ourselves and our problems” that we can connect with fellow alcoholics. The 9th step promises that “We will not regret the past nor wish to shut the door on it” as “we will see how our experience can benefit others.” And The Family Afterward reminds us, “in God’s hands, the dark past is the greatest possession you have — the key to life and happiness for others.”




To the writer of this letter, the fact that she was even daring to contact this person and acknowledge that she struggled with emotional issues seemed an amends. I know because 24 years ago, just a few months into sobriety, I sent an identically selfish letter to someone I’d hurt in much the same way.
Here’s one of the deadliest afflictions known to humans, killing 6% of the global population every year (





alprazolam (Xanax) are doing just that. One, a former drug and alcohol counselor, is a ghost of his former self, with hollowed-out eyes and tales of demons. The other, who landed his dream life — wife, kids, big house in the burbs — became addicted to anti-anxiety meds prescribed for his stress over huge mortgage and daycare payments.

true north we need to orient meaningful lives. For me, that means having faith in the god I experienced as overwhelming love in the light of the other side. For others, it can mean simply living in loving kindness. One’s spiritual path is one’s own — as in Buddha’s dying advice to “be a lamp unto yourself.”

. Yet god is never into shame or martyrdom. “Oh, I’m such a piece of shit!” or “Gee, I’m such a saint!” both stem from ego, from preoccupation with self. God wants us only to do our best, share our gifts, love freely. Beating ourselves up or codependently pouring energy into toxic people to wheedle self-worth — these ain’t about blooming.


