Today’s blog entry is from Dan B. Dan has been a member of Café RE since January 2022. He can be found on our zoom chats and supporting fellow members of Café RE.
Experiences in the ER and Detox
By: Dan B (Café RE UP)
Both are Brutal & Dangerous: Drinking to that Level and Detox/Withdrawal by Dan B.
I’m hoping that all my experiences in ER and Detox could both be informative and a motivation not to do what I did. I used to drink enough alcohol in a binge over days to the point I was in a panic and my blood alcohol level was at a dangerous level. Alcohol energized me, raised adrenaline and cortisol, then I probably used more for hair of the dog, and for fear of withdrawal – so it all accumulated to a dangerous level, hence ambulance rides (way too many) initiated by my friend or myself seeking a friend or neighbor.
ER Experiences
In the ER, I usually asked for a benzo like Ativan, because I felt in a panic, but at a certain blood alcohol level, they cannot give you it. One time, I think they waited until my BAC was under 2.5; another time, they didn’t give me anything at all. I think I believed I was in withdrawal, but it was intoxication. Having an anxiety disorder probably factors into this.
They hook you up to IV, and put those round stickers on you, is that for heart eval? I should know by now. I think they had something on my other arm sometimes too. Sometimes they told me to keep my arm straight. One time they told me not to move. In some situations, if I got out of my bed, beeps would go off; other times, they didn’t. I was in telemetry at times, which I guess may be extra monitoring.
Various staff would come in at different times to take vitals and such. Nice, caring nurses make a huge difference in states like these. And I always thank them. They would also do a certain scan putting me into a machine, maybe because I sometimes fell before going in. I was often what they call a fall risk, so that’s why they wanted me to stay in bed.
At certain visits, they would attach something for urination. Others I would have that plastic bottle. When I had some anxious energy, I liked to walk around, but they are extremely attentive when you step an inch outside of your door.
I usually asked for a lot of water, but I think at one visit, they didn’t want me drinking too much because I guess it may eliminate some of the electrolytes via IV.
The “Fight” Out
They eventually have a counselor evaluate me via computer, in which she asks at least 30 questions. Between that and a doctor’s call, that determines if they will keep you in for days, transferred to detox. I’ve been there several times, and it’s a process just to get out.
So, in a very challenged, exhausted state, I gave my best to speak well and answer questions the right way. Because I know the decision is ultimately mine about drinking. And when you are in detox for days, you have access to nothing in terms of phone, shaving, makeup, etc. You are in scrubs. In the process of discharge, they will ask if you have support. I always said, “Oh I’m in an amazing recovery group called Café RE.
I usually have nothing in terms of glasses, my wallet, phone, keys. So there was a fear that my doors would be locked though I leave the sliding glass door unlocked a lot. They call a ride for you, and I often left in scrubs and socks. I hated going back because my neighbor often knew about the episode and is very nosy.
When Transferred to Detox (5-9 Days)
I was always pleased when I had my own room in detox, because you never know what your roommate will be like. In NJ, I had a roommate that said, “If you snore – I’m going to put toothpaste up your nose.” I stayed awake as long as possible.
Some of the hospitals for detox were very challenging environments, but you also create special bonds, and we found a way to laugh together. But it also got pretty “crazy” at times. You also hear some very sad stories. But there are also some good workshops.
Self-Detox
This obviously could be dangerous, especially without a benzo like Librium. When I went through alcohol withdrawal at home without the help of a benzo, even after spending half a day to 2-3 days in the ER, I may have had some alcohol a couple of times. But even with that small amount, the reduction was so significant that I still experienced the full effects of withdrawal. And you also have the possibility to tip back over into dangerous excess.
So, in general, here’s what withdrawal was like when drinking vodka at the massive level I did:
There are various alcohol withdrawal symptoms one can get. The first two days are the scariest. Sometimes I vomited throughout the day, from 2 up to 20 times. The dreams on day 2 and 3 (or similar) were vivid and weird in a scary way. And I’m not one to ever get this unless I’m going through this process. Trying to take vitamins caused me to vomit also. It’s strange because you are very tired but have anxious energy. So as a fall risk, I would lay on the couch and move my legs/feet because of the anxious energy.
I would sleep on my side in case I vomited. You don’t want to sleep on your back during this. I often said, “God, please help me.” Then read Matthew Perry also said that. I often did the heart hold with affirmations like, “Daniel, you are going to be OK.” And did deep breathing. I remember in some episodes, I felt like deep breathing a lot still wasn’t enough.
In one episode, I was trying to hydrate but vomiting as well, so I don’t think I was hydrating. I drank Powerade Zero for electrolytes. I sometimes put on the Insight Timer app which has relaxing sleep music. Sometimes I kept playing “Be Not Afraid”, which my long-time friend did during hard times. He’s one of my smartest, biggest hearted friends.
I was weak walking to the bathroom, and would sometimes hold the rail of the shower. Thank God for Google. I would look up things. When I eventually could hold food and vitamins down, I had blueberries and strawberries out. Perhaps broccoli at times. And of course B1 (Thiamine) and Folic Acid. This is standard in this process. The amount they prescribed me for folic acid was 1 mg, B1 varied from 50-100mg according to the notes I’m looking at from two visits.
After 3 days, things get better. After 5 days even better. And after 7 or 8, for me, it was a major transformation. So, this was my experience with and without alcohol after a binge.
It was brutal.
