RE 504: A Dopamine Feast

RE 504: A Dopamine Feast

Episode 504 – A Dopamine Feast

 

Today we have Don. He is 44 and lives in Clarkson, MI. He took his last drink on November 15th, 2021.

 

Sponsors mentioned in this episode:

 

Better Help  – code ELEVATOR

 

 

The theme for this podcast is I am Here, I am Whole. What does that mean? It means, that in this moment, the only moment that has ever mattered or ever existed, I choose to be here, and I will view myself as whole.

 

Please don’t kick the can of wholeness, authenticity and self-love down the road. It has to be now.

 

[04:22] Thoughts from Paul:

 

Paul shares that he really enjoyed the book Dopamine Nation by Dr. Anna Lembke, minus one part of it that talks about a dopamine fast as a way to beat an addiction.

 

A recent NYT article summarizes why Paul doesn’t like the dopamine fast idea. It has to do with the quote that “it’s less about quitting drinking, and more about creating a life that doesn’t require alcohol”. There are many healthier ways to release dopamine, such as hobbies you enjoy, that don’t involve your drug of choice. Trying new things helps us release dopamine as well.

 

The last paragraph of the article says “consequently, America’s problem isn’t that we’re a bunch of hedonists hooked on capitalism’s dopamine hits, it’s that so many of us aren’t able to get our social, physical and emotional needs met in healthy ways. Instead of a dopamine fast, we need a dopamine feast – one that makes us want experiences we actually like, rather than compulsively responding to craving”.

 

[08:36] Paul introduces Don:

 

Don is an anesthesiologist, and he lives in Clarkston, MI. He started enjoying traveling since his mid-30s and has been to 30 countries, five continents and heading to Antarctica at the end of the year. Don is a big fan of sports and roots for the teams out of Detroit.

 

Alcohol always seemed to have a positive light around it when Don was younger. Whether it was a gathering or party the adults seemed more relaxed, happy and silly. It always seemed like something to look forward to when he got older. Being more of a goody-two-shoes, Don says, he didn’t try alcohol until the summer after school ended. He recalls feeling like he was comfortable in his own skin and his racing thoughts relaxed. Don says he was immediately someone that couldn’t stop drinking once he started.

 

Don says his 20s were spent in school and would drink heavily maybe once a month. In his 30s after graduating and feeling he achieved all of his goals, he wondered “what’s next?” Don says that alcohol didn’t answer the question, but it prevented him from having to answer it. Don says that he realized he was gay as a young man and never wanted to deal with it. Drinking helped him push that away too.

 

COVID sped up the inevitable, Don says. Having more time off work due to less surgeries being performed; Don would start drinking more on his off days. Once work became busy again, he’s drinking continued where it was and started affecting his work.

When Don arrived at work still drunk after a Labor Day weekend binge, he says receiving a call from his boss was relief.

 

When Don started rehab, he knew he was going to need to address being gay in addition to having a drinking problem. After completing rehab, Don began attending a program for health professionals that gives him the accountability he needed.

 

Don says AA is a big part of his life now. He says he enjoys the community and accountability. He is testing out dating to see if it’s something that he wants to do. After falling in love with Costa Rica, he decided to build a house there. The greatest gift Don says he was given in sobriety is the ability to be present.

 

Don’s parting piece of guidance: Just start. You’ve got to start somewhere and if that’s rehab, than so be it. Take a break from your job, people will be much more supportive than you think they will.

 

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RE 503: It Takes What It Takes

RE 503: It Takes What It Takes

Episode 503 – It Takes What It Takes

 

Today we have Leah from Akron, OH. She took her last drink on September 4th, 2022.

 

Sponsors mentioned in this episode:

 

Better Help  – code ELEVATOR

 

Tonight is our first session of our Ditching the Booze Mindfulness course. It will be on Monday nights at 7:30 EST for the next five weeks. This course will teach you the basics of mindfulness and mediation. It is included with Café RE membership. Visit Café RE to sign up if you aren’t already a member.

 

Speaking of Café RE, our community is no longer on Facebook. We have found a new home that is off social media, and it now has an app that you can find in the app stores.

 

[03:28] Thoughts from Paul:

 

The only thing harder than forgiveness is the opposite – resentments. It is important that we begin with forgiving ourselves.

 

It takes what it takes for you to get sober and quit drinking. There is no set pathway into and out of a drinking problem. Paul believes this is one of the reasons why alcohol-free communities are so non-judgmental, loving and accepting. Those who have quit drinking know that it takes what it takes.

 

Paul shares some “it takes what it takes” stories from himself and others working on their alcohol-free journey. Never quit quitting and you will find your way. It takes what it takes.

 

[08:20] Paul introduces Leah:

 

At the time of recording, Leah is celebrating 2 years alcohol-free. She grew up in Akron Ohio, she is 36 and just got married, they have a 3-month-old daughter. For fun Leah enjoys hiking, singing, hanging out with friends and spending time with her baby.

 

Leah shares the story of what drove her to make the decision to quit drinking. After waking up on a bench next to a river and realizing that she was barefoot and had walked over a mile in a blackout, she feared what might happen next if she continued to drink.

 

Leah began drinking in high school and felt that it gave her courage to be herself. She says she was always addicted to that feeling. After leaving a bad relationship to an alcoholic, Leah started dating her now-husband. He is a normal drinker and Leah felt safe with him.

 

Leah says over time her drinking increased and the blackouts started. She says she isn’t the same person when she drinks and would often get angry and start fights with her partner. Waking up feeling regret and shame and promising she wouldn’t do it again became commonplace for Leah.

 

It was Leah’s therapist through Betterhelp that suggested she check out some podcasts and that’s how Leah stumbled upon RE. She says she just started listening from the beginning and found the interviews with others very helpful and she no longer felt alone in this battle.

 

Leah says since quitting drinking, she has lost weight and feels better overall. The first year she struggled with boredom since drinking was her hobby. She has been working on her unresolved childhood trauma and learning how to be herself without drinking. Leah’s emotions have leveled out and she no longer gets angry as often as she used to. Leah and her husband are still able to share the same hobbies, and she now drinks NA beers. Cravings have not been a big issue for her, she remembers how bad the following days were when she would drink, and it helps her stay grounded.

 

In the future, Leah would like to have another child, but she is comfortable where she is right now.

 

Leah’s parting piece of guidance: one day at a time.

 

Recovery Elevator

Go big, because eventually we all go home

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RE 502: The Tallest Tree in the World

RE 502: The Tallest Tree in the World

Episode 502 – The Tallest Tree in the World

 

Today we have Kurtis. He is 32 from Seattle, WA and took his last drink on October 12th, 2023.

 

Sponsors mentioned in this episode:

 

Better Help  – code ELEVATOR

 

AG1

 

Paul loves pickles but doesn’t love to be in them. When it comes to drinking, this quote shows up often: “When I controlled my drinking, I didn’t enjoy it. When I enjoyed my drinking, I couldn’t control it.” That is a good example of what it is like to be in a pickle with your drinking.

 

DTB Mindfulness course starts Monday October 7th for 5 weeks. This course is for Café RE members only, and we would love for you to join us!  Visit Café RE to sign up if you aren’t already a member.

 

[03:32] Thoughts from Paul:

 

While the tallest tree on the planet currently is a redwood but it would be the Douglas Fir if we stopped cutting them down. Scientists theorize the highest a tree can pull water up it’s roots is 480 feet and that’s how big the Douglas Fir trees were back in the early 1800’s before we began harvesting them.

 

Paul shares with us his love of trees and how they have helped him on his recovery journey. He also shares some facts about how indigenous people around the world are healthier than we are and how many of them use trees as a source of wholeness that cure physical ailments and mental health conditions.

 

When looking for connection, don’t overlook the trees in your back yard that are holding the soil in place. Nature should 100% be part of your recovery portfolio.

 

[10:07] Paul introduces Kurtis:

 

Kurtis currently lives in Seattle, WA and is originally from Detroit. He has two cats and is a musician and a mixing engineer. He says he used to use drinking as a way to be creative and says it has been interesting to figure out his relationship with music without drinking.

 

Kurtis says he didn’t drink much in his younger years. He took his first drink at age 21. He was in a lot of bands after moving to Seattle. He would bring beer to practice which quelled his anxiety.

 

After Kurtis was diagnosed with ADHD in 2020, he started taking medication that helped him focus. He admits he took more than prescribed and would then utilize alcohol to help him go to sleep. When waking up with a hangover, his medication would help him combat it. It was a vicious cycle, Kurtis says.

 

Kurtis knew he had issues but couldn’t determine whether it the pills or the drinking that was causing the problem. He was having a hard time going more than a few days without drinking and often found himself drinking in the morning. After failed moderation attempts, he ended up having to quit both the alcohol and the medication at the same time in October of 2023.

 

When he made the decision to quit, Kurtis says there were a lot of small rock-bottom moments that led him to it. Kurtis shared that it was tough quitting both things at the same time. He was worried that his productivity would decrease when he had to stop taking the medication. The drinking was slightly easier, however. Without taking the stimulant he wasn’t feeling so much anxiety at the end of the day which diminished his desire to drink.

 

Kurtis started finding other activities to fill his time and began to see great results. He was walking a lot, began to lose weight, and started feeling really good. He was able to recognize that quitting drinking opened up a lot of doors for him to feel better. He is more present with others and feels more confident in general.

 

Kurtis shares that the RE podcast has been helpful along with the Reddit Stop Drinking group. Talking about his journey with others has also helped a lot.

 

Kurtis’ parting piece of guidance: moderation, research and failing is all part of the process. It’s important to be kind to yourself and not feel like you have to match what others are doing.

 

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We can do this.

 

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Experiences in the ER and Detox

Experiences in the ER and Detox

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.

 

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