Medicine: Diary of A Drunk

Dying of alcoholism normally takes years. But before a final, prolonged bout of uncontrolled drinking caused my physical collapse and led to treatment, there was no doubt I was well on my way. My appearance was shocking. I was about 20 lbs. underweight and malnourished, the result of giving up almost all forms of food except coffee, sugar and, of course, alcohol. I was in the early stages of delirium tremens, the DTs. I sometimes heard faint ringing noises in my ears and suffered unexpected waves of vertigo. I felt near constant pressure in my lower back and sides from the punishment my liver and kidneys were taking. My personality was also seriously diseased. I was nervous, reclusive, by turns extravagantly arrogant and cringingly apologetic. I tried to cover my extremes of mood with brittle cheerfulness, even though I was desperately afraid. If you asked me how I was feeling, I usually lied, "Just fine."

I now see "just fine" as a key phrase that encompassed my diseased physical and mental condition. At the nadir, my addiction to a chemical that was killing me was nearly complete. I knew that something was very wrong with me. I even knew I was an alcoholic, but I had long since come to believe there was nothing I could do about it. I had decided that it was perfectly appropriate -- just fine -- that I should die. In fact, I honestly hoped that * I would, sparing further grief for many people I loved. Dying, I thought, was the best thing I could ever do for them. The idea of living without alcohol could not occur to me. I preferred the idea that I was a hopeless case.

No one finds alcoholism more mysterious than the suffering alcoholic, and I was no exception. I had no idea why I was an alcoholic at all, though I should have: my father was one. But from his illness I had gained only a morbid fear of the substance, which lasted until I reached college. I would never touch the stuff. That prolonged abstinence while my adolescent peers experimented with liquor only made what happened to me more mystifying. I thought I could take alcohol or leave it.

Why did I ever start to drink at all? The short answer is that initially it made me feel better. Alcohol numbed my self-awareness, the same trick that it performs for nonalcoholic drinkers at cocktail parties. The difference is that normal drinkers dull their self-consciousness only slightly, the better to socialize. I very quickly tried to send all my thoughts and feelings about myself to oblivion. Psychologically, I was undoubtedly depressed when I began to overcome my well-founded but ill-understood fears about alcohol: my father died when I was a sophomore. For whatever reason, I spent the better part of two decades trying to stay emotionally and physically numb.