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My name is doctor Steve Farber. I was a respected
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and accomplished doctor. I was also a drug addict. I
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was trying to live in two separate, incompatible world and
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these two worlds would crash into each other when a
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woman I cared deeply for got in my bed.
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This is Steve. He went from a life that on
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the outside most people would envy, to a descent into
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drug addiction that took everything from him before he could
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find a way out. This is his story.
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The first time I'd used an illegal substance was the
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day of my sister's wedding, and it was a day
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that with a big turning point in my life. And
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it was a day that I would say had ripple
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effects through my entire life. To just give a little
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bit of background, I lived a very straight life for most.
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Of my upbringing. I led a very narrow, restricted life.
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Basically, I was a nerd and I never used drugs,
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never drank alcohol. And today, my sister's wedding, I visited
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a friend of mine who spiked cookies with marijuana, and
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I wound up eating a couple of these cookies and
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started liscinating. It was a day that essentially ruined my
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sister's wedding. I was one of the ushers in the
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wedding and I went to the hospital. People all thought
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that I was incredibly ill and were holding the wedding
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up from me till I got there, and then found
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out that I'd.
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Used drugs that day.
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The shame of that day, people thinking that I was
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a drug addict led to incredible shame, and it was
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something that I have not lived down for most of
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my life. I thank it my sister didn't forgive me
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for many many years. I think that filled me with
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a lot of shame and feelings remorse. And if there
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was anything that I could do over my life, there's
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one day I could do, it would be that day.
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But I think that day really kind of foretold what
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I was apability to become. Before that, I'd never even
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drank alcohol, never used any drugs, and no intention of
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using drugs. I was brought up in a very strict family,
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very conservative family, and the thought of using drugs was
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not even something that I even thought about. All I
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did was study. I've had very little social life, never
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drink in college. This was in my twenties day my
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sister's wedding. I was in my twenties, and is this
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one of those things that I think, compounded upon other
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things that had happened early in my life, led to
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feeling really bad about myself, feelings of low selfware, of
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low self esteem, and you know, I think that led
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to other problems later in my life.
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Well, I mean, I think I was really source of ridicule.
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You know that day from my own family felt turned
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on by some of my family because they felt that
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I had done this intentionally, and it almost was like
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a self filling prophecy.
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What was going to happen later?
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I think for me in my life, I think from
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that day on almost I think that I was an
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addict at that point.
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When Steve would exhibit addict behavior in medical school, he
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was able to get a handle on it. Steve's ability
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to be high functioning despite addiction would be a hallmark
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of his life.
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Well, I was going to medical school and really had
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one problem actually in medical school.
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In my third year of school, I started drinking fairly heavily.
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I met a friend who loved Scotch and we used
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to go out and drink after during our training. That
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was my introduction to alcohol. But at that point it
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was relatively controlled. When I was in medical school, I
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never drained to the point of interfering with my ability
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to function.
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Steve lost five friends to suicide during his residency training.
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He would often work thirty six hours straight but no sleep.
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The residency training was like a hazing process to weed
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out those not strong enough. Not just for Steve, but
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for any doctors. This sort of working pattern leads to exhaustion,
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chronic fatigue, depression, and medical errors. Addiction is not uncommon
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in the medical field, and Steve's story certainly is not
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unique amongst doctors with this as a potential contributing cost.
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It really wasn't until I was in my residency training.
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I think was my second year of training in my
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residency program where I started drinking to the point of
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not being able to function, not being able to wake
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up in the morning to make my rounds and really
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adequately take care of my patients.
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And there was noticed by my peers and.
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By the people who supervised me, and I was called
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into the office of the chairman of the department in medicine,
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and he had a long discussion with.
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Me and wanted me to take time off.
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I guess at that point he didn't recommend that I
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go to it treatment, just recommended that I go home
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and take care of myself, get some rest, and come
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back to work. So that clearly that was never something
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that was reported. I was never to any time of counseling.
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I think he just recommended I take time off, and
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then later I came back and I was able to function.
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I really wish that it was not as lean as
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I wish.
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He had taken more action to try to get me
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into a program to help. And I'm not sure if
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that was the one where I would have accepted it
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and that time in my life, but I think at
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this stage the end of this had happened, I think
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there would be stricter rules about it.
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There's more addiction.
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In the medical profession, I think than people know about it,
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and I think there had been more and it would
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have been stricter consequences now if it had happened and
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I was actually able to function and I've made the
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time off help because it's burned out. And I think
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at that time I attributed my drinking to just overwork,
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and I think there were personal problems.
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That I had from earlier in my life.
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There was emotional problems I had that never were addressed,
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and I think that led to a lot of my drinking,
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but it essentially calmed down for a period of time
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where I didn't drink accessively. After that, one day, a
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drug representative king to my office. We routinely had drug
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company reps come in to tell us about their latest
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and greatest drugs, and he told me about this medication
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caused ANNEXED, which was built in a new medication at
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that time as the new NZO days upon related drug
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that is east B anxiety. And he left about one
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hundred pills in my office. And at that time there
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was really no accounting for these. Nowadays, these things this
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can't be left these thought bottles can't just be left
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in offices like that. But back in the eighties that
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was pretty commonplace. And he described it as being non addictive.
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That's the first NZO that came out. I was not addictive.
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I was feeling a lot of anxiety in my life
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and depression actually both. It was starting to build up
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more and more the harder at work, and I decided,
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you know, I'm gonna try this. Xanx was a very
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good drug from the standpoint of anxiety. It made me
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feel even less depressed. It work, but I soon found
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out over time that the effects the drug were not
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what they're advertised to be. From the standpoint of being
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non addicting, I found I had to increase the dose
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more and more. They developed a tolerance to the medications.
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Where one pill wasn't enough. Two pills, you know, weren't enough.
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Half a milligrant is not enough. I had to go
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up to two or three. This drug is mel street drug,
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I mean x They're called bars and these are sold
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them the street. Twenty years later, but at that time
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I pretty much I decided to sample and self medicate,
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and over time I've came more and more to pend
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and started interfering with my ability to function. Boats are
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working at home, and a feared of my ability to
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even take care of my kids because I was always
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spaced out on Xanax to where I miss things.
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I would be careless about things.
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Xenex definitely had an effect, and it's not a drug
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you can stop abruptly. When you're taking events a days
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of pine if any kind, you have to taper off
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the drug. And it took me about six months and
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going through divorce to do that. If I didn't come
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off the drug, I was not gonna be able to
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see my kids after my divorce. So I took a
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divorce actually for me to get off because I was
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one of the things that went to my other boors.
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So I tapered off the drugs so I could see
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my kids.
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Took about six months to meet to go off the churn.
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Again and again, Steve would develop an addiction and find
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a way to either get off it or work through it.
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I could work my way out of any situation. You
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know that I could.
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Function through anything, and there is no scenario I couldn't beat. Essentially,
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there was no win scenario, and I kind of vasion
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myself as a Kathin Kirk of medicine in the sense
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I couldn't lose. I mean I would be able to
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work my way out of any situation that presented itself,
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like length, while I was in a corner, boxed into
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a corner, I'd be able to buy my way out.
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Steve often thought of Captain Kirk and the Kobayashi Maru.
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It's a no win scenario, and Captain Kirk figured out
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a way to beat the no win scenario altering the rules.
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Of the test.
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Steve was confident not only could he be a functioning addict,
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but he could thrive in any situation while using drugs.
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He described himself at that time in his life as
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an addict who was an egomaniac with an inferiority complex.
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I think I went a number of years without using
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any types of drugs and really the suffering from depression anxiety,
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which remounting over the course of time, I was burning
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the candle both fans of my life, working fourteeny sixty
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hour days over the course of many, many years, a
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lot of things happened in my practice. I had a
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partner that brought in named Charlie Brown, who was.
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Also very hard worker.
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He was basically also burned the candle with both fans,
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and he passed away. He died in my office while
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I was seeing patients. He was a person who would
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always take care of other people before you take care
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of himself. I'd see him in the hallway and he
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was an asthmatic, and he was constantly usist and healed
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all the time in the halloway while he was seeing patients,
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and I said to him, look, Charlie you got to
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go see a doctor. You know, you have to go
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get your asthma TA in care of. But he never
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took the time to do that. He was always working,
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and then he had two small children at home, so
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you go home to his family and then come back
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to work and visit. The cycle repeated salt every day.
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One day, we're seeing patients in the office, found him
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on the floor in the bathroom. We couldn't find him,
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an issue, and you know, where's Charlie. We're both seeing
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patients and he just disappeared. And I found him on
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the floor of the bathroom and tried to assuscitate him
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for about two hours and DCPR my.
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Own partner, couldn't bring back. He was too park gone
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and I had to be the ones to go tell
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his wife that he passed away. Then two small children.
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That was devastating to me.
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Losing my partner like that, I think was just something
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that I never really recovered.
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I'm just not being able to bring him back.
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And it really should have taught me less and that
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about bringing the came with both bands, but it really didn't.
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So I think I worked even harder after that.
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Ironically, being a doctor seemed like a good fit for
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Steve's addictions.
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Medicine is a perfect profession for an attic, being a
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workaholics and addiction in and of itself, it's a perfect career.
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There were some people who were addicted to things and
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one who escaped their personal problems. Because you think, the
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harder you work, the more you awarded by your patients
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and peers.
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You know.
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I think it's really I think a profession with there
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a lot of people with a lot of psychiatric problems
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or psychological promises. Put that way, who can work so
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hard that they don't have to think about their issues.
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And I think between Charlie's death and just the depression,
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I was suffering anxiety that things just mounted over time
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and I got involved in a bitious cycle of anxiety
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and depression. I saw a lot of death in my practice,
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that's part of being a cardiologist. And I lost patients