A father’s dreaded final duty

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A father’s dreaded final duty
Peter Schworm
Boston Globe
8.26.09



BROCKTON - Ever since his son Lance got hooked on heroin, George Fiske feared this day would come: Lance would die young from an overdose, and Fiske would prepare his son’s poisoned body for burial, like all the other addicts wept over at his Brockton funeral home.

Fiske lived with those fears for years, from the time Lance first started using when he was about 15, through all the stealing and rage, court dates, and failed rehab stints.

In the past year, however, Lance seemed to leave his old life behind, and Fiske let his nightmare slip away. Lance had a job and a girlfriend, and he had been clean for nine months. His son had made it through, Fiske thought in his happier moments.

But Sunday night, Lance’s addiction and Fiske’s deepest fears clawed their way back. Fiske found the 22-year-old in his room, dead of a heroin overdose.

Hours later, on Monday, Fiske went downstairs from his apartment to his funeral home to embalm his son’s body, waving off offers from other morticians to spare him the heart-rending task. It was his duty, he said, and a final tribute.

“It’s the worst thing I could ever imagine, seeing my son on the table,’’ he said, nearly overcome with emotion. “But I had to do it. It’s the last thing I can ever do for him.’’

Through tears, he treated his son’s remains for more than an hour, tenderly preparing him for his final resting place. He remembered his son in good times, walking along the beach on vacation or cheering on the Patriots at home games. He asked himself what could have made his son use again after working so hard to quit, and wondered if there was any way he could have seen it coming.

Fiske has tended to thousands of bodies in his 36 years of working in funeral homes, and has seen the ravages of drugs time and again. Now that grief is his own, and Fiske said he feels compelled to share it, in the hopes his son’s overdose will prevent others.

“I want to tell this story so that hopefully it can help somebody else,’’ he said. “I want people to know it can happen to anyone. Good families, bad. Rich, poor. It just takes everybody. And it only takes once. Maybe this will wake people up somehow.’’

On Sunday night, Fiske had taken a break from watching the Red Sox game and went to his son’s bedroom. He discovered his 22-year-old son slumped on his knees against a chair, a needle on the floor nearby.

Lance could not be revived, and was pronounced dead from a heroin overdose.

“He looked like he was praying, but I knew he was gone,’’ Fiske said yesterday from Funerarias Multi Culturel, where today mourners will pay their respects for Lance Patrick Fiske. “I thought he had it licked, I really did. But he always had his demons. I guess they got the best of him.’’

Fiske spoke from his office at the funeral home, surrounded by a rough draft of an autopsy and dozens of pictures chronicling Lance’s years, from a bright-eyed toddler to a handsome, athletic teenager who caught young women’s eyes.

But sometime in high school, Lance fell in with the wrong crowd and began using OxyContin, Fiske said. Heroin followed, as did numerous run-ins with the law. Diagnosed with bipolar disorder, Lance became more unstable, and after high school Fiske ordered him to leave the house.

In 2007, with Lance facing jail time for a break-in, Fiske pleaded with a judge to give his son another chance. Fiske was about to head to Cape Verde to open a new funeral home, and said he would take Lance with him for a fresh start.

At first, that’s how it seemed. Lance helped get the new business off the ground, and the two spent nearly every evening together. But before long Lance fell back into his old ways, and Fiske rushed him back home to Brockton.

“It’s almost like they find each other,’’ he said.

But at some point upon returning, Lance started to turn his life around. He met his girlfriend, Joslin, who gave him direction. He began working as a landscaper and painter, and was thinking about enrolling in barber school.

“I thought he had turned the corner,’’ Fiske said. “I think he thought he had, too. He was very proud he was beating it.’’

On Saturday night, Lance and Joslin went dancing for hours in Boston, and on Sunday night they joined Fiske for family supper.

“It was a good day,’’ Fiske said wistfully.

Link!
 
Abstinence-only treatment is a ticking timebomb. The statistics speak for themselves. Approximately 10% (sometimes slightly more for some programs, usually less for most) will succeed in detoxing and remain clean temporarily. Only a few percent of those 10% who initially succeed will remain clean in 6 months, 1 year, and by 2 years almost none are still clean.

The problem is we look at opioid addiction in general and Heroin addiction specifically as a curable illness. You go to rehab or jail, you go through withdrawal, and you're cured! And it's your own immoral, weak self that will let it fail! Right? Unfortunately it isn't that simple, and people let themselves get swindled into putting little Johnny up at a 'rehab retreat' or 'health center' for $30,000 to get in the door, an additional $20k for doctor visits, medication, counseling, therapy, food, etc. Then he's out the door, and within a week of leaving is back on junk- sometimes within hours of leaving, sometimes before they even leave (smuggling drugs into rehab is big business, and normal).

People who do genuinely want to quit, if not for good than for awhile, have the best chance in an Opiate Replacement Therapy program; especially a brief (6 month-2 year) maintenance stint followed by taper. The numbers aren't astounding, but they are several times better than abstinence-only.

For the rest of us there needs to be drug of choice maintenance programs.

Unfortunately, even family members who try to educate themselves about addiction have a blind spot to this obvious conclusion. They would rather die than think of the possibility of their son/daughter continuing to use their drug of choice- hell, a lot of families would rather shun their family member than let them in a Methadone or Buprenorphine maintenance program.

Ignorance and big business interests (from the rehab facilities, to the pharmaceutical companies, to the politicians and everyone inbetween) is what kills.
 
Abstinence-only treatment is a ticking timebomb. The statistics speak for themselves. Approximately 10% (sometimes slightly more for some programs, usually less for most) will succeed in detoxing and remain clean temporarily. Only a few percent of those 10% who initially succeed will remain clean in 6 months, 1 year, and by 2 years almost none are still clean.
Aren't relapse rates comparatively high for most treatment types?
 
^
While in maintenance? After maintenance is over? By relapse do we mean just opiates, or do other drugs count?
 
Strictly for opioid addicts, and more specifically Heroin addicts. Both in and out of maintenance, time spent in a maintenance treatment has a direct correlation to time spent clean post detox from said MMT or BMT etc program.

Opioid addicts in a maintenance program have the best outcomes of any substance abuse patients.

Every treatment for every other substance of abuse (including opioids outside of maintenance) has a low initial success rate, followed by a much lower success rate the further you get from the date of treatment completion.

Even programs meant to mimic MMT, like D-amphetamine for Methamphetamine users, or Chlordiazepoxide or Chlomethiazole for alcoholics- do not work as well as their opioid counterparts.
 
Strictly for opioid addicts, and more specifically Heroin addicts. Both in and out of maintenance, time spent in a maintenance treatment has a direct correlation to time spent clean post detox from said MMT or BMT etc program.
I just did a brief Google search, and it seems that even for people who have been on mmt for quite some time(at least a year, even more) the relapse rate is quite high. I should have saved all the sources, but here's one. (Starting page 41 about specific cases going to page 51, third paragraph in).

So, on average it works well while you're on the program, but once you're off it... I'd be curious to see how that compares to heroin maintenance. Do those program 'graduates' (people that decided to taper off not get kicked out, dropped, etc) relapse at similar rates?

Also, semantics may be at play here when using the term relapse. Infrequent use is a lot different than abuse, but they'd both count as relapsing, right?
 
Also, semantics may be at play here when using the term relapse. Infrequent use is a lot different than abuse, but they'd both count as relapsing, right?

A similar thought came to my mind also.

If I have been "clean" for a year but used H on 3 different single occasions w/o abuse, is that a relapse? I don't personally see it that way since there is no addiction or abuse but statistically it might be seen that way.
 
Yeah I have no doubt irregular or even a one time use would be listed as a relapse in the study.
 
We need to investigate more with using ibogaine to treat opiate addiction. My uncle died from an OD, had gone to rehab multiple times, was in and out of jail, etc. I think ibogaine has serious potential to help addiction

There is a thread in TDS I think with a BLer undergoing ibogaine addiction therapy in Mexico right now.
 
If drugs were legal and controlled, users could buy at the local pharmacy and be assured of a clean drug with a labeled potency. Safer than buying some mystery drug on the uncontrolled black market.
 
Abstinence-only treatment is a ticking timebomb. The statistics speak for themselves. Approximately 10% (sometimes slightly more for some programs, usually less for most) will succeed in detoxing and remain clean temporarily. Only a few percent of those 10% who initially succeed will remain clean in 6 months, 1 year, and by 2 years almost none are still clean.

The problem is we look at opioid addiction in general and Heroin addiction specifically as a curable illness. You go to rehab or jail, you go through withdrawal, and you're cured! And it's your own immoral, weak self that will let it fail! Right? Unfortunately it isn't that simple, and people let themselves get swindled into putting little Johnny up at a 'rehab retreat' or 'health center' for $30,000 to get in the door, an additional $20k for doctor visits, medication, counseling, therapy, food, etc. Then he's out the door, and within a week of leaving is back on junk- sometimes within hours of leaving, sometimes before they even leave (smuggling drugs into rehab is big business, and normal).

People who do genuinely want to quit, if not for good than for awhile, have the best chance in an Opiate Replacement Therapy program; especially a brief (6 month-2 year) maintenance stint followed by taper. The numbers aren't astounding, but they are several times better than abstinence-only.

For the rest of us there needs to be drug of choice maintenance programs.

Unfortunately, even family members who try to educate themselves about addiction have a blind spot to this obvious conclusion. They would rather die than think of the possibility of their son/daughter continuing to use their drug of choice- hell, a lot of families would rather shun their family member than let them in a Methadone or Buprenorphine maintenance program.

Ignorance and big business interests (from the rehab facilities, to the pharmaceutical companies, to the politicians and everyone inbetween) is what kills.

Well said.
 
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