Showing posts with label Hepatitis. Show all posts
Showing posts with label Hepatitis. Show all posts

A Test of Time


While awaiting the results of an HIV test a young addict gets to discussing junk, disease, harm-reduction and the pitfalls of intravenous drug use with an older, dying in-patient. 


(A fictional article written for the Australian harm-reduction magazine BLAST! )

*
The old clock in the hospital hung high up on the wall opposite. It made an audible tock with each second. 11.45 came and went and Pierre sat there, with a hollow feeling in his gut, looking at and listening to time.

"I'll tell you something now," said the in-patient who sat alongside him, his finger wagging with each syllable, "when history really looks back at the spread of HIV in the West the blame will not fall on the queers or the whores, it will be shown that it stemmed from the IV drug using community... That that group was more at risk, took fewer precautions to stem the spread, and was the real nucleus at the heart of this epidemic. You mark my words!"

Pierre watched the wagging finger, eyed the pale, bony veinless hand it was attached to. It scared him. The words scared him. The marks and the moles and the dry skin scared him. The clock looking down on them scared him. He wished he'd never heard what Jean-Paul had said. He wanted to argue against it, felt that Jean-Paul had no right or basis to say such a thing. But in his empty gut, in his communal memory of all the vile rooms and needles and stupidness he had seen and done, he heard in Jean-Paul’s words something he had often thought himself but had never dared mouth out aloud.

Jean-Paul carried on. He was a tall, junk worn man, no teeth, skull visible under his skin, cheeks pinched, the space around his bottom lip fatty like it had been injected with botox. Up top his torso was thin yet broad, his chest abnormally large like it was packed full of straw. Draped around his shoulders was an itchy looking red hospital blanket. He had lung and chest problems and the blanket rose and fell with each intake of breath.

"I don't know when or where I picked up the virus, nor the Hep C," Jean-Paul said. "It could've been any number of a thousand shots… Fuck knows! Not even any one to blame... And I can't really even blame myself, 'coz back in the day it was impossible not to share. There were no free needles like today. The best we could do was boil ours sterile, and that mostly entailed just flushing them through a few times with tepid water.And anyway, we were junkies not queers... Well, not all of us, so it wasn't really our nightmare. At least we didn't think so then."

Pierre could not conceive of a life of addiction without free clean sharp needles on tap. That would change everything. It would mean you couldn't manage an addiction alone without recourse to the junkie brotherhood. He also couldn't conceive of how anyone could risk their life for a hit, even though he was here for doing just that himself. He didn't want to speak, not of this, not now, but there was something lingering open in the wake of Jean-Paul's silence, something lingering open within himself.

"So how did you get needles?" He asked after a moment.

The older junkie laughed, as if remembering good times. "How did we get needles?" He repeated. "God...

...You could buy them.... But they weren't cheap. Mostly you'd buy singles or doubles, so you can imagine how far they went! We stole them from hospitals. I used to do that. Pretend I was visiting someone and then slip off into a room or ward somewhere and grab a handful. In Paris, when I was there, there was one charity you could get them from, but nothing major... Nothing national or greatly known in any case. And when the police began laying in wait and arresting addicts on leaving, paraphernalia charges, we were wary about going there. Works were highly prized back then. You looked after them, and tragically, only shared them with your nearest and dearest. Maybe the reason why we've all ended up alone."

Pierre looked to the clock. He listened for the ticking to make sure time hadn't stopped altogether. It hadn't. What it was doing was going by incredibly slowly. Pierre felt sad, felt that sitting in the HIV unit of the hospital, waiting on the results of blood tests, among sick people, with that smell, wasn't what drug addiction was promised to be about. Somehow it robbed smack injecting of all its dark romance and glory, brought it down to a clinical act, the focus on the blood not the gear, on the dangers of a slow viral death rather than the Russian roulette of a life blown out by the big bang of the overdose. More than ever he was now conscious of where he had ended up and why, his young life hanging in the balance. He was 24 and he figured this was a major point in his life. He looked around at the posters on the wall: campaigns urging addicts to get tested; others selling hope for those testing positive:

Living with HIV!

Life with HEP C!

It's not the end of the world.

5 reasons to keep hope!

Pierre felt antsy, his stomach empty. These were the posters which had disturbed his dreams after he'd first entered rehab. It was almost science fiction how he saw them, happy reformed getting on with life/work/family, looking all too healthy, like those people they airbrush into posters of new soon-to-be building complexes, smiling back as if they are already in paradise and suicide isn't the way to go with positive results.

"I'm going kill myself if I test positive," Pierre suddenly said, not really to Jean-Paul. "I wouldn't want to live with that!

"Ha! I've heard that before," said Jean-Paul, casual as if he'd been waiting for it. "But you'll come round... everyone does."

"Not me. You don't know me. I couldn't live with that, scared shitless of being taken out by a cold each day... waking up paranoid about skin or lymphatic cancer... Not being able to take a lover. I'd rather be dead already!"

"Well, let's hope it doesn't come to that. Though once.. IF you’re diagnosed you'll find that after a while HIV/AIDS no longer has the same impact: it loses its teeth, becomes just a disease that your body is at war against. And nowadays it's not the death sentence it once was, many live out full lifespans. I'd much rather be told I was HIV+ than be diagnosed with lung cancer... Or ANY cancer! It's hard to explain how your perception changes once you have it. I guess it's like HEROIN, how dangerous and illegal that all seemed the first times and then how normal it becomes once your well-being depends on it. But kill yourself? What the hell for? You've done all this to live just to kill yourself?"

Those last words got Pierre’s back up, though he didn’t quite know why. He felt belittled by something in them, like they weren’t at all true or relevant to him. It also prickled him that this dinosaur of the junk world, this dying junkie, had planted himself alongside him and during the most tenuous wait of his life was haunting his mind with such talk.

"What d'you fucking mean?" he quizzed, irate. "'All this to live’? All what to live? I didn't want to live... That was the fucking point! You think I'd have done this (rolling up his sleeves) because I wanted to embrace life?"

Pierre's arms were marked, scarred, bruised, carved, though nothing too extreme... No greater than almost any other injecting addict.

Jean-Paul didn't look. He didn't want to see Pierre's arms. He had junk arms of his own. "Think about it," he said, "you never used heroin to die! If you wanted to die: you’d be dead! You use heroin to live... To make life more acceptable, no?"

"Acceptable? I use heroin like a fucking sledgehammer to the head. I use to kill the pain... I use coz I don't give a fuck if I live or die!"

"Well, I don't buy that. I peddled that line for years too. But the truth is, if you want to ease the pain then it's another way of saying you want to make life more bearable, which means you use heroin because you want to live. You said it yourself: if you test positive you'll kill yourself, if not you'll carry on living. This is myth about self-destruction... It's a huge fucking myth which no-one wants to admit. Though I guess it's more cool to want to die... better to have people trying to save you than not have them acknowledge you at all. At the end of it, when the veins are blown and the smack is shot, all there is at the end of the fabled rainbow is a bucket load of golden shit. One day you’ll understand. It doesn't get better it gets worse."

The young addict didn't answer. That pissed him off. Preaching! He was too early into his addiction for such talk. His heroin fanaticism was still young. He still thought, believed it was about death, that he was rebelling against life, that whacking junk up into his veins, marking his body, was advertising total abandon. The truth was, like most of us, Pierre wasn't rebelling against life, but against death. Kidding himself on that he wanted to die so that for some moments he could live freely, in peace, without the fear of mortality impeding his every move.

The sound of the clock ticked in and then disappeared again. Pierre felt like a ghost in his own time.

"How much fuckin' longer is this gonna take?" he said. "My appointment was 25 minutes ago. My mum's waiting down in the cafeteria. She'll be out her mind with worry."

For a moment Pierre looked pensive, reflective, like how he did when scheming hard for junk. Then he said: "Maybe it's a good sign, huh? What d'you think? It's a good sign I'm being left waiting? There's no way they'd leave me to wait like this if I'm positive?"

Jean-Paul's reply was a not-so-sure downward turn of his mouth. They were in a part of the hospital connected with the drug substitution unit and logic had never played much of a role here. Maybe the patient before has had a bad result and cracked up, he thought. Maybe the doctor arrived late. It could be any number of things.

Pierre sat under the spectre of the clock, his feet parted, his hands clasped, looking at the space of floor between his legs. He took his phone out his pocket, rapidly
tapped a few buttons with his thumb then clicked it closed and let out a sigh.

Jean-Paul looked at him, a discreet sideways glance. He would never admit it but he felt a strange delight in this young man's predicament, sitting there tormented as he was. It wasn't his choice to feel like that, he just did. And worse, there was something inside of him that would take even greater pleasure if the young man were to be diagnosed positive. He had been here before, sat right besides others who had gotten lucky, and though he had acted pleased and relieved, beneath he had always felt a sharp stab of bitterness that they'd got the break he never had. He wanted to be the young addict, right down to the bone, that's what he really wanted: to have his time again. His voice changed, became harsher, cynical.

"So with all your free needles, your aluminium Cups, your vit C, alcohol swipes, sterile water, how come you're even here? Shouldn't you be circulating unpolluted blood?"

Pierre stopped what he was doing and stared at the floor in thought. He nodded slowly.
"You'd hope so," he said, sadly, "but the always having everything, all the time, isn't easy, even if it is free! Sometimes I think it'd be better, in some ways, if it wasn't free. At least then we would have the power of the consumer. When things are free we are left at another's whim and must be thankful for what's there not what's lacking. It's like you can't complain there's no vegetables in the broth at the soup kitchen, they'll say 'well it's free innit, so what you complaining about?' That's the attitude which prevails. There was this one day, I'd been working. I arrived 5 minutes late at the needle exchange and was refused needles. The exchange was still open as they had acupuncture classes that evening but they refused to open the needle cupboard and give me fresh works. They said that the recovering addicts upstairs - sat there with needles all stuck in their fucking faces - could fall off the wagon hearing the syringe cupboard opened. They knew all the chemists were closed and that without fresh spikes I either had to not use or share... And not using ain't gonna happen. The cunts sent me on my merry way! And that's just one example of many. There's a spitefullness which often prevails through many of the drug services, where insidiously you are made to pay."

"Spiteful, yeah. But get real about paying for needles.You should be bloody thankful, seriously. I saw what it was like before, am a victim of it. I only wish I'd have had free needles and maybe I'd not be here right now."

"I’m just saying is all. Not that we should pay but that there can be improvements. You asked me why I'm here despite all the free services nowadays and I’m trying to tell you."

"Yeah, but you're not here because needles are free! Come on."

"No, but it could be in part because of the consequences of how the user is treated because a certain service is free. But that’s a side issue, really. The real problem, from what I see, is getting word out about the dangers of injecting and safer practices to potential IV users before they've taken up the needle. Do you know, I didn't even know what hep C was until I was asked one day if I had it! My next visit at the needle exchange I asked and had a real scare learning about it and that we shouldn't even share a spoon. From then on I didn't, but those weeks prior I had, water too…. and had let other addicts whack me up. That there, nowadays, is the place where I think the disease thrives, around new IV'ers in those first few weeks. It's like myself, I'm a clean user. I still pick up new needles, still use safely, but there's been too many occasions where it wasn't possible... Where we had to share spoons, water... even a needle once, and the only precaution you can take when up against that is asking the other person if they're diseased or not... And noone's ever gonna own up, at least not in that moment there."

Jean-Paul knew that was true. He had never owned up, not while he was well anyway. Now he had moved into a circle of addicts who were all HIV+, people he'd met at the hospital, support group, or who lived in the same hostel. They'd all come together with the same ailments and concerns, the same worries which plagued their nights.

"But you can't blame others," said Jean-Paul, “you should use heroin as if EVERYONE has HIV. That way, whether they do or not, it becomes irrelevant. You have to take final responsibility if you've caught a disease, the onus isn't on anyone else to prevent you catching one. That's too easy!"

"Oh, I will take responsibility... You'll see alright! I'll make sure if I'm dying I'll not have the chance to help spread this disease. You watch..."

"But maybe you already have? Here you are talking about those who know they're positive putting others at risk, but that also goes for those who haven't been tested but know they may have been exposed... Like you. So these occasions where you talk about others maybe putting you at risk, maybe it was the other way around, you who was positive and putting them at risk?"

"Yes, but that's my point, I unintentionally took risk and risked others by not knowing just how dangerous sharing equipment was. I've only ever once intentionally shared a needle. And anyway, I don’t think the problem is actually sharing needles - most addicts I know wouldn’t do that anyway - it’s more the equipment, or needles getting muddled up when all using and living together. Fuck knows. All I know is that if the world was even a little more just we'd not need to use in any case! We'd maybe care a little more about ourselves, about life."

"Bullshit!" exclaimed Jean-Paul. “Bull-fucking-shit! Addiction is to do with so much more than just misery. That's not the problem. Why are you here? Answer that?"

"Here??? You mean in the hospital? Needing a blood test?"

"Well yeah, how you’ve risked maybe being exposed?"

"Well, I suppose it was through desperation, through a need to have my fix, to be well and because that was often out of my control it pushed me into the junkie fraternity, and it's there where the risks are. It's using in groups, even if you're not directly sharing needles."

"But why integrate into that lifestyle if you think it's so hazardous? What on earth would push you there?"

"I'll tell you why, quite simply because you don't know it's hazardous just then. As for why you need that fraternity, there are many different reasons. Sometimes it's financial: we must pool our money; sometimes it's because of supply; housing problems. Sometimes you just can't get needles, like on a Sunday or when you get gear unexpectedly... You can get caught short. In times like that you need the help of others to make it work. You know it: I have 25 euros; you have 25 euros. We can get nothing each with that and both be sick or we can pool our funds and score a gram. And imagine that with 5 addicts. You end up with a fix each, and the fairest way to divide that is to cook up a single 100ml shot and everyone draws up 20ml. It's simple: you can't contract hep C or HIV from yourself. We're exposed to disease the moment we use in groups... Even if we think we're using safely."

"Well that's most addicts isn't it?"

"I don't know about that. It’s me and most I know... We do rely on each other most days. But then a lot of us are clean... Most of us don't have HIV or hepatitis."

Jean-Paul looked at the younger addict, so naive, still so unaware of the truth of IV'ing drugs even if he now knew how contagious certain illnesses were. He thought of all the deaths he had seen, not ODs, hospital deaths, people suddenly wasting away, deaths from strange cancers, pneumonia, septacaemia, liver failure... They were all HIV deaths, some hepatitis.

"Mostly clean? You're fucking joking int ya? Give me an injecting addict over 45 in France and I'll give you someone with HIV, hep C (if not both), a liar, or someone very fucking lucky! And the future isn’t looking too hot for your generation when you really delve into it. Ask the nurse when you see her. Your statistics for coming out that room there with good news, on all scores, is slight. What is it? Something like 1 in 3 of every IV drug user is HIV+ and 7 outta 10 with hep C. That's fucking serious! I'm telling you, this is a hidden epidemic and everyone helps hide it. You’re sitting there like the odds are on your side, but they’re not… the moment syringes start going in the veins the only odds greatly on your side is that you’ll be dead before you’re 50... And not from an overdose!"

The young addict pulled a face. He didn't really believe the statistics Jean-Paul had rattled off, thought he was just bitter and trying to scare him. He squinted out the corner of his eye, down at Jean-Paul's white cotton in-patient trousers, the hems rolled up so when he sat they raised up past his bare ankles. His legs looked silver and he had what looked like an inline in his inside ankle, an ankle so bony and sharp it hurt the young addict to look at. He shivered in feeling, like the emphatic response to nails pulled down a chalkboard. Jean-Paul eyed him, with a look like he wanted eat him.

"You've had a lot to say for an apprentice," Said Jean-Paul, "now it's my turn. I'll tell you why addicts are so careless about contracting disease. It stems from the portrayal of heroin itself, how it's treated in the media and all the fear-mongering than goes on - us addicts as guilty of perpetrating it as anyone. But what happens, because of this myth that heroin is so deadly, that it destroys the user and fucks up lives regardless, that there's 'no way back from smack' it encourages addicts to use in careless ways, to risk their lives, because what they believe is that they're fucked anyway. So the addict has no conscious thoughts of his life after heroin because it's sold to us that their is no future after. So we use in a very negative, immediate and volatile way. So what if we risk hepatitis/HIV/heart or lung problems? Coz we'll be dead of the heroin long before we must suffer the health consequences left in its wake... Only we won't. And that's a huge problem. You don't see marijuana smokers or even coke heads taking the risks we do. No, because for all the bad press about those drugs they are still not peddled as hopeless... Users are sold a major hope of recovery and so subconsciously conserve themselves for the future, for a life after addiction. Not so for smackheads. We are sold and sell hopelessness and don't think past the tenure of our addictions. That's how it comes to me anyway, tell me if I'm wrong."

Pierre nodded, in a way that said it was an interesting new thought to him, something to think about... or not. He looked up at the clock, then down at nothing, then stared at nothing some more.

Jean-Paul looked frail and bony. He was sat there with his right leg folded flimsily over his left, slightly reclined, turned towards Pierre. Illness had somehow made him sprightly and flexible once more. From down the corridor another in-patient was walked past them helped by a nurse. The man walked slowly like he was in prison shackles. He held a transparent oxygen mask to his face. Jean-Paul nodded a greeting. The patient put his eyes to Jean-Paul but gave no other sign back. Jean-Paul looked away, like he didn’t want to see something. Immediately Pierre's eyes followed the patient from behind, staring dejectedly at the blood or shit stains in the back of his pants. He thought he didn't want to end up here, like that, but that it felt a lot nearer to the truth of heroin addiction than the street scoring points, the shooting galleries or the crazy days of desperation and illness. Somehow he had landed in the real dark heart of addiction, the final place of stay for many addicts. Pierre was suddenly gripped by fear and panic. He felt it: he felt this was his first visit of many to this hospital, that somehow it was already decided that this was his fate, that Jean-Paul would be a regular feature in his life. He thought of his mother downstairs, how worried she must be. Then Pierre stood up and strode about in thought. From out a nearby room a nurse arrived holding a clipboard.

"Mr Chevalier?" she asked. Pierre nodded. She ticked his presence. "The doctor will see you soon," she said softly.

Pierre looked at her, horrified. He was convinced he had seen something pitiful in her expression, and it was sure to him she had avoided eye contact. In his mind he went over every muscle which had moved in her face, the tone and cadence of her words, and without being aware of it he was then pacing back and forth, in front of Jean-Paul, weating an intense expression like a man half out his mind.

"Nervous?" asked the older addict.

"I'm gonna test positive," he suddenly said, panicked. "Did you hear the way she told me about the doctor? See her face? She knows the results. I'm gonna fucking test positive. It'll be that time with Alexandre, putting me on, insisting he had the first shot! It'd be that time, alright. I saw him walking around the clinic all wasted and fucked with a cane a couple of years later. Fuck!!!"

"The nurse doesn’t know!" spat Jean-Paul. "And what’s more she doesn't want to know, and even if she did, the doctor wouldn't tell her. You're imagining things. That's the fear that is. That's the fear of death right there. Try to calm down. You'll know soon enough, but you don't know now... You don't!"

Pierre paced around. He pulled his hand down his face and after he had done so he looked 20 years older. Drained. Ill.

"It was those first weeks," he said, still pacing. “Those first fucking weeks when I couldn't even inject myself. I didn't know you could pick up viruses from spoons or filters or water. I thought as long as u didn't share u was pretty much safe. And you know the worst thing? Not one veteran injecting addict warned me of the dangers... Not one! Oh they couldn't be shut up telling me about citric to smack ratios, hitting veins, cooking the perfect hit, not wasting the gear! But as regards to making sure I didn't catch the diseases they probably had they said nothing! Not a word. Not a single piece of useful fucking advice."

The veteran addict didn't get dragged in. It was as if Pierre was accusing him - or something he represented - of being to blame.

"Maybe go and get your mother," was all he said, "it can help having someone in there with you."

"My mother? Have her in the room with me? No chance. I've caused her enough pain. She doesn't need that as well. And I don't need the support. What good did moral support ever fucking do?"

Jean-Paul pulled the blanket down over his shoulders and clasped it closed like a shawl. He looked cold. He looked like he was dying. He watched Pierre's shoes moving about and then cast a look up to the wall. After a few seconds an inquisitive look came over him and he peered in more closely.

"Clocks stopped," he said, "The clock's stopped."

"I know," said Pierre, "yet before the fucking thing couldn't turn fast enough!"

"No, I mean it's really stopped. Look!"

And sure enough the old clock high on the wall had stopped and a weird timeless feeling now permeated the corridor, the hospital. It felt like a storm had moved in, like the sky outside had darkened, like that prickling, beautiful, terrifying sensation of nature taking flight, of dogs whimpering, before all hell breaks loose in the world. There was no doubt about it: history was upon them.

The two men sat in silence now. Not thinking, not doing anything, passive, at the mercy of things which had already been done. If he'd have had time Pierre would have well liked a shot, to push some calm through his veins. But he hadn't the time, as down the corridor there came the nurse, and playing nothing but her historical role, and as grave as she must be remembered, she told Pierre that the doctor was ready to see him.

...

The doctor seemed abnormally cheerful for such a moment. He was a large man, well groomed, who seemed to offer safety in the very stiffness and quality of his shirt cuffs and links. There was a cup of coffee on his desk and Pierre could smell the warm nutty odour from his mouth.

"Mr Chevalier, sit down and keep your hands away from my prescription pads," he said as an ice breaker. "Would you like a glass of water?" Pierre shook his head.
"Chevalier, hmm, now... where are you...." And he went through a small pile of letters and referrals on his desk.

Pierre's anxiety was barely under control. He wanted to stand, to move, to leave. He wanted a Get Out Of Jail Free card, to rejoin his life with no receipt for living.

"What's the news, Doctor?" he asked "What is it? Am I fucked?"

The doctor opened an initial envelope from the heptology unit. He unfolded the paper inside, lowered his glasses and peered at it, his eyes scanning for what was relevant. Not looking up he said:
"Mr. Chevalier, unfortunately you have tested positive for the hepatitis C virus. Now before ypu panic we'll discuss after exactly what that means and what the next steps will be. But you have tested positive."

Pierre didn't say anything. From what he had heard about how highly contagious hepC was he had half expected it. Just then it didnt seem so bad, his concerns were on the results of the HIV test. That seemed what he was really there for. Pierre sat there feeling culpable and nervous. He hadn't done much to contract the virus but in this moment he felt it'd be a let off if he tested negative . He could feel his flushed face, how young 24 years really was, how little he had done with his life. He suddenly wanted to live, wanted to grab the doctor and rattle the help right out off him. He could feel tears, they were ready to flow.

The doctor looked at him. "You're a young man, Mr Chevalier... You shouldn't even be here." Then he opened a further letter, looked over it, handed it over to Pierre and said. "You've tested positive for the HIV virus."

Pierre looked at the results but saw nothing, he couldnt make out a single word. It was as if the letter was in some language he had never learnt.

"What's going through your mind?" asked the doctor. "A counsellor will be on hand in a moment to talk you through and help with the diagnosis. What are you thinking?"

But Pierre wasn't thinking anything. He was up and gone, without taking the letter, without a word, out the door, past Jean-Paul, past the dead clock, down the corridor, through the swing doors, past the janitor's trolley, past the lift and out into the open stone staircase of the old hospital. The daylight now hit him like flash-blast, piercing in through his lashes. Pierre made a sound like an exhausted animal and then bashed himself in the side of the head with the clenched palm of his hand. The world didn't seem real for a moment. He breathed heavy and stood in the bright light of day trying to unscramble his mind. Instinctively he patted the little secret pocket of his jeans, felt for the couple of bumps he knew were there, and then went off in search of the toilets.

In the toilet, Pierre collapsed over the sink, his head bowed into the bowl. He stared at a line of cream and green limescale which had built up on the ceramic. Then he slowly raised his eyes to the mirror. He stared suspiciously at himself, at his face and into his eyes. Then he studied his hands, turned them over and stood in blank yet profound thought.

In the cubicle Pierre hurriedly ripped open his Steribox, set up the little metallic cup, emptied a bag of heroin out into it, and got to cooking up a shot. He drew up, tied his wrist off, and clenched and released his fist before sliding the syringe into a vein in the topside of his hand. "Work you bastard!" he seethed, "work!" And it did work. The smack coursed up his arm, through his shoulder, through his heart and then to his brain. His body closed down, his emotions numbed, the sounds and brightness off the day dulled and his heart calmed. It was like a star collapsing into itself.

Pierre withdrew the needle. For a moment he stared at the blood which came from his hand. He felt he should be scared of it, that somehow he should have a new relationship with his body. But he didn't. He looked at the blood and then like always licked it clean and rubbed the spot dry on his trousers. Straightened up he left the toilet and made his way down, slowly, to the canteen.

He saw his mother from a distance. She was sat there chatting to some old woman like she didn't have anything to do ever again. When she saw Pierre she said to the old woman "here he is". The old lady heaved herself up and left. Pierre forced a smile as she passed.

Pierre's mother stood up. She seemed small to Pierre. He could hardly look at her. She had given him this life and he had squandered it.

"Good? Bad? What?" she asked, nervously.

"It's good," said Pierre, through tears, "I got lucky, mum... I got fucking lucky." And he fell into her arms and wept into the maternal safety of her neck.

"So all this nonsense is over now, son?" She asked. "You'll quit all this?"

Pierre held on tight. She felt something scared in him, something she hadn't felt in her boy for many years. She clutched him tighter too. Pierre nodded and sobbed. "Mum... Mum," he said, but never finished.

He wished it was over, he wanted it to be over, but it wasn't over. In the hospital, in the canteen, on an afternoon like spring turned bad, the day blew hard and the day blew fast, and the clock had stopped and the clock ticked on, and son held mother like mother held son, and this wasn't the end, not by a long shot, this was only just, the beginning.

- - -

Thanks as ever for reading... One day we'll all be rewarded properly. Shane...X

The Killing Fields

.
During the Vietnam war a term known as fragging occurred. It involved the deliberate killing of  bastard, abusive or gung-ho commanders and was usually carried out by a small group of soldiers during battle conditions so as the death would look like an accident. Initially it was done with grenade pins and later more surely with a nice quick bullet in through the back of the skull. These killings were fuelled by fear, young men sick of being harried out in front of machine gun fire or fed live down underground tunnels. Fragging was not a way out of fighting, if anything it was a collective reaction against an abuse of power. These men did not sign up for 'certain death' or ever agree to be a human Trojan Horse, but that's what they were used for. Fragging also happened during the very unique circumstances of war, a time when Men are the law, and walk not only with right of way but with the judges hammer and executioners pistol as well. In light of the nature of fraggings, and the circumstances wherein they came about, nothing much was ever made of them. They were mostly covered up and only one ever went down in any kind of official way.

Today another kind of 'fragging' exists, though very different from the killings described above. The fraggings I write of are not executed in far away places with high-tech weapons, are not collective decisions, and the death is neither a quick nor painless one. It also doesn't involve grunts killing seniors officers but rather scar-tissued addicts killing their foot soldiers. I suppose the only real similarity between the wartime fraggings is that someone is killed in very ambiguous circumstances and their death is brought about by fear – albeit a very different kind. These killings of junkie by junkie are also very hard to find any moral argument for. They are silent, secretive, selfish acts of humanity (yes, HUMANITY): a way not to die alone.

*

It was Marge who first tried to infect me with the HIV virus, and a few years later my best junk buddy John. How many others would also have tried to pass on their bad blood if they ever had the chance I dread to imagine, though not many ever had that chance. After wizening to this trick the first time I became something of a junkie recluse, only mixing with other addicts when I needed to, and only on very rare occasions fixing in the same room or toilet.

Of the two incidents mentioned above they each affected me differently. Marge's attempt left me angry and afraid while John's, because we were friends, deeply saddened and hurt me. But below any raw or seething emotions I could also kinda understand why they had done what they did – though understanding certain motivations did not in any way justify or make it easier, it only served to make it an even more terrifying thing.

As the years passed and I spoke to other addicts about what had happened, or explained it to doctors or drug workers, nobody was ever really shocked. Most addicts had similar stories, and most doctors had heard similar stories. Though by far the most disquieting feedback came via a friend called Bill who chaired an HIV support group twice a week in Leyton, East London. Bill told me that a huge number of the people in his sessions had confessed to intentionally trying to pass on the virus and those who hadn't could mostly still relate to another's motivations for trying to do such a thing. And then Bill calmly told me something which almost blew my socks off: he admitted that he himself had done the same just after being diagnosed. He told me how he'd then go out his way to pick up guys and harass them into having unprotected sex. He said it was never to coldly kill, that that would have been easy but pointless.  He explained it was important that people couldn't blame him any more than themselves... that he took comfort in knowing that someone else suffered the same emotions and regrets as he did. Bill said that one of the initial reasons he had started up the support group was because it was a healthier way not to be alone with the disease. Really Bill only confirmed what I already knew. And after he had we both sat there in silence, in a bar in Hammersmith, staring out on a winter evening which suddenly seemed to bite more cold. These were sad, lonely and desperate times, and not even the rowdy City Suits and flashing, wailing slot machines could drown out the view from there.

To some it may still seem like two bizarre incidents blown up into something they are not, that I was just unlucky. But the real fact is that the fragging of junkies by junkies, the intentional passing on of Hepatitis C and HIV in  IV drug circles is rampant and common practice. And though no junkie passing this blog will probably admit so much, may even deny it, it does exist and if you ever sit in on an HIV counselling/confessional group you will hear similar stories, though many not quite as fortunate as mine. It will come to pass that what I write of is much more than bad chance: it is  murder on a time-delay fuse.

* * *

Marge was a 6'3, lanky blonde haired transvestite. For the first 12 years of adulthood he had been the lead dancer for the Royal Ballet company, only leaving after his tits got so big that they hindered his performance and his crack and smack habits got so big that they hindered his ability to travel and stay away for long periods of time. His dancing partner was his lover who had died from AIDS way back in the early days of the disease, though Marge was always adamant that he himself had been lucky and tested negative. Now in his late forties, with just as many years of severe junk dependency behind him, Marge's ballet days were over, condensed down into three scrap-press-books of reviews and newspaper snippets intermingled with cut-outs of The Queen and Channel No.5 perfume adverts. Nowadays Marge made his living in less stretching ways: sitting down along the Holland Road with an array of pastel artworks  laid out before him. He sold each one for two quid – though there was the option to haggle. Of course his artwork's aren't what funded his drug habits. They were his excuse to sit out begging and not feel like a beggar. People would buy a painting for double and tell him to keep it in the bargain. Many would disregard the scribbles completely, preferring instead to get straight to the heart of the matter and toss coins at him. Marge would at first eye the coins in disgust, then the moment the  philanthropist was out of sight he'd scoop them up, count them, and then moan at how tight fisted the British were!

When Marge was especially hard up I'd lend him cash to right himself and then join him sitting outside for the evening as the coins rolled and bounced our way. I wasn't there to beg or because I needed money, I accompanied Marge as he wouldn't work the evenings alone yet needed to to repay me. So I was there as a kind of lowly guarantee that he wouldn't be assaulted or have his drawings kicked and stomped into the ground. Not that I ever stopped much. I only sat out with him maybe ten times and most of them we were spat at or a bottle would shatter against the wall behind us. Only once were we physically attacked. Marge freaked out and pulled a dirty syringe on one of the drunken yobs and ended up getting arrested. The truth is I wasn't there to protect Marge, or I was, but only so as he remained healthy enough to beg what he owed me. I knew if I didn't escort him out and babysit him I'd never see my money  again. I'm not sure if Marge ever realised that I was the lead ball weight on the end of his chain. If he did, he never objected.

During that time I was still a newcomer to the needle and Marge was one of a group of new users I had gotten to know from the needle exchange. But Marge wasn't like the rest. He was well-spoken, cultured and had a kind of nurtured intelligence (which means he had been taught how to eat properly). For those superficial reasons he didn't scare me half so much as the people who lingered around him. God, these were some serious C.H.U.D'S*, only they lived uptop with us and were slightly more deformed. Some would sit down in the street behind Marge and I screwing blunt needles into leaking abscesses. Others would lower their trousers in a doorway and quickly ram a needle into their femoral artery. These users scared the shit outta me and I didn't like being anywhere near them. There was something so dirty and hazardous about the needle in those early days – even my own used works would trigger panic attacks. Marge however didn't scare me; he just alarmed me. Especially his behaviour around syringes. He seemed to be obsessed by them. He had this thing where he'd act like Mummy-nurse and remove and cap needles from nodding junkies bodies. He'd also accept needles full of pre-cooked dope in the street and bang them up without a thought (skin pop them right in through his jumper). It was scary business, and was the first thing which made me question why anyone would be so carefree around other's spikes' and blood. Some nights as we sat out in the dark I would watch Marge and wonder where he'd be now if things had have gone right? Probably an alcoholic... he had that kind of a face, and his nose was a wine taster's wet dream.

I think looking back I wanted a friend. I was scared of what I was doing and wanted someone alongside me crazy enough to do the same, yet sane enough to be responsible. Marge seemed like that person... and he was interesting. He could talk about whatever the subject turned. I suppose I thought we were alike. That the only real difference was that Marge had been stewing in the shit longer. But really Marge and I were not alike. Marge had been twirling with the devil so long now that he had become confused over who was who. He was your friend if you bought him a beer and your lover if you bought him a hit. But if you sat besides him and had nothing you was suddenly an irritating inconvenience. He'd get all bitchy and use his knowledge to damn your interests and pick holes in your favourite author's or artist's works (as well as pick your pockets). He used that old junkie con of warning you of every trick and scam in the book while performing them on you. That I had caught Marge stealing off me the first ever time we met didn't help me trust him much. I never pulled him for that theft, preferring instead to watch him as he talked and smiled, and stole small scoops of brown whenever he thought I wasn't looking.

It was during my second month of intravenous drug use when our relationship soured and would never be the same again. Marge, the great opportunist, would try and rob something from me which I wasn't so fond of at the time but was trying desperately to keep: life.

It was a bright Sunday morning in the middle of Autumn. I had woken up to find myself clean out of new needles. The only place I knew I could get any on a Sunday was the Boots chemist on Kings Street – though they closed at 1pm and it was already past the hour. I was stuck at home with heroin, citric, filters but no clean needles to whack my morning fix up with. But it wasn't a tragedy and wasn't the first time I'd been caught out like this. I was still relatively new to this side of heroin use and wasn't organised in making sure I always had what was needed to have a fix. I was always lost for something or having to run to late-nite chemists for extra works or Vit C. So that morning, with no official needle exchange open, I gathered up my equipment and headed off to Marge's to see if he had any fresh spikes he could give me.

Marge lived in a little flat connected to the Lime Grove hostel: one of West London's major drug wash-up shores. Most addicts in the borough would end up being filtered through there at some point or other. And it wasn't a bad deal: free board and food and a cell check twice a day! It was packed to the tiles with mostly long term, mentally ill addicts who'd wash their smack down with Tenants Super and whatever downers or sleepers their stench had forced the local GP to prescribe them. Marge wasn't in the hostel proper but had somehow managed to wrangle one of the permanent flats on its premises. That was kinda like everyone's dream in those days: to get one of the self-sufficient Lime Grove flats. They were the after-junk-life paradise offered  up by  the God of the Hostel. The only catch was that to get one you had to be either sober or dying, and that's why for there only being five flats up for grabs the hostel was able to 'permanently' rehouse 50 people a year. That its success was based on its rate of eviction no-one seemed to care about. Housing and evicting fifty people were better statistics than housing only five. Anyway, these little apartments sat just below, down where all the hostel residents could see and drool over them. There were no throw out times, no bars on the windows, no sign-in desk. It was freedom for the lucky few; a place to secretly kill yourself in peace. Only for the lucky few who had ascended to Hostel Heaven it wasn't so much a paradise as an open hell: a den of addicts all cohabiting and thieving off each other. As everyone had once dreamt of getting out the hostel now they dreamt the same of this place. Only this was permanent and there were only two ways out, and neither was a very attractive proposition. So it was a dream turned to shit, and this is where Marge lived and where I knocked him up that bright autumn Sunday afternoon.

The noise that came down through the intercom wasn't static. It was Marge's rattling lungs and groans of pain which let me know he wasn't well. Then there were some crashing sounds, a posh “fuck”, the intercom bouncing off the wall and hitting the floor, another groan, and then Marge buzzed me in. I climbed the flight of stairs to his flat and followed his tall frail and aching body down the little hallway and into his bedroom.

“You've caught me without my make-up, Darling,” he groaned, painfully easing himself down on the bed and pulling a loose cover up and around him. “Oh I'm sick... Poor ol' Marge is sick... not even a fucking filter since last night. And that wig is useless! Just makes me sad.”

I followed Marge's gaze down to a blonde hairpiece on the floor. It was sad. It was cheap and sad and I could imagine him tearing it off and having a breakdown because there was no gear.

“And, er, what message have the Gods sent with Thee?” asked Marge, this time sounding pathetically cunning.

“Needles, Marge. I'm all out. D'you have any fresh spikes?”
“Ah needles... Well I'm certain I do if you have a teeeny bit of gear for me, Oh yes!”
“Yeah, I got a fix for ya... I'll even split the bag. I just need some needles.”
“Oh YUMMMEEE!” he exclaimed like a big posh baby, now springing to life and catching a touch of his usual theatrics. “Now that's a good wake up call! Ok, needles....”

Marge looked around in a small cupboard near his bed. As he rifled through bags and packets of shooting equipment he asked some questions about how I was getting on with the needle. I explained I wasn't organised yet and that injections still took a while and I'd without fail leave huge marks and still had trouble hitting even the huge veins, though I did always manage. Marge closed the little cupboard. I saw him pull a face. Then he was up and rifling through what would normally be sock drawers. “Oh Fuckery, I was sure I had some,” he cursed, “let me go upstairs and get one of Bill. Bill always has needles... and no gear!”

When Marge returned he was empty handed and fidgety. “Can you believe it, Bill's not fucking there? Fuck. He's always there!”

“Listen Marge, it's OK... just leave it. There's a couple of others I know. Someone will have one.”
“Yes, no doubt.... after all this is Shepherds Bush: The Horse's Stable! And what about splitting the bag?”
“I have to sort myself  first, Marge. It'll be the same deal with the next man. If they give me a spike they'll want a hit for it or start crying! I'll leave you a small hit, enough to put you right, then I'll  pass back around later after I've got sorted and scored again.”

For a moment Marge looked distraught and pissed. I saw the Bitch had entered him. Then he composed himself and said: “OK, look, I've got one needle that I was saving for me, but I'll let you have it... I've still plenty of half-decent used ones. But don't forget this... It's very rare someone gets my last works!”

I smiled, but my mind was already on Marge. I could see what was happening. And like a fool I watched as it unravelled, convincing  myself that no-one would be that mean... that I must be wrong.

“Ha, got it!” cried Marge, holding up a needle and throwing its packet back into the cupboard he had previously searched.. “My last one! OK, get the gear out and lets make ourselves pretty.”

I got out the small bag of gear but my thoughts were now on the needle Marge had produced yet kept a hold of. Not only was I concerned it may not be a fresh spike but was also worried because Marge had laid it down next to his own dirty needle. I wanted to be absolutely sure I got the supposedly clean one and that there would be no bizarre mix up. Into my spoon I emptied a 'junkie's half' of the bag. The rest I gave over to Marge. Together we cooked our hits to liquid.

“I'm ready, Marge, give me the needle.”

“Ready already? Now who's a Hungry Henry!”

Marge handed out the needle and then paused. He withdrew it. I had been waiting for it... this is how I knew it would go down. I somehow knew that needle was never intended for me to hold (and inspect). “Look, roll your shirt up,” said Marge, “ I'll show you how quick and easy it is!”
“Oh, that's OK... I want to do it myself... I prefer that.”
“But you'll be here all afternoon Shane, Darling... and I can't get myself well till you're finished. I need to soak my feet in the tub to get my knackered old veins up. Please, I'm sick. It'll take me seconds to pop fresh veins like yours... seconds.”

Marge knew what I was thinking. He knew what I was thinking because he knew what he was doing. “You're worried about the needle aren't you? God, I wish I'd have let you open it now. It's clean, Dear... you saw me throw the packet away.”
“Yeah but it's what I didn't see. I didn't see you take it out the packet....”
“Look, it's a fresh spike!” He said holding it up, “Now stop being such a drama queen and get 'em out!”

The needle looked clean, it did, but so do many of mine if I get a clean hit or have to transfer the gear to another needle for some reason. And of course now Marge had plucked off the orange cap and broken the seal which is the only other means to verify it by once it's out it's wrapper. It was too late. My situation was this: half my bag of heroin was in a needle I had doubts about, and the rest of the bag was in Marge's syringe which was 100% dirty. The gear was gone. I finally convinced myself I must be wrong and rolled my sleeve up and stuck my arm out. Without even using a tourniquet Marge looked over my arm. He was in a hurry. “Ah, there's a nice fat vein sitting up right there... I'll get that without even tickling ya!”

Marge put the needle against my forearm and made to insert it. That's when I cracked. I pulled my arm away but not before the needle had scratched my skin. Marge jumped with fright.
“But Darling what are you doing! I would have had that!”
“Marge let me see that needle... I want to see it!”
“Oh Gawd, I thought we were over that! It's a fucking brand new spike.”
“Then give me it... I'll cap it and do mine later. That way I won't keep you. Hand it over...”
“But Shane it's clean, let me ju....”
“Marge give me the FUCKING NEEDLE!” I screamed.

If nothing else Marge was a coward. When I shouted he kinda lost all coordination of his body and became flustered, caught between doing something drastic and doing nothing at all. Finally he put the needle down on the bed besides me. I picked it up. It was perfectly clean on the outside, but right down inside, where the needle enters the barrel, was a tiny dot of dried black blood. The needle was dirty. It had already been used.

Now I was panicked. I hadn't taken the shot, the needle had not even been in me, but the very top of the spike had pierced my skin and brought blood. It was enough. I called Marge a “Cunt” and hurled the needle at him in disgust. He could have it. If slipping someone a dirty needle is where he had got to then he could have it – on me! But I wanted no part. No excuses, no “you're wrongs.” I just wanted to leave and be alone.

At that point it was the dirty trick to get a fix that annoyed me. I wasn't aware then that Marge was HIV+. He had previously spoken freely of the disease and while admitting his lover had died from AIDS he was always adamant that he hadn't contracted the virus. He didn't seem to care about the stigma of the disease and so I reckoned: Why would he lie? I told myself that that concern was fine, that his crime was being afraid to lose his get-well fix and nothing more.

It was five months later when I realized it was something more... Much more. Over that time I still saw Marge about but I never spoke to him anymore. Something too intimate and unwanted my side had almost passed and there was something that disgusted me about it. Even in his face I now saw shades of something else, something ferociously selfish which I couldn't stomach. So I avoided him. But on this day in question I couldn't avoid him. He came stumbling out a building and almost crashed right into me. We both swapped a cold “Hello” and Marge asked how I was as he tried his best to move me along down the street. His behaviour was the same as it had been the afternoon he'd tried to spike me up with a dirty needle. I looked around wondering what he was up to that he didn't want me to see, and there it was, the building from which he had come from: The Terence Higgins Trust: group therapy for people living with HIV and AIDS. I almost fainted. And if I didn't regard Marge as such a piece of shit at that moment I would have held onto him to steady myself.

“Marge, what are you doing here... In there?”
“Er, Oh there... just meeting a friend.”
“So where is he?”
“Good question... though it's not a 'he'. But come on, let's go.”
“What you're not gonna wait?”
“I can't and anyway she's not there. Come on.”

I didn't say anything, just followed Marge down the road and feeling panicked and caught for breath. As we walked I kept asking Marge the question in my head but could never get it out. It seemed like a pointless thing to do. Marge would only deny it further. Finally I did ask, just as he made his excuse to turn off down a road which took him in the opposite direction to where he was going.

“Marge, are you HIV positive?” I asked. He stopped, raised his head and looked me in the eye. He didn't deny it; that was his answer.

I felt sick. I wanted to cry and run at the same time. I also wanted to lay an uppercut right on his jaw and stamp him into the ground. But I did none of those things. In one of the stop situations of my life all I could do was raise a weak voice and say: “What about the needle Marge... what about the needle?” Marge kinda threw his hands out, like he had no answer. And what did I expect him to say? And even more: what did I expect him to care? Humans are intrinsically selfish. Our first care is usually of ourselves. As I asked Marge about the dirty needle all my care was for Me. I couldn't give a fuck that He was maybe dying; I just hoped I wasn't. And sadly that's just how it is.

Heroin changed after that moment. I saw a danger and a dirt within it that I had never seen before. Of course I knew about the diseases and the risks before, but I figured as long as I didn't share I'd be fine. I never for one moment reckoned or planned against the chance of someone intentionally trying to infect me with HIV or Hepatitis. That was low, but it had happened. Not even two months into injecting and AIDS was a real and serious issue.

I didn't sleep that night. I laid awake thinking of Marge and that needle and the little prick of blood it had induced. I wondered if Marge had killed me and if the disease was in my body. I imagined pink and blue things swirling about in my blood, attaching to things and duplicating themselves. I thought of those terrifying adverts from the mid 80's that was my generations equivalent to the thought of nuclear warfare. At gone 3am I was up and in a real state. At that lowly hour I called my good friend Verity and sobbed down a phoneline what had happened. Verity, a one time nurse, couldn't do much right then but arranged to come and meet me in the morning. Until then not even huge amounts of smack could calm me – my mind couldn't be subdued on this one. Me, a severe hypochondriac at the best of times. Even when healthy I was convinced I was dying of cancer, and now I'd been given good reason to believe I was really dying. Well, that was too good an opportunity for my body to turn down. And so it panicked away... all night fucking long.

With the light came Verity and with Verity came hope. We met in a lousy café on the Goldhawk Road and over scalding coffee and and endless chain of cigarettes I went through what had happened. Verity asked me loads of questions. She was especially interested in the needle and how old it was. From pure calculation we was able to be sure the needle wasn't used in the last twenty four hours and was probably much older. Verity told me that the chances of me being infected was very very slight (for HIV at least). She said there was a bigger chance I could have contracted hepatitis C but even that was quite doubtful. She asked how long ago it happened and I told her five months. “Well, you need to get tested... it's the only way to be sure. It'd show up now if you've caught anything.”

To be tested scared me. In ways I didn't want to know and yet so badly needed to. What I wanted was a kind of low risk gamble, and so I kept questioning Verity over and over, trying to get her response down to a suitable level. It was only when she told me that she thought I had less than a 1% chance of being infected did I like the odds and agree to take the test. Though I made it clear that if the test came back positive that all romance was dead and I'd kill myself that same day. And I meant it.

To cut it short I got tested in a little clinic in Hammersmith. I had to wait 48 hrs for the results and two days later I was given the all clear. Verity was sitting besides me as the doctor spilled out the good news and gave me my test results. On hearing the news Verity began crying and I began thinking of Ace and wondering whether his phone would be on yet. What a great day it would be if after all these months of worry I could score early and get back home and sink into oblivion properly. Now that would be perfect! After having my life saved it was only right that I risk it again... if not what would be the point in having it back? The thought and the day was temptingly delicious in its coldness. The doctor babbled on some more but I never heard a word. Before leaving he referred me back to The Needle Exchange for a session on safe injecting practices. Of course I never went. I wouldn't need to. From that moment on I never ever shared a room with someone injecting again, and only on a handful of occasion ever had someone inject in my presence. The life scared me, and the people even more.

The next time I saw Marge was two years later. He was on crutches and looked like he had a stroke. His head had been cracked wide open from the base of the skull and circling across and round down to the ear. He was out of drag and had lost all sense or care of appearance. As he hadn't finally done me any damage I went over to gloat about testing negative and to ask how he was. He told me he had his skull fractured, that another addict who we both knew called Mick had walked up to him in the street and hit him in the head with a mallet. Marge had been in hospital for the past 8 weeks, was clean, though was scoring as he spoke. I kind of REALLY enjoyed knowing someone had done that to him. Had fucked him up for the rest of his days, permanently affected his head, speech, sight and walk. He was a dirty thieving cunt anyway, though it was harsh dues for that. Normally we just let it pass.

A few days later I saw Mick and asked what had happened. “Did the fucker rob you, Micky?”
“Kind of,” he replied.
“What d'you mean 'kinda??? Did he or didn't he?”
“He gave me AIDS.... on purpose. I tested positive three months ago.”

I couldn't believe it. What Mick told me was almost an exact replica of what Marge had done to me. Only with Mick it was worse as Marge had been slyly giving him dirty needles over a period of time and pretending they were from the clean pack. Where I had wizened to the trick Mick hadn't and had unknowingly been shooting up with dirty needles every time Marge was about Aghast I told Mick my tale. That's when it went really strange. Rather than wishing he was me, I saw he wished I was him. That it wasn't fair I'd escaped with my health and he hadn't. And in his eyes was a look of revenge. One less violent and more calculated, and one I suspect he will exact on someone other than Marge.

John

It was years later when my best junk friend John tried to infect me. In reality he was nowhere close and his pathetic attempt would never have worked anyway. At that stage I was too wary of other users to ever do anything silly. But he still tried and that's the thing, and that's what made me sad.

I had known John for about two years. I met him one day when there was not much gear about and he scored for me. He was a tall, stick thin Dubliner with water coloured eyes and a beautiful thick accent. He reminded me of past people and we became friends – mostly because whenever I'd bump into him I'd buy him a rock of his choice or put a score in his pocket. Our friendship was that. We never met up socially, or had a meal together or anything like that. We passed on the dope scene and I often helped him out. That was it, though we bonded never-the-less. He earned my respect by only once in two years ever calling my phone and asking for money. Even when he was ill he never used me as an option, and there's not many who'd be that precious with something. From that I took him as a loyal, decent person. And he was: John was a good man.

As the months passed I had an inkling that John maybe had HIV. There were weird happenings which I couldn't explain through junk logic. Like how I'd arrange to lend him money until he got his government payment, and on the areed day I'd turn up at his hostel with the cash only to be told he was in hospital. A week later he'd turn back up, clean of crack and heroin, and give me some fanny about a muscle problem, or a lung infection. I never doubted the reasons he gave, just the way he shrugged them off as if they were everyday and nothing serious. But I knew it was serious. Anything that would have a junkie laid up in hospital half sick is VERY serious. God, I've seen addicts with limbs hanging off through gangrene who wouldn't go to hospital for fear of not getting out the same evening and being sick or subdued with inadequate amounts of methadone. So for John to be in hospital on the day he was to get money was bizarre. When it kept happening I marked him down as one of the many 'closeted' HIV'ers on the injecting dope scene. John never did tell me and so it was only ever speculation.

My penultimate morning in England was a grey affair. It was a biting cold march day and I was to meet John to say goodbye. When I met him he was in the middle of some weird methadone sell whereby he'd earn £180, and so our last morning together was spent trawling around Shepherds Bush trying to track down a one legged addict called Jack The Peg. When we eventually found Jack – slopping down a free breakfast at The Great Commision Ministry Church – he told us through a mouthful of soupy porridge that he needed to cash his sick benefit before he could buy John's methadone. All together, walking at the pace of a man with one leg and two rusty crutches, we pigeon stepped it (Jack in the singular) down to the Post Office and queued up behind the dead, the pregnant and the insane.

Jack was in front leaning his weight on his walking aids. John and I towered behind him. As we got up to next to be called Jack spun around and through a mouth still mouldy with milky cereal, said: “I 'ope ta Christ they accept me facking ID! If it's Vijay ee'l refews fer'shure! Made me walk all t'way ta Hammersmith last fortnight... Me, wiv a missin' fackin' leg!”

John seemed unmoved by the news. He must have been used to all the piss around himself and took it as normal. But me, I was in a rush and could never bare such fucking around anyway. We should have already scored and been home by now. Who the hell 'Vijay' was I didn't care; I just hoped it wasn't him who was calling us forward.

When Jack turned around and shot us what would have been his teeth if he'd have had any left we knew that his ID had been accepted and the cashier was fingering off crisp twenty pound notes from the small pile to the left. Once given his money Jack held the notes up above his head and delighted shook them in the air. It meant nothing to John or I, but to the others in the Post Office it meant he was now going to go and blow the lot and get extremely fucked up on the tax payers expense. And that's exactly what he did. Within thirty minutes. Same as us.

“Who ya's scoring offa?” asked Jack.
“Ritchie,” said John.
“White City Ritchie?”
“Aye.”
“I'll have ta hide then. I owe 'im a score.”
“What you're after scoring yerself are ya Jack?”
“May as well, fack it! what's an extra twenny?”
“I'm gonna get of Ace,” I said, briefly entering the conversation.

John knew what I meant: let's drop this annoying cunt and get sorted. But he kinda pushed me back against my belly and made a sign to quieten down. As we walked on John pulled me ahead.

“With Jack in we can earn. One of each, sure as shite... Now dat roight d'ere'll be our little goodbye treat.”
“Fuck that, John... I'll pay the extra myself just to lose him!”

But John was an addict used to scheming and scamming, and turning down a couple of free bags wasn't possible for him. This was like finding a little sparkle of Klondike gold – even if it meant hauling a cripple up a steep mountainside to get it. It was another little make for John and he was thinking of tomorrow and I wasn't. Tomorrow I'd be gone. In a place where money couldn't help. John would still be here, fretting about the days to come and how to avoid having to regret selling his entire supply of methadone.

It would have been a long slow trot to Ritchie in White City had it not been for Jack the Peg pulling up lame halfway and waving John and I on ahead saying he'd catch us on the return run down to collect his bags. John and I rushed off, made the call and met Ritchie without any fuck around. Sorted we headed back down to where we'd left Jack and dropped him his bags off. Now John had his little gain safely in his pocket he couldn't give a shit about Jack any more, or get away fast enough.

“You don't wanna be anywhere near the loikes 'a him while carrying. Sure enough da feckin' police stop and search him every other day if dey don't! If you're within pissing distance an' dat happens, well, you're just as likely fooked yerself!” That was John's justification on leaving Jack behind so suddenly. Me I just didn't need justification. He walked too slowly and that was it.

As we hot-footed back to John's hostel John said excitely through mouthfuls of March mist: “Dat bag we made d'ere, da B, it'll be our parting fix for all dis shit man. You'll come'on up ta mine, ya will, we'll spoon and share it, sure... loike sharing a drink. A proper farewell, ya know?”
“What? Are you talking about sharing a spoon or a shot? I won't do either, but I hope you're talking about a spoon.”
“To hell wiv all dat bollix for a day, Shane. Fook! You're leading da fooking countree, man... ya gotta say a propa goodbye, now...  Sure ya can dis once share a little fix wi' me?”
“Oh No, I won't. We don't need that to say goodbye...”
“Well at least ya'll come on up? We'll draw ta'gedder. Ya can do that at least, will ya?”
“John, please,” I said, not wanting to argue or fuss over something so insane on this last morning, “let's just separate the bag and that'll be our goodbye. You've bought my last fix outta this place. That's a nice enough memory, no? Our goodbye we'll say in words or a hug.... not blood.”
“Ah com on ta fook now Shane! We may neder see one another again, man. You've gotta at least draw up wi' me... ya gotta.”

I didn't argue the point, just told John “no” over and over. It got so much that I even told him  he could keep the entire bag. That we'd say goodbye like everyone else, and then he'd go up to his room in the hostel and I'd traipse on  home to mine and through time and space we'd raise a needle to friendship and history. John wasn't happy with my snub, but he got to keep the entire bag of smack and I think that's what bought him.

“And d'your really leaving? Ya phone won't be on after tomorrow?”
“Really, John. Tomorrow morning I'm outta here. The plane's booked and I've transferred my script to a hospital over there. If I stay I'm even more fucked than if I go.”

As I hugged John goodbye he cried. Just like a baby, he held on tightly and cried.

“What'll become of us, man?” he asked through tears. “What da fuck will become of us?”

I hugged John back and told him to take care and that one day I'd return and take him back to Dublin. And then he cried even more, and now he couldn't stop.

*

John's tears are the last visual memory I have of him. I never saw John again after that, though I did hear from him.

It was over a year that I had been in France. I had gotten clean and then gotten dirty again. So it was good news one day when my mother phoned.

“Shane, there's a little surprise coming over your way! That fucking Irish John has just been around here, bought me two rocks of white and left twenty five quid to get you three of choice and post over. And you ya little bastard, you never told me he 'ad AIDS! An I've been sharing my fuckin' crackpipe with 'im!”

I didn't say anything for a moment. It was a shock. AIDS and I heard it in capital fucking letters too.

“What, he's HIV?”
“Worse... full blown! Been put on full incapacity benefit and so he was around here fuckin celebrating! He was all hugs and smiles saying he feels rich! When I asked how he got full incapacity, because I'm only on half, he told me that he was HIV+ and had now gone full blown!”

“Well I didn't know!”

“Well he says you did 'cause I fuckin' asked 'im! And you know the friendly way he talks, he said: yeah, I told Shane... he knew!”

I told my mum that I really didn't and then told her of him insisting on sharing a fix with me on the morning before I left. How even knowing he was HIV positive he had really tried twisting my arm into sharing a needle with him. My mother cursed him and called him every kind of a cunt. It didn't stop her having him around though. Why would it? Nothing bad had finally come from it and John bought her rocks of white. What crackhead but a very bad one would turn that down? I wouldn't either. Two months later though and John was history. Not dead... Robbed my mother and disappeared.

After discovering John was with AIDS I was at first sad and then extremely angry with him. I also had mixed emotions of fright and nausea knowing that it was once again that close. I started imagining silly scenarios of what could have happened and worked it up that it was a narrow escape. It wasn't really, but maybe there was a part of me that did want to toast a goodbye with someone. Have a friend that close that I felt comfortable to do such a thing with. When my emotions settled down I was still angry, and then that passed and I remembered how John had cried when I left and how the memory of his home town had cut him in two. After that I started to recall snippits of things he had told me  and how he so badly damned the needle but not heroin. It now made complete sense why. Heroin hadn't killed him; sharing needles had (or being duped into sharing a needle, who knows?) John felt hard done by. I then remembered him cursing his cousin with a vengeance, saying that he was the cunt who first pinned him up and got him on the needle. I also remember him saying his cousin had died from septicaemia. I suppose then that  not only was it his cousin who had  introduced him to the spike but had probably also infected him with HIV. I suppose, like Marge, John wanted someone else to experience the fear and hardship of what he was going through. That he didn't want to be all alone with what he had, but travel the road with another who was the same. But it's cruel. Humanity is cruel. And make no mistake about it what Marge did first and John did later, were human behaviours that are shocking and selfish but not incomprehensible or uncommon. They were just living up to the animal.

The thing is we suffer terribly alone, and a little less in company. It's why support groups kinda help. But no matter how many people we have around us when we die, when death comes every man must face it alone. In the hospital bed, or laying flapping on the kitchen floor: it's a dire lonely place. A man will never be as lonely or out on a limb as the moment he dies. I know, I've seen it, actually seen death enter the body and come out the other side. The fear and loneliness which that brings about. That's our fate. That's what it all leads to. No matter how much we run, or how many we drag along with us, when death comes it corners us, and every man will die alone. It's the only destiny we have.

My Love and Thoughts to ALL...

Shane. X



* C.H.U.D = Cannibalistic Humanoid Underground Dweller

Customs & Excise

Today I met a Goddess. She had no teeth, skin the colour of boiled and beaten fish, hepatitis A, B & C and probably HIV. She came all the way across town to rob me of 55 euros – I'm a lucky man. Normally she won't get off the toilet for less than a hundred, but today she must have been feeling extra charitable.

The Goddesses name is Sonia. That's her real name, no fucking around with her. She gives it straight. She tells you “You pay double and get half!” All I ask is that she don't dip into the 'half'. Nine times out of ten she does.

If it wasn't for Sonia I'd either be dead or sober. For the last two years, ever since David was sentenced to 4 and a half years in St. Joseph's prison, she has been supplying me in methadone and heroin. Only once has she ever let me down.

When I see Sonia, I see beauty. I'm blind to all her tricks and scams and cons. It's like I'm in love. I sit waiting for her for hours, send her desperate texts asking where she is and convince myself that she will stand me up. And then I see her. And she looks so wonderful and I suddenly feel whole again.

In france it is the custom to greet one another with a kiss on either cheek. Sonia and I don't care a fuck for customs. We do it with an old-fashioned hand shake. Sometimes we even say “hello.” Mostly though she just says “It's really small but strong!” Then she turns her back and is gone.

For the next 12 hours she is no longer a goddess, but rather a “fucking robbing junkie whore!” and someone “I'll never see again! Nah, that's it, I'm sick of that bitch... really, I'm fucking serious this time!!!” Come morning the smacks all gone and to feel only slightly shitty I swallow three times as much methadone as usual. Before I know it I am withdrawing money I don't have and paying my rent with a cheque that will bounce into orbit when the landlord tries to cash it. But so what, I've just hit the redial button and Sonia's phone is ringing. In just under an hour my Goddess will come, rob me again, and then I'll feel a whole lot better.

My fondest Wishes to All and a huge thanks to those who have sent mails and continued supporting Memoires through the rainy season. Something beautiful will surely be posted soon...


Until then, All My Thoughts, Shane. X

Help, I Think I'm a Hypochondriac

°
Apart from being born dying, my first experience of terminal illness came when I was 5. I lay on the sofa, bandy legged and nauseous after a school medical, feeling for whatt had been described as “an irregular heartbeat”. I heard that expression over and over again, and with each repetition the face of the school nurse became more drained and more concerned. Soon, in my young head, she had straightened up after listening to my chest, absolutely speechless and horrified. My future was so terrible, I was so damned, that it was unutterable. It must have been, as she sent me packing with a smile and without a word to anyone. I was only five, yet already I was preparing for the hospice... I was dying.

As neither of my parents were informed of my condition, I battled it alone, understanding what I could from my step-fathers thick volumes of medical encyclopedias. I never did leave those books with an exact diagnosis, but I did leave them with enough medical knowledge and facts about disease to fuel a 30 year long panic attack... and that’s exactly what I’ve had. I can barely remember a time when I was not bound to my bed by straps of irrational fears... imaginary pains shooting up my arms. And it really was that... I didn’t just imagine the symptoms, I felt them.

In the years following that first taste of phobia, I went down with the lot... every fatal disease imaginable. I had tuberculosis, yellow fever and jaundice. I succumbed to the plague, legionnaires, polio and parrots disease. With the winter came bird flu, pneumonia, bronchitis and meningitis. And survival done nothing to brighten my days, all it meant was I was alive to catch rabies, scabies and lockjaw through tetanus. At 10 I made the self diagnosis of HIV, and in the same year came down with diabetes and gangrene. When my brother whacked me in the head with a pair of swinging binoculars I collapsed with brain hemorrhaging. Three stitches later and a short taxi ride home I learnt it was more probably a slow build up of fluid in the skull cavity and that my death would be postponed until at least Friday. When my math’s teacher talked of cubic feet or square foot I looked down worryingly. And as for cancer... well. I’ve had tumours and growths of all sizes on every part of my body. I’ve had cancer of the lung, liver and stomach... I’ve even had cervical cancer and I don’t have any cervix. And that’s not all... oh no, because to top it all off, I worried endlessly that I was a hypochondriac. I certainly had all the symptoms.

But though I can laugh about this, there is a serious side, as it was due to these irrational fears that I first sought an escape from the world... that I first sought an immediate emergency exit. It wasn’t drugs at that young age but rather TV and books. In order to free my mind off a skipping heartbeat and shortness of breath, I’d curl up with a pillow and blanket close to the TV and watch fantasy films and cartoons. I’d become so enwrapped in them that I was lost to the world, lost to disease and lost to death. And it’s here that it is interesting... that it has a relevant place on this blog. Because there began a history of escapism... an early clue as to how I would handle future torment. From that very tender age I was already self-diagnosing and (in a way) self medicating... it was just a small hint of things to come.

As to how I first acquired this fear of disease is not clear, but there are two things from my early years that I can link this behaviour to:

1) my drunken mother feigning terminal illness for attention
2) my step-fathers tales of death, decay and our days out together - spent exploring he local cemetery.

This first point I’ve touched on in a previous post, so will not revisit here, though the second I will expand upon a little.

My stepfather was a bizarre man obsessed by the paranormal, magic and the afterlife. He would often predict the death of family members and explain in minute details all the macabre and grisly details. He would make pendulums and dowse the city maps for gold or lost money... he believed in fate, luck and chance. It will come as no surprise to hear that he was a compulsive gambler. Anyway, along with stories of gruesome deaths, ghosts and rotting bodies, he would take me for dark days out around the local cemetery. There, he’d clear the top stones off old tombs, and holding my little legs would allow me to lean far in... staring down into the blackness. Before a young boy should even know what death is I was looking at it. But death isn’t attractive or clever to a small boy... it’s frightening and scary, and I think my fear of disease (mortality) has more to do with these days passed with my stepfather than with my mothers declarations of having a terminal cancer.

I don’t know for sure, but whatever brought this into my life it exists and continues to this day. What is more bizarre and probably what many of you are wondering is: How can a person suffering with hypochondria become an injecting heroin addict? How can one with an irrational fear of disease take daily injections of street drugs from unsterilized equipment... leaving himself wide open to two of the worst diseases we know of? Well, I cannot answer that, and I do not understand it myself. All I can say is that it’s another one of the many contradictions that hold me together. It's all a balancing act...a calculation. If the the gain from the exit seems worth the loss of the entry, I do it. Actually, we all do that... it's called living.

Still, In relation to heroin and the needle, my hypochondria has served me well. My fears and paranoia of disease have ruled out any sharing of equipment or group use. In my ten years of heroin addiction only a handful of people have ever witnessed me inject... Of those, 3 were addicts. For me, even injecting in the same room is too close for comfort... it's asking for trouble. Instead, I score, sneak off alone and put up with the suspicions and accusations of being the police... the rat amongst the pack. And maybe I am a rat, but you'd better get used to it, because after surviving 35+ fatal illnesses I've got the feeling I'm going to be around for quite some time to come.


Wishing everyone the best of health, Shane.

Heroin Addicts Vs Junkies - A request.

Yes I do requests... hows a Heroinhead to survive if he doesn’t turn a few tricks now and again? This one’s for Lou over at http://brokenheartedmom.blogspot.com/ .


The Heroin Addict Vs The Junkie*

Within heroin culture there are myriads of different people one will encounter, and as with many other parts of society these groups tend to stick together. There are smokers, snorters and shooters, those that snowball and those who wash their smack down with downers and booze. There are the depressed, the oppressed and the repressed, the mentally ill and the mentally sane. There are the young, the old,  the dead and the dying. We are all in one house and we are all junkheads. We all crave the same drug and we all double up in illness when it comes a knockin'. But some of us accept that illness before others. Some of us do not break certain rules, and some of us are lucky enough not to need to. We are all dope fiends but we are not all junkies. In this post I will try to explain the difference.

I will start by saying that I am a heroin addict. I am not a junkie and never have been. I have crossed that road and I’ve assisted in it, but I have never taken it. There are many things I am just not willing to do for a bag. In contrast, my father was and many of my friends are junkies... out and out. When you’re in their company you’d do well to glue your shoes to your feet and padlock your trouser closed, because if there’s anything that can be stolen and sold, it will be.

A junkie is noticeable. He/she is the visible side of heroin addiction. The junkies habit is out of control and has led to a certain lifestyle. This lifestyle is of cheating, lying and stealing to get their dope money. A junkie scores on a day to day basis and from waking up doesn't quite know where that days drug money is coming from. He is open to most ideas, starting small and getting progressively more desperate as the day wears on. The point when he retires and accepts withdrawal is when he is sick. Until that point almost anything goes. The junkie is the scruffy, unkempt jack-the-lad that will wish you well as you leave on a shopping trip and then scramble up your drainpipe and in your window as soon as you turn off the street. He will ask you for money and if you refuse he will steal it. If you do lend it to him you can be sure you’ll never see it again. If you do it will be a symbolic gesture: “I have your money... but can I borrow it again until next Tuesday?” Next Tuesday? Well, we all know Tuesday never comes.
But junkies are not bad people, they are the creation of an addiction that has gotten out of control. Being a junkie is an economic problem, not a fashion statement. Not one junkie I know enjoys thieving, and all have a conscience. If they could fund their addictions without resorting to theft or underhand activities they would. No-one enjoys that kind of pressure and the last thing a heroin addict needs for a bad day is an arrest, or the police knocking down their door. When people talk of losing a loved one to heroin they are in fact referring to the junkie lifestyle.

In contrast to the junkie is his cousin: the 'stable heroin addict'. Stable heroin addicts are almost undetectable (unless you live with one). As long as they have their drugs they will perform and remain a valuable asset to society. They will work and pay taxes, do their shopping and pay their rent. They will hold intelligent conversation and will give you their undivided attention. The heroin addicts priority is in planning their addiction, in making sure they have their dope well in advance and not scored on a faily basis. They are able to buy bulk and ration properly. If funds are tight they will adapt their usage to that. Your Director, bank-manager or author of your favourite blog may be a stable heroin addict... you just wouldn’t know.

I am sometimes guilty of joking around this subject, but there is a real serious side to this distinction. Because junkies have a hard time supplying their habits they will often be using other opiates or downers and alcohol. Downers, anti-depressants and booze on top of heroin are lethal.  Between 90-95% of all fatal overdoses are due to a concoction of drugs. The junkie runs a much higher risk of heroin death than the stable addict. Junkies also run an increased risk of contracting HIV and/or hepatitis. They are often in the position where they have to share equipment. Not so much needles, but spoons and water and citric and filters. The reason why heroin is shared in the spoon and not divided by hand is that  former is an exact division (sucked up in milligrams) and the latter a division by eye. When done by sight, each party always thinks they’ve had the bad deal. So for peace of mind, its all into the spoon and then everyone draws up equal amounts of equally diluted smack. That's how it works. But in that draw, all it takes is one infected needle, one microscopic bacteria, and everyone is playing Russian Roulette. The junkie walks a fine line each day,  and it is one that I couldn’t keep my balance on.

As this post was from a request by Lou, it is only fair the last paragraph is about her.

Lou has a junkie son. He is called Andrew. Unfortunately Andrew is ‘out of bounds’ at the moment. Lou has experienced the lot: the lies, the scams, the stolen money and missing jewellery. She’s had her car stolen, her bedroom ransacked and probably her video recorder pinched. She’s had the early morning police calls and the bail charges. Her son Andrew made a road trip of US prisons and then went back for more. He has been in and out of rehab and jail for a long time. Lou loves Andrew, but Lou thinks she has lost her son. She has, but not forever. I tell Lou this whenever I can. I have to, because if Andrew is lost then so am I.

Keep heart Lou... It was never your fault.

Shane. X

Ps: Andrew's release date is in 239 days 1 hour and 10 minutes. If that doesn't seem long imagine being Lou, and if it still doesn't seem long try being Andrew.

*The word 'junky' was coined at the beginning of the 20th century and used to describe New York addicts who scoured the rubbish dumps and vacant lots looking for scrap metal they could sell in order to get the money for their next shot.

Romanticism & French Smack

The first hint of spring came today. It arrived on the breeze like a welcome kiss. Oh, its too early to celebrate the warmer seasons, I know, but this afternoon brought just the tiniest hint of romance. Some things transport me back to magical times, times that never really existed, and the changing seasons are always one of those things. I remember afew years ago, renting the upstairs flat of a Victorian maisonette in Fulham, and on warm spring or summer mornings I would flush and scrub the wooden floorboards with cold soapy water. The sun would heat the wood and the most wonderful scents would rise up. I would sit, bare-footed at my writing desk, smoking and reading... drifting in and out of fantastic and obsessive daydreams. That is what spring is to me... it’s the doorway to unrequited sensations. Spring offers it all. I think this romanticism is one of my biggest problems.

Heroin is also a romance... a distorted, depraved and narcissistic romance. Heroin has a history, an image. It has literary and artistic connotations... it is all glorious until one IS heroin, then things rapidly change. Romance turns to reality and reality is a solitary, introverted chase for the drug. Heroin is also a statement... it is a silent scream... a subliminal advertisement for help. But above all, heroin is a slow death - it is the way non-suicidal people choose to kill themselves. Heroin is how I will kill myself... I've known this for many years. I think I’ve already done it.

But for all this, I cannot come to criticise the drug. I honestly believe that if it were not for heroin I would already be dead. This is something that someone who has never had this addiction can never understand – the addicts lack of regret. I have seen junkies riddled by HIV or bloated and jaundiced by hepatitis singing the drugs praises. Their regret is not the drug, it is getting turned onto the needle. You must understand, death gets in the way of one’s habit... it is a permanent detour from the next shot... a permanent release from the pain. Death is neither welcome nor wanted. It is not suicidal depression that troubles the heroin addict... it is something else, something that I cannot yet explain.

* * * *

Today I will have to leave Lyon to score. This place is not like London with 10 or 20 dealers to each square mile. No, here you’ll be lucky if there are 10 dealers in trhe entire city.... it is very often that one cannot find anything. The only time this happened in London was during the war in Afghanistan. American troops on the border interrupted the usual drug routes and there was nothing on the streets for nearly two weeks. As you can imagine most junkies were anti-war! That drought went on in different manifestations for months – either low quality gear, or increased prices and smaller bags. In Lyon it is always like that. The other difference here is the wait. It can take up to six hours to score. In London you are doing badly if it takes 30 minutes. In France, the addict learns very quickly the importance of methodone as a backup. The rehabilitation rules are very lax here, so almost every junkie has their own script. That includes me... my problem is I need twice as much as what i'm prescribed, so I have to buy the rest on the street. Anyway, for now I have a good backup supply so the fear of junk illness is not a worry - that allows life to flow smoothly.