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锟絃ittle Black Lies,锟?by Sandra Block. Grand Central Publishing, New York and Boston, 2015. 352 pages. $15 paperback.Who do you believe? Your psychiatrist? Your mother? Your brother? Maybe not. Dr. Zoe Goldman, a resident psychiatrist in training in Buffalo, New York, goes with her gut 锟?a circuitous route that makes this psychological thriller a twisty, fun ride.As her adopted mother sinks deeper into dementia and forgetfulness, Zoe锟絪 need to learn more about her birth mother, Beth Winters, grows more urgent. Beth died in a house fire that also trapped and injured Zoe, who was 4 at the time. Zoe wants to know what her mother remembers before it锟絪 too late. In the meantime, Zoe锟絪 anxieties are mounting. Whether it锟絪 Zoe锟絪 beautiful new psychiatric patient, Sofia 锟?who killed her mother and stabbed her brother when she was 14 锟?or her own adopted mother锟絪 decline, something is suddenly provoking her to suffer disturbing nightmares about the house fire.Zoe is a force to be reckoned with at 6 feet. She锟絪 willful, upbeat and wry. She gets along well with her fellow residents in psychiatry at their hospital in Buffalo. She has a handsome on-again, off-again boyfriend everyone calls 锟絫he Frenchman,锟?and he clearly harbors some secrets of his own. A delightful new love interest has a hard time competing with the Frenchman, however. Zoe manages her relationship with Dr. Grant, the censorious psychiatrist in charge of her training, with just the right amount of detachment and resistance. And her younger brother, Scotty, with whom she now lives, is a likable, well-meaning young man who fails to heed his sister锟絪 intuition.Zoe has her own psychiatrist, Sam, whom she sees weekly. It锟絪 an interesting relationship 锟?part mentor, part healer. And if they don锟絫 really like each other, they manage polite tolerance. When Zoe tells Sam she doesn锟絫 trust her patient Sofia, he says the protocol is for doctors to believe their patients. Zoe锟絪 not so sure that锟絪 the right tact.As Zoe continues her quest to learn more about her birth mother, the tension escalates. She finds evidence in her mother锟絪 yearbooks that the storyline she锟絪 been fed as a child may not be true. According to her adopted mother and father, Zoe锟絪 birth mother, Beth, was her adopted mother锟絪 best friend. Her mother and father gave her newspaper clippings documenting the house fire that killed Beth. And they gave Zoe a photo showing Beth and Zoe when Zoe was just a baby. As Zoe unravels the purported family history, she leans on her adopted mother, imploring her to try and remember what really happened. Either she can锟絫 remember, because of the dementia, or she won锟絫 say.A parallel story unfolds as Zoe works with Sofia, whom Dr. Grant thinks is ready to be released after two decades of treatment for the act of matricide 锟?a very bloody and gruesome event Sofia锟絪 brother refuses to forgive her for. Page 2 of 2 - He tells Zoe his sister is a monster underneath her lovely demeanor. But Sofia insists, convincingly, that she can锟絫 remember anything that happened. Zoe wants Sofia to remember what happened before she锟絪 released.These parallel stories about remembering make for some interesting conjecture. When Zoe tries hypnosis to try and retrieve memories from the night of the house fire, we end up with three key characters that lack essential recall. It锟絪 a bit of a feat to build a 360-page story around a lot of missing memory.Author Sandra Block, a Harvard grad who is now a neurologist in her hometown of Buffalo, keeps several stories going at the same time. By the end of this quick read, everything dovetails nicely.Rae Padilla Francoeur锟絪 memoir, 锟紽ree Fall: A Late-in-Life Love Affair,锟?is available online or in some bookstores. Write her at rae.francoeur@gmail.com Read her blog at freefallrae.blogspot.com or follow her on Twitter at @RaeAF. <a href=http://www.michaelkorsoutletsinc.name/>michael kors outlet</a> Share <a href=http://www.coachfactorysoutlet.us.org/>coach outlet</a>
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We were talking about death, about the growing number of young people killed by overdoses of heroin and prescription drugs. If anything would scare people away from drugs, I said, it would be the death of a friend.锟紸re you kidding?锟?said Philip. 锟紹ack when I was selling, if someone I锟絛 sold to died, I锟絛 get 10 new customers. They figured I must have the good stuff.锟絋alk to people who锟絭e seen the prison of addiction from the inside, and you quickly realize they don锟絫 think like the rest of us. That锟絪 what happens when you have a disease of the brain.锟結ou don锟絫 think about the danger of overdosing when you锟絩e using,锟?Leo Henry told me. Leo, 35, is from Somerville, Massachusetts, but now he shares a small cell at the Middlesex House of Correction in Billerica. 锟結ou don锟絫 think about anything when you锟絩e shooting up heroin,锟?he said. 锟結ou锟絩e the walking dead, basically.锟絀t锟絪 no way to live, and a good way to die. Overdose deaths are going up, for lots of reasons: Heroin is cheap 锟?$5 will buy you a bag in many neighborhoods 锟?and it comes laced with fentanyl to increase its potency. Addicts go through a five-day detox 锟?they call it a 锟絪pin dry锟?锟?and then go out and shoot the amount they were using before and it knocks them cold.They call it an opioid crisis because it started when doctors starting writing prescriptions for what is essentially synthetic heroin 锟?Oxycontin, Percocet, Vicodin 锟?with wild abandon. Louis Rosario started using opioids at 17, when he was still a student. He kicked the habit once, he told me, but then came down with leukemia, which meant a return to prescription painkillers and addiction. He锟絪 36 now, with both his diseases 锟?the cancer in his blood and the addiction in his brain 锟?now in remission. He锟絪 using his time in jail to make sure it stays that way. 锟絀锟絤 blessed that I got here,锟?he said. He has daily classes and group meetings filled with frank, often emotional, talk about who they are, what they锟絭e done to themselves and their families, and how they锟絩e going to put things back together again. Jail isn锟絫 the best place to receive treatment for a chronic brain disease that often comes packaged with mental illness. But sometimes it锟絪 the only place where an addict can stay safe and sober for the few months it can take for his head to clear. Increasingly, it锟絪 a place where the parents and spouses of addicts turn in desperation for help. They try to find a spot in a treatment program, but there are never enough beds, the rules are too complicated or the care is too expensive. They appeal to a judge for a civil commitment so their addicted loved one can be locked up for his or her own protection. Page 2 of 3 - Outside of jail, treatment comes in a variety of forms. It starts with detox, but detox alone is rarely enough. Counseling and mental health treatment has to be part of it, especially since addiction so often goes hand-in-hand with illnesses like depression, schizophrenia and bipolar disorder. Drugs play a part in many addicts锟?recovery: methadone for those who need the structure of a daily visit to a clinic; Suboxone helps some fend off the cravings, but it can leave you buzzed. Henry says he wants to get on Vivitrol, which prevents opiates or alcohol from getting you high.But pharmaceuticals can锟絫 provide the social support that is so critical to getting and staying sober. That锟絪 why groups like Alcoholics Anonymous and Narcotics Anonymous are important 锟?and nothing is as important as family.Michael Fahey, 22, started doing drugs in middle school in his hometown of Hudson. By high school, he had developed an addiction to Percocet. Then the police intervened, charging him with a crime he锟絛 rather not talk about. 锟絁ust say I was busted for stupidity,锟?he told me.That landed him in jail for three days and sentenced to house arrest for a couple of years. 锟絀 was lucky,锟?he said. His parents provided a lawyer who helped him avoid a long prison sentence, and they took Fahey back into their home, where his druggie friends weren锟絫 welcome. He also had a good friend 锟?now his fianc锟?锟?to stand by him. She and an uncle in recovery got him to his first AA meeting, and he hit four or five meetings a week for the next two years, completing all 12 steps.These days, Fahey doesn锟絫 go to as many meetings. He pumps gas during the day and performs standup comedy at night, working some of his story into his humor. He doesn锟絫 define himself as an addict anymore. He锟絪 got a family 锟?his fianc锟?and her two children 锟?depending on him, and career ambitions that leave no time for getting high and dozing off. I told him I锟絭e seen studies that show the single most important factor in preventing men who锟絭e done time in prison from getting in trouble again is a commitment made to a good women 锟?social science again proving what people have known about for millennia: the power of women to civilize men. Fahey laughed and said, 锟絋hat锟絪 my story.锟紼very addict锟絪 story is different, and too many of them end in the grave. But there are success stories as well, more than most people know. An estimated 23 million Americans are thriving in long-term recovery, having learned to hold their diseases at bay. With the right treatment at the right moment, and the right people to help them along, the walking dead can find new lives.Page 3 of 3 - Rick Holmes writes for GateHouse Media and the MetroWest Daily News. He can be reached at rholmes@wickedlocal.com. 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