Tag Archives: addiction

My Battle With Opiates

October 11, 2016 by
Photography by Bill Sitzmann

I’ve had problems with a variety of drugs, but my story hit rock bottom with opiate addiction.

I was always a very straight-and-narrow kid growing up in West Omaha. I obtained my pilot’s license when I was 17, and I was very active in sports and fitness. I graduated with a 4.17 GPA, and maintained a 4.0 in my first year studying at the University of Nebraska at Omaha.

Toward the end of high school, I did the typical partying with friends: drinking at friends’ houses when their parents were away, maybe smoking a little marijuana. But I never felt I had lost control. My father was a functioning alcoholic, so, you could say I was somewhat predisposed to the disease of addiction. But what did I know?

So-called hard drugs caught me the summer after high school. First came ecstasy pills. I remember the first time I “rolled,” I was in my basement with a couple friends who were more experienced with drugs. “I hope this feeling would never end,” I remember saying. My friend looked at me and just shook her head as if feeling sorry for a little kid. The next day, I felt the worst depression I had ever experienced. It scared me. But, I kept taking the pills, chasing that feeling, only for a slightly less satisfying high as my body acclimated to the drug. After a summer of taking ecstasy two to three times a week, the depression stuck with me. I couldn’t seem to have fun without being high.

As I went into my first year of college, I started trying cocaine and opiates. A lot of my acquaintances—I say acquaintances because none of those people are in my life now that I am sober—were doing things like oxycodone, hydrocodone, morphine, and other prescribed narcotics. These prescriptions are relatively easy to get your hands on. There are plenty of other drugs that are synthetic forms of opium and heroin, too.

By my third year of college, I was spending $50-$150 per day to support my habit. Looking back, I don’t know how I could afford it.

Over the next two years my use of opiates grew more and more frequent. At first, I was able to hide my habit from everyone in my life. I can’t even remember how many times I was high in class or in the library working on homework. At the time, I felt in control. When I look back, I realize I was developing quite a few character defects: lying, manipulation, cheating, and stealing. Eventually it got to the point where I wouldn’t even do schoolwork without some sort of drug to aid me.

By my third year of college, I was spending $50­-$150 per day to support my habit. Looking back, I don’t know how I could afford it. I had a good job and minimal bills. I knew when the people I got my drugs from had a prescriptions refilled better than they did. I always figured out a way. Because without the opiates, I felt restless; I couldn’t sleep; I was simply miserable. It got to a point where I needed help. I couldn’t keep going on like that. After checking into a methadone clinic, I soon admitted to my mom and sister how bad I had gotten.

The methadone clinic was another horrible experience for me in the end. The $13 per day I spent bought me another opiate—meant to wean me off of my addiction to pills—that got me arguably higher than those prescription opiates I had been taking. Because of the high dosage, I was nodding off throughout the day. So, I made a decision to quit cold turkey. Relapse followed with a new sort of high, and a new low.

I didn’t sleep for two weeks, I was so restless I wanted to cut my legs off. I couldn’t sit still, I was tired, irritable, depressed, etc.

 After about two weeks, I shot up the pills for the first time. I remember it very clearly: I just gave in. I didn’t like life without drugs anymore. I told myself being sober wasn’t worth it. I was in the back seat of my friend’s car. We were with someone who used an IV, and she handed me my own syringe. She told me it was mine. I actually thought to myself. “What a kind gesture of her to give me my very own syringe.” Of course I had no idea how to cook down the pill we had to a point where we could shoot it up. But I paid close attention when she did it for me, tied me off, and injected it into my vein. My heart was racing. I fell in love.

It didn’t take long for me to become an expert. I had a box of 100 syringes under my bed along with all the cleaning supplies necessary to do it “responsibly.” Within about two months, my arms were beaten black and blue, I had lost about 20 pounds, and I was constantly feeling horrible. The only time I felt normal was when I was high. It was getting harder to find pills, though. There were days where I would skip class, drive around for eight or more hours with people I didn’t know just to get one pill or a few hits of incredibly overpriced heroin. Then again, there were times when it was easy to find, but never when I was dope-sick and desperate. It was a miserable lifestyle, a nightmare. One time I even drove to Denver and spent three days there just to get cheaper heroin. Aside from visiting the Garden of the Gods in Colorado Springs, I didn’t do anything other than shoot up heroin the entire time I was there by myself.

When I started the IV drugs I spiraled out of control really quickly. I went to a different clinic to get on Suboxone, a newer drug for opiate addiction. It made it so I couldn’t get high on opiates and so I wouldn’t have withdrawals. At first, I even shot that up just to feel a little high. I hated not being able to feel happy or excited. I was on Suboxone for two years. During that time, I converted my opiate addiction into an IV cocaine addiction with a side of alcoholism. Thankfully, I was able to stop taking Suboxone, but it was the hardest thing I have ever done. I didn’t sleep for two weeks, I was so restless I wanted to cut my legs off. I couldn’t sit still, I was tired, irritable, depressed, etc. I went into a drinking binge, not leaving my apartment for days at one point. I almost wished I had never got on Suboxone in the first place, but it served one purpose: It got me away from all my opiate connections.

The story of my addiction is not glamorous. In fact, there is a lot that I don’t remember too clearly. There is a lot that I’d rather forget. Addiction is not an easy thing to put on a timeline (which they asked me to do during both of my treatment center stays). Addicts don’t exactly have a structured lifestyle. It’s a roller coaster, complicated, and devastating. It’s taken me three years of trying to get to the point I am at with my sobriety.

battlewithopiates1Every day the disease of addiction whispers in my ear, rationalizing and scheming ways in which I could get high or drunk. Isolation is what it wants, so my defense is fellowship. The character defects that fed my addiction are still with me— I am an egomaniac with low self-esteem who copes by trying to control the world around me—but I work every day to address these problems. I’ve destroyed and rebuilt relationships with my family and friends. I have squashed my loved ones’ hopes over and over again, yet my family still stands behind me. Their support is what sustains my recovery. They know that I could relapse, that my fight is not over.

Sam requested omission of his last name at the advice of his Narcotics Anonymous and Alcoholics Anonymous sponsor. He participates regularly in Narcotics Anonymous and Alcoholics Anonymous meetings. Visit omahaaa.org for more information.

For more information about how Omaha fits into the nationwide opiate abuse epidemic, read: http://omahamagazine.com/2016/10/dying-for-opiates-in-omaha/ 

Dying for Opiates in Omaha

Photography by Bill Sitzmann
Illustration by Kristen Hoffman

Getting high on injected heroin—or one of the several synthetic equivalents—does not feel like an orgasm or a dozen orgasms. That is a mythical description the average non-user appreciates, so it gets repeated. The truth is more sinister. Whether you spike a vein with melted oxy in a back alley or get your Dilaudid prescribed in-hospital, getting high on injected opiates feels like being 4 years old, falling asleep in your mother’s lap while watching your favorite movie. You feel safe, warm, satisfied, and content to do nothing. Your nervous system melts like butter with a warm tingling sensation. Emotional and physical pain dissipate. Trauma becomes meaningless. You nod off. Occasionally, you approach consciousness long enough to melt into it again. And on it goes over and over. The first time is always the best, and no matter how long you chase that first high, you will never see it again.

According to Nebraska’s Vital Statistics Department, at least 54 people died from overdosing on opiates in the state during 2015.

Anything above and beyond pain relief is experienced as a rush of dopamine to the pleasure center of the brain. Addicts will escalate the amount of opioids they consume until coming across a bad batch mixed with other drugs—such as large-animal tranquilizers—or they stumble onto an unusually pure source, take too much, and overdose. Some users accidentally consume a fatal cocktail of prescriptions with alcohol or other drugs. In recent years, overdoses involving opiates have claimed the lives of several celebrities: the musician Prince, actors Philip Seymour Hoffman, Heath Ledger, Cory Monteith, and the list goes on.

In the state of Nebraska, deaths from opiate overdoses are on the rise. According to Nebraska’s Vital Statistics Department, at least 54 people died from overdosing on opiates in the state during 2015. Nationwide, the U.S. Department of Health and Human Services reported that six out of every 10 drug overdoses involve opiates of some kind. From 1999 to 2014, roughly 165,000 Americans died from opiate-related overdoses, quadrupling the numbers from previous years, according to the Center for Disease Control. The death toll is climbing. The most recent CDC estimates suggest 78 Americans overdose on opiates every day.

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The Local Frontline

Russell Janssen is a case manager at the Open Door Mission, located between Carter Lake and the Missouri River. At age 20, he was introduced to heroin and was an intravenous user until the age of 39. Off heroin now for nearly two decades, Janssen spends his days treating people with the very addiction problems he has faced and continues to battle.

“I’ve been clean for 19 and a half years and I’ll still have ‘using’ dreams,” Janssen says. “They don’t affect me the way they used to. When I first cleaned up, I would wake up in cold sweats. I’d try to go back to sleep and just couldn’t. I still wake up to this day, but now I can lay down and go back to sleep. The thought is always there, though, and never leaves us.”

Heroin addiction is powerful, Janssen says, too powerful for anyone to be completely beyond it, especially if they think they are “too smart to get hooked.” And while most drugs will provide some high with diminishing returns, heroin burns out the brain’s pleasure center and forces users to do more and more in order to “stay even” and barely functional. Serious daily side effects include nausea, abdominal pain, high agitation, muscle cramps and spasms, as well as depression and cravings leading to relapse.

“The problem with heroin is you have to have it just to maintain,” Janssen says. “It’s not just about getting high. I’d go through $150 a day just to maintain for the 12 to 14 hours that I was up. If I wanted to get high I had to go above that amount because you gotta have it.”

And “it,” per Janssen, is never the same twice. Prescription opioids are a known quality, but black market drugs are unregulated and full of pitfalls. Drugs are cut with useless fillers and other substances to increase profits for dealers: “People die because they’re doing so many weird things with it. People died in Cincinnati, Ohio, because they were mixing elephant tranquilizer in with the heroin. And even though heroin addicts know that it’s out there—and they know it’s killing people—they go looking, thinking ‘I’ve got to have it just to maintain,’ so they’re willing to take that chance.”

Janssen says the access to opioids through prescriptions has changed the face of heroin addiction, making it easier and less stigmatic to start, the biggest mistake anyone can make.

“In the `70s, heroin addicts were the lowest of the low. Even other drug users didn’t want anything to do with heroin users. That’s changed a lot today because people get prescribed opiates, and they think that if a doctor prescribes it that it can’t be harmful for them. But that’s a way that people get addicted. We’re gonna see a lot more people out (in West Omaha) getting addicted.”

Chris Eynon is an eight-year recovering meth addict, a graduate of the Miracles Treatment Program at the Siena/Francis House, and, for the last two years, its treatment coordinator. He is seeing an increase in the number of people seeking help for heroin and opioid addiction.

“We are certainly seeing an increase in the amount of applicants wanting recovery here (in Omaha),” says Eynon, who has also witnessed the dire circumstances facing East Coast communities. He spent several weeks during March in Cumberland, Maryland, a town of roughly 20,000 where he was helping a friend to start a prayer service for heroin addicts. “Out on the East Coast, (heroin addiction) is really significant there. Just in the small community of Cumberland, they have been devastated. Last year in their county they experienced 14 deaths due to overdose, and as of this year already they have experienced over 30. Most of them are high school kids, and most of them are heroin overdoses.”

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From Vietnam Vets to Millennials

The current heroin/opioid epidemic is reminiscent of the Vietnam War era when access to plentiful and pure China White heroin combined with the stress of combat, and roughly 15 percent of all enlisted men had fallen into addiction. In 1971, Operation Golden Flow (the unofficial name of widespread military drug testing campaign) was designed by the Department of Defense to “clean up” American GIs before sending them home. While many came home and never used again because the circumstances of their drug use changed drastically, others relapsed at home as black market heroin followed the demand back from Vietnam to the U.S.

A New York Times article from May 1986 reported the number of U.S. addicts at roughly 500,000 (with 200,000 in New York alone). That heroin epidemic began subsiding as popularity for crack cocaine took over the streets. Studies from the Golden Flow era laid the groundwork for much of what we know about opioid addiction in 2016.

With the widespread prevalence of opiate prescriptions, a 2011 study by the Department of Veterans Affairs found that today’s veterans are at an even greater risk than their earlier counterparts for heroin addiction, as the VA was treating chronic pain with prescriptions for opioids “almost exclusively.” The 2011 study reported that veterans are twice as likely to suffer accidentally fatal opioid overdoses than non-veteran civilians. Since the 2012 height of the VA’s opioid prescriptions to veterans, the federal department has made an effort to decrease opiate prescriptions in favor of more comprehensive approaches to pain management.

Over the past 10 years, the CDC has observed that heroin use among 18-25 year olds has more than doubled in the general population. According to the CDC, 90 percent of people who try heroin have tried at least one other drug first, and, an astonishing 45 percent of heroin users were addicted to prescription opioid painkillers such as Vicodin, oxycodone, oxycontin, fentanyl, Dilaudid, and morphine before switching to heroin. In 2014, prescription opioids killed more than 28,000 of the 2,000,000 Americans dependent on them. From 1999 to 2013, the amount of prescription opioids dispensed in the U.S. nearly quadrupled.

With the widespread prevalence of opiate prescriptions, a 2011 study by the Department of Veterans Affairs found that today’s veterans are at an even greater risk than their earlier counterparts for heroin addiction, as the VA was treating chronic pain with prescriptions for opioids “almost exclusively.”

A May 2014 report from the National Institute on Drug Abuse explains: “It is estimated that between 26.4 million and 36 million people abuse opioids worldwide with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted to heroin. The consequences of this abuse have been devastating and are on the rise.”

Across Socioeconomic Divisions

While the Midwest currently sees fewer opiate overdoses than the coasts, that danger is growing across all socioeconomic segments of the population.

Janssen, Eynon, and several recovering addicts who spoke with Omaha Magazine on the condition of anonymity agreed that teens, the affluent, insured and educated are at risk—because when experimenting with opioid pills, youths often hold the false assumption that nothing bad can happen with drugs prescribed by a doctor, even if those pills were obtained without permission.

“They might steal them from a medicine cabinet or have their own prescription at some point,” Eynon says, echoing similar points made by the other counselors that middle-class white people with many relatives, each with several doctors, might find themselves practically surrounded by easily obtained and occasionally leftover prescriptions. “In my opinion, we will see a lot of West Omaha-type addicts. Prescription medication is usually attained through insurance coverage. In order to have insurance, you would need a job, which falls more into the ‘rich kid’ category.”

Sara B. comes from the less affluent segment of recovering addicts. A fast-talking 32-year-old with attention deficit disorder, also a mother of seven, she signed over the rights to her children to her counselor for their protection while she sought help. She is working hard in order to maintain a relationship with her children.

“I started because people around me, family members were doing it,” says Sara, who has been clean now for the better part of a decade. She still has to guard against relapse, maintaining sobriety for her children as well as her health. She is wary of family who are still actively using. “Which is hard because you have to stay away from users when you get clean if you want to stay clean,” she says. “It’s too easy to fall back.”

Justin Schwope is a 26-year-old recovering addict with four years of sobriety under Russell Janssen’s wing at Open Door. His habit of choice was a speedball, heroin and meth, though other stimulants can be substituted.

“I’d been messing with drugs since I was 16 and my grandparents died,” Schwope says. “I wasn’t able to get clean until I tried kill myself with Lipitor and woke up in Creighton three days later and then transferred to Lasting Hope.”

All sources interviewed by Omaha Magazine agreed that the transition from pure opiates to street junk is the greatest threat to the health and welfare of addicts. When the easy access to opiates runs out, addicts look elsewhere risking everything just to stay even, and even to get that high.

“In Maryland apparently, there was a mass supply of prescription drugs or ‘pill farms’ that were seized and, as a result, (users) turned to heroin, which is cheaper and easily available,” Eynon says. “They have an addiction to feed and, unfortunately, the heroin is not like prescription drugs which are regulated…and the pills are always consistent in strength and dose amounts. When they switch to heroin, they have no idea of the potency or what it might be laced with.”

Increased Regulatory Oversight

Tragic stories of opiate overdoses and abuse have become too commonplace.

After Omaha resident Carrie Howard suffered a severe car accident, she began taking prescription painkillers. The pills led to an addiction that culminated in a fatal overdose in 2009. The legacy of her untimely death made waves through Nebraska’s legislature. Carrie’s mother is former senator Gwen Howard; her sister is Sen. Sara Howard of Omaha.

The elder Howard championed legislation that created a prescription painkiller monitoring program in 2011. But the program fell short in many respects. Sara Howard continued the family’s fight for improved regulatory oversight of prescribed opiates when she introduced LB 471 to the state’s unicameral.

Upon receiving first-round approval in January 2016, several senators recounted their own families’ close encounters with opiate addiction. Sen. Brett Lindstrom of Omaha revealed that one of his own relatives had suffered from a prescription painkiller addiction, an addiction sustained by shopping around different doctors and pharmacies. When the prescriptions dried up, Lindstrom’s relative turned to heroin.

The unicameral finally approved LB 471 in February 2016. It comes into effect in the new year. LB 471 will require pharmacies to report when prescriptions are filled, and would allow pharmacists to check records of past prescriptions to avoid abuse. There are two phases to this. Beginning January 1, 2017, all prescriptions of controlled substances will be reported to the prescription drug monitoring program. Beginning January 2018, all prescriptions will be reported.

A few weeks prior to Nebraska approving LB 471, President Barack Obama had announced that $1.1 billion would be made available for expanded opiate-related treatment opportunities across the country. According to a statement from the White House, “More Americans now die every year from drug overdoses than they do in motor vehicle crashes.”

Already in the previous year, Nebraska received two significant grants to combat statewide opioid-related abuse: one for more than $3 million over four years from the CDC for prescription drug overdose prevention, the other for $500,000 over two years from the Department of Justice.

The funding comes at a pivotal moment. America is experiencing a perfect storm for an opioid epidemic. War, health care in crisis, addiction, easy access, and low employment are among the many factors forcing opioids into the drug user’s spotlight. Once, only the lowest drug users shot junk. Today, if not tomorrow, someone you love might be the next junkie you meet.

To get help for substance abuse problems, call: 1-800-662-HELP.

Additional reporting contributed by Doug Meigs.

For more information about the epidemic, as told by a recovering addict from suburban West Omaha, read: http://omahamagazine.com/2016/10/my-battle-with-opiates/ 

Russell Janssen, case manager at Open Door Mission.

Russell Janssen, case manager at Open Door Mission.

Heather Kirk

December 4, 2013 by
Photography by Bill Sitzmann

Alcohol addiction can seem like the Mount Everest of personal hurdles to overcome, something Heather Kirk knows well. The director of Santa Monica House, a halfway house for women in the Omaha area, describes the challenges and rewards of running a care facility based on the Twelve Steps of Alcoholics Anonymous. She’s been affiliated with the organization for over a decade.

“Society has a stigma against addicts, especially women,” Kirk says. “What we do here matters. No woman is a waste of time.” She says the program gives those going through it the tools to overcome addiction. In addition to the Twelve Steps, Santa Monica House focuses on cognitive thinking to help residents make better choices. “We empower them not to be a victim. You are responsible to make a choice in your life.”

Kirk first worked at Santa Monica House in 2004 as an administrative assistant for three years. She left to work at the post office, but remained on the board of directors at Santa Monica. After working 12-hour days, six days a week at the post office, she wanted a better balance in her life, and she missed helping others. She eventually returned to a caregiver role as program coordinator of Iowa Family Works, a Heartland Family Services residential treatment facility for women and children.

Kirk stayed connected to Santa Monica by doing service work for the organization and joining its board of directors in 2008. She finally took up the position of executive director for Santa Monica House in May of 2011, all while continuing with her own education. She received her master’s in public administration last January.

“There’s a high burn-out rate among caregivers because they often neglect their own needs,” she says. “Self-care is very important.” She keeps busy with her family. She has two teenage boys who are 18 and 19. She also enjoys sand volleyball, bowling, and going to concerts. “I’m a fan of Rob Zombie,” she admits with a chuckle.

Her profession is a calling. “I’m a spiritual person. I believe there’s a plan. It’s not always my plan,” Kirk says solemnly. Since taking over as director at Santa Monica House, she has tried to set attainable goals to better the organization. Her ultimate goal is to grow and serve more women. “There are growing pains. It’s not everything it could be yet, but I work every day to get there.” There is the constant worry of funding and getting referrals. She has to work tirelessly communicating with the public.

Santa Monica House has been in operation for 40 years and has served over 2,400 women. The national success rate for people entering treatment programs is 47 percent. Kirk says Santa Monica House has a higher success rate than that, but it’s hard to quantify success. The fact that the home is gender-specific sets it apart from other organizations. “Many women are dealing with other issues, such as codependency and sex addiction,” Kirk explains. “Not having men in the program really helps them to go through the program without additional hurdles.”

She describes the typical state of the women entering treatment: broken, beat down, no other support, and no hope. Some of them are third-generation self-medicators. Still, Kirk says that these women have more when they leave than when they first walk through the door. Even if they stumble on the road to sobriety, all is not lost. “We give them the skills they need,” she says, “but more importantly, we give them their hope back.”

 

For more information on Sant Monica House, call 402-558-7088 or visit santamonicahouse.org.

Smoking Cessation Aids

March 25, 2013 by
Photography by Bill Sitzmann

The old saying “third time’s the charm” didn’t work so well for Laura Adams when it came to quitting smoking.

“Every time I quit, I’d be good for about six months,” she says. “Then I’d get stressed about something and decide to have just one. Well, once you start up again, it’s all over. It’s an all-or-nothing thing.”

Adams is not in the minority. Most smokers will try quitting multiple times before they are successful. There’s a lot more to smoking than meets the eye, say local smoking cessation experts. “There’s an addiction to nicotine, the actual habit, and the emotional dependence that all need to be addressed,” says Laura Krajicek, a smoking cessation coordinator for Nebraska Methodist Health System.

A smoker for more than 20 years, smoking had become a crutch for Adams. “It helped me deal with daily stresses,” she explains. “When I had a cigarette, that was my relaxation time, my ‘me time.’ Coffee, cigarettes, and break time all went together. It was hard to have one without the other.”

Adams knew that it wasn’t a “pretty habit,” nor one she was proud of. With a campus-wide no smoking policy at her place of employment, Alegent Creighton Health Immanuel Medical Center, Adams would have to “sneak” to an off-site parking lot to smoke. To mask the nasty smoke odor, she would slip on a different coat, pull her hair back in a ponytail, wash her hands, and coat herself with body spray before returning to the office. “It was an embarrassing addiction,” she recalls.

“When I had a cigarette, that was my relaxation time, my ‘me time.’” – Laura Adams, former smoker

When Adams learned about Alegent Creighton Health’s smoking cessation program, Tobacco Free U, she decided this might be the extra push she needed to help her quit for good. The program focuses on the use of group or individual counseling in combination with a smoking cessation aid such as nicotine patches, nicotine gum, or medications.

According to the Cochrane Review, an internationally recognized reviewer of health care and research, combining counseling and medication improves quit rates by as much as 70 to 100 percent compared to minimal intervention or no treatment.

“Success rates rise drastically when you combine the two,” says Lisa Fuchs, a certified tobacco treatment specialist at Alegent Creighton Health. The counseling portion helps people tackle the behavioral addiction, and the smoking cessation aids help with the nicotine addiction.

Which smoking cessation aid is recommended depends on how heavy a smoker, health conditions, as well as what seems to be the best fit for that person’s lifestyle, notes Fuchs. These aids are most successful in individuals who have been counseled on how to use them appropriately. The most common aids include:

Nicotine patch – The patch is a long-acting therapy that delivers a steady dose of nicotine over a 24-hour period and is designed to curb a person’s cravings for nicotine. This may be appropriate for very heavy smokers. The dosage is gradually lowered to wean a person off the nicotine habit.

Nicotine gum or lozenges – Gum and lozenges are short-acting therapies that deliver smaller doses of nicotine and can be taken as needed to curb the nicotine urge. Tom Klingemann, certified tobacco treatment specialist at The Nebraska Medical Center, recommends that smokers schedule the doses so that they maintain a steady state of nicotine in the body to avoid the nicotine cravings and temptation to smoke. In general, he is opposed to short-acting nicotine replacement therapies because “they keep people looking for a chemical fix even though they may not be smoking anymore.” They are also very expensive, and most people trying to quit can’t afford the $40 a week price tag they would cost if used appropriately.

e-cigarettes – These work by heating up a liquid nicotine substance that is inhaled as vapor. The product is not regulated by the Food and Drug Administration (FDA) and many still have a lot of chemicals that may not be any healthier than actual smoking, notes Klingemann. “These are not intended to help people quit but keep them addicted to nicotine,” he says.

Medications – The two primary prescription medications used for smoking cessation include Zyban and Chantix, with Chantix being the preferred of the two, says Fuchs. “Zyban is an anti-depressant and may be recommended for a person with mild depression to help with moodiness as well as decreasing cravings and withdrawals,” notes Fuchs. It is believed to work by enhancing your mood and decreasing agitation related to trying to quit.

Chantix is a newer drug and works by binding to nicotine receptors in the brain and blocking them so that nicotine can no longer activate those receptors, causing a person to get less satisfaction from smoking. At the same time, it also triggers a small release of dopamine, the reward neurotransmitter in the brain. It appears to be safe and quite effective, notes Klingemann. Krijicek says that her clients have seen the most success with this aid.

“Success rates rise drastically when you combine [counseling and medication].” – Lisa Fuchs, certified tobacco treatment specialist at Alegent Creighton Health

Adams used Chantix, which she said helped curb her nicotine urges. But what helped the most, she says, was to change the habits that she associated with smoking. For instance, instead of coffee and cigarettes in the morning, she reached for coffee and orange juice. Because she normally smoked while driving, she changed the route she drove to work. She also replaced the time she would have spent smoking with more positive habits like walking her dogs, running, bicycling, and swimming.

“Once I quit, I started making healthier decisions in other parts of my life as well,” she says. “I started eating better, drinking less caffeine, and exercising more. I feel better now.”

“For 90 percent of smokers, the addiction is behavioral,” notes Klingemann. “It’s all of the other stuff that drives the smoking addiction. Until you start changing your behaviors and routines, it’s really hard to quit.”

The Troy Davis Story

December 25, 2012 by
Photography by Bill Sitzmann

Leading Omaha hairdresser Troy Davis long ago showed an educational and entrepreneurial knack for his craft and for building the Edgeworthy brand at Fringes Salon & Spa in the Old Market. Now that his mentor and longtime business partner, Fringes founder Carol Cole, has sold her interest in the location, he has a new partner and a new focus on managing costs. The result is record profitability.

“Fringes of the Old Market is the busiest and healthiest it’s ever been,” says Davis, who’s made Fringes an Omaha Fashion Week fixture.

“Troy and Fringes have been a very important part of Omaha Fashion Week, as they style many of our veteran designers and constantly impress with their ability to interpret the latest hair and makeup trends on our runway,” says OFW producer Brook Hudson.

Davis is glad to share in the success. He’s lately seen members of the Fringes team represent well in a recent competition and awards show. Never content to stay put, his Clear Salon Services business is a new generation, grassroots distributorship for independent hair-care brands.20121130_bs_6230 copy

These professional triumphs have been happening as Davis addresses personal problems that “came to a head” last August but that have their roots in the past. Growing up in Blair, Neb., he began drinking and using drugs to mask the sexual identity issues he confronted as a gay teen in an environment devoid of alternative lifestyles.

“I felt so completely isolated. I lived in fear so badly that I hid it with drinking and weed,” he says.

A healthier form of self-expression he excelled in, speech and drama, seemed a likely direction to pursue out of high school. But first he moved to Omaha to experience the diversity he craved back home. He briefly attended Nebraska Wesleyan University in Lincoln, even landing the lead in the school’s fall production, before dropping out to attend beauty school in Omaha.

From their first meeting, Davis and Cole knew they’d found a new best friend they could grow in their chosen field alongside. She says she immediately responded to his “passion and energy and drive,” adding, “Troy Davis has definitely made me a better person and stylist and leader.”

Within four years, he’d proven to be such a trusted asset that Cole partnered with him in opening the Old Market shop.

“I’ve always been a very honest and open person. I’ve actually shared publicly via Facebook some of my bottoms and what I’ve learned.”

“He earned that,” she says. “He just really wanted to be downtown. His heart was there. I finally said, ‘Look, if you want to be a partner, I’ll do it, but you’re going to have to step it up and find a location.’ And he did. I have to give him a lot of credit because he put a lot of grunt work into it to get it started.”

The rest is history, as Fringes became a presence in the Old Market for its ultra-contemporary, urban styles and high-end hair care and beauty services. Cole let him run things there so she could concentrate on Fringes’ West Dodge site.

For Davis, Cole’s been more than just a business partner.

“Carol and I are so close. We just absolutely click,” he says. “She’s a very intelligent, very professional business woman. There’s not a lot of partnerships that make it. In a lot of ways, our relationship is like a marriage, only platonic. I think it’s healthier or better than most marriages I know of. We are able to communicate in a way that most people are not. We can say anything to each other, and even if it’s something that ends up hurting each other, we know that’s not our intention. Usually, it’s one of us misunderstanding something, and we’re always able to go back and clean it up.”20121130_bs_6095 copy

Davis has moved fast within the industry. While still in his 20s, he became one of 10 international creative team members for Rusk, a role that saw him flown all over the world to teach other hairdressers the use of the international distributor’s haircare products. He worked in the Omaha salon during the week and jetted around on weekends. It gave him the stage, the lights, the theatrics he felt called to. It also meant lots of money and partying.

All the while, his addictions progressed.

He was prepping for the always-stressful Omaha Fashion Week last summer when he and his life partner split for good. Amidst the breakup, the all-nighters, running his businesses, and leading an online advocacy campaign for a Fringes team that showed well in the national Battle of the Strands competition, Davis crashed.

“By the time I hit bottom, I was drinking every day and drinking to black out three days a week and, you know, it just had to end. I finally realized I am an alcoholic. It was a real wake-up call.”

He’s now actively working a 12-step program. “It’s definitely helped me get sober. I definitely thank my Higher Power for the strength I’ve had to get where I am today.”

He’s not shy sharing his ups and downs. “I’ve always been a very honest and open person. I’ve actually shared publicly via Facebook some of my bottoms and what I’ve learned in my treatment. In order to achieve something you need support in your life, and there is a connection through Facebook with family and friends that I think is very useful. I see it as an opportunity to share with them what I’m going through and the choices I’m making for myself.”20121130_bs_6028 copy

He calls his 12-step group “a new addition to my family,” adding, “They’re great people.” Like many addicts, he’s replaced his former addictions for a couple new, blessedly benign ones—Twitter and tattoos.

As his recovery’s progressed, he’s grown in other ways, too, including taking charge of his Fringes store’s finances. “It’s absolutely the best thing that could have happened for this business. It’s given me a whole new level of accountability. I see things more clearly and because of that, we’ve broken through a plateau we were never able to get past.”

He credits new business partner Sarah Pithan, a former assistant, for helping increase business by more than $4,000 a week. He also credits the “amazing team” he and Pithan have cultivated, including Omar Rodriguez, Kristina Lee, and Teresa Chaffin, for taking Fringes and Clear Salon Services to new levels.

For more information about Fringes Salon & Spa, visit www.fringessalon.com.

Read more of Leo Adam Biga’s work at leoadambiga.wordpress.com.