Well - she did it! It hasn't been fun or easy (didn't expect it to be!) - but didn't expect it to be this bad either.
When it came down to the wire the second time (because we'd already left for detox once that didn't turn out to be detox because of the program, not Naomi), she was scared and reluctant. Sunday morning every 15 minutes was - "I can't do this right now" - then "I have to do this." When it came time to leave, it was "I'm going, don't rush me." We arrived at the hospital 2 1/2 hours late (we'd called to make sure that wasn't a problem).
They hooked her up to the morphine drip - after having three different nurses in to find a good vein. Poor thing - it ended up being in her right elbow, which meant it was really awkward to lie down or move around, and she had to keep her right arm straight all the time.
We were all a bit upset when we found out we couldn't stay the night in the room with her, which we'd been told we would be able to. She did NOT want us to leave. And the worst was she finally fell asleep late evening (visiting hours were technically over at 9:00pm) - and we were unable to wake her to tell her we had to go! Gary, with typical forethought, suggested we stop at a diner right next to the hospital. No sooner had we ordered than the cell phone rang with a panicing Naomi. He bolted back to the hospital for a few minutes, and the hospital did allow him up to see her for a few minutes.
But she was so uncomfortable, and starving - and they wouldn't let her drink water, they gave her a diuretic (sp?) to completely flush her system, and basically it was just a nightmare for her. (We weren't expecting no drinking of any kind - the instruction sheet they sent home with us said clear liquids, like apple juice, would be allowed. It was an issue of managing expectations).
At 4:30am she called us on the cell - she was leaving, period. We told her they would NOT let her check out "against medical advice" because of the amount of morphine she had rolling through her system - and she knowingly signed paperwork that said she understood that. She was going to leave anyway - sneak out and hitchhike home. We calmed her down to the extent possible, and beeped the doc to let him know she was having a major panic attack. Oh - right - forgot to mention. Because of the level of her habit, he'd put her on twice the morphine than is normally "prescribed." But because of that, he didn't want her to have any Xanax. This hadn't been explained to us, and if it had been, we'd have told him she would gladly trade the extra morphine for Xanax, because she does have terrible anxiety problems. So anyway, he had the nurse come in to give her a different time of anxiety medication, and she did calm down and fall back to sleep.
But they told us to expect she'd sleep through the night and all the next morning - and basically through to check out on Tuesday morning. Didn't happen. Arrived Mon morning to a very awake Naomi, on the verge of another panic attack. One of the staff from ODI came over to calm her fears about general anaesthesia. Doc ended up having to prescribe another shot of anxiety medication, and she did fall asleep for the last few hours prior to the procedure. The staff member from ODI said she'd make arrangements with the hospital for Gary to spend the night in the room with Naomi - if they promised no talking, period. They said she'd be out of it after the general anaesthesia until the evening, so at that point I headed home to clean up the house, toss all of her heroin-related paraphanalia (which Gary had already collected together Sunday night) - and search through all her stuff to make sure she hadn't stashed anything.
Because Gary wasn't allowed in recovery, he headed back up to her room. The nursing staff kicked him out, and said that he wasn't allowed to see her until he came to pick her up the next morning. Gary very carefully explained to them that there was obviously a communication problem, but he'd promised Naomi on the word of ODI that he'd be there when she woke up, and he was not going to be made a liar. Bottom-line was after meeting with many and various people (finally it was the President of the hospital), they let him stay in the waiting room in her wing - which was about two doors down from her. She called the cell freaking out when she woke up - and he told her where he was and what happened and she calmed right down.
We were told to expect that she'd have diarrhea for a day or two, and that she would feel like she had a mild case of the flu for several days.
That is not what happened. It was more like she'd gotten the worst case of seafood poisoning we've ever seen. She got home and couldn't keep anything down, had terrible diarrhea. Because of the vomiting, she can't keep any of the medication down, so she's going through withdrawl. I'm really not sure what we paid all that money for - she and Gary do point out that it's milder than if she was quiting cold turkey - but she's got the shakes, the skin crawlies, the horrible vomiting and diarrhea, and she's hallucinating - badly. She can't sleep at all. FINALLY after trying different combinations of things at the suggestion of the ODI doctor, we asked for an alternative anti-nausea medication. By Wednesday evening, there was nothing left to cause diarrhea, so they prescribed an anti-nausea drug in suppository form. That helped. She was able to keep down the sleeping pill, the valium and the anti-depressant. But as soon as she took the medication for the nerve issues, she threw up again.
We kept trying all night last night. FINALLY this morning she kept enough down that she fell asleep. And she's still asleep, thank God. She'd had a cumulative four hours of sleep since Monday, and I'm sure the sleep deprivation wasn't helping the hallucinations any.
Our hearts were just breaking though. Despite being so sick, and feeling so terrible - she apologized every time she threw up, any time she asked for something to drink she asked if she was being too greedy - and she kept thanking us for making this be able to happen for her. The Naomi on heroin was also really sweet - but the Naomi on heroin could also be a serious brat, and one that was completely self-centered and totally unaware of how her time and demands affected other people (not just us) and their schedules.
I have no idea whether or not she'll be able to stay clean. But she hasn't expressed out loud any complaints about how she's feeling (although she will tell us when asked), she keeps thanking us depsite how lousy she's feeling (and it was NOT supposed to be like this) - and she says she doesn't feel any cravings (yet), and is looking forward to being well enough to start therapy. I hope today's rest will really help, because the appointment is for tomorrow.
And those people at ODI told us Friday was too late - we needed to start therapy ASAP. So we scheduled a new appt for Wed. afternoon, but kept the Friday. It was clear Wed wasn't going to happen, so yesterday morning I called to reschedule for today - still keeping the Friday. And today I had to cancel because she's weak, she's dehydrated - and she was finally asleep, which she desperately needs. We were told that if we cancel tomorrow's appt, they will not schedule another one. "Thanks, ODI" I say sarcastically. This is the best Doc in this area for this problem. We do have another set up - but it's almost an hour away. So if Noami's not up to it, Gary or I will go keep the appt. This is just crazy stuff.
So - Naomi's been a real trooper (since discharge from the hospital). I have no idea what will happen, but now we're not even worrying about taking things one day at a time - we're just taking them one hour at a time right now. And I hope she can sleep and sleep and sleep and sleep and sleep right now. And I also hope she wakes up feeling much, much better than she has, and that she can keep some liquids and medication down.
The next few days will be very interesting!
Thank you again for all your support and vibes and prayers for her. She made it through the rough patch and is in good spirits despite the physical discomfort and the failure of reality to meet the expectations ODI set - now the real work is ahead of her.