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whbk · 7 years ago
Sorry to see this. My last year of college, with absolutely zero experience in tech I tried to build a fintech startup that needed seamless processing of micro-payments and so I pinged Tristan in the early days of Square's beta program when they were just shipping out card readers asking if they might expose an API in the near future. Small interaction, but he got back to me and coming from the Midwest, that was my first experience with how open Silicon Valley can be, with a co-founder at one of the hottest startups taking the time to respond to some random college kid interested in kicking the tires on his project. My project went nowhere but I had fun exploring the tech involved, decided to learn to code, made it out here and am now running a venture-backed startup after a couple engineering jobs. I thought just the fact that he responded was really cool at the time and try not to blow off cold emails like that as a result.
kethinov · 6 years ago
I went to high school with him. That's how he was with me as well when I randomly said to him one day, "Hey you seem better at this computer programming thing than me. Let's hang out." I too credit Tristan with helping me transition from computer programmer novice to computer programmer professional.
newprint · 7 years ago
Last year, at age 35, I started drinking heavily. I would buy a bottle of Absolute and would not stop till I see the bottom of it. 2 bottles a week at min. About 5-6 months, I've stopped drinking without anyone's help.

Yesterday and today, I'm having a strong urge to get completely wasted. Just go to the store around the block, buy bottle of Absolute.

Yesterday, while driving on I-695, I saw a guy with a child seat on the back seat and thought to myself: "I want that too".

Tristan O’Tierney dies at 35, survived by his three-old-year daughter.

mrburton · 7 years ago
There's an old Irish saying that goes "A man takes a drink, the drink takes a drink, the drink takes the man." If you have a drinking problem, you just need to avoid drinking period.

I have some close friends that have drinking problems and what I learned from their experiences:

1. If you're an alcoholic and think you can handle a single drink, you're lying to yourself. 2. It's honestly not worth it. Life is better than being stuck in a multi day binger. The physically effects are taxing on the body. 3. You'll always have those urges and that feeling of wanting to drink isn't as bad as the act of actually drinking and the damage the follows.

If you have those urges, attend AA (Alcoholics Anonymous) and refresh yourself on why you don't drink. I remember going out to dinner with a friend and the waiter knew my buddy. During the conversation he asked would I like something to drink. When I said no, he asked if I was a "friend of Bob". At first I had no clue what that meant and asked who was Bob. Later I found out he was referring to the founder of AA.

I personally don't drink around those that battle with drinking. I understand the struggle.

Stay sober. Reading about Tristan and it reminds me of all those people I lost as a child. I watched so many friends OD to heroin and other drugs.

debatem1 · 7 years ago
One thing I'd put out there: AA is great if it works for you, but it's not the only game in town and can be hard to love. If it doesn't work for you, SMART and lifering are both popular and well-validated options.
crsmithdev · 6 years ago
> 1. If you're an alcoholic and think you can handle a single drink, you're lying to yourself. 2. It's honestly not worth it. Life is better than being stuck in a multi day binger. The physically effects are taxing on the body. 3. You'll always have those urges and that feeling of wanting to drink isn't as bad as the act of actually drinking and the damage the follows.

Worth noting that #1 is AA dogma and is certainly not a medically proven thing. About 5% of people who go through AA eventually get sober, roughly the same as other treatment approaches (many of which skip the disease model of alcoholism entirely).

IMO, the AA notion that you are diseased for life unless you turn your life over to a higher power (which looks suspiciously like the personal god of Western Protestant Christianity) is poison.

caymanjim · 6 years ago
AA is a religious organization, full stop. It's certainly not for everyone.
thebigspacefuck · 6 years ago
Yeah, he could also have issues with PTSD, Bipolar, Anxiety, Depression or other mental health issues where going to see a professional and getting medicated or going through therapy is far better than going to AA meetings and just hoping he'll figure it out.
0x8BADF00D · 7 years ago
I'm surprised you were able to function the next day with that amount. I recently turned 30, and I definitely cannot drink as much as I used to. I get an allergic response to alcohol, which really sucks because I used to enjoy it. There is a mutation in OPRM1 in certain populations that causes your opiate receptors (particularly mu subtype) to release endorphins when drinking. I've definitely had that happen to me when I used to drink heavily. But that changed when I took LSD-25. While I still drink, it is nowhere near the same level as when I was younger, and I attribute that to my psychedelic experiences. Stay strong.
protomyth · 7 years ago
You’d be surprised how much a person can routinely drink and still function. I grew up and now work in a high alcohol abuse area, and some of the folks that were abusing surprised me. Sadly, I’m sure when their body said enough it came as a surprise to them too.

Keep safe folks

sizzle · 7 years ago
This is super interesting, as someone with that mutation that gets extra sedated/euphoria from drinking and is predisposed to alcoholism, from a family tree full of alcoholics.

What do you think the lsd did to dampen the effects on opiate receptor to release endorphins? I have experimented with naltrexone and it works well to block my opiate receptors when drinking. It just scares me that I'm blocking all euphoria and how I'm messing with neuroplasticity and encoding long term memories... Thoughts?

dajohnson89 · 7 years ago
in my younger years, up till about 26, i could get drunk and show up to work at 9am the next day, ready to go.

i’m almost 30 now and i literally can’t drink a single beer without feeling hungover the next morning. if i drink 3 or more, i might as well call in sick. as a result, i just stopped completely. there’s other ways to have fun that don’t make me feel terrible.

tmikaeld · 7 years ago
I had the same experience, but took hbws seeds (LSA, similar to LSD). Would not have gotten out of it otherwise.. luckily, my allergies also blossoms when taking a drink, reminding me how bad it is.
grogenaut · 7 years ago
What's the allergic response?
posterboy · 7 years ago
LSD is an acid, literally, maybe it just burns the receptors. Non of that experience talk. It's not an opiate anyway but the body can produce neuro transmitters on its own, if you are paradoxically happy about intoxicating yourself. If somehow this pathway is interrupted, I'm not sure that's a good thing. Alcohol in great masses can have the same effect, after all, if the drinking at some point only serves to feel miserable, lacking the joy and done only out of habbit.
randomacct3847 · 7 years ago
I actually have found small doses of LSD have helped me lose the desire to drink. There is legitimate research happening that shows this is a real phenomenon...unsure about the science but for me it’s a cleaner better “high” with no hangover effect and not nearly as toxic (if at all)
stevehiehn · 7 years ago
Suggesting the use of a recreation drug to combat addiction is very dangerous territory. I'm glad it helped you. I am no stranger to recreational drugs and have witnessed some friends suffer from addiction. One particular friend had a coke problem. That person managed to quit coke and became a drunk. Then eventually was able to quit drinking and got addicted to downers. Through out this person's life they took lots of random psychedelics so that certainly was not a cure for them.
kylek · 7 years ago
In case it needs to be stated - please don't take illicit substances because a random poster on an internet forum tells you it's helped in x or y ways.

(For the record, I do believe this class of substances can help a lot of people. Do your own research, know your own body, and think for yourself before making a decision that can have possible adverse effects)

manav · 7 years ago
Or weed/cbd.

Dead Comment

ch4ch4 · 7 years ago
So you're replacing one substance with another? How is that better?
towaway · 7 years ago
If you need help with the alcohol I can't recommend The Sinclair Method enough. Absolutely life changing for myself and many others. https://reddit.com/r/alcoholism_medication
atlasunshrugged · 6 years ago
Can't strongly second this enough, there's a nonprofit dedicated to spreading the word about it too which has some good resources

https://cthreefoundation.org/resources

andromedavision · 7 years ago
Not sure if you've tried this but it helps me when things get out of hand; check out /r/stopdrinking

Just talking about it with other people going through the same thing helps a lot. It's almost always worked for me and I tend to get a hold of things before the spiral further out of control.

Best of luck mate. IWNDWYT

almost_usual · 7 years ago
Don’t risk doing permanent damage to yourself. Peripheral Neuropathy and other CNS issues caused by heavy alcoholism may not go away.. If you’re still able to think and feel normal now you’re at a good stopping point and are lucky. Once you tip into permanent damage it’s easier to keep drinking to treat the symptoms, pain, or insomnia caused by chronic alcoholism. It’s hard to fall asleep when your nerves feel like they’re on fire.

The only end is death when depending on bottles a week.

massivecali · 7 years ago
I have chronic painful peripheral neuropathy from alcohol abuse. I wouldnt describe it as being on fire; however, more like random jabs from needles on top of a constant numbness associated with your feet being asleep that no amount of movement or rubbing can satisfy. The doctor prescribed neurontin which I took for a year while unemployed. It made me incredibly drowsy while only marginally helping with the pain. When I started working I chose to discontinue taking it and just live with the pain as I found myself unable to stay awake while coding. It's funny at times to be sitting in a meeting trying to listen to someone while not expressing outwardly that an invisible dagger is being driven into my thigh. :)
sjg007 · 7 years ago
Good for you for stopping. If you need further help, you can find a medical treatment program through your doctor that prescribes antabuse or naltrexone. Antabuse makes you vomit and have extreme nausea if you drink. That may help curb the physical dependence and feelings since your body will associate alcohol with being poisonous.
dustingetz · 7 years ago
congrats on your time. there is no shame in asking for help, in fact that is what a smart person would do!
texasstockman · 7 years ago
Impressive that you quit on your own and see the important things around you that will keep you on the path to get those for yourself. You should be proud. Hats off to you.
rubicon33 · 7 years ago
Did you lose a child? Or, at you depressed because you have yet to produce one?

Dead Comment

stephenr · 6 years ago
Do you mean Absolut or “absolute alcohol”? Seems odd that if it’s the former you’d buy so much and still misspell it. If it’s the latter you should surely not be able to tell the tale.
ksec · 7 years ago
From that sense I guess people get wasted with only a few sips of Absolute are gifted. I could never get to the point where I could consume a whole bottle of Absolute in a single month. It was way too strong for me. Beer do me good though, I last a few pint before I fall asleep. And that is good enough for me.

I have seen people who can keep drinking what I thought were literally diluted Alcohol. I guess your body takes damage without them knowing it.

R.I.P

brightball · 7 years ago
I’ve never been a heavy drinker, but at one point 2 years ago I handled a project by myself to move 6 million dollars a month in charity transactions from one uncooperative payment processor to another.

I normally handled stress well, but this was a different level and it was physically taxing on me. I had a glass of wine one night about 3 weeks into this and immediately felt so much better that I ended up having 3-4 / night for 3 months just to cope with the stress.

As soon as the project ended (successfully I might add), I stopped...but I’ll never forget how much I felt like I needed the alcohol during that time. I’ve never experienced that in my life but it gave me a new appreciation for what it must be like to really struggle with the addiction. If I felt like that every day I don’t know what I’d do.

Sincerest condolences to his family.

ZeroFries · 7 years ago
There are certain substances I've found to be helpful for managing intense stress in-lieu of alcohol. If interested, I'd suggest experimenting with each and seeing if any work (or work in combination) for you, as they're all significantly less harmful than alcohol.

1. Agmatine

bonus, reduces alcohol cravings:

https://www.researchgate.net/publication/288735721_Effect_of...

2. L-theanine

3. Taurine

4. Rhodiola rosacea

5. Tulsi

vowelless · 7 years ago
L theanine is amazing.

Disclaimer: pure anecdote !

sn41 · 7 years ago
I wish there was a way to reduce stress the way you describe alcohol does, but without the tolerance-related escalation and the addiction. I have been trying meditation and progressive relaxation - they do work, but only for a limited duration. 2 hours later, you're back to being jittery and edge-of-the-seat.
rubicon33 · 7 years ago
There is. It's called physical exercise.
Barrin92 · 7 years ago
If the reason is stress, scaling back is probably the wisest option, but if that is not possible for one reason or another, and mental problems enter the mix, people should never be afraid to seek out professional medical help.

I also used alcohol to self-medicate for anxiety. And while in many countries there is a strong stigma against "just taking a pill" to help with this sort of thing, it's a hell of a lot better than becoming an alcoholic.

posterboy · 7 years ago
I hope this isn't revisioning. The drinking might actually increase the stress levels, subtly so and slowly, if sticking to small ammounts. That means I'm not denying that the job wasn't difficult to beginn with, but the addicted are prone to shift blame out of proportion--I know because I frequently blame e.g. work schedule, when I'm too tired because I spent all night with something else instead of sleeping like most people regularly manage to achieve. It's literally irresponsible, i.e. not responding to good faith.
brightball · 6 years ago
It’s accurate. I was worried constantly that I was going to screw something up badly for multiple charities.

I rarely drink at all, but when this was happening my entire chest was tense for the whole time period. When I had the glass of wine just released it for some reason. Alcohol has never really done anything for me so the reaction was a big surprise.

I do appreciate the concern though. I rarely have anything anymore. I usually find that wine gives me headaches now so I never bother. Can’t gave gluten so that cuts out most beer. If anything I’ll have an Old Fashioned if we are out at a nice dinner, but that’s pretty much the extend of what I have these days.

supermw · 7 years ago
Alcohol should never be used for stress, only for social lubrication.

There's better ways to deal with stress. Pump iron, or go for a run. 30-60 minutes of running should give you a reset.

newnewpdro · 7 years ago
"social lubrication" is another way of saying reducing anxiety stress.
brightball · 7 years ago
I’m not proud of it. I was as shocked by the effect at that time.
newnewpdro · 7 years ago
Part of what drove me to leave the SF tech industry was the normalized daily alcohol consumption.

At one startup in SOMA, on my first day the CEO introduced me to the team and pressured me to drink a shot of booze as was the company's tradition. My first group interaction with the entire company (~30 heads) was responding "water" to the CEO's question "so what's you're drink?" asked while standing next to a bar on wheels rolled over for the occasion, which I had to repeat two or three times, when he repeated the question expecting me to cave under pressure.

Utter stupidity, may as well be insisting I smoke a cigarette from my perspective.

mb_72 · 7 years ago
I left one software company, in part because they developed apps for pubs and restaurants, and most of the other employees came from a hospitality background and wanted to get wasted each Friday night. That I wanted to a) spend time with my daughter (on alternating weeks) or b) just go home and chill out alone was not acceptable, and my disinterest in the partying culture lead to many cold shoulders at work also. Much younger me had not even considered asking about the 'after-work' culture when interviewing; lesson learned!
alchemism · 7 years ago
The first time I ever did a “keg stand” in my life was not in college, but in my late 30s one week after joining a startup which had kegs in the office.
bitzun · 7 years ago
I believe my previous drug issues were strongly related to the drinking culture at the company I worked for during that time. I am at a point now where if I felt pressured like this I would not shrug it off like I used to, but instead contact HR.
rswail · 7 years ago
If someone gets a cancer, we don't judge them for having weak DNA replication.

If someone gets an infectious disease, we don't judge them for having a weak immune system.

If someone becomes addicted to a substance, we shouldn't judge them for having a weak physical or psychiatric system.

Addiction is a disease and should be treated as such. All of the xA (Alcoholics/Narcotics/Gambling etc) Anonymous are fine communal assistance groups, but addiction is not about will power.

cyberferret · 7 years ago
Thank you for the analogies here. I must admit that I've always struggled to understand just how addiction works. I was one of those that always put it down to 'lack of willpower' due to sheer lack of understanding of the depth of how this condition works.

Also, I am thinking that coming from a POV where I don't have any addictive tendencies makes it all the more harder to put myself in the other persons shoes. Not being pious or getting on a high horse here - it is genuinely like someone who doesn't have ADHD or autism trying to understand what it is like for someone who does. Analogies like the above makes it easier to comprehend though.

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hamilyon2 · 7 years ago
You are completely right.

Mental diseases, however, look to other people completely different compared to regular diseases. Some argue they are not diseases at all, since they may lack known biological / cellular component. This becomes more complicated in case when they do not seek treatment.

otabdeveloper2 · 7 years ago
> If someone becomes addicted to a substance

Are you mad? Nobody suddenly becomes 'addicted'. Addiction is something you do willfully and deliberately to yourself. Addiction is not a disease, it is a form of self-harm.

system2 · 7 years ago
In his examples addiction is a mental illness/disorder. I agree, it is really hard to understand why would anyone get addicted to something out of thin air, but it happens apparently and it is a very big problem. Most of the homeless people you see out there are not just mentally ill; they are addicted.

"Self-harm" you mentioned is a mental problem. Yes, none of these are like cancer and deadly at first, but they really can turn deadly if no one helps. It is hard for me to understand too, but I don't take anything for granted. We never know what would trigger all these. I am sure he didn't want to die at 35 and leave her 3 years old kid behind with his wife alone.

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pkaye · 7 years ago
When I was diagnosed with kidney disease, I was one step into stage 5 kidney failure where dialysis is considered. However there were very few outward signs. Even my PCP was not expecting it when he ordered a standard lot of tests. Our bodies don't always have clear signs of things going wrong. Make sure to have regular checkups.
walshemj · 6 years ago
Same with me though my kidney failure was caused by Sarkoid and that was diagnosed early with chronic kidney failure as the sarcoid expressed its's self one of my eyes.

IT was only when I was having an untrasound that the problem in the kidney was found and I had a couple of decades of managed decline before I went on to the transplant list.

pkaye · 6 years ago
Mine is IgA Nephropathy. Its an autoimmune disease where your immune cells attack your kidneys. Might is the rapidly progressing one. More common is the slow progressing one people can manage.

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silversurfer99 · 7 years ago
It is not impossible to stop using and drinking completely. I am a very high performing software engineer and 20 years ago I had an opioid problem. I experienced bad things and out of control things as part of my addiction. My thinking was nuts. Yes I could have killed myself. My productivity dropped so much I was told "all the managers are wondering about you," but no one could figure it out, because I didn't seem like the type. I quit my job. Then I did the whole rigamarole of getting clean and I followed the suggestions of people who had struggled with the same problem and gotten freedom around it. I still do that. I am saying this (under a brand new login) because if there are people out there who are feeling hopeless, there is hope for you. I don't think about using anymore and I have learned tools to deal with my (substantial) success. You can too. The best thing was I got clean when my son was very young, he never saw me loaded, I had a good and stable relationship with his mother, and my son has no attraction to drugs or alcohol at this point. I was raised in an alcoholic home so I can't tell you the sense of accomplishment and gratitude I have about that. You don't have to be a genius to do this. You need willingness and honesty and you need to get some help. Good luck, I am rooting for you.
tippecanoe · 7 years ago
For those who have a problem with alcohol from being a bit of a drunk to an addict, there's a pill for that: Naltrexone, taken one hour before drinking, blocks positive reinforcement for drinking alcohol. This treatment is called the "Sinclair method."

Studies show Naltrexone and the Sinclair method prevents excessive consumption and over time can extinguish addiction. Over the course of a year alcoholics can basically totally lose interest in alcohol.

It's not a fringe treatment. It has been the standard of care in Finland for decades.

Here is a global listing of physicians familiar with the treatment: https://cthreefoundation.org/find-a-physician

These board certified physicians prescribe it in many states in the US via telemedicine consultations: https://www.mdproactive.com/what-we-treat/alcohol-use-disord...

(I'm suggesting this online practice because I understand it may be hard to find a physician familiar with this treatment in some areas in the United States.)

I went from being a bit of a drunk even by American standards to having no interest in alcohol after a couple pills.

The first time I took it, I knew it could have saved by grandfather's life.

It's really heartbreaking that so few people know about this treatment.

Anyone who likes alcohol would be amazed how useless it is without the opioid response (that Naltrexone blocks).

You can find papers about this on Google scholar: https://scholar.google.com/scholar?hl=en&as_sdt=0%2C14&q=sin...

https://en.wikipedia.org/wiki/Naltrexonehttps://www.youtube.com/watch?v=53JObexh0w0https://www.amazon.com/Cure-Alcoholism-Medically-Eliminate-A...https://www.youtube.com/channel/UCdeh0LP6kuSQ9GsorQpVnUw

twblalock · 7 years ago
What an incredibly dangerous suggestion that people seek out a prescription for this kind of drug online at mdproactive or anywhere else.

You also did not mention that a number of studies have shown this drug to be only modestly effective at treating alcohol abuse, and that there are better treatments. It can also cause liver damage. It's not a magic pill.

freerobby · 7 years ago
Show your sources. The studies that indicate it’s not effective are in comparison to a placebo when alcohol is NOT consumed with the drug. The Sinclair method is very specific about taking the drug with alcohol (and measuring its reduced usage over time).

To my knowledge liver damage has only been documented at doses far beyond what the Sinclair method directs.

Edit: source as requested below: https://academic.oup.com/alcalc/article/36/1/2/137995

manav · 7 years ago
Yes definitely go to your doctor or see a psychiatrist before ordering medication online. There are alternatives like Baclofen or Gabapentin, moreover there could be other underlying issues that need to be treated. Self medication is not a solution.
tippecanoe · 7 years ago
Maybe those physicians, who are licensed to practice medicine in the United States, know better than you do.

You are contending, without evidence, that these physicians are dangerous. That is a serious claim.

If you are concerned that these physicians are endangering the public, you should take it up with their respective state medical boards straightaway.

daxorid · 6 years ago
It can also cause liver damage

As opposed to the liver-sparing lifetime of alcoholism?

Principle of least harm comes into play, here.

atomical · 7 years ago
It's interesting that you use the words "dangerous" and "this kind of drug" for a drug that is the antithesis of the opioid epidemic.

If you're worried about liver damage please look into Acetaminophen.

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towaway · 7 years ago
Came to the comments to look for this post. I completed TSM myself not so long ago. It has been nothing short of life changing. Seemed too good to be true, but really doesn't seem like there's a catch.

There's a subreddit here too which is becoming more and more active. https://reddit.com/r/alcoholism_medication

lieden · 7 years ago
I agree that Naltrexone can help curb alcohol use in the case of heavy/problem drinkers, but alcoholism/addiction is entirely different than "developing a taste".

For anyone who is struggling with addiction, or thinks they may have a problem - please treat this like any other disease and consult a medical professional.

I'd also suggest, if possible, speaking with another addict in recovery to learn about what they have found successful. There are 12 step support groups (AA and NA being the two most well known) worldwide.

There are many available treatments and it's really difficult to know what will be best for any one person (and what works for an individual at any given point in time may change).

(Also, if you have been actively using alcohol or benzodiazepines, please consider talking to medical professional before abruptly stopping - there are serious risks during withdrawal and it can be deadly).

If anyone need help finding more information, don't hesitate to message me.

throwaway9980 · 7 years ago
Absolutely appalling to see this comment being downvoted. Thank you for taking the time to write it.