Wearing a towel around my waist, I walked back to the big main room. I looked thin. I was stooped, and shivering, and moaning involuntarily. Nazeer looked me up and down, with a sneer curling his thick upper lip. He handed me a pile of clean clothes. They were exact copies of Khader's green Afghan costume. I dressed, shaking and trembling and losing my balance a few times. Nazeer watched me, his knotty fists balled at his hips. The sneer rippled his lip like the opening ridges of a clamshell. His every gesture was so loud and broad that it had the exaggeration of pantomime, but his dark eyes were fierce with menace. I suddenly realised that he reminded me of the Japanese actor Toshiro Mifune. He was an ugly, troll-like caricature of Mifune.

"Do you know Toshiro Mifune?" I asked him through a desperate, pain-smeared laugh. "You know Mifune? Huh?"

His answer was to walk to the front door of the house and throw it open. He pulled some fifty-rupee notes from his pocket, and hurled them onto the floor.

"Jaa, bahinchudh!" he snarled, pointing out the open door. Go, sister-fucker! I staggered to the pile of cushions heaped against the great window and collapsed there. I pulled a blanket over myself, cringing in the flaying wrench and cramp of the craving. Nazeer closed the door of the house and took up his position on the patch of carpet, sitting cross-legged and straight-backed as he watched me.

We all cope with anxiety and stress, to one degree or another, with the help of a cocktail of chemicals produced in the body and released in the brain. Chief among them is the endorphin group.

The endorphins are peptide neurotransmitters that have pain relieving properties. Anxiety and stress and pain bring on the endorphin response as a natural coping mechanism. When we take any of the opiates-morphine or opium or heroin, in particular- the body stops producing endorphins. When we stop taking opiates, there's a lag of between five and fourteen days before the body begins a new endorphin production cycle. In the meanwhile, in that black, tortured crawlspace of one to two weeks without heroin and without endorphins, we learn what anxiety and stress and pain really are.

What's it like, Karla asked me once, cold turkey off heroin? I tried to explain it. Think about every time in your life that you've ever been afraid, really afraid. Someone sneaks up behind you when you think you're alone, and shouts to frighten you. The gang of thugs closes in around you. You fall from a great height in a dream, or you stand on the very edge of a steep cliff.

Someone holds you under water and you feel the breath gone, and you scramble, fight, and claw your way to the surface. You lose control of the car and see the wall rushing into your soundless shout. Then add them all up, all those chest-tightening terrors, and feel them all at once, all at the same time, hour after hour, and day after day. And think of every pain you've ever known-the burn with hot oil, the sharp sliver of glass, the broken bone, the gravel rash when you fell on the rough road in winter, the headache and the earache and the toothache. Then add them all up, all those groin-squeezing, stomach-tensing shrieks of pain, and feel them all at once, hour after hour, and day after day. Then think of every anguish you've ever known. Remember the death of a loved one. Remember a lover's rejection. Recall your feelings of failure and shame and unspeakably bitter remorse. And add them all up, all the heart-stabbing griefs and miseries, and feel them all at once, hour after hour, and day after day. That's cold turkey. Cold turkey off heroin is life with the skin torn away.

The assault of anxiety on the unprotected mind, the brain without natural endorphins, makes men and women mad. Every junkie going through turkey is mad. The madness is so fierce and cruel that some die of it. And in the temporary insanity of that skinned, excruciated world, we commit crimes. And if we survive, years later, and become well, our healthy recollection of those crimes leaves us wretched, bewildered, and as self-disgusted as men and women who betray their comrades and country under torture.

Two full days and nights into the torment, I knew I wasn't going to make it. Most of the vomiting and the diarrhoea had passed, but the pain and anxieties were worse, much worse, every minute.

Beneath the screaming in my blood there was a calm, insistent voice: You can stop this... you can fix this... you can stop this... take the money...get a fix... you can stop this pain ...

Nazeer's bamboo and coconut-fibre cot was in the far corner of the room. I lurched toward it, watched closely by the burly Afghan, who was still sitting on his mat near the door. Trembling and moaning with pain, I dragged the cot closer to the great window that looked out on the sea. I took up a cotton sheet and began to tear at it with my teeth. It gave way in a few places, and I ripped it along the length, tearing off strips of cloth.

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