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He looked at the sickness trembling across my face, and cutting facets from my eyes. He smiled again, pressing his fingers into my shoulder until that pain, that touch, his touch, was all I felt for a moment.

"First you must be well," he said, releasing the pressure of his fingers and touching his palm to my face. "Allah be with you, my son. Allah ya fazak!"

When he left me, I went to the bathroom. Stomach cramp stabbed me with eagle's claws, and then twisted my insides with talons of agony. Diarrhoea shook me with convulsive spasms. I washed myself, shivering so violently that my teeth clattered together.

I looked in the mirror and saw my eyes, the pupils so large that the whole iris was black. When the light comes back, when the heroin stops and the turkey starts and the light returns, it rushes in through the black funnels of the eyes.

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.

Frantic in my movements and close to panic, I hurled two thick, embroidered quilts onto the rope bed for a mattress, and lay down on it. Using two of the strips, I tied my ankles to the bed. With a third strip, I secured my left wrist. Then I lay down, and turned my head to look at Nazeer. I held out the remaining strip, and asked him with my eyes to bind my arm to the bed. It was the first time that we'd ever met one another's eyes in an equally honest stare.

He rose from his square of carpet and walked toward me, holding the stare. He took the strip of cloth from my hand and bound my right wrist to the frame of the bed. A shout of trapped, panic fear escaped from my open mouth, and another. I bit down on my tongue, biting through the flesh at the sides until blood ran past my lips. Nazeer nodded slowly. He tore another thick strip from the sheet and twirled it into a corkscrew tube. Sliding it between my teeth, he tied the gag behind my head. And I bit down on the devil's tail. And I screamed. And I turned my head to see my own reflection tied to the night in the window. And for a while I was Modena, waiting and watching and screaming with my eyes. Two days and nights I was tied to the bed. Nazeer nursed me with tenderness and constancy. He was always there. Every time I opened my eyes, I felt his rough hand on my brow, wiping the sweat and the tears into my hair. Every time the lightning strike of cramp twisted a leg or arm or my stomach, he was there, massaging warmth into the knot of pain. Every time I whimpered or screamed into the gag, he held my eyes with his, willing me to endure and succeed. He removed the gag when I choked on a trickle of vomit or my blocked nose let no air pass, but he was a strong man and he knew that I didn't want my screams to be heard. When I nodded my head, he replaced the gag and tied it fast.

And then, when I knew that I was either strong enough to stay or too weak to leave, I nodded to Nazeer, blinking my eyes, and he removed the gag for the last time. One by one he untied the bonds at my wrists and ankles. He brought me a broth made from chicken and barley and tomatoes, unspiced, except for salt. It was the richest and most delicious thing I ever tasted in my life. He fed it to me, spoon by spoon. After an hour, when I finished the little bowl, he smiled at me for the first time, and that smile was like sunlight on sea rocks after summer rain.