Authors: Neal and Jarrod Shusterman
Date Read: August 3, 2022
There are four stories woven into the Shusterman’s brilliantly conceived novel, Roxy. Brother and sister, Isaac and Ivy Ramey, are accompanied as narrators by two anthropomorphized drugs: Roxy (OxyContin) and Addison (Adderall). The siblings recount their experiences with prescription drugs while Roxy and Addison unfold the tales of themselves and their party-going friends who frequent an exclusive club that pits them in a competition to get their ‘plus-one’ into the VIP Lounge.
I very much loved this book, and contend that it is essential reading for teens. North Americans are in the torment of an opioid crisis. Among people aged 12 or older in 2020, 3.3 percent (or 9.3 million people) misused prescription opioids in the past year and opioids were involved in 68,630 overdose deaths in 2020 (74.8% of all drug overdose deaths).1 Until recently, the term “drug use” typically referred to illegal substances like cocaine, heroin or crystal meth. Today’s teens are more likely to get hooked on prescription medication, especially painkillers. Most often teens receive opioid prescriptions after dental procedures and sports injuries. Similarly, adolescent abuse of Ritalin and Adderall is largely driven by the belief that these drugs can improve academic performance. This is more urban myth than reality; it is true that stimulants will heighten energy and focus in the short-term, but after the brain adjusts to the presence of such drugs, these effects are weakened and become more elusive.2
This pervasive problem is addressed in both the dedication: “For those in the throes of addiction, may you find the strength to fight off the demons who pose as gods“; and in the authors’ opening note that reads in part: “It is our hope that everyone who reads Roxy will leave the story with a clearer understanding of how insidious, seductive, and dangerous these drugs can be.”
Isaac and Ivy have relatable teen lives and plausible experiences that lead them to be prescribed opioids. Isaac receives Roxy (OxyContin) after a painful soccer injury, and Ivy takes Addison (Adderall) to help her focus on increasing her failing grades so she can graduate on time. With a popular post-modern nod, we begin at the end: “They tag your toe with the last name on your ID, and your first initial: Ramey, I.”(4) and then flash back through time unravelling how this pivotal moment came to be. Who dies: Isaac or Ivy?
Roxy introduces herself with confident self awareness : “I am so hot right now. And everyone knows it. It’s like I own the world. It has no choice but to yield to my gravity” (16). You enter the party with her, where: “Al greets [you] at the door, a glass of champagne in each hand… Al’s older than the rest of us,” Roxy amiably explains, “been around longer, but he carries his age well” (16). At the bar, you can catch a glimpse of Addison: “He’s dressed in a conspicuous style, like he belongs to a yacht club that his father owns. All prestige and privilege” (17). Also spotted: Molly, Mary Jane, Rita, and the Coke brothers, Charlie and Dusty. Each of them act predictably, like the drugs to which their names nod, and readers get a multi-sensory tour of how they work. For example, we find Addison sitting at a piano recital with his older sister, Rita, comparatively ordinary next to their cousins: Crys, and the twins, in their “white silk suits and flashy jewelry, lounging in a private booth like they own the world, making the party come to them” (33) they instead, calm kids, help them focus– play the piano flawlessly, or as Rita points to her own ward in the audience, sit still through a performance.
The book is awash in delightful craft moves. There are six character-titled “interludes”, each matched with their molecular formulas (you can Google them– they are hyper-linked in this post for your convenience) and explore further the chemical literature of the National Library of Medicine‘s entries for each compound: Mary Jane (C21H30O2); Dusty & Charlie (C17H21NO4); Lucy (C20H25N3O); Phineas (C17H19NO3); Vic (C18H21NO3) and Hyde (CH2O). On their own, they provide poignant personified snapshots of marijuana and it’s legalization and medical use; cocaine, who boasts of his long historical significance, including once being the key ingredient in Coca-Cola (until replaced by caffeine); the powerful taunting of an acid trip; morphine as the Prince of Palliative Care, vicodin (Roxy’s brother) and even formaldehyde, the final drug used, when the character is embalmed for their funeral.
The chapter headings are a form of cryptic poetry, readers find new words using just some of the letters of a longer word or phrase. Like: Naloxone (alone); Roxy Can’t Contain Herself (oxycontin); or Psychopharmacologisticexpialidocious (malicious). Hyde’s final interlude is written as a poem, straying from the story-telling of the others, and has within it a well-known verse. Not a book for Audible.
This is a must-have title for the shelves of high school teachers and for parents who want to start conversations with their young adult readers at home.
1 Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2022
2The Right Step | A Promises Behavioral Health Company | Drug Addiction Treatment Centers Texas, 2022