The unnamed narrator, a young man from Cleveland, drops out of college and enlists in the United States Army as a medic during the Iraq War. Suffering from PTSD, the narrator starts self-medicating with opiates while deployed and continues once back home. His opioid use quickly becomes a devastating addiction that hurts his attempts at furthering his education and his personal relationships. After entering into a relationship with a woman who enables his opioid abuse, the narrator begins to run out of money, and decides to start robbing banks to pay for his habit.

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