Sometimes a body is desperate for some relief from the weight of worry and the sadness of feeling trapped. And the nasty trick with opioids is that they ease both physical pain and a hurting heart. Both are in abundance in mountain living. At the same time as we track the beauty, we must witness the trouble. The story of when work disappears isn’t just a story for American cities filled with Black people slipping down from working classes to poor. It is also up here, down there.