This was the most disgusting thing I have ever heard.  I can't remember the last time I read a book that actually made me blush.
I wish I could say that I appreciated the stream-of-consciousness narrative, the jagged emulation of a junkie's brain, the technique, and so on.  It would make me feel better about myself.  But I didn't.  It started out as an interesting slice-of-drug-life raw narrative, and then slid completely over the edge into insanity.  I guess that's impressive, but - whatever.  I've got enough problems living in my own head.  I don't need to have the dredges from anyone else's head shoved up my nose.
The audio version I listened to was read by the author, who was apparently drunk at the time.  I had to rewind frequently in attempts to figure what the hell he was saying - he varied between slurring his words together and enunciatingly distinctly and precisely.
I do not recommend this book to anyone.
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