Walk Down Misery Street


In his new book, A Walk Down Misery Street, Petr Nemirovskiy serves as a compassionate witness to the diverse lives that intersect in a busy outpatient drug treatment clinic and ED of one of New York City’s hospitals. Although the accounts are fictionalized, Mr. Nemirovskiy draws on his real-world experience as a certified substance abuse clinician to provide a unique and accessible perspective on the lives of drug users, as well as the drug treatment system in the United States—a system that many would argue is itself in dire need of rehabilitation.

The book is notable for taking a holistic perspective on the phenomenon of drug addiction, addressing a broad range of issues, from the underlying world view Mr. Nemirovskiy sees as common to users of myriad psychoactive substances, to philosophical questions regarding why people use drugs, to the history of substance abuse treatment in the United States and its connections with the criminal justice system, and more.

With an eye for vivid detail and compelling characters, Mr. Nemirovskiy communicates these underlying themes through a series of engaging anecdotes, making both the patients and fellow staff members he encountered in his work come alive for the reader. The themes he addresses in A Walk Down Misery Street are particularly relevant today, as the United States is experiencing disconcerting increases in heroin use, driven in large part by the over-prescription of opioid-based pharmaceutical painkillers, and observers on various points of the political spectrum are questioning the wisdom of the War on Drugs.

The author’s decision to frame the narrative with a personal account of his experience, how he came to work with people with substance use problems, adds important context and depth to the stories and character sketches.  His personal narrative not only humanizes the author, but is also especially engaging and relatable, and is likely to appeal to a broad range of readers, drawing them into the book.

As a public health researcher who focuses on drug use, I enthusiastically recommend this book to anyone who has been touched by addiction or anyone who is interested in reading a sensitive and original take on the issue.

Honoria Guarino, Ph.D.,
Principal Investigator,
Public Health Researcher