He made it out of high school and went to Louisiana State University, becoming a classic collegiate binge drinker. After graduating, he worked for the family’s insurance business and soon was pulling in more than $100,000 a year in commissions. He started doctor shopping with a roll of cash in his pocket. This was the early 1990s, and prescription medicine wasn’t available on the street like it is today. He’d talk his way into a pill for a backache, for a twisted ankle, for an imaginary flu. That chronic sense of not belonging, “the unreality,” as he likes to call it, never left him. The problem, he soon came to believe, wasn’t him or the pain pills, but the place—north Louisiana. After a brief stint in rehab, where he met an investment banker, he studied up and quickly passed the Series 7 exam—to this day he can do math in his head faster than most people can run a calculator. He became a licensed stockbroker at 25 and moved to Seattle.