I Am a Fluorescent Tube

Tuesday, 10/18/16, 7:06pm

You know that sound they make? That incessant buzzing?

That’s what I feel like.

fluorescent-tube-gif

And in perpetual motion.

Non-Compliant. Again.

I don’t know who I think I am fooling when I sneakily “forget” to take the Risperdal. Up for 25 hours, trying to sleep periodically and feeling like I am electrically charged, getting back up again a few minutes later.

I’m somewhat productive, writing posts for work and here, organizing my Kindle music library, pulling things out of drawers and stuffing them into garbage bags, but I feel sad all at the same time. Not that wonderful, blissful feeling of the last few weeks. My therapist, just like my Psychiatrist, reminded me that it was not all that “blissful” and my mind is playing games with me.

TAKE THE FREAKIN’ RISPERDAL.

(I did.)

Therapy

fluorescent-tube

I hadn’t been to therapy in a couple three weeks because I was working with the doctor instead. It’s almost an hour to get there and the prospect of taking that trek twice in one day was too daunting. I did it today, but probably shouldn’t have.

I barely remember anything we talked about, knowing I wouldn’t even as my lips were moving. The whirring so loud in my head and coursing through my body.

What I remember is that I need to honor my Self and take my meds every day and on time.

It’s the goal for the next few days.

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7:58pm

Bipolar Balancing Act

Tuesday, 10/18/16, 11:02am

The visit with the Psych went well.

BipolarTree

We talked about my meds, my sleep patterns, my lowering hallucinations… and then I asked if I was getting depressed. He was very gentle and said after where I’d been anything is going to feel depressed.

Sleep

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He said my figuring out a way to have one block of sleep will help me not relapse. I told him how I hated the Trazodone and I would rather sleep fitfully than feel like I am going to pee in the bed from being unable to wake up enough.

I have slept in this bizarre cycle of 2 hours of sleep, 4-5 hours awake… 3 hours asleep, 3 hours awake… since at least the second manic episode in 1998. Even gorked out on opiates, I still slept like a baby does (not sleeping “like a baby”; babies sleep like shit). I don’t toss and turn. When I go to bed, I go to sleep. But when I wake up again, I am UP! Even the dispatchers at work have gotten to know my strange cycle of on/off. I don’t know if I can change it without meds. Honestly don’t know if I even want to.

Hallucination Origins

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I asked where the holy hell do those terrifying hallucination sights, smells, sounds and feelings come from. Why does the brain pick a horror show to illustrate its illness. He said that scary things in the brain are easy to access. The brain chemistry goes wonky and the synapses misfire and the most accessible images/thoughts/etc. get scooped up and displayed. I said I thought that was a fucked up system.

We talked about how voices that direct behaviors (which I do not have, thank goodness) tend to mimic their inner belief systems. Those with religious histories have heavenly/satanic voices telling them what to do. Those without that, have “magical” voices. Psychosis in different cultures bends towards that culture’s belief systems and experiences. Even though I have religious belief in my past, none of my hallucinations have ever taken on a religious tone, either good or evil. Apparently, my mental illness is as atheist as I am.

Missing the Mania

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I told the doctor I really am missing the mania, the energy, the lack of pain. He gently reminded me of the terror I was in 2 weeks ago when I came to him… that I was about to admit myself into the hospital because I thought I was going to fall into a million pieces. I asked why can’t I live in hypomania? He chuckled and said everyone asks that, but hypomania is a staircase… going up or going down; it isn’t a landing. I said that sucked. He nodded and said he agreed, but it is what it is.

heavy sigh

There are no med changes and I see him in 2 weeks if I need to, a month if I am okay in 2 weeks.

I go to therapy for the first time in several weeks this afternoon. I have barely missed it for being so bizarre in the head. I look forward to seeing her again today, though.

More later.

11:42am

 

Bipolar Mania: Settlin’ Down

10/18/16, 2:08am

Melancholia

valeria-fulop2
artist, Valeria Fulop

I think the Mania is gone.

Hallucinations have shifted. The tactile ones are all but gone, the olfactory ones haven’t returned since starting the Risperdal and the visuals are much less… smaller… less intense. The last nasty one was when a roach crawled out of my Diet Coke can onto my face (it was not real) and I threw the can across the room. That was… 2 nights ago? 3 now? Otherwise, the shadows are pretty small… more translucent. I haven’t had an auditory hallucination in over a week.

Even though all those horrible hallucinations have all but abated, I am sad I am not filled with energy like I have been. I feel like a sloth now… it taking inordinate amounts of energy to do anything. Still not sure if I am dipping down into depression or not. I see the Psych in the morning and will run it by him.

Medications At the Moment

bpseesaw

Psych Meds
  • Risperdal 2 mg at bedtime
  • Wellbutrin
  • Cymbalta
  • Lamictal
  • Buspar
Meds from ER Visit & GI Doc
  • Bentyl – finished (not sure it did anything)
  • Cipro – finished in the morning; feel MUCH better in my abdomen, diarrhea gone, suspected UTI gone
  • Lomotil – haven’t picked it up from the Pharmacy yet, but didn’t need it after the Cipro
  • Probiotics bid – helps keep the yeasties at bay with the Cipro

Work & Sleep

I’ve been back to work 2 days in a row now. Luckily, we can log in and log out whenever we want/need to, so when I get tired, I just log out and take a nap. I spent 3 days barely able to function as things slowed down. I felt like my brain was stuttering and I never knew, from one minute to another, whether I would be able complete a call or need to crash asleep, so I pretty much listened to music, did some work writing and watched Netflix or Amazon.

My hair-trigger anger seems to have settled some as well, but when I get upset, it is over-the-top, but simmers down quicker than it would have a week ago.

I’ll write more after seeing the Psych and my therapist tomorrow.

In the meantime, I’m just resting.

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artist, Sera Knight-Horsell

10/18/16, 2:45am

If I Have to Have Hallucinations…

… then why can’t I also have the energy behind them?!?

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ht-tw
scary hallucination descriptions below

Fucking Roaches

But, nooooo, I am sleeping 18-hours a day and seeing roaches crawling everywhere. On the ceiling, on the walls, on my legs.

CRAWLING OUT OF MY DIET COKE CAN & ONTO MY FACE!!!

See the splatter of Diet Coke across the room on the wall? I’ve already cleaned it off the keyboard, the screen, the chair and the floor.

My favorite hallucination last night was when the big snake crawled across the wall. Beat the cockroach on my face by a slither.

Is This Normal?

normal

snortylaughing

(As if normal were even anything to claim or aspire to….)

But now I am reading some of Dr. Google’s “Bipolar Mania” because I am still a week away from seeing the doctor and I really want some answers.

  • Why am I still having hallucinations?
  • Am I getting depressed?
  • When do hallucinations disappear after mania?
  • Does depression always follow mania?

I swear the hallucinations have actually increased as I am getting more sleep. At least the past couple of days.

STOP IT ALREADY.

stahhhp

 

Bipolar Mania Fading Away

I joined MoodTracker this morning and have been inputting my meds and moods (thank goodness for writing things in the blog!). I had no idea I was struggling for so long. I’d been “productive” for probably 6 weeks before I started writing the distress on these pages, but had no idea, until writing it down just how long I have been trying to find balance.

Now I feel useless. I cannot concentrate… or stay awake… long enough to work. I am irritable as shit. Hair-trigger anger. I need to work so bad… the pay period ends tomorrow… but I cannot keep 2 thoughts together long enough to take even a 15-minute call.

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And as if the mental crap wasn’t enough, the pain in my upper right abdomen. Fuck. I am tired of hurting.

What to Do Instead of Work…

… or read or watch tv or watch a movie or clean anything or focus for more than 2 minutes at a time?

The only thing I have found is listening to Disney music.

Disney is as much in my blood as my Dad’s Cuban heritage is.

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Reflection

Who is that girl I see
Staring straight back at me?
When will my reflection show
Who I am inside?

Gonna go nap.

For the 3rd time today. After 7 hours last night.

This is some fucked up shit, too.

Bipolar Mania: Mere Vapors Left

I just want to cry.

I am sleeping 12-15 hours a day. Deep, deep sleep that leaves me groggy. I have not taken a Trazodone to sleep for 4 days now, just the Risperdal. I also re-added the Cymbalta and Wellbutrin (that was in the plan) to see if that would help me be more awake.

drown

While I don’t feel like I have fallen into a depression, per se, I feel like this drawing… somewhat submerged… when, a few days ago, I was a colorful bird zipping and zooming over the meadow.

My body hurts so bad again. It was glorious to not feel pain for a few weeks. I am back to my plodding productivity cycle.

It feels like I am waving good-bye to a beloved friend who doesn’t have the Internet with which to keep in touch.

Intellectually, I know it is right to send the Mania on its way… all I have to do is read the past posts to see how terrifying the hallucinations were… which do remain, but on a physically smaller scale.

I am left with needing to sleep many hours a day, not being productive, in pain, have zero desire for sex and still having a completely scrambled brain that makes work almost impossible.

Will I find equilibrium?

sigh

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ER Visit for Abdominal Pain

10/10/16

hotpain

I am a plethora of fucked up shit right now. The Bipolar Mania and my abdominal pain is getting worse. I went to the ER last night where everyone was as loving and respectful as possible. Oddly, two men I complimented on their bow ties, came and hugged me, both saying, “You’re beautiful!” That never happens.

Get Thee to the Hospital Already!

I’ve known I have gallstones for over a year, but the gallbladder wasn’t hurting me so I haven’t had to deal with it. However, I’ve been having increasing right upper abdominal pain for months, thinking it was a hernia (incisional). I also considered the gallbladder, but it didn’t fit the typical gallbladder attack.

Then the Mania hit and all of my body’s pain vanished. I didn’t realize it was gone until I started taking the Risperdal and the dips down from the highs brought back the intense pain I live with every day.

Symptoms

  • Off & on again fever (highest 103.5)
  • Sweating profusely (not related to Blood Glucoses)
  • Diarrhea that 20 Immodiums a day and Pancreatic Enzymes don’t quell (so no bowel obstruction)
  • Upper right abdominal pain that radiates through my back, which then changes to a knitting needle feeling (the pain has no rhyme or reason… independent of food choices… making this Atypical Gallbladder pain
  • When the spasms hit, Pain Level is a 6

I am really good at using Dr. Google and self-diagnosing, but I had run out of ideas for matching my pain to a cause, so trekked off to the hospital.

pain

Prelim Work

Because I know hospitals are wary of people with pain, thinking they are drug seekers, I am clear with each care provider overseeing me that I am 2.5 years clean from opiates and do not want them. They visibly relax, relieved they don’t have to figure out how to have That Opiate Discussion. I use Mindfulness Meditation for my pain relief and did my best with it the past week.

They took me right in and, during my vitals, we see my Heart Rate is 118… double what it should be. Noted. I was taken right to a room, meeting a lovely nurse who got the IV in my fat, fat arm’s one-vein-I-have on the first try. Then the Nurse-Practitioner came in with two students (she didn’t ask permission to have them in there, but I couldn’t have cared less at the moment… and I always let students watch anyway). I was delighted to see an NP and she thanked me for that, most saying, “Where’s the doctor?!”

Quickly, I was given Toradol, which didn’t do squat, and then Zofran (for nausea), which helped a little more. Then I was wheeled down to get a CT, a fat girl wheelchair that held my body comfortably.

I was in tons (laughing about the word “ton,” seeing it in editing) of pain at that time (the pain coming in waves like contractions). The tech helped me onto the narrow table.

Contrast Pleasure

The scan had contrast, which I have grown to enjoy. I used to cry when they said I needed it, but now…. shudder of pleasure

I teach others how to enjoy it as well.

You see, when the dye goes through the IV and into the body, it makes a searing beeline for the groin. More specifically for me, my clit. (Men say it goes to their testicles.)

You know, when some people get it, they uh- they start to- well, they get an orgasm. Can you believe that?

While I don’t orgasm, I have learned to, quite literally, lie back and enjoy the short ride.

I even overlook the nasty iodine taste in my mouth. Too much of a hot party going on down south.

When the procedure was done, the sweet tech and the wheelchair pusher-guy helped lift me to sitting, grabbing the sheet behind me and pulling. I was zipped up quick as could be!

Missing My Pain Doula

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It was going to take an hour for the results. I was texting with my fawn, then I got really, really sad about not having Zack with me.

Zack had been my medical doula for 2 decades. Longer. Even when he was pregnant (30 years ago), he was with me when I had surgery, loving me through it.

I began having another spasm, told my fawn I had to go for a few minutes, then cried as I did my Lamaze breathing, leaning over the raised head of the bed, my tears falling onto the blue sheet as I huffed and puffed in a sobbing rhythm. Big hot tears of remembering how Zack spoke up for me, protected me, gave me my meds on time, even wiped my ass after surgeries when I couldn’t reach. (That’s love right there.) I didn’t want to bother him with my pointless sadness, so didn’t call, but I could feel the emptiness engulfing me.

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I was NPO, knowing surgery might really be possible, and how alone I was going to be if that happened. How would I get food? How would I remember my meds? How would my ass stay clean?

(An aside: I have been being terribly non-compliant with my Risperdal and Trazodone. I asked my fawn to help remind me/encourage me to take them about 11 or 12 at night, but I over-ride him and just stay up for 24+ hours. Zack was like a Psych warden… handing me my pills and watching while I swallowed them. Alone, I get to be a bad patient because I would rather feel GOOD than sleep. Even though there are bugs and shadows and such. Yeah, I know. STOP IT! One of my sweet friends sent me a picture of herself making a stern face that she said says, “TAKE YOUR MEDS!” Maybe it’ll help.)

The Results

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The NP came in and told me they couldn’t see any hint of a hernia in that area. I was really surprised. However, the gallstones were present, but labs showed no cholecystitis, so surgery was ruled out for the moment. She said I did need to have surgery as soon as possible, though.  I told her I had a GI Doc I would call in the morning (10/10/16… I did… next post).

She then said I had an infection in my intestines. (The paperwork is in the car, I can’t find what it is called at the moment.) She wanted me on Flagyl, but I am allergic to it, so changed it to Cipro. She also was prescribing Bentyl for the colic-like abdominal spasms. She said she would prefer I stay in the hospital for a couple of days, but I said I could take care of things at home. (Sheesh. Lyin’ through my teeth, I am.) She said, fine.

When she went out to do discharge paperwork, the sweet nurse came in and did vitals. My HR was now up to 124. She left, the NP came back in.

“I really want you in the hospital for a couple of days now.”

I asked what would they do. She said meds and pushing fluids. I said I could do that at home. She had me sign out AMA. I was told to return to the ER in 12 hours if I couldn’t see my GI doc, wanting to check my HR again. I said, “Sure, no problem.”

I left with the prescriptions and tried the 2 closest pharmacies, neither of which takes my insurance. I was exhausted, crying in frustration and went home.

curlpain

I tried working, but was in so much pain, I laid in bed and boo hoo’d myself to sleep. I slept fitfully for a couple of hours at a time. Up for 2, back down again for 2.

I did not take my Risperdal or Trazodone last night.

I called my GI doc’s office at 7:50am and got an 8:30am appointment.

That’s the next post.

Next: Blindsided: The Fat-Shaming Doc Visit