Diagnosis

Diagnosis

Today I finally learned my diagnosis because my pdoc ordered some blood work to make sure I didn’t mess up my kidneys or liver with the OD the other night. I am bipolar I, currently depressed, severe, without no mention of psychotic behavior. That is a mouthful.

My pdoc wanted very badly to hospitalize me today. She wanted me to “push” her to do it and it wouldn’t have taken much to do. But I told her I didn’t want to go to the hospital. I fought her on it and I am to keep in contact with her the next few days. She is on vacation next week and I don’t see her until the 22nd of Aug. My therapist is on vacation starting Aug 11th. I would most likely be admitted for the whole month of August and I don’t like that. I might go in after I get my narcs for the month from my PCP. I can’t miss that appointment or it screws up the schedule. And the last time I was admitted, he took it as I was going to overdose on my narcs and it just was a mess. I had to pay extra because he only gave me a two week supply. I don’t have the money to be paying double.

I half want to email my doc and tell her I still want to smash my head in with a 20lb hammer. But that might section me as I am already walking a fine line right now. She didn’t kill me like I thought she would but she is very concerned about my welfare. The most she could do was force me to get blood work and an EKG. I hated having both done. But it was better getting them done as an outpatient than as an ER visitor.

Right now I am so conflicted. I want to go in the hospital but I am fearful that the demons will come out like they did in this crazy dream I was having about the hospital. I kept telling them I was going to kill myself when I got out, just watch and because I didn’t have follow up care, they kept me. This went on for weeks, least it did in the dream. I know that if I let myself go, I will hold nothing back. It will actually be interesting to see if they discharge me when I tell them I am going to kill myself. But I don’t think I want to find out. I do know that if I don’t have follow up within a week of being out, they might not discharge me.

But the 20lb hammer thing, it is starting to become obsessive thoughts. I still haven’t figured out how to swing the rope so that it hit me just right. But I keep thinking about it. Or maybe get it square in the forehead and hope it does enough damage. Thing is, I don’t know if I will defend against it. My reflexes are good, I think, so if something is coming at me, I will duck out of the way, which will defeat the whole purpose.

My therapist doesn’t know about this idea either. We haven’t had time to talk about it because she keep doing the SSF (Suicide Status Form) on me to assess how I am doing. That was the other thing my pdoc was asking about, how to keep me safe and what plans are in place so that I don’t do what I did on Saturday again. She knows it will take very little for me to harm myself with the meds that I am on. But both my pdoc and therapist knows I am both careful and smart with my meds. But with my therapist tracking my suicidality, my pdoc felt a little better. Otherwise, I think I would be sitting in the ER waiting for a bed someplace.

I feel really shitty. My bowels are fucked up and I don’t think there is enough senna in the world right now to set them straight. I still feel sleepy most of the time. Exhaustion will just wash over me. I think I am still under the meds hangover. So I think I will skip tonight’s dose too. I will just take an Ativan plus my other meds to sleep. Hopefully, the stupid abilify doesn’t send me into hyper mode. It didn’t last night, I think because I was still harboring some of the mood stabilizer in my system. I slept pretty good, got at least six hours straight, which was better than the night I OD’d. I think my pain meds helped because I was really having zaps and exploding pain going through my foot last night. It literally felt like someone was trying to rip off my big toe and smash it with a hammer. Not a pleasant type of feeling.

I still haven’t gotten around to changing my sheets. I keep saying tomorrow and it never happens. I need to wash my comforter, too. I wish I had the energy to do it.