New PCP and of course, pain

New PCP and of course, pain

I had two appointments today, one for PT and then another with a new PCP. PT went okay. By the time I reached the train station after, I had to take off the support for my ankle I was wearing. It was causing too much heel pain. When I got to the hospital for the pcp (primary care provider) appointment, I took some pain meds and ibuprofen. My heel felt like it was being split in half. I have no idea how I endured this much pain without passing out. I used the walker as I navigated the hospital. I only went in the hospital rather than the streets because it snowed last night and I wasn’t sure how the sidewalks would be. I also didn’t want the wheels to get salt on them.

I was seen rather quickly. I was met with a social worker and the doctor. They introduced themselves and told me more about the transgender program as well as the services they provided. They offered counseling and I asked if I could meet with someone as I was having difficulty with my current one. I did mention that I was having mobility issues so it was okay if I didn’t see them right away. I also asked her if there was a way to deal with financial issues as I really would like to start saving some money a month but currently I can’t because I am an impulsive spender due to my mental illness. She said we could meet to work it out. She said she would set up the time and then send me a message when she did as she didn’t have her calendar in front of her.

She left and then the doctor examined me while talking some more about things. He agreed to take over my pain management. I was so happy. He asked about top surgery and we talked about it for a bit. He said I would need a note from my psychiatrist before I could have it. Then it would be some working with my insurance to pay for it. I am excited about this but as I was emailing my psych to tell her about him, I kind of realized I don’t know if I am as ready as I think I am. I mean, things have been moving so fast since Oct. I am not sure I want to have surgery after being on testosterone for only four months! I haven’t really thought what it will be like after my chest is gone. Don’t get me wrong, I want these guys gone, but I am sort of attached to them! It is weird. I have to think about it some more. I do kind of wish I had my therapist to talk to just to bounce ideas off him. But I don’t right now. I don’t have anyone to really talk to about it that isn’t coercive about it. The social work did mention a group that is at the hospital that is just transmen to talk and support one another. I am going to look into it. It would be nice to meet others going through this that are around my age. We joked about it as I often get the younger look and I am not that young! She said she was a few months older than I was. I found that funny because she didn’t look her age either!

I haven’t heard back from my psychiatrist but I see her next week. I feel like she is my only support right now as I am not seeing my therapist due to mobility issues. This is the first time I have been without a therapist because I couldn’t walk to their office. Makes me miss my former therapist all the more because we had phone sessions. I have no idea what kind of therapist the social worker has in mind that I see or where. The hospital is a huge place with office space all over the area. I can talk to my psychiatrist, she is easy going about it. I just don’t know if I am ready for the conversation with her. We have never discussed this subject before though when I asked her to change my sex on my license, she was more than willing to do so. She is okay with me being a different sex for than when she first met me 26 years ago. I really wonder if they ask kids how they feel about themselves if they have problems. I know that if I was asked when I was 19 or so if I felt comfortable being a female or not, I know I would have answered yes. I remember having to go through a pap smear even though I wasn’t sexually active and then being placed on birth control pills because I have polycystic ovary syndrome (PCOS). I asked my psychiatrist treating me in the hospital if it would change me into a woman, basically, but I couldn’t bring myself to say that because I didn’t want to sound crazy. When she read my memoir a couple years ago, she said it made sense now rather than then and I saw her for three years. I don’t know if I would gone through transition then as my mother was not cool with my sexuality. But she isn’t happy now with me being me either. I just don’t know about what will happen when my boobs are gone. I have thought about it in passing but now that the surgery is like yeah when do you want to talk to the surgeon, I am taken aback. I guess part of me is still waiting for someone to say to me you are a female not a male get with the program or something. But I can’t help but feel masculine. I don’t like being female. I am not female. I am a male. I just don’t know about things right now. I think I want to wait till I feel comfortable talking to my psych before I talk to a surgeon.

I have my friend’s husband reading my Darkness Always Wins book. He is giving me some insights into it. He is honest about it but I can tell it is hard. I just bluntly write shit. I guess that is why my story hasn’t been written. It also doesn’t help that the T is redoing the bridge on the main street that takes me to the Square. I am so upset that I won’t be going to Starbucks as frequently as I was. Since my therapist and I have halted sessions, I haven’t been to the square as much. I am so depressed about this. I don’t know what I am going to do about it. I might have to seriously have money put aside for Uber (and stick with it!) just to go to another Starbucks that is hard to get to due to a long walk. On days I am okay, it might be okay to walk that far but on a regular basis, no way. And I would seriously have to commit to writing on my story and not play on my phone while there. I want my brain emptied! So to speak…

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wanting to hide under the couch

Wanting to hide under the couch

Yesterday after I left my PT office, I was walking to the grocery store and I took a nosedive to the ground. My left foot didn’t clear the damn sidewalk because it was unlevel. Most of the sidewalks in the area are like that and I tweeted to the city about how awful their streets are but of course, no response because they are assholes. Today I am so sore. Every muscle hurts. But I had to see my psychiatrist so went. I had decided to wear the new brace I bought but I must have had it too tight or maybe it is too small, either way when I got to the hospital, I took the sucker off. I won’t be wearing it again.

My psych appointment went well until she asked me when my next book was coming out. I panicked and swear I wanted to hide under the couch I was sitting on. I told her about the story I had in my head but it was too emotional to write but am trying to find a way to do that so I don’t go nuts. I don’t know if this story, when it gets written, will be published. I think if you have been following my blog, you know my dilemma surrounding that issue. There are characters that I am not sure I can use without infringing on copyrights. I might change names if I have to, which is easy enough. Or just use their rank, now that I think about it. I don’t know. Everything is up in the air and stuff. So we discussed that and whatever I do, she will support me. HA I think she is bias but what do I know. This is our 26th Anniversary. We don’t know the exact date but know it is the beginning of February. I am grateful she is still working with me.

On the way home, I thought my legs were going to collapse. I had been leaning on one or the other. Using a cane wasn’t helpful. It just caused me more pain. I am definitely using a walker when I see the PT next week and I told her so. She said it was a good idea seeing as I have had balance issues. She did show me ways of turning so I don’t fall. It is all because my ankles are being taxed too much. So until my right leg is strong enough, I have to do what I can in the form of using aids. She wants me to bring in the walker I am using so that it is right for me and that I am using it right, I guess. Next week is going to be tough because I have PT and then I need to see my new PCP, I hope. His office is further from the train station and I know after PT I am going to need the support of the walker as a cane is just not going to be steady enough.

I am in mega pain. My left ankle had started to hurt soon as I woke this morning when my med alarm went off. Miraculously, I had slept through the night for the first time in a very long time. I had only gotten 2 hours sleep yesterday so I was glad I got more than 6 hours today. I took my night meds early as well as other stuff to try and calm down this flare I am having. My foot feels like it is going to cramp awfully bad at any moment. And the fall I took didn’t help matters. My left arm too the majority of the weight as well as my knees which are a nice shade of black at the moment. My left arm is sore as well as my left shoulder. I had placed a call to my mother and just putting the phone to my ear hurt and caused pain across my clavicle (collar bone to all you non-medical people). I hope I didn’t damage anything and it is just sore from using my backpack. I had my backpack on me yesterday which clunked me in the head and then fell on my neck. My neck is also sore but not as much as my limbs. I didn’t have my cane with me so had to hunker home without it. Then I had to go to urgent care because I thought I broke one of my knuckles as there was a pinching at the bone and it was swollen. Such awful fall but thankfully nothing is broken just sore as hell. I am not doing anything this weekend. I wanted to go to the grocery store to get what I needed but couldn’t carry with me but it can wait. I am just mad that in my hurry to get home, I didn’t purchase the roast beef I wanted! I went to the deli and put it on the holder thing but just rang up the Powerade, paid, and left without the roast beef! I didn’t realize it until I was on the waiting for the bus at the train station. Stupid me. I will get it probably Monday when my muscles have a chance to recuperate.

Meds are kicking in and I haven’t had supper or anything to eat since 11 am. I am hungry but don’t think I can go downstairs. I don’t want food in my room. I don’t think my mother can make it up the stairs anyways. She is having a hard time getting around worse than me but won’t go to PT or see the doctor about it. She just uses the walker around the house. We share it LOL. When she isn’t using it, I will. I am getting so sleepy that I don’t think going downstairs is a good idea. I have peanut butter protein bars in my room but lately they have been bothering my stomach, even though I drink a lot of fluid to help it digest better. I don’t know why peanut butter is bothering my stomach so much lately. I love it but I guess my stomach doesn’t anymore. Think I will nap and if I wake up later, I will go eat if my legs don’t fall off.

From 11/22/2015

From 11/22/2015

Around this time, I was having trouble with my therapist. We were fighting over my suicidality. This is just one piece of the pie. Today 13/Feb/19, things haven’t changed. I still feel suicidal. I still want to write that note. I still want to drink that shot. I am seeking oblivion from feeling so empty and hurt. February since 2001 has been filled with anniversaries. The last one of ending both therapists, one temporarily. The other permanently. My heart is broken. I feel unloved. I feel uncared for. I feel like I don’t have anyone to turn to. I miss going to Starbucks and writing, even if it was in my journal only.
I just have physical therapy now. My schedule is an open book. Sure I see my psychiatrist every two weeks and will be seeing a new PCP. My life is surrounded my doctor appts.
My heart is aching so bad right now. I don’t think it will ever heal. I think dying is better.

Written 22/Nov/15

Regarding my suicidal career
I have been feeling like I should write a suicide note. I don’t know why this popped into my head tonight. I have been really struggling with suicide the past few days. I have a suicidogenic mother. She just brings it out in me. Tonight she called me “dear”. Last night she was calling me a lazy ass and tonight I am a dear? I know she was being sarcastic. She didn’t mean it. Neither parent ever means what they say so how am I supposed to believe them?
I sometimes don’t trust what my sister says either. I am not an emotional person. I just feel cut off from my feelings sometimes. Other times I am just so depressed I can’t do anything. I feel suicidal and that is all that I will feel. I don’t feel angry, I feel hurt most of the time.
I have been avoiding Twitter tonight because I am TiVo’g the American Music Awards and I don’t want to hear about it until I watch it. It’s so hard not being on Twitter. I would so love to tweet some more lyrics of Eric Church.
I am struggling with my suicidality. It would be so easy to die right now. And no one would know until the morning. But I don’t know how to kill myself. That is the whole fucking problem. I don’t have a gun or a high place. I don’t even have a beam to hang myself from. And you can’t die by wishing it. I tried that many a times and I am still here. I feel embarrassed that I told my cousins that I was poor. I don’t know why I told them that. It just came up and I blurted it out without thinking. Now they think whatever they think of me. They probably think I am a loser. That is bothering me, too. I feel like such a jerk. I really want to drink my problems away but I know that won’t help. Plus I just took my pain medication so that wouldn’t be a great idea. My therapist would have a cow if I drank and had my pain meds. She nearly had a coronary the last time I drank and took the meds. All it was, was two pain pills and a shot or two of gin. I didn’t even get drunk. I just slept really good. I don’t think I took my night meds. Tonight I took my night meds so no drinking. I hate that I am so strict with myself about alcohol. I don’t know if this is good or bad. I would love some honey whiskey. I have decided that for my birthday I am having 4 shots of whiskey, one for each decade I am alive, that is if I am still around. Tomorrow will mark one month till D-Day. I am so disgusted with myself for living this long. I never wanted to be an adult. I just really hate myself.
My cousin called me tonight. Left me a message saying where am I, how am I doing, the usual bullshit I hear from him when he doesn’t call me every night. He wants me to call him in the morning. HA, I had to laugh. He won’t be up. He is the one that is healthy but has bipolar disorder. He also is the one that calls me when my mother has groceries. I don’t like talking with him because he never understands the depth of my depressions. He doesn’t get suicidal with his depressions. He just barely functions (according to him) but he does the shopping with my mother and my aunt. He takes care of himself pretty good. Better than I do. I barely left the bed today. Only time I left my room today was to make something to eat or to have dinner with my mother. I didn’t even pee that much today because I haven’t been drinking any fluids. I know I am dehydrated because my pee is always orange. I have no thirst. I am past that. Sometimes I will get thirsty but it’s rare. I bought some orangata by San Pellangrino. I like it. Maybe it will help my dehydration. My grocery bill is over $200. I bought a lot of oatmeal and pancake stuff. I like getting the big stuff because I make a lot of oatmeal pancakes. I also like the simply orange juice and juice isn’t cheap anymore. My mother won’t buy it because it’s more than $3. I also bought a 9×13 pan that was on sale. But those pans are hard to find so I hope it doesn’t crack. It’s a pyrex dish with a cover. I bought it to make my brownies for my birthday. I figure I might as well have what I want for my birthday and this year I want a brownie cake with cool whip and cherries on top. All my mother has to do is mix it and put it in the pan. She also needs to buy the cool whip. I don’t know how long it stays so I figure when it gets closer to my day, she can get it. This is if I make it to my birthday