don’t know if I should write anymore

Don’t know if I should write anymore

I have been contemplating writing today. It’s been a difficult day. I again had pain and I think because I have been rationing my pain medication, I have been going through withdrawal. That hasn’t been pleasant. But there is nothing I can do about it until Friday. I feel like all I do is talk about my pain and also that it is boring you guys.

I didn’t go out today because I wanted to rest my ankle. Friday will be a long day because I have two appointments. I want to prepare myself for it as much as I can. I am not hopeful that the NP appointment will go well. If anything, I will get my usual amount of meds and hopefully a refill for the strong pain pill but nothing else will change. And I will be pissed off because I will feel unheard. If the NP gets freaked out and refuses to give me my meds because she is worried, I will end things sooner than planned.

I was talking with my therapist today about this. I told her somethings and it made her worry. She wants me to text her after the appointment with the NP to see how it goes. I told her I have no intention to do so. I feel things aren’t going to matter, which is why I didn’t want to write today. Nothing matters to me anymore. I am tired of fighting pain. I give up.

I took a shower today and made coffee. I was really tired after all the Neurontin I took last night. I plan on taking the same dose tonight. It helps me sleep some. I woke up this morning without the sock I had worn to bed. It’s hiding somewhere under the covers because it’s not on the floor. When I told my therapist this, she laughed and said I was such a guy.

I might write tomorrow, which could be my last blog. Depends on how I feel. Just feeling really down right now and not sure what to do about it.

Games my foot likes to play

Games my foot likes to play

The past few weeks, my foot has been playing these games with me. It will become really hot and painful so I take it out of the covers and it IMMEDIATELY cools down and stops hurting. Then it becomes cold so I stick it under the blankets, only for it to start hurting again so I take it out. This goes on for a while. It drives me crazy. One night I woke up with both feet on top of the covers and feet were freezing. Unreal.

I am getting tired of this game because I know one day it is going to stop and then I will be in more pain, unable to relieve it. I picked out another date. Fuck it. I don’t care, though tomorrow it’s supposed to be in the 70’s. It’ll be my last chance to end my life while the weather is fair. My luck my back will go out because the temp jumped 30 degrees and I won’t be able to go no where.

I did a stupid thing tonight. I was trying to fix my lamp and inside where the bulb is was a lot of dust. Without thinking, I blew air into this cup thing. As you might of guessed, the dust blew into my face and I was blinded for a few minutes. Thank goodness I had my glasses on or dust would have been in my eyes. Idiot I am. I did fix my lamp though, least I think I did. We’ll see later on tonight if it turns on.

I am in a sour mood. The Cubs won, much to my dismay. My foot is killing me and there is nothing I can really do about it. I took some Neurontin to quiet the burning but that is half the problem. I also took an extra Ativan to help me sleep but I don’t feel sleepy. I just want to fucking die. That will solve all my problems in one shot.

I can’t believe my foot is calming down after I took it off the blankets. WTF. Who knew that would be the answer to my fucking problem. Maybe now I can get some fucking sleep. I know I am going to be dead tomorrow because I did a lot of shit today. I probably will sleep all day. Maybe, with any luck, I will sleep through my therapy appointment. I doubt it though. I am usually too nervous to sleep past the hour and I usually set an alarm to wake me up. I hate being responsible.

I just don’t know what to do if my foot becomes cold again because this in and out game sucks and keeps me up. I would put a sock on but that doesn’t help. I’ll try it though, a loose fitting one. I don’t want a tight one like my BoSox slipper socks or a heavy one like my thermal socks. Nothing too constricting or warm. I hope whatever my foot is going through, it doesn’t last all winter long. It will drive me up the fucking wall.

an upsetting chat

An upsetting chat

Nathaan Demers ‏@Doc_Demers 3h3 hours ago
We need protocols in primary care regarding MH & suicidal ideation. We flag pt records for med conditions- lets do the same for MH. #spsm

I came across this statement while going through the SPSM chat that goes on every Sunday on Twitter. What I find upsetting is that these suicide preventionists don’t realize that suicide and suicidal thinking are time limited. People who think of this in time of extreme distress are not going to think about it down the line. Now if they make an attempt, that is a different matter.

The way I see it, you can let the medical providers know that the patient has mental health issues. I am for that. But telling them they have suicidal ideation that won’t go on like pneumonia is just foolish. Sure you can document that the person had ideation but for what? So that some idiot insurance policy can deny claims because they were going through a tough patch and wanted to get out of it? To me, that is just perpetuating the stigma of suicide. If the patient attempted suicide, then that is cause for concern because the best indicator that we have right now is survived attempts leading to a death by suicide.

This isn’t the first chat that has called for the medical providers and mental health professionals to be working together. But once you place it in the patient’s chart, it’s there forever. You can’t erase it. More thought needs to go into this before I feel comfortable about my own thoughts going into my medical record. We’re not talking about a deathly reaction to penicillin. Those kind of things should of course be documented at every medical visit.

But passing suicidal thoughts that were thought of last week or last month or even ten years ago? Everyone has these thoughts. Not all go through with them. It’s the attempts that should be documented not the ideas if we want to save a life. Granted patients might be ashamed or embarrassed to bring up a failed attempt but it should be asked about. And again, this should all be done with dignity and respect and compassion. It shouldn’t be hurried and passed over once talked about. It should also be respected about the time. If the patient is currently have these thoughts they should be addressed. If it happened ten years ago and the patient is stable, then in my opinion, it should be documented but not be hounded and beaten to death. The crisis is over and dealt with. It’s what is going on now in the patient’s life that should matter, not the long ago past.