Tag: CES

Preparing for surgery

by Midnight Demon, posted in blogging, Chronic pain, chronic physical pain, CRPS, depression, mood disorders

Preparing for surgery

Because of the mayhem Coronavirus is causing, I may not see my therapist next week in her office because of trying to limit people’s exposure coming to the hospital. She may work from home which means we will be talking via Skype or something similar to it. She wanted me to come up with things that could help me reduce my anxiety about my surgery. She said to make lists so I started that. I plan on baking and making my burritos this weekend. I think my sister is going to be making chili so I am not sure how much kitchen time I will have. My nephew has been eating my tortillas so now I just have one package left of them to make my burritos. I asked him twice already not to eat them and it was ignored so I really need to make them soon or I may not have tortillas and I can’t buy more as I have no more money until after my surgery, which is when I get paid next.

I had a major flare last night and I didn’t get to sleep until after 1 am. I then woke up around 7 so I took my meds and put my phone in silent mode so I wouldn’t get disturbed. I took a bunch of my night meds this morning to try and deal with the flare so I slept most of the day, which is what I needed. Now I am kind of awake and it sucks because I can’t get back to sleep. I am too nervous about things so decided to write to see if this would calm me down some.

I sent a message to my therapist about the letters and asked her what I was going to do about them. She said to email them to her and I am not sure if she meant via the patient web thing or actual email. I am hoping my surgery doesn’t get rescheduled because I am already going out of my tree as it is. I am not sure if I will be seeing my psychopharm next week which will suck because I need my Ativan refilled. I plan on locking my meds up before surgery so that no one can get to my meds. I will place them in the locked box that I have. It is bigger than the med lock box I got.

I wanted to get my haircut but my barber has been exposed to the virus so I can’t see him right now, not this close to surgery anyways. All the urine tests that I had done this past week have been sort of negative. I have a few bugs in my urine but nothing to indicate that I have infection. I still have not heard from the doctor yet though to confirm I am okay. I don’t know if she wants to treat it or what. I got word from the catheter supply company where I have been trying to get samples that the representative today got the verbal order that I do indeed cath. This representative has been emailing me the past two weeks trying to get the order through. Nice to know that there is some stop gaps before proceeding to verify my information.

Monday I got the appointment with the public transportation Ride service. I just hope I appear to be more disabled than I am so I can get their services on days it will be too tough to take the T, especially with my upcoming surgery. I have no idea what kind of restrictions will be made. I just know I will have to make sure there is money in my account every month do have this service. It costs like 4 bucks each way so 8 bucks total for the round trip ride. It will be nice to get a ride to the library every so often so I can not be hassled with the T buses. It would take me four buses to get there because I cannot walk up the street to where the library is. The one that is in the Square is close for renovations. I am not sure if it has reopened as I haven’t been down that street since the bridge closed. The book that I took out is due next week but because the city is in shutdown mode due to the coronavirus, I had to renew the date so I don’t get charged late fees. I don’t know when I will be able to return it. I am hoping maybe my niece can do it after school as the high school is right there when things are open again. Probably when the virus is gone but who knows when that will be.

2 am thoughts

by Midnight Demon, posted in blogging, Chronic pain, chronic physical pain, CRPS, depression, mood disorders

2 am thoughts

I woke up about an hour ago because my bladder said to. I had a difficult time trying to go back so I decided to write. Laptop was doing updates so I had to wait a bit for it to finish before the thing could start. I got a message from my neurosurgeon for me to callback in the morning. I forgot what I sent them so I had to look in the sent messages. You can only look at these messages on the web not through the app. I had asked the surgeon if he would look at the disc that I am concerned about while I am under anesthesia to make sure I won’t have problems in the future with it.

I was looking over my last blog so I didn’t repeat anything here but things are on my mind. I think I do have a UTI as I am getting pain on urination with the catheter. After I void, it stings and is sore. I don’t know if I am not inserting it gently enough or what, you need to put some pressure in order to put it in. I will try to be gentler next time, which will be in a few hours. My body seems to want to expel urine every 4-5 hours. Sometimes the void urge is strong and I am able to go but sometimes it isn’t and I have to cath. Sometimes if I sit and wait eventually I go but this is after like 5-10 minutes of waiting to see if my bladder will go on its own. Just when I think I will have to cath, it goes. So frustrating. I never thought I would be this disabled before. I knew it was a chance with my discs being the way they are but I didn’t think it would happen due to a tethered cord.

Ankle is hurting a bit more than it did the last few hours. I hate when I wake up in a 5-7 level of pain. It makes me want to stay in bed but I got some things to do today so I need to try and do them even though I know it will be hard. I need to get eggs and tortilla wraps. Also need cling wrap and I want fricken Oreos dammit. I love the golden ones better than the chocolate ones but the thins are the best! It has the right amount of cookie and filling. I might get both if they are on sale. Depends on how much the eggs are as I need at least a 2 dozen. I want to make 12 burritos so I need 2 dozen as you need 2 eggs per burrito. Otherwise, you don’t yield as much eggs when you go along. I know because I have done this before. I tried 6 last time on 8 eggs and it didn’t get me very far. I was able to stretch it to 5 but the eggs were not as much as the first. I have trouble judging how much to put in each burrito when there isn’t that much egg. Hopefully using two dozen eggs (at different times) I will yield good egg results and the last burrito won’t be skimpy of eggs.

Next week I got to take off my jewelry. I am going to have my watch in my bag so that I have it. I need my watch as it has a way of centering me. I don’t know if that is the right word. I just feel better with the watch then without. I don’t feel as lost. I want to have my bathroom stuff with me, like catheters and deodorants and what not. I can’t use them day of surgery though. I am going to be catharized during the surgery. I just hope I don’t poop. That is a fear I have which is why I am trying to empty my bowels now rather than later. The new bladder med seems to increase the constipation so I am holding off on taking it until my bowel movements are better. I have been taking Miralax to go but stuff has not been working the way it should and I fear I am going to have colon blow soon. I might have to take a Dulcolax day before surgery so I know I will go as I want my bowels to be as empty as possible. The stuff they give you always causes constipation so I don’t want to be super backed up like I am now. I hate that I will have normal BMs and then nothing for days. I never know what I am doing different that causes this. I am taking almost 2,000 mg of magnesium to try and go along with the Senna and Miralax. The uro NP wants me to talk to my PCP about this to see if there is something else I can do to go but I really don’t want to. I know there is a drug you can take for opioid constipation but that isn’t the only thing backing me up. It is the anticholinergic meds I am taking that is causing this to happen. Plus whatever is going on neurologically isn’t helping my bowels either. So there isn’t just one factor in all of this.

I need to pack my bag of what I will need while in the hosp. It won’t be that many clothes as I will be wearing a hospital gown through most of the stay. I won’t wear underwear again until the catheter is out and I am catharizing on my own. I just want to make sure I have enough underwear with me in case of accidents. I don’t know where the scar will be so I might not be able to wear underwear for a while until the scar heals. I will find out after surgery how things will be. I know that I will be lying flat for 24 hours post op and then I will need to be raised slowly so I don’t get a spinal headache or a tear in the spinal area. Last thing I want is to leak spinal fluid. That would not be good!

Getting sleepy so I think I will go back to sleep now. Writing always helps to calm me down.

Melancholy II

by Midnight Demon, posted in Chronic pain, chronic physical pain, CRPS, depression, mood disorders

Melancholy

I’ve been in a depressive slump all day. I remembered that there was a therapist discussion going about Twitter the other day or maybe last week about melancholy and how it should be in the DSM as it accurately displayed depression better than the other diagnoses. I looked up the criteria or symptoms and I fit all six. They are:
1. Loss of Joy
2. Worse in the morning
3. Increase in guilty feelings
4. Unfounded sadness
5. Lack of energy
6. Negative physical effects (+/- weight changes, eating, sleeping, etc)

I knew I had some think. Recurrent major depression is a close second to what I have but I don’t have energy at all. I can’t remember when I felt energetic or didn’t feel weighed down. Morning are so hard to function. I have sadness all the time, not explained by anything. Just waking up, I will feel sad. And forget about joy. That took a hike a long time ago and haven’t been able to find it since. This blog used to bring me so much joy and now it is work to keep it going. I don’t get paid by posting. This is my playground where I just write my thoughts of my illness and post it to see if anyone cares. Not many do. I still haven’t found the right time to post that gets the most readers to my blog. But that is another story.

I am bloody cold. I had to shut the window yesterday because it felt like my room was in the 30s. It is that cold out right now and I don’t have the window open. My room temp went down to 59 degrees, which made me shut the window. Now it is 66 degrees in my room. I will take it but I want to feel warm. I don’t think the heat has been turning on as much. I have no idea what it is on. I put my glasses on to read it when I went to the bathroom and then forgot to look before coming back to my room. Oh well. I just heard the radiator turn on so hopefully I will feel warm soon. I can only imagine what it is like to be homeless. Some times I think about it rather than live where I am. I probably won’t last more than a few hours out.

I am feeling low again. I wish this wasn’t happening. I am having surgery in less than two weeks and I am really scared about it but I trust the doctor to not fuck me up more than I already am. I just hope my bowel and bladder function don’t get worse after the surgery or I don’t think I am going to make it. I have a plan for suicide and it will just speed things up if I lose bowel/bladder function more than what I already have. My family doesn’t understand this. No one does really. They don’t think of their nerves in the back controlling things. I am just tired of everything. I have a therapy notebook going and in it I wrote to my therapist just how I would end my life and under what circumstances. I have an opportunity to finally end my life and I am not going to by-pass it this time. I will be stupid to.

I’ve been so suicidal the past year that I think it has just become a part of me like the depression has. You could say I have a depressive personality (if that exists in the clinical world, I am not sure). I just know every day I feel suicidal and every day I feel some level of depression. The past 24hrs I have been really depressed. It hurts in my soul so deep that no medication, not even morphine, can touch it. Hell even my pain meds don’t touch it and I am on some strong meds.

This blog was supposed to be about depression and melancholy. I don’t think it is about that anymore. You tell me if I am on track. I skip around because I run away from my emotions. It is hard to stay with feeling like the black cloud following you and is starting to weigh on your chest. Who wants to stick around for that?? I know this is a punishment for some wrong I have done. I just don’t know what that could be. I try to lead an honest and truthful life. I don’t hide shit from anyone. Well maybe my therapist but she eventually gets it out of me with her stubbornness. Man she drives me nuts. This is how I know she is a good therapist. She can be very blunt at times and sometimes I don’t know if she is joking or not. But she tries hard to get me to stay with whatever I am feeling. I hate that I had a breakdown in her office in our last session. It wasn’t for too long because I wouldn’t allow myself to get too ugly. I am a man who shouldn’t be breaking down like that. But she wouldn’t let this thing go and I was all jumbled up inside I didn’t find a thimble to hide in. That was how small I felt. I always feel small when I am feeling big emotions. I don’t know why that is. Could be trauma or just the neglect I endured.

Saturday Blog 07052020

by Midnight Demon, posted in blogging, cauda equina syndrome, Chronic pain, chronic physical pain, CRPS, depression, mood disorders

Saturday Blog 07052020

I am feeling really depressed today. I have no energy to do anything. I feel like I should make some progress in my room so I might do that after I write this. My back has not cooperated much in standing so will be interesting to see if moving shit around causes it to flair up some. I got Matt Stell’s song “Everywhere But On” in my head so I got it playing on repeat. It is true as I have moved everywhere but on. I might share it with my therapist. I think she likes country as she was excited Zac Brown Band is playing at Fenway. This is the third or fourth year they have played there. I am not that interested as I think a ballpark should just play baseball. I hate it when they set up the stage and stuff. I just cringe. Maybe it is just me.

I sent a message to a reader because I haven’t heard from her in a while. She is doing okay but is really depressed. She is struggling and I felt her pain. I feel bad that people suffer from pain. It truly sucks when you hurt for more than a few weeks. It is like the pain will never go away. I have been trying to figure out if I will get pain relief when in the hospital for my CRPS pain and no one has been giving me an answer about it. The NP had said that if the pain medication the neurosurg team were giving me was not adequate they would consult the pain team and they are “top notch.” I am just worried they will only treat my post op pain and nothing else. I will be on my back laying flat and my legs will be raised so I am glad because my foot won’t tolerate being flat. It has a difficult time when I lean back and put my legs out. It will flare up in a few minutes but soon as I lean forward again, the pain dissipates a bit. It is still there but I don’t feel it as much.

Today is the anniversary of when I started therapy with the school counselor. I remember it was very difficult to open up about stuff and the voices were making things so damn difficult but I couldn’t tell anyone that. It was my secret and I knew people would not be welcoming with this news. Therapy only lasted until the end of the school year and then I saw a social worker for a year before she left after she got married. The other therapist I fell in love and felt she was just seeing me for my insurance money. Also felt like she took advantage of me because she knew I loved her. She wanted me to go to Northeastern just so I could continue seeing her. I had plans on going to Maine for college. But none of those dreams happened because two months after I graduated high school I ended up in the hospital. So by the time I finished high school, I had three therapists. I would have another 8 before I found the one I had for sixteen years. I would have one more then another a year and half later. I have been with my current therapist for eight months now.

Got a week and a half before surgery. I am so fucking nervous it is not funny. A friend that I saw back in one of my hospitalizations wants to see me as my sister is not going to stay with me. She will be there for moral support. It is up to her if she wants to. I won’t say no. I appreciate it as my nerves will be through the roof.