the need to write

The Need to Write

I watched the ballgame most of the way via Twitter. We won 5-3. I didn’t think I was going to last because I was really tired but I knew if they came back and I missed it I would be upset. I am glad I didn’t miss it.

So I lied down and of course pain coursed through my ankle and foot like they do, 10 times worse tonight. I had to take a strong pain pill and some Neurontin. I was taking all shots tonight. Fuck it. I don’t care. I need pain relief. My foot is on fire. My ankle is searing pain. And I have no fire extinguisher other than the Neurontin. My anxiety is up but I already took some Ativan because my right foot was doing this dance tonight that eventually got painful. It just kept on curling up on me, on it’s own. Annoying.

I was able to sleep for a few hours but then woke up because I had to go pee. Damn bladder. Now I am up and I don’t think I can go back to sleep, least not for the next hour or two. I am surprised that I just slept a few hours given the amount of medication that I took. I am still feeling a little paranoid and psychotic. The voices the last few days have not been pleasant. I can tolerate them but it is exhausting. It takes all that I have to ignore their constant bickering, their sarcastic remarks, their criticism, and their commands. If I am doing something one way, they want me to do it another. It’s tiring. I had to take 12 mg of trilafon yesterday to counteract them. I didn’t take it all at once, just every 4-6 hours I took a 4 mg pill. It was the only way to quiet them down.

Later today, I plan on printing out my book. It’s going to be a huge deal because I have 140 pages to go through. Granted the first few are just fluff, just the title page and then copyright page, stuff like that. I want to see if I can do this without an editor. My stories are short so if I take them one at a time, it should be a piece of cake. And unlike my first book, there is nothing to really trigger me because it’s mostly about my psychotic experiences, which I think are funny and amusing. Course, when they were happening they were scary as all hell. But now they are not that way anymore.

I texted my therapist that I was in pain and lazy because I might not be making the pumpkin cupcakes like I wanted to. I am still cursing the Peapod delivery for not delivering the right kind of pumpkin. Now I have to go to the store and get it. But I don’t want to go out later today. I know I am going to be tired as shit as it’s in the middle of the night and I am awake. Plus, it’s going to be raining most of the day. I should have gone to the store yesterday but I was too tired.

completely wiped out

Completely wiped out

I basically was on the go since I woke up this morning. I went to Starbucks. Had my drink and breakfast, wrote a little bit and then played with my phone. Afterwards, I went to CVS to get my mother some things and a binder for myself for my book. I plan on printing it out sometime this weekend to go over it and see if I repeated stories and also to edit it.

After this, I went into Boston to get my prescription. They didn’t have it ready so I had to wait. Finally one of the medical assistants came and got me and I left. By the time I reached the train station, I was wiped out. I think walking with the brace is slowing me down some and it’s tiring. I wanted to go to the grocery store to get pumpkin but I was too tired. I might go tomorrow.

I get to Walgreens to have my prescription filled and they tell me they need to call my doctor to verify it’s okay because I take the other medication. OMG. Seriously? Luckily I am not out so I can wait the weekend but still, it’s an annoyance. They said they will text me so we’ll see. I still haven’t received notification about the trilafon. I might have to hound my psychiatrist for that. This is why I hate when my refills aren’t in sync with appointment visits.

My foot/ankle is throbbing again. I just want to go to sleep but I need food. My mother offered to make soup but I am not in a soup mood. I am kind of in a tuna mood. But I think I need sleep more than food right now. I am getting cranky and I hate being cranky.

Pain Insomnia

Pain insomnia

I never wanted to believe in this phenomena called “Pain Insomnia” because I feared it would happen to me if I did. Well, it’s happened. It’s after midnight and I am not sleeping because of pain. I am still listening to music but my foot and ankle are having a war as to which is going to hurt me more. So far my ankle is winning.

I started writing in my journal. I figure that would help me sleep. But nope, it didn’t. I wrote out my “suicide note” in my journal so in case someone reads it should I die they know they aren’t to blame for my death. I have tried everything I could to keep going but the pain is just too much. I just keep on taking pills left and right and that is not the kind of life I want to live. It’s bad enough this pain took away my jobs, my walking ability, basically my dignity. And still no one knows why I am in pain. Some docs have given me the elusive diagnosis of “complex regional pain syndrome” but I don’t fully meet the criteria for that because I don’t have color changes. I just have pain. All the damn time. And it’s worse at night so no doc can see what it is when I am not in the office during the day because that is not when I have pain.

My psychosis is not helping. I skipped a couple of doses and it caused the symptoms to return. Part of it is because my doc wants me on 1 dose a day but I need 2 a day to get relief. So I have this battle with the voices about taking my meds and it isn’t pretty. Mostly the battle is just take the bottle rather than a couple of pills. They don’t understand that by doing so, I might die. But they don’t care. Since when do auditory hallucinations care what you do when they command you to do something? They just want you to obey them. It’s gotten better now that I am back at 2 a day. I still get paranoid though. There was a guy at Starbucks today that was really antsy. I thought he could read what I was writing in my journal. Honestly, anyone that can read my handwriting, I give credit to. It’s complete chicken scratch.

My strong pain pills is ready to be picked up. I will head into Boston tomorrow and get it. I hope there isn’t a problem in the pharmacy. All this talk about opioid awareness has me wicked paranoid about filling my prescriptions. I haven’t had a problem but I don’t want there to be. It’s bad enough I have problems with my antipsychotic getting filled because of the new fucking system my hospital has, and that isn’t a controlled substance!

So while I wait for pain meds to make me sleepy or exhausted, I write till I am completely out of words. Insomnia sucks but pain insomnia is worse. One of my new Twitter follows was talking about how CBT (cognitive behavioral therapy) helps those with chronic pain but her insurance doesn’t cover it. I find that very discriminatory. I wish I could help her with it. But I don’t know where she is in the world. Hell, I am even trying to get into a CBT program yet I haven’t been called yet. I was hoping to hear from them by the end of last week and here it is a week later and still no word. I just hope my suicidality doesn’t hold them back. I am always fearful about this. I have had so many therapists deny me their services because of my suicidal history.

I need to go to the grocery store tomorrow to get pumpkin puree so I can make pumpkin cupcakes. I like to bake and I have this new recipe. It looks easy enough. I want to bring them to my therapist when I see her on Tuesday. I also have an appointment with her on Monday. I hope it goes well. She knows that I am suicidal. We have been talking about it for the past couple of weeks. Seems I am more suicidal this time of year than at any other time. She wants me to see me through the new year but I think she is wasting her time with me. I just feel so awful and not sleeping doesn’t help matters.

I had picked a date but I don’t think I will go through with it. There are a few things I haven’t done yet that I want to do before I end things. I was hoping to do it this week but pain stopped me yet again. Next week I will be really busy so the things I need to do will have to be the following week. And again, it all depends on my pain levels to do these things. I hate that I have to be dependent on pain to basically tell me what I can and can’t do. It really sucks.

I remember the last time I visited my cousin in Washington, DC. We went to the Smithsonian and saw a few museums. It was really fun even though my camera wasn’t too cooperative. My leg flared up the next day and I was laid up for most of the weekend. I felt really bad because I couldn’t do anything but put my leg up. Some vacation that was. I stood too long and it just flared up pain in my ankle, much like it’s doing tonight, except I didn’t stand too much today. I did go up and down the stairs a few too many times though.

Agitated and Aggravated

Agitated and aggravated

I have not been able to settle down since coming home. I feel really agitated and things are unsettled. The voices are loud but they are mumbling so I can’t understand what they are saying so I am frustrated. I have tried listening to some music to calm me down but that hasn’t worked. It just gets me more agitated. I just took some Ativan and some trilafon to try and calm down because I really would like to sleep before my pain shoots off.

I am really annoyed at my therapist. I really didn’t want to have a session with her but she plays this game with me that if I can come up with a good reason, I can skip the session. I never can come up with a good reason as the reason is, I just don’t want to talk with her, which isn’t a good enough reason. I texted her that she might get my voicemail or I might block her call. I am so annoyed. In order to avoid the phone call, I am tempted to get another Zipcar and go out to see her again. Course, if I do have the phone call, I can just put her on mute. I don’t get why this fucking woman drives me insane.

Then the ballgame was a shit show. Price, who is getting paid $30 million, gags in big games so we lost tonight because he gave up the long ball one too many times. That didn’t help my agitation, at all.

Voices are commanding tonight. They want me to pick a bottle and take the whole thing. I hope the trilafon works soon. I hate this uneasiness I am feeling. It’s partly my fault the voices are out of control. I missed my afternoon dose of trilafon because I was driving today. I hate missing doses but it happens. I have to be better about taking the dose. I want to page my psychiatrist but it’s late. She will just tell me to go to the ER and I don’t want to. They will admit me and I don’t want to be admitted. This will pass. I can handle the voices by ignoring them even though I am agitated.

Well, too late to beat the pain in my ankle. It has just started. Fuck. I just took my pain meds so now I have to wait till they kick in. I hate this feeling. I am feeling out of control and yet I am in control. I had something to eat so that made me feel better as I haven’t eaten much all day. Sometimes not eating will cause me to become agitated, too. I know part of the reason I am aggravated is because I am overtired. I didn’t nap when I came home from therapy like I wanted to. Then my groceries came and I had to put them away. By the time that happened, I was so tired I didn’t know if I should eat or sleep. So I did neither.

I am so tired of fighting myself all the time. It’s really tiring. Actually, it’s exhausting, between the voices, the depression, the physical pain, the emotional pain, and then the emotions that go with it. I just want to die. I don’t know when this will happen. I hope that it will happen soon but I just don’t know. There are so many factors that go into it that I am just plain scared of it so I don’t do anything but think about it. I don’t tell anyone what I am thinking because I don’t want to be stopped. I pick dates. I plan a destination. But will I go through with it? I just don’t know.