writing is difficult at times

I went to my “happy place” (Starbucks) today to sit and write. Unfortunately, all I did was sit and check twitter on my phone. I decided to write an introduction for the book I was writing. Nothing came to me. ZILCH in over an hour. What I did write was the shortest and most boring introduction to a book. I might as well just have written the word INTRO and call it a day.

I have set what I think will be an impossible goal for me, to write four pages a day till Sept 20th in my book. I have found that once I start, I have a hard time stopping. But the thing is, to get GOING! Lately, even with my blogs, I have been finding that I have to turn off my phone so I am not bothered with incoming text or email messages. I don’t get phone calls anymore. If I do, I usually have the MP3 player going so I know when I have a call. I actually have tracked my phone calls since I left work. Hardly any minutes go for landlines anymore. I get like 700 minutes a month and at least 70 minutes will be used. I have unlimited mobile to mobile so it doesn’t matter how many minutes I use. I kind of hate it because I am paying 450 minute for nothing, get 300 bonus minutes, and I don’t use it anymore. I just pay for my data plan, which is reasonable I guess. I never use more than 2GB of data a month, but then I have unlimited data so it doesn’t matter. I am paying for a tablet that I don’t use data for. I would love to cancel the contract but it will cost me $200 to break the contract. I have until March to cancel it anyways. Not like I use it much. I just use it for the Kindle app so I can read, but I have so many hardcover books that I am reading, I hardly use the tablet anymore. It got old a month after I bought it so I am not sure anyone will want it. I do use it for email or something when I go in the hospital. But I don’t know if they will allow it anymore. Some places are going all no technology. Even using a cell phone is prohibited.

I am kind of feeling pressured to write these four pages a day. But I added some stuff to the document last night from a previous version of my book. Taken together, I have like 150 pages of stuff. The first version is just a compilation of my first few blogs and some other stuff I wrote that I think should be included in the book. The thing is, that I have become such a condensed writer that for me to expand is difficult. Sometimes I feel like I write and just go on not making any sense.

I have been having waves of sadness hitting me pretty hard today. I don’t know why as I had such a good day yesterday. I think it is because my foot has been bothering me today. Since this morning, my foot and leg pain has been bad. I literally had to force myself to go out today. Even putting on my sneakers today hurt, which almost made me want to go back to bed. After getting my latte, I was really hurting even though I was just sitting in Starbucks playing on my phone. I tried to come up with something to write but it was impossible. The sadness was so palpable.

Tomorrow is my BFF from childhood birthday. It just is another reminder to me that I am getting older and I don’t like it. I never imagined that I would make it to my thirties, let alone past my twenties. Pretty soon I will hit the big 4-0 and I am not sure I can take it. I just want to die now so I don’t have to spend my days in bed withering in pain.

I meant to go to the grocery store today. But after getting out just for my coffee, I couldn’t bear standing anymore. I will try tonight when my brother-in-law gets home so I can take the car. I got a pumpkin cupcake recipe off the internet that I am dying to try. I love pumpkin! And this will be the perfect snack for me to have or even a good breakfast. I just don’t know if I can stand to do more today or not. But I am getting hungry and have not had dinner yet. I am debating on making pasta or reheating the left over Chinese food I got last night. I just don’t want a repeat of what I went through last night if I have the Chinese food. I got really bloated from the grease. I should have ordered from my usual place but I wanted to try another restaurant. Now I know better!

I am a survivor of suicide attempts

I wrote a quick blog yesterday about the stigma of suicide. I asked wouldn’t it be nice to say to people you survived suicide like you survived cancer? I listened to the WEEI radio to hear my Sox game and it amazes me how quick people are to say they survived cancer but hide in the dark when talking about taking their own life. Both people are fighting for their lives. Granted one is bodily and the other is mostly mental but it still begs to question why there is a different in the illness. Suicide is the result usually of untreated depression or other mental illness. Most people think that it is depression that causes people to think about suicide but it is not. You can be psychotic and think about killing yourself. I know. I have been through it with my psychosis. I have had voices tell me to kill myself, in fact in one of the delusion it was considered a command order. Psychotic disorders often get tossed by the way side when considering suicide but a recent article in JAMA showed that it can pave the way to catching suicide attempts if asked about. The study showed that teens with psychotic symptoms are more apt to attempt suicide than non-psychotic teens.

But you don’t need to be in a mental state to be in the suicidal mind. That is what is so devastating about suicide is that people before they commit suicide look and act “normal”. I know that people who are suffering from cancer can look anything but normal. They can be bald or look skeletons. They are really fighting to be alive while those that are thinking about suicide just want to die. People with cancer are the lucky ones. Their suffering will end. People know this. But those of us with mental illness we continue to suffer and when we decide to give up and end the fight, we are looked down upon and treated often inhumanely. We then feel ashamed of ourselves for trying to end the pain and failing at it. We end up in the hospital to “save ourselves from more destruction”. All we want is peace, same as the cancer patient that is terminally ill. We want the suffering to end.

To some people, they believe that suicide is preventable. To some people it is but you are not going to catch the majority of people most at risk. You cannot stop every suicide. People have the right to kill themselves if they so choose to do so. It is the ones that survive that have the right to speak about it. Because those that survive depending on their reaction to their own attempt might be clues to whether they survive or not. I have survived the past several years despite making elaborate plans on killing myself. I really want to die but my reasons for living keep me going. I don’t like it but I can’t picture my sister telling my eight year old niece that I have passed on. She is my baby and I don’t want to hurt her or my other nieces or my nephew. My nephew is what kept me going during a very difficult time in my life. I wish that I had succeeded but because I didn’t, I got to see him grow into a man and graduate from high school. I didn’t think that he would or that I would live to see the day he did.

It saddens me that I am still alive when all I want to be is dead. I don’t know why I preserve. Right now I am in a lot of pain and I don’t like it. I don’t know if I am going to get any sleep tonight because of it. Where is the training of medical doctors to handle chronic pain? There isn’t any. I don’t get asked what my mental status is during medical visits anymore. It is just assumed that I am ok because I have a smile on my face. Didn’t matter that the day before I was in so much pain that I was in bed all day, taking pain pills every four-six hours. Maybe I was happy because I could finally get out of the house and go to my doctor’s appointment and I wasn’t in pain. The siege was over with. But now it has returned and the meds have not kicked in yet to knock my big ass out. I am tired of living with chronic physical pain all the time. It sucks the life out of you, what ever life is. And if it doesn’t, your mental illness will surely do it for you. There is no reprieve. No relief in sight. And that is why suicide is what it is. For people that survive it, they should be able to say that they have. But no one does. There are a few people that have been coming out slowly through the AAS blog but I fear that the ones that don’t come out, are the ones that will try again and maybe succeed.

I am a failure of suicide attempts. And because it has been so long since my last one I am not going to try again any time soon. Least for now. So I am in pain and I have one option left to me…to suffer.

weird dream

Today has been a quiet day for me. My only goal for the day was to go to the post office and mail a letter. It didn’t happen. I woke up in pain and been nursing my foot ever since. I woke up after having a disturbing dream. In the dream, I was being laughed at because of my pain. These two nurses or something similar I am not sure, were laughing because they couldn’t believe that my pain was so bad that it needed pain medication. So they laughed at me. Then when I was telling them I had nerve pain in the foot, they laughed harder. I was feeling sorry for myself in this dream and wondered if I am laughable. This pain has been going on for so long, I wonder if there is anything other than pain medication to help me anymore.

I fell back asleep only to find myself in another retarded dream. I got up but my foot was still hurting me. I then was extremely nauseous. I had to lie down and take my anti-nausea pill. I just couldn’t understand why I was so sick. I know it probably had to do with not eating anything all day and just taking my pain medication on an empty stomach. I just didn’t feel hungry today.

The earlier dream really got to me though. I know it was just a dream, that it wasn’t real. But it felt real. I don’t know why this dream struck a cord with me so much. It really got me thinking that this is how I perceive myself, as a laughing matter. Or maybe it is just that I don’t think people are believing me anymore when I tell them I have pain. I know my pain is real. It is incapacitating and debilitating. I can’t do anything, walk, go up stairs, stand, nothing that I used to do before. Funny (not ha ha) that I relearned to walk twice in my life and now I can’t enjoy it.

I know my therapist is going to ask me what do you think this means. I don’t know what it means really. It is just a dream in which I felt like I was a joke. That no one really believes I am in pain anymore and that I am ashamed of myself for some reason.

It’s a little after 0530 in the morning. I woke up around 0500. I was in a lot of pain. I didn’t dream I was in pain, I just woke up being in pain. My leg and my ankle were killing me. So I took some thing for it. I hate when I wake up in the wee hours of the morning. It usually means I am going to have a rough day. I am trying to stay awake for as long as possible so that I can maximize my sleep. Only trouble is that I have an appointment with my therapist at noon time so I can’t be totally asleep. I have my alarm set for 1015 to wake up. Now I am thinking that is too early as it will only give me about a 4 hour snooze, if I go to be within the next half hour. I haven’t had any weird dreams last night, least none that I can recall.

My one goal for the day is to mail my therapist’s packet of letters that I wrote her while she was on vacation. And if I am feeling up to it, to clean my car. I still have not done so all summer. I keep putting it off every day. I just don’t have the motivation to do it. I really need to take down the transponder for FastLane. I hope I can do it without breaking the windshield of my car. Once I get it cleaned out, I can call the junk service people and get it out of my hair. And hopefully, have some money in my pocket for a while.

I really hope that my therapist doesn’t read too much into my dream as I have. I still can’t get it out of my head. I have been trying to forget about it but it still there, and the feelings that are associated with it are too. I don’t know why my sisters were in the dream. They didn’t do anything to help with this stupid lady laughing at me. But it was just a dream. Just a dream.

adequate pain relief and suicide

Was going through some old journals and came across an article on pain and suicide. This was the “first” study to find that moderate to severe pain caused suicide to happen. **clap, clap, clap** Tell me something I DON’T KNOW. I don’t get how they have to do a study in order for doctors and other mental health professionals to realize that any type of prolonged pain (physical or mental) is going to result in suicide. It astounds me, it really does. And the worse part is that these people are not being treated. That’s the other thing that drives suicide, untreated pain. Granted you can’t treat psychological pain like you can physical pain. There just isn’t a pill you can take to relieve psychological suffering. That is the sad part. But you can assess it. You can hear the person talk about their pain. That is all the person wants really, is to be heard.

Physical pain is ambiguous. And the study didn’t focus on any particular pain in the body. The researchers just asked have you had pain in the last four weeks and then they rated it. So there is no telling that this pain was coming from the head, back, legs, stomach, etc. Does it matter? I don’t think so. I just think that more doctors should ASK their patients if they are experiencing pain and how severe it is to them. And also ask if they are thinking about suicide because of this pain. But most doctors don’t have the TIME to ask these questions.

In the months after my psychiatric hospitalization, my doctor asked for three months if I was suicidal because of my pain or for another reason. Then, the questions stopped. He began to ask more about what was causing my pain and try and help me there. A few months ago he asked me again if I had suicidal thoughts. He then told me that he cares a lot about me and that he would miss me should I kill myself. That took me off guard. I know I have a good relationship with my doctor but do other patients have good relationships with theirs? And are the people that are prescribing narcotics regularly checking to see if their patient is at risk for suicide? My doctor has stopped asking me if the pain medication is adequate for me. Sometimes it is, other times it is not. And I think that finding an adequate pain relief regimen is key to saving a life.

I know that I am constantly complaining on my blog about my pain. But I have pain meds to control it. Even if at times it is inadequate. Do I think about suicide? Yes, I do. But I have protective factors that are preventing me from going through with my plan. And I hate these factors because I wish I could kill myself. I know that I will be missed by my blog readers, my family, my therapist and my psychiatrist. I have a sense of belongingness to these people and as much as they drive me crazy, they keep me here. So all I can do is write about my pain and hope that it helps someone to know they are not alone in their pain too.