A busy past few days
I have a busy week with a lot of appointments. I had two today, back to back. Tomorrow I see my pcp to discuss my cardiac markers and a BP med. I am hoping she listens to me and puts me back on labetalol rather than another med. But if she isn’t open to it, then I will go on what she suggests.
I saw my TG doc today. She had a fellow interview me first. Things went well. The fellow tried to get me a 5mL vial of T but the pharmacy just filled a 1mL vial. I have enough T to last me the next few injections. She also referred me to plastic surgery so I could get a top surgery consult started. I am glad because my pcp never responded to my request from last week. The fellow also answered my concern about whether T had caused the dislocation in my shoulder. It didn’t. I am glad. She did say that because I had removal of my ovaries, I have to be concerned about my bone health. But I am still young enough that I don’t have to go for a bone scan. The only bone scan I want to do is on my shin to see if the CRPS has spread to it. I have been having severe pain for no reason and it is worrying me.
After my TG appointment, I had the chronic pain group, which had already started. I was about fifteen minutes late but they accepted me anyways. We had a good chat about families not getting our disabilities and I told them how rough it was living with my sister who triggers my PTSD often. I also came out to them as transgender and they didn’t seem to care, which I was glad about. We also talked about how our families don’t believe our pain and disability. It was a good group. I did talk about how my therapy session went and got support around it. There maybe future discussions about CBT.
I had therapy yesterday and we talked about my ED visit went. I told her I was freaking out over my lab results, thinking I was having a heart attack. Tomorrow when I see my pcp I am going to discuss what the lab values mean as having this marker in the blood indicates some kind of cardiac injury. I also asked my therapist if we could role play a bit about me asking for the blood pressure medication that I want so that I don’t get turned down. I didn’t want to come off as obstinate but I really think this med will be better as I have been on it before and had little to no side effects from it. We talked for more than a few minutes about it and I wrote down how to approach my pcp on this issue. I just hope I remember.
We then talked about how I feel we are divided and not on the same page about things. That is when she said to me “take the reins”. I was like what? She repeated what she said, adding that I was in charge. I was flustered. I couldn’t believe what she had said so I got my journal that has the notes to the bCBT book and shared with her what a structured session looks like. It had listed “agenda” and then went on to list other things. I asked the author of the book what is meant by this and he gave me a more descriptive outline of what the session looks like. I think there should have been an “:” to indicate this. So I went to my blog for the crisis response plan (Suicide Crisis Response Plan – midnightdemons7). This needs to be reviewed. In it, it said that if I get specific I should contact my therapist or psychiatrist. I should ask them if this is right or if I should just go to the psych ED. My therapist might not be available but I will bring it up with her when I meet with her next as that is when we will start with the new sessions I guess. She agreed to allow a new skill to be introduced and to practice it while in session. I think this is going to work out now as this seems more collaborative than what it was in the past where I spent the time just talking or not talking during session. I asked her if she was more DBT oriented or CBT. She said she was CBT so that will help a lot during the next few weeks. I am glad this is happening because I really felt like we were going on different directions. It just seemed like we would talk about stuff and then she would ask what is helpful but never follow up on what was helpful during the week or if I had practiced or done what was helpful. Mostly that meant me reading this manual for discussion. I felt like I was alone in reading it but it not going anywhere. I also felt like it was pointless to read if I couldn’t share what I was reading.
I have a busy week. Tomorrow I see my pcp and that is going to take a lot of energy. I wanted to get my hair trimmed but my barber had a death in the family. I contacted him today and he said his sister died. Her breast cancer had come back and it wasn’t a good prognosis. I am surprised she last this long. It was more than a year since she was diagnosed with this. I set up an appointment with him for Sat. Fri I plan on making his favorite dish, chili cornbread. I just have to get the ingredients. I will Thurs after my session with my psychiatrist. I will also ask him if I can contact him in an emergency as we have never discuss this before. There wasn’t really a need to as I really haven’t been in crisis since he became my psychopharmacologist.
By Sunday, I am just going to rest as I will need it. I don’t know when I will be able to read. I got hit with a flare up and couldn’t finish this blog yesterday. The flare was so bad that the bones in my foot and leg were aching very deeply and intensely. The pain in my leg is higher than it was and I fear that the CRPS is spreading. I want to contact my neuro and see if I can get a bone scan to see if it is CRPS or something else. I don’t think an X-ray will show anything as It only hurts when my ankle or foot is flared up and when I am resting on my bed. It doesn’t hurt when I put weight on it or walk on it. It is a very unusual type of pain when it comes on. I am feeling better because I got some sleep. I woke up around 0030 and had something to eat as I was hungry. I had honey nut cheerios. I emptied my bladder because it had been more than five hours since I last emptied it. I probably will have to go again as I drank the milk in the cereal and had some water afterwards. It’s 0130 now and I am not so tired. I might read the book for a bit until I am tired and can get back to sleep. My pain has finally settled down.
I was having a hard time last night. 4 family members were upset with me because I didn’t bring the recycle down. I had asked my niece to do it and she never did so I got the blame. I got called a hoarder and it really hurt because i know I am not.
Today I slept until my bladder was gonna explode. My sister was in our bathroom so I had to go downstairs to use my other sister’s bathroom, which meant not cathing because she doesn’t have catheters in her bathroom and I didn’t grab any before leaving my room. I had something to eat and coffee. I feel like I could go back to sleep. I actually went to bed around 7 last night but I didn’t sleep. I felt guilty going to bed so early.
I had a difficult day as I got my haircut and then had to go to urgent care for my blood pressure issues. I was having side effects from the blood pressure pill and the doc wanted to put me on a Holter monitor. I said no. My new pcp is going to see me Thursday to start me on the beta blocker lebatalol. But I got to be seen in person. At 0830. Yuck. Next week is going to be a busy week so i hope by Thursday I have some insomnia so I can go to the appt. Otherwise i could sleep through the appt.
I am going to try and shower today. I want to shave my head but don’t think I can do it. I haven’t brushed my teeth in three days. I am so bad when it comes to this stuff. My new toothpaste has become community property. I am not happy about this. I am so tired I just want to go back to bed. I took my morning meds when I got up at 2pm. That is really late to take my twice a day pain med. I just had a really hard time sleeping during the night. I kept waking up to pee.
Long PT session and other things
I woke up with my arm very sore. I don’t know what I do in my sleep that makes it angry. I had my coffee and my biscuits. I had an appointment with my psychiatrist that I had to be at my PT place for because the times were close together. We talked on the phone because zoom was not a good connection. He agreed to give me the 90 day Latuda and refilled my Ativan script. He thinks my frozen episodes are anxiety related and wants me to try and take an Ativan before it happens or when I feel it coming on. I am glad it is not a medication issue.
PT was not so great. My arm is more sore after seeing her. We went to do the stick exercises and my bicep muscles flipped out. I hurt so much. I thought I was going to cry. The muscles are so tight and sore. I got to put more heat on them. I am to lay off the exercises for tomorrow but to do them half step the following day. The PT said it could take up to four months before I am better. Fuck. I am two months into this so hopefully I am halfway there. The ortho was vague in his notes about how to proceed. I see the shoulder guy next month. Maybe I will get better answers from him. I never broke a bone before so I have no idea what time it takes to heal. I know that lifting my 5lb weights are off limits right now. I will only aggravate the muscles more than they are irritated.
My psychiatrist said that a secretary will be calling to book our next appointment. That if I don’t hear from them in a few weeks to send him a message. I asked if it will be in person and he said no. His department is still virtual due to the new threats. So weird because I will be seeing my therapist tomorrow. I told my PT I was seeing her and she asked how long has it been. I said more than a year and a half. I have my outfit all picked out. I am going to wear my new cardigan with my jeans. I haven’t decided if I am going to wear my khaki colored jeans or blue ones. I will decide tomorrow.
My mother had supper for me when I came home from PT. I had just planned on making a frozen dinner. I had hot dogs and potatoes with an artichoke. It was good. There was also chicken cutlets so I had one. Now I am going to color a dinosaur and post it to Twitter.
I had a difficult night sleeping. I had a bad dream where my molester was at my house and I was accusing him of abuse, which he denied. Then he got so mad he tried to kill me. I woke up very scared and it took me a while to get back to sleep. I then had to pee and I must have been holding on to the pee longer than I thought because then my abdomen started hurting after I was empty. I managed to go back to sleep and slept till a little after 8. I used the bathroom again and it was the same thing. I was very full and my bladder hurt when I was empty. I didn’t drink that much during the time I was awake. I was careful not to. I took my morning meds when I came back to my room and then went back to sleep again. I woke up a little after 12 and I was so damn tired. I wanted to go to the grocery store to exchange a coffee but I fear the trip will wear me out too much so I don’t want to go.
I also have been having frozen moments where I feel like I can’t move. Like I am stuck. I don’t know if it a symptom of PTSD or a side effect of the medication I take. I got to talk to my psychiatrist about it when I see him on Tues. I also need to ask him if he would give me a 90 day supply of the Latuda as it is the most expensive medication that I take and it will a lot when I have to pay again next year. I got to budget my meds until I reach $300 deductible. I have six meds that I get at the retail pharmacy. The rest are mail order. If I can get the Latuda on mail order that would be good because it is $140 for 90 days.
I took a double dose of Miralax today because it has been days since I moved my bowels. I am getting so backed up. When I got up, I had two cups of coffee and sometimes that triggers me to go to the bathroom but lately it hasn’t done it. I will double dose until I go and then go back to regular dosing. I take this with Gatorade and it just seems like the stuff takes away the flavor and just leaves the sugary taste behind. That is all that I feel like I am drinking, sugar.
Usually after every shower, I take a selfie and post it. I do this so there is a record of when I last showered as I usually don’t remember. It has been five days since I last took one so I might end up taking one tonight before bed. I stopped shaving the back of my head and sides so I am just going to let it grow. Yesterday I was going to see my barber but I used the money to get the keys to the house as my mother didn’t have the full amount to pay for them. I canceled my appointment but will go sometime next week.
Shoulder is really hurting so when I went downstairs to put my dinner in the oven, I heated up the heat pack. It helped a little bit but caused my neck to hurt. So now when I go back downstairs, I need to put heat on my neck. I am making a beef pot pie for dinner and hope I don’t burn myself again. I have not had luck with these pies. The first one, I got a 2nd degree burn and the last one I made, I burned my finger. Think I got to wear oven mitts when taking the pie out of the oven and when I transfer it to a plate.