Breakdown here

Breakdown here

Today I broke down, while at the nursing home. My younger sister snapped at me and that was it. It started a cascade of tears and I couldn’t stop it no matter how hard I tried. Then I would get my composure, start talking and the tears started up again. I finally stopped but after I wrote to my psychiatrist about the ridiculousness of the day, I started up again and couldn’t stop. I was in my room and thought I had privacy until my middle sister came to check on me. Then I cried harder. It was such difficulty to stop when I couldn’t.

Found out my middle sister reads my blogs. So I kind of had to stop posting on FB my posts. I will lose some views per day but least she won’t be “spying” on me. She was reading my blogs to check up on me and I had no idea until today. She and my other sister were upset that I didn’t tell them my thoughts on how long my father had left. I told them that it could be a few days to a week to ten days or more.

I am really tired and in pain. I have been up since 0400. I left the house early because I wanted coffee even though I had made a cup at home. I just needed to get out of the house. I didn’t have a breakfast sandwich today because I wasn’t hungry. I had a black bean burger and some baked beans for my breakfast, lunch, and dinner, with a bottle of water. I just am not hungry today. Last night after we left the nursing home, my sister took us out to eat and I was still kind of full from that. My stomach is just not the same as it used to be. I lost a few more pounds though I am still not less than 200. I am working on it though. I will be weighed tomorrow when I go to my pain management appointment.

I did a stupid thing today. My father needed to use the bathroom while I was there. It was just me and I thought I would be able to handle it. Wrong. He lost control of his legs because he was so weak and I had to lower him to the floor because I couldn’t maneuver him back to the bed. I had to call for help and the nurses looked at me like I had three heads. I was like WTF. I hurt my back in the process. I think it’s just soreness and I hope it goes away. The whole episode left me very upset. Hence why I was so tearful.

My ankle is killing me and so is my foot. I feel like I should ice it but sometimes that makes it worse. I have already taken multiple doses of pain meds. I might have to take a strong one to calm it down. I think I might have twisted it without realizing it while dealing with my father. Course, I have been standing a LOT the last few days on it so that might be another reason why it’s so damn painful.

After I wrote my psychiatrist the email, I became really suicidal. I would have slashed my throat or something if I had the means. I was desperate to die. I texted my therapist that I was having a breakdown. She called me a few hours later to find out what was going on. I told her that I really wanted to be in the hospital but can’t because I have a meeting with the nursing home people on Tuesday and because I am the health care proxy, I have to be there or they can’t give out any information to my sisters. Next week is going to be really tough because the insurance my father has runs out and the state insurance is still in process. They are so damn slow. My father could die while waiting for the application to go through. I’m still hoping that he does die but an assessment today said that he could live for the next 10 days or so. It’s going to put a financial burden on us if the thing doesn’t go through. We don’t have the money to pay the nursing home fees. I don’t know what we are going to do if we have to take him home. I just worry that comfort measures won’t be so suitable in my father’s apartment like they will be in the home. Just add a little more stress to my life, why not!

Sad and Hurting

Sad and Hurting

I had a meeting with my father’s treatment team today. He is improving as well as a dying man can be. They think with time, he will be able to come home once his stamina and strength are back. I went to see him in the afternoon as I needed to sign some papers and give a copy of the health care proxy. When I went to his room and he was sleeping so I just let him be. I didn’t want to get him riled up. Walking to the place from Mass Ave was a doozy. It was a steeper hill than I thought it was. I was able to climb up it but it took a lot out of me. Then I stood for the hour for the bus. My ankle and calves are not happy with me. I know I am going to need extra medication tonight for pain. I already took an Ativan to calm the calf muscles down some. I know I am going to be sore tomorrow and I need to go out to see my psychiatrist. I have the rest of the week to rest. I now know a better way to get to the nursing home than the way I went. I am glad the place is T accessible or I would be screwed to get there. I would have to go with my sister every time and that is annoying.

I only had a cold cut sandwich today for breakfast. I am not hungry for anything except a pastrami sub. I have no idea why that is my comfort food right now but it is. And the thing is, I am running low on funds so I might only be able to get one more and that is it. Sucks living off a monthly check.

I had therapy today. We talked about the Zoloft. I think it’s starting to make me sick but I have Zofran to counteract the nausea. I just have to run it by my psych that it’s ok to take it. I think it’s helping me to cope with all this stress. I don’t want to increase it just yet because if it is making me sick, it will just get worse. I might have to lower the dose. The nausea is worse in the morning then gets better so we’ll just have to see how it plays out. Plus I have post nasal drip that is also worse in the morning so it could be a combination of medication and the PND making me sick.

We also talked about my father for most of the session and my mother’s latest spell. I am just sad that both are sick at the same time. But the good news is that being sad is normal and different than my depression. It’s kind of weird being sad when you are depressed. I am very stressed about my father’s illness and his cognitive decline. He was at the conference call with the treatment team but didn’t understand what was going on. That was part of the reason I didn’t want to wake him up because I knew he would want me to sign him out. And I didn’t want to be the bad guy.

My ankle is throbbing so bad right now and I can’t find my compression bandage wrap thing. You always find it when you aren’t looking for it. I know I need to get another one because the one I have is too tight due to the swelling of my ankle. I think I will need an XL. I need to go to Walgreens because trying to find it online is not as easy as it sounds. You only get a million choices and you really don’t know if it’s really what you are looking for. I already took two pain pills for the throbbing. I hope to sleep in a few hours from now. I really hope the throbbing doesn’t get worse or turn into severe pain. I know I did too much standing today and I am going to pay for it. I just hope I can walk tomorrow so I can see my psychiatrist.

My therapist asked about my writing. I told her about the difficulty of writing my blog some days. Like yesterday it took me an awful long time just to write a little more than 300 words. I had a lot to say but I just couldn’t get my brain to crank out the words with my fingers. I actually did better writing in my journal than typing. Maybe I will do that next time and then try and type what I write. She said to bring this up to my psychiatrist as it’s a symptom of the depression. I don’t know when this cognitive stuff is going to leave me. I thought being on an SSRI would help some of the physical symptoms but it hasn’t. I have low appetite, sleep is affected, energy is affected, I feel guilty most of the time for no reason, also feel worthless, and now the cognitive stuff. It just really sucks. I want to be able to be there for my family but I am declining. I am so tired all the time, even with getting at least 8 hours of sleep at night. I am surprised I had the energy to climb up the hill to the nursing home but now I am totally wiped out. I know tomorrow is going to be worse.

cement shoes

Cement shoes

I was wearing sneakers but you wouldn’t know it. My feet felt like they were in cement blocks as I trudged my way down to the bus stop. I really didn’t feel like going out but I wanted a latte and I figure going out was better than making coffee at home. I wasn’t expecting my sneakers to change to cement blocks though. Each step took a lot of effort. I was exhausted by the time I reached the stop. I am glad they have a bench so I could sit down and rest.

The depression takes many forms with me. It is never the same with each episode I experience. Sometimes I am walking through mud. Other times I have cement shoes on my feet. Each step is always painful whether it be mud or cement. I just can’t get through to my head that there is a clear path and that there is nothing physically there to slow me down. The physical symptoms of depression doesn’t care. It holds you back when you want to move forward, all the damn time.

Recently, a Twitter friend said that I should keep fighting. I don’t think she realizes just how exhausting that is. It is so much easier to give up. To stay in bed until the sun rises again, when the black dog disappears. But you have responsibilities and that keeps you from staying in bed all day. Appointments must be kept. Prescriptions must be filled. It’s hard, it’s really hard to go on when you feel like this.

Feeling hopeless is the worse. I wasn’t feeling this when the depression started. This episode started two months ago and I lost my appetite as well as my thought speed. My thoughts became slow as molasses. It’s still hard to get the words out at times. I lost weight because I wasn’t eating. I felt tired all the time. I felt down a lot of the time. But I still did what I had to do rather than stay cooped up in bed like I would have loved to do. Now that my appetite is back, I am beginning to feel like this depression is not going to end, that it is going to stay around and I am forever in its grip. I feel hopeless that things are going to get better again. Part of me knows that it will. It just takes time. I have been put on medication that should help relieve some of this suffering but I still don’t know. I have to wait two weeks for this medication to work and I am overwhelmed by this because I can’t even think of tomorrow or the next day.

I have to just think of the present time. It’s the only way to get through the day. If I can get through this minute, that hour, I will be okay. But it’s hard. I am still not eating 100% of the time. I have to remind myself to eat. I have broken the “no food in my room” rule. I had to because pain keeps me from going downstairs to get food when I need it so I keep some pretzels near me to offset hunger. It might not be the best food in the world but it’s something. And something is better than nothing. If I didn’t have to worry about mice, I would bring some of my chocolate granola bars in my room. Those are good for hunger. The reason I have a hard time going down the stairs is because of pain in my ankle and foot due to a condition known as complex regional pain syndrome. I have been living with this condition for the past four years. It’s difficult when you can’t walk and walking is your main mode of transportation. I don’t own a car so I don’t drive that often. I used to be able to borrow my sister’s car but she traded it in for a monster truck and I just can’t drive it for fear of sideswiping another vehicle or something else.

The cement shoes have come on in the last two days. I don’t know when they will come off. I hate wearing them when in fact, I have sneakers on. The cement is so heavy. I feel so weighed down with them on. It’s like I can’t move. It’s so painful. You are exhausted by the time you reach your destination, which is only a few short blocks from your house.

The exhaustion from the depression has to be worse than a physical illness or about the same, depending on who you talk to. It really sucks because you might have energy before you get dressed and then when you are finished showering and putting on your clean clothes, you are wiped out. It sucks more when you are in physical pain as well. I don’t know what is worse at this point. Dealing with my chronic pain in my ankle or the depression. Maybe it’s both. I just need to find a chisel and a hammer to try and escape from these cement shoes. They are no fun.

Aggravating Tuesday

Aggravating Tuesday

I am just in a “lovely” mood today. I made several calls about my father that got me no where. I give up. He dies, he dies. Everyone has to do it sooner or later and he is pushing the envelope for sooner. Not my problem. The aggravation lies in that he won’t help himself. Then my mother was sick this morning so I didn’t want to leave her alone. My plans for going out were hindered. She was fine by the afternoon, but still. Someone should be home with her just in case. Diabetes is an unpredictable illness. Sugars can drop unexpectedly as I have learned over the years.

I had therapy. We talked about grounding as I was having flashbacks and intrusive memories over the weekend. She wants me to ground myself. She had to explain what she meant by it because I haven’t ground myself in a very long time. I don’t usually have flashbacks or memories that keep playing like records in my head. Then we discussed that I don’t really want to be on sertraline and she said I needed to be. Her whole demeanor changed when I said no. If she could have written the script, I would be on it right now, that is how much she wants me to take it. I told her it’s going to be at least two weeks for it to work, if it does without making me sick. She said my father isn’t going to get better in two weeks so there. I asked her if I seemed depressed to her and she said that I did. I just have a hard time believing it.

Thing is, I don’t feel depressed all the time. Most of the time I am irritable. Noises set me off or loud voices. I still don’t have an appetite. Sometimes, like last night, I was eating because I hadn’t eaten anything all day and then in the morning, I wanted nothing to do with food. I’ve been wanting a tuna sandwich for most of the day but I just can’t get myself to make it. Doesn’t help that pain meds have been making me tired all day because my ankle is still being a brat. I woke up this morning around 7ish with my feet out of the blankets. I was covered but my feet weren’t and they were freezing. My ankle didn’t like that at all. I had to wear thermal socks again to warm them up. I had 4.5 hours of sleep. Miraculously, I didn’t tell my therapist about the drinking adventure I had last night. I came close though but stopped myself.

I keep asking myself if I am in a clinical depression again. I would have to say yes because this stuff has been going on for more than two weeks. And it doesn’t show any signs of getting better. I thought with my appetite returning, I would feel better but that hasn’t been the case. I don’t know if I am going to get better this time. I don’t feel hopeless, but I do feel like this is going to drag on and on.