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.

Pain Flare up while out

Pain flare up while out

I didn’t carry my cane today though I should have as the weather was nasty. I thought I would be okay until I around 1330 came around and my ankle exploded in pain. I didn’t have any meds on me. It was about an hour later we left the hospital and I had to wheel my father to the exit. It was twinging on and off but there was nothing I could do about it. Damn nerves were inflamed. I was wearing boot so I am not sure if that set it off or not. I just tried to keep my ankle in a somewhat stable position and tried not to move.

We had a wait but not as long as it was on Wednesday. I brought my tablet with me but I didn’t feel like reading it. I did some reading when the called my father in. I finished the chapter I was on and then called it quits. People talking were disrupting my reading voice and there was a kid that kept laughing. It was annoying after a while. I just wanted to take a nap but I couldn’t relax enough to get comfortable. Plus my ankle going off every now and then kept me on my toes, so to speak. I wish I brought my writing with me. I could have written something or made some more edits.

I went to Starbucks to have my latte, sandwich, and a donut. I got really full after all that. I started writing in my journal. I basically brought the journal up to speed with all that is going on. It’s been a while since I last wrote in it. I wrote about how difficult yesterday was and that my psychiatrist still hasn’t answered my emails. At this point, I will be shocked if she replied. I haven’t heard from her in weeks.

I’m glad the pain didn’t cause an anxiety attack while I was out. That would have been awful. I never know what brings about the anxiety. I wish I could say this or that, but it’s hard to pin down. Sometimes I do have anxiety with pain and other times I have it without. Usually, I will have it as an anticipatory attack if it’s around the time I usually get it. It’s just so weird.

I didn’t wake up with my shoulders hurting me this morning. Yesterday I slept wrong and was in some pain until I got the kinks out. It was still bothering me throughout the day. I know I sleep funny on my right side and my shoulder sometimes acts as a pillow for me. Bad habit but I am sleeping most of the time so I can’t break it. What I did to my left shoulder, I have no fricken clue. There is a spot that hurts like a SOB and I try to avoid touching it because it hurts more if I touch/rub it. I haven’t lift anything or moved my shoulder in a weird position. It just hurts.

I mailed off Valentine cards today. One of them I sent to my therapist. I just felt like I should send her one as I have never sent her one before. Sunday is my 15th anniversary of my first cauda equina diagnosis and subsequent surgery that left me with my ankle being messed up. I spent the rest of the month in the hospital. Two weeks after surgery, I developed a staph infection and had to go under the knife again. That really messed me up. I developed kidney failure, my liver enzymes were through the roof, and I just felt like shit. I almost needed a blood transfusion as my crit dropped to a dangerous level. Luckily, it stabilized on its own, though I was still anemic. I had to take iron pills for months afterwards to build up my blood.