depression and delusions

Been reading my blogs from a year ago and found that I was very depressed. I didn’t want to be in treatment. I didn’t want to take my medication anymore. I just wanted to be left alone. I felt like I was a bother to my psychiatrist and my therapist. Then things got more serious. I was in pain and that just sent me over the edge. I became suicidal. Now there was no way I couldn’t see my pdoc or therapist. They wanted to see me despite me telling me them it was a waste of their time. I must have read at least three blogs that said this.

It was after my book was published and I sunk into a deep depression. I don’t remember it now. I just have the blogs to monitor these things. I am glad I have this record because I don’t remember half of what I write. Some blogs were written in the evening. Some were after midnight. The ones written after midnight were more depressing than those written at an earlier time. But then, my moods always get worse after midnight, especially if I can’t sleep. I talk about Hyde in a few of the blogs but not all the time. Hyde is my suicidal alter that comes out when there is a perfect storm: I am in severe pain, deeply depressed, and want to end my life. He likes to write the most morose things. He will write suicide notes. He hasn’t been around much since July. I hope that he stays away.

There was another blog that I read that was “private” I had to throw it away because it was a description of me trying to end my life. I couldn’t justify keeping it so I “threw” it away.

I am in a lot of pain right now and I just realized I forgot to refill my bottle of pain meds that I keep by the bed side. I will have to get up and do so. My ankle is not going to like it but it needs to be done. Because if the pain gets worse and I have to walk the three feet to the bureau, that will be worse. I hate being in pain at night. It is awful. But hopefully my meds will kick in soon and I will fall asleep. I doubt that it will be soon. Foot is also acting up along with my ankle. It’s the trouble twos. I usually can’t rest when both my foot and ankle are flared up. I didn’t do anything. I think it is nerve pain because my toes are throbbing big time.

I read a lot of my blogs tonight. I didn’t notice any patterns or anything in my mood for the months I was depressed. And when I was depressed, the world stopped spinning. It was horrible to read the pain I was in and I don’t mean the physical pain. The mental pain of depression was awful. I don’t know how I got through those episodes without trying to kill myself. According to the blogs, I had extra sessions with my therapist. That must have been what got me through. I wrote that I fired her a few times in addition to cancelling my sessions that she refused to do. In one blog, I wrote that I had pain and she un-cancelled the session. I had to see her. All because my ankle was hurting me. She is a weirdo, but she is my weirdo.

I feel depressed right now because of my pain and that I can’t sleep. It’s after midnight. I feel like I should write. Writing tends to make me sleepy so I can actually sleep, even if it’s for a few hours. I am sure to wake up anywhere between 0400 and 0700 today.

As I have been writing about my second diagnosis of Cauda Equina Syndrome, I have another story to regale. One night the nurse practitioner decided to give me a high dose of Neurontin with my other meds that I was taking. Mind you, I was still recovering from surgery so I still had some anesthesia in my system and I was on some powerful pain meds at the time. She gave me the Neurontin to try and ease the “nerve” pain I was having in my thigh that was weak. I have been on Neurontin before so didn’t think nothing of it. Until I started having delusions. I imagined I was in my bed at home and when the tubes fell into the nursing stations, I thought my mother had fallen out of bed. I couldn’t get up to see her but when I woke up from the noise, I realized I was in the hospital and went back to sleep. Soon after the nurse came in to wake me up as I had to go for an MRI to find out what was causing the weakness in my leg. She was to give me valium so I could be relaxed during the MRI and a pain med so I would be comfortable on my back for the hour. She didn’t know my mental status was impaired until I told her I had to call my mother and find out if she was okay. At 0230 in the morning, I called home to see if my mother was indeed ok. She was and told me to worry about myself. I realized I was dreaming and the nurses went on their way but I still wasn’t myself. The orderly wheeled me to the emergency department imaging center and I had a flashback of when I was first diagnosed with CES. I was stuck in this time. I had no idea what was going on. But I was too drugged to do anything about it. By the time they had me on the table for the MRI, I passed out. When I came to, two nurses were trying to catheterize me because I hadn’t gone to the bathroom in hours and my bladder was very full. They asked me if I knew where I was and I told them I was in the ER (I was actually back up in my room but it was still the middle of the night) and that I had CES again. I then passed out but not before hearing them say something like “he’s gone”. When I finally came to the next day, the nurse practitioner came into my room to talk to me. She said that I had a bad reaction to the Neurontin. I just looked at her and said, that wasn’t a dream? She told me no. I was floored. She was going to put me on another medication and that is when I stopped her. I told her to run it by my psychiatrist first before putting me on any more meds. My psychiatrist must have scolded her because she came back and said she wasn’t going to put me on anything else but to make me comfortable. Results of the MRI showed that I had a fragment on my L3 nerve root and would need surgery again. Oh fun! It would be my second in three days time.

Hurricane Joaquin

Hurricane Joaquin

Today has been heavy rain and flash floods every where. I am glad I didn’t venture out as I would have gotten soaked. It’s windy but not too much. During one of the breaks in the rain, my mother decided to open the back porch door. Then the heavy rain fell. Luckily, I got to the kitchen in time before it flooded. It is really humid and the house is very muggy as most of the windows are closed. I am ok in my room, but then I have the AC. I hope the rain clears up by tomorrow as I really don’t want to be traveling in the rain. I don’t mind getting wet if I am just walking in the rain (I love it!) but if I have to go somewhere, I hate being in wet clothes. I don’t usually carry an umbrella in stormy weather because all you are doing is fighting with the damn thing and going to get soaked either way. I will carry it if there is no wind, which is what I hope the case will be tomorrow.

I’m glad I didn’t have to go into town today. There was a fire inside one of the stations and flooding at another one. Good going MBTA! The line was down for a good couple of hours. It is now just getting close to being on time. If the stations can’t handle heavy rain, I don’t know how they are going to handle the winter. This past winter there were major delays all over the place. Commuter rail going to the suburbs were affected as well. It was a disaster. I hope this winter won’t be as horrid, but you never know until January.

I had therapy though we didn’t talk about therapy things. Our connection wasn’t great today, probably because of the weather but I think my therapist needs a new phone and she is in great denial about it. So we talked about tech stuff. She was amazed that she went on the internet when I send her links to my blog. She had no idea. Talk about being clueless. She also doesn’t want to lose my text messages, which I can understand. She did that before and doesn’t know how she did it and boy, was she in a panic. I tried explaining to her that getting a new phone will suck for a little while but she wouldn’t listen at all. This is what I am getting from therapy. Counseling my therapist on cell phones and how the internet works. LOL. I found it funny and made a comment about it. She just laughed. She did read the yesterday’s blog that I sent her. She said that it was good that I sent it to her because she doesn’t know when her anxiety about my pain is interfering with things.

We then talked about my writing, or rather the lack of it. Today has been a long day because I woke up so damn early. She said to print out the things that I have written and read it over. Maybe that will spark something. I haven’t done that yet. I was describing the difficulty of writing when she asked if I had any journals about psychosis or something to that effect. I told her I just have suicide or self harm journal articles. I suppose I could Google something but that sounds like a lot of work for something that is supposed to be fiction. I don’t really want my short story to become a clinical paper. She really wanted me to write about my early experiences with my fantasy world but it would be too triggering for me and then with the weekend coming, her not being available, it would be tough to sit through all that stuff. So it stays in my head where it belongs. I’m already having enough anxiety over the anniversary coming up next week. What keeps going through my mind is when I got the phone call from my PCP while I was driving to my therapist’s appointment (I had a car then). I remember having to pull over because I wanted to listen carefully to what he was telling me and not crash into something. After the phone call, I was numb. I had CES again and I was to report to the hospital the following day for surgery. I am glad I had therapy that night because I was close to losing my shit, but it was a weird calm. I knew what to expect this go round because I had been through it before and I had the support of my group. I didn’t know when I would be able to see my therapist again. I was walking when I went to the hospital but wasn’t when I left, not unassisted anyway. I was walking with a walker or a cane. I can’t remember. I just know my left leg was weaker than it was before the surgery. It is what lead to my disability. I know that if I didn’t hurt my back the second go round with this horrid condition, I probably would still be working now. I lost so much after this but I was determined to make as full a recovery as possible. I had to fight to keep my PT appointments, even though they were just telling me to join a gym. A gym wouldn’t help me. I would have to figure things out on my own and fuck that. I wanted someone to show me what I should be doing and how to do it. That is how I learn. I think during my recovery time my therapist started with the phone sessions and it just continued even after I recovered. If I couldn’t make it to where she was, I would have a phone session. It didn’t become a regular thing until I no longer had access to a car to get to her office thirty miles away from me. Both my cars died on me. They were used when I got them and I just didn’t want to put more money into old cars. I do miss the Camaro. That car was sweet. I got my first speeding ticket with that car. I think I still have the violation somewhere in my files. It is paid, of course, but I just wanted to keep it.

There’s a lot of things I wish I knew when I got the second diagnosis of Cauda Equina Syndrome. Like how my bowels and bladder were going to be. They still don’t work the way they did before. I had retention and leakage with my bladder before the second surgery but it got worse after. If I had checked out the AFO before I got CRPS in my ankle, maybe, just maybe I wouldn’t have it today. These are the things that go through my mind. But mostly it was getting that phone call saying that I had CES x 2 that kills me to this day. It’s going to be a rough week.

In a Shitty Mood

In a Shitty mood

I’m in a shitty mood right now. Pain has come back with a vengeance and have been trying to come up with a way to take my night meds without hurting myself more. If I stand on my foot, the pain is temporarily stopped but soon as I get off, it returns worse than before. I took some pain meds fifteen minutes ago so I am hoping the pain will ease some and then I can stand up and take my meds. I should have taken them when I came back from the bathroom but thought it was too early. Then my medication app went off and I started cursing. This pain has gone on for about a week now. It is dragging me down into a well and I know soon I will be thinking about ending my life if it continues. Either that or ways of chopping my foot off. Just cut the part that hurts away and I will be better. Least that is my theory, though I know it won’t be true. My nerves will have a field day and a half should I attempt it. So cutting off the affected limb is out.

It’s really stressful to be in pain every day. Yesterday I got notification that I will receive my disability payments until I am 65. I found that it was depressing. It means I can no longer join the work force. That I am truly disabled and I don’t like being disabled. I thought I made peace with this idea of not being able to work but was hopeful that once the LTD stopped, I could face the possibility of finding a part time job. Now that doesn’t seem likely. I can’t go to college and I can’t work. What the hell am I going to do 24/7? Sure I will sleep for at least 6 hours so that will leave what, 18 hours to do something? I can write but it only comes in spurts. Sure I write on my blog frequently but it’s not the same as writing for my book, which I have my doubts on. I know I might sell a few copies of the new book, but I doubt it will be as much as my first book. Or maybe it will be more because it’s concentrated on something else. I don’t know, it’s frustrating because I know I will never be a Neil Gaiman or a Lawrence Block. My writing is just not that great all the time. Even my stories that I have posted on my blog don’t get read that wildly. I am just a dark writer and unless I find a dark audience, the material is just not going to go anywhere.

I have thought about what I am going to do with my check now that it is secured. Maybe I can save up for a college class online and see how that goes. There is a psychology class that is available only in the summer at UMB that I have been dying to take. It will take some budgeting but I think I can do it by next April. I also want to go on a trip to see my friends out in California. One lives there and three others have moved there. It would be nice to see them again. Then I have a friend in Texas that I have been dying to see since she left Boston. My cousin also just moved there so I will be killing two birds with one stone. Least I hope so. Texas is a big state and unfortunately, my friend lives on one end and my cousin is in the middle. Not close together so it will take some planning. Least she is closer to him now than she was before. So next check will be a huge saving deal where I put money aside for travel and some aside for college. But all of this is mute if I end up dead because of this fucking pain that won’t go away. This is the second month that I have had a bad flare up where I had to take strong pain meds to quiet it down. I thought after the good day I had earlier I would be fine. All that changed when the pain became intense that I couldn’t ignore it anymore. Sometimes the pain goes away if I don’t pay attention to it and then there are times when doing that just intensifies it. I guess getting the migraine earlier out of the blue really caused my mood to shift.

It started while I was watching the OSU game. Western Michigan had the ball at their 2 yard line and the crowd noise went ballistic. I know the volume on the TV was loud but the crowd noise made it amplify. I should have known I was getting a migraine but didn’t think nothing of it. My mother came to the kitchen so I switched TVs. I watched from the living room and my head started hurting. I was also becoming irritable and tired. I was watching baseball and every time I switched games, from football to baseball, I felt like I was watching golf as the baseball game was so quiet compared to the football game. I watched baseball during halftime and then when they place Ogando in whatever inning it was, I went to my room. I can’t stand to watch him pitch because he loves giving up the long ball (homerun). But he did good today, kept the shut out. It wasn’t until I heard a saw running that my head exploded with pain. My sister is doing construction in her kitchen. They were still working on it from this morning. I immediately took my migraine pill before nausea could set in. I guess that was why I was sick the other day. If the nausea lasts more than 24 hours, I usually end up with a migraine some where in the next day or so. This is why I need my Zofran. I know it’s the weekend but I should be able to have them fill it. If it doesn’t cost too much, maybe I will pay out of pocket if insurance is the issue. I can’t imagine it can be but I won’t know until someone picks up the damn phone and tells me why they can’t fill it. If they need a diagnosis, I can tell them but they probably want it from my doc, which means having to wait till Monday. I will try tomorrow to get someone in the pharmacy and then if I don’t get someone, I will tweet walgreens to make a stink. Sometimes I get a faster response tweeting than I do on the phone.

I really am trying not to let the pain get the best of me but it is so fucking hard. I am in such a shitty mood. I need to take my night meds so I can try and get some sleep. But the throbbing is so incessant. I just need about 5 minutes to stand to take my meds and then be back on my comfy bed. I don’t think that is asking too much after all the walking I did and stair climbing, it should be a piece of cake. But no, not tonight. The ball of my foot is being prodded so viciously and angrily. It’s in my between the last two metatarsals of my foot. And the pain is going to the side of my foot near my ankle. Complex Regional Pain Syndrome sucks so bad. I guess I should be grateful that it’s a mild case and not severe as it can be. Doesn’t mean I like it very much. This is why I am disabled, aside from my mental illness. My mental illness is the 1st diagnosis that lead to me being disabled. Then you add my physical disability and whammo, I can’t work anymore. I really can’t stand this. Being in mental pain is one thing. I thought, at one point, being in physical pain was better. How wrong was I? Terribly wrong. I only thought it was better because there would be medication for it. But I soon found out that being in pain all the time screws up pathways and shit that medications just don’t touch. I would have to take Neurontin and my opioids to get total relief for ONE day. But the problem with the Neurontin is that it makes me hungry and I need to watch my fucking weight. So I don’t take it unless I absolutely have to. It’s hard to tell when I am having a nerve pain attack and when this is physical pain that is only helped by narcs. Usually in this flare up, I have to take a Neurontin or a dozen to get relief. And I do mean a dozen. I will take a handful and then be fine for a week. Then I know it was nerve pain and not physical pain. It’s been an hour since I took the pain meds and now my foot has calmed down so I know that it was physical pain. It’s still throbbing but with less intensity. I can now take my night time meds and try to go to sleep. Maybe the shitty mood will be gone by morning.

Not Feeling Good

I didn’t sleep well last night. I got about three hours total. Then I had to get up and go to my father’s. My ankle still isn’t happy with me. I woke up feeling sick to my stomach from not sleeping. I still feel this way even though I had some greasy food. For some reason, greasy food always seems to settle my stomach. I am going to take a nap and see if that helps. I just took some pain meds so I hope in about 45 minutes I am off to dreamland.

I have been sort of depressed because of the pain I am in. I still am worried about the upcoming anniversary and of my LTD insurance calling me for an update on my condition. They just want to know if I am still disabled.

Sox are playing tonight but I don’t care. They lost last night and I got mad. Then I got pissed off when they said the pitcher that lost the game had a good start. WTF. If he had a good start, he wouldn’t have lost the game! HE did it, not the bullpen. I am just so tired of hearing of “quality starts” in losses. It’s like saying yeah, we lost by ten runs but after that he settled down and didn’t allow anymore. Just aggravating the way this season has gone. I know we can’t win every single game, but can they at least try to? Would that be so hard? Course there is only about two weeks left in regular season. That’s 11 games. I would take a draw at 6-5 rather than a 5-6 record. Or worse 0-11.

Only thing planned tomorrow, other than my groceries delivered, is getting my haircut, doing an errand for my mother, and then resting the rest of the day. I might go to Kelly’s to get a roast beef sandwich but I will have a ton of food in the house. I will finally have my ceasar salad with grilled chicken. I have been craving that more than the roast beef. I ordered eggs for the first time. I am really nervous about this as I hate to have one of them crack. But we needed eggs and my mother was too cheap to buy them. She only wanted them if they were less than $2. Not happening anymore. Prices have gone up and I am afraid, they are going to stay up.

I kind of put in my pain medication refill request kind of late. I was hoping to get a call today saying it was ready to be picked up but I haven’t. And my Zofran hasn’t been called into the pharmacy yet. I have just one pill left and will need it refilled soon if this nausea doesn’t go away. I know part of it has to do with allergies and post nasal drip. But not sleeping all night also is part of it. I didn’t get to sleep till 0300 and then I woke up around 0600, and I was up. It was so hard to get back to sleep. I tried not playing with electronics but it’s hard to do when you aren’t sleepy and you are just laying there in bed. I heard my mother get up around 0730 and must have snoozed a little bit until I heard her leave at 0930. I didn’t have coffee today because my stomach has been so off. I think I am going to have some Chamomile tea later to help settle my stomach. The fries and mozz sticks can only do so much. I also ordered a pizza. It’s Greek and really good but I was only able to eat one slice. I will have more later when and if I get hungry. I am wondering if I felt sick because I didn’t sleep off my pain meds. I have been popping them like crazy since my foot flared up last night and just took two more.

Either there is a fire in my area or someone is burning something in my yard. I can’t stand the smell of smoke, unless it’s from a BBQ. Then that is ok.