day one home from surgery

Day one at home

Today has been rough. I did too much and caused myself to get a headache that I still have that the neurosurgeon is worried about. I have to go back on steroids for a week to see if that helps calm things down. I am trying to sleep but it isn’t coming. I have too much on my mind.

My numbers for my blog stats have been terrible. All day I have just had three views so I am hoping this post will draw some readers out. I know I have been sporadic in my writing but I am recovering from surgery right now. Meds are making comprehension difficult and concentration has been worse. Because of the steroids, I have some appetite. Unfortunately, meals have been difficult to sit through as it hurts my head to be upright. I rather be laying down.

I had an appointment with my therapist today but we didn’t get much accomplished as the connection was terrible. I was kind of out of it so that didn’t help matters. She put me down for another time next week so I think I should be better by then, or at least less druggy. Today was a real test as I had a lot of phone calls. I got accepted for the Ride, a disability transportation service but I can’t seem to navigate it on my phone or laptop so will have to call tomorrow to set something up.

I want to try and shower tomorrow. I don’t have a health care worker coming in yet and for some reason I am on MRSA precautions. I don’t know when that happened. But the nurse was worried about it and sent off a special stethoscope for the clinicians to use. Nothing fancy about it just deemed “MRSA”. I have no use for it as I use my blood pressure cuff for my readings and my own thermometer. I have no fever so that is good. I think I would be feeling sicker if I was. I have been feeling hot and cold all day, running the fan, shutting it off, turning it back on. I also have been taking my long shirt sleeve shirt off and on all day. I don’t know why I seem to run hot then cold then back hot again. Hope I am not getting sick. I worry with those that are outside the home may bring it in, like my nieces and nephew and sisters. I am at a high risk because I am just off of surgery and am on steroids. I have been trying to keep fluids up but it has been a challenge. I don’t like standing right now as it hurts. I have been able to void on my own though. Last night I had to put myself on a timer so I would go. It worked but disrupted my sleep and then the bowels did their thing on me. Luckily, I didn’t lose control or I would have been crushed. I did have to change my underwear though. I didn’t want to track the stuff to my wound. I don’t have a bandage on so I am careful about what I touch around the scar.

The one question that I am shocked I keep getting asked about is suicide and suicidal thinking. The nurse today very concerning asked about it and wanted me to let her know if I have those thoughts. I am not having them because I got other stuff on my mind. I am depressed because I feel like I should be somehow a long better than what I am but I am only a week post op. I am having a hard time keeping track of pain medication management because I was used to a nurse bringing me the meds. Now I got to sort it all out. I spoke to my pcp about it and he is okay with the increase in the interim while I am recovering. I’ll get a refill next week when I am due for one. I am glad I can talk to him about my pain med needs. Some docs don’t want to hear it after surgery. I had a hard time finding a doc to listen when I had back pain like this. In the end, my pcp put me on pain meds and there it stayed. My pain meds have always been managed by my pcp and I am glad because they get to see what you are like more so than a specialist.

hurting and tired of hurting

Hurting and tired of hurting

I had therapy today and the therapist wanted me to justify seeing her. I told her my reasons and she agreed with them. We talked about feeling vulnerable as I did last session. Told her I felt small and insignificant. It has been a long time since I felt that way with someone. I don’t know if I can trust her or not to stay. I am scared I will tell her my secrets and then she will leave. We are in limbo seeing as I don’t know how long my recovery is from surgery and what to do about it. I told her my insurance does cover telehealth so she is going to look into it again for me.

After therapy I went food shopping thinking I would be able to handle it. Nope. My legs and ankle hate me right now. I also have a UTI cooking so that is fun. I feel like shit. I got no answers from the urologist about whether or not she is going to treat it. She just wants me to repeat the culture in 2 days. So before my appointment with the therapist on Thurs I will go to the lab to drop off a specimen. I have to remember to bring a cup with me so I just drop it off and not have to sign in or anything.

I spent today sleeping, which is just as well as I needed to sleep. My legs are still sore as hell. My heart feels like it is being stabbed a thousand times. I need a shower but I also need to decide if I am going to shave or not. I am tempted to get my haircut this week rather than next but I know it will grow out by next week so best to wait. But it is killing me as my hair is too long. I can’t do anything with it because it’s out of style. Driving me crazy. I want the short spike look next. I miss spikey hair. The long spike is too long. I will try and shower tomorrow. I need to go out anyways. I need to get some eggs and tortilla wraps so I can make my breakfast burritos.

My foot is already flaring up and I didn’t do much today. I made something to eat and I guess that is my punishment. God forbid I should eat something. I am starting to feel really depressed that this pain is back again after I was mostly not in super pain for most of the day. I hope it doesn’t keep me up. I am going to go lay down again. I just am so damn tired today.

Melancholy II

Melancholy

I’ve been in a depressive slump all day. I remembered that there was a therapist discussion going about Twitter the other day or maybe last week about melancholy and how it should be in the DSM as it accurately displayed depression better than the other diagnoses. I looked up the criteria or symptoms and I fit all six. They are:
1. Loss of Joy
2. Worse in the morning
3. Increase in guilty feelings
4. Unfounded sadness
5. Lack of energy
6. Negative physical effects (+/- weight changes, eating, sleeping, etc)

I knew I had some think. Recurrent major depression is a close second to what I have but I don’t have energy at all. I can’t remember when I felt energetic or didn’t feel weighed down. Morning are so hard to function. I have sadness all the time, not explained by anything. Just waking up, I will feel sad. And forget about joy. That took a hike a long time ago and haven’t been able to find it since. This blog used to bring me so much joy and now it is work to keep it going. I don’t get paid by posting. This is my playground where I just write my thoughts of my illness and post it to see if anyone cares. Not many do. I still haven’t found the right time to post that gets the most readers to my blog. But that is another story.

I am bloody cold. I had to shut the window yesterday because it felt like my room was in the 30s. It is that cold out right now and I don’t have the window open. My room temp went down to 59 degrees, which made me shut the window. Now it is 66 degrees in my room. I will take it but I want to feel warm. I don’t think the heat has been turning on as much. I have no idea what it is on. I put my glasses on to read it when I went to the bathroom and then forgot to look before coming back to my room. Oh well. I just heard the radiator turn on so hopefully I will feel warm soon. I can only imagine what it is like to be homeless. Some times I think about it rather than live where I am. I probably won’t last more than a few hours out.

I am feeling low again. I wish this wasn’t happening. I am having surgery in less than two weeks and I am really scared about it but I trust the doctor to not fuck me up more than I already am. I just hope my bowel and bladder function don’t get worse after the surgery or I don’t think I am going to make it. I have a plan for suicide and it will just speed things up if I lose bowel/bladder function more than what I already have. My family doesn’t understand this. No one does really. They don’t think of their nerves in the back controlling things. I am just tired of everything. I have a therapy notebook going and in it I wrote to my therapist just how I would end my life and under what circumstances. I have an opportunity to finally end my life and I am not going to by-pass it this time. I will be stupid to.

I’ve been so suicidal the past year that I think it has just become a part of me like the depression has. You could say I have a depressive personality (if that exists in the clinical world, I am not sure). I just know every day I feel suicidal and every day I feel some level of depression. The past 24hrs I have been really depressed. It hurts in my soul so deep that no medication, not even morphine, can touch it. Hell even my pain meds don’t touch it and I am on some strong meds.

This blog was supposed to be about depression and melancholy. I don’t think it is about that anymore. You tell me if I am on track. I skip around because I run away from my emotions. It is hard to stay with feeling like the black cloud following you and is starting to weigh on your chest. Who wants to stick around for that?? I know this is a punishment for some wrong I have done. I just don’t know what that could be. I try to lead an honest and truthful life. I don’t hide shit from anyone. Well maybe my therapist but she eventually gets it out of me with her stubbornness. Man she drives me nuts. This is how I know she is a good therapist. She can be very blunt at times and sometimes I don’t know if she is joking or not. But she tries hard to get me to stay with whatever I am feeling. I hate that I had a breakdown in her office in our last session. It wasn’t for too long because I wouldn’t allow myself to get too ugly. I am a man who shouldn’t be breaking down like that. But she wouldn’t let this thing go and I was all jumbled up inside I didn’t find a thimble to hide in. That was how small I felt. I always feel small when I am feeling big emotions. I don’t know why that is. Could be trauma or just the neglect I endured.

Wowsers

Wowsers

Yesterday I was prescribe the bladder medication tolterodine. The pharmacist said to take it at supper time as that would be best so I took it when I got home as it was supper time. I have been feeling dizzy since. I am hoping with continued use the dizziness goes away. I just hope it doesn’t make my constipation worse. But wowsers, is the world spinning on me! I took my blood pressure early this morning and it was low. My pcp had said that after taking all my medications, my blood pressure could drop. Well it did. Whether the low blood pressure and dizziness are related I am not sure. I looked at side effects and apparently, nortriptyline and this med interact with some cardiac side effects. I got to watch that out. My psychopharm doesn’t want me using Zofran too often as it can lead to serotonin syndrome so fuck. All the side effects are similar so I am not sure when what is what. She gave me a list of side effects so if I get them all at once then I know it is the syndrome. I feel so taxed trying to remember everything plus keep track of my bladder and bowel movements. It is stressing me out. I plan on trying to clean my bowels up before surgery so I am not so constipated. My biggest fear though is pooping in the OR while I am under anesthesia.

My mother wanted me to go out today but I told her I wasn’t. I am not feeling up to it after my long day yesterday. I need to rest. I am still not feeling up to par from the side effects of this medication anyway. I feel so drowsy but then I was up almost 20 hours yesterday on 5 hours of sleep. I really didn’t sleep well as I kept waking up to pee. I had to set the med alarm at like 4 this morning because I didn’t want to sleep through with a full bladder. I have it set at five hours intervals, which is roughly the time it takes to cath five times a day. The uro NP wants it less than that but sometimes it is less than that because I could go every three hours or so, especially if I am drinking a lot. She wants me to increase my fluid intake by drinking 16 oz first thing when I wake up. That is half a bottle of Gatorade. I am going to go through a lot of Gatorade so I think I am going to order more next month. Just sucks that I can’t order a large quantity of the same flavor because lemon-lime is my favorite flavor. I get a warning when I am over 10 bottles. I usually order around 25 bottle and then 5-10 of a different flavor to break it up a bit.