Writing difficulties and dealing with shit

Writing difficulties and dealing with shit

***warning long read***

I have been having trouble writing my blogs. I have been going through some turmoil about my psych leaving. I have been in contact her with email but it isn’t the same. I feel like I lost a parent. Because of this, I have lost my words. Past few days, I have not been able to write because even though there is stuff to write about, I just can’t get it. It is really difficult. Before I left seeing my psych we talked about my writing and writing in general. I half want to send her a message telling her I have been having difficulty writing since she left but not sure that is appropriate as I don’t want to make it seem like her leaving is the reason I cannot write. I am so mad at the place she and I worked at because they forced out for obviously different reasons. I think this anger is what is getting in the way of my writing. She wants me to continue my care there. And frankly, I really don’t want to leave as I finally found a doctor that can work with me and has a good team that cares. That is rare to find these days.

Day before yesterday (the 2nd), I had my appointment with my TG doc (transgender). We discussed how things were going and I am pleased with the results. I sort of have a hair explosion which I knew was going to happen but damn, my legs are really hairy now. She told me that T can cause increase in sweating and OMG that hit me like a ton of bricks. I sweat really bad anyway because of my nerve injury and now it is worse. The weather has been really muggy and hot and because of the sweating, I had to go through like 3 shirts in one day over a couple of days. I couldn’t understand why I was so damn hot and now I realize it is because of hormones adding to my already messed up temperature settings. I asked her if she was going to increase the T dose and she said no because my testosterone blood level is in the “male” range. I had my blood drawn yesterday and I guess I made the cut off for running hormones as my T result came back. It was nearly double what it was in Jan. Holy crap. I looked up the normal range for males and I am close to being in the middle of it. So I will stay on the dose. My hematocrit has increased though my energy levels haven’t. Hematocrit levels shows if you are anemic or not. I was always in the 30s range. Now I am in the 40s. Thing is my numbers have steadily increased and she told me that she doesn’t want my blood to become viscous due to increase in blood production in the bone marrow. I am fine with the dose as it is. She also said that it is a time process so the longer I am taking the T, the more it will build up in my system. I felt good about that but also am a little impatient!

Before I started my blog, I had a chat with my nephew. I am so glad I can talk to him about men stuff. I had asked him about the facial hair and he said that shaving it will make it grow faster. I had wanted to hold off shaving the rest of the month to see what will grow as the fuzz around my face is becoming more noticeable but is not really dark enough yet. It is there but kind of faded. So when I take a shower today, I will shave. I might trim my sideburns a little bit. They are now past my earlobes so it will be only a matter of time before the rest fills in. One day I really want to go downstairs with facial hair just to freak my mother out. She has not been accepting of transgendered people. My brother in law’s nephew is trans and there was a period of time where we didn’t see him. When we did, he had almost a full beard and my mother exclaimed, “what the hell is on your face?!” I nearly died from embarrassment and also felt the sting of it because I knew then she would not accept me when I did grow a beard or when I came out to her. I was right about it and it still hurts. I have tried talking to her about it but she is adamant that she is “accepting.” When I was in the hospital, I had asked her during my last weekend there when is she going to accept me. Her response was in a strained voice as she said “she has accepted since I was born.” The other stuff we talked about I knew was making it uncomfortable for her. I can pick up things, I always have as I have been empathic and sensitive. We haven’t talked about it since, though she is trying to use my pronouns and name more, unlike my sister that moved in. She has yet to call me a him/he and will call me my birthname. I am glad my youngest sister is more accepting but if she messes up, she will correct herself. I am not sure if my brother in law knows I am or not. I haven’t told him and I am not sure my sister (youngest) has either. The kids (nieces and nephew) have been more accepting and I think knew before I came out to them. It has been a process for everyone. My online friends have been the most accepting and supportive. They really like the transition photos as they can see the changes. I had recently done a ten week transition post and even then you can see a change. I really don’t like my day 1 pic anymore. But I think that has more to do with me hating myself and being uncomfortable with myself for basically two reasons: I am not congruent to what I am and that my father called me ugly and fat my whole life. I do think I am ugly and obviously I am fat. The TG had the “weight talk” with me. Even though I had lost 12 pounds since I last saw her and I told her it was because of me not eating, she still wants me to lose more. I have no idea why doctors feel they have to say the obvious. I cannot stand it because it makes me feel more ashamed of myself.

I had appointments all week. Today and the rest of the week I am not doing anything. My legs are so sore from everything. Monday when I went to PT things looked good. I have two sessions left and then I will “graduate.” I have been going for nearly six months trying to get my right (good) ankle/foot stronger. I don’t think I can get the calf to loosen. It has been the most aggravating part over the course of treatment. Every time I try to stretch, I hurt the next day in a big way. I pretty much have given up on it. I have also given up on trying to get my balance better only because I need to be standing and my CRPS foot/ankle doesn’t like it. It can trigger a flare. Tues after I saw my TG doc, I had a flare and for the first time, a few hours later, I dissociated. I felt like I didn’t have a foot/ankle anymore and the pain was not there. It was very fucking weird. This lasted until this morning when I woke up at 2 am because of back and hip pain. I have gotten into this habit while sleeping to twist my upper body is one way and my pelvis/hip is the opposite. I had some pain that was about an 8 so I took my breakthrough meds and some Neurontin. When I was having difficulty going back to sleep, I took some melatonin. I now have a hangover from it but that is what coffee is for. I still don’t have mega pain and this worries me. I had emailed my psych about this but never got a response about it.

Yesterday I saw my eye doctor, which I am not going back to again. She didn’t really help me and I feel like she didn’t get what I was telling her as I really couldn’t see the letters out of my right eye clearly. No matter how I told her that, she just kept adjusting the lenses on the thing and nothing worked. Then she went to the other eye. After that she just said my prescription changed a little. I was like WTF. How the hell could it have changed a little when I cannot see out of my right eye from far away??? I had gone to see her not only for a regular eye exam but also due to my having double vision. I had told my psych as I thought it might be the Lamictal and she said it is. I needed to be under supervision to taper down the dose so she is trying to speed up seeing another psychiatrist. But after the exam, it turns out that my right eye is “lazy” meaning the muscles are weak and get worse when I am tired, hence the double vision. The problem is not problematic enough for me to have a prism in my eyeglasses, but if it gets worse, I will need it. I feel like I might need it now as I could not see just one frame the whole time she was trying to get me to see one. I kept on seeing two or the corner or half of the other frame. Again, she did not listen to me and just went on with her business. I will be seeing my mother’s eye doctor. He is an ophthalmologist which is what I sort of need. My mother confused me because she said a “nurse” did the eye exam and then he went over what they did to okay it. I tried to get more information out of her but she doesn’t know who the person is that is testing her vision. She never asks the questions just goes along with it. I am sure if the doctor said that if she jumped off a bridge would help her, she would. So now I got to get another eye exam, which needs to be on Medicare, not my eye insurance. I am not sure Medicare covers eye exams. I know the insurance that I have does but they will not cover it because I have Medicare. I am so annoyed at this. I won’t be getting new glasses until I get another eye exam. I want to make sure the prescription is right and won’t cause my eyes to strain or get tired while reading on my phone or while I am on the computer or even looking at something far away like a street sign or something. I have always known my right eye has been weak but hell, least listen to me when I say I cannot see the letters!

After the appointment, I sent an email to my psych telling her the double vision was likely not due to the Lamictal but having the lazy eye problem. I never got a response back. I then emailed her about still being in a dissociated state. I wish she would have responded but she didn’t. I miss her and it has only been a week since I last saw her.

I guess that is all. I might do a weekly blog if I don’t write every day or every other day, like I am doing now. I know it is long and I apologize. I just wanted to write how things are going for me. It has been a real struggle and my pain has not helped my suicidality. I still have my plan and I know one day I will go through with it. Just not now.

2019May10 worries on my mind, pain in my heart

2019May10 worries on my mind, pain in my heart

I saw my psych today and the first thing she said to me was “have a mustache.” I laughed. I had taken a selfie while at the bus stop and when it popped up on my timeline on FB, I really noticed it being darker than it was even a week ago. Sometimes it is the small things you don’t notice right away. I sort of have been in a gender incongruent/dysphoric mood today as I feel like my breasts are a thousand pounds each. Also feeling bloated doesn’t help. I am not sure why I am bloated as I haven’t eaten gassy foods today, unless it is leftover gas from the burrito I had last night. I am just uncomfortable with my body right now and I don’t like it. I loathe myself so much right now.

My appointment kind of went as planned, with the exception of the hospital being my choice. She is insisting on me going in the hospital next week when my sisters come home. I told her to please find out of the psych unit prescribes pain medication because if they don’t, there will be problems. I most certainly won’t be going in if I can’t have pain meds. I am to call her Tuesday so she can find out about beds as we sort of agreed on a Wed admission. I honestly don’t know if things will be better by then. I doubt it as I am getting closer and closer to an attempt. We didn’t discuss the means, thank god. But she is not letting this get worse as it already has been.

I have already packed a bag. I just need to see if I packed shorts because I don’t want to be hot as the temps have been climbing up. I also need to make sure I have extra underwear as I have been leaking a lot more than usual lately. The increase in the pain meds have caused more retention than I expected. I am still hoping it will level off but who knows when that will be. It has been a few weeks since I started the new dose so maybe a few weeks more as my body adjusts. Course this also goes with how many breakthrough meds I have been taking as that also causes retention. I honestly don’t get the signal to pee until I am practically ready to burst. This is due to the nerve damage caused by cauda equina syndrome. Even though it has been more than 10 years, I still have damage that is permanent.

After I left my psych’s office and was on the way to the train home, I got hit with the biggest heart ache. It hit me so hard, I could barely breathe. It has been bad like this the past three or four days now. I really don’t know what brings it on. But I guess that is the nature of psychache, just comes on when you least expect it. Then when I came home and got into my PJs, my damn ankle exploded in pain. Pain got worse as I have been typing this blog. I was getting hungry so just had a protein bar. I was going to have Nutella on a flour tortilla but doesn’t look like that will be happening. I hope I can sleep tonight. My psych was astounded when I told her I had 5 shots of espresso. I can handle it, though I probably should have had four. I don’t think it will keep me up as much as the pain will. I am already experiencing sensory overload as noises have been bothering me. My mother is playing her dice game in the kitchen. I swear I’d like to toss them in the trash one day. Fucking hate the noise!! Nothing worse than hard plastic hitting glass. And she seems to be playing it whenever she is in the kitchen now, with the blasted TV at full volume. I just want to die and I know the night is only going to get worse between my psychache and physical pain.

2019May09 Fearing the Worst

2019May09 fearing the worst

I have been having pain (yes, once again) and it has brought out the suicidal feelings once again. I had this insane idea to take a pic of the means I want to use and send it to my psychiatrist. Lately, (or maybe fortunately) I have been holding off on sending her an email unless I think it through. I thought of the consequences and it would be a huge deal and almost certainly, cause me to be in the hospital. I held off after talking with a friend on Twitter. We instead talked about other things while my heart was feeling like it was being stabbed a thousand times. She told me about her boyfriend wasn’t going to get back with her and I felt immensely sad for her. She and I had been hoping they would get back together again but I guess it isn’t meant to be.

I fell asleep for an hour and woke up with my elbow hurting. I somehow had fallen asleep in the nook of my arm and my elbow didn’t like it. My friend had sent me a message again and we talked. I felt so messed up still. Her meds kicked and she wished me good night. I was left with my thoughts. I again thought about sending her the pic of the means. Instead, I wrote to her about the struggle I am having and also sent her a pic of the cubic model of suicide. I told her where I was on the scale. I told her the father of suicidology, Dr. Edwin Shneidman, had never really written on chronic suicidality and what to do about it. He just wanted to decrease the psychache and you decrease the suicide. I told her this and also that there is no anodyne to help with the psychache. I have no idea if she will understand all this. I told her I probably need to go in the hospital but my sisters are going away for a few days and if I go in, my mother will be left alone, which would not be a good thing. My nephew will be here but he wouldn’t know what to do if her sugar went low. He has never seen her when her sugar is low and I am sort of protecting him from that. As much as I hate this woman right now, a low sugar and the other potential that could happen would make me so fricken guilty I wouldn’t be able to stand it. Yet here I am wanting to fucking die…jesus I am messed up.

In sort of closing I told her I wanted to push her away so she doesn’t see me like this. I hate having her see me like this. I don’t recall a time when I have been like this for so damn long, well sort of. I was like this 25 years ago, a few months after I graduated high school. Unfortunately then, she was on maternity leave and when she was back, I was in the hospital for a long stay. I fear that once she reads the email, I will be asked to go to the hospital anyways, even though I explained the situation with my sisters not being available. I told her I don’t know if I can hang on till then. I also fear that she won’t give a shit and just hospitalize me involuntarily if I don’t go in voluntarily. Either way I will be sectioned. If I do go in, I hope that it is on the unit I am familiar with. If I do end up there, I hope I don’t have the “team” I had a couple years ago. They are the worst team ever and don’t help you at all. They dance around like they are but once they ignore the can you help me with this and be told we will deal with it tomorrow but it never does; then they ask when would I like to be discharged and I say okay tomorrow. Fuck you too. Nothing gets done there but it will possibly give me some space away from home enough to gather myself up so I can bear living in this hell hole.

I checked my blocked text messages tonight and found that my ex texted me Apr 30 asking for me to send her my books. She was in the hospital after a suicide attempt for 3 weeks and someone stole them. Yeah, okay. Like she can’t go to Amazon and get them or a bookstore? I mean really! I know she just wants to get back in my life in some way shape or form but it isn’t happening this time. I am done with her. She broke my heart long ago and she can’t mend it. Part of me wants to respond but I know if I do, it would be a huge mistake.

I had emailed the social worker the beginning of the week to find out about therapy. I still haven’t heard from her. It would be nice to talk to someone as I feel like such a burden to my psych right now with my craziness. I hope to hear from her sometime today. It is 415 right now so I think I am going to try and go back to sleep.

2019May08

2019May08

I have been in a bad suicidal mood since last night. I honestly have no idea how I survived it. I asked my psych if I could call her today and she obliged. I wanted to tell her how things really were but I couldn’t bring myself to. I just sent her an email. I hope that she doesn’t call me. I don’t want to verbalize this because it will seem more real than it is right now.

I am listening to Peter Pan by Kelsea Ballerini. I figure I will take advantage of listening to music before I get sensory overload. I am in a lot of pain all because I took a shower. I woke up in pain and taking a shower just exasperated it. I am getting sleepy from meds so will write more tomorrow.