midnight demon writes again

Midnight demon writes again

It is about half past midnight. I just had something to eat. I tried making myself a deep dish pizza for dinner and burned it pretty bad that it was hard as a rock. I lost my appetite and so haven’t had much to eat today. I knew if I didn’t eat, I wouldn’t be able to sleep. But turns out, pain is keeping me up anyways.

The part of my leg that is swollen has gotten bigger. The day before it was the size of my palm. Now it is the size of my hand. It for some reason, became really painful after I had stood for a while to clear out one of the shelves of my bookcase. I went on my bed to relax my back as it had started to spasm. Next thing I know my lower leg down to my foot was in such intense pain, I couldn’t breathe. I started to have an anxiety attack. I couldn’t touch my leg where it was hurting and that was a bad sign to me that made me panic even more. I just lay there trying to collect myself and grab the pain bottle to take a pill. I think that was harder as I had to move to do so. Half hour later, pain was starting to subside enough I could touch my leg and that is when I notice the swelling had spread up my leg. If I was panicked then, I was more so now. I didn’t know what to do. I couldn’t stand and walk anywhere as the pain was so great. Even an hour later when I had to pee it was painful going down the stairs and using the bathroom. I had talked to my niece and lost my voice. I sounded like a goddamn squirrel. No idea why. No matter how many times I cleared my throat, it sounded off. Fucking puberty.

Anyway, I talked to a Twitter friend and she wanted me to go to the ER. I texted my sister, but she wasn’t home. Fuck. There goes my ride. I wasn’t about to take the T anywhere. I took an Ativan and once that kicked in to take my anxiety away, I calmed down a bit. I also emailed my psych to let her know what was going on. I decided to try some diclofenac gel to try and ease whatever inflammation there was and see if it helped the pain. As I was ready to apply it, my psych emailed me back to keep her posted and let her know if I go to the ER. I am hoping I don’t have to because it is Easter and I will have a super long wait for something that really isn’t an emergency. I don’t have redness or broken skin oozing fluid. I just have a painful lump on my leg. I see my PCP Tues and I hope I can hold off on ER visits until then. I started thinking about this. The pain was similar to what I was experiencing prior to my dismissal from work, basically telling me I was disabled and couldn’t work. The time off gave my leg some much needed rest time. I have been walking more than I have been the past few weeks, as well as standing longer than I usually do. I also have been trying to do some balance work my PT wants me to do, which means putting some weight on my left leg. I have no idea if that aggravated the tendon that gets inflamed when I walk too much because I am compensating. I knew if I went to the ER or even an urgent care center, odds were they would just refer me to my pcp for whatever. They might do x-rays and an ultrasound to rule out a blood clot in my leg (highly unlikely) but that would be it. And the ultrasound would be on my calf, not the area where the swelling is so not useful at all. I am sure my pcp is not going to be able to figure it out and I hope that the weight loss/loss of appetite and this swelling is not related.

So the leg pain finally subsided after the diclofenac but then my veins started popping and my foot felt like it was being crushed so I was, once again, in a flare. This is day 2. My thoughts immediately went to why the fuck am I still alive. Then I think of what my psych said and I fucking hate her. Hate her because she wants me to live and she is fond of me. I looked straight at her when she told me this so I know she wasn’t bullshitting me. She genuinely meant what she said. I don’t think that I am meant to do something great. Yes, I could write another book. But goddamn it, I am not a fucking writer. Yes, I write blogs. But that is what I do because it helps me and possibly others. I know I don’t get as much feedback as I once did but fuck, my stats tell me someone reads my blog every day, even if only 8 people do.

Pain has been my nemesis. It causes me to be suicidal in an instant. Then in the morning, I am usually okay and feel better and am no longer want to end my life. But I am not at that stage right now. I am in the suicidal moment where I want to do what I want to do to end things. Except I can’t. As much as I have this fucking deep surging urge to do it, I do not want a family member to find me in that state. It is the only fucking thing keeping me alive at this time. Sure my family pisses me the fuck off so I wouldn’t care if they found me. But something, and I don’t know what, keeps me from acting on my urges. I can think about them all I want, fantasize all I want but when it comes to times like this, I am so fucking on the edge of live/die that I just get so frustrated that I don’t do fucking shit. I just ponder some more. Fantasize some more. Then I am reading a book about wills and realize I didn’t sign and date it to make it official. FUCK! I don’t remember where I put the notepad I wrote the fucking thing on. This is pure agony. The mental agony of going through living vs dying and being in so much fucking pain you want to end your life. This is the life of the midnight demon. Always until the urge to act prevails.

lots of stress

Lots of stress

I have been in a flare since 10 am yesterday. My malleolus (ankle bone) had been feeling like it was being smashed with a hammer. It was unreal. By like 3 pm, I had enough and took something for the pain. I had to call my psych but she said to call after 5. I didn’t want to dope myself up and be drowsy when I talked to her, so didn’t take anything else but the pain pill.

I checked my email and I had something from my long term disability (LTD) benefits. It was there yearly “are you still disabled even though we have determined you are permanently disabled” forms for my doctor to fill out. The problem is, I have a new doc that doesn’t know me or my condition with how bad the pain is. When I see him, I am not in horrendous pain, my ankle isn’t swollen, my veins are popping giving my skin a bluish color, and certainly not being affected by my sock being on. So I filled out my portion of the form. Now I am writing up a word doc of what my PCP should write in the paragraphs and then have him sign it and then fax it to where it needs to go. If he wants to add notes or medical record of events. I did put in that I had a sleep study done which shows that I wake up in pain and also that the bone scan confirmed that I had CRPS in my bones. The whole thing has caused my stress levels to increase which didn’t help my flare.

I paged my psych a little after 5. She called me like an hour later. We talked and she insisted I see my PCP as she was concerned about my losing weight. If it was because I just wasn’t eating, she was okay with that but if it is something else, he should work it out. I am to call her after the appointment to let her know how it goes and I can’t weasel my way out of it. Damn she is being stubborn with me on calling her. She has the “tone” and I have no real choice of going against it.

My pain level was still the same so after I got off the phone with her, I loaded up on meds. I took my night meds around 8 and was hoping to be asleep by 11pm. I was talking with someone on Twitter when my laptop was really hurting my leg. Last night I noticed some swelling near my shin. I have had swelling there but it was more toward the side of my leg not near the shin. And it is a good size swelling. I also have swelling just above my ankle joint that is kind of near the malleolus but above it. Add in the weight loss, and now I am nervous that something is going on. I emailed my concerns to my psych about 10 or so. 11 came and I was going to go to sleep as I was really drowsy but my damn fucking ankle said hahaha nope, not happening. Now I got medical stress on top of my other stress. I have been suicidal on and off with this flare. Mostly, I have been wishing myself dead. It hasn’t worked yet. I have no idea who has the wishing power. Maybe it is in the stars or something. I don’t know. I just know I don’t want to be here anymore but without acting on my plan at the location I prefer, it just isn’t going to happen.

Because my flare was so severe, I couldn’t have my ceiling fan on as the airwaves were bothering it. I couldn’t get comfy either, which annoyed me. If I have airwaves bothering, soundwaves were next. I needed to listen to music as I put on earbuds and the vibration went away. I had no idea how much the sound was affecting my pain. I charged up my Bluetooth headset as the earbud things are too big for my ears so kept popping out. The sucky part of the Bluetooth is that it takes around 4 hours to fully charge and does not work while plugged in, even on a wire. So I was screwed and only could use the earbuds.

bad few days

Bad few days

Since Saturday, I have been having back pain. I didn’t do anything as I just woke up with it. The barometric pressure has been up and down like a yo-yo and temps have been crazy as well. I know once it levels off, I should be ok. In the meantime, it is hard to move and walk. Sitting is also difficult.

My mood has sucked all week. I have been having intense suicidal urges upon awakening and throughout the day. I sent my psychiatrist the post I posted on Monday. She said it was complex. I also sent the blog to my pcp’s social worker but have not heard back from her. I just feel like I don’t want any help right now. But my psych wants to know what I am up to and things because my suicidality has peaked. She also is not letting me be. Last Friday, she wanted me to call her midweek and if I didn’t, she would call me. Yesterday, she called me after I told her I wasn’t going to call her. I had gotten into an argument with my sisters and didn’t want to speak to anyone, much less her. I just don’t see the point. I am better off alone to deal with my stuff. I somehow get through it, though this time seems to be harder than it has been in the past. I kind of do but don’t want help. I don’t want help because I don’t think it will actually help me. I think it will just frustrate me yet the ingrained sense of “reaching out” when feeling this way is hard to resist. My psychiatrist has told me that if I feel like acting, I am to call her first. That kind of defeats the whole purpose of trying to act on my feelings. God I am so confused.

Last night, it was determined that my leather chair will be removed. I paid $300 for that chair. I thought about getting rid of my uncle’s desk but now I don’t want to. Fuck my sister for wanting to get rid of my things. She has threatened me that if she cleans my room and I don’t keep it clean she will “kill me”. On the other hand, if she does try, I will break her hands. My other sister wants me to get rid of books that I haven’t used in a long time. It is my books that I spent good money for. They aren’t getting rid of or placed in the basement to get musty or worse, ruined. I had books down there and they got ruined once. I am not going to do that again.

Because of my pain, I haven’t been able to do anything to clear my room or the boxes downstairs. Now they want to me to pack the stuff in my bedroom, to put in the living room. Where the fuck this stuff is to go, I have no clue. Fucking the office stuff is taking up a good portion of the living room already. I am just so stressed out and don’t even want to do a damn thing. Also I heard my sister tell my mother that I go out and have coffee but don’t clear my things. I only go out for coffee if I have my a damn appointment. That has been the only time I leave the house! So according to her, I am to be housebound just to clear boxes and clean my room?? I am so sick of this shit. They really think that my pain is no reason why I shouldn’t clear stuff. That I must be faking my disability. Next week I am getting paid and I am so fucking tempted NOT to give a cent to my mother. Maybe then they will get a fucking clue that I live here, too. Because right now, I feel like I can’t have anything in this house except my bedroom. And I will be damned to give half of my social security check just to be locked up in it!

Well, this is the stress I am dealing with which hasn’t helped my pain at all. I need to stop right now because I need to lay down. I can no longer sit. Hope the Tylenol and Ibuprofen help my back pain.

thoughts of the midnight demon

Thoughts of the midnight demon

“I haven’t slept all night as I have been in a lot of pain between my back (low pressure changes) and my ankle/foot. I am sharing with you something I have been sort of keeping from you because of fear of hosp.

Been in a quandary about what you said and what I talked about with a social worker friend. she thinks I should be evaluated. Parts of me agree but the one question, I cannot answer is the “why now…what has changed?” Frankly I don’t know. I wanted to end my life March 29th. I made the decision sometime in January. Since that time I held off for a week because the weather interfered with my plan. I have every thing worked out except the small details of where to leave my benefits pension information, banks, passwords to different accts, etc.

A few nights of despair with pain and psychache caused my plan to be more imminent. I couldn’t stand to reach my means to end my life so when I was “well”, I moved it closer. When I emailed you last night, I was so overwhelmed because I had planned, again, to end things this weekend. I’ve always had a plan and the means to carry it out. I don’t know why I haven’t acted. I know I don’t want to do it in my room. I rather be at some deserted place, which I have picked out but weather has been a factor in me getting there.

I still do not think hospital is the answer. It will not help except to babysit me and maybe give me more time to think things through or maybe work through the hard stuff and see where it leads me, but it is doubtful as the hospital just thinks this is an outpt issue (aka longer term) and once my level of safety is down, I will be released even if my “risk” factors are high.

Maybe Dr. Goldstein’s SW will be able to help me in the short term. I don’t know. I am scared to tell anyone but those I trust deeply (you). When I asked you Friday and you told me why you wanted me to live it gave me some hope to live again. Least for a day and a half. I do have plans for a book. But if I don’t get past these suicidal disturbances (I can send you a paper on it if you like), I don’t see the point in any of it. I am also ambivalent about asking for help because I have been rejected so many times or just have no received the care to reduce my internal struggle. I know this will not be an overnight thing. I know it is not a medication thing either (though I wish it were).

I honestly don’t know what to do. part of me wants to roll the dice and see if I die. Another part wants to attempt so maybe the hospital will take me more “seriously”. Walking in voluntarily hasn’t seemed to help much. I rather avoid the hospital all together and just do something else but not sure what that is.

these are my thoughts. I won’t tell you what my means are or where I am planning on ending things. Just know they are there and within reach. I have no method of planning a date. Any Friday will do, just so I can fuck with the suicide statistics.”

This is what I sent my psychiatrist. I felt she had to know because I sent her an email last night and she called me within ten minutes asking if she should send an ambulance to my house. She is worried about me, to say the least. I am so ambivalent about doing the acting part of taking my life. I don’t have to do it. That part is clear. But I want to do it so the thoughts will leave me, so that I can say I did it and then well, if I succeed then fine. If I don’t, I will be indeed a failure and I will accept the consequences. I have not chosen a very lethal means. I don’t have a gun and I don’t plan on hanging myself. But what I have chosen might end up killing me if I hit the right spot. The more I think about it the more I want to do it. It is like a nagging thing inside my head. I feel like I have two things on each side of my shoulders like in cartoons, one is like a good part and the other a bad part. Each one seems to talk louder than the other and I still survive the hellish nights of wanting to die so damn bad.

I know my means needs to go to someone else, for now. Not indefinitely. I know I should talk with someone who isn’t afraid of suicide and will hear me out when I am suicidal without resorting to hospitalization when I bring it up. I also will not abide by “suicide contracts” basically I am safe until next session without a clear plan on what to do in the meantime. If a safety plan or crisis response plan is not implemented and I am held accountable to actually do it (fuck I am wicked bad at my suggestions and following through because I know best type of thing. I am also bad at giving advice and not listening to it when it involves me). I would like a therapist that is willing to work with me on specific skills to decrease my suicidality like DBT or CBT, brief. But that involves that they actually know how to treat someone who is chronically suicidal or at least, knows chronic suicidal ideations. Otherwise, what good is either of them. CAMS is good (my opinion, the gold standard) but there are very few, if at all, therapists in the Boston area that have this type of training, least to my knowledge. There was a therapist in Cambridge that had the type of training best suited to me but unfortunately the bitch never had the courtesy of calling me back.

I have been up all night. I will most likely sleep all day. I am tempted to send this to my pcp’s social worker and see what she has to say. I will send her the link, maybe. I am very selective on who I let in on my suicidal world.

For those reading this, I am safe. I am not going to kill myself this week. I currently don’t have a specific plan in mind at the moment. So do me a favor and not call the police on me because you read this and said “omg suicidal, call the cops”.