a day of business calls

A day of business calls

I didn’t sleep well last night. I kept waking up every fricken hour from 1a on. I finally gave up sleeping at 7. I took my meds and then paid my bills. I had enough left over to put some funds in Starbucks and buy a book. I then put my alarm on for 930 so I could see if I could sleep for an hour before I had to get up and ready for getting my haircut. I didn’t sleep. I kept on getting notifications that kept me up. I should have turned off my phone or put the no disturb on so just my alarm would go off. I will have to remember that for next time.

I had my coffee and biscuits. My sister came up for a short time to tell me about my sister in law. She was diagnosed with liver cancer in March and now it has metastasized to her abdomen. She is now in hospice care. Her family is in denial that she is sick which isn’t helping her. Apparently she is so depressed over the news she just isn’t doing much to take care of herself and is in the ICU because she is dehydrated. I feel bad for her. My brother in law is also in denial about her sister’s health. I just feel bad for her son. He is going through so much.

After I had coffee I got dressed and ready for the bus. I had planned on going to Starbucks after the haircut but forgot my bag so I just went to get a drink for me and my barber. On the way back to the barber shop I became short of breath again. I don’t know why as it is all level ground, no inclines or hills. I know this is because of Covid and being deconditioned. My PT said my breathing would be the last to be better. I want to be better now! Dammit.

After I got my haircut, I was again out of breath when I got home. I had to sit in the kitchen for a bit to relax before going up to my room. I had some water and then went up to my room. I changed into my PJs, turned on the AC, checked my phone for more messages and then rested for a couple of hours. I didn’t sleep but the rest did me good. I was finally able to call my insurance and find out why the copays were so high. Turns out my PT place is billing several dates of service under one date so it looks like one visit is costing me $30, $50, or $60 dollars depending on how many visits is processed.  I emailed the billing and asked why wasn’t this reflected in my statement so it doesn’t look like one visit is costing me more than my $15 copay. I am waiting for a response.

I also called uro because I need catheters. I have one box left. The nurse I left a message to called the supply company and they said they would rush the order. I still have to have my provider change the daily catheter number so I can get more catheters to hold me through the month. I sent a message 5 days ago and haven’t heard back so I sent another message asking what the status is.

All this calling made me tired and seeing as I didn’t eat anything, I was also nervous/anxious. I took an Ativan and ordered Chinese food, my favorite dish, Kung Pao chicken. It was so good. They didn’t have the double order like before. I guess you can only order a bowl now, which is sad. I might have to change to another Chinese restaurant to get more Kung Pao rather than more rice. I just didn’t want to place a big order.

I got a response to the message I sent to my therapist the other day. She isn’t happy with me because I sent her “provocative” text messages. I was having a bad pain day yesterday and was texting her about what I was taking. I guess she took it as “provocative” messages. She also said repeatedly that she knows my knowledge of things is great and she said this throughout the session. Funny, I don’t remember her saying that at all. I guess when she said I didn’t go to med school, it threw out whatever else she was saying. I am trying to do what she has asked of me by doing the work outside of therapy like doing the work in the suicidal thoughts workbook. I have been meaning to do it but I am just too tired because I haven’t slept good the past few nights and been in a lot of pain.

I don’t know if I am going to listen to the game tonight. I am feeling awfully tired and I don’t know if the game will cause me to get agitated if there are bad plays. I get involved in my games when I am listening or watching it. I am going to take my night meds early because I want to make sure I go to bed at a decent hour. Last night I was late in taking my meds and it disrupted my sleep. I also bought 3mg of melatonin to take at the suggestion of my psychiatrist. I told him the 5 mg was giving me a hangover the next day. We’ll see if the 3 mg is better.

Had a day out

Had a day out

I had therapy this morning and just like I predicted my therapist got on her high horse and told me to take my meds. I told her I wanted a break from antidepressants and she was like no. Then she said that I didn’t go to medical school so I should trust my psychiatrist and start the new antidepressant. She also said that I should listen to my providers (like her) and do the things they suggest. She called me out and I was pissed. I couldn’t find fault with her argument and that made me madder. I asked if she wanted proof that I take my meds and she said no. But when we were discussing things to do outside of therapy, I am to send proof I am doing it. There were at least three times during session I wanted to leave. I honestly don’t know why I stayed to be reprimanded on my actions or rather inactions.

I am listening to Jeremy by Pearl Jam, a song about teenage suicide. It is one of my favorite Pearl Jam songs because the lyrics speak to me. As I am listening to it now I think about suicide and how my life has revolved around it for more than 30 years. I often wonder why I am still fucking alive. I just live with suicidality. With the exception of the attempt in 2019, I have not acted on my thoughts in a good 15 years. I have been hospitalized a few times during that time but not because I attempted.

After therapy, I need to go out. I shaved and then showered. Then took the bus to the Square. I went to Chipotle for lunch and then I did a little grocery shopping because my mother needed bananas and I needed half and half. It was hot and I was sweating like a pig. It wasn’t muggy just hot.

I am going to write my therapist a note because I am pissed she has dismissed my knowledge of meds because I “didn’t go to med school”. You don’t learn the lethal doses of medications or their pharmokinetics by going to med school. I probably know more than a first year med student. What’s next, I don’t know anything about therapy because I don’t have a PsyD? I guess all the time I was studying psychology in college was a waste. I took pharmacology in college so I think I know a little more than the average Joe. Plus I read a lot about medicine and drugs. I’ve been studying psych meds since I was 15.

I sent my therapist part of the paragraph above because I think it is important she know how pissed I am that she doubted my knowledge of meds. I am glad I went out but it cost me. My legs were feeling weak on the way home. I was really tired from the heat. I didn’t take a nap because I was too restless. I watched a few episode of Community. Such a stupid show to watch.

therapy was rough

Therapy was rough

I had therapy this morning. I was surprisingly awake. We talked a good deal about our alliance and why it was so tough to talk to her at times. At the end of this month it will be two years that we have been seeing each other and I still have a wall between us. The wall is mostly me and my insecurities about our relationship. She is frustrated with me. Can’t say I blame her. I am glad she was honest with me about it.

We talked about how I was frustrated that I only see her for 45 mins a week. I’ve never had a therapist with so little time before. She said that she shouldn’t be the sole support as it isn’t fair to either of us. I agreed but I have in the past solely depended on my treatment team to support me. I told her I was working on a CBT workbook for suicidal thoughts and she said that if I worked at least a half hour with it and sent her proof, she would give me a second session. I asked her why she was doing this and she said because I am trying.

I had two cups of coffee today and I still needed a nap. I had such a headache after therapy. I took some Tylenol. I’ve had this headache since Friday. It goes away with the Tylenol but comes back when it wears off. I messaged my pcp about it to see if anything can be done. I don’t know if it is because of stress or what that is the cause of the headache. I have a busy week with appointments. I see uro the end of the week to try and get a handle on the urethral pain. I have been cathing more and that seems to be helping with decreasing the pain. I might be straining myself while peeing and that is causing me pain. I had an accident this morning. I dreamt I was peeing and woke up to find myself wet. Luckily I didn’t wet the bed. I washed up afterwards but I still needed a shower. It took me a while to get back to sleep. I didn’t want to get up when my med alarm went off. But I had to get up because therapy was in two hours and I wanted at least one cup of coffee in me.

I took a shower after therapy. Then I made another cup of coffee and tried to write something for my book but couldn’t. I didn’t know what to write. I got hit with brain fog after I finished the coffee and it was so hard to think. I tried napping but I still haven’t slept and I just feel so drained.

I worked on a chapter in my workbook and sent it to my therapist when I was finished. The book brought up some tough feelings and memories. I wrote it in pencil so that it would be easier to erase if I made a mistake while writing. I’ve gotten in the habit of using a pencil while writing now. I don’t know why. I still use a pen when I feel like it. I started using the pencil while taking notes on the MLB book that I am reading. I still need to find a comp book to write the notes in. I meant to look today and forgot. I did find my checkbooks so I call it even.

another hot pre-summer day

Another hot pre-summer day

Another hot day in Boston. I cannot stand it. I am in a grumpy mood. I don’t know if I am going to go to PT tonight. I should go because I haven’t left the house all week and I need to get my prescription. I was able to shower but now am exhausted. My leg is killing me from where I injected the T. I seem to have flared up my whole leg. Doesn’t bode well for walking to my appointment and doing physical therapy. I will see how I am around 2pm and if I am in still in pain, I will cancel.

I woke up in the middle of the night because of pain. My shoulder flared up on me and it took a while to settle down. I sent my therapist a message asking if she was going to leave any time soon. The way she was saying she didn’t have time for me made me wonder if she was going somewhere. She sent me this long message back about how her time is split between two clinics and also reiterated that I would benefit from a group in addition to therapy. I wrote back that I don’t think groups fit for me and right now with my upcoming surgery I don’t think entering a group would be ideal.

Just had my second coffee of the day. I found that if I have a second cup I can usually ward off a daytime nap. It usually wears off around 1730 though and I get super tired. My sister is going to give me a ride to my appointment so I don’t have to take the T first leg of the trip. I really don’t like late appointments but it was the only time she could fit me in. Next week I am not seeing her and if I skip today that will be three weeks I haven’t seen her.

I just changed my shirt and put deodorant on, something I always forget to do when I go out. I am so used to not going out that I forget when I do go out to wear it. I know I will be needing another shower when I come home from PT. I should cancel because I am in so much pain but I really need to go. I messaged the PT to tell her to go easy on me. She agreed. She is a good therapist. I call her the poking therapist because she always seems to poke to get to the spot that is knotted. She did a good job on my calf. It doesn’t seem so tight anymore. It was twitching after I took a shower. I love taking showers but also hate them because they make me exhausted. I usually take just one a week but in this heat I need to take more. It is supposed to cool off tomorrow. I want to go grocery shopping. I want to make lemon chicken. My sister made it a few weeks ago and I loved it. Been craving it since then with some white rice. I also plan on making zucchini like my niece made. It was really good.