unable to sleep due to anxiety

Unable to sleep due to anxiety

I have been feeling anxious the past few hours. I took 0.5 mg of Ativan, which probably wasn’t the brightest idea as I usually take 1 mg. I started writing in my journal about why I was anxious, mostly because of my upcoming appointment with the therapist. I just don’t know if this is the start of twice a week sessions or just a one time thing of meeting twice a week. I am hoping to get out of Wed session but won’t know of that till Monday. Ugh. I don’t know why I am nervous other than the fact I don’t want to be cornered into sessions. I still am highly suicidal so on the one hand, it will be good to have therapy twice a week but on the other, I want to die so I don’t want to meet twice a week, hence the anxiety.

I have four appointments this week that are stressing me out. Three are mental health related and the other is for uro. I am nervous about that because I don’t know if I can talk openly about how this self cathing thing is making me feel. It is making me feel more disabled because I am falling apart physically and I don’t like it. I don’t like that I got to keep track of when was the last time I went pee all the time and the thought of putting on a timer or alarm to cath or try to pee just doesn’t appeal to me. So I am just drinking less than I normally would just so I don’t have to pee more than I should. I hate being in this place. This whole thing also has made the constipation worse. I really think because I am not using the muscles to empty my bladder which are the same muscles to have a bowel movement, my bowels have decided not to move so much, even with taking laxatives and stuff. I just can’t deal. No one understands and I don’t even know who to talk to about it. Just makes me feel more suicidal.

This salivary gland thing is not getting better like I thought it was. There is this pressure on my throat from the swelling. It’s not painful, just uncomfortable. I look like a pelican as I have a pouch of swelling under my jaw. It is making the muscles tense and it is so hard to relax. I guess I should take some more Ativan just to relax the muscles so I could possibly sleep tonight. I just emptied my bladder, which wasn’t much in there like I thought there would be. Hopefully I can sleep through the night because I really don’t want to be up all night like last night.

DDDAAAAAAAA YANKEES LOSE!!!!! I am so happy the Snakes choked again. The Houston Astros are going to the World Series with the Washington Nationals. I am rooting for the Nats to win the Series. This is the first time ever they have made it to the Series. I partly stayed up to see who would win as the top of the 9th, the snakes tied the ballgame. I was so happy the Astros won the bottom of the 9th with a homerun.

In addition to the four appointments I have this week, I also need to make four phone calls. One is to the uro’s office to make sure I have the right office I am going to. I got to ask the uro about why she wants me to see an occupational therapist. She told me she would refer me but I am not sure why I have to see one. Maybe when I tell her I have the hang of it, I won’t have to. I am sure it is up to me but other than them giving me tips on how to carry the stuff, I don’t think they can be of help unless they can suddenly let me grow a third hand. The other one I need to make is for my food stamps. I need to find out if paying for private insurance can count as an expense so I can increase the money I get per month. I am disabled so I might be able to have this new medical expense with the catheters on too as it’s like $50/mo for it.

My suicidal mood is up to planning a date again sometime soon. I can’t help but think about it because it just is what I want to fucking do. I don’t want to live to see my next birthday. My rebirthday is coming up next week. It will be two years living as G legally. I really love it and wish the rest of my transition could go through but unfortunately it can’t right now because of this fucking construction business. I found out a few weeks ago, it isn’t happening till April. Well, that is all well and good as I will be fucking gone by then. I don’t want to live to see my 44th birthday. I just don’t. I can’t stand living this way anymore, between being in pain every fucking day, being depressed, and now medically falling apart…it is just too much.

Trans issues 27.7.19

I can’t wait for top surgery. Things on chest are giving me such a hard time. I feel so ugly and humiliated. This isn’t me when I see them.

Kind of worried with the CRPS on left side. That is the side my left ankle is affected. The way they described how they cut the nerve to the nipple makes me nervous. I could lose feeling but that isn’t a major concern for me. I just want the fucking things off!! The right one might be more of a problem as it is bigger. Swear I have an orange on left and a small watermelon on right. And fuckers are heavy. But it might be that I just hate them so damn much. Worst part is they have become hairy which really bothers me. Becoming a man is so hard. Makes you feel really fucked because you aren’t congruent with how you feel.

The major thing is getting these things off. I would tomorrow if I could but I am being “selfish” waiting for the damn construction of the house to start and finish. I thought it would at least be started but it hasn’t. I haven’t asked my sister for fear of another argument. Been doing small stuff in my room as it is all I can handle.

Yesterday just putting groceries away flared my back up. It really scared me as I couldn’t touch my back without it hurting. I haven’t had that bad of pain since getting cauda equina syndrome x2. I have no red flag symptoms but I didn’t last time. I lost function of my bladder today. Things with it have been messed up since the middle of May. I moved to sit up and reached for my laptop which wasn’t too far from my grasp when urine squirted out. Luckily it wasn’t too much, but freaked me out. That was how I got CES (cauda equina syndrome) the second time. I had severe back pain and then started leaking more than I usually do. The disc was a different level than the first. And according to the surgeon it was huge. He had no idea how I was still walking. Been having intrusive memories most of the night and right now as I am describing it. I’ve never really talked about how I felt about it. I knew what I had and just focused on getting better, making sure I didn’t do what I did the first time, which was basically not having a clue what to do or who to see. I didn’t go to Spaulding, which is a huge rehab hospital because I’ve dealt with their lab and just thought all the people there didn’t know what they were doing. I was wrong and I am glad I was as i got a terrific PT now for my CRPS (complex regional pain syndrome) stuff.

I hope doing all the things I’ve been doing doesn’t cause me to blow a disc that is already herniated. I have herniated discs from levels L2-S1, worse at L5-S1 and again at L2-3 where I had CES x2. My first diagnosis was at level L4-L5. I fear if I have surgery again, I might need a fusion and I’ve heard bad stories about them. No one I know has found relief from them. And the stuff I read was fusions were only to be done on the neck, not the lower vertebrae. That is why I never want to have it done. I’d rather be in pain, but if other stuff is going on like loss of bowel/bladder, weakness in lower extremity, numbness from anywhere waist down (including saddle area and sex organs), then I will consider it. But only if I have a capable surgeon one who has done them a lot of times and have had success with them. I don’t want a neurosurgeon who only does the brain or pituitary gland. The whole thing scares me.

When I was able to see my therapist again (the 16yr one), she kept on telling me I went through a trauma. I stay away from that fucking word so much. I denied it tooth and nail until I started having PTSD symptoms. To this day I cannot go near the 3rd floor of the hospital where I worked. That is where the operating rooms were. I always wanted to see them but not as a patient!

I sent my psych an email about the top surgery and how I felt about it. She will sign me off on it but I really want to have a discussion with her before she does, just to make sure I am ready and she knows I am ready. It is a huge deal and I’ve gone back and forth with it in my mind. From i am attached and what will it mean to not have them there to seeing a man’s chest and saying I want that. I want to be flat and not have these things. I tell you, when they started developing, it threw me for a fucking loop. I thought getting my menses was bad. Nope. Having things grow was not what I wanted. Then to have a mother molest you because of “concern” more than once because one was bigger than the other and sending me to see a cosmetic surgeon when I was 13, fucked with me so fucking bad. I was so embarrassed this male doctor was talking to my mother about it but it would be when I was older. I nearly wanted to fucking die on the spot. I didn’t want them to be the same, I wanted them fucking gone!! I had already started hating my mother since I was 10. This just added to it more. Makes me feel so ashamed I have them and aside from cutting them off, there is nothing else I can do. Makes me feel really depressed, like I am in this pit I can never get out of.

But none of this matters if my CRPS pain isn’t controlled better. I have a date planned to end it. I am trying so hard not to think about it as I want to see my psych again. At the same time, while the cat’s away, the mice will play keeps running through my mind.

Tuesday is Broken

Tuesday’s Broken

I was feeling pretty crappy today. Back pain was really bad and I just felt really, really down and worthless. I posted how I felt and someone responded with how I help people with how I feel with my posts and raw emotions. After I asked her if I could share her response and she said I could. I posted it on my IG and FB. I also sent a screen shot of it to my psych as she told me the things this person said, maybe not the way she said it, but the sentiment is the same. While I was thinking of all of this, Sugarland’s song, Tuesday is Broken popped into my head. I couldn’t find a more fitting song in that moment.

Last night I was transferring Gatorade from one bottle to another and ended up spilling it on my bedding. My back was hurting terribly so I wasn’t going to do it right then. I was cold because of the AC so I got some blankets and covered myself with those. The back pain didn’t ease up. When I woke up this morning to take my morning meds, I accidently doubled my dose of breakthrough meds and that made me very sleepy. I have been sleeping on and off all afternoon. I had sent my psych an email around 4 am saying I was worthless. I half expected her to call me but she didn’t. I also told her how suicidal I was feeling because my ankle and foot were no longer dissociating. I was getting crazy thoughts and wanted to go through with them so bad. I emailed her instead and that kind of lifted my load a bit. I have not heard from her at all. I hope she is getting my emails and they aren’t in cyber space somewhere. I haven’t been getting a “could not deliver” message so that is good. I think I have emailed her nearly every day this week. Been trying not to and the more I try, the more I fail. I just send her one email a day unless I am having a hard time, like I was last night. I honestly don’t remember being up at 4 but I must have because that is the time I sent the email. I think I also shut the AC off because of being cold. Today has been really hot that the AC is making my room cold but not an ice box. It is so fricken muggy in the house.

I made an egg burrito for the first time in ages. It was good. I put picante sauce in it before I rolled it up. I found that was better than spooning it onto it with each bite. I might make another tomorrow. I bought the flour tortillas. I have been eating them with chili. I fell in love with a Hormel chunky kind with beans. It has a little bit of a kick to it as my nose always runs when I eat it. I really want to make my cookies but it has been so fricken hot that I don’t want to be in my kitchen at all. Maybe I can convince my sisters to install a wall unit and shush my mother about it. It just makes cooking so hard in the summer.

I was still feeling a little sick after I ate. I think it was because of the pain meds. I took a Zofran so I wouldn’t hurl the contents of my stomach. I had coffee. I wanted another cup but my shirt was soaked with sweat and I didn’t want to stay in the kitchen anymore. The testosterone has so increased my sweating. I hate that I have to wear deodorant all the time now because otherwise, I stink within minutes in this heat, even if I just came out of the shower. I really hate that I have to put off top surgery until the construction is done. I am starting to look stupid because I have facial hair and female boobs. I so hate the things on my chest. I hate them more and more every single day. I think that is why I have been feeling such loathing and worthlessness. I have no idea how to counteract the gender dysphoria. I have been shaving again. I had wanted to stop to see what grew but my nephew said that if I keep shaving it will grow faster so I am doing that. There is one slight problem…I like having a smooth face so I am not sure growing a beard, even though I really want one, is going to be possible. I could just grow it and see how it feels and then if I don’t like it, shave it off. I am not going to let it grow crazy like my nephew does. I can’t stand when men do that. It just drives me crazy. I like when it is neat. Maybe it is just me.

The good news is that because I rested and took meds, my back isn’t hurting me as much. It could have flared up because the thunderstorms were passing through and the pressure changes set it off as well. Either way, I am just glad I can move without pain again. My foot is killing me but that is a constant thing that will never go away. I just hope it doesn’t make me suicidal again like it did last night. Pain had jumped from a 12 to a 15 to a 17 within a few hours. I am really exhausted from it, even though I really haven’t done much today. Tomorrow I want to take down the recycling in my room as it has been growing. I just got some study money for Amazon so I might order the bins I was looking at. I was planning on getting four but I might get six. I was going to buy another foam topper that DOESN’T fucking move but I am too afraid it is going to make me hot because of the gel. I also don’t have a place I can spread it out on for 24 hours. I might sleep in the recliner in the living room if I do get it. It has to air out for that long in order for it to “set.” It is also summer so being in the living room right now would totally fucking suck because it will be hot as hell and I won’t be able to sleep. I am completely heat intolerant because of the nerve injury and T. I might hold off till after the construction so I can maybe place it in the dining room floor for 24 hours and then carry it up to my room. I just hope it doesn’t sell out by then because I will be pissed!

Feeling anxious again so I took my pulse. It dropped 5 points since I last took it. It has been steadily dropping today. After I ate it went up to 89, then went down to 63 and now it is 58. It will probably get lower as the night goes on. I have no idea why my pulse drops when I am in pain. My blood pressure is good; I don’t get hypotensive or hypertensive. I just hate feeling fearful for no reason. I hope tomorrow I can do some more stuff around my room, like putting more clothes in the drawers that I cleared out. Or maybe just put my PJs in there so I know where they are, if I remember LOL. I also had trouble peeing today because I forgot to take my urine retention pill. I was having bad bladder pains and spasms. I was wondering why and then I realized I hadn’t peed since the morning. I wasn’t getting the urge to go because that fucking connection seems to want to work when it wants to work, not when it is supposed to thanks to Cauda Equina Syndrome. My sister was yelling at my mother for something so I didn’t want to go downstairs. I hate that I am walking on eggshells in my own house again because of the bitch bully.

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.