My mixed episode dramatically changed from being primarily agitated to being very depressed in the last 48 hours or so. I went from sleeping less than usual to wanting to do nothing but sleep. I'm even falling asleep before midnight and taking naps. Those things never happen. Tomorrow I increase my gabapentin which we hope helps and doesn't snow me. I've been on 400 mgs of gabapentin for quite a while now without major problems but in the past 600 mgs was enough to knock me out and make me completely incapable of doing things like writing emails (I actually sent emails that read sdkjflasjdfoiajr and not to the person I intended to get that priceless message) so we don't know for sure what 500 mgs will do. I hope help me feel better fast. I suppose I probably could start my light therapy now but I want to see how things progress for a few more days before risking increasing the mania. It's so hard to believe it is there, even my PT noticed today that I wasn't myself (ok, I've been going there 2-3 times per week for 2 months, probably it's not that surprising that they notice; the whole staff notices when I'm using the treadmill instead of the easier recombinant stepper) but still I usually can hide this for 45 minutes. Not today. If it doesn't work I have no idea what will happen because as far as I know the only remaining options are to add older, often nastier anti-psychotics at a low dose and hope for the best. Because of my history of movement disorders that has to be done very carefully and we've tried to avoid it. I also don't want to have to take meds 3x/day. I'm just getting back on my morning meds, which often are forgotten when I have an episode. Since one is thyroid it is probably part of why I feel so crappy but I can only do the best I can. I'd go back to just taking it at night but I need to take nexium twice a day with this much Seroquel so I have to remember the AM meds anyway. Even then I break the rules. I somehow didn't know synthroid had to be taken on an empty stomach and never did it that way so my dosing has always reflected taking it not quite right. Not changing that now.
I realized today that it is going to be five years in a couple of days since my first hospitalization and starting Emsam. That is one med decision I am absolutely glad I made. Emsam and Serqouel XR made a huge difference in my life and even though they don't work as well now as they used to they probably keep me from feeling much worse than I typically do. I was so afraid and the whole thing was ok. I just remember how much of that depression I wore on my face and hate knowing that any part of this one is also visible.Thursday, October 23, 2014
Blagh
Tuesday, October 21, 2014
Silence
This is the least I've posted in any month ever. It's been a hard month to come up with things to say because usually I am writing about what I am thinking about. This month I've been running from my thoughts. Partly this is a mixed episode that started longer ago than I realized and I just haven't been in the mood to write. There has been a lot of grieving over my brother and I don't want to write much about that on here. But there's also been an issue with Dr. Mind being sick and he has missed some appointments and when he is there he is kind of out of it and so while he at least made sure I got the mixed episode treated medically last week (sort of; read on) counseling isn't the support it usually is and that's making me avoid my racing thoughts in every way I can. That's been even more true as I've been pretty paranoid this time around and it's better to not let your mind and words run free while paranoid.
Dr. Mind being sick has been really hard. I don't know what to say beyond that aside from I miss him and I feel so bad because he truly has been suffering terribly, but this is showing me how grateful I should be that he isn't leaving. To be honest I'm sad for him that he isn't doing that, he really wanted to and it was his dream for many years and it is so hard to have a decision made by your health. But I know now how much I miss him when I'm seeing him every week so I can't image having to say good-bye.I spent quite a bit of time with my brother last week and we talked and laughed and I honestly felt good being with him. It was a good thing and very much needed. I hope that I can maintain something like this until things change again. That could be about any time now. It could be months more but it is nearing the average wait time.
otherwise I need to empty the kitty litter. I really meant to do that earlier but I fell asleep. I bought some of that new lightweight stuff and maybe it is ok for cats who aren't in renal failure but for my cat who pees gallons it sucks. So I have to totally empty the thing and start over. I'll wind up with a smelly trash can all night because i'm not going out in the cold to the trash bin but it's better than a smelly bedroom. I want my Anna to be here as long as she has a happy life but I absolutely will not miss the kitty litter in my bedroom.
Thursday, October 16, 2014
Placeholder
I am still here. It's been a crazy few weeks. My laptop keyboard settings were messed up by my cat walking on the keyboard one night when I fell asleep without closing my computer. There have been trips to the vet, a very dramatic story involving adopting a stray dog while my mom is on vacation (he'll be hers), there is PT and this week was my first day with both Dr. Mind and Dr. Brain in the same day (which works out to a very, very long day), sleep deprivation, a mixed episode, a few days of being really paranoid, some changes in how I am seeing my brother (again and this is partly why I'm not writing; I can't explain it well without saying more than I want to at this point) and more. I'll catch up soon but probably not until my mom is back and I'm not watching the new dog constantly. He's a very good Houdini so I can't just let him into the dog yard until we know for sure he cant jump the fence. I even spent a long time today with a drill, spare boards and zip ties sealing off an opening so he cannot possibly get out that way.
I'll be back soon.Wednesday, October 01, 2014
Two shoes!
I haven't been feeling very good the last few days (stomach issues and now a migraine would like to start along with that which is directly from a very long day going to see the orthopedist with the largest possible number of bad drivers each way). So I'm going to keep this short but it's a big day, so here goes: I am weaning out of my boot and into a shoe. I took my first steps unsupported at his office and then at home I wore a shoe for a couple of hours until it was really making my incision sore. I'm going to have to wrap that for a while until it toughens up. There are places that the incision goes over these bone anchor things whichare little pins things that will eventually be absorbed into the bone. They stick out a little and rub the healing tendons and irritate the skin as well. I can't do scar massage yet because of them. And they seem to be getting pressure from the shoe as well. I have a brace to wear when I'm in the shoe for the next 3 months. Since I won't have that or the shoe on at night I guess I'll be using crutches at night until I can walk barefoot safely. I am retiring the night splint though. Free sleep! Bliss!
He confirmed everything has healed well. I've been having some concentrated soreness and he was able to get my repaired tendons to come in and out of their groove a little bit but not like they were before and not in a way that is bad, just something they are doing enough to get sore while healing. I don't know if that will stop when they aren't inflamed anymore. That would have been a good thing to ask. If they are a problem I know there is a procedure to widen the groove they rest in; I'm not sure why I didn't have it with the other if there is an issue but as long as it is harmless I do not care at all. The ankle is welcome to click away.
And now I'm going to try to figure out whether my tummy or my head needs help more. I so much want to go to sleep but if I do I will wake up at 11 and be up until 6 and that would be bad. Big day showing off in PT tomorrow.
I thought I had one more thing to say here but my tummy is making it hard to focus and get through thoughts. So another time I guess.
Monday, September 29, 2014
ankle
I will start this by admitting that I am obsessing. For most of the time I've been recovering I've known what day I was on. In the last few weeks I lst track of the week. I figured that out today and now it makes sense again that I thought I was walking at 4 months, not the 14 weeks I seem to have gotten my brain stuck on. It actually IS 4 months.
I am so afraid that he'll see something wrong. I know in my mind that it is great but my perspective is weird when I look at it and the swelling that has built up in the last week or so makes it look really weird. It's probably also weird because I don't have normal anatomy but I don't know that yet. I am sore in a different place, a place with puffiness and it feels like something is rubbing on something else. Realistically a tendon is rubbing on a bone anchor, which is going to resolve itself as the anchor is absorbed into the bone. But it feels strange. Not strange bad necessarily, just strange. It's all stuff I can answer myself but it's hard to not worry. After 4 months you want to hear that things are perfect in the healing process. Honestly they probably are although I may have more irritation on the outside of the ankle than normal; that has just flared up the last few days.
Oh mother
Today we were watching my nieces play. Anne tends to get a little rough with Geraldine and gets right up in her face. Geraldine usually goes along but gets tired of it eventually and moves away.
Anne has certain behaviors and characteristics that are very reminiscent of a little me. Nobody is about to diagnose bipolar anytime for a many years but I think that at some point it will at least be considered. Right now she has sensory issues and I think my sister is going to start working on getting her some treatment for that. She is an extreme sensory seeker, which is partly how she winds up getting to be too much for her sister.Saturday, September 27, 2014
I think
OK everyone, I'm going to lay this out on the line. Several hard things are pending in my life as you know if you've been reading. Thankfully Dr. Mind is not leaving at this time so one of the worst is gone. But oddly the others are so huge that I haven't felt the relief I thought I would.
I am very concerned that the time I have with my Anna cat is drawing to an end. Monday night she was horribly, terribly, painfully ill, vomiting a huge amount of food (I messed up and gave her something with grain in it that I thought was grain-free; her body can't handle grain anymore) and then she had intestinal cramps so severely that I could SEE them. I was up most of the night with her and knew that it was likely that we would make that awful last visit to the vet on Tuesday. But around 5 AM she settled into bed and woke up without cramps or vomiting. Time beaten that day.But since then she hasn't eaten much at all. Today is the first day I've seen her eat much and that much is relative; she's had maybe 2 tablespoons of food at best. She isn't even asking for food very often, in contrast to asking for food 17 times a day before. She is drinking a lot and still urinating normally. She has confused periods that are worse than ever before. And I believe her body is retaining fluids although that is hard to determine.
There is a very weird part of the grieving that is for the loss of expectations. I had decided long ago that when she was gone and I was ready I would get a kitten. But now I will be taking my brother's cats so I won't even have the comfort of a little fluff ball reminding me of Anna's kittenhood.
It's just so sad.
Impatient
My boot will begin to come off Wednesday. I think I've been pretty patient for the last 14 weeks but I am really fighting to stay patient for this next few days. I'm moving around so well and having so little pain as long as I do my exercises (I do them a LOT and get really stretched out every day) and I am just ready for the next part of the process. I think the thing is weaned off gradually and I'll probably wear a light brace for a while (I plan to pack several braces so that if I have one that is acceptable I don't have to buy another orthotic device; I've bought at least 3 or 4 this year not to mention all the casts). Even my PTs are feeling like we're in a holding pattern and ready for the exciting part to begin.
I don't know why waiting another 5 days is so hard but I think I've just reached the end of my patience with having to plan every movement. Last night I stepped on something and cut my foot. I thought I had stopped the bleeding but when I got off the toilet I discovered it had actually bled quite a bit on the floor. So I cleaned it up and then had to be extremely careful to not put my crutches down near the wet spot. Tonight I was watching a movie and hit eject accidentally on the remote when I leaned over to do an exercise. I had no crutches and putting my boot on and off in 2 minutes is a huge ordeal. So I was going to finish exercises without distraction but somehow found a way to trick the tv into restarting the DVD eventually. But it was so frustrating; the tv is like 5 steps away and I can't do that. And it has been 14 weeks. Nearly 4 months. Somehow that seems like forever right now.Thursday, September 25, 2014
Brain on bipolar
I've been pretty stable for quite a few months, actually an extemely long time for me. Vicodin is stabilizing for me so taking it quite a bit for the early part of the summer was probably good. Sleep has sucked but I can't use my weighted blanket because it is too heavy and I could hurt myself kicking it and I'm not willing to take anything more sedating for fear of falling so that is really on me. There are solutions and I am too afraid to try them. Perhaps when I get a brace next week I can manage to sleep in it and a slipper of some kind and get up and walk as needed, once I reach that point. But for now it's out of the question.
My mood has been drifting. It's probably partly SAD but as often happens with SAD for me the depression triggers everything else and so I am mixed which means it's not a good time to start using my light. Increasing the activation is not good. Usually I don't get the light going until about November because of exactly this situation.Wednesday, September 24, 2014
want to know a secret?
I am less than a week away from starting to walk with a shoe on my post-operative foot. I am walking all over with the boot now without problems, even alternating feet on the stairs sometimes and handling our uneven, gravel driveway easily enough.
I bought a lot of shoes. Different sizes, different styles to make sure that I had shoes that were right to re-learn walking in. I have been wearing extremely supportive shoes for years and those didn't seem like the right idea because I think I need to be able to feel the surface I'm walking on more than I can in those shoes. So I got a variety of flexibility in the soles.So we're not admitting this to anyone but I have taken my first baby steps. Sort of. Not really since there was so little weight involved. But kind of.
Shhhhh.....
Subscribe to:
Posts (Atom)