Medication switches…

I’m SUPER not excited about the upcoming couple of weeks but I am actually a bit excited about the prospect of being on a medication that does not cause widespread chronic pain. Side effects of medications, whether they’re for physical health or mental health, can often suck. Switching medications gives you this window where you’re finishing off the old side effects, no longer getting the benefits of the old medication and starting a new one to get new side effects… Let’s be honest. The process sucks. A lot.

I did finally get to see the new neuro-op for the intracranial hypertension thing I have. If you’ve joined us recently – basically the pressure of my cerebro-spinal fluid is too high and creates a migraine that lasts 24/7 and can actually take your vision away. I temporarily lost a third of the vision in my left eye. The doctor was concerned it might be permanent (but I got it back). I’ve been on one medication for it for most of the last five years, and when I thought it was a temporary thing (which for many people, apparently this “rare” freakin condition resolves itself… ) I was willing to handle the loss of libido, the increased joint pain. Vision’s kinda important to me.

Mine is most likely caused by one of the medications I’m on that I will be on for the rest of my life. That makes this condition life-long for me. All of the sudden having no sex drive and ever increasing chronic widespread pain was not feeling like something I could handle. So I got a new doc…. I got a new prescription…

This means a few weeks where the old medication won’t be high enough to help, and some time to start the new one. This means likely a couple weeks of crippling headache pain. YAY! … no. not yay… but if this new medication doesn’t have the same horrid side effects as the old one, it WILL be YAY.

Unfortunately med changes are trial and error… It’s all risk/reward. The same is true of mental health medications. Yes, some of them may make you sleepy, or even worse… but then you change them and sometimes you’re lucky enough to find the ones that help without making things worse…. The ones that make you start to feel like you can live your life again rather than just survive it. Note: some people are medication resistant and a lot of this won’t apply, but some of us need to be reminded that it can take more than one or two tries to find what we need.

~Brutally Honest Eccentric~

Did I Make Myself Sick?

The last few days have seemed like this never ending eternity of nausea and anxiety. I got sick a couple nights back, threw up, felt nauseous the rest of the day. I started coughing hard in the evening and threw up again… not sure if it was my stomach or if it was my whole body tensing up in coughing fits. Not sure if it was a bug I caught, or if I’m really SO anxious about Monday’s appointment that I’ve made myself ill.

Monday is my first appointment with a new neuro-ophthalmologist for my intracranial hypertension. You’d think with all the doctors I see, all the appointments, all the new ones, I’d be better at initial appointments. I’m not. I’m a mess. For me it’s the interview process on both ends – he needs to know if he can treat me, I need to know that he can understand my needs during treatment.

Any first appointment is like this. What makes this one hard is how long waiting periods are to make initial appointments and this is my brain… I can help a psychiatrist understand that I know my conditions and my body because these are problems I’ve dealt with for years. It’s harder for me to convey my level of self awareness of my symptoms to a doctor that treats the physical side of things.

It’s paralyzing, this particular fear. That’s the only reason I feel that it could even create physical symptoms. The fear grows as the day draws near. I have about 40 more hours freak out about it. I’d been getting painful panic attacks for days even before I got sick. Shortness of breath, pain in my chest, etc… Those ones where you know the pain will go if you can just calm down, but the pain is freaking you out more. I hate those.

I haven’t been around and I make no excuses. This is what the last couple days and even weeks of my life look like. Fear, pain, throwing up, coughing til I cry. Let’s be honest, it sucks, and it drains my motivation.

So, appointment on Monday. Update on my condition or treatment options on Monday night or Tuesday. Stay tuned as we get answers.

~Brutally Honest Eccentric~

I have no excuses…

Well, I have plenty of excuses but what would be the point? It’s been over a week again. I kept saying, “I’ll write tomorrow.” Tomorrow is a fictional time that never comes.

I have to make a lot of phone calls Monday and it’s scaring me because I don’t do these types of calls well – initial appointments, billing and insurance issues. I’m truly terrified. A lot of us talk about phone-phobia and I don’t have it as bad as I used to, but there are certain times it “flares” up.

I self sabotage. That’s why I’m awake. Bed time is 6:30pm and it’s three hours past and I’m wide awake. This is something my mind does when I fear tomorrow. I don’t have control. I took my ‘as needed’ medication and it’s not enough to calm me for this. This happens so I’m stuck in a state of overtired and barely functional the next day. Even if that happens, these calls are necessary.

Some of you reading this are thinking “Just call them, it’s not that hard.” Some of you know that for many of us, it’s really that hard. It’s paralyzing. It’s “crying on the floor in the kitchen until your sister dials the phone for you” hard sometimes. Love you, sis, more than you know sometimes.

I didn’t do the things I had to do last week, so I am trying to phrase this as “need to do Monday” rather than tomorrow, because tomorrow never came last week, and I can’t afford to let that happen again. I need to hold myself accountable. I want to do this, even though I totally don’t want to do this…

So here’s the deal… I will post again when my calls are finished. If you have something you need to do but are putting off, feel free to comment here, and when we get to the next post, we can congratulate each other on completing our necessary tasks. Things like showering, going to the doctor, cleaning the kitchen, calling your mom… anything counts. Wish me luck, and I wish you luck as well.

~Brutally Honest Eccentric~

 

Obsession and Procrastination

So my insurance has been switching. Can we just talk a moment about how hard it can be to get the help you need? I’m still waiting on one of the tests needed for my brain pressure but I have to clear up the billing from the MRI. I have to talk to my Neuro about billing… I need to “give prescriptions” to my new insurance company from a doctor I don’t even see anymore. Thinking about all of this gives me panic attacks…

So why am I forcing myself to write it? Because it gets it out of my head. It puts it somewhere different. This is a way to see what I’m handling without obsessing because I know if I put it aside for a moment, this will be here to remind me.

I have subconscious selective memory. I think many of us with anxiety do. When we’re afraid of doing something, we either obsess, or we shove it so far back that by the time we think of it, it’s probably too late to do anything. I don’t mean to do this. I don’t WANT to do this, but I know that I do it.

I wish others understood that it wasn’t intentional. I think sometimes those close to me forget that my brain doesn’t work the way theirs does. I think sometimes they don’t realize that maybe my brain works precisely as theirs does. Relating to people can be hard.

I still don’t have a new psychiatrist. I still don’t have an appointment with the neuro-ophthalmologist that I want to see. I still need to take a shower. I need to do all of these random things and it’s 11:30 at night… not really a time to do any of them.

What is one thing that you have been putting off that you can try to do this week?

~Brutally Honest Eccentric~

Life after Neurology, or during it

I may have underestimated how much I have going on in my life currently. I said I would be back after my crash, but then Monday I had my neurology appointment and Tuesday was therapy, so they each came with their own downtime. ¬†We’ll get back to my Sunday and my crashiness another time. Right now my high brain pressure is what’s overtaking my thoughts, so I’m going to go there for a bit. My neurologist, Dr. J., is consulting with another doctor, Dr. M, who I may be seeing as well to get his thoughts on my condition and my treatment issues.

I have to, at least temporarily, restart the medication that kills my sex drive as we don’t want this to worsen while we work on finding a treatment plan. The reality is I may have to continue with that medication the rest of my life. Not something I consider with any sort of happiness, but the reality is that between my vision or my sex drive, I would rather keep (both, but if not…) my vision. So, back on the pills I go, and immediately notice another side effect that I hadn’t realized. Yay. Trading pain for misery and pain isn’t high on my list of things to do, but we do what we have to in life.

Dr. M is a neuro-opthalmologist, so basically brain/eye issues, he works mainly across the river but has office hours on this side. I didn’t know whether or not there were any neuro-ops on this side, honestly, which was why I went to the Dr. J in the first place. He works at the same practice as the man that diagnosed me five years go – the one that retired… If you’re looking for a specialized specialist, it feels prudent to get the referral from someone else in the same field.

Explaining my problem to Dr. J. I broke down crying three times, maybe more… it’s a good thing they keep tissues on the desk. I was trying to explain the difficulties in making it to appointments across the river, the fact that although I have gotten past a lot of my agoraphobic issues, I can’t travel alone to the city yet, the difficulties with the side effects, how terrified i was that this was still happening…

I had to stop myself and just explain that I’ve been having a really rough month, that although IIH was plenty reason to be upset, I’m usually more composed in these situations. He’s a nice doctor, he just nodded and said “Well we get through it, right?” Right. So apparently, for my condition there are medication treatments (the other easy one of which I’d already been on for psych reasons and had an adverse reaction), there is putting in a shunt – which is actual brain surgery, and there is a type of eye surgery that I do not know much about nor do I know if that’s even a possibility for me. These are why I need to see Dr. M. … after I get brain scans and follow up with Dr. J.

I am scared. Often IIH (idiopathic intracranial hypertension) will resolve itself. In many patients, it does. For some of us, it doesn’t and then they try harder to find out why – is it a medication, is it something else? We don’t know. So right now my brain is acting like there is a tumor in it, even though there is not (hence the other name for it – pseudotumor cerebri). I am scared… That kind of scared where you just want to curl up in a ball and cry. But I won’t, not yet. I have too many other things to handle. Medications, finding a psychiatrist, discussing blood tests with my GP, grieving the loss of a friend, trying not to isolate myself even though I want nothing to do with people.

I may be preoccupied with my health lately, and my own life situations, but I feel like I have enough going on that it’s a valid way to react. I am used to putting myself aside for others and right now I can’t. The situations going on could land me in the hospital if I’m not careful so I need to put myself first. If others can’t see how this is a healthy way to cope, that’s just not my problem. Luckily, most of my friends, if I don’t respond to their messages, understand that I see and hear them, I just can’t invest myself right now. I have really good, very supportive friends. I am lucky in that while my health may be a problem, my support network is part of my solution.

~Brutally Honest Eccentric~

Pain, compassion, and frustration

As I sat here contemplating a DIY lobotomy, trying to figure out whether or not to take the pain medication I was prescribed, I realized I had therapy in a couple of hours. I, then, tried to decide whether it was better to go in severe pain as it coursed through my head like a pulsating rod from behind my right eye into the base of my skull, or go while I was loopy and entertained, but definitely not in a position to absorb information. I called to cancel last minute. Well, it was still a couple hours off but I do not like to cancel at all, especially the day of.

For me, creating a doctor’s appointment is creating an obligation and I try so hard to keep all of my obligations regardless of my mental and physical states. I try to make the necessary phone calls, show up at the necessary times. I try to drink enough water, to take my medication, to eat. I try to go grocery shopping through depression or anxiety because I do not think it’s fair to let my disabilities take away my ability to at least try to function on some level.

Days like today frustrate me. There was little I could do, I was not going to be able to function at the mental level needed for an effective therapy appointment. I could have wasted both of our times, but why? My neurology appointment is still a couple of weeks out and, as I am not having any ocular auras (and my kidney function labs were redone and fine), I have not gone to the hospital. This does mean that we are treating my intracranial hypertension (high brain pressure, there is an issue with my cerebro-spinal fluid) with pain management as long as it’s not affecting my sight. I honestly thought I could keep it from affecting my other obligations.

Obviously, I was wrong. The medication has worn off and although I can still feel pain, it’s a pain I can tolerate and maintain some function through. Six years ago, before this was ever an issue, it’s a pain I would have taken OTC painkillers for and whined about on the couch until it dissipated. Our pain tolerance changes with our life.

The same is true of emotional pain. What we could not handle ten years ago may be something we can cope with now, or due to manifesting disorders, or even simply new stressful situations coinciding with it, we may not be able to cope with them as well. All of this varies with time, situations and especially from person to person. While I would not expect a random stranger to be able to cope with this headache pain easily, this stranger may have already experienced worse pain and be prepared to handle it. It is as likely they have not, and it would temporarily incapacitate them until relief came. For all I know, you are experiencing the same level of pain right now.

Maybe I pass you in a parking lot, smile, nod, say “Good morning” and you reply with the same smile and greeting. Perhaps both of us are hiding immense pain behind that smile. Perhaps neither of us are. Maybe that cranky old man in line in front of you simply has his arthritis acting up and what you see is him coping with his pain. Not fair to the guy behind the register, maybe, but then the pain we experience isn’t fair either.

Over and over I see memes regarding not knowing the pain another is hiding or their struggles and it feels so cliche to write it, but at the same time, I have been in so much pain lately … Maybe you see me stare off during a conversation, you think I’m not listening, that I am ignoring you, but maybe it just hurts less if I let my eyes unfocus for a bit, maybe you’re sitting under a bright light and I just can’t bring myself to say, “Could you switch seats?” because I’m tired of my pain affecting me and I don’t want it to affect you.

All I really want to ask is for the benefit of the doubt, not just for me but for anyone you may encounter in your travels. You know my pain because I put it here on the screen. Not everyone is so visible with theirs. In this day and age of zero fucks given, I’m just asking that maybe you save one to give.

~Brutally Honest Eccentric~

If we expected it, it wouldn’t be “the unexpected.”

It has been a few days since I’ve really felt able to string sentences together into coherent paragraphs. I am not sure I am really even there yet, but since this is part of being me, I figured “fuck it, let’s try.” It’s near 4:15am which is a normal time for me to be awake, or was, but my sleeping has decided that stress is now in charge of its schedule. My ideas on when I want to be awake or try to sleep have absolutely no standing.

Along with waiting for my Neurology appointment (which is about a month from now) for the brain pressure thing, I had my lithium changed because the medication I had been on affected the levels, so coming off it did as well. My psychiatrist is amazingly thorough and although it feels obnoxious to go through, he orders the necessary blood work to go along with my medication level tests. This means fasting – which SUCKS as a caffeine addict. It means that every time I need my lithium checked, I invariably need to plan for the withdrawal headache and thus need to plan my test for a time I can get there without worrying about spending extra hours in pain.

Usually there’s nothing of concern in the tests, so, honestly, I don’t expect phone calls first thing in the morning the day after my test from my psychiatrist’s office. Yesterday they called. Apparently one of the levels is high in the metabolic panel he did. If you take meds, you know some of them are going to strain your system, especially over time which is why these tests are so important. This particular test indicates my kidneys may not be happy with me.

I take over half a dozen different medications a day. The questions of how it might affect me in the long run have always been in the back of my mind but this is the first time they’re front and center. I had the results sent to my primary care doctor and I’m waiting on them to give me a call and let me know how we’re moving forward. I probably need another blood test. Not looking forward to another caffeine withdrawal morning but it’s worth it to find out what’s going on.

So, I have lots of questions and not enough information for answers yet. My mind and body gang up on me to respond to this with full on anxiety for hours while I’m awake and needing to go to sleep with no notice. I’d already started this when I knew I was getting pressure headaches again, the whole hyper-alert and passing out game is just now more insistent on my cooperation.

I think that’s something many people don’t always associate with anxiety, they think it’s intentional avoidance of issues or tasks. Sometimes, I don’t actually WANT to take a nap, I really want to try to get things done, especially when they freak me out. However, if I get overwhelmed, sometimes my eyes just start to close. I could down a full cup of coffee and still just pass out like I haven’t slept in days even if I only woke a couple hours before. It’s a defense mechanism, I think, my body trying to keep my mind safe, but it’s really frustrating when you need to take care of something even if it scares you.

For the past few days, I’ve been oscillating between the hyper-aware and passing out, so it hasn’t left me a lot of time to really focus on any one thing for long. Even just writing this has taken what feels like forever because my eyelids are starting to pull themselves down. People say ‘Expect the unexpected’ but we never can, we just have to hope that we’re prepared to cope with whatever the unexpected might be. I’ll work on figuring my new one out. I hope you continue to find ways to cope with yours.

~Brutally Honest Eccentric~

p.s. I don’t need or want “natural” remedy ideas for my illnesses. If I need to come off of medications, I will discuss all options with my doctors. If homeopathy worked for everything I had, I wouldn’t have gone back on medication a dozen years ago. I appreciate the efforts of people that try to offer these solutions but they are not for me.