While we were in Brazil (my kids and myself) my son participated in a youth beach soccer group once a week -Flamenco's, I believe. It was pretty fun to see what they were teaching the kids in Brazil soccer organizations because many of the moves are "illegal" in our US youth soccer organizations (i.e. bicycle kicks and headers). My daughter and I enjoyed hanging out on the beach and watching while my son played. My daughter participated in dance instead of soccer while there so she hung with me instead of the soccer kids.
One week we met a lady who was visiting Rio from a different Brazilian state. Her daughter being a huge soccer enthusiast was excited to participate in the beach soccer practice.
Isabella had done some schooling in the US and had also lived in New Zealand (the daughter was born there and her dad still lived there) so she was an easy person for us to talk to since she was fluent in English (we were far from fluent in Portuguese).
We hit it off very well, so well that she invited us to come visit her in her home state of Bahia.
This may be the sort of thing that earns me a reputation for being crazy but after some phone conversations and some WhatsApp communication we decided to take her up on the offer. So off we went to stay with Isabella and her daughter and some of their friends for 2 weeks.
My son still considers this the best two weeks of his life. If he could live anywhere or travel anywhere in the world he insists it would be Pria de Forte. It really was an amazing two weeks and I absolutely love and admire the friends we made. We learned so much from them in such a short period of time and had so many great experiences it feels like it was a lifetime worth of experiences.
But there is one image of the beautiful, quirky, carefree, and amazing Isabella that is forever etched in my memory that I find myself more often referring to in my broken brain; it is of Isabella standing in the airport with her eyes closed taking a deep breath and slowly, though not super obviously letting it out. It was and had been a bizarre and stressful day, by no fault of any of our parties (well, maybe a little of it) but she remained calm, present and pleasant. I was impressed.
I had witnessed her doing this other times and it impressed me. Knowing what I knew about her pilates training and enthusiasm I figured it was a centering technique that came from that -I am not certain- but I loved the simple yet profound example she set for me as she would take these deep breaths and release them in such a controlled way.
She is one of my all-time favorite people in this world even though we haven't seen each other for years and rarely talk, but the moments we had are highly cherished and her influence lives on in me forever as I refer back to her when I need to take my own calming and cleansing breaths to help me stay calm, focused and happy. I will forever love her and her daughter as they had become part of my heart.
TBI, bipolar, transference, countertransference, psychology, medical and psychological malpractice, misconceptions about "mental illnesses," successful mental health practices and being called an "outlier" and "an anomaly" by the "experts" for handling all of this so well while simultaneously being discriminated against for it- You can read about all of that and more on this here blog
Search This Blog
Tuesday, February 26, 2019
Sunday, February 24, 2019
Are you crazy 2?
"what do you hope to get out of it"
that is the question of filing a complaint
a discussion, understanding, a chance to clarify; when I am stronger and more rational, a chance to set things straight when I am no longer a child and I am willing to be vulnerable; not when I am forced to be vulnerable and naively being played. Even a chance to test my own stability and try my boundaries, a chance to put him back into a reality reference on my terms since treatment was supposed to be about me and not him. It did not end that way. It was non-negotiable coming down to what he needs versus what I need. But he was in "the position of power" so his needs win.
It did not and does not need to be that way. I did not need to be sacrificed to save him. I want a chance to rewrite the ending in a way that my brain can balance better and in a way that lines up with the idea I was sold: that they will do their best to do no harm and that treatment was supposed to be about me and helping me.
"it'll never happen" they say
"they don't care and it is really just about money".. and now liability they tell me
I know that is the sad reality but it is not where I choose to put my faith.
I'll try anyway
unfortunately I make so many mistakes. I have made so many mistakes
but that is the irony and the paradox and all those things that are funny about this anyway. I am allowed to make those mistakes and it makes perfect sense that I do. They are the ones who are supposed to be helping me work through that. That is what I am paying them for. They are the ones being paid to see and understand that, figure that out, and then help me work through those problems. I want to. I am the "perfect" client/patient in that regard, and yet they are refusing. They don't want to and are unwilling to do their professed jobs. They would rather do harm. The office manager/director or whatever she is, actually yelled at me, in front of my kids. It upset my kids more than it upset me. They needed to talk about it, they hate her and think she is a horrible person. They now hate the whole operation, even when I try to rationalize some of it. I think it is best to allow them that pain and to allow them to stand up for me and themselves by feeling angry and even saying mean things about her. I don't think it would be good for me or them to work to convince them right now about how we need to be kind and give people the benefit of the doubt.
Sometimes the only cheek left to turn is a bare-mooned ass.
After all she did this yelling after 2 weeks of ignoring a request to resolve these matters and refusing to provide me with a copy of the patients rights and responsibilities. She insisted I was asking for Dr. P to still be my therapist when I clearly stated then and in the email request I had sent that I DO NOT want that but rather want to resolve what had happened with who it had happened with and not with other therapists and doctors that don't have the full story and that continues to cost my family more money; with this complication and his statement of car accident treatment being complete it is no longer due to the car accident, even if the mood stability crazy is directly linked to it... so it will only come form our pockets. Their "solution" is keeping a cycle of harm going.
It is insanity
It is absolute insanity
I think they think I am trying or was trying to seduce him. They are wrong.
I think they think I might try to sue them
If they keep it up, they might be right, but that is not at all the route I want to go yet at some point their actions suggest there might be grounds to, because ignoring, intimidating, avoiding, and charging new charges for a treatment that so obviously went awry [and who knows when it stopped being about me] really is not okay. But still, I'd rather not go down that path and I still think this can be worked out
I have a lot of faith in humanity.
In people and foolishly maybe, but I still do, have a lot of faith in Dr. P.
I see no reason not to. If I try and fail then I will be disappointed. If I don't try at all then I agree to their crazy and I am mess for who knows how long and I will be disappointed. Either way I will be disappointed. I'd rather put my faith in people and work to be the change I wish to see, even with my very flawed me.
I'd rather try and be wrong than not try and be right.
and here is my new epiphany:
I am not the one who is insane
it is all crazy
I just have a harder time ignoring crazy and staying emotionally balanced through it
I am more sensitive to the insanities of our duel natures and that most people can just play along with
I have a harder time ignoring crazy and being okay with it
and that is it
I have solved it. hah!
go me
I was right and you were wrong, and learning to embrace insanity really is what I need to work on. but not just mine. I have to recognize and embrace others insanity as well.
It feels good to be able to move beyond me and solving me.
Now that I have solved me
I can continue to be the change I wish to see in the world
as just little old me
I am not significant and they see no value in me
But it matters very little because they are wrong.
They could learn a lot from me. I really could help them. I am the other side of their profession that they have lost touch with and I will try to help them see that
but in the end I will be okay, knowing I gave it my best shot no matter what happens.
I hope they will hear me if not for their sake for mine because I wish for my heart not to be stuck in the confusion it is in for too much longer and getting Dr. P back into a more solidly real form can fix that.... or break me completely again, but I'm willing to take that risk. Either way, I'd at least know for sure what kind of broken I am and how to move forward. Its a win win, instead of a lose lose. I am the patient who needs to have some say in the direction of her care, that is all. I am the client who actually can recover and move on, knowing we are not in this alone. Someone who has the faith to keep trying.
Please give me that chance.
so Are you crazy 2? Yes, yes you are -but I bet you already knew that
... and then I am finding that distance, breaking free of the memory and heartache... until the image of the balanced scale with "ideal" on one end pops into my head..
AAARGH CURSE YOU Dr. P, Just get out of my freaking head! ... it will eventually fade... but really, the timing was so freaking terrible and the termination was not handled well.
that is the question of filing a complaint
a discussion, understanding, a chance to clarify; when I am stronger and more rational, a chance to set things straight when I am no longer a child and I am willing to be vulnerable; not when I am forced to be vulnerable and naively being played. Even a chance to test my own stability and try my boundaries, a chance to put him back into a reality reference on my terms since treatment was supposed to be about me and not him. It did not end that way. It was non-negotiable coming down to what he needs versus what I need. But he was in "the position of power" so his needs win.
It did not and does not need to be that way. I did not need to be sacrificed to save him. I want a chance to rewrite the ending in a way that my brain can balance better and in a way that lines up with the idea I was sold: that they will do their best to do no harm and that treatment was supposed to be about me and helping me.
"it'll never happen" they say
"they don't care and it is really just about money".. and now liability they tell me
I know that is the sad reality but it is not where I choose to put my faith.
I'll try anyway
unfortunately I make so many mistakes. I have made so many mistakes
but that is the irony and the paradox and all those things that are funny about this anyway. I am allowed to make those mistakes and it makes perfect sense that I do. They are the ones who are supposed to be helping me work through that. That is what I am paying them for. They are the ones being paid to see and understand that, figure that out, and then help me work through those problems. I want to. I am the "perfect" client/patient in that regard, and yet they are refusing. They don't want to and are unwilling to do their professed jobs. They would rather do harm. The office manager/director or whatever she is, actually yelled at me, in front of my kids. It upset my kids more than it upset me. They needed to talk about it, they hate her and think she is a horrible person. They now hate the whole operation, even when I try to rationalize some of it. I think it is best to allow them that pain and to allow them to stand up for me and themselves by feeling angry and even saying mean things about her. I don't think it would be good for me or them to work to convince them right now about how we need to be kind and give people the benefit of the doubt.
Sometimes the only cheek left to turn is a bare-mooned ass.
After all she did this yelling after 2 weeks of ignoring a request to resolve these matters and refusing to provide me with a copy of the patients rights and responsibilities. She insisted I was asking for Dr. P to still be my therapist when I clearly stated then and in the email request I had sent that I DO NOT want that but rather want to resolve what had happened with who it had happened with and not with other therapists and doctors that don't have the full story and that continues to cost my family more money; with this complication and his statement of car accident treatment being complete it is no longer due to the car accident, even if the mood stability crazy is directly linked to it... so it will only come form our pockets. Their "solution" is keeping a cycle of harm going.
It is insanity
It is absolute insanity
I think they think I am trying or was trying to seduce him. They are wrong.
I think they think I might try to sue them
If they keep it up, they might be right, but that is not at all the route I want to go yet at some point their actions suggest there might be grounds to, because ignoring, intimidating, avoiding, and charging new charges for a treatment that so obviously went awry [and who knows when it stopped being about me] really is not okay. But still, I'd rather not go down that path and I still think this can be worked out
I have a lot of faith in humanity.
In people and foolishly maybe, but I still do, have a lot of faith in Dr. P.
I see no reason not to. If I try and fail then I will be disappointed. If I don't try at all then I agree to their crazy and I am mess for who knows how long and I will be disappointed. Either way I will be disappointed. I'd rather put my faith in people and work to be the change I wish to see, even with my very flawed me.
I'd rather try and be wrong than not try and be right.
and here is my new epiphany:
I am not the one who is insane
it is all crazy
I just have a harder time ignoring crazy and staying emotionally balanced through it
I am more sensitive to the insanities of our duel natures and that most people can just play along with
I have a harder time ignoring crazy and being okay with it
and that is it
I have solved it. hah!
go me
I was right and you were wrong, and learning to embrace insanity really is what I need to work on. but not just mine. I have to recognize and embrace others insanity as well.
It feels good to be able to move beyond me and solving me.
Now that I have solved me
I can continue to be the change I wish to see in the world
as just little old me
I am not significant and they see no value in me
But it matters very little because they are wrong.
They could learn a lot from me. I really could help them. I am the other side of their profession that they have lost touch with and I will try to help them see that
but in the end I will be okay, knowing I gave it my best shot no matter what happens.
I hope they will hear me if not for their sake for mine because I wish for my heart not to be stuck in the confusion it is in for too much longer and getting Dr. P back into a more solidly real form can fix that.... or break me completely again, but I'm willing to take that risk. Either way, I'd at least know for sure what kind of broken I am and how to move forward. Its a win win, instead of a lose lose. I am the patient who needs to have some say in the direction of her care, that is all. I am the client who actually can recover and move on, knowing we are not in this alone. Someone who has the faith to keep trying.
Please give me that chance.
so Are you crazy 2? Yes, yes you are -but I bet you already knew that
... and then I am finding that distance, breaking free of the memory and heartache... until the image of the balanced scale with "ideal" on one end pops into my head..
AAARGH CURSE YOU Dr. P, Just get out of my freaking head! ... it will eventually fade... but really, the timing was so freaking terrible and the termination was not handled well.
Saturday, February 23, 2019
lost
...and the pain just won't die
Solving actually seems to help some
So many songs with so much pain. at least I know I am not alone. this is "normal"
heartbreak is "normal" (I try not to listen too much)
this http://www.continuingedcourses.net/active/courses/course065.php
tells me... the perfect storm. It's not real...
much more tells me of the stigma attached.
there is no hope.
I am truly not worth it
I am still holding on... or at least I wish to. though I am realizing I have to let go. so very completely
It is what I knew I wasn't ready for
it is what I knew I couldn't do just then, not like that, not when I was so completely broken. standing literally on broken parts, held up by adrenaline and endorphins that had been over worked for the last year. a last surge to keep me up when the rug was being pulled
How did he miss it?
or did it just not matter?
Solving- I also figured out that APA is pretty bullshit and it is I that would hold the power to cause the problem. which I would not do... or maybe I would... I didn't let it go that way... but now, with nothing I am being treated as though that is exactly what I did or am supposed to do.
of course that makes me suspicious and I wonder if I then need to.
a moral obligation? stuff I have already hit on
but the only thing that is really real is the pain of loss.
I don't belong anywhere.
no matter how or what I try it just never seems to be the right place for me...
I was supposed to get answers there. I had found my place and I felt I was on the right track. but the rug, pulled
with words that said too much and nothing at all. and it was my fault.. because I spoke? tried to speak up, but with words that were taboo, that were "forbidden" though I didn't know.
Now one therapist insists it meant nothing the other thinks it meant everything.
and I have to keep repeating the story to figure out if I am "stable" and even "employable"
of course I am... but my emotions are not helping to sell me right now. they leak out when they are not supposed to. sometimes even when I believe that I am fine.
I'm mostly fine... but mostly, with my resume, just isn't good enough
What do I want to be when... I am grown up.
Lost
I want to be lost
... no that is just what I am
forever lost in the world that I don't belong in.
Solving actually seems to help some
So many songs with so much pain. at least I know I am not alone. this is "normal"
heartbreak is "normal" (I try not to listen too much)
this http://www.continuingedcourses.net/active/courses/course065.php
tells me... the perfect storm. It's not real...
much more tells me of the stigma attached.
there is no hope.
I am truly not worth it
I am still holding on... or at least I wish to. though I am realizing I have to let go. so very completely
It is what I knew I wasn't ready for
it is what I knew I couldn't do just then, not like that, not when I was so completely broken. standing literally on broken parts, held up by adrenaline and endorphins that had been over worked for the last year. a last surge to keep me up when the rug was being pulled
How did he miss it?
or did it just not matter?
Solving- I also figured out that APA is pretty bullshit and it is I that would hold the power to cause the problem. which I would not do... or maybe I would... I didn't let it go that way... but now, with nothing I am being treated as though that is exactly what I did or am supposed to do.
of course that makes me suspicious and I wonder if I then need to.
a moral obligation? stuff I have already hit on
but the only thing that is really real is the pain of loss.
I don't belong anywhere.
no matter how or what I try it just never seems to be the right place for me...
I was supposed to get answers there. I had found my place and I felt I was on the right track. but the rug, pulled
with words that said too much and nothing at all. and it was my fault.. because I spoke? tried to speak up, but with words that were taboo, that were "forbidden" though I didn't know.
Now one therapist insists it meant nothing the other thinks it meant everything.
and I have to keep repeating the story to figure out if I am "stable" and even "employable"
of course I am... but my emotions are not helping to sell me right now. they leak out when they are not supposed to. sometimes even when I believe that I am fine.
I'm mostly fine... but mostly, with my resume, just isn't good enough
What do I want to be when... I am grown up.
Lost
I want to be lost
... no that is just what I am
forever lost in the world that I don't belong in.
grooming psychologists
And what about the grooming psychologist?
When he realizes it is not going as planned all he has to do is claim "counter-transference" and he is off scotch free. Easy peasy
They are dropped, with their scarlet letter of L and he's the hero for not succumbing and moves on easy while the groomed is left with an altered mind.
The grooming was working, just has he knew it would, but she was too instinctively in tune due to so many things he forgot to learn in his effort to maintain a safe grooming distance, that she so naturally -without even realizing- was putting into place the safeguards against it. Determined to be what she needed to so desperately believe she was; something of value.
But she had been manipulated to believe he cares too deeply and she is a liability. She has been manipulated (when she is vulnerable) to believe that her uniqueness has never really been appreciated by others, that she isolates herself and that she is in fact the one looking for something sexual.
..now sex with her husband is sex with the other man... and the man who makes it good, she'll never have.
What have you done!!!...what have I become...
He's fine and nothing worse for the wear.
but what will become of her, the forbidden?
When he realizes it is not going as planned all he has to do is claim "counter-transference" and he is off scotch free. Easy peasy
They are dropped, with their scarlet letter of L and he's the hero for not succumbing and moves on easy while the groomed is left with an altered mind.
The grooming was working, just has he knew it would, but she was too instinctively in tune due to so many things he forgot to learn in his effort to maintain a safe grooming distance, that she so naturally -without even realizing- was putting into place the safeguards against it. Determined to be what she needed to so desperately believe she was; something of value.
But she had been manipulated to believe he cares too deeply and she is a liability. She has been manipulated (when she is vulnerable) to believe that her uniqueness has never really been appreciated by others, that she isolates herself and that she is in fact the one looking for something sexual.
..now sex with her husband is sex with the other man... and the man who makes it good, she'll never have.
What have you done!!!...what have I become...
He's fine and nothing worse for the wear.
but what will become of her, the forbidden?
Psychology is bullshit
I think that the profession of psychology is total bullshit. They decide what you are and then manipulate how you behave to fit whatever diagnosis or prognosis most benefits them.
Then they teach you to be independent or dependent depending on what they want the outcome to be. I bet most people going to psychologists actually have a better perception of reality than the therapists.
Okay, that is a bit of an angry, jaded exaggeration.
But I am starting to really understand why my friend does not want to go because she is afraid of "something like that happening." To trust, be betrayed or manipulated and then discarded like trash and told treatment is complete. That is such bullshit.
"You truly are the worthless trash you questioned you were coming in. We can confirm that for you, solidify it into a solid belief. Yep, you are not worth our time but we will still charge you for it." what a great note to end on. And all your efforts to understand your own mood stability, to clarify, set the record straight and to have your questions about your mental state answered are going to be warped into whatever egotistical power play they want to use to get you to go away. But you better believe they will not negotiate. Why would they? You are merely a liability for asking and must be looking to do as much harm as they have. Or you must just be looking for a lawsuit because nobody in the real world actually cares and the professional and personal worlds only cross when someone is looking to make money, right? It's such bullshit.
"dono ...more... harm [then they can]"
Yep, I'd rather be my kind of crazy.
Then they teach you to be independent or dependent depending on what they want the outcome to be. I bet most people going to psychologists actually have a better perception of reality than the therapists.
Okay, that is a bit of an angry, jaded exaggeration.
But I am starting to really understand why my friend does not want to go because she is afraid of "something like that happening." To trust, be betrayed or manipulated and then discarded like trash and told treatment is complete. That is such bullshit.
"You truly are the worthless trash you questioned you were coming in. We can confirm that for you, solidify it into a solid belief. Yep, you are not worth our time but we will still charge you for it." what a great note to end on. And all your efforts to understand your own mood stability, to clarify, set the record straight and to have your questions about your mental state answered are going to be warped into whatever egotistical power play they want to use to get you to go away. But you better believe they will not negotiate. Why would they? You are merely a liability for asking and must be looking to do as much harm as they have. Or you must just be looking for a lawsuit because nobody in the real world actually cares and the professional and personal worlds only cross when someone is looking to make money, right? It's such bullshit.
"do
Yep, I'd rather be my kind of crazy.
Thursday, February 21, 2019
Opioids?
It was a good reset and I am still feeling strength from it.
But last night -hard time sleeping.
Because I didn't feel like I needed it
Oh no
...and new thoughts
not that this is bad, but remember
I am a bit fragile in my stability.
Opioids-hydrocodone
These things kill pain. They make you feel good, that is why people get addicted. Oh yeah... hmm could this be the real reason why I felt "normal" and so happy about it?
Should I just enjoy that and go with it?
Since it was about 1:00 am and I had not overly slept that day after really not sleeping before getting up at 5 am for surgery... although I had a great nap going under...
-I do, at times, think it would be nice to just not even worry about such things.
But alas for me that is not always the wise option and that is okay. I am okay with thinking it through and planning ahead to keep me "stable." I find my mind to be a fascinating place at times and this is one of those. I am fascinating to study when I am "crazy" and to truly figure it out sometimes I need to test and research but now does not seem like a good time to test with a new drug.
So opioids: what might be the potential risks there for me?
My husband was surprised they weren't knocking me out. Of course I was only taking one. My pain has been tiny, I am more trying to "stay ahead of the pain" and control swelling.
But this new drug is definitely not knocking me out and... crap, this is odd, that sex drive is feeling... stronger...
So I took to my phone for a moment, to research a bit, to make sure I am staying in a reasonably safe place.
okay phone "can opioids trigger mania?" I am pretty sure, as fun as that can be, I do not want that while I am trying to heal an ankle that requires 6 weeks of no weight bearing. And it is 6 weeks, believe me, I tried to get the doctor to negotiate on that, but, nope six weeks is the minimum on this one to be sure it heals correctly and if I am going to go through the hassle I want it to heal correctly. so mania... probably not a good time to test that.
What does my search turn up? ncbi.nln.nih.gov "Mood-elevating effects of opioid analgesics in patients with bipolar disorder"
disclaimer: I do not claim bipolar. I struggle with mood stability but this could be more head injury related than anything else. I still don't recall if I have formally been diagnosed. I refuse those (formal diagnosis's). I do not feel they are helpful when there is so much stigma attached and I do not want to be defined by that label. Also I have (or at least believe I have) been able to figure out and monitor myself reasonably well to stay level. At times I go on medication but I do not always need medication. However, that is the label that turns up again and again when I search for answers and solutions to help me stay safely and reasonably grounded. (it is times like this that I feel very cheated by the neuropsychiatrist that dropped me and now refuses to talk to me, but I digress) but in this information I find that opioids have been found to be helpful in "refractory depression" -refractory; that is a new word, it just means stubborn. Which I do not have, but the fact that it helps in with depression is interesting. I also find that "analgesic opioids" have been found to trigger mania in one study. There is not a ton of information immediately so it is not likely a well studied or common knowledge "problem." But it is enough for me to rethink the use of the opioids. The pleasant mood is nice but at 3:45 am I decided on ibuprofen and melatonin... I need to keep a decent sleep cycle and I suppose if there is a risk of mania I will opt out for now. I've got things to do that would be best to stay level through.
It is fascinating though that our pain receiving part of the brain does not distinguish between physical and psychological pain. It is no wonder that yesterday I felt so much more free of that burden... maybe I will end up carefully using these opioids but not to kill the ankle pain and more research is needed before I make that decision. (to be clear, I am referring to the potential of carefully using a low dose to pull through the heartache and psychological pain of my recent loss. I am not implying anything illegal, irresponsible or suicidal)
But last night -hard time sleeping.
Because I didn't feel like I needed it
Oh no
...and new thoughts
not that this is bad, but remember
I am a bit fragile in my stability.
Opioids-hydrocodone
These things kill pain. They make you feel good, that is why people get addicted. Oh yeah... hmm could this be the real reason why I felt "normal" and so happy about it?
Should I just enjoy that and go with it?
Since it was about 1:00 am and I had not overly slept that day after really not sleeping before getting up at 5 am for surgery... although I had a great nap going under...
-I do, at times, think it would be nice to just not even worry about such things.
But alas for me that is not always the wise option and that is okay. I am okay with thinking it through and planning ahead to keep me "stable." I find my mind to be a fascinating place at times and this is one of those. I am fascinating to study when I am "crazy" and to truly figure it out sometimes I need to test and research but now does not seem like a good time to test with a new drug.
So opioids: what might be the potential risks there for me?
My husband was surprised they weren't knocking me out. Of course I was only taking one. My pain has been tiny, I am more trying to "stay ahead of the pain" and control swelling.
But this new drug is definitely not knocking me out and... crap, this is odd, that sex drive is feeling... stronger...
So I took to my phone for a moment, to research a bit, to make sure I am staying in a reasonably safe place.
okay phone "can opioids trigger mania?" I am pretty sure, as fun as that can be, I do not want that while I am trying to heal an ankle that requires 6 weeks of no weight bearing. And it is 6 weeks, believe me, I tried to get the doctor to negotiate on that, but, nope six weeks is the minimum on this one to be sure it heals correctly and if I am going to go through the hassle I want it to heal correctly. so mania... probably not a good time to test that.
What does my search turn up? ncbi.nln.nih.gov "Mood-elevating effects of opioid analgesics in patients with bipolar disorder"
disclaimer: I do not claim bipolar. I struggle with mood stability but this could be more head injury related than anything else. I still don't recall if I have formally been diagnosed. I refuse those (formal diagnosis's). I do not feel they are helpful when there is so much stigma attached and I do not want to be defined by that label. Also I have (or at least believe I have) been able to figure out and monitor myself reasonably well to stay level. At times I go on medication but I do not always need medication. However, that is the label that turns up again and again when I search for answers and solutions to help me stay safely and reasonably grounded. (it is times like this that I feel very cheated by the neuropsychiatrist that dropped me and now refuses to talk to me, but I digress) but in this information I find that opioids have been found to be helpful in "refractory depression" -refractory; that is a new word, it just means stubborn. Which I do not have, but the fact that it helps in with depression is interesting. I also find that "analgesic opioids" have been found to trigger mania in one study. There is not a ton of information immediately so it is not likely a well studied or common knowledge "problem." But it is enough for me to rethink the use of the opioids. The pleasant mood is nice but at 3:45 am I decided on ibuprofen and melatonin... I need to keep a decent sleep cycle and I suppose if there is a risk of mania I will opt out for now. I've got things to do that would be best to stay level through.
It is fascinating though that our pain receiving part of the brain does not distinguish between physical and psychological pain. It is no wonder that yesterday I felt so much more free of that burden... maybe I will end up carefully using these opioids but not to kill the ankle pain and more research is needed before I make that decision. (to be clear, I am referring to the potential of carefully using a low dose to pull through the heartache and psychological pain of my recent loss. I am not implying anything illegal, irresponsible or suicidal)
Wednesday, February 20, 2019
Pleasantries and Surgeries
YAY! Ankle surgery done and I'm going to be okay.
I am seriously so happy right now that my surgeon is now my new boyfriend.
I am totally kidding about the boyfriend (he's not, it's only funny in light of recent events -that weren't actually even like that)
But I am seriously happy because surgery went well and I came out of anesthesia just fine.
No weird freaky emotions that I was fearing. Nothing like coming out of anesthesia 12 years ago when I had my wisdom teeth removed.
It means I am not so broken after all. I am really truly going to be just fine.
Going in I was sooo scared. Toughing it out and pleasantry with the nurse that set the iv and all that but nervous.
Then the operation nurse came in... and, oh no, not another bizarre emotional coincidence. It was my brother's ex-mother-in-law. Not someone I feel too fondly of for a few good reasons. And I had to trust her? I have not seen her for a couple of years and we don't know each other in person all that well so she either didn't recognize me or acted as though she did not recognize me but I definitely recognized her. A conundrum. What to do? Request a new nurse? Not really anytime. So when she came back I reminded her of who I was. She was kind and polite, she even gave me a hug. That was good and she introduced me as the aunty to her grand babies, great direction to take it. It made me feel a little better about it. She wheeled me to the operating room. "I thought I was supposed to be asleep before I came into this scary place" I nervously joked with my doctor.
...But still those histories are hard to erase so quickly and with the nerves already wearing thin and so much to take in in this new room with the familiar and unfamiliar faces I started feeling really funny before they started to drug me. I had to remind myself to breath which really made me cry and it started to feel like a melt down. Fortunately the surgeon and the anesthesiologist and both nurses were so kind and quick to get me to sleep. The anesthesiologist was so sweet and he laughed with me but reassured me when it turned to tears, still carefully holding onto some of my humor as he put me out. Even the nurses/tech, including bro's ex-ma-in-law were sweet as they busily prepped.
The next thing I knew I was waking up and feeling very normal. A little funny but normal and that made me so happy that the new nurses thought I was happy delirious. I was a little but really much more coherent than any of them understood. I'm sure they thought it was strange that I was so happy about my blood pressure and heart rate 114/69 with 54 bpm before and 109/sixty-something with bpm ranging from 45-55 after. That is more like it. That is what my heart likes to be at. I was so relieved to feel so level and happy that it was quite a pleasant experience.
Yay. I needed that.
Surgery was fun and relaxing compared to the crazy that has been going on with me these past few months.
Who'd have thought?
I am confident I can handle this now. I have some faith restored in the medical industry again and I have some faith restored in myself again.
I am seriously so happy right now that my surgeon is now my new boyfriend.
I am totally kidding about the boyfriend (he's not, it's only funny in light of recent events -that weren't actually even like that)
But I am seriously happy because surgery went well and I came out of anesthesia just fine.
No weird freaky emotions that I was fearing. Nothing like coming out of anesthesia 12 years ago when I had my wisdom teeth removed.
It means I am not so broken after all. I am really truly going to be just fine.
Going in I was sooo scared. Toughing it out and pleasantry with the nurse that set the iv and all that but nervous.
Then the operation nurse came in... and, oh no, not another bizarre emotional coincidence. It was my brother's ex-mother-in-law. Not someone I feel too fondly of for a few good reasons. And I had to trust her? I have not seen her for a couple of years and we don't know each other in person all that well so she either didn't recognize me or acted as though she did not recognize me but I definitely recognized her. A conundrum. What to do? Request a new nurse? Not really anytime. So when she came back I reminded her of who I was. She was kind and polite, she even gave me a hug. That was good and she introduced me as the aunty to her grand babies, great direction to take it. It made me feel a little better about it. She wheeled me to the operating room. "I thought I was supposed to be asleep before I came into this scary place" I nervously joked with my doctor.
...But still those histories are hard to erase so quickly and with the nerves already wearing thin and so much to take in in this new room with the familiar and unfamiliar faces I started feeling really funny before they started to drug me. I had to remind myself to breath which really made me cry and it started to feel like a melt down. Fortunately the surgeon and the anesthesiologist and both nurses were so kind and quick to get me to sleep. The anesthesiologist was so sweet and he laughed with me but reassured me when it turned to tears, still carefully holding onto some of my humor as he put me out. Even the nurses/tech, including bro's ex-ma-in-law were sweet as they busily prepped.
The next thing I knew I was waking up and feeling very normal. A little funny but normal and that made me so happy that the new nurses thought I was happy delirious. I was a little but really much more coherent than any of them understood. I'm sure they thought it was strange that I was so happy about my blood pressure and heart rate 114/69 with 54 bpm before and 109/sixty-something with bpm ranging from 45-55 after. That is more like it. That is what my heart likes to be at. I was so relieved to feel so level and happy that it was quite a pleasant experience.
Yay. I needed that.
Surgery was fun and relaxing compared to the crazy that has been going on with me these past few months.
Who'd have thought?
I am confident I can handle this now. I have some faith restored in the medical industry again and I have some faith restored in myself again.
Subscribe to:
Posts (Atom)