Tag Archives: medicine

Sick As a Dog

Oh man, I’ve never really been sick before. Just head colds, never chicken pox, flu, anything like that. I can’t even remember the last time I was sick (outside my mind!) and can’t remember ever having a fever. I woke up at 4am this morning on fire. I was so hot, I threw up and did it again and again when the fever peaked, about every 10 minutes. I got violent shivers when the sweat got cold. I went on like that, with some added thrashing for 4-5 hours until I finally couldn’t keep my eyes open anymore. I can’t take fever reducers with Viibryd, (also, don’t take Nyquil either!) so I was stuck riding it out. I truly thought I was dying. Thankfully, The Sweetness always takes care of me with my panic episodes and knows how to talk be down, so I avoided a panic attack in the midst of this. Or, maybe I had it and was already thrashing so much that I didn’t notice. Whatever the case, I’m calling it successful. I didn’t have to take my emergency medication. I may consider getting flu shots in the future. If this is the flu, it sucks hard. I’m terrified of needles, but I’d rather do that than ride out another fever.

Mental Health

October is a big month for mental health. This month is Depression Eduction/Awareness Month and Antidepressant Death Awareness Month. This week is Mental Illness Awareness Week. And today is Face Your Fears Day. Tomorrow, World Mental Health Day. So, I felt it’d be a good time to re-hash my tribulations with my mental health. A friend recently approached me on Facebook to thank me for being transparent with my problems because she is going through similar things and it’s helpful to know you aren’t the only one. When you’ve got a mental health problem, you feel like you’re alone, weird, something wrong with you, or the worst-that you really are crazy.

My problems started when I was in High School. I suspect that it was one incident in particular, where I was violently ill after getting only a few hours sleep before I was supposed to go on a class trip to Seattle. I forced myself to go on the trip even though I was vomiting black bile. (I had a great time and I’m glad I made myself go once I recovered) Once I got back I found that I couldn’t sleep. I obsessed that if I didn’t get a minimum of 8 hours, I’d be sick like I was. I laid in bed for hours counting back, telling myself “If you don’t sleep in 30 minutes, you’re going to get sick”. Of course, that just made my insomnia worse. Eventually, it actually became true that if I didn’t get 8 hours I’d be sick. My poor boyfriend at the time had to stay on the phone with me until I fell asleep every night. I started taking sleeping pills, became dependent on them, then resistant to them, so I tripled the dose.  I had created my first psycho-symptomatic symptom and laid the ground work for a lifetime of Mental Illness.

Things went along like that for several years until I arrived at college and was put on Anti-depressants. They helped quite a lot, actually. Until, I broke up with the boyfriend mentioned above. I had a near psychotic break because we’d been high school sweethearts, I didn’t really have a life outside the relationship and I crumbled. They gave me anti-psychotics and pulled me back from the brink. I was put on a high dose of anti-depressants and anti-anxiety pills because I had laid in bed for nearly a week. They were concerned and for good reason. At that point in my life, I just wanted to die. I thought that if I made my will clear and that if I just laid there and willed myself to die, maybe something out there would take pity on me and let me die quietly. I’ve never been much for the drama of suicide. When you really get down to it, it’s quite selfish. Who is going to have to find you? Clean up the mess your death made? Are you really willing to do that to someone you know? No. It’s also a little bit of a belief in fate. When I feel suicidal, I tempt fate. I walk out into a lightening storm on an empty plain and dare one to hit me. If it doesn’t, I figure I’ve still got something I have to do with my life. Lately, feeling suicidal is just a sign to me that I need to adjust my medication. No need to get apocalyptic, just time to call the doctor and figure something out.

Anyhow, I went along on the medications and different doses, different pills until almost 2 years ago. My doctor wouldn’t allow me to get off my medication, but I felt I had made a change in my life and I was ready to try so I went against her orders and got off. It was horrible. Weaning myself off the meds was a challenge. I was sick and dizzy and had withdrawal. When it cleared, I was medication free for a year and was doing well. Continued problems from an ex that traumatized me pulled me back under the pills.

I didn’t notice right away when it started, because it started with dizziness and more of the sleep problems and constantly being sick to my stomach. It kept getting worse and worse. I started to have panic attacks, a few at first, then up to 5 in a day as it got worse. I tried everything I could think of outside Western medicine, acupuncture, massage, chiropractics, special diets, supplements, therapy and meditation.

Finally, I gave up. I was too sick to fight anymore. I went to a new doctor and she put me on Lorezepam and Viibryd. I’m doing better with them, but the Viibryd is a bit of a challenge because of it’s many side effects. I’ve been taking it for about 3 months now and my main complaint is sleep interruption. I can usually only sleep in 2-4 hour stints because of the medication, but I feel mentally OK for the first time in my memory. For that, I’ll deal with the side effects.

I still have panic attacks, especially if The Sweetness (my ‘safe-person’) is taken away or I have to leave the house. I’m not supposed to drive because my panic attacks usually bring on blackouts and violent shaking. But it doesn’t happen every time, so there is improvement. We’re working on slowly exposing me to stressful situations to try to rehab the panic attacks, but it’s slow going and I’ve had many relapses.

So what’s wrong with me? We don’t really know. In typical me-fashion, I’ve developed something rare and hard to treat, also hard to diagnose. The doctors aren’t really sure what to do with psycho-symptomatic problems. There’s just not much research out there and we can’t find any physical cause. I suspect that everything that was done when I was younger messed up my brain chemistry, but who knows. Maybe it’s a genetic condition since most of my family has similar issues. Maybe I really am traumatized still. Or maybe I have a stress adaption problem. The main point of all this is, if it feels wrong, get it checked out. There is no point in living in misery.

Side Effects

I don’t know if my expectations of my prescription are overly high or what, but why can’t I just feel good? The Viibryd is great as far as my mental health, but physically it’s taking a toll. I passed out almost immediately after work last night until The Sweetness woke me up to eat at 9, I fell back asleep by 11, but woke up throwing up around 3am. I had fever, shakes, nausea and finally throwing up.

The Sweetness, being the amazing partner he is, always takes care of me. Gets me some water when I’m done and looks it up online for me because he knows I’m a bit of a hypochondriac when I’m sick. I always think I’m going to die when I’m sick, so that just turns into being sick from anxiety and then I’m just screwed. I managed to sleep on the couch from 4-7, so I think I must have gotten 12 hours of sleep. Finally. The last few days I’ve only been able to sleep in 2 hour stints.

I’m going to stick it out with Viibryd for now because I really need the stability right now, even at the price of sleep and keeping my dinner. From what the reviews online say, the side effects are supposed to drop off after several weeks also, so I’m hoping that will happen in my case. If after a few months, I still have the side effects, I think I’ll ask for something else. I kind of feel like a prima-donna to my doctor though, rejecting pill after pill. Is it too much to expect a medication to make you feel normal yet not sick?

Over the Hump

I am feeling much better today after the overdose yesterday, since I took half the does last night. We signed papers to buy our house last night, so we’re both really happy about that.

I also finally discovered what my chest pain is. It’s called Costochondritis, it’s an inflammation of your costal cartilage near your sternum or breastbone. It’s not anything serious, just sore. Note to self- when The Sweetness tells me to let him do something so I don’t hurt myself, I should listen. The sites I saw said to just go easy on it and it should clear up in 2-6 months. I could take Ibuprofen, but when I checked for drug interactions with my Viibryd, it turns out that there’s a drug interaction. Oh well.

On a positive note, I’m down to 147lbs, so I am 2 lbs away from my ultimate goal. I think I am currently close to my high school weight (lowest ever in my life) and I’m pretty happy with that. I am never going to be a size 4 (or really a 6 for that matter) because I’m not built that way. I feel good about my size and that’s all that really matters.

Overdose

It’s been a rough morning. Last week, my doctor switched me from Viibryd to Zoloft. The Zoloft was not working for me at all, so I called her and she had me go back to the Viibryd. She told me to just go back to the same dose straight from the zoloft. Apparently Viibryd is very dose sensitive and I got overdose symptoms this morning, racing heart, fever, vomiting and headache. I talked to her again and she said I should take a half dose tonight and for the next week to even things out. In a few weeks, I hope to be back to normal.

Ugh Copay

I’ve been taking a drug called Viibryd to control my anxiety. I got sample packs from the doctor to start and I’ve gotten myself up to 30 milligrams. I still need to go up to 40 next week, but I’ll run out of the samples before I get there. I placed a refill order with Walgreen’s and found out my copay for a 30 day supply is $130. I’m not sure what to do. It’s a lot of money for a prescription, but it’s working fairly well. The other problem is that my doctor is out of town until I see her on the 22nd. I can’t just stop the pills, so I suppose I’ll have to get at least this month’s supply of expensive pills.

Uncle!

I went to see my regular doctor yesterday and told her about all the things I was doing and that my mood had gotten worse and I was having all kinds of problems. I decided to go back on anti-depressants because the holistic solutions weren’t working and I couldn’t wait any longer. It almost ruined my life, so I had to take action. I’m not especially pleased to be on anti-depressants, but I feel like it’s what I need right now. She put me on a pill called Viibryd that is faster acting than other meds and doesn’t have the worsening symptoms like others do before it gets better. I took my first dose last night and feel pretty good, aside from a few side effects. It is common for people to get nausea and diarrhea from this pill, so I’m hoping it’ll pass. I just felt nauseous for a few minutes last night, but it wasn’t a huge deal. I’m supposed to call the doctor on the 31st to let her know how they’re working. I’m also seeing the chiropractor on the 31st and I’ll have to tell him I stopped my supplements and eased up on my diet on my doctor’s orders carefully because my doctor loves my chiropractor. I think I’ll continue the diet somewhat since I have been losing weight, but I think the supplements were messing me up even more.

Best Book for Anxiety Ever!

My therapist recommended this book to me and I love it. I’m only 3 chapters in and I already have a much better handle on what I’m dealing with. The book is called The Anxiety & Phobia Workbook by Edmund J Bourne, PHD. In the first chapter, there’s a diagnostic self test for you to take. Mostly it confirmed my suspicions, but now I have a name for my freakouts.

They are spontaneous panic attacks caused by Panic Disorder with a side of Agoraphobiathat include shortness of breath, heart palpitations, shaking, sweating, nausea, dizziness, fevers/chills and a fear of losing my mind. The books describes the spontaneous attacks as peaking quickly and subsiding gradually over an hour or more. It does sound like I was having an excessive amount of panic attacks, the book describes severe cases as several times a week (which is about where I’m at now with hard work and medication). The agoraphobia makes a lot of sense to me because it’s not so much being afraid to go out, as it is being afraid someone will see you have a panic attack. I am always working myself up that I’m going to ruin something if I get sick and that I’ll be embarrassed. Agoraphobia is also characterized by anxiety about being away from a ‘safe person’ or safe place. I find that especially interesting given my issues when The Sweetness has to leave for more than a few hours. It also says agoraphobics tend to be anxious most of the time. The restrictions and feeling powerless over your condition also causes depression. Currently, my depression comes and goes and is usually based in feeling hopeless in this situation and that I’ll never be normal again.

The next chapter discussed the causes, which I got a bad deal on. I have been dealt pretty much every item on the list that is thought to cause anxiety. I am predisposed to anxiety because of heredity and upbringing. I was raised with high expectations and constantly tried to get their approval. Neglect, abandonment, alcoholic parents and divorce are key triggers in creating a basic insecurity that sticks through life. This basic insecurity causes you to find and become dependent on a safe person. It also, in my case, makes me obsessed with control, avoid my feelings, not trust others, engage in all-or-nothing thinking and be excessively eager to please, at the expense of my own needs.

Another big problem for me is Cumulative Stress Over Time. I took a short life events survey to determine my cumulative stress. Death of a Spouse is rated 100, all the way down to Christmas at 12. The book suggests that a score over 300 would produce detrimental effects. My score is well over 500.

So, what do I do about it? First, I’m going to show my therapist what I’ve done in the workbook. Second, the workbook itself has lots of ways to fix yourself. The simplest suggestion is to just try to ride out the bodily symptoms without fighting them or feeling sorry for yourself. They should subside in a short time. I am going to ask my therapist to help with with some techniques in the book like eliminating self talk (what if? questions, etc), assertiveness training, mistaken beliefs, self nurturing and avoidance of phobic situations.

This has been long, but it feels great to have a direction and a plan. It makes me feel like I might have a chance at being normal, which is a long way from where I started. I was feeling like I’d be forced to be housebound, disabled and never be able to enjoy life again. I am still very apprehensive about getting better, like I’m going to have a relapse or something, but I have to think that I’ll get better. It’s just too depressing to think about failing.

Drs Orders

I got to go to the doctor yesterday and I was s excited to finally get in. I explained the series of events that led up to the last week and a half. I’ve been just barely functioning with the anxiety attacks because they come and they linger. The last week, I’ve only had a few good hours during the middle of the day when I don’t feel like I’m about to die.

It all started with dizziness and faintness before Christmas, then turned into panic attacks when I had environmental stresses and now is there most of the time and isn’t following much of a pattern. Anyhow, I explained all of it to the Doctor lady and she has ordered blood work, given me a referral for a therapist and prescribed me Lorazepam.

I took half a pill after my appointment and 20 minutes later I felt like a human again. I’m hoping they won’t find any physical cause for the symptoms in the blood work, but it’ll be a relief to get it over with. I hate needles. I’ll have to fast Monday night to get ready for the blood stuff on Tuesday and I’ll have another update then. For now, I’m glad to have a little relief.

Can’t Wait!

My insurance goes active on the 18th, so I’ve got a doctor’s appointment for Thursday afternoon. I can’t wait to get a handle on the anxiety attacks. I suspect that they will prescribe me something for it at least temporarily, but I’m hoping to work through it with a therapist. I’m so done with taking a pill and calling them in the morning.