Wednesday, May 31, 2006
Appetite
Take today for example. I slept in, like usual so no chance of breakfast. Aside from weekends when I sleep until noon I'm not sure I ever have breakfast. So that's not unusual. Then off to the dentist. Through the course of the day I had 3 cans of Coke. I had a sandwich partway through the day with cold cuts, bacon, cheese and lettuce. When I got home I had a bacon wrapped chicken breast, rice and corn. I was still hungry so I made myself a Carnation Instant Breakfast. But I am still hungry. Too lazy to make anything now since I'll be going to bed shortly. But I don't get it. Why am I still hungry? There were times when I still lived on Hunter St that the only meal I had was dinner. Now that didn't happen all that often. At least there were times I actually felt full there. It kind of sucks to be hungry all the time. If you've got any ideas I am open to suggestions.
I do realize that it might be related to the fact I quit smoking. So I don't have the nicotine acting as an appetite suppresent. But I was going through this before I actually quit smoking. That just didn't help me. Like I said, I am open to suggestions.... as long as they're not way out in left field, or involve seafood any ways.
Dentist Visit
Tuesday, May 30, 2006
No News is Good News
Monday, May 29, 2006
Tail End of the Weekend
One of my jobs was to call the National Student Loan Center to apply for interest relief yet again. When I called back in April they said to call back in mid-May or so. What they didn't tell me is that the interest relief would be effective June 1. I might have called sooner if I knew that. Right now I am praying that the Royal Bank (like the National Student Loans Center) takes out the payment at the end of the month and not the begining. Otherwise I am screwed. At the moment I don't have enough for rent and my student loan payment. I'm cash strapped as it is. Tomorrow (or Wednesday) I am going to have to call the Royal Bank and hopefully they have good news for me.
Weekend of Nothingness
Sunday, May 28, 2006
Financial Woes
Diagnosis of Borderline Personality Disorder
Diagnostic criteria for 301.83 Borderline Personality Disorder
(cautionary statement)
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
(1) frantic efforts to avoid real or imagined abandonment.
Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
(2) a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
(3) identity disturbance: markedly and persistently unstable self-image or sense of self
(4) impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating).
Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
(5) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
(6) affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
(7) chronic feelings of emptiness
(8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
(9) transient, stress-related paranoid ideation or severe dissociative symptoms
Now this one is the most frequent diagnosis of anyone that self injures. In a study 48% either met the criteria or were diagnosed with BPD (I can't remember which) but if you removed self injury then only 28% met the criteria. Some people will diagnose it just for self injury, they don't have to meet 4 more of the symptoms. It also seems to be the catch all of psychological disorders. Borderline personality disorder is typically a label given to women while Antisocial Personality Disorder is typically label given to men. So if someone tells you that you might have Borderline Personality Disorder then it's not such a good thing. Doctors are also reluctant to treat patients with this diagnosis chalking them up to a lost cause and difficult to treat. Maybe they should either do away with this diagnosis or change it so it is more useful. After all at some points in our life almost all of us could probably get the diagnosis.The Diagnosis of Depression
Criteria for Major Depressive Episode
(cautionary statement)
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either
(1) depressed mood or
(2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations.
(1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
(2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
(3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
(4) Insomnia or Hypersomnia nearly every day
(5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
(6) fatigue or loss of energy nearly every day
(7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
(8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
(9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide
B. The symptoms do not meet criteria for a Mixed Episode (see p. 335).
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism).
E. The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.
So... what can I say about that? You have to meet 5 of the criteria to get the diagnosis. And it can't be caused by a medical condition... Hmm... they never tested for a medical condition. As far as the insomnia goes... I was diagnosed with insomnia and "Phase Delayed Sleep Disorder" back when I was in university. The weight loss has always been an issue. I can gain/lose 5 pounds in a day. The difficulty concentrating can be seen as a symptom of depression.... although I believe it was related to the fatigue.
I was under a great deal of stress at the time. Nothing I did for my boss was ever going to be good enough. I was beyond fatigued and could not concentrate. I was constantly feeling sick. And then there was the actual reason that I was tempted to go back to the self-injury... my stalker. It was really stressing me out because I felt alone and isolated. I couldn't go anywhere or do anything. I really felt trapped. So I was having a tough time. I was having issues at work but didn't want to be at home either. It was a losing battle. So with everything that was going on I was stressed out.... But I was not suicidal or depressed. I'm not even sure I would've met the criteria for a diagnosis.
Quacks... AKA Doctors
Before my LOA I was having a lot of trouble focusing and concentrating on anything. It was really affecting my performance and I would even zone out halfway through a sentence. Chris started telling me that it was just an excuse. It wasn't but I couldn't argue with the team leader. Then I brought a knife to work (well actually I was off work and had already been home and came back just to give it to someone) and that gave her an excuse to force me off work.
Then there was Dr. Caskey. He was the doctor that work contracted for me to see. Things went from bad to really bad quite quickly. First of all, he didn't believe that Firomyalgia existed. He felt it was just a symptom of a psychiatric disorder. I'm sure a number of rheumatologists, and other family physicians would disagree... but what can I say? He's the one with the medical degree, determining when I return to work. He believed I was suffering from depression as evidenced by the lack of focus, the fatigue, the insomnia and the self-injury. He had received a letter from work indicating my performance was suffering and I had numerous physical complaints. The fibromyalgia had been untreated for 4 years and I was exhausted all the time. As far as work goes... I still met the aces mandate. And was only failing the aces Chris did on me. There was only one month I was low in sales. So he wanted me to have an emergency psych evaluation at the hospital. I didn't have a choice if I wanted to return to work. Talk about leading questions. They didn't ask me if I was depressed... they asked how long I had been depressed for. I got the prescription that Caskey wanted and he still would not allow me to return to work. He wanted me to do a follow-up with the psychiatrist.
Dr. Caskey also told me I would be closely monitored when I went back to work. He also felt my performance would not improve without anti-depressants. That's what he used to justify not allowing me to return.
The psychiatrist put me on Zoloft and I really reacted to it... maybe because I am not depressed. I felt like I had the flu and couldn't get out of bed. I think it actually invoked feelings of depression. I called Telehealth since I was exhibiting a number of symptoms from the warning label on the medication and they said to contact a doctor immediately. Back to the ER where they said it was normal.
Eventually I was back at the ER to get a new medication. This time they put me on a Benzodizapine which is used to treat acute insomnia, not chronic insomnia. It is also a restricted medication and highly addictive as I learned first hand.
Between work and Dr. Caskey they were not allowing me to return to work until after the follow-up with the psychiatrist. I still remember Chris calling. She asked how I was doing. I said something about the Fibromyalgia and she basically accused me of lying. You could tell she thought it really was depression. Right about now I really want to say "I told you so."
Keep in mind that the doctor had not run any tests to rule anything out. He just felt it was depression and that was the end of the discussion. Then with my three trips to the ER. The 2 psychiatrists I saw just long enough to write a prescription. And the ER doctor just felt the reaction to Zoloft was normal. Is that why there are lawsuits against the manufacturer?
After the first month off work I finally got a family doctor. I was sick of getting the run around. The first thing he did is change the medication to one that wasn't addictive and helps the Fibromyalgia and the sleep. Then he referred me to a rheumatologist.
When I saw the rheumatologist he did some chest x-rays (since I was sick at the time), back x-rays and some blood work. Then I was recalled for the blood work. That concerned me a little but they didn't tell me why it was done.
After 2 months I finally had the appointment with the psychiatrist. It lasted about 15 minutes. He didn't feel I was in crisis any more and thought I was fine to return to work. He did think I should go to see the EAP counsellor and/or take part in an eating disorder support group at the Women's Health Center. Now that is just a judgment call on the part of the psychiatrist. I have a really hard time gaining weight. But I'm not withholding food. Maybe this was a sign they should be looking at metabolism and thyroid disorders. I never saw the EAP counsellor either. I am pretty sure my file at work indicates that I have clinical depression. That might be good for job security but it is completely false.
I've been back at work for 3 months now. My performance has not been an issue. Well okay my sales this month are low... but it's the first time for that. I'm meeting all my mandates... and passing all my aces. Of course I still have a while to go before I can apply for anything due to the disciplinary action prior to my LOA which they didn't remove after the doctor decided that it was all because of depression.
Now here is the part that makes me angry. Things might have been very different if the first doctor had not just passed the buck but had actually done tests to rule out other issues. Now I realize that he could not look past the self-injury and treated me with no respect as a result. The self-injury is about coping, nothing more. And as a side note I have not cut myself (intentionally any ways) in over a year now. When the rheumatologist did the blood work they discovered my white blood cell count was low and so was the platelet count. The second blood test came back the same. So when I went in to see my family doctor he redid the tests since it had been 2 months and said if they came back the same then he would refer me to a hematologist and more then likely I would need a bone marrow biopsy done. The low platelet count would account for the fatigue and the low white blood cell count accounts for being sick quite often. I can't fight anything off. This time around the red blood cell count might also be low. When the tests were done the first time I was taking iron supplements 3x a day (5x the recommended dose of iron in one day so it's no wonder the red blood cell was normal). The reason he wants to do the bone marrow biopsy is to make sure the bone marrow is still producing blood cells. That's usually a serious thing. For now it's still a waiting game. The test results haven't come back yet. So we'll see.... but I finally feel validated... They're no longer telling me it's all in my head. Imagine that... there actually is a physical reason for this.
Needless to say I am not too fond of the doctors I saw regarding my LOA, aside from my family doctor. After all there were 3 doctors and 3 psychiatrists and not one of them did any tests. It would've been nice to catch this 4.5 months ago. At least then I would've had the answers by now... and if it's something that is easily treated would already be feeling better. But no... they just wanted to give me the label of depression and believed that anti-depressants would be the answer.
Pain Free
Saturday, May 27, 2006
Zyban Part 2
I can honestly say that it really does reduce the effects of withdrawal. There are very few times I actually have a craving. And even then it passes really quickly. I don't have the insomnia like I had last time around. Of course, I am also on medications to help me sleep. But no headaches, anxiety, restlessness or trouble concentrating. More importantly no irritability either... well okay very little. And I don't think that is actually from the withdrawal but from unrelated stress.
Since it alters the brain chemistry and the neurotransmitters it really shouldn't be surprised that there is a dark side to it. You can't alter the neurotransmitters and expect that everyone will react positively. Most, if not all, newer anti-depressants have to have a warning about the increased risk of suicide. Now I really did have a reaction to Zoloft but not to Zyban. I know that Zyban is not an SSRI and the two focus on different centers in the brain.
How Does Zyban Work?
What is Zyban?
Zyban is a nicotine-free pill prescribed to help a patient stop smoking. It is prescription medicine available only from your healthcare professional for smokers 18 and older.
Zyban is also used to relieve symptoms of depression and to treat Attention Deficit/Hyperactivity Disorder in children.
Zyban is manufactured by Glaxo Smith Kline and sold as Wellbutrin, Wellbutrin SR and Zyban SR. Zyban is also called bupropion hypochloride.
How does Zyban Work?
Researchers believe that Zyban interacts with the brain's neurotransmitters to reduce craving and the effects of withdrawal from nicotine addiction. The active ingredient, bupropion, is a relatively weak inhibitor of the neuronal uptake of dopamine, serotonin and norepinephrine. Zyban can be combined with nicotine replacement therapy like patches or gum.
Bupropion is a medicine that was first developed to treat depression. It was found that it helped smokers to stop smoking. It is not clear how it works. It alters the level of some chemicals in the brain (neurotransmitters). This seems to relieve the withdrawal symptoms that you get when you stop smoking (such as craving, anxiety, restlessness, headaches, irritability, hunger, difficulty with concentration, or just feeling awful).
Side Effects:
It has been suggested that bupropion and SSRIs may cause depression to worsen and even lead to suicide in a small number of patients. These potential side effects are difficult to evaluate in depressed patients because depression can progress with or without treatment, and suicide is itself a consequence of depression. Moreover, the evidence supporting these potential side effects is weak. Therefore, no conclusions can yet be drawn about the relationship between bupropion and SSRIs and worsening depression and suicide. Until better information is available, patients receiving bupropion or SSRIs should be monitored for worsening depression and suicidal tendencies.
Back to the ER
Friday, May 26, 2006
New Home
6 Days, 7 Nights
Long Weekend
Not doing a whole lot on my days off. Just going to relax and take it easy. Well I do have to do laundry at some point but that's not a big deal. I should probably also go grocery shopping but that's really not a lot to do in 3 days. Might even catch up on some sleep.
Thursday, May 25, 2006
Azrael
Long Way Home
I had to walk home from work again today. I really don't mind the walk home. Sure it hurts a little because I'm not used to it. But it also reminds me of how far I have come. About 4 years ago the physiotherapist was telling me to only walk for 15 minutes at a time, to really pace myself, and always had a look of pity in their eyes when I was in. The joys of having a chronic pain condition. So the fact I can walk 4 kilometres and it doesn't cause a flare up is good thing.
I have definitely learned that Harley Davidosn boots are not the greatest for walking in. My feet, especially my right foot, is kind of sore right now. I should really start wearing running shoes but then I never know when I am going to be walking home. Seems to be more of a challenge when I am on days. Getting to work seems to be the easy part.... it's getting home that is not so easy.
And I am starting to think that I should take a collection at work. It's called the "Get Heather a Proper Backback Fund." If I have a ride to and from work it's not a problem. But I carry the laptop in a messenger bag. Definitely not a good thing when walking. I really pull the muscles in my neck and shoulder in the process. By the time I get home it looks like I have a bad sunburn where the strap is cutting into the skin. I really need to do something about that but don't have the money at the moment.
Other then that I like the walk home. And I am noticing that I have more energy since I quit smoking. Might even boost my white blood cell count. Helps me sleep as well. In fact it's almost 11 and I could actually go to bed now. But I still have to make my lunch and am watching the Ultimate Fighter.
Wednesday, May 24, 2006
100 Hours
Chiropractor
But that was a tangent. Now back to the chiropractor. Charlene was doing her best to cheer me up. I think she knew that the thought of a bone marrow biopsy was weighing on me. The uncertainty of not knowing. She was expecting a witty comment from me... but for once I didn't have one. She also said to think positively since it could be something easy to correct. Always nice when the chiropractor calls you a mutant *lol* She was thinking that it was something genetic. She also said that even if it is a lymphoma if it is caught early enough then in all likelihood I'd be fine. But what actually impacted me the most about my trip to the chiropractor was when she said to let her know if I needed her to put her name on the list of potential bone marrow donors. Now, first of all, I do not want it to come to that. It's kind of a major procedure and you end up spending weeks in isolation so that you don't get an infection. But I thought that was the sweetest thing. I don't like the idea of having a needle inserted into the bone to draw marrow... Most people wouldn't offer to go through that for someone else, especially when they're not family. I know it's not as major as donating a kidney but still. It's still a great sacrifice. I respected her before but now I really have a great deal of respect for her.
Tuesday, May 23, 2006
Family
But I love seeing my niece. Annika is cute and I love her to death. And she really had fun at the McDonald's play land. It was only a short visit since they had been in town all day and it was a long day. I had to work so I couldn't spend much time with them.
It was also nice to see Sarah. Hadn't seen her in a few years now. Mom had already told me she might come down so it wasn't nearly as much of a surprise. Sure I check her blog to see what's going on (if she ever updates it any ways... okay so I am giving you a hard time) but that's not really contact. Of course with me talking on the phone all day I don't come home and want to call people. I like my virtual world. But it was still nice to see Suzanne, Annika and Sarah yesterday. :o)
Stress & Anxiety
I've been working days so I am already tired. I never was good in the morning and am starting to feel the effects. Part of me likes working days so that I have the evening to watch TV and get stuff done but another part of me prefers to sleep in and work later.
I also quit smoking on the weekend. So on top of sleep deprivation I am also going through nicotine withdrawal. Maybe this was not the best time to quit smoking. The Zyban seems to be helping although it would help if I actually took the proper dose instead of skipping it by accident. I know when I tried to quit last time the first month was the killer... unfortunately I didn't make it past that point...but also quit cold turkey... so this time it might be better.
The day I found out I was going to need a bone marrow biopsy done I then had to go to work. It was not the most relaxing day. I started to feel the stress of not knowing. I keep trying to prepare myself for any possibility. It could be anything from a vitamin deficiency to a lymphoma. At this point I have no idea. And being a control freak I hate not knowing.
The next day I was about to have a shower when the picture fell and the glass shattered. It also took the top part of the toilet tank with it. Since I was standing in front of it I almost had a panic attack. I just got told my platelet count was low so the last thing I wanted to do was cut myself. Fortunately I managed not to.
Then I went to the dentist and he hit a blood vessel. Time for another panic attack. That was followed by nerve damage. As you can tell my week is just going from bad to worse. Now I can barely open my mouth because of pain. So I don't want to eat... or talk...
When I ordered my replacement PDA they were supposed to send it to work so that someone could sign for it. I'm assuming they sent it to my old address. It has been sitting at Purolator for a week. Then they tried to deliver it and weren't able to. I sent Steve done with a letter authorizing them to release it to him and included my driver's license. But they refused since his address was not the same. So tomorrow morning I have to leave at 7:30 in the hopes that it's not on the truck and they will actually give it to me.
At this point I am way too stressed and extremely frustrated. I know I need to relax but that is easier said then done. Especially since every time I turn around things are going from bad to worse. As far as the biopsy goes there is nothing I can do at the moment. It's also very frustrating to be this low on energy. I can get up and do stuff for about 10-15 minutes and then am just drained again. For someone so independant that's difficult to take. Or maybe I just need some Valium. That will help me relax.
Laundry
Inflammation
Perspective
I'm definitely not where I thought I'd be. Okay so that's not a bad thing... just not what I imagined. I had always figured I'd be married by now. Well step 1 would be being in a relationship and I don't see that on the horizon.
I also figured I'd be working with young offenders. Well some of my agents might fit that category. I'm just kidding. My job is a mix of technology and psychology. Not only do I have to be able to troubleshoot but I also have to coach the agents. I love my job, most of the time any ways.
I never was that good at being organized or setting goals so I can't really offer that much more perspective on my life. Maybe I should set more goals... and maybe I should stop and take more time to think about life instead of just looking at the small picture all the time.
Friday, May 19, 2006
Labels and the Stigma That Goes With Them
Unfortunately, labels can also bring a stigma with it. Sometimes labels will end up shaping our identity and how we see ourselves. A kid with ADHD will probably never see themselves as anything else. It becomes who they are.
When I went on my LOA they sent me to a doctor who believed that Fibromyalgia was symptom of a psychiatric disorder. When I said I was fatigued, oversleeping, and having trouble getting out of bed he chalked it up to depression. The symptoms just reinforced his belief. So he believed I needed an emergency exam from a psychiatrist. I was angry since I knew I didn't have a mental disorder. Mind you by the end I was questioning it. So the report that work got was that I was depressed. My team leader questioned me and basically called me liar when I said it wasn't depression. She thought I was just in denial. They put me on Zoloft which was a bad idea... maybe because I wasn't depressed. As much as I tried to fight it I had the label of depression... I still have that label. And I am familiar with the stigma that is associated with a mental illness. The more I try and deny it the more I look like I am just denying that I have a mental illness. And once you have the label it's not easy to break free.
Right about now I want to say I told you so... to all the people that said I was depressed... that it was all in my head. So did I need the 2 months off? Did I need to see the psychiatrist? Did I need the medications? No... I needed a doctor to take the time and listen to what I had to say. I needed someone that didn't have some preconceived notion that I had a mental disorder. Someone asked me why I didn't tell the doctor the whole truth about my LOA... and the knife. For one, I didn't think it was any of his business since I made the choice not to use it. Secondly, I didn't want it to shape his opinion of me and change the course of treatment. Looks like I made the right choice. The fatigue and the lack of energy isn't caused by depression... it's the low platelet count. The fact I am sick is because of the low white blood cell count. In a nutshell my immune system is all but non existent. Hmm... yeah I guess that would lead to fatigue, among other things.
So the next time you want to label someone... or their behaviour... think about the stigma that the label might cause. Everyone is unique and what we think about someone reflects our beliefs about them and our perceptions. That doesn't make it truth.
What I've Learned
When it came to the court case I was pretty much left in the dark. In fact it was Adam that told me about his first court appearance. I had no idea. I got one letter and that was it. 7 months of silence and then a phone call telling me the charges were dropped due to a lack of evidence and a lack of witnesses. So now I ask myself, what was the point? It had a great cost to me personally and professionally. For what? Life would've been easier had I not gone to the police. It's been 8 months so I am over what happened. I didn't need therapy, just time.
I've learned why rape is so underreported. I've learned it doesn't pay off to press charges. I've learned what it's like to stand alone. And now I am left with just one question that I can't seem to answer.
Did I do the right thing?
Thursday, May 18, 2006
Dentist
Wednesday, May 17, 2006
Justice Part 2
Justice
In most cases what one regards as "just" is determined by consulting established and agreeable principles, employing logic, or, in certain systems, by consulting a majority. In social contexts where religion dominates, justice may be thought to require deference to religious texts or to spiritual guidance. If a person lives under a certain set law in a country, concepts of "justice" are often simply deferential to the existing law —the issuing of punitive reprimands for violations may be referred to as "serving justice." In principle, this fits the general concept in that the individuals get what is supposedly due to them.
Classically, justice was the ability to recognize one's debts and pay them. It was a virtue that encompassed an unwillingness to lie or steal. It was the basis for the code duello. In this view, justice is the opposite of the vice of venality.
In jurisprudence, justice is the obligation that the legal system has toward the individual citizen and the society as a whole."
Denial
It all started in November of 2003. I celebrated my birthday and the next day felt like I had the flu. I would up at the hospital and they said it was the flu. I couldn't eat and spent most of my time in bed. I lost about 20 pounds and couldn't seem to recover. I wound up back at the hospital and they said to eat McDonald's. At 70 pounds your body is in survival mode more then anything else. I stopped going to class and was going to work three days a week so I wouldn't get fired. Lost the semester in school. By then I was looking better and had gained the weight back. Everyone thought things were back to normal. I knew better but wouldn't admit to it.
I moved in with Adam around the same time. He said that when you move in together that's when you see what the other person is really like. There is definitely some truth to that. But I never went back to the person I was when we first met. And this is where most of the regrets come from. Would things have worked out? I'll never know. But I take full responsibility for things not working out. I lost the one person I have really loved, in part because I refused to admit that anything was wrong. I kept telling myself that I just needed more sleep. The relationship was strained because I didn't have the energy to do anything... Hell I could barely get out of bed. But since I didn't look sick I could easily put on the front that I wasn't. Certain friends really didn't help the situation any. They wanted to see it fail and pushed for it to happen. I became an easy target. And I wasn't willing to let anyone know that I wasn't doing so well.
So the relationship ended and my denial continued. I moved into my new apartment, still telling myself I just needed some rest. But even with vacation time that didn't happen. I was just more and more tired. I would go to work and go home and that has pretty much been my life. A life ruled by overwhelming fatigue.
The irony is that my attendance at work has been better since this started happening then it was previously. I haven't had pneumonia or the flu since then and haven't had as many cases of bronchitis. Now I did move out of Rose's and I do think that helped my health tremendously. But I never see fatigue as a good enough reason not to go to work. So I struggle through.
And as far as doctor's go... I didn't have a family doctor and it never really seemed to be something I would go to emergency for. I was also lying to myself... saying it was just the insomnia... or burnout... or the fibromyalgia. When I was at the ER for something else I briefly asked them about it. The response I got was "I'm just an ER doctor." There are a lot of people in Peterborough without family doctors so they have to turn to the ER. When I was on my LOA work sent me to see Dr. Kaskey. When I said I was exhausted and could barely get out of bed he told me it was depression and that I needed strong anti-depressants to get better. So now I was being told it was all in my head. Made it easier to deny anything was wrong. Then I found a family doctor. He put me on medication that helped me sleep but did nothing for the fatigue. I was referred to a rheumatologist who did the blood work that determined my white blood cell count and platelet count were both abnormal. So much for denial. I was able to deny it for 2 years. Now it's time for a reality check.
So to Adam... I am sorry. I am also surprised that you stuck it out as long as you did. Time for me to face the reality and admit that I am sick. I may not admit that I can't do it alone but that's just not in me to do. Step 1. Admitting. Step 2. Getting help. Step 3. Recovery.
Good News
The Answer I Didn't Want
It was about to get worse... much worse. The reason the doctor wanted me to come in wasn't because of my medications... or because I hadn't been in for a while. He had the results of the blood work. I wanted to know why I was tired all the time. I guess I got the answer... it just wasn't the one I wanted. About 2 months ago they had run some tests and part of that testing was a CBC to check the levels of white blood cells, red blood cells, and platelets. A few days later they called, wanting me to come back for more tests. Both times the white blood cell count, and the platelet count came back abnormal. As you can imagine that's not a good thing. I'm pretty sure the doctor said they were both low. So when I went to see my family doctor he wanted to run the tests again and is planning to refer me to a hematologist. That doesn't sound so bad... until it was followed by this sentence, "You're likely going to need a bone marrow biopsy done." He wants to make sure the bone marrow is still producing blood cells like it should be.
No sooner had I heard those words... and had the blood work done... I was on my way back to Peterborough to head off to work. Believe me, work was not where I wanted to be. I worked my shift and then came home. I am happy to be off for the next two days. Going to try and just rest and take it easy. Now it's a waiting game. I won't know anything for the next two weeks.. and then still have to wait for the hematologist. It's the not knowing that I hate.
Right about now I should also point out there are 101 reasons why the blood cell count is low. Yes, there is leukemia. But there is also vitamin deficiencies, certain types of anemia, and a whole variety of other causes. At this point only time will tell.
Monday, May 15, 2006
Heatwave
Doctors
How to Get out of Doing Laundry
Saturday, May 13, 2006
One Day Weekend
The Move
Once the move was done came the fun job of unpacking. More late nights and little sleep. Fortunately, it's now done... except for the air conditioner and blinds. Working on both of those. The thermostat also seems to not be working. It took a couple of days to notice since I was unpacking. Then I turned it down and it didn't help. Even with the doors wide open it's still about 75 degrees in here. That's cooler then it was but it's kind of annoying since it means I wake up to the sounds of traffic and since it's been raining for 2 days I can feel the humidity. I have mentioned it 3x to the super now and still no word on when it will be fixed. Thank goodness I am not paying utilities.
But I do love the new apartment. I finally have my own space again. it almost reminds me of one of my apartments in London. I turned the dining area into a mini office. I've also got a balcony again. The only potential downside is getting to work. It's not quite as convenient as living in the same building I work in. But that's not necessarily a bad thing. Now I just need some time to actually relax and enjoy it.