Sunday, 27 December 2015

Christmas 2015

Christmas is never an easy time of year. On top of the regular MH issues, this year a lot of stuff relating to abuse and trauma has been surfacing in a very painful way. There have been lots of tears and intense discussions, actually talking about the childhood abuse for the first time ever and facing it head-on. It hasn't helped having so few appointments - I saw the dietician last week, but now won't see her for a month, and don't really have any other appointments planned. I might try to get in to see the GP this week though. I just really need to talk and get it out. 

We kept Christmas quiet and simple this year. Still, I had a bit of a meltdown on Christmas Eve as I stuffed and trussed my chicken. Not my finest moment. I had another mini-OD, mostly on seroquel and lorazepam. Recently I've been either not taking my meds, or taking far too many. Mum now tells me the only reason she didn't call an ambulance was because it was Christmas Eve. 

Long story short, by the time I'd calmed down, the chicken had been out of the fridge for too long for mum to be comfortable cooking it. We ended up having a stir-fry for dinner, and croissants were made earlier I'm in the day. 

I didn't even drink. I bought myself a bottle of red the day before, and was given another on the day, but they're still sitting unopened on my bar. 

I kept baking to an absolute minimum this year, which was unusual for me. I just wanted to keep food simple and minimal. I skipped the cakes, the sponges, the shortbread, nearly everything except for one batch of my grandma's caramel slice and my mum's chocolate truffle recipe. We started a couple of days before Christmas, and by yesterday all of the baking and leftovers was gone. I just couldn't deal with the stress of having so many different foods around for so long. 

All in all, it was a lot more like 'normal' people eating rather than Christmas gluttony. 

When my brother got home, we opened presents. I got a bottle of shiraz, a new journal, a new Parker pen with a heap of black gel ink cartridges, a pack of bath bombs, a little power pack for charging phones, and some coffee beans.

Unfortunately I have trouble gripping the pen without my hand cramping (I never figured out how to hold a pen 'properly') because it's so straight and thin, so I'm just using the ink cartridges in the pen my brother gifted me some years ago. 

My brother bought me a heap of coffee beans, as I've stopped drinking instant and started brewing my own these past few months. They haven't gotten here yet, but I've got like 1kg of Italian espresso beans plus lots of different 250g bags to try, so hopefully they'll be here soon. 

Thank you all for your comments and support on my last post. I know it's a hard time for a lot of us, but I hope you all had the best day possible.


Merry Christmas,

 xxBella

Saturday, 19 December 2015

Where's Bella?

I know it's been just over two weeks now since I last posted... In case you couldn't guess, things have been pretty full-on in my little world. There have been seizures, ambulance rides, sneaking out, breakdowns, confessions, appointments and infections.

I've been trying to write a post for weeks with no luck. The two most significant events were probably the big group appointment with the new Mental Health Nurse, my dietician and GP, and the fact I landed in A&E last weekend after suffering from a couple of seizures. 

(The sneaking out story is also pretty epic, in a 'who are you and what've you done with Bella?' kind of way, complete with jumping fences, so I'll save that for a post of it's own.)

The first seizure happened early in the morning. I have no memory of it, and wouldn't have known it happened if I'd not woken up being asked if I was okay. I assumed it was a one off, and didn't think much of it.

Then, around midday, I had another seizure. Knowing my luck, I was sat on the toilet at the time. This one lasted much longer, around 10 minutes compared to 30 seconds earlier.
I'm covered in cuts and bruises, still. I smashed a ceramic toilet roll holder on the way down, though thankfully avoided going head-first through the asbestos wall.

Mum called an ambulance and I spent ~5 hours in A&E, panicking about being in the same building as the Horrible Psychiatrist, not being able to go to the private hospital because they 'don't do seizures'. Billy whimpered and howled so loudly when mum was on the phone, the operator could hear him on the other end of the line.

Apparently one of the ambos had attended me when I had seizures in a similar situation earlier in the year. Including the time I randomly passed out and hit my head while weighing myself, that's the third ambulance call-out I've had this year. (I got the bill this morning - $1,690. Pay your Ambulance Membership/cherish your pension, folks.)

I don't really want to go into it that much, but my GP thinks it was a combination of smoking and not having slept the night before. I wrote a little about it here, but mostly don't really talk about my smoking. In fact, I think this is only the second time I've mentioned synthetics on here - the first time being when I last had seizures.

The doctor in A&E gave me a lecture about the dangers of synthetics and the risk of permanent damage. After some years on-and-off synthetics, and the natural stuff, I probably know this better than anyone. It scares the shit out of me. But what scares me more, is that it isn't enough to stop it.


Then, on Wednesday, I had my big appointment with the new mental health nurse, with both my dietician and GP there. It was the first time I've seen her in months. My GP was in the waiting room when I got there, and the dietician came in a few minutes later.

The MHN started saying she'd thought about writing a letter for the past few months, but wasn't sure if it'd be overstepping boundaries since we'd only had the one appointment. She said she wasn't sure if something she'd said came across the wrong way, and that humans aren't infallible. I couldn't bring it up. It seemed so obvious to me - how can she not know?

My GP spoke for a bit about her role and the structure of the team, how my appointments work and a bit about what's been going on for me lately. She bought up the topic of a 'potential relationship' (and that's a whole 'nother post, jesus christ, it's been a crazy few weeks). The dietician looked excited and grabbed my knee.
  "Name?"
  "Not worth talking about."
So yeah.

The dietician spoke for a bit about her role, and explained how weigh-ins are working - every 6 weeks, with a need for open honesty with the numbers and no room for miscommunication. That said, I was supposed to be weighed last week, but didn't (...I think).


I was supposed to see the MHN again this week, but didn't get there. I knew I'd had another rough weekend, particularly with meds and self-harm. There's been a lot of trauma-related stuff bubbling to the surface, but again, that's another post. I was stoked to see the dietician on Thursday, because apart from the team appointment, I hadn't seen her in a month.

I went in, and we were chatting for a while, and then she commented that I was looking a lot better than Tuesday. Apparently I was a total wreck and completely beside myself. Mum had deemed it an emergency, and so I went to see the dietician, and made an appointment for the GP later that morning. I had no memory of seeing the dietician, or the GP, or the nurse, or the days surrounding.


tl;dr, I'm not dead


xxBella

Wednesday, 2 December 2015

Isolation is the Best Medication

For the past week I've been holed up in my bedroom. Anyone who's been reading for a while will know this room is a huge trigger for me, and usually I spend as little time in there as possible. 

I don't really know why. I just don't want to deal with the world, with people. I don't want to go outside, not even to my back porch. And so I've been stuck in here, leaving for maybe an hour or two max each day. 

A few days ago the dams broke and I just started crying, tears that have barely stopped since. 

I'm losing days and losing track and I don't know which way's up. 

Seeing the GP next Friday. Dietician next week. I cancelled on her again yesterday, because really, what's the point?

I'm making her an apron for Christmas. There's only two appointments left until she goes away. 


In other news, I've been talking to someone on Facebook for the last few weeks and, well, got asked out. 

I don't even know where to start explaining why this is such a complicated issue. 

I kind of want to tell him he's wasting his time because I don't go out much and am not in the place to cope with a relationship or any of that. 

For those playing along at home, I've had a total of maybe six social encounters since I started blogging. 

It's all such a confusing mess and I really don't know if I'm in the right place to be able to deal with any of it. I'm going to try to get my thoughts straight and will check in with how it went later in the week, but I just wanted to quickly check in as I know a few of you were worried. 


xxBella

Monday, 23 November 2015

One by one...

The last few weeks at home have not been the most pleasant. When I last posted, I'd just seen the dietician that morning, and in the afternoon, mum got back from her mini-vacation. After a horror weekend alone, I told her we really needed to change the carer's payment situation, and she told me to move out while I'm at it.

It hit me as a bit of a shock, for her to say that. It hurt. I didn't have the energy to sit there and pointlessly argue. I went out the garage, and smoked and broke down until the tears ran dry. Then I went back to the porch. I accepted it. It is her house, her life, and ultimately her decision.

I have to make this clear. I'm not angry or frustrated at mum for not being able to continue as my carer. I do get it. I'm angry that she won't accept it means losing the payment, and whenever I've tried to discuss it with her, she gets offended and argumentative, and I had to draw the line. (I should note: I do pay my own way covering everything I eat, my share of bills, the housework etc.)

She's a great mum. I think (or hope) most of you guys know that. She's just not fulfilling the role of 'carer'. It's a fact, not a judgement. I honestly think that if we redid the forms, which I'll be asking my GP to do, the outcome would be different now. It's not a sudden change - it's been building all year.

She's burnt out. I get it. Before I was ill, she cared for my brother for some years too. It isn't a 'blame' situation, not by a long shot. It's just the way life works. I just need to know what's going on so I can start looking at my other options.

To me, though, it just confirms everything The Horrible Psychiatrist said all those years ago.
"They will get tired, and they will leave."
Mum looked him straight in the eye, and told him he was wrong. His reaction was basically,
"Just wait."

I always knew he was right on that one. Now, I'm taking his second piece of advice.
"You should free mum from her role as carer."


After that discussion and the aftermath on Tuesday, I made an appointment to see the dietician again on Thursday. That didn't happen.

For the last few months, mum has been pushing me to do more by myself, especially at appointments. It started with going to every appointment alone, and currently, she is pushing me to go to reception, talk to them by myself, go back afterwards and talk to them again to pay. For reference, the most I've been able to interact with the girls at the desk is saying 'hi' and 'thanks'  in the last few months, and even that has been a huge challenge. Before that, it was just a smile, sometimes a wave.

And I couldn't do it. I know it sounds ridiculous, but it was too much. If I were in a better place I might consider the challenge, but at the moment it's just another roadblock in getting to appointments. I asked mum if she could please put a 'pause' on her agenda, because I'm already struggling enough with food and getting to appointments as it is. No.

But I'm not going to push it. In the end, mum is backing away for a reason, and I can't change that. So I cancelled Thursday, and cancelled tomorrow's regular appointment too. Like I said before, I'm just rolling over and accepting it. It is her house, her life, and ultimately her decision.

So I guess you could say, appointments are currently up in the air. I still have my weekly standing appointments with the dietician, and have an appointment with my GP next week, but it could go either way. I feel like my supports are crumbling one by one, and I don't have the self-caring factor to be pushed in to these scary situations, just to get to appointments, and for whose benefit...?


And I want to thank you all for you comments, support, input, feedback and opinions on my last post. I was actually kind of scared to check the comments for a few days. I think I prepare myself for others to judge me just as harshly as I do. I checked a few days later, expecting the worst, but instead they made me cry. I really don't know what I'd do without the support and friendship of all of those in the blogosphere.

At the moment, I'm just trying to find my feet, my routine, and keep up with the human race in general.

As for the whole thing with my friend, I don't have a friggin' clue what's going on there, but I think I'm good with that. Or, more to the point, I'm just over. I don't have the time or energy to waste on social dramas right now. Isolation is the best medication.


xxBella

Tuesday, 17 November 2015

Home Alone

This past week has been really full-on, hence my lack of writing. I was to be left home alone for 5-6 days, and things did not go as planned.

Last week, I actually worked up the cojones to ask a friend to come over and keep me company for part of the weekend. He asked when my mum and brother were going away, and said he'd come over for most of Friday and Saturday, and only be 10 minutes away if I needed. I thought I had a safety net, and that at least a couple of days wouldn't be so hard.

I don't even know what happened. I really don't even know. I think that's the worst part. My social life is very much a case of "the less said, the better". He came over, we talked and drank and watched Inside Out. It was nice. He had a bag and a new bottle of scotch. I thought he was going to stay. The scotch never got opened.

One of the first things he said was that he'd been dating a girl for four months, and she wasn't too happy about him visiting. Obviously, this is where the shit hit the fan, with constant texts flying, but I don't know what or why.

He left sometime around 1am, I'm not entirely sure. I wasn't expecting it, and it was a shock to the system like having ice water poured all over me. Everything in me sunk and all I felt was fear. I can't even explain how or why it makes such a difference just having someone around. I just needed someone there and I had no one else to call on.

We haven't talked since, which isn't unusual for me, but I don't know when or why plans changed or if I've stepped on toes or what. If it had been a known, I would have tried to sort something else out so I wouldn't be left alone, even if it meant a respite carer.

As a bonus, toward the end of the night, my stomach decided to pull it's magic trick where it randomly ejects its contents. I don't think it was even alcohol-induced, as I didn't drink that much, and I kept being sick until about 4pm the next day.


Saturday was one of the hardest days I've had in a long time. The morning was hell. Between the stress and being physically sick, I wasn't coping. I called mum 10, 20, 30 times, only to hear she'd be turning off her phone in 15 minutes for the wedding. I didn't even know what to say. I then called my brother, who very calmly asked the routine questions and asked if I needed him to come home.

My brother flew back on Saturday. I feel terrible because he'd only left the night before, but I didn't know what else to do. I felt so alone and scared, and it's not like I exactly have lots of local friends to call.

I waited in curiousity to see if I'd hear from him on Saturday. Nothing. I think I've managed to unintentionally fuck up my last local friendship.


A strange phenomenon happens when mum leaves, and I lose all sense of time, all structure, and arguably the majority of my mind. When I started smoking weed, I referred to it as the Eternal Twilight. The same happens when I'm alone. Life is just one, big, long fucking day.

I've missed most of my meds and skipped most of my meals. Saturday, I didn't eat until 6pm when I made an egg with bacon on toast. Just under 200 cals for the day. The next day, I had an Ensure at the end of the day, but that was it. I've had another supplement this morning, and I'm going to try to go and cook a proper dinner after I finish this post.

I should mention, this whole week had been a result of bad timing, with both my mum and brother booking trips some time ago for the same weekend. Unfortunately, no one realised the clash until a few weeks ago, and by then it was too late to change anything.


I had a talk with the dietician this morning, which helped a lot. I might try to see her again on Thursday, just because the last couple of weeks have been so hard with intake and weight. I've lost 2.5kg since she weighed me two weeks ago, and there's four more weeks until I next have to be weighed. She asked if I wanted to do it this morning to get it out of the way, and I thought about it, but ended up chickening out.


Mum got home a couple of hours ago. I told her that
  "After this weekend, I don't think I want you on carer's allowance any more."
This has been a highly debated topic in our household of late, as it's been building for a while. And she got really pissed off and said
  "Fine, cancel it, and move out while you're at it."

...



xxBella

Friday, 6 November 2015

Scales and Sickness

This week was my 6-weekly weigh in with the dietician.

I've started being more open with her lately, as our relationship recover's from last year's scale screw-over.

At home, on the Wii, I weighed 46.1kg. At the dietician's office, clothed and full of coffee, I weighed 48.3kg. I figure I'm somewhere in between, so let's say 47.2-ish. The bathroom scales still seem so daunting, so I'm still weighing in on the Wii, but I know I'll have to get on the real scales soon. This time between weighs, I lost 2.0kg.

She asked how I felt about it, and I told her straight up that it was a relief to be further away from the 50kg mark. When she asked if I wanted to lose more, I told her the truth (in my head, I'm planning to start maintaining again in January). She said she'd really freak out if I lost any more with my current BMI. I at least agreed to have two Ensures/Forticremes this week.

However, I've been feeling pretty sick since then, and I've dropped another 1.5kg in two days, putting me around 45.7kg (BMI 13.2). I'm actually going to ask if we can redo this week's weight. It was just horrendous timing that I got sick and dropped further, and I don't want her to freak out.


I've been feeling pretty crappy since Tuesday night, when I woke up vomiting. Since then it's been coughs, puke, aches, chills, fevers, night sweats, and complete exhaustion. It's making a lot harder to eat, even when I want to, even the smell of food makes me want to puke.

My intake has been lower than it's been in a while. The last two days, I've finished the day under 300 cals, despite actually trying to eat more. I tried to have an Ensure last night, but the first sip made me retch. Today I'm going to try to get to 600. I've had an egg and bacon on toast (149), and I made it through a whole Ensure (226). The Ensure took half an hour, but it got down and stayed down. I think dinner's going to be toast/bread, so I should get there today, nausea permitting.


On Thursday I saw my GP. I told her I think I've go a chest infection or something brewing. She asked if I could please try to take the antibiotics that I've practically refused over the last few months. Amazingly enough, I actually had one this morning. Yay.

When she did my OBs, my heart rate was in the 140s just resting. It's rarely below 120 at home. She checked it three times before asking how long it's been since my thyroid was checked. Looking through my records, it's been five years, and she wrote up for my next blood test to include thyroid.

As for the old mental health nurse, who said she'd call but still hasn't? I'm pretty over it all. Again, she said she'd call, and again, I was naive enough to believe her. My GP is not impressed, and is now advancing from phone calls to writing her a letter.

  "Honestly, I don't know if I even want to talk to her any more. The only thing I have to say to her is 'Why didn't you call?', both at the start of the year and again now."
She just nodded sadly. My singular good experience with the MH system has been marred by her saying she'd call, but never did (twice!). I mean, why even bother saying it if you don't mean it?

Plans are in the works for getting me back to the new MHN, but the fear is still so strong. I'm talking to the dietician about it on Tuesday, and hopefully it won't be too much longer before everyone's schedules line up so she and my GP can accompany me as they kindly offered.

I think that's about it for today. For now, I think I'm going to spend he weekend on the couch resting and recuperating,


xxBella

Friday, 30 October 2015

One after another

The last few weeks of appointments have been pretty rough. For the last two appointments I've been late and in tears. I was supposed to have my 6-weekly weigh-in with the dietician this week, but I had so much trouble getting to the appointment, let alone on the scales, we postponed until next week.


Last week I was a wreck, and the dietician was worried about me, so ended up walking me over to the treatment room to see the GP and get some self-harm dressed. I sat in the treatment room waiting for my GP to squish me in between appointments. Sometimes I'm there early enough to catch her before. After 15, maybe 20 minutes, one of the girls from the desk came in to tell me my GP was going to be busy all morning, but she'd offered to see me at 12 on her lunch break. As well as the self-harm, I really needed to talk to her about the medication situation, so I took the opportunity.

I told her about how Ativan (lorazepam) was now in a bottle, not a blister pack, and that that was posing issues in itself. Unfortunately, there's no alternative brands that might have less-stupid packaging. I also wanted to know if there was anything similar to (but not) olanzapine that I could have for a PRN when I feel the need to sedate myself, but she seemed to think seroquel should be sufficient.

In the end, we decided that each weekend when my pill cases are refilled, mum will put 7 lorazepam and 7 seroquel in a pill case/bottle for PRNs, and hide the rest. She's also upped my regular seroquel dose, and stressed "no temazepam during the day". I admit, I've already back-pedalled on the 'hiding it' part though. I'm stubborn, and don't want to have my meds hidden from me after so long.

She explained that if we couldn't get this under control, I'll have to have a break from the lorazepam. She won't prescribe more if I run out early, or the chemist will hold it. It's not a pleasant prospect, but I do understand. I know it's only supposed to be a short-term thing, and I've been on it for over two years now.


This week was a struggle to get to the dietician again. I was asking myself that dangerous question -- what's the point? -- and it didn't seem fair to go see her in such a state. She's a dietician, she's not mental health trained. I just wanted to lie on the floor and do nothing and be nothing.

Once I convinced myself to go, I was already 20 minutes late. I kept stop-starting, getting from the backporch to the car and from car to clinic. I'd talk myself into going, the my head would throw up brick walls and I'd stop in my tracks and sit against the wall.

She asked what we were going to do with the scales, and I said I knew it was supposed to be this week, but could we please put it off one more week? I know it doesn't make much difference to the number, but I really didn't feel like my head could cope with the scales that day.

She understood, and asked if I had any ideas of what my weight was doing. I was honest, and said t was down between 1-2kg depending on the day.
  "1-2kg is a fair bit for you though."

I told her I was really struggling with being in the house, to the point it can hurt to look at each room, and all I want to do is close my eyes and scream.
This house is haunted. Not by ghosts, but memories.

She asked if I've ever talked to anyone about the abuse, but really, I haven't. I had an appointment with a counselling service that I chickened out of, and couldn't say the words to give a statement to the police. That's the closest I've ever gotten.

  "When was the last time you went for a walk around the block?"
  "Oh, god... maybe five, six years ago."

At the end of the appointment, she walked me over to the treatment room again to have a fresh batch of self-harm dressed. The nurse wanted a doctor to check them, but my GP was busy. She wanted me to see one of the male GPs I don't know, which isn't about to happen, or to come back to see my GP later in the day. She got his opinion on a temporary dressing, and I went back in the afternoon.

After she finished the dressing, the nurse asked if she could check my pulse quickly. I don't know if she saw the vein pulsating in my neck/hands/feet or what, but my pulse is never much of an issue. I told her it generally sits pretty high, around 100-120. She got a reading of 120. The pulse oximeter said 150.

My GP is still trying to organize a time for her and the dietician to escort me to an appointment with the new mental health nurse, but it is happening. The old MHN still hasn't called, but what did I expect?


Outside of appointments, I've been trying to take it easy, sleeping, watching movies, being generally unproductive. This weekend mum's going away to stay with friends, which is always challenging despite enjoying the time alone.

And thank you guys for your comments and support on my last couple of posts. I don't think I can say it enough - this community is really my rock.


xxBella