Friday, 1 February 2013

The liver is evil?

No, the liver is fine.  The kidneys too are fine, as is the thyroid.
The likelihood is I got a little too much lithium in my system, my body went a bit crazy for a few hours, metabolised and filtered as it's supposed to and regained a normal level.

Still, the shaky thing left me shaken and frustrated, which I think you pick up on in my last post from the whiny tone I chose to take. And sometimes when I'm frustrated or feeling uncertain I make some dubious decisions.

I got drunk last night.

I don't know if I meant to get drunk. It started off as just one beer with some colleagues before the opening night of The Other Place. Admittedly it was my first beer of 2013 so perhaps it was the fact that I was reminded of how much I like beer that led to me having a second beer when my friend showed up. Then we watched the play and afterwards there were the opening night drinks. It's always fun to scull a glass or two of free wine and surreptitiously gawk at celebrities. So that's what I did. And then because I remembered that I had so enjoyed my beer, I had another beer. Then I decided I should go home so I went to leave but my boss said, "Hey, let's go up to Curve Bar and have one more drink," so I went up to Curve Bar and had two more drinks. Then the bar closed so I really did have to pour myself into a cab and go home.

As last night was my first drunken night of 2013 I also had the great pleasure of my first hangover for 2013 today. I would like to thank coffee, corn chips and Gatorade for getting me through it.

Now the reason I think this might have been a dubious decision is that I haven't been drinking up until now, save for a glass of wine I had over dinner with my Dad one night. Some people ask me if I'm allowed to drink, and I've even asked the same question of my psychiatrist and his response is that I'm allowed to do whatever I want in my life. But... Alcohol dehydrates you, which the lithium already does so drinking will make me more dehydrated, drinking has a sedative effect which the Zyprexa also has so drinking will make me more sleepy, alcohol is a depressant so it will contradict the antidepressants I take and lastly, any of the stupid things you regret doing or the defeating feelings a hangover brings will be magnified because they're already things my bipolar brain does to itself.

But yes, technically I am allowed to drink.

I can't help but wonder if my frustration at my body for having such an uncontrollable outburst led me to punish that same body with a drinking binge. Or maybe I was testing my body, pushing it to see if any more cracks would show, bringing it all to a head now rather than later. Or perhaps I wanted an escape from being bipolar and just wanted to do what everyone around me was doing and enjoy my night. I don't know.

I do know I had a fun night with people whose company I greatly appreciate and despite the yearning for a way to intravenously introduce caffeine into my blood stream this morning, my hangover wasn't too terrible.

I don't think I'm going to make a regular thing of getting drunk, but it's kind of nice to know that the option hasn't been cut off by bipolar. I can still do regular things and in the words of Wayne Campbell "And I still know how to party!"

Wednesday, 30 January 2013

Oh this is so inconvenient

Today started as any normal day; I woke up, ate breakfast, went to work, was inundated by emails, decided I hated my job, had free theatre tickets dropped on my desk, remembered I loved my job, swivelled on my chair a bit and thought about lunch. 

Then the not so normal thing happened. My vision went blurry and I started to shake so badly that I couldn't hold my pen.

I took my glasses off and held on to my desk, trying to focus and stop the tremor. I thought perhaps it was a panic attack so I tried to slow my breath, but I was still breathing at an even pace and my heart wasn't racing. I went to the bathroom, really because I didn't know what else to do. My tremor was so severe that I could see myself shaking in the mirror, even through my double vision. I have been warned that with the amount of medication I take there's the potential for the drug levels to become toxic. 

I went to my bosses office and when she asked what I wanted, I held out my hands and told her I couldn't stop shaking and needed to get to a doctor. She walked me outside as I tried through shaking hands to call my doctor. I got through and when I explained what was wrong with me he told me to come straight in. 

All my obs came back within the range of normal, my pulse rate was up a little and my temperature was higher than usual. I didn't have enough of the symptoms to suggest I have serotonin syndrome, but my doctor couldn't rule out an adverse reaction to lithium or a change to my thyroid or kidney function. I was sent away with the reassurance that I probably wouldn't die and to go to hospital if I developed any other symptoms. 

My tremor has now calmed down to an almost undetectable shake and I'm off to get a full panel of blood tests tomorrow morning. I'm worried that this episode is going to mean a change to my medication regime and that is something I'm really not excited about doing a week and a half before I go overseas. There's always the danger with medication changes that my mood will take a dip and I really don't need that when I'm going through the already stressful experience of changing time zones and going through airports. Of course there's nothing I can do but hope symptoms don't progress and that any medication changes are kind to me.

So it's a very shaky sign-off from me tonight.

Tuesday, 29 January 2013

Honk If Your An Aussie

I spent the long weekend with my parents at their beach house. I even went to the beach one day and waded out into the water in my grandma-style, green, striped, skirted bathing suit that I bought at Savers. And everyone on the beach had the good grace not to gasp, point or sneer at my irridescent skin or luscious underarm hair growth.

Australia Day was the Saturday and we had no real plans to celebrate this auspicious event but drove in to Rye to see what was happening. Celebrations were afoot there. A childrens entertainer was singing interactive songs for the offspring of the nearby campers, a sign promised there would be fireworks later and a group of thick-necked Meditaranean looking men were engaged in a game of soccer.

There were also a large number of young people (oh god - how old am I, really? But you know who I'm talking about when I say young people, you know, young people, yoof!) getting about with Australian flag paraphernalia; t-shirts, hats, singlets, crop tops, temporary tattoos and of course the traditional flag draped around the neck as cape.

On the road in to Rye there was a bunch of flag-clad young people camped on the side of the road with a cardboard sign reading 'Honk If Your (sic) An Aussie'. I found the whole thing distasteful, not least because of the grammar gaff or the fact that as a nation we should be able to find a better day to celebrate than the day our genocide of the indigenous population commenced, but also because I wonder what particular brand of Aussie-ness these young people are so fervently in support of. I fear it's an Aussie-ness that embraces sport watching, larrikinism, sportiness, a 'she'll be right' attitude, sportsman idolisation, male dominance, anti-intellectualism or at least dismissal of those considered 'up themselves' and sport. This is tar I do not care to be brushed with. Mostly because I greatly enjoy being up myself.

But I do love Australia and some of the fine things about being an Australian. But my love is a cautious, tempered love and not unerring.

I love that we have an elected Prime Minister who is a woman, unmarried and atheist. Yet I was appalled by the party politics that initially led to her appointment and I consider it a great shame that so much political dialogue still revolves around party politics rather than the issues at hand. And while it's great that she's a female and unmarried we should not see this as a sign that women's struggles for equality are over or that we're shifting anywhere away from a heteronormative society.

It was one of the things I waxed lyrical about in the U.S., my prized affordable education. But I'm angered by the cuts to universities, particularly as they are hitting hardest the Arts and Humanities.I need art, literature, history and philosophy to have any understanding of life. You can get a scientist to tell me about the atoms I'm made of, but I'm more interested in the stories that as people we can make.

I also often discussed our brilliant universal health care system with my friends in the U.S. But mental health is one of the areas of our public health system that desperately needs an overhaul. I have received excellent mental health care for one reason only, money. I'm lucky that I have family that support me and can help foot the bill for my private health insurance, psychology appointments, psychiatry appointments and medications. Most people are not as fortunate as I am. Mental illness impoverishes people and then further frustrates them by being expensive and difficult to access. Beds on public wards are hard to come by and many mental health professionals attest that admission to a public mental health ward can actually exacerbate mental health issues due to the environment on the ward.

I feel guilty sometimes that there are people out there suffering from far worse conditions than I but without the supports that I have. It is only because of these supports that I have any chance of living something that resembles a normal and productive life. I really do wish we had a true universal health care system in Australia, that cares for the health of every Australian, not just those lucky to be born like me.

Thursday, 24 January 2013

Things I am allowed

Today 3 things happened; I had a moment of supreme, radiant happiness, I had a rush of euphoria and I did something quite impulsive.

In bipolar terms these things should ring alarm bells. They're like chest pain radiating down the left arm for someone who has heart disease. They would definitely be looked upon as signs that I'm heading towards hypomania or mania. But I'm going to allow them.

The first thing happened as I was on my way from work to my appointment with my psychiatrist. I had caught the tram to the corner of Bourke and Swanston St. On the corner some members of the Socialist Alternative party were set up advocating for Aboriginal rights. My ex-boyfriend is a socialist. Indeed I recognised one of his housemates amongst the bunch but instead of feeling the usual turmoil of emotions I have felt when reminded of my ex-boyfriend, I just felt kind of, well, fine.

I walked to the tram stop on Bourke St and sat waiting for my tram. A young girl and her friend were sitting on the seat behind me and the young girl said to her friend, "I can tell my heart's broken, I can feel it, right in here." And suddenly it struck me that my heart is not broken. I'm actually happier now than I was then and I had a moment of supreme, radiant happiness. The sun was shining on me, I was happy that the socialists were out there fighting for rights, I was happy that my ex-boyfriend was out there somewhere living his life, I was even happy that this broken-hearted girl had a friend she could talk to.

The rush of euphoria came later when I was at the gym. It may have come across that I find the gym quite a slog. And I do mostly. I start working out and my brain decides very quickly that it's bored and then I have to cajole it with thoughts like 'it's good for you, brain' and 'afterwards, we can get icecream!'. This evening wasn't much different until a moment when I was on the exercise bike, keeping a steady pace and the Girl Talk song 'Oh No' came on to my iPod. I shouldn't like this song since, as a feminist, I dislike the word bitch being used in a derogatory fashion, and the lyrics 'move bitch, get out the way' are repeated about a billion timws, but I really started pedalling and feeling driven by the song. After cycling hard for a few minutes I had a rush of euphoria. Hello endorphins! I also became aware that my body is so much stronger than I give it credit for. If only my brain would stop telling it it hates exercise.

When I got home from the gym, glowing with virtue and also dripping with it too, I went to take a shower and saw some purple hairdye in the bathroom. My last trip to the hairdressers resulted in me receiving a colour job called balayage. Basically my hair is darker at the roots and gradually gets lighter towards the ends. Some people have told me they like it on me but personally, I just don't feel I'm the sort of person to have pretty hair. It makes me feel like I should do other things to my hair like blow dry it or style it or brush it or wash it. And that's not really my thing.
So, anyway, I suppose you can guess what my impulsive decision was. I dyed the ends of my hair purple and I kind of made a hash of it, but now at least my hair looks like it matches me more. And if I decide I don't like it in a few days or weeks I can always dye it again or chop it off.

So yeah, these things happened today but I think I'm just going to clock them up to having a good day. May it be the first of many!

Wednesday, 23 January 2013

Hiccuping along

I forgot to take my medication the other day.

I felt fine throughout the morning but in the afternoon I felt tearful and when I tried to shake it off it wouldn't shake, it just slipped and sat in my stomach like a lump of lead. I was talking with my aunt and I was pleased by what she was saying but when I tried to smile it felt like my face was contorting. I went to my bedroom and saw my pill box (one of those ones old grannies have with the days of the week and compartments for morning and night) and I couldn't remember touching it that morning. I looked through the little blue plastic window and sure enough there were my pills, the things that stand between functional me and a quivering mess.

The next day was still average, the half life of all those psychotropic little circles having expired with my skipped dose. At least I knew what the problem was. But it was sad to get a glimpse of what my unmedicated self is like right now. I'm fiercely independent so the acknowledgement of my dependence on drugs, albeit legal ones, made me a little flatter than my already flat self.

I also haven't been sleeping all that well the past few nights. I lie awake ruminating about my trip and that somehow leads to ponderings on ex-boyfriends and the scenarios surrounding how they became ex, deep thoughts on whether I will ever finish my uni degree and last night, the mystery of which Gilbert and Sullivan musical the song 'Modern Major General' is from (at 1am I caved and googled it - it's the Pirates of Penzance. Of course.)

I've also been waking during the night, sometimes too hot, sometimes too cold and last night from a nightmare that my Mum had been diagnosed with cancer. She's been in hospital for a few days with a mysterious GI infection and while she, my Dad and all of her doctors had been reassuring that it wasn't anything serious, it was obviously weighing on my mind.

The good news is that she's out of hospital now and she and my Dad have gone down to our beach house. I'm joining them on Friday evening and it's honestly been one of the things that has been dragging me through the week. I'm looking forward to lounging in my pyjamas, doing jigsaw puzzles, reading a book (I'm without a current book! I finished the one I was reading, A.M. Homes' May We Be Forgiven, and it was brilliant. I've got this book hangover now where I'm still in the world of my last book but also fearful that the next one will not be as good) and I'm also looking forward to eating fish and chips. I suppose I could go to the beach too. It's not really my thing though. Too much sand.

Not everything has been bad this week, but nothing has been particularly good or noteworthy either. I'm still liking work, my psychologist is back from holidays, I made a good laksa for dinner tonight. I'm just getting along with these little hiccups.

I'm hoping that things will smooth out a bit over the next few weeks as I'd hate to fly off to the U.S. feeling unsettled. I've almost done all the possible planning I can do for my trip too so it's just a matter of waiting for it to roll around now.

Anyway, sleep now and in the morning I must remember my medication. Goodnight.

Saturday, 19 January 2013

Trip planning

I've been having a wild time searching for hotels on Expedia!
I really do love trip planning. I'm quite the planner so there's always a spreadsheet for the itinerary and hours spent scouring the Internet for reviews, ideas and bargain accommodation. I knew nothing about Bloomington, Indiana, except that my friend Andrea lived there, a couple of weeks ago but now I'm familiar with the layout of the town thanks to google maps, I've yelped for the best places to eat brunch and I've even looked up tattoo parlours and their ratings in case I finally get around to getting my long talked of tattoo while I'm there.

A lot of planning has also had to go into my bipolar management while I'm away (I know, I said I wasn't going to talk about it). I need to calculate exactly how much medication I need to take with me, a complicated matter with the amount I take. I also need to take an extra weeks worth in case I end up stuck somewhere unexpectedly (or "forget" to get on my plane back home - mwah ha ha!). I also need to take copies of all my prescriptions and a letter from my doctor explaining that while I may be carrying a quantity of drugs that make me look like a drug mule, it is in fact all legitimately for a medical condition.

When I've told a few people that I'm going overseas (including both parents) they've asked what my doctor thinks. I imagine that for other people with serious medical conditions, say if someone had diabetes, they would tell their doctor that they were going overseas, but it's somehow implied that I should ask my doctor, check that he thinks it's an ok idea and not the wild drivel of a crazed woman. For the record my doctor thinks its a fantastic idea.

He suggested I work out in advance when I'm going to sleep and when I'm going to take my medication so tonight I got to sit down and draft up an exciting spreadsheet (that 'exciting' is not sarcastic - I just love spreadsheets and planning!) of when I'm departing and arriving and when the optimum time for sleeping is as I cross time zones and when to take my medication so that I don't miss a dose as I travel forwards in time on my return.

There wasn't much left to plan until I had a thought for my well being in New York. New York is my favourite place in the world. If you've never been, the praise you hear for it is not at all superlative, it really is the greatest city in the world. It's also the city that never sleeps which is a bit of a problem for me as sleep is of extreme importance to me right now. It's the difference between a good day and a bad day and I imagine I'm going to be tempted to spend long hours into the night catching up with all my friends there. It occurred to me that if I'm tired in Orange County or Bloomington or Hudson I can just say I need to take a nap but if I'm staying with one of my friends in New York I'm really bound to their schedule and they all work during the day. So I've decided I'm going to stay in a hotel while I'm in New York. It gives me that option, plus I get to run my own schedule that way. And hence I've been scouring Expedia. I'll let you know what I turn up.

Thursday, 17 January 2013

Bipolar is expensive and time consuming

I broke with routine this morning and got up early to get to work early so I could leave work early to make my appointment with my psychiatrist. After my $220 appointment I went and spent $66 on medication and it looks like I'll be doing it all over again next week! Oh yeah, because that $66 is for only 2 of my 5 medications and I'm running low on others now. One of them costs $50 a month! 

Yesterday I had an appointment with one of the counsellors from the Outreach program at The Melbourne Clinic. Those are fortunately covered by my private health insurance but she wanted to know when I had another hour free next week. The simple answer is I don't. 
I have work and appointments with my psychologist and my psychiatrist plus I'm trying to minimise running around so that I actually get some time to rest. The counsellor seemed highly unimpressed, like I wasn't prioritising my mental health but I really don't know what to do. 

 I feel like my life is overrun by the logistics of bipolar disorder. I have to carefully plan my time so that I have at least 2 hours plus travel time per week to see various health professionals. I constantly draft up budgets to make sure I have the funds available at the right times when I need to see one of my health professionals or refill prescriptions. It's a job in itself. 

 And now, I have something wonderful and big to look forward to and it's feeling like this trip is going to be really positive but I find myself fretting about how many hours I'm going to need to take off work and how much money that is that I'm losing out on so I can go and spend more money on dealing with bipolar disorder. 

 I'm tempted to put a stop to the Outreach visits. My experience has been that they're not there to build a long-term therapeutic relationship, they're heavily based on CBT and mindfulness which I know enough about and find to be of limited value and quite frankly they're taking up time which I would rather be spending at work or taking a walk or reading my book or just not thinking or talking about bipolar disorder. 

 I think the easiest way for me to become a lifelong victim of bipolar disorder, like some of the people I met in hospital, would be to let it overrun my life and at the moment I feel a bit like that is happening. I might even ease up on blogging about bipolar related shit and instead treat you to lyrical prose about other things, like my memories of and cravings for American hamburgers or my sudden desire to get a dog. I want to be more than just bipolar Katie. Perhaps I should have thought of that before I named my blog.