Adjustment

At my most recent shrink appointment, he prescribed Paxil and Lamictal. He spooked me with the Lamictal though, so I haven’t started taking it yet. Serious talk about the possibility of a rash that could mean something very bad. 😳 So it’s a difficult medication to “sell” when someone already has high anxiety. But the Paxil, the first week (which is now done) I was to take only one in the morning. Now, I’m supposed to take one in the morning and one at night. I’m hoping that will help the problem that I’ve noticed all this week.

I’m also going to start the Lamictal tonight as well. I just never like starting two new meds at the exact same time, because then whether I experience a benefit or a side effect, you can’t know which one was the cause… although I suppose sometimes you don’t get the benefit or side effect unless you’re taking both of them. 🧐

This past week, even though I usually slept well, every time that I’d wake up the next day I would have instant severe anxiety already happening. 😣πŸ˜₯ Now, it’s not like this is the first time that this has happened… and I know it sounds bad to describe it this way, but sometimes when anxiety is so bad, it’s just the disappointment of waking up that triggers it. 😐 Oof, yeah, that sounds way worse than I intend it to. But yeah, it was random before, but it’s been a constant since I’ve started taking the Paxil in the morning. So hopefully now that I’ll be taking an evening dose as well, maybe that’ll change how I wake up.

That’s the one positive though… as long as I take it immediately upon waking up in a near panic attack, the feeling actually goes away relatively quickly. πŸ€·πŸ»β€β™‚οΈπŸ™‚ So I’m still hoping this will be something good, and it’s just a matter of getting on the right dosage. And yeah, it’s probably a little weird that I’m just putting this all out here for anyone to read – but it’s not like I’ve tried to keep the “twitchy” side of me a secret. 😏 And I really do know the majority of the things that have triggered it (and keep triggering it) so it’s not like I’m staggering around in the dark, unable to see the boogeyman.

It’s not a permanent solution, because it’s not a good solution, but part of me getting my head straight is by cutting myself off from people for a while. 😞 As I’ve described it before, my empathy is like a horrible super power that I’ve got… and when I know so many people that are going through so many awful things, I absorb the feelings that they’re experiencing regarding many of those things. 😣 Add that on top of my medical stuff, my workers comp stuff, my disability, etc… and unfortunately the easiest way to reduce anxiety is by avoiding the sources (and even potential sources) other than my own. πŸ₯Ί Then (I’m hoping) once I’m in a better place, I’ll be better able to function like a “normal” human and bring myself back into the fold. I don’t know if it’s a good plan, but it’s a plan…

EDIT:Β  Jesus… maybe I’m not quite ready to risk this Lamictal. 😯 I shouldn’t have googled.Β 

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Oh… My Scan / Blood Tests

I guess I never got back on here to update about my follow-up appointment with the endocrinologist. πŸ€” Before the doctor even came in, the pre-doctor person took my blood pressure and asked me if a student and intern could join the doctor when he came in to talk to me. Meh… what do I care? Sure… all are welcome, all are welcome… 😏 Gotta let the young people learn so they can fix the old people like me in the future.

He’s an interesting guy… doesn’t seem bothered to convert “data” into user friendly word blurbs for the average schmo to understand, but that’s actually okay with me. πŸ‘¨πŸ»β€βš•οΈ I’d much rather have a shitload of numbers and charts than a generic “You seem fine.” or whatever. πŸ€“ And with four tubes of blood, and more than four different comprehensive tests – I was surprised to hear him read off all of the numbers while also saying that almost all of them fall within the appropriate range for someone who is getting better. πŸ€·πŸ»β€β™‚οΈ

And then the full-body scan, which looked for glowing remnants of thyroid tissue that had absorbed all of the radioiodine 131 or whatever it was… this one is more subjective than objective, since it’s looking at an image rather than something that produces numbers against a chart. πŸ€” But on the scan, he said that he saw nothing that indicated that there were any stray thyroid cells left in my neck, which also means that if the cancer truly started in the thyroid and hasn’t spread to anywhere else… then it’s pretty good news, eh? πŸ™‚

He did make sure that I understood that even though the results of the scan seemed ideal, that it doesn’t mean “Woohoo! Cancer free!” of course. But it does mean that as of right now I’m in pretty good shape, so when I go through my next round of treatment in about five months, I’m starting off in a better position than a lot of folks that have had the same surgery as me. But yeah… five months from now… 😳

This next round of treatment is actually going to be worse than the first. Something to do with having the thyroid medication in my body for so long, so I’ll have to actually stop taking it for at least three weeks before they can even consider moving on to the next step. πŸ˜’ Several more blood draws, another round of radioactive iodine treatment, another full scan… and at that point, if the results are the same as this last one, they can feel pretty confident about saying that I’m cancer free. I mean, as much as anyone, even a doctor, can really “declare” something like that. πŸ˜•

I’m sure it’ll be one of those deals where if I’m good on the next one, then we’ll probably wait a year until we do it all over again… I dunno, I’m just assuming at this point, but you’d figure that each time all this fuss comes back as “Looks good.” they’d let me wait a decent bit longer before we start at the beginning with the treatment and testing. So, yeah, pretty good news… I just wish I physically felt better than what I do. 😟 Seriously, the way I’ve been feeling over the past few months, I’d have put money on the results coming back with something concerning. But I’ll take the good news and try not to dwell on it too much. I’ll just put this one behind me, and when it’s time to worry about round two, that’s when I’ll start worrying about it.

Tired of This Shit

I’m not sure how this month’s appointment with the WC doctors is gonna go. πŸ˜• I think I’m actually seeing Dr Walter this time, when it was the new guy that I had the in-depth discussion with about the state of my treatment last month. Regardless, since the WC insurer is coming at me with the shenanigans again, the conversation will have to revolve around that rather than the stuff that I started bringing up last month.

I’ve got to be careful, because it almost feels like a “trap” that WC could use against me, but this month I have to start discussing possible alternatives for the meds that I’m taking right now. Because if they are somehow able to weasel out of paying for what I’m currently taking, the cost of two of those medications would simply be too much for me to continue taking them long term. πŸ™ That’s where the “trap” part comes in.

When I start discussing more affordable potential alternatives for the meds I’m currently taking, I want it to be clear with my doctors and in my records that I have no desire or intention to make any changes now… and that the research and discussion is really just to act as my parachute if I get pushed out of the plane. But I can see where my fear of being forced to pay for my own meds, which has made me research cheaper (but likely less effective) alternatives, means that I nowΒ know that there are cheaper alternatives, so they’ll probably think that they have the right to force me to change to them – despite my preference to keep taking the ones that I’ve been taking. 😏 Heh… I know, that sounds a bit convoluted, but it basically make sense, no?

But until I’m able to discuss this with them, I know that I’m just taking barely-educated shots in the dark when it comes to what might or might not be suitable replacements. 🎯😎 I mean, even though I know that Lyrica has very specific actions – at its most basic level I know that it is considered an anti-seizure / anti-convulsant medication… so that’s where I start looking. πŸ€“πŸ“š And now I have four or five medications that I think could be good replacements… but for all I know, even though they’re anti-seizure, they may have totally different actions – and ones that aren’t even close to being applicable to my situation. πŸ˜’

So for now that’s all I can really do… look for “close” meds and make sure there are more positive side effects than negative. Then I’ll just hope that I’m actually on to something, and that information can be put in my back pocket until it is needed. Between now and then I just have to figure out how to condense all of this crap down into a tolerable three to four minutes. πŸ˜³β±πŸ‘¨πŸ»β€βš•οΈ Gotta impress the importance of this on him, while also not rambling so much that my point gets lost in the noise. I’m better at that than you’d think, actually… it just doesn’t seem that way here because I know I can go on and on about something and it doesn’t matter, since hardly anyone reads this blog anyway. πŸ˜πŸ€·πŸ»β€β™‚οΈ

Insufficient Quantities

Another half-work / half-shlubbing-around weekend day. 😐 Cassi had the day off, so I went and got her so I’d have some company (and a helper) and so she could have time away from home. So, like the last time she was here, she’s been working on her stuff a little more and I’ve been working on my stuff more… using that bit of motivation that you get just from having someone hanging out. 😊

A couple different phone calls to the pharmacy this morning and they’re still having problems with getting any of my workers comp related medications approved. πŸ˜’ Ten minutes on the phone, then on hold, and then told that they were gonna have to make some calls to get things straightened out.Β  Haven’t heard anything back from them for the past couple of hours, so I’ll be calling again after I finish this entry. I’m not even trying to get them before last month’s supply ran out. πŸ€¦πŸ»β€β™‚οΈ

Heh… and as I’m writing this I got another text notification from the pharmacy saying that one item is on order, another is ready – but with a $12 charge, and no info about the third. πŸ˜• But this confirms the typical problems I have every month… because if there’s a charge on one of these, that meant it was run through my regular insurance instead of the one provided by workers comp. I guess twelve bucks won’t kill me though.

And even though it’s Saturday, I got an actual registered letter that I had to sign for, from that “home care” medical provider that I mentioned a few entries ago. It says that they’re letting me go as a patient (okay?)Β and that I need to find someone else… despite having never used their services and not knowing who this nurse is that supposedly tended to me a couple times. 😠 So I sent them another email, despite just talking to someone from there on the phone, telling them to knock it off with the bills and the mail. It’ll probably do as much good this time as it did last.

Meh… so that’s been the first half of the day. And yeah, I know that a lot of the entries in the blog lately have just been me bitching about the mundane and trivial, but believe it or not – some people do like keeping tabs on me and knowing how things are going, even people that aren’t relatives or close friends. It’s weird to have made what are essentially digital pen pals, from people who have found the blog and have then messaged me for one reason or another.

But I guess I better throw on some pants and head in town for the one script that I can pick up. πŸ™„ And like I told Cassi, the reason I go in there most of the time, and deal with this shit in person – it’s because people tend to work a littleΒ bit harder when you’re standing right there, telling them exactly how things are supposed to be, and nudging them in the right direction when needed.

Heh… this was quite a ramble for just some medical billing filling bullshit. 😏

Birthday Eve

The stars aligned yesterday and I woke up feeling good and was able to go in to visit with Mom and Dad like I had planned a few days earlier. πŸ™‚ Everyone knows that when it comes to planning things, my brain often won’t cooperate when the day actually comes – so that’s why it was nice to wake up yesterday feeling decent and ready to go. It’s actually Dad’s birthday today, but rather than showing up with decorations and hats and horns I just came with several bags full of goodies and junk food – and some Sonic double burgers that seemed especially good that day. πŸ€€πŸ”πŸŸ

Mom was extra talkative, and seemed to be in a pretty good mood, although she did say that she was tired of the CD that always plays in her radio – so I told her that I’d bring her some Elton John music next time I visited. 🀩🎹 I stayed a couple of hours, and was considering doing a couple of other things on my way home, but when I got in my car my brain decided that it was just time to go straight home.

I think I overdid it with my arm throughout the day somehow, because by the time I was supposed to be going to sleep I had a pulsing headache at the base of my skull from the muscles being all meh. 😣 That kept me awake a couple hours longer than planned, so I decided last night that I’d put today’s planned activities on delay… and now that half the day is gone, I’ve actually just pushed everything off until tomorrow. πŸ™„β° Nothing is urgent, other than dealing with the BS surrounding my medication approvals, and I actually dealt with that on my way in to see Dad yesterday… so today, for the most part, will be a nothing day so I can have a little more recovery time for my oush and brain.

I’ve gotta keep reminding myself that the schedule that I sometimes feel compelled to keep (for my “responsibility/adulting” stuff) … it’s just an arbitrary timeline that I’ve pulled out of my ass. 😳😁 So it’s not so much that I really have to do this or that by a certain time or day, but it’s more that I just trick myself into thinking that those things are mandatory and unchangeable… which often isn’t the case. I gotta quit stressing myself out with dumb shit like that.

Same Ol’ Song and Dance

Ended up staying awake for 28 hours straight, then slept from 8a to 3p today… so now I’m likely to be up all night, which doesn’t really help with my plans for tomorrow in the early afternoon. I’ll keep my fingers crossed regarding that, but man… so glad to finally have my medication in hand. It took some oomph to get up and go in town to get it, but yeah… this month was ridiculous when it came to getting these filled. They weren’t even new scripts, just refills.

If I didn’t know how much I’d hurt, and how negatively my ability would be affected, I’d try to wean myself off of this shit. Not only do I have to go through this routine nearly every month, but in the days leading up to when I call for my refills – I’m already starting to worry what type of clusterfuck will happen this time, that will end up with me going through temporary withdrawals. So basically 1/3 of every month is either spent worrying about my refills, waiting for my refills, or suffering withdrawals from being delayed from getting my refills.

Gah… so tired of it. But yeah, I think frustration built up over the past couple of days, which is why I ended up barfing out those two super-long recent blog entries about all the stuff going on down in Florida. I needed something to take my mind off of how I was feeling, and that seemed to do the trick. But it looks like I’m going to have to set back even more of my meds for the end of the month from here on out. Shouldn’t have to short myself each day just to make sure I don’t run out when I get screwed over, but yeah, I guess that’s what I have to do.

Believe it or not, even though my court case was back in the middle of February, they still haven’t made a determination. That might account for some of the delay, if they were waiting and hoping that I’d lose my right to those meds, but who knows. Whenever I do get a chance to talk to my lawyers next though, I do intend to point out what’s being done each month to see if there’s something that they can do – or even if it could be seen as some sort of spiteful or unjust action that could carry some sort of penalties for them.

Reality tells me there’s not shit they can do, that I can be yanked around basically as much as they wanna yank me around, and that it’s up to me to figure out how to protect myself towards the end of each month. Ahh, what a feeling.