Notes, Vicodin, and Wounds

Finally, I couldn’t take it anymore. I excused myself to “put Trent down for a nap”. And I curled up in the bathroom, blanket wrapped tightly around me. A safe cocoon. A straight jacket.

The intrusive thoughts came in the silence. At first, they were indistinguishable from the rest of the noise. Then, one came out very plainly, rolling as a hardly audiable murmur from my lips.

“Why?” the sobs welled in my throat as the tears poured down my face. I smalled the sobs for as long as I could.

“I am so alone,” I whispered. My face contorted. My jaw tightened as my top teeth extended out. An enormous sob was lodged in my throat. With all of the power of will that remained, I silenced it.

“He doesn’t love you. If he loved you, he would have tried.”

“Your marriage has failed.”

The voices barraged me relentlessly with intrusive thought that had no real evidence. But the absence, the distance, was enough for me to formulate theories.

I was no longer slow dancing in the burning room. I sat at the piano, alone, playing out the most sour of melodies. This had been evacuated a long time ago. I took in a lungful of dark, black smoke, and now I was choking on it.

“You should runaway. Leave your phone and just hide. It doesnt matter that it’s 30F and raining. Leave this place.”

“I won’t give up my son.”

“Break shit. Starting with dishes and glasses.”

“And then take more of a shit storm than I can handle.”

“Take handfuls of pills to make you numb.”

The crying ceased, and besides the stirring, turning wheel in my head, I was tapped out.

Desperate, as people get before they die in a tragedy, I slinked back up the stairs and into the room. The house was silent, heavy with slumber. I reached into the back of the drawer. I took a vicodin, the drug that almost killed me the last time. I didn’t care. Come what may.

Grey suicide.

After I let the drugs settle in, I started the note. i explained the fundamental problems. No affection, save for the verbal foreplay. Disinterest and dismissal. Isolation and alienation. A communication block. Walking on eggshells to keep him happy and sane. Oppressive states of living, impossible expectations. All of the things I could never say to his face.

And that was only an overview.

I decided to move forward with my impulse to leave. I planned on leaving my phone and hiding away at the trestle. Alone. A place of refuge where no one would think to look. Save for Chris, who would be unlikely to consider it.

I went into the bathroom donning only a bathrobe. It was warm. I discovered a boxcutter I had hidden nearly a year ago. the temptation was irresistible. It was the only way to make these thoughts go away. To make it all disappear and usher in the empty mind born only from numbess.

To my dismay, it was dull. I had to tear at the flesh on my still shishy hip. Five lines. One for each year we have been together. I could have kept going. I stared at the bleeding cuts, satisfied with the pain and the amount of blood I had drawn.

And I looked up into the mirror at the red nosed, disheveled girl with the wild look in her eyes. Something primal existed there. That girl wasn’t me. I was staring at a loathsome stranger.

I got up, ready to sear my skin with the hottest water I could withstand. I was ready to shave every inch of my body. I scrapped and scratched away the flesh staining me. I wanted to wash this day away.

It didn’t end there. I returned to the upstairs to find him awake. I questioned, “Have you read my note?”

“No, I’ll read it later.”

“You really should consider reading it now.”

Another excuse, “I have to make dinner,” while he continued to surf Facebook.

“It’s really important,” I pressed.

“Not right now,” he protested.

I was pushing now, “Then when?”

“I don’t know. Later,” he dismissed some more.

“A later that will never come.” I thought of all of the unread emails I had sent that went straight to archive. Not even remotely close to a priority.

“Because I don’t want to ruin my Sunday. The only time I have to relax before I have to go back to working 50 hours a week!”

In my mind, I said, “Which you *CHOOSE* to do.”

“Fine. If you do not care enough about our marriage enough to take time to read this, then I’m done. I can’t do this anymore. it can’t go on like this.”

“If you want me to read this so fucking badly, then I will.”

“No, just X it out. I’m done.” I meant it. I was finished with this marriage.

He did read it, mocking some parts of it, as I expected. I knew it wouldn’t be well received. If I spoke these words aloud, I’d suffer more dismissal and rationalizations. I’d suffer more pain through his outrage, pointing out my selfishness, neediness, clinginess, and what he considered to be my inability to see beyond myself.

We fought some more downstairs. Not tearing out throats this time. But in a heated argument. He quoted, “regarded coldy like a business associate”.

“Yes. Not even as basic as friendship. I am not a part of your personal life. I am never let in. In fact, I am pushed away, even physically.”

“I was sick, you know, after drinking more than half a bottle of tequila.”

“You’re always sick. Headache, stomach ache, body ache, anything that can hurt does.”

Sarcastically, he said, “What am I supposed to do. Go to the doctor and say, ‘My wife is pissed that I have pains’?”

“Yes, something. No more excuses. I will not except them.”

“How is it that one of us is perfectly happy? i am completely content.”

“Because the other person bends over backwards to make the other one is happy! I walk on eggshells to take your feelings into consideration and not upset you. It’s suffocating!”

He paused to think. Apparently, I had touched on something.

I know he’s going through something. But, this is no excuse. I don’t deserve this isolation. I do everything to satisfy. I don’t ask for anything out of the question.

I just want to be shown love. Satisfaction. I want him to want me. All of me. To recognize my efforts. To be delighted by my displays. To feel warm.

We reconciled. But, it’s Monday. Back to business as usual. No emails, texts. I didnt want to talk to him after work. I wanted him to suffer. To question if I was alright.

I’m not.

I thought it could be made up. I’m sure another disappointing date is upon us. He did take the time to set something up, likely out of guilt that he didn’t in advance. I wanted to spend some time on the sofa. And I was asked to sit on the floor in proximity to the sofa he laid on.

Daggers. I expected it. I wasn’t devestated. I was despondent. i warned him I was close to shutting down, just a day earlier. When I shut down, it’s over. i’ve given up. It would only be a matter of time before someone calls it quits.

Once a person is out, they are out. A wall will go up, impenetrable. And i will spend my time doing what I want, without any regard for his wants or needs. he violated mine. I may end up done with all of that.

Two more days. I’ll give him by the end of Thursday, the actual day of our wedding anniversary. After that, he’s on his own.

No more threats. Action.

I cannot suffer many more disappointments and rejections.

The Heath Ledger Paradox

Warning: This post has contents that may be hazardous to mental health.  It contains strong themes of suicide, suicidal behavior, and substance abuse.  Reader discretion is advised.

Have you ever had a moment where you heard the distinct and deafening sound of your own clock ticking down?

I have only heard this sound a handful of times. The first few times, it was difficult to distinguish from the other garble in my mind. But, the last time this occurred, the sound was unmistakable.

Tick.
Tock.

It happens when my physical state is badly threatened, but I’m not mentally aware. That is my defense mechanism that seems to be biologically programmed to protect me. It is what creates the Heath Ledger paradox.

And that’s what I experienced.

The Heath Ledger Paradox

Some things happen by accident

Personally, not proudly, I have attempted suicide between a half of a dozen and a dozen times in my life. I don’t really keep score; there is no tally anywhere. In fact, in total, I have only left a handful of notes behind. They don’t always correspond to the actual attempt, though.

I am not a violent woman. My method of choice was almost always centered around substances. My very first attempt landed me in a bathtub with a belly full of pills. It was an unintentional coincidence between Sylvia Plath’s and Virgina Woolf’s suicides. I know this to be truth, because I was only in my early teens at the time. I had yet to read about these authors. And despite these attempts, even some carefully orchestrated with blatant drug interactions, I never succeeded.

What was different about me that made me a survivor of my own wretched malice? Many a person has done these things accidentally! Marilyn Monroe, Michael Jackson, Elvis Presley, Janis Joplin, Jimi Hendrix, Bruce Lee, Brittany Murphy, and many others are examples in our modern culture of how accidental overdose happens.

I met a guy in college that I stayed friends with. Eventually, we ended up working together. He was dismissed for failure to attend, and we all suspected he had a drug problem. A few days later, he was found dead in his apartment from a multiple-drug interaction. The guy ended his own existence with his own carelessness. How could he do it by accident and I couldn’t possibly do it on purpose?

That’s the Health Ledger Paradox. It is easier to succeed when the mind is unaware.

Last night, I accidentally set my foot onto the other side of the fence for a moment.

I still have impacted wisdom teeth on both the bottom left and right sides. These wisdom teeth have risen up partially in the back, causing skin pockets to form. Occasionally, I will get something trapped back there and a small infection will form. If I treat it immediately with a rinse and keep the pain manageable, I can usually escape a trip to the doctor and an antibiotic.

I detest going to the doctor to hear the same thing repeatedly. Yes, I know I need to have those teeth out. Though, I now have dental insurance, I do not have the money for a serious co-pay there. I just had a major surgery a month and a half ago. I don’t have the time or energy to spend in recovery. And I always feel worse on the “cillan” antibiotics than I did with the infection. Other women will feel me here. I usually end up with a worse infection in the end.

I had some Vicodin remaining from my surgery. Admittedly, I hadn’t taken many. I had a problem where the Vicodin would cancel the Temazepam out. I would be up for hours, sleepless and still aching. I decided that my body needed rest more than I needed pain relief. I had to heal. Last evening seemed like a good time to take it. I don’t know how I let the situation with my teeth go from uncomfortable to agonizing. But, it happened more quickly than my mind could have processed. So, I took the Vicodin.

Bad choice.

I spent the rest of the night staring at the white porcelain bottom of a toilet bowl. At first, it was akin to other bad reactions I had to other narcotics. I do not respond well to Oxycontin or Percocet. And this was a similar episode. But, by the sixth hour, I knew there was something terribly wrong. My stomach had already emptied itself twice and was going for a third. This time, only water remained.

By the seventh hour, it became clear to me. I leaned forward and wretched. It felt like my stomach was turning itself inside out, in hopes to vacate an invader. I literally felt empty, as if I had evacuated every ounce of anything I’d eaten in the last 36 hours. And it dawned on me. My body was having a reaction – but why? I had taken Vicodin before with great success. I took it after my surgery and this didn’t happen.

I couldn’t muster the strength until the morning. I had only slept five hours out of fear that I’d never awaken again. I decided to refer to the almighty Medscape Mutli-Drug Interaction Checker. I thought I remembered doing this. Typically, I screen all new medications coming in. As I was trying to rattle my brain for all of my prescriptions, it occurred to me. I did do this, but I had forgotten a very important medication, Wellbutrin.

Significant – Monitor Closely

bupropion + hydrocodone

bupropion will increase the level or effect of hydrocodone by affecting hepatic enzyme CYP2D6 metabolism. Significant – Monitor Closely.

lamotrigine + acetaminophen

lamotrigine decreases levels of acetaminophen by increasing metabolism. Minor or non-significant interaction. Enhanced metabolism incr levels of hepatotoxic metabolites.

That’s just the tip of the iceberg there. That’s among four additional interactions. Those are the most important though. That’s the reason I was hugging the toilet, wondering why my sedation was outrageous and my pain relief was minimal.

And I realized, I just set foot on the other side of The Heath Ledger Paradox. If it wasn’t for that mechanism, that beautiful inborn, DNA encoded device inside me, I would have been dead. Something in me told me not to take more medication when my pain relief was marginal. And that same thing kept me safe by alerting my body that there was a dangerous toxin that needed to be rejected from my stomach. There was still a tiny bit of knowledge encoded from some source that this was life-threatening.

Not everyone has that, and most people with it can bypass the safeties with enough of a loading dose. That’s the aim in a suicide – to get past the safety, just like a gun. Except, when most people knowingly stand on that ledge and look into the void, they turn back. The point with accidental overdose is that all of that is gone. It’s like playing with a gun without knowing if it’s loaded or if the safety is on.

That gun was loaded last night. Thank the powers that be in the universe that I have a safety.