The Hypomanic Toll Booth

I’ve been in a hypomanic episode since since I wrote A Mixed Bag on September 26. You can count. It’s been about 12 days. My record is 14.

It started out pretty dysphoric and it was thought that I was going through an ultra-rapid cycle. That’s unusual for me. My hypomanic episodes are usually awesome. I hate to say that, and I’m not encouraging anyone to indulge any kind of mania.

Normally, I have these incredibly euphoric and productive hypomanic episodes. I am overloaded with confidence and ambition. I feel like I can take on the world, and I often do. I have overly high self-esteem where I boast and brag incessantly. I’m hypersexual and that’s always met with great enthusiasm. I do indulge that hypomania by getting everything I can out of it.

Because I know that I will inevitably have a terrible crash into depression. That’s why I call it a pendulum. The further the pendulum swings into mania, the further I can expect it to swing back into depression.

I’m not a very active person by nature. One of the main reasons why hypomanic episodes are limited to 5 to 10 days is because my body simply can’t take it. Hypomania forces my body to be as active as my mind. Therefore, I either experience a mental crash that pulls my body with it vice versa.

Thursday morning, 4:56AM, I was awoken. I had a sense that I had been in a near waking state for awhile. By whole body ached, even in places it doesn’t usually ache. I had the worst pain in my head. I wasn’t even tired when I got up, although I had only slept three hours by then. I took two ibuprofin and a half a milligram of xanax with the hope that I’d be asleep again soon. At 7:03AM, I was back in bed.

I’ve been in agonizing pain all throughout my body when the ibuprofin wears off since.

Am I sick? It feels like the flu with no fever. No fever, no illness. Is it because of the Beni Koji I took on Thursday night? I’m not sure, because I figured my body should have processed it by now. But, I have another idea.

I think my body is finally giving out under the hypomania. Too little sleep, too much activity. But my mind is still pushing on, although there are moments where I am absolutely incapacitated with pain. I’m still ablaze with hypomania!

Why and how is this happening? How long can I expect to be hypomanic? Really, I’ve never exceeded 14 days. Will this pain go away? Should I see a doctor? Is the pain related?

Any ideas? I could use as many POV’s as I can get.

Leep-Into-Cin – Part III

Warning: The following content can be considered graphical in nature.  It may contain material that may not be appropriate for certain audiences.  Children under the age of 18, those of the male gender, and others faint of heart may want to take extra care while viewing this.  Use your own discretion.

Bringing in the Big Guns

After the experience where I was left stranded on an operating table, I had grown animosity toward that doctor that performed my surgery.  I refused to see her, and I refused to go through any more procedures.  It didn’t matter.  I had lost my insurance again and there was nothing I could possibly do.  The only other option was to return to the clinic so that they could slowly kill me with their negligence.

I did break down and go to the clinic, but only for a required Pap to receive birth control.  I took the call when it came.  ASCUS, same news, different month.  I couldn’t face it.  I didn’t want to do it all over again.  But as usual, Planned Parenthood didn’t really take this news seriously.  I didn’t plan on going back anyhow.  The nurse practitioner butchered me during that routine exam and left me bleeding for a week afterward.

Finally, I had good health insurance and went to Magee Hospital Womancare.  By chance, I was given to a doctor that specialized in woman specific cancers.  Upon our first meeting, I didn’t care for her.  She was cold, calculating, and blunt.  She reviewed my records, took a pap, and sent my samples off to an Oncologist – the first time a real cancer doctor had ever seen my file.  I was relieved, but I couldn’t stand her bedside manner.  Her words were few and her work was rough and quick.  At least it was quick.

I got the good news of my first negative pap in years!  I celebrated!  The dysplasia was gone!  I rejoiced at having that burden lifted from me.  No more would I worry about growing more cancerous cells, as day after day passed.  I could live without constant concern of death.

Until April 2011.

I had neglected to get my six month pap and was coming upon my yearly pap.  The office tried to contact me and I missed several appointments.  I was very busy now.  I had just been accepted into my first teaching job and was responsible in the spring musical as the Music Director.  The very night of the show, Womancare tracked me down.  I paced backstage and scheduled my appointment for spring break.  I realized the urgency and knew I was running out of birth control anyway.

The pap was bad.  ASCUS, again.  There was no infection or alternative explanation.  Another colposcopy had to be done to confirm all of our fears.  I scheduled it for the first week in June 2011.  I knew I would be laid off by then and would have plenty of time for recovery.  But, as you know from previous posts, I had developed the flu which turned into pneumonia.  I missed the appointment, and rescheduled for July 15, previously noted in “All the Pretty Things”.

What I didn’t mention was the nervous bus ride into the city.  Nor did I mention the walk alone through Downtown, only mitigated by my bravery to do it alone after C.S. once again failed to attend at the last minute and serenity found at the fountain.  I laid on the table in the familiar position – feet in stirrups, staring at the ceiling.  I felt the vinegar sting the tissue inside of me.  I sighed.  Then, there was a feeling of a stab, twice that of a shot, and enough for me to lose my breath.  I heard the doctor say, “That’s not enough of a sample.” and then came another unbelievable stab that had me seeing stars.  I cried out in pain.  Just keep breathing, keep breathing.  The tears flooded to my eyes and another slice that felt like a twisting knife in my insides.  Breathe.  Keep breathing.  I told myself over and over, but I was choked with tears from the incredible amount of pain.

The doctor was uncharacteristically sympathetic.  She asked me questions, but I could not speak.  I could not catch my breath to tell her that I just needed a moment.  She offered me a cool towel and I declined.  She offered me a cool drink and I accepted.  I tried to get up, but she insisted that I lie back down for awhile.  I needed time for the apoxy to take hold to cover the internal wound.  I needed time for the cramping to go away before I should move.  She knew more than anyone else in my life that all I needed was some time.  I sipped the water, caught my air, and said to her, “I don’t remember it being quite that painful.  Then again, I don’t remember it being quite that fast either!”  I was trying to save face, but it didn’t matter.  She had seen the twisted look on my face with my eyes squeezed shut.  She asked about my condition and I told her I was OK and that I still needed to catch my breath.

I was still choking back tears.  I was ashamed that I couldn’t handle the pain and cried.  I was so alone.  I was furious that C.S. had not made more of an attempt to be with me.  But more than anything, I was sad that I had been let down again.  And I knew I would have to drag all of that physical and emotional pain down the streets of Pittsburgh, back home with me, and into my home to face my son alone.

All alone.

The Anticipated Call

The office assured me that we would have a result by Friday.  I knew what they were going to say.  I had hoped that they would say that it was CIN I, and we could wait.  But I knew it wasn’t.  Just like I knew in the beginning that I would be in the 10% where this doesn’t resolve on it’s own.  Just like I knew after the cryosurgery that this wasn’t the end of it.  I wanted to believe differently, but in my bones, I knew better.

Friday morning, I took the call.  I was in my mother’s kitchen while T.D. was downstairs watching Spongebob for the gazillionth time.  CIN II.  This time they wanted to perform LEEP because of my advancing age, history with this disease, and my current grade of dysplasia.  Seemingly, it was progressing faster this time.  Or else, the cryosurgery just didn’t take.  I knew all of these things, because I often have the power of foresight.  At least when it comes to my body and my mind.  But, there is nothing that can actually prepare you for the news.  There is also nothing that can prepare you for what you are facing.

The nurse I spoke to wanted to schedule a surgical consult before we proceed.  I was puzzled and felt some looming threat.  I had never been offered a surgical consult before.  Apparently, the doctor and I have a lot to converse about.  In the meantime, I am left my with racing thoughts and full internet access.

A Rock and a Hard Place

Each surgery presents the problem with damaging the cervix with scar tissue.  If enough is amassed, that may pose problems for future fertility.  The statistics say that cervical stenosis, the narrowing of the cervical canal, is about a chance of 1-2%.  But the statistics are a little more unclear when it comes to cervical competency to bring a fetus to full term.  The more they take of the cervix to remove affected cells, the thinner the cervix becomes, which destroys its integrity.  In summation: If I have this procedure, can I have the second child that I’ve been trying to plan for?

But what are the chances if I wait to have the procedure until after my second child is born?  Will I develop invasive cancer in the meantime?  Will they have to take my uterus if I decide to wait?  What is the risk?

It would break my heart to lose the second child I so desperately want.  But it would destroy my body if I were to have a hysterectomy, or worse, to face death due to cancer.

Another waiting game lies ahead.  I do not have my consult until August so I cannot have any of my questions definitiely answered until then.

The sword of Damocles hangs over my head.

All because of two complete assholes that I trusted and loved.

To be continued . . .

Somatopsychic

Definition of PSYCHOSOMATIC

  1. 1: of, relating to, concerned with, or involving both mind and body <the psychosomatic nature of man — Herbert Ratner>
  2. 2: of, relating to, involving, or concerned with bodily symptoms caused by mental or emotional disturbance <psychosomatic symptoms> <psychosomatic medicine>

We hear it so often, especially when relating to depressive symptoms.  Depression hurts.  Ever heard that expression?  Probably.  That is, after years and years of being called a hypochondriac, lazy, dodging responsibilities, neglectful, irresponsible, neurotic, uncaring, inattentive, a complainer, and a flat out liar.  You might still be getting flack for that, right?  I sure am.

We’ve touched upon the issue of bipolar depression and it’s limitations at Dailystrength.org’s Bipolar Support Group and again in Blogging Beepers throughout various posts.  Bipolar depression literally destroys us both mentally and physically.  It’s a proven fact that bipolar depression and hypochondria  have nothing to do with one another.  The aches and pains are real.  The exhaustion and fatigue are too real for words.  The headaches are blinding and are just as real to us as they are to you “norms’.  Depression causes a variety of symptoms that aren’t just made up in our heads.  And they sure as hell aren’t made up because we’re too apathetic toward our own lives.

I’m a control freak, much like Mwam who writes “I Was Just Thinking…”.  I cannot stand the idea of someone else having to take the reigns of my life.  It is my body; it is my mind – I can do, say, think, whatever the hell I want.  Except when I cannot physically or mentally do the things that I think and want.  I don’t put the responsibility on anyone else.  I don’t throw my kid at the nearest person because I’m having a breakdown.  I don’t let the bills go unpaid and I don’t let my house get to the point where it would likely be condemned.  I wear my stylish clothes, dash on that makeup, and I don the smile that you trolls love so much.  I keep on moving at MY pace, where the “norms” like it, or not.

Which brings me to Monday.  I noticed that I had been losing pace unusually fast, and my physical health had turned for the very worst.  Unusually so.  I had made a recent, but passing mention of a physical illness in, “When it Rains, It Bleeping Hurricanes”.  And since “To See If I Still Feel”, I’ve been making multiple mentions of a lingering depressive episode.

I bring you a surprising answer.

Definition of SOMATOPSYCHIC
: of or relating to the body and the mind; especially : of, relating to, or concerned with mental symptoms caused by bodily illness >

Shortly after the accident, I contracted what I thought to be influenza.  It happens biannually.  This year, it was the stomach flu at Christmas, and the body flu in the summer.  The year before it was H1N1 (or Swine Flu) over Halloween and “viral syndrome” (AKA summer flu in doctor-speak because, they don’t seem to think anyone can catch the flu outside of flu season).  I hate it, but that seems to be the rhythm of circulating illness.

Anyhow, during this June influenza, I developed laryngitis, and as a music teacher, this is bad, bad, bad news.  As a wife of a man who has diagnosed hearing loss but is too vain for hearing aids, it was the most aggravating thing to ever happen to me.  99.9% of As the Pendulum Swings readers have never met me, seen my face, or heard my voice.  I am very careful to preserve anonymity.  (Yeah, come find me among the 1,223,348 people that live in Allegheny County, PA!)  I’ll tell you this.  I am a 5 foot 1 inch powerhouse of sound.  If I were a stereo, my speakers would be larger than I stand.  I don’t need a microphone in assembly halls, cafeterias, stages, or theaters.  Literally.  So having the mother of all sore throats that preventing me from speaking at all was a challenge.

But this continued for over a month.  I didn’t want to see a doctor because I knew I would get all fired up when they told me it was something stupid like allergies, asthma, cold, etc that could not account for these symptoms.  But they would.  Because I’m a big flippin’ hypochondriac.  And I would’ve been a whining drama-queen who blew my symptoms out of proportion just so I could go on being lazy.  Over the last week, though, I noticed that I started to lose a lot of traction.  My throat felt like there was glass in it, I had a half an octave surrounding my speaking voice, I was intermittently running a low grade fever, and I had a super sensitivity to changes in temperature.  I noticed my behavior changing.  I started letting go.  I let my kids in my classes have free periods.  I couldn’t go three hours with the dire need to sleep.  I let my kid destroy the house and hardly said a word to him.  I couldn’t.  My throat hurt so bad that I would only talk when it was absolutely necessary.  But when the shortness of breath came, I knew that wasn’t anxiety or any other psychosomatic symptom.  I literally wasn’t getting enough oxygen into my body.  And I started to feel it – HARD.

My husband pretty much reluctantly took me to the local urgent care after he got home from work yesterday.  He kept saying, “It’s up to you, it’s up to you.”  Manslation – I will take me if you tell me that I have to.  It turns out, I have (drum roll please!):

Walking Pneumonia!

Walking pneumonia with acute bronchitis complicated by history of asthma, as a secondary infection to influenza.  And do you know who invited this illness into my ecosystem?  It wasn’t the children.  It was the dirtiest, nastiest, smelliest, most abominable creature I have ever encountered – Rs (we’ll call him).  Rs is my husband’s estranged best friend who recently made reconciliation.  When this guy comes around, it never fails that someone becomes deathly ill.  One year, we thought he gave C.S. SARS because they both had respiratory infections so badly.  (Neither confirmed, nor denied.  No one had health insurance).  C.S. was almost too sick for our first Valentine’s Day.  The only person in my family Rs hasn’t gotten sick yet is T.D.  And if T.D. ends up in the hospital because of that misogynistic germ breeder, there will be hell to pay.

As my doctor is giving me this information, the light bulb goes off in C.S.’s head.  “Oh yeah, Rs had that about a month ago!”  Smooth operator there, Einstein.  You could’ve killed your wife who seemed like the only person susceptible to this illness!  And speaking of, how was I the only one who got any of these illnesses in the first place?  Oh yeah, because I don’t have an air conditioned bedroom, I sleep next to the fan, I spend at least two hours a day in the elements in my commute, I don’t sit at a desk all day to do my job, and I chase after a hyperactive toddler all day.

“This bleeper is going to get an eyeful when I get my phone back.”  Yes, I was sick enough to leave my Blackberry, which is normally an electronic appendage, at home on the desk.  The text message conversation looked a little like this:

So it turns out that for all of this time, this entire month, I have not been having an episode.  My psych meds were ineffective because they aren’t made to treat somatopsychic illnesses, like pneumonia caught by a music teacher who just so happens to have bipolar disorder.  Only the Z-pak, 60mg of prednizone, and sucking an albuterol four times a day is going to cure that.

I will never let anyone call me a hypochondriac again.  Eff you “norms”.