Drugs – Niche-Me…

Doctor messes up.

I’m… well… very angry. If I could get this guy fired and reported to some agency to keep him from prescribing medications, I would. Darn straight! 

This “doctor” (He’s a PA-C. I don’t even know what that is. I know what a PA is. What’s the “C”? Crackpot?) Okay, back to why I’m so angry. 

Last time I saw this guy, let’s call him JH, he was reciting out loud what medications he was sending electronically to the pharmacy for a refill. As he was reading them, he said, “Lamotrigine–” To which I said, quite firmly, “No, that’s not one you fill. You’ve never filled that. S fills that.”

The guy’s never ordered this for me. Why would he? This is my mental health person’s job. He’s NEVER filled this for me. (I know I’m repeating myself. I’m hoping the Universe or something will smack him.) He does Oxycodone, Lyrica, and the one for restless legs. He’s my pain mgmt prescriber. (This should be scaring you.)

“Do NOT fill that drug.”

I was so mad. The pharmacy told me to call his office and inform them of the mistake. So, I did. No one would talk to me. I was sent to his PA’s voice mail. No one ever called back. 

I also called my mental health clinic and left another message, this time for them. I wanted them to be aware of the problem. A floater nurse called me back pretty quickly. We were on the phone about 18 minutes. She had no idea what the heck was going on. Eventually, about 2 minutes before I needed to leave to go to her actual building to see my counselor, she let me go. 

You know what the result of that conversation was? She concluded that my regular MP (med provider) had been weening me off Ritalin and that now I should have stopped taking it completely. 

I responded the only way I could – “Yeeeeessss?” I mean, what if she found out that I was still taking them? I was already getting paranoid at this point so I didn’t know what to say. I’m really am supposed to be taking it. My counselor (L) and I had just decided that I needed to ask to have it increased!

When I got to see L, he told me that he’d already gotten the email telling him what had happened. I told him about the Ritalin issue. He looked at my chart and immediately said that it was clear that I was was supposed to be on it. In fact, I was supposed to be taking the two pills. 

Sigh. So, now I have too much Lamotrigine and no Ritilan. I’m angry. 

This morning we took my Emotional Support doggie to the vet. She vomited blood right after vomiting on my bed. Thankfully, she’s going to be okay!

I’m stressed and weary. 

Angry. Stressed. Weary. Sigh

Idiots

My Millennials help me now. I have three. They help monitor my meds. The one that lives with me fills my medication box thingies. The second one lives down the street and comes by to visit and help out pretty often. The youngest is married and about to graduate from the same university that I did. 

I will not be killed by people who value my life so little that they cannot take the time, or get help, to read my chart properly or return my phone calls. 

I have managed all the stress from raising kids. I have not killed myself. I won’t be killed by these morons. I will protect myself. I will stand and not let stupid people sneak up on me. I fight with myself every day and I survive. I will survive these people too. 

Mel Robbins (I think it’s her) says that at the end of the day there will be no White Knight riding in to save you. No one is going to rescue you. You have to do it yourself.

There are frequent times when I can’t do this for myself, but today, this week, this moment, I can. I’m protecting myself. I’m going to do what I can to make certain that the people responsible for these screw-ups, won’t be able to do it so easily again. 

I’m pissed off. I haven’t killed myself. I’m not about to let incompetent medical professionals kill me. 

This is MY day. I will live it MY way. I will not let ANYONE take it from me. Not ever. 

Opioid Dependence and Mental Illness

Pile of pills

I’m not an addict. I’m not! I’m mentally ill. I have Bipolar Disorder. I also suffer from chronic pain in my lower back.

My primary care doctor (PC… PCD? Uhh… let’s go with MD) had been prescribing me oxycodone for the server and persistent (chronic) pain that I’ve had for years. After being active and doing something super strenuous like gardening for 15 minutes I think I’m dying. I’m exaggerating of course, but when I work as hard as Atlas does while holding up the world my eyes leak, I whimper and sit down. Sometimes I end up laying on the floor. The floor is such a very bad idea. If I straighten my legs my whimpering becomes desperate and I realize I’m crying. If I forget myself and straighten my legs I’m done. I can’t move. The pain paralyzes me.

I’m NOT an addict.

When I can think again, I try to find my phone. If I can’t find it right away I feel the panic rising and it triggers thoughts and emotions I thought I’d had under control.

This last time I thought I was managing my mania and depression (mixed state, rapid cycling) pretty well. I haven’t bought piles and piles of books on ducks or Oprah or how to be an astronaut. Honestly, I really haven’t. But please, don’t ask me what I’m thinking about. Also, I’ve been able to get out of bed AND wake-up in the morning and even go for walks. My depression skips through the dandelions with the mania comingling into a mixed state, which is always confusing.

I’m not an addict.

After many months of giving me a legal way to get my the Oxycodone I take for pain legally, and for free. The label on the bottle says I’m to take the little unassuming pills three times a day. They are 20 mg. Currently, I’ve convinced the assistant fellow at the pain clinic to reduce my Oxycodone to 20 mg twice a day.

I’m not an addict.

I’m mentally ill. I have Bipolar Disorder, ADHD, chronic pain, and other stuff.

I was referred to a pain chronic clinic… ah… chronic pain clinic, where my Oxycodone prescription was reissued. A five-minute verbal probe, that’s what it took for the doctor to determine whether or not I needed the narcotic. We didn’t talk about Bipolar Disorder or any potential interactions the Oxycodone might have with drugs that are meant to manage my wild emotions or tame my fantastic panic attacks. I’m not certain she has any record of my current medications. She asked questions, and I quickly tailored my answers to fit what I thought she was waiting to hear. She made a few notes on a paper as small as her palm. I wondered if she was actually making notes that she could refer to later. She thought for a few seconds and then wrote the prescription. I sighed in relief.

I’m not an addict.

A while later, like over a year or maybe two, I’m still taking the narcotic. The clinic has new owners and staff. They no longer asked me questions. Sometimes they required a urine test. Then, they stopped asking me anything at all. We spent my appointment chatting. I started asking if we could please try to figure out what was causing the pain and try to deal with it by correcting the problem. I wanted the pain to stop.

They didn’t listen. They wrote the prescription without hesitation.

I’m telling you, I’m not an addict.

My mental health drug dispenser began paying attention after I updated her about my drugs and included Oxycodone in the list. She stopped talking about whether or not my meds were working to stabilize my moods and started talking about “Black box” warnings.

She had my attention. I started to panic.

At the time I had over five medical people prescribing medications. They didn’t know what the other office prescribed me. They relied on me to tell them the truth. I didn’t have to tell anyone I was taking Oxycodone. That got me thinking.

I’m not an addict.

Later…

I’m still asking the medical folks to figure out the cause of my chronic lower back pain. I’m still not getting results. I’m getting way too much Oxycodone every bloody month.

Because I can, I’ve been researching my of collages of illnesses, disorders, and psychological malfunctions.

Ah ha! Black box warning. Do NOT take anti-anxiety medication (benzine’s) – death may result.

Oxycodone 20 mg

I recently saw Dr. T, my very superior knee surgeon. He saw the condition of my spine when he was looking at the x-rays of my hips. He was making certain that my persistent knee pain, post second replacement, wasn’t being caused by anything running amock in my hips. He was eliminating any possible cause of my knee pain before he even considering using surgery to further correct the inept effort Dr. B made the initial knee replacement. Dr. B successfully replaced my knee, but that’s where the project ended.

It sucked. My leg from the knee down, well, it kind of turned the wrong way.

Dr. T corrected the first replacement. He tried to minimize the damage his surgery could do while trying not to blow up my entire joint… okay, the joint that was already gone.

Dr. T showed me the x-rays he’d just had taken and explained where and why he left Dr. B’s “efforts,” while replacing the replacement. A month ago we tried a shot to relieve the pain and keep from having to have surgery again.

Nope. I’ve had no relief from the pain. In fact, my brain was overjoyed and thought that my knee was doing awesome. Holy cow! I should NOT have knelt down like that! Looks like surgery is probably what our next conversation will be about. I’ll need to be on pain medication again…. I intend to be off Oxycodine ASAP. I would really like to have some kind of painkiller to take after surgery – assuming I have it. Always be prepared! Sigh…

I’m not an addict.

After my constant complaining about my back pain that happens every time, I do regular human type activities involving the lower back. I’ve finally had x-rays of my back taken. Holy heck. Next stop is at a spine doctor.

The online personal information provided by my medical organization includes this: Opioid Dependence.

My chronic pain clinic instructs me to continue taking the Oxycodone. I haven’t been able to identify any specific relief from the pain in a long time. I have never felt any “fun” results from taking it. It has never made me feel sleepy.

I have found that taking Oxycodone at bedtime with the medication I take for Restless Legs Syndrome (RLS) helps me to get to sleep and not wake up in agony caused by the RLS.

Am I an addict?

“Taking opioids over a long period of time produces dependence, such that when people stop taking the drug, they have physical and psychological symptoms of withdrawal (such as muscle cramping, diarrhea, and anxiety). Dependence is not the same thing as addiction; although everyone who takes opioids for an extended period will become dependent, only a small percentage also experience the compulsive, continuing need for the drug that characterizes addiction.”*

I’m mentally ill. In my opinion taking any medication, especially one that alters my brain chemistry (opioids do this), should be thought about and discussed with other medical personnel who are also responsible for my continued living – and to live my best life.

Am I an addict?

No.

I have Opioid Dependence.

Dependence. I can live with that, but look, let’s get rid of that too. Okay?

{I have Bipolar Disorder. I’m a little manic now. I’m using it to write and post while I can. So, for now, I will post often because tomorrow, I may be depressed and unable to say what’s on my mind. I may not have anything on my mind.}

* https://ghr.nlm.nih.gov/condition/opioid-addiction

Bipolar – I Think You Should Take Fewer Pills

I’m going to notify my counselor that I must be rid of my med provider as soon as it can be arranged. I’ve told Arthur, my counselor, that I don’t feel that Jamie (med provider) is working in my best interest. My next appointment with her she started right off by confronting me about what I’d told Arthur. I confessed thit it was true.

It got me no where.

She says that I’m on too many pills and she doesn’t want to add anymore. Apparently, this is her rational for not giving me medication that might actually have helped me.

I’ve been practically begging for something for my anxiety that only get’ s increasingly more consuming with each passing day

This whole school year has been like a nightmare.

She doesn’t want to give me more pills? Bull!! It is not her choice to decide whether what other doctors prescribe me for illnesses she knows even less about than I do.

She has repeatedly used this as an excuse not to give me something that could prevented me from my brake down. I have high cholesterol, my thyroid is out of whack, I have chronic horrible lower back pain, I have FM, RA, OA, a facial tick (probably stress related), PTSD, and have recently been diagnosed with IBS-d. It’s a crap load of stuff, but they have all been dealt with by someone more intelligent than she is.

I’ve asked each and every visit for something to help with the burning anxiety. She refuses. She gives me fewer chill pills.

Does she think I like taking a handful of pills twice a day? Moron.

I’ve finally had a breakdown. I blame her. In December I confessed I’d been having thoughts of harming myself. I’d hidden that for years, but at that point it was too much, and I confessed it.

She did nothing.

If I can’t trust my med provider to guard my mental wellbeing, than who will? There aren’t many options here.

I’ve started to shake, Twitter, and twitch again. I’m graduating today. My anxiety that mixes like a charm with my mania and depression making my constant mixed state even more confusing and painful. It’s too much to handle anymore.

I’m firing her. She truly doesn’t have my best interests in mind. I don’t need one of my medical professionals contributing to my madness. That’s just sick.

A Confession & Positive Med Visit

CONFESSION – Impact of Bipolar Mania – 
In the last few years, I’ve accumulated 15 websites, blogs and email accounts.

Yesterday I visited with my Med Provider Jamie. She finally heard me. She decided that my mood stabilizer wasn’t working, so she’s increased it and has me taking it twice a day instead of just once.

When I first got there, she started by saying that my counselor Arthur had told her that I really felt that she was doing me more harm than good in her treatment of me. I said yes, I felt that way. Then I explained why. I have been feeling at least as bad as I did when I wasn’t being treated at all with meds for my illnesses.

She also agreed to talk to my Chronic Pain Management guy about taking medications that it is strongly suggested that they not be taken at the same time. He didn’t agree with her stance on the subject. I want to mention that I’m almost completely off my pain meds now. (Boy am I feeling it.) I’ve done this so she’ll stop complaining that I can’t mix my meds (a Benzo and Oxycodone). The problem is, and I should have realized this before I lowered my pain meds, that at the clinic I go to they don’t want me taking the Benzo at all. I felt threatened when she informed me that some of the providers there would just cut me off right now. I responded by pointing out that she wasn’t doing anything about my super massive anxiety.

This last quarter I started having outbursts in one of my classes (4 times in one class the professor had to come and get the guy I was arguing with and myself to be quieter). It was humiliating.

I’ve also been experiencing rage. It’s been a really long time since I’ve felt this bad. I admit… I’ve been really scared that a meltdown is coming. Now that she’s adjusted my meds, I feel like things might get better.

Bipolar – Med Provider Day

I’m unstoppable.

I’ve been trying to sleep, but it eludes me like a chicken running for its life.

I’m going to see my med provider at 10 in the morning today. I hope she listens this time. If she doesn’t I’ll be requesting someone else and informing them of why I’m choosing to under go all the stress that comes with a decision like that. I’ve had enough.

I’m going to confront her with the facts. I’ve been keeping a list of my symptoms since I saw her 30 days ago. It has grown quite long. It looks even worse than before I was being medicated.

I’m unstoppable.

My pain management guy and I had to ween me off one of the long acting pain killers I’ve been taking for a couple of years because of supply issues. I went from 100 mg twice a day to 50 mg over night because there wasn’t anymore to be found anywhere. No one knew it was going to happen so there was no helping it. It didn’t feel so great. Then we kind of gradually weened me off the rest. Now my pain level is constantly higher. Also, the torn fascia in my foot still isn’t healed. It’s painful. I got special shoes for it today. But as the compassionate woman said while I walked around and around testing shoes, my foot was going to feel soar and tired. It still is. It wasn’t fun.

All this has added to my overall stress level, as you can imagine. Withdrawal is never a good time, nor is added pain.

I’m unstoppable.

I will be thankful if my counselor, Arthur, can make it to my appointment. He said he’d try. He feels it is important for her to understand my mental state from his side of the equation. He’s been with me two previous visits.

It hasn’t helped.

I’m still choosing to be unstoppable.

I may stumble, and I may fall over and over, but this damn illness is not going to continue to run my life. I’m very ill. I’m too exhausted not to fight anymore. I feel like my life has been a waste.

I’ve had enough.

I’m unstoppable.

Help me. Or, stay out of my way.

I refuse to stop!