Translate

Morning Joe

Nothing like a good cup of coffee in the morning. I've been making instant. I can't find the espresso grinder. 
I met a guy named Joe. Sharp fellow. He keeps it simple. Joe's not into bullshit. He doesn't care about names. He doesn't use fancy words. But he understands them. Yep, we could use a few more Joe's.  I knew a George. He kept it simple. Oh but he loves those analogies. I seem to remember a Keisha... there was definitely a Beth... yep... a few voices here and there... 
What do these voices say?

You have a good goal...
Strong Boundaries...
Bipolar is one of the most over diagnosed things in the book...
Don't go back to the table...
Enmeshed...
Think for yourself...
Natural solutions...
Clozaril doesn't help you...
I don't want to talk to your family...
Medical leave...
Lean on your counselor...
Stay out of hospitals...
PTSD...
You're not dangerous...
Dissociation...
Journal...
Process...
Medical complex trauma...
Stay away from meds...
Don't go back to the same people...
Don't go back to same places...
Stay home...
Advocate...

The Pill Factory (Adult Content)





I like the buproprion. It's orange. My school color. Now, the propranolol's are blue... I look good in blue...

Ativan's yellow... I don't like yellow. Dirty. Pristiq is brown. I like brown. It's a good color... the prilosecs are white and purple like... that's creative... keep taking those... why they make hydroxzine white? I mean, come on! 

You take the blue pill, you go back to your life, like nothing ever happened... 

You take the red pill, you see how far down the rabbit hole this goes. 

I'm hunting wabbits... ders a Psychiatrist around the corner... ready to tell me my fortune and get an insurance payout. How many pills can they manufacture? I'll bury a few out back. See if they grow. Or we can just add them to the water supply. Nevermind fluoride. My teeth ain't broke yet.

Let's see... take a stop down by valium, turn left by klonopin... past what's that version of ativan that lasts longer? 

Ah. Minipress. Those were the days... Be careful how you taper, folks. It gets real in a hurry. Thirty eight calibur real. EMS real. You know. The kind that kills people real. Black box warning! Black box warning! we're going down... call Prichards... oh he doesn't want to be bothered... too bad the medical board checked the paperwork. Blame that on Leaves. Go ahead. I'm listening. Find an LPC to blame. No? Medical board not buying it? Oh goodness. You can't be serious! They checked the friggin dosage!?! Why would they do that?!? There's gotta to be a social worker that'll buy this shit. Oh wait. Ran outta those. Let's get creative.

Well, maybe if you call the medical board and say shit, they actually check the paperwork... I wonder how I faked his records... or MIP's records... 

Naw. They'd never do that. I wonder how many years they check. I wonder how many prescriptions they found. The house was full of pills. Pills everywhere.  How many mgs did he have me on? How fast did i come down? How many people do we want labeled ptsd? Finding out day by day... Pills! Get your pills! Step right up folks, name your disorder and you will be drugged. Don't you go talkin to LPCs now! Don't you do that! We are the mindless! Eat and drug, i always say. Here's your symptom journal and your inventory. Don't forget to give positive feedback. This shit don't sell itself. 

You want PTSD? take minipress, do not talk to a counselor.

You want adhd? Become an overachiever. Try to save the world and find a psychologist. You'll be drugged by morning. Might have trouble eating, but you'll make it to depression eventually. Then you can look forward to Bipolar.

You want bipolar? Just run yourself into the ground. Suck it up. Try again. It'll look like bipolar after a while.

Get your pills! Come and get it! Shush up about that black box. We don't have black boxes. We have the commercials with happy people on them!

Preaching the Word

Let's see, who does not yet know, through paperwork or otherwise, that I have health problems? I could go camping next week, then those people will know. I could move to Hawaii, then Hawaii will know. Hablo Espanol. Mexico is nice this time of year. Maybe Canada has a clinic. Georgia probably already knows...

I could always remind McClean. Or Lost'n Rigged. I saw that Einstein shrink. The PhD in MA. Clarity, Clarify... there's bound to be a shrink in West Virginia that doesn't know. Word travels more slowly there. MUSC knows... Beth Israel Deaconess, how could they forget? They brought me back from Coma #2. The device in my chest is tracked by insurance and doctors, they all know... I hear McClean has so many campuses now! Tomorrow is a new Center! Ill spread the Gospel like wildfire! No, maybe only so many people NEED to know... that boundaries thing... it keeps coming up. Complex medical trauma... who wants to learn? Rule number one: doctors are not your family. Rule number two: the nurses ain't neither. Rule number three, techinicans can have loose mouths. What's that law? Shippa? Crippa? Cant be that important. Just ignorant and well intended. Terraform? Ship in a storm? I'll remember. Nevermind keeping people safe. Nevermind ethics. Let's go piss people off. Pretend we don't notice. That's working out well. Oh wait. That boundaries thing again. There's gotta be a boundary pill. I already ate the DSM. I ate the discharge summaries. It was hard on the plumbing. Maybe i can go to Phoenix, eat thier intake papers. I'd smoke them, but I'd need my inhalor... Gateway's are a bit bland. Need more spice. What would my insurance like to pay for next? I think the rTMS and ECT makes them a bit sick. Spravato irritates my respiratory... Anmed knows me... maybe they have a program or three. I'll just go state by state. Once all the departments of health and human services know everything, then i can move to the next country, then they'll know.

Tomorrow is a new Center! I'm saved! It's a miracle! By Doctor, I am saved! Clozaluyah! Liver be damned! Immune system be damned! Thank the doctor, I am Saved! What does this prescription say? Go home. Damn. They're catching on. Oh wait, here's another! Oh, no, that's a discharge slip. Oh the internist will be so proud. I love to make my doctors proud. I'm thier veggie. The technicians water me. Harvest season is coming. I'll go to the fair... oh look! Another blood pressure cuff! Damn this is fun! I wonder what the numbers will say this time? This is better then gambling. 


And now, a message from our Sponsors... the CDC... SCDHEC... every LPC south of the state line... Please do not try this at home. Do not overdose on Depakote. You go into comas that way. Do not not overdose on Lithium. You get dialysis if you're lucky and your body doesn't quit. Do not overdose on three different prescriptions picked up from CVS... you get the desire to sue someone that way... and you'll be lucky if you come back.... Do not see more then one Psychiatrist... you become the DSM that way... it's rather dull, much like the tax code.


I am the Doctor, Saith the Shrink...

Whosoever druggith and believith in Bipolar Shall Never die...

Yet shall he become comatose, Rise up and Run around...

He shall numbeth out... He shall run around...

He shall Psychociate...

I will pilieth on the Antipsychotics,

The mood stabilizers...

The benzos and the off labels...

I will referrith here and there...

As many times as neccessary...

I will titrate up the dosage...

Until he is completely numb and unaware...

And the insurance will pay...

Or the family will pay...

So long as he does not go to counseling or journal ever again...

Pillars

I'm feeling some relief. I've recieved the neccessary reassurances from the PA and the LPC. Whatever MIP does or does not know about me will become clear from those 600 pages, if not from that then from CCBH's records, the internist's records, the records from City Center Counseling, or from the work I do with the PA, the internist, and the LPC. Or perhaps from Springbrooks records, or the ER records... The LPC's office has consulted an independent psychiatrist as well. The PA and LPC are in lockstep, and I revoked all authorizations for PRISMA to discuss me with anyone without express permission. My medical care has been firewalled. Anyone who interferes with my medical care does so at thier own risk. Gateway knows, CCBH knows, city center knows, mip knows, Mindful upstate knows, SCDHEC knows, Vinewell knows, PRISMA knows, the internist knows, DSS is a phone call or click away, the local police are too. Even the Governor knows. So regardless of what anyone does or does not know, whatever these diagnoses mean, I truly will be ok. Given that I was flagged for a Social Determinates of Harm screening years ago by the old internist, whatever is or is not true about me has popped up on almost every radar across this state. I'm being watched. But these people are trying to help me. Anyone who stands in thier way will be noticed, flagged, and potentially tracked. Abuse has to be reported. Threats have to be reported. Every licensed medical professional has that obligation. Every social worker, every counselor, every hospital, every police officer. So regardless of what the truth is, so long as i follow medical instructions, there is no danger. And I'm home now. Where i can do that.

Shameless Promotion (Groceries)

 I divided my favorites list on Walmart+

Self Care

   Lightweight low dust litter tidy cat

   Friskies cat food

   Baking soda

   Hypoallergenic soap

   Irish spring

   old spice

   Axe body spray

   Laundry detergent with oxi

   Nasogel sinus moisturizer

   Crest Mult symptom alcohol free mouthwash

   Dish pods

   Dr Teals magnesium or lemon probiotic

   Multivitamin

   Hart corded earplugs with carrying case

   Loop noise canceling plugs

   Scope mouthwash, alcohol free

   Purple fluoride wash on occasion (dry mouth)

   Epsom salt

   Body Oil

Freezer

    Frozen fruits for smoothies

    Frozen fresh veggies

    Blue Bell ice cream

Pantry

   Pepperidge Oatmeal Bread

   Chamomile tea, probiotic tea

   Ginger ale

   Rao's homemade Bolognese sauce

   Whole wheat spaghetti and pasta

   Grated Parmesean cheese

   Vodka sauce

   Whole wheat bread

   16 grain bread

   Canned soups with veggies/beans

   Chicken bullion cubes

   Peanut butter with the "natural, label (brown)

   Olive oil... I keep canola and some butter j.i.c.

   Blue diamond almonds

   Medjool dates

   Pringles

   Stevia or agave

   Vodka sauce

   Electrolyte mix for water

   Orgain plant protein or generic

   Instant coffee, espresso beans

   Nutella

Refrigerator

   Greek Vanilla Yogurt

   Greek Plain Yogurt

   Eggs

   Lunch Meat

   2%, 1 Gallon

   Rotisserie Chicken, chilled

   BetterGoods Oatmilk Coffee Creamer

   President Crumbled Feta

   Hillshire Farms Ham Lunch Meat

   Block of cheddar

Meats

   Rotisserie Chicken

   Top sirlion or London Broil <Limited

   Center Cut pork chops

   Lamb Shoulder Chops <Rare

   Lamb Shank <Never tried

Fresh Fruit / Veggies 

   Baby carrots

   Baby Bella mushrooms

   Mangoes

   Bananas

   Red onions

   Black grapes, or red

   Spring lettuce (red head, sometimes boston)

   Cantaloupe 

   Cosmic Crisp Apples

   Sweet potatoes

   Kale

   Beets

   Ginger root


You can't get alcohol (beer, fruity wine, rum), but I do leave a tip. I like the substitution system for low stock items. They have incense. Gum. It's not as high end as prime. Shipping is less reliable. Plenty of choices though. Easy returns. Signature by pass code. Gift delivery available.

Ten Pounds

 Well, I thought I'd check the score...


McClean... 2 (over one year behind locked doors in dark spaces with no tv, nothing to do, never even going outside the building... not even once)

Springbrook ... 2

CCBH ... The infamous 1

Lost'n Rigged... 1 (roughly 1 year)

MIP... at least 3 as a teen, 3 in 20s, 3 in 30s, and 3 in the past year... at least 12 total inpatient visits plus 1 IOP and at least 3 Partial hospitalizations.

Heard from the LPC. Seems that MIP did some homework. They faxed the hospital records for stay number 12ish, but they went above and beyond. They decided to do some digging... the printer got busy... 100... 200... 300... 400... 500...

600 pages of documents in the mail. We killed a few trees. About 10 pounds. I'd like to be a little less interesting. I got curious. On the internet it says the average printed page has 250-300 words on a page. 250-300 = average of 275. So one hospital had roughly 165,000 words of history to say. I once referred to it as a third home. It wasn't a joke.

Then they wonder why I need disability. 

DXes tried on for size... 2 Bipolars, 3 depressions, 1 "non specified psychosis" (thank you CCBH and SSA), 1 GAD, 1 "OCD like behavior", 2 dissociative disorders, an aspergers, an autism spectrum, an Auditory processing, a ADHD, a sleep apnea, an adjustment disorder, dysgraphia, and a half dozen physical problems... at least 23 different disorders used as working dxs, with at least 12 independently confirmed. I've retired from medicine. 

2 comas. Memorial and Beth Israel Deaconess.

3 near death experiences including dialysis and CDC involvement.

So we talked about anger. Anger and I are good friends. It knows my mind, my heart,  and through Clozaril it knows my liver.

DID Roles, Part 2

 I got a little off track. DID Roles. I figured them out. 

Child

Communicator

    Psychology

    Childhood

    Running, physical and mental

Gatekeeper

    Guitar

    Teens

    Law, right and wrong

Helper

    Crisisline

    Young Adult

Solver

    Accounting

    IT

    Adult

Going on with Life / Continuing

    Adult

    Lives normal life. Cooks. Schedules.

Protector

    Wrestling

    Physical tasks

Unitary

    The Destination or Master

    Created in Counseling by a Non-Psychiatrist who's not addicted to Bullshit and Psychosis

All associated with different times, thoughts, functions, day to day skills, memories, people, trauma triggers.

DID Roles (ADULT CONTENT)

When I first learned about DID, I knew it from schooling. The old DSM IV name. Multiple Personality Disorder. Movies like "Split", "Me, Myself, and Irene", "Multiplicity", "What about Bob", "Girl Interrupted" (Peripherally, at least... Borderline is close), "Playing by Heart", "As Good as it Gets" (identity concepts), spy movies, serial killer profiles, and movie star references. It's not a flattering dx. As one MIP shrink liked to say, it is one of the hardest dx's to treat. It does not respond to medication. Not well. It is not a Gold Star. It is not a badge of honor. It it associated with so very many problems starting with Body Dysmorphic, running through substance use, down past highly dangerous behaviors including self-harm (a hallmark) ... sometimes I think it's the male version of Borderline. Shrink won't diagnose you Borderline if you are male. They will put you in PTSD or Bipolar or Depression or if they have no other choice, they put you with the ones they don't know how to treat, the DIDs, then they label you an addict and a criminal and cast you out. You are now a user of the system. You are the incorrigible. The untreatable, with fantasy problems. They question your sexuality. They won't believe a word you say. You are their nightmare. Their demon. Because they can't treat the causes and they don't want you to exist. You are the darkness, the shadow, the demon in their mind. The one they can't treat. They think of it in overly simplistic terms and prefer to use the word Psychosis. That is their Psychosis, their demon. The DID haunts them, because they cannot cure it.

People with DID or trauma respond best to Psychedelics. Just like Woodstock, except there's a new name for the trauma. Vietnam is gone. I've never tried LSD, PCP, MDMA, or Psilocybin, but some of these are being studied or even in trials. I have tried THC, ketamine (Matthew Perry OD), and Spravato. I have never tried Propofol (Michael Jackson's OD).

The fact that I have been to the hospital from "Girl Interrupted", the fact that that movie has Borderline in it, the fact that I have DID, the fact that they are both Dissociative/Trauma Disorders, the fact that it is hard to treat, the fact that it is patterns programmed from the past, the fact that it involves memories, symbols, and songs generated from the past, that it revolves around key event and circumstances, there's so many facts about DID that cannot be denied, that clearly connect to clear and powerful details of a persons life... It is the Psychiatrist's demon. It was Prichards' demon. It haunted him. Right up until the Governor's office stepped in. Now he is released. Now it haunts him no more. 

DID is about trust, about self-image. It is the reflection in the mirror, it is a name, and behind those things are memories and pasts, things that medication and medical intervention do not solve. 

They called it by other names. First, I tested PTSD off the charts at Clarity. Then a licensed PTSD counselor confirms independently. Then the Psychiatrist started talking about dissociation, then the therapy, then it's medical PTSD, then changes in the scripts, then the Dissociation Inventory at the new LPC, who independently confirms PTSD... and what did the hours long test results reveal? PTSD OFF THE CHARTS. DISSOCIATION OFF THE CHARTS. THE SCORES WERE SO DAMN HIGH AND HOW DO YOU FAKE THAT STUFF? SOMEHOW PSYCHOSIS CAME UP ZERO. ZERO. ZERO. HOW DO I FAKE THAT STUFF? DOES PSYCHOSIS JUST RUN AROUND MASQUERADING AS SO MANY DIFFERENT THINGS? YALL MADE THE DAMN TEST.  AM I THAT DAMNED INTELLIGENT? YOU'VE HAD EVERY SHRINK WITH A NAME UP THE EAST COAST LOOK AT ME. ONE OF YOU GONNA GET THE DAMN PICTURE? YOU SO SMART? A LITTLE GIRL FROM GEORGIA COMES OUT AND SHOWS UP YOU HARVARDS, YOU GONNA DESTROY HER NOW? YOU THAT DAMNED INTELLIGENT? Oh, no, some people think they know everything. Oh, they're big shots. On TV. They got their pictures on walls. Pricks.

You bring me out of a coma at Memorial, another at Beth Israel Deaconess, and you do it for this? Freaking Psychiatrists.

I still remember the machines. I was Frankenstein on their table. Whether it was ECT's Lightning bolt... 3 series, unilateral, bilateral, ZAP. I have phantom sensations on my head where they put the conductor. Then rTMS. Side of the head. Left side, generates nerve growth... Machine gun taps... Right side, calming suppressive waves... slow the neural transmissions... woodpecker... tap... tap... tap... tap... sharp... I can feel the tingling... 

ECT makes it go away! BUT IT COMES BACK! IT TOOK CARRIE FISHER. Psychosis my ass. Bad psychiatry. 

Then the VNS... electrical pulses from a pacemaker style battery up the vagus nerve into the base of the brain... activating pulses to encourage autonomic changes...

Before that it was the antipsychotics... Haldol, Thorazine, all the atypicals plus the first of the atypicals, the magical clozaril with its high maintenance and forest of physical degradations to the body, before that the mood stabilizers, the lithium, before that the stimulants and anti-depressants. 

Oh it never ends with these doctors. I've switched mostly to PA's and NPs. Medication destroys your mind and body both. A little at a time or all together.

Past Reflections