Tuesday, 13 December 2011

I took the road most travelled

I found myself a few months ago walking down a path in the woods. A path travelled by many people, some like myself out to see what was there, others, on the path heading for a particular destination. I had no destination. The path meandered through the trees and across small streams, where wildlife of all kinds flourished. I felt watched. As I walked I thought about how my life was going and where it was leading me. I thought about my family, my friends, my career, myself. I took in the peace of it all to reflect on middle age. I walked for miles.

I came across a crossroads on the trail, one more trodden than the other. As I stood there for a while trying to decide which to take, others walked on past, some took the trodden trail, others, without hesitation, took the overgrown and underused trail. I saw them in the distance ducking branches and jumping streams until they were out of my sight. I stood there again for a while, considering my family, friends and career, and I opted for the heavy trodden trail.

I began walking again, and again, watched my surroundings. I listened to the wildlife, but it became less prevalent. I watched for trees and streams, but they were fewer. I even watched for other hikers, but they seemed to walk on past me without a word. The trail became a highway. It opened up into two lanes where now bicycles began to pass me. Then, scooters, finally cars. The trail had become what I didn't want - a rat race. The trail had become my fears. The road now, as it was, led to places I was afraid of and had no desire to be. It led to stress, anxiety, and a sense of foreboding the likes I had never experienced. It led to all the places in my mind that were wrong. As cars whizzed past me I was afraid of where I was going, I suddenly wanted to go back. But I didn't know how. I couldn't turn around, the traffic was coming right at me. I couldn't keep up with it, I was still walking. I sat down and fell into panic and fear.

I sat there for a long time wondering what to do. All the time the sights and sounds of the rat race flew by me in both directions. I couldn't see my family, friends or career. I couldn't even see myself anymore. I had become anonymous to all but the fear. I sat there, watching the rat race fly by me, destroying what I knew. It destroyed my inner self, it clouded the sky, and even ran over the wildlife. All around me were things I didn't want to see. I needed to get out of this place. I needed to get back to the trail.

I looked around me and saw across the road a small opening in the fence with a clearing behind it. I had to run for it. I bolted across the oncoming rat race and jumped the fence, and fell. It seemed like I fell a hundred feet, but it was only a fraction of that. I fell into the brush, listening to the rat race whiz by me overhead. I was off the road, but now in my own fog. Now I was in the trees with no path. Again, the panic gripped me, the fear grew inside me, and I couldn't see my family or friends. I had to keep moving - I had to find the small path, the one I should have taken the first time. But I had no idea where to look for it. As I moved farther from the rat race the sky began to clear and through the trees I picked out familiar shapes in the sky - trees and wildlife that I had seen before. I heard a stream, peaceful and tranquil. I headed for it.

I had to pick my was through the forest, making my own trail. I climbed over rocks and over swampy areas still saturated with rain. Ever closer I moved toward the sound of the stream but it seemed like it was so far off - it seemed like the closer I got to it the farther away it moved. I began to hear my family calling. I began to hear my friends calling. But I still couldn't see them. I walked for what seemed like months, through the trees and over bogs that held me back. Swampy land that made me find another path. Several times I fell down and cried because I couldn't shake the fear and anxiety. Several times I collapsed. But each time I knew I had to get up and keep moving. The stream was still there, in my head. It was in front of me, but I couldn't see it. I kept going.

Finally I came to the small trail, the one I had lost. Finally I had made it there. The trees were as picturesque as I had remembered them and the wildlife was all around me, and they all seemed like they were egging me in a certain direction. The direction that would lead me to my lost family and friends. I could hear them, but I could still not see them. Again, I panicked and and the anxiety caught hold of me. I sat down against a tree and stared up. I thought long and hard if this was the right path. Were there three? After all this progress, after all this falling down and getting back up again, was I still on the wrong path? How could that be when I could still hear the familiar stream, which was still so far distant. I knew they were there, I knew I had to find them.

I must keep going.

Monday, 5 December 2011

Sanity School

This morning I start a three week program at the hospital for outpatient mental health issues. Basically it's intensive psychotherapy. I have a therapist that I am due to go back to at some point, but with one hour appointments once per week, it won't add up to this.

I'm a little nervous, sitting in a room with a bunch of other people telling all about my issues, but if I think about it, that's not too far removed from what I've been doing on this blog, facebook and with my friends and family. I've not hidden this. The difference here is that I'm face to face with strangers. Once I'm finished with this, I can finally go back to work, but that's a whole other issue.

I was going to write a part three of my experience in the psych ward, but I didn't get there. Sorry, I will anyway soon, so stay tuned. For all of you who read the previous posts and sent me some wonderfully supportive comments, I thank you. Some of you even forwarded these to other friends. One person whom I do not know asked if she could use the blog in her outpatient sessions for mental health somewhere (I can't remember where). To which I eagerly said yes.

Everyone should know that these issues are way too common. It's not me I'm writing about, it's the illness itself. As I've said before, there are people in this world physically ill with diseases so complex and horrifying that they wrench our hearts. I know some of these people. I don't want to put my issues above their issues. I don't want to take away the awareness, but although mental illness is not physical, but there is no cure. By writing about it, I am better, but not cured, I never will be. I will just learn to cope and live.

Today is a new day.

Thursday, 24 November 2011

The Psych Ward - Part Two

Day two of the looney bin started off stranger than day one ended. I woke up at 7:30 to a nurse and a lab tech wanting my blood—again, followed by a full physical exam by the ward medical doctor. I was hoping for breakfast in bed.

I also realized I forgot my toothbrush. I asked my nurse if I could get one from somewhere; she came through not only with the toothbrush, but deodorant, soap, shampoo and hand cream. Apparently I didn't need to pack anything for this vacation. I borrowed my razor (I had to sign it out), and took my newfound supplies and headed for a shower. The showers in this place are far and few between. There are three on the floor, one was out of order. That of course, was the one across the hall from my room. After waiting in line for a while, I was not impressed. The water was luke warm at best, I also realized this in my bathroom, they keep the temp fairly moderate so nobody gets any ideas about scalding themselves to death. After my trickle of warm water I got dressed and headed for breakfast.

Breakfast is normally served at 7:40am. But because of my inspection and needlework, I didn't get there until around 8:30. The room was almost empty - just a few stragglers. This made it easy to find my tray containing cold oatmeal, a muffin and finally, coffee. Yuck. I spent about a minute and a half choking that down. There was a menu on my tray, this was a good sign. I checked off the options for lunch and dinner - you get no breakfast or weekend choices, and went on my merry way. I was hoping to catch some news in the lounge, but alas, music videos.

The doctor had informed me earlier that my blood showed a high cholesterol count, so my meals would be adjusted accordingly. It's kind of ironic that after spending the first 42 years of my life underweight—just a shade over 140 pounds—that now I had a fat-free diet. I also had lost 15 pounds prior to going in. I was so depressed that I had just stopped eating. I now weighed in at a normal looking 185.

The woman in the next room should be here. She had been screaming all morning. None of the rooms have call buttons, so instead of walking up to the desk to get assistance, she screamed. A lot. By the time the nurse came down, she had almost completely ripped a hallway railing off it's mounts. She worked it so much that the heavy duty wall anchors let go leaving the railing dangling. She of course decided it was in her best interest to add the smashing sound to her own chorus of screaming. All she wanted was a drink. The nurse was very professional and very stern, giving the women a ribbing any high school nun would be proud of. Tough love? This behaviour kept up most of the time I was in there. Later that day a maintenance man came up with a security escort, shook his head a few times, asking to whoever would listen "How the hell did she do this"? He finished ripping off the railing and patched up the wall. It stayed that was until I left.

At one point they moved her to another room closer to the nurses station to keep an eye on her, but after about five days I heard the alarms go off and security teams come running. She had belted a nurse. This woman was small by comparison, but that didn't matter, she had the ability to do some real damage. At one point in my life, before I had a life, I was a hospital security guard. All we did was take money at the parking lots and tow illegally parked cars. These guys, given whatever jokes you wish to make about cop wannabees, are good. The ones on the psych duty are huge—one towered around 6'6". It wouldn't surprise me if he was just waiting for his admission to the police college. Four came running when the alarm went off. Each staff member on the floor carries a personal alarm with them, when they hit that, sirens sound, guards come running, and even lights flash indicating the direction of the problem. Essentially, lock down. They dragged this woman to the PICU (Psychiatric Intensive Care Unit). This is the place where people sleep on a mattress on the floor, have all their personal belongings taken away, and are under 24 hour surveillance. I didn't see her again before I left.

The rest of the afternoon was spent pondering that incident. Lunch came and went, the TV finally got changed, I read a book, and met some fellow patients. Luckily I did know one person in there, and she helped me out with some issues the book doesn't tell you. For example, on the menus, mark X2 on which items you want more of. I marked X2 on every spot marked coffee.

Kim came up to see me that night. It was a beautiful two hours. She brought timbits, coffee, Reeces Peanut Butter Cups, a homemade pastry from a friend of ours and a smile. It made my day. At 8pm they kicked out the visitors, and I was again alone with my thoughts. But at least I had munchies!

At 9 we all lined up for meds. This is where people's illnesses come shining through. There are six nurses on in the evenings, and one dispensing machine. This machine is biometrically operated - it takes a thumbprint to fill a prescription. Once the order is taken, the meds are fired up from the pharmacy in another part of the building and into the machine. I envision one of those old systems of clear plastic tubes one used to see in offices for firing memos around. Given all that, it takes a while to get all 25 or so patients (I never really counted them) their meds. Not one has any patience. The yelling begins. The entire process of medicating this many patients takes about an hour, but the patients want it to take three minutes. My first thought was hey, got somewhere pressing to be? My second thought was what a bunch of selfish egotists. The nurses had the patience of saints. They dealt with the barrage, like they do every day, three times a day. Once in a while, they'd yell back, but only when it got out of hand.

These people really are sick. These people really do need help. Not that there was any doubt, but seeing the mad race for pills and a complete lack of order, not to mention the self-serving attitudes brought it all home for me. I stood back, watching the show, shaking my head. There are people here who would never again survive outside these walls. There are people here who would attack any authority figure given the correct circumstances. There are people here who need more than just being warehoused in a psych ward.

Then there was me. I realized this night that with all the problems I've had over the past years, with all the headaches I've caused, and with all the confusion going on within my own mind, I'm relatively normal. I just needed to get evened out. I was only in here to get my medication straight. I don't see things that aren't there, I've never tried to overdose, I don't want to hurt anyone, I realized that I can again become a decent contributor to society. It opened my eyes. There were others like me in there, all for different reasons, but of the population of that unit, I estimate that over half will be institutionalized for the rest of their lives. That is a scary statistic and one that should be pondered. What scares me most is that these sick people are being warehoused - locked up and put away because they can't rejoin society in the way that you or I can. (I want myself included in that because I have the motivation to do just that - become normal again).

I'm home now, in the house alone, drinking coffee and considering my future. I am making jokes again, doing chores, pondering ideas, being creative and having fun. I feel like I'm normal, but inside I know I'm not. I have a mental illness that will be with me the rest of my life. During the summer, when I made jokes about things people wondered if I was off my rocker again. Believe me, I'm not. I can differentiate between right and wrong, and even with the judgement problems I've encountered, I could still understand that concept. Now, when I make a joke about something, it's a little easier for someone to say "That's OK, he's been to the nuthouse, we expect these sort of things from him". It makes me laugh too. The other day my daughter slept in and needed a note for school. I wrote her teacher telling him that she was late because when we woke up there was a Jabberwokky playing XBox in the living room and we couldn't get rid of him, so I needed her cast to bonk him on the head until he left. Or, we slept in. You decide. I signed it "Father of the Year.

Some of those people in the unit would actually believe that. That's the fine line between mental illness and mental illness. I have it, and as long as I keep myself on the right track, I'll never again be in that psych ward.

Cheers.

Wednesday, 23 November 2011

Things to strike off my bucket list - The Psych Ward

Almost everyone knows by know that last May I was diagnosed Bipolar. Just to recap, this is a mental condition in which the brain cannot regulate itself properly, resulting in highs and lows in moods. Where a normal person gets into a mood to clean things out and plan dinner 6 months in advance one day, and the next day is very tired because of it, a person in a Bipolar, or 'Manic Depressive' state endures that everyday. It's difficult to manage and can be very irritating for the people around him or her. Not only because of the ups and downs but because of the degrees in which that person fluctuates.

For example, I could never control my anger, at one point this summer I was intent on selling the house and moving to Scotland, I went for short walks that last most of the day, instead of writing notes to someone I would write long lambasting insulting messages, etc. After each of these incidents, I would crash for a period of time, the depression kicking the shit out of me. Being near me was not fun. Being me was not fun. Add to that the fact that I had absolutely no filter - what seemed like a good idea to me was just plain stupid. For example, I thought it was a good idea to bring a bottle of scotch to a cadet weekend camp. I'm not even going to try to justify that one. There were many more dumb decisions, but you get the idea.

I spent the summer off work visiting a psychiatrist once in a while to get new drugs, and with each prescription came new side effects, some even had the effect of increasing the problems instead of fixing them. Even though I had a 6 month summer vacation, it was the worst period of my life. Something needed to be done in order to keep my family and friends. Something drastic.

On November 5th, while cooking dinner for the kids I collapsed in a manic attack. I have no recollection of the event. Because I was hyperventilating so much I blacked out. I was later told that as well as paramedics in my kitchen, someone also decided to invite the police. I still don't remember cops in the house, but apparently they are dispatched to all mental health ambulatory calls. I came too in the ambulance en route to the hospital. Kim sat patiently with me for hours in ER waiting for 'service'. As I slowly came to, she filled me in, and my first reaction was one of embarrassment. Not only because I really didn't feel I needed to be there but I hadn't done the dishes and the kitchen was a mess The previous week I begged my psychiatrist to admit me to get the drug issue straightened out. When the attending Psych finally saw me and looked over my meds, he expressed a rather colourful displeasure with my pile of daily drugs. He immediately admitted me to the hospital.

Only a handful of people know why and where I was admitted - Hotel Dieu Psychiatric Ward. There, it's out for the world to see. I was officially a looney. or so I thought.

As there were no beds readily available, I was allowed to go home, pack and spend a night with my family to discuss how the next little while would play out. None of us knew how long this would last (like most visits to the the hospital). So we planned for a week or so. My palms began to get sweaty, my heart raced, I felt afraid of what I had just gotten myself into, essentially, I crashed - again.

The next day at noon, my sister and Kim drove me and my kit bag to the hospital for my 'stay'. Kim didn't want to come up, she was already not dealing well with the concept, even though we both knew it needed to be done. On the floor there's a phone to call the desk, the doors are always locked. I introduced myself and waited for a nurse; once inside the doors they closed with a loud crash that sounded more like a prison gate that a hospital door. I just stood there looking back, scared.

They ripped open my bag, confiscated my electric razor (just in case I felt the need to shave myself to death) and my shaving cream, because it had alcohol in it. Have you ever tasted shaving cream? I felt this was overkill. They brought me to a small interview room and began the intake paperwork. It felt like a college level exam in it's scope and complexity. Questions I had never thought I would ever be asked, such as 'have you ever had electro-shock therapy', to which I replied "They still do that?"

After about an hour of this, I was taken to my room. The rooms in this ward are doubles, with standard hospital beds, a chair, one of those funky elevating tables, an upright locker and a small bathroom. No shower though, they're in the hallway, one per wing. I took a few minutes to examine my surroundings and a few things caught my eye. First, I had a nice view of the downtown skyline, not so bad, some rooms looked out over the mechanical systems for the entire hospital. What really got me was that there were no locks. On anything. Not even the showers. There was a hook on the inside of the bathroom door that collapsed if you hang something too heavy on it - to prevent someone hanging themselves. And to think they also took away my electric razor.

I was allowed to keep my own clothing, because I hadn't been brought in by the police. Voluntary admissions only have that privilege - other than that, you're treated like everyone else. There are varying degrees of admission. It took me a few days to see this system of 'forms'. Police can incarcerate you from 72 hours for observation to a month of treatment. During this time you wear what the hospital gives you and all your personal items are confiscated. If you're good, they give you some shoes. If you're really good, after a while they start allowing you to keep some of your own stuff. Luckily, I bypassed that little rule.

I sat on my bed for a while wondering what the hell I just got myself into when a nurse came in, shoved a needle in my arm for blood, and took my BP. They left just as quickly. It must be said that the one thing that always through me into a panic attack is a needle. This did not go well. Another hour later my new roommate showed up, practically unconscious and tossed onto his bed. He was talking to the nurses a little, but almost illegibly. I left the room to give them some privacy and went exploring. Two TV lounges, a long hallway, and a dining room. That was home. Already people were doing the daily 'psycho shuffle', nothing better to do than wander from one side of the unit to the other. Those that didn't watched TV. Being an introvert I wasn't too quick to introduce myself, I just sat down and watched what was on - music videos for top 40 crap. Nice start. After a while I went back to my room where I found my new roommate unconscious on his bed, legs and arms draped over the sides. He woke up several hours later complaining that he couldn't see. That was a side effect of taking over 120 pills at home after he left a note. Welcome to day one.

There was a handbook for the unit, but someone really should look at revising it. Just as in a jail (from what I've heard, really), you learn about this place by the other patients and watching what they do. Dinner was interesting. We had to all eat in the dining room with every nurse on duty supervising - mainly because dinner usually was accompanied by knives. A large truck of food trays is rolled in and someone just starts handing trays off to people in the room who then randomly place them on tables. Each tray has a patient's name, at that point we play hide and seek. Wandering around to find your own tray, in the process invariably pissing off someone because you're looking over their shoulder. Once I found mine and sat down, I had my first introductions to my new colleagues.

Did I mention this was a psych ward? I was told to fuck off within minutes of starting to eat. This was even before I opened my tray and muttered the same thing to the kitchen staff. Halfway through the first meal I experienced the swapping ritual. Because everyone in there has a specific diet, people begin yelling out what they really want. "Anyone got any milk?" "Who's got butter?" and so on. I had Shepherd's Pie, Tomato Soup, a piece of bread and butter, tea, an orange juice and sliced peaches. It wasn't too bad, but it certainly wasn't home cooking.

After dinner I took my tea to my room to have some privacy and take in the day.

Privacy. Did I mention there's a closed circuit camera in my room?

My roommate was finally awake. He introduced himself, and I in return. We didn't talk too much about why we were there, but he did say this was his second trip in - the first being a month. He had been let out a week before and promptly tried to kill himself. As it turns out he was a really nice down to earth guy (I won't give his name here). We both had families, both Bipolar, both messed up, and both of us already hated this place. After a while I ventured out to see if I could watch the news, but to no avail, still watching bad music videos. I went back to my room and pulled out a book. My friend Dan loaned me his Kindle, which quickly became my best friend. Over 15 days in there I read five and a half books on that thing.

At 9pm I was told to come to the counter for my meds, weigh-in and more blood pressure. At this point I realized how sick I was - In mid October I weighed 200 pounds. On day one in this place I was down to 185. I had just stopped eating.

I crashed around 10, wondering what was next.

For the first time in my life I felt like I was in a cage. Doors slam shut behind you, cameras on you at all times, people you can't trust everywhere, security guards (big ones) making hourly rounds, and staff everywhere barking orders. It truly was culture shock. Most days were like this, but in my next post I will tell some more stories of the people in there, and some things I saw that opened my eyes to mental health forever.

So now you know. Feel free to pass this along, and if you've been there, please don't be afraid to keep your stories quiet. The underlying goal of this ward is to help people, and in my time there I met some success stories and wonderful dedicated staff. I also met a whole pile of lunatics.

It's good to be home.

Saturday, 1 October 2011

My Brain Hurts

Still sick. Still sitting here wondering how to fix my brain. Still wondering why I broke down last night even though Kim was doing everything in her arsenal to bring me out of a funk.

Biopolar sucks.

It doesn't suck as bad as cancer, or Crones, or a large screwdriver through the eye, but it sucks. I kinda figured that the past 5 months I'd get a grip on this and go back to work whistling happy little tunes - in two weeks I go back, but without the whistling shit. I still have a long way to go before my brain is considered fixed. Next week I start Cognitive Behavioural Therapy, otherwise known as brainwashing. I should have started that a few months ago, but I got complacent with the way things were going, and didn't make the call. I thought that I was doing fine, the drugs were working, meditation was working, a new outlook on life was working, etc. etc. etc. Hey, I was a little bit wrong.

In the past couple of weeks I've felt more like a weepy kid than anything else. I get down about the smallest things. God forbid I run over a caterpillar. Last night I found out a good friend was back in the hospital. It's serious, but he'll get through it. This of course was not the news my broken brain needed. That, combined with the fact that I spent the better part of my afternoon at the ministry office replacing my plate tags, made it a particularly bad brain day. Hence, Kim doing everything in her power to fix me.

In the past couple of weeks I've not smiled much, broken brain says not to. I've fallen apart several times, and one day - I don't remember this beauty: I had a panic attack while sleeping. Yup, I was out like a light and don't remember anything except Kim standing over me when she shook me awake, looking like she was going to call an ambulance. I was glassy-eyed and breathing heavy, but other than that, I didn't have any recollection of it. Anxiety attacks are common, the brain says to be worried about something, so I do. Sometimes it last a couple of hours, sometimes a few minutes. Sometimes just smashing the drums is enough to get over it, I'm at the mercy of my brain and the drugs inhabiting it.

Drugs suck.

How do people get hooked on this shit? How do people function with their bodies full of man-made cocktails of chemicals designed for the sole purpose of changing the way your brain functions? Why would people do this to themselves intentionally?
I've never been on drugs, I quit smoking about seven months ago, but I don't know if that really counts, weed, acid, hash, meth, coke, nope. Never. I'm proud of that. I can see how it really fucks people up, and I thought I was a mess from smoking!

The shrink has me on a mixture of controlled meds right now. I won't tell you what because hey - they're controlled. That means NARCOTICS. Lovely. They very time in my life that I'm trying to improve my physical status, they doctor fills me with crap that is supposed to fix my brain. Unfortunately, the side effects stopped being fun on day one. Here's a few at random:

Short term memory loss
Drowsiness (otherwise know as random nap time)
Dizziness
Nausea and in rare cases, vomiting
Skin rashes
Drop in platelet count (I have to have monthly blood tests for this one)
Weight gain (combined with quitting smoking I'm now up 60 pounds)
Blurred vision
Sensitive skin
And a whole lot more!

I really hate these meds. Worse yet, I don't believe they're working. So next week I'm calling the shrink and asking him to change the drugs for the fifth time since my brain broke back in April. I'm currently on four different meds, at six pills a day. I suffer from most of the side effects listed (I haven't puked yet), so maybe less pills = less side effects? Maybe? I don't know, I'm just the patient.

I'm due to go back to work in ten days. In Kingsville. That's a one hour commute, then a full work day, then a one hour commute. Please refer to side effect number two - random nap time. Talking to my boss last week he did ask if there were any work related issues he must know about, that one came up pretty quick. I'd rather not be dead in a ditch on day two thanks. He's offered to move me to the Tecumseh office until this gets sorted out. Nice guy. I just think he'd rather not do the paperwork from the ditch incident.

So my brain is still broken, and full of drugs. I don't even take aspirin for headaches. Nevermind all this crap. I have to get back to therapy, I have to get back to work, I have to get back to normal (what is normal anyway?)

Even now as I type this at 7:45 am, I feel weird. I feel the anxiety creeping up, I have to push it back down. I described it to my shrink as that feeling when you're at the top of a tall coaster looking down but not moving yet. That feeling when you're stomach is suddenly where your lungs should be and your lungs are around your back, not working very well. That's the constant anxiety that I have to fight. That's part of the Bipolar syndrome. In the grand scheme of things, big deal. It's a feeling, not like fighting MS, or Parkinson's, or cancer, or any other physical disease. This one is mental, or physical if you consider that my brain isn't firing on all cylinders, hence, my brain broke.

I can get over this, it's certainly not life threatening, and won't do anything to shorten my life, if anything, the past six months have given me cause to live longer. It's just annoying. Less drugs, more therapy, more family and friends, less stress, etc.

I can do this. I have to. I have to fix my brain.