What is your mission?

Today has been a complete shit show from beginning to end, but now it’s over…. not the day, just the negative aspects. I should be getting dramatically better as my brain chemicals rebalance.

Yesterday, I realized that I was out of Lamictal, so I contacted CVS for a refill. They came back to me and said I needed to go to the doctor for a new set of prescriptions.

No problem.

The problem came in when the doctor’s office said they didnt’t have any appointments for the rest of the day, and I had to spend all night cradling my head between my knees…. until I finally realized I could take a metric fuck tonne of sleeping medication and the whole nightmare might be over……. or so I thought. I took three melatonin and some Zyrtec, which had me out like a light prety quickly. However, the migraine-like pain of having your brain chemicals whacked let me know that today was not going to be any better than yesterday, and I had to white knuckle my way through getting my own medication. By the time I got to the doctor’s office, I was in a right state and they knew it. There were lots of whispers that maybe they should have worked me in yesterday…….

I’m just not a complainer. Just like my mother when she was having me, she heard all the other women around her screaming bloody murder and she was not going to be that patient. So, she was basically biting her pillow until the OB/GYN nurses bothered to check whether she was in pain or not…… and it took a while, because my mother wouldn’t say anything.

What I know from this experience is that they weren’t paying any attention to her because she didn’t bring any attention to herself. I struggle with this often, as I do not want to be seen as a complainer, either. This doesn’t work in my favor, necessarily, but it does. If I had gotten any sicker, I would have gone to Urgent Care. I just thought I would be okay, and I was absolutely 100% wrong.

I wasn’t having trouble with my thought processes today. Psych meds aren’t known for giving up after only 24 hours…. except for benzos and methamphetamines. Those wear off as quickly as they kick in. But for maintenance medication, it takes about six weeks to build up in your system.

The antianxiolitic I take, Klonopin, kicked in immediately, so I’m not in as much pain as I was previously…. it still doesn’t take away the sting of the clusterfuck that happened after my appointment…. and the pain won’t truly be gone until my brain chemicals are right, which may take a few days. So, absolutely none of this is what I needed today, and could have been avoided if CVS hadn’t waited unti the last moment to tell me that I needed to see a doctor. Again, today has been a goat-roping clusterfuck. I’m glad that it can’t get any worse. Tomorrow is date night with Zac, and I can’t wait to give him a hug. It seems like a long time, but we’re both slammed, so it’s no issue. It’s a huge relief that we’re both doing our own thing. That being said, it’s going to be nice to have a place to decompress after :::gestures broadly at everything:::

First of all, we are going through a huge storm system- I know it’s huge because my dad and Lindsay are stuck in the same one (they’re in Houston). Therefore, taking the bus was not really an option because it’s not just normal rain. It’s supposed to flood. The bus would have been fine. Standing in water that’s over my ankles isn’t.

So, I ask the doctor’s office where they sent my prescriptions. They said, “CVS on East-West Hwy.” So, I head there and the doctor has actually sent my prescriptions to their in-house pharmacy. I know this because the doctor’s office did resend my medication, but then it was saying that they were too early to be refilled….. because they’d already been filled at the other place. So, I go back to the other place, the in-house pharmacy that only carries three of my medications, so I have to go to CVS, anyway. I’ll have to pick up the Adderrall tomorrow at some point, because it’s not the priorotity here. I have the three things I really need.

So, I get to my pharmacy and in the time it has taken to get from CVS back to the doctor’s office, that pharmacy has canceled my order so I can pick it up at CVS. My only saving grace is that the pharmacist called upstairs and got the three medications I needed rather than make me hoof it back to CVS, saving me a lot of money in that process…. again, Uber. I also managed to get some home COVID tests, the COVID vaccine, and a flu shot. I have a feeling none of that is making me feel any better, either, but here we are.

In the meantime, here is my protocol because I feel it’s important for my people to know how I handle all this. Bipolar is hard on all of us, and sharing information means more to talk to your doctor about, because I’m not it. This is, in the words of Paul Gilmartin, “a waiting room that doesn’t suck.”

If you’re thinking about doing psych meds, here’s what works for me, but there’s a caveat. Unipolar depression medication sometimes works with a mood stabilizer, somtimes it makes bipolar worse. So tread carefully. Again, this is only what works for me….. and since I’m a doctor’s kid, you’ll get it in pharmacy notation…… 😉

• Lamictal 200mg i qD
• Lexapro 20mg 1qD
• Klonopin .5mg BID
• Adderall XR 20mg 1qD

I don’t know what I’ll do with the Adderrall because I don’t know that I need it all the time. But I’m getting it anyway just in case, because I never know when my ADHD is going to eat my lunch…. because I won’t.

These drugs do not play around, and I’m in the shit with side effects. I was so upset that I had to fill my prescriptions at the pharmacy in the doctor’s office after I opened them, because there are two different Lamictal generics. Same ingredient, lamotrigine, but whatever is in the diamond-shaped one makes me so nauseous I will absolutely throw up anywhere and everywhere. I look like such a drunk sometimes, because I’m trying to find a trash can and that’s people’s first instinct. But, you can only control what you can control, so what people think of me does not matter.

As I have said before, I have to choose between physically ill or mental, and I choose physical because my interactions with other people are more important to me than nausea and vomiting. It’s never fun, but it beats the hell out of not regulating my emotions.

The weird thing is that I’ve had ringing in my ears since I haven’t had my medication, and now I’m just waiting to see when it will go away. I basically flooded myself with brain chemicals, so it’s happened before. They just need to get into balance, and if I’ve said this twice, I apologize. I am not a well woman. But I did have a “not a well woman” exam today. They ran all my bloods and I should get the results back. I wouldn’t be surprised if anything is wrong, but I would be surprised if it was anything more than “you need to do more of this at home.” I’ve thought I was getting an autoimmune disease for the last few years, and I’ve been tested for rheumatoid arthritis, but not gotten the results. So, I’m having my clinic run the test again because what happened last time was that I was on my cycle and they couldn’t do the test….. another thing that could have been brought to my attention because we could have rescheduled…. No one has ever told me they didn’t want a urine sample when I’m menustruating before, so it didn’t occur to me to tell them.

But the bloods aren’t just for that. They have to make sure that my liver is still functioning well because mood stabilizers have a tendency to beat up on them. With some mood stabilizers, you have to have a liver function test every month, not every six months or a year. It’s serious business, and all of it started with lithium as we learned more and more about it.

All of these drugs are murder on your body after a while, except Klonopin, and with it there’s the pull of addiction. I have not fallen into that trap with either Klonopin or Adderrall, because again, I’m choosing sick over crazy. There’s nothing that makes me want to take more medication because the side effects are toxic…. mostly in that they render me in a constant bad mood like I’m Ouiser Boudreaux on a mission from God.

I’ve been 46 since I was six, so I actually have been in a very bad mood for 40 years.

But right now I’m thinking about the fact that Zac hasn’t read my fiction blog entry yet, and the only reason I want him to is that he will absolutely pick it apart. “That would never happen…. or that…. or that…. or that…. or that….” I’m joking, and yet I’m not. Zac and I are in it to win it. We may not ever get paid for writing, but that doesn’t mean we don’t want it to be excellent.

I also know that I’d wait years to hear his impression, and I’m saying that out loud so that he doesn’t think, “oh shit! I have something to read right now!” It’s not a homework assignment, dear heart. It’s just fun working with him because even though he’s not a spy, he’s worked in military intelligence (not as much of an oxymoron as you might think) since he was 18. I think he signed up willing to do any job, but his test scores on the AFAB or whatever were so good they realized they could get anyone to weld ships or whatever.

So, entrusting Zac to be ruthless, kind, and accurate is a good thing. I know for sure that none of his criticism will be mean, because I’m not mean to him….. or if I am, he hasn’t mentioned it. 😉

Coming up with ideas for Zac’s fiction challenge was one of our best dates because we were both excited and happy about creativity- and he’s definitely more creative than I am on the fiction side of things. I can turn a phrase and make it funny, but he can build whole worlds. It’s the mountain I have to climb, and as I’ve said, I’m at the bottom. Yet, none of it bothers me because I know I’m becoming a stronger writer every day.

I am seeking out strong writers like Jonna Mendez, Tracy Walder, Vince Houghton, and John le Carré. I know that le Carré is dead, but “The Pigeon Tunnel” is a masterpiece and I’ve been learning from him through podcasts. His interviews on both Fresh Air and Writers & Company are among my favorite episodes of the entire show.

I don’t want to write exclusively about intelligence, which is why I’ll always be a blogger. It engages a different part of my brain. Intelligence is just what excites me about fiction, because I have read so many non-fiction books that I feel like I’ve taken a college class. Fiction is easier to write when you’ve done the research first. You’ll always have to research along the way, but knowing the broad strokes of a subject is key.

I can write about the kitchen because I know it.

I don’t know shit about spies, but it’s the same concept. I sought out Bourdain in order to develop that voice. I sought out Jonna and Tony for the same reason, because I loved the “Argo” script and wanted to do something like it eventually. I figured starting with their books was wise, but in reality the book about The Canadian Caper was written after the movie came out, because there were so many people who wanted the real story.

Reel is not real, and thank goodness the book came along. Argo is punched up for drama, but the story itself is no less great when you take away movie magic.

If they don’t make movies about “The Moscow Rules” and “In True Face,” it would be such a shame. I mean that sincerely. People need to know what happened during “The Cold War,” because it wasn’t any less devastating than our other conflicts. And honestly, they wouldn’t have to punch up “The Moscow Rules” much. It opens with a case officer having the shit beat out of him by FSB in front of the American embassy. I would like to believe we won The Cold War definitively, but the moment Trump took office, it ramped up again (in my educated guesses). That’s because the FSB beat up someone trying to get to American soil in…. wait for it…… 2016.

It startles me how the rest of the world does not see that Trump is an enemy both foreign and domestic. The Russians are in it to win it, and they have had/will have an asset planted at the top depending on whether Americans get it or not. The Founding Brothers are rolling over in their graves, because the last time high crimes and misdeameanors were on the table, both Republicans and Democrats believed it. This time, Putin has won. He has divided and conquered a nation by helping elect a president that was completely out of touch with reality and took notes from all the “benevolent dictators” out there. I’ll believe benevolence when I see it.

Most Americans are completely ignorant of the chessboard because they think we’re the best. All the time. Every day. In a way, I’m on a mission to dispel this notion, because it is simply not true. Other countries do things much better than we do, like having standardized drug prices across the country, whereas Medicare and Medicate pay different prices depending on where you are. Every drug costs a bit different depending on the pharmacy, not just the geographic location…. and that’s just one example. We could have better railroad infrastructure, both subways and cross-country. Lots of cities would benefit from it, because especially in the South, you get a car and won’t take the bus, anyway.

However, this leaves the least of us stranded because gas is expensive and people moving- not so much. I hope that more people than just me have a passion for taking care of poor people, because I feel that the United States is the country with the least viable support system because we have social services, but universal heatlh care takes so many problems off the the table. The US needs nationalized care badly, with doctors making real salaries, because since poor people can’t afford insurace, they end up in the emergency room never having had preventative care…. they can’t afford it. They also can’t afford hospital bills, and when you don’t pay, that’s keeping money out of the hospital system for salaries.

There won’t be any difference to you in terms of health care if we do it right, because the only thing that will change is who is writing the checks.

But drug companies and our current insurance policies don’t want that. They want to be able to charge whatever they want and get medicare to pay for it. It’s unsustainable. By not having universal health care, you are crippling people at jobs who don’t pay for benefits, or shackling someone to a job so that you have insurance in the first place. Nothing like the golden handcuffs.

But at the very least, I want everyone to be able to show up healthy to work because they didn’t wait to go to the ER until they were having a heart attack, or kidney failure, or any number of things. Stuff that could have been caught and wasn’t. So, instead of a $10 co-pay, the bill is $120,000 dollars….. but it’s $200,000 at a different hospital and a different part of the country. Prices vary everywhere. There is no standardization among even generic drugs.

Government-run pharmacies and clinics would allow us to buy all generics in bulk, same with medical equipment so that a cast in Oregon is the same price as a cast in Vermont. And we can get closer to home (for me). The highest Medicare costs in the nation right now are in El Paso, Texas. How does it have the ability to go up and down? Other countries don’t have this problem, and it’s a shame that we can’t have nice things when 99% of the world has figured it out.

We had a lot of hubris in the Revolutionary War, but it went overboard. We are so independent that we think saving money on health care is a bad idea. Meanwhile, if we’d lost, we’d have our own version of NHS because we’d be a Commonwealth country. So, in terms of progress, winning and losing that war are both a mixed bag.

I’m not on a mission to prove to you that we should have lost. I ultimately think it was better to win….. that doesn’t mean that we should stop taking lessons from other countries. They take lessons from us. I think we’d be a lot happier in the world without American imperialism….. or at least, so much of it.

If I have a mission on this blog, it’s saying random factoids that will stick in your brain along with all the crazy. 😉

I don’t know that it’s a Mission from God.™ But I do like jazz and blues, so it’s a start.