Archive for the 'Spilling my Guts' Category

Medication Roller Coaster

In February of 2007 or so, I switched from generic Wellbutrin SR (2 x 150mg/day) to generic Wellbutrin XL (1 x 300mg/day) My then-insurer (Anthem BC/BS) paid the same regardless of format, because both were generic. I had a lot better results with the XL than I did the SR, mostly because I would sometimes forget the 2nd pill (weekly?) and the correct dosage was REALLY important.

In February of 2008, my company switched insurers. My current insurer (United Health Care) treated the Budeprion XL generic for Wellbutrin XL as a brand name drug. Instead of paying $25 for a 90 day supply, the price was $150. $600/year vs. $100. Yikes.

My MD is only prescribing six months at a time, because he wants to see me every six months. So when my six months were up, I decided to bite the bullet and just work extra hard on taking two pills a day of the cheaper SR formula. So far, not so good. I just started Sunday and I had a pretty serious depressive episode today - the first in several months. I felt better for a while this morning after dose #1 but by the time it was time for dose #2 I was a mess. Couldn’t stop crying. I’m doing better now but I don’t know how much time I’m going to be able to give this to work out. My payor has approved me for the XL for one year, so if things don’t level out by the weekend, I’m going to go ahead and get the better drug. Because really, if the generic doesn’t work, it isn’t saving money.

On another more frivolous matter, I missed posting yesterday. But I am hoping to be diligent for the rest of the month.

Today’s mental health advice, or, TMI

Sometimes, when you are feeling angry, really angry, bone deep, frustrated, want to smash some windows angry, an orgasm releases a LOT of tension and is very cathartic.

Of course, orgasms are good in their own right.

Wallowing

OK, I’m really tired of this. My foot HURTS DAMMIT. I’ve completely lost control of my life. I can’t do anything but sit with my foot propped up reading the stupid computer or lay in bed. I baked brownies tonight and they were good but now my foot HURTS AGAIN.

I WANT MY LIFE BACK.

Reunion

Two weeks ago I went to my 30 year high school reunion. It was a really neat experience for a number of reasons.

I have always (always) compared myself to others and come up lacking. There were always people who were smarter or prettier or thinner or more popular or more sensible or any number of things. This was particularly the case when I was young, and I’ve only started to get over it in the last few years. Going to the reunion helped a light bulb go off - we’re ALL older. I’m not the only one who has gray hair and and gained a lot of weight. Everybody has had ups and down over the last 30 years, and those of us who attended all seemed to have the same perspective: we’re here, we’re older, but we’re alive. Let’s party! All that high school sturm und drang was then. This is now. We’re grownups.

Another neat thing was seeing again some people who I was really close to - who I loved - and who I’ve lost track with over the years. Seeing them happy and successful was such a rush. Gordon is on his second career, teaching business at a Dallas high school. Joel is a minister in Buffalo.

And then there was Bettina. One of the main reasons I’ve put off writing this for so long was because I didn’t want this to be all schmaltzy and stuff, and I didn’t know how to write about connecting with Bettina again without going all squishy. Bettina and I were really, really good friends in 7th and 8th grade. Best friends, really. We passed notes in classes and did theatre stuff and ate lunch together and slept over at each others houses and spent hours on the phone. Hours. But I made a new friend the summer between 8th and 9th grade, and Bettina and I had a kind of falling out (over a boy, if I recall correctly) and we really weren’t friends much at all in high school. I have felt pretty crappy about that occasionally, because I wasn’t a very good friend to her. Kind of shallow and immature.

Leading up to the reunion, we found that we have a lot of things in common. We are both in very, very happy marriages after being divorced from (different) losers named Jeff. We are both feminists. We’ve both recovered from high school and regained our balance and become successful people. Far from envying her success, I celebrate it. I feel like it’s my success too. Not to take away from what she accomplished (which is quite a lot) but that I empathize with her journey and recognize her achievements and what it took to make them.

All these years later, I have my friend back. And I’ve forgiven myself for being shallow and immature when I was fourteen.

Romantic

I am a hopeless romantic. I have always, always, since I was a little girl, believed in the fairy tale ending. Now that I’m much closer to 50 than to 40, you’d think that naive idealistic view of love and life would have been completely knocked out of me.

Not even close. And that doesn’t bother me a bit. It’s a point of view that’s worth keeping. I don’t really have to do anything to nurture it, but there are a couple of things that keep it in the forefront of my life perspective.

First there’s music. I think one of the reasons I’m a Springsteen fan is that so much of his music has such a “road romance” feel to it. The trigger for this post was a Springsteen song.

Roll down the window and let the wind blow back your hair.
Well the night’s bustin’ open these two lanes can take us anywhere…

When that line starts, my always and only response is to turn the volume up really, really loud, and sing along, and rejoice.

Second, movies. I am a total sucker for romantic comedies and period romances. Last night I watched the BBC’s production of “Persuasion” from 1995. That was the pre-trigger for the post - Anne Eliot lost her love at 19, then recovered it at the the ripe old age of 27. A delightful heroine, a dashing and virile hero, and a happy ending. A beautiful, not hokey, deliriously happy ending. Soul food for the romantic heart.

Third - real life. Damned if I’m not living my own happily ever after! When you hit 30, and your marriage is falling apart, and you have two kids, it’s hard to imagine that “happily ever after” is a possibility. After all, “happily ever after” is for the young and childless. But I’m coming up on 11 years married again, the triumph of hope over experience, and while it’s not perfect (because life isn’t perfect), it’s as happily ever after as life can be.

I think my romantic nature has served me well. It’s pulled me out of cynicism and bitterness. Cynicism and bitterness may be natural consequences of life, but romance is an excellent antidote.

One Two Punch

I had a really bad day on Sunday, and it kicked me into a depressive episode. While down in the depress-y muck, not sure how I got there (no med problems…) or how to get out of it, I started my period. A whole week earlier than I expected, not because it was early, but because I can’t count.

I think my mental health (which is much better now, thank you) is in a state that I can only take one hit at a time. Probably because I’m still mourning Peggy, and I think that has my resistance down. PMS is one hit. I can handle one hit. But a 2nd hit? Knocks me down flat.

Dear Hairy Thunderer of the Old Testament who Smites People when they Practice Birth Control or Touch the Ark of the Covenant:

If you could try to limit the hits to one at a time, I’d be very grateful.

Sincerely,

Ann, who has one hit in process now…

Exciting elective non-cosmetic surgery

Lynda asked about my upcoming exciting elective non-cosmetic surgery. This will be TMI for most of you.

1. Probably as a result of obesity and two 9+ lb. babies, my pelvic organs have prolapsed. I’m having my uterus, bladder and rectum put back where they belong. I am fairly young and reasonably healthy, so I want to do this now, rather than wait 20 years for it to be really problematic, but not be in good enough health to do anything about it.

2. As I make my way through that magical time of life known as “perimenopause,” my periods have become downright messy. There is usually a 36 hour period (heh) during the seven days of my cycle where I bleed so heavily that it is risky to leave home. I’m having my endometrium cauterized, which should dramatically reduce the bleeding and may stop it entirely.

I did feel the need to use the phrase “non-cosmetic.” I’m in my late 40’s, and none too happy about what is happening to my face. I have wrinkles. And jowls. Sometimes I pull my skin up and back lightly to see what a facelift would do. I would look younger, but also kind of…plastic. Better a real face that looks like it’s lived a real life than a plastic looking one. At least that’s what I keep telling myself.

Why I Don’t Make Resolutions

Seraphine over at Zelophehad’s Daughters, had a great post today. I was going to comment there but decided to just put it on my own blog. This is not the first time I have blogged about this topic, nor will it be the last.

Seraphine’s post brought tears to my eyes. I know exactly how she feels. My personal “thing I just can’t do” is lose weight. I am morbidly obese (I weigh double what a woman my size should weigh) and I have been failing at dieting since I was in my mid 20’s, when I joined the LDS church and quit taking street drugs (speed) to stay thin (the only thing that has ever worked).

I have given up trying, or thinking about trying, or setting any kind of goals about losing weight, because every single time I have done so, for over twenty years, I’ve failed, and arguably made the problem worse. Last year at this time, I was feeling pretty confident and encouraged and tried some stuff and managed to take off about 15 pounds. It’s all back, plus ten for hubris.

Just the thought of trying and failing again is enough to bring up all the feelings of self-loathing that aggravated my now-in-remission depression.

I like Seraphine’s idea of just trying to think of myself as a good person, and to focus on the things that are going well. But this is a time of year for commitments! and resolve! and that makes it hard not to return to this topic, again.

I’ll be glad when it’s February and everybody else has forgotten their resolutions.

Waves

I’ll be cruising along just fine, doing my job or leading the music or cooking or something. Then I’ll read something or think of something or hear something or sing something and a wave of grief just washes over me.

A friend of mine, who is a counselor, says that’s how grief works. It’s early days yet. Peggy just died Wednesday. Somehow it seems wrong that so many things can seem so normal so soon. But then a wave will come, and I’ll cry again for my friend. For me, really.

Yucky pukiness

Last Wednesday, the kid was up all night puking. Last night was my turn. I haven’t felt this crappy for a really really long time. I slept all morning. I drank some water around 8:00 a.m. and it came right back up :( I got up again just about 45 minutes ago. DD, RN says to try something with flavor - I have a pretty major headache, probably because I’m dehydrated.

Waaaaah.