4.5 Months

Wow it has been a long time since I last updated! I definitely owe you guys a health update and I'm pleased to say that I can finally give you a positive one (physically at least)!

It's been about 4.5 months since my surgery and I have finally healed to the point where I'm seeing improvement. I can now eat just about anything (including salad!) except for bread, and when I have been bad and tried to eat something bread-y I've only choked a little bit. I still miss bread (and regular crust pizza, doughnuts, hamburger buns, etc.) dearly but it's probably not a bad thing I've eliminated it from my diet. I'm getting plenty of carbs from other places.

My weight loss has officially stalled out at 25-30lbs even though I'm eating almost regularly now, but I have a lot of muscle mass to regain. I biked around my moms neighborhood last week and it was exhausting. It also made my stomach wrap feel funny which is a big indicator that I need to take things SLOW. Not that I'd have taken them any other way, haha. I still spend most of my time in bed, but these days I'm more exhausted from anxiety and depression than from not eating.

As I told you a few posts ago I was priced out from the anti-depressant I had been on for a year. I went to my psychiatrist and he had me try a relatively new drug, and the result has been... well, I'm undecided right now. I haven't noticed any negative side effects from it which is AWESOME, but I'm not sure how much it's helping me. I definitely feel less hopelessly depressed than I did before I got on it, but my anxiety has been out. of. control. I usually have a few panic attacks a day, but lately it's like I've been living in one giant panic attack.

I wish I could describe what this feels like, but it's really difficult to put into words. Basically, my heart feels like it's going to explode. Like there's a vice grip around it and it's trying to beat its way out of my chest. These palpitations get especially bad at night and I've been taking blood pressure medication to help calm my heart enough to let me fall asleep. It's actually been working pretty well, but during the day the lingering effect makes me incredibly dizzy. I have a pretty intense head rush almost every time I stand up, and I wouldn't be surprised if I end up fainting sooner or later. I'm pretty sure it's also contributing to my relentless exhaustion, but I'd rather take blood pressure medication than Xanax (and my doctor agrees!)

Doing normal, everyday things like taking R to preschool leaves me completely wiped out. This means I'm getting literally nothing else done, and my house has gone to hell in a handbasket. You can be that the guilt I talked about in my last post is going as strong as ever. It's a vicious cycle.

I also thought I'd mention that R has been struggling with anxiety lately as well. She's started to cry again when I drop her off at preschool (despite the fact that she absolutely loves it and doesn't even want to stay home when she's sick) and she's also had some public meltdowns in addition to screaming at pretty much everyone who acknowledges her- including her friends! The last straw for me was last weekend when we went to a friends birthday party (a girl she's known since birth and talks about all the time) and she had a massive meltdown. I ended up taking her home after 10 minutes and I felt awful. We both felt awful.

I decided that since R's anxiety is interfering with things she'd otherwise enjoy it's time to seek help outside the house. I'm not looking for a diagnosis, nor do I think she struggles with the same things that I do, but we both need to learn some coping mechanisms from a professional. Our first appointment is in the beginning of May and I'm honestly looking forward to it. I often think of what my life had been like if I'd had help with my issues as a child, and I think this will only be beneficial for both R and me.

Otherwise she's been doing wonderfully and her incredibly vibrant personality just lights up my life. She's been really into fishing with N lately and I just love her enthusiasm- even if I want nothing to do with fish myself. She's also been more into cars than ever and is looking forward to car show season. She asks us almost every day to take her to a car show, it's so funny! She's my greatest challenge but I'm so happy to be her mom.


Chronic Guilt

I wouldn't say I've been handling being sick well. I certainly wouldn't call myself strong. I spend a lot of time crying and feeling bad for myself, but even more so I feel bad for my family.

Growing up my parents were very into "pulling yourself up by the bootstraps." No effort I could show was good enough for them. I put all my energy into 1) staying alive and 2) going to school and getting good grades. When I was too exhausted to clean my room, or go outside, or function in just about any other way, they would be mad at me. Part of me understands where they were coming from. They don't know how emotionally and physically exhausting it is to fight bipolar disorder. They couldn't see that I had autoimmune hypothyroidism, or that my digestive system was starting to fail. My disabilities were all on the inside, and therefore they didn't view them as real.

My parents, like most other people in the world, are able to wake up with a full tank of gas. Mine never registers past a quarter tank. I can say this with certainty having lived through phases (sadly short lived) where I've had normal-person energy. These days my tank feels even emptier. I continue to struggle with my mental health, and my physical health is worse than ever. Add in taking care of a highly, highly energetic three year old and I'm running on fumes constantly. I feel like there's nothing inside of me.

And yet I have never been able to shake the guilt that my parents instilled in me that I can always do better than my best. Despite the fact that I know it's literally impossible, it's still a huge source of guilt and grief for me. Why can't I just suck it up and get shit done anyway? My mom raised three kids and always kept a clean house and cooked dinner every night. She even worked a little bit! Why can't I do the same thing- especially since I have a strong desire to do so.

I don't like living like this. I don't like feeling sick and tired all the time. I don't like living in a dirty house, or not being able to cook for my husband who works all day. I don't like crying myself to sleep every night.

So what do I do? I do what I can. I take medications every day that help me in one way and hurt me in two. I spend more time with doctors than I do with my friends in order to figure out what's wrong and how, and if, it can be fixed. I go through scary, invasive surgeries that don't come with any positive guarantees. I wake up with R and I feed her and make sure she's happy and going to the places where she needs to go. Even when I'd rather be in bed or next to a toilet- which is all the time.

Is this good enough for me? Of course not. I absolutely believe that my family would be better off without me. N deserves a better wife and R deserves a better mother. I want to be those people but some days (ok, most days) I don't feel like I'll ever be able to be. I exist in a spiral of shame and sickness that I'm not sure I'll ever be able to pull out of.

Sometimes R sees me when I'm crying. I don't like to show pain or sadness in front of her, but sometimes it's unavoidable. She's a very empathetic child and she'll hug me and wipe away my tears. She'll tell me that everything is going to be ok, even when I feel like it's not. But this is why I keep going. Because I have her. And I have N. And I have the rest of my family, and some amazingly supportive friends. Making the choice to go on isn't always easy, but I know it's the only choice I have.

To quote one of my favorite quotes from one of my favorite movies:
"I know it hurts. That's life. If nothing else, it's life. It's real and sometimes it fuckin' hurts, but it's sort of all we have."

And right now, this is what I have.

Eight Weeks Out

I've been trying to write out this post for a few days now without sounding like a total downer and I'm having a hard time. Things aren't good, and I don't like always having to talk about how things aren't good. I'm exhausted enough living it.

When I was struggling before my diagnosis, after my diagnosis, and after I was told what surgeries would be best for me, I took to the internet to try and find other personal stories. There was very little out there, and I clung to anything I could find. There was only so much solace I could take in the percentages my doctor gave me; I wanted to hear real stories told by real people.

And that's why I keep blogging. I may only hold the tiniest corner of the blogosphere, but if someone out there is asking the same questions that I asked then I hope they can find me, and I hope my stories will be helpful to them.That's why I keep writing about my health. It'd be a lot more pleasant to pretend everything was wonderful and that I had a functional body, but that's just not the case.

The good news, and the only good news, is that my ability to swallow has continued to progress and I am hardly refluxing anymore. I can eat almost all soft foods along with rice, crackers, chips, and even small pieces of meat. I've come a long way with chicken. I'm still struggling with cold liquids, anything leafy, skins, and other small and hard objects. Oh, and my bowel medication has been working. I still don't feel as good as I would if my lower GI system worked, but the improvement has been more than I could ask for (even if it's expensive as hell.)

As for the bad news, my digestion still hasn't improved, and the gagging up mucous issue has only gotten worse. I caught a cold last week which has made things much worse, and let me just say that gagging up a handful of mucous in front of all the other moms at dance class is an experience I'd not like to recreate. I was able to get an appointment and talk to my my doctor about these issues, but he said I need to give my body at least 9 months to heal and reach a new baseline. Only after that can we re-evaluate. This was pretty disheartening to hear, but at the same time I'm almost at the end of my options. The only other treatment we could consider is a partial gastrectomy (removal of the stomach) and if it comes down to that I'm going to have a lot more thinking to do.

On top of my GI issues, my insurance company has decided to charge us $850 a month for my anti-depressant. Obviously we can't come anywhere close to affording that, and the generic version of this drug is well known for causing issues- and I refuse to take generic psychiatric medication anyway. The only option I have is to wean off of it, and seeing as how I'm already struggling immensely with depression right now, this is going to be a big hit to my health. This was an end of the road medication for me, and right now there aren't any other drugs or classes of drugs that would be right for me to try. I know I should get into my psychiatrist to talk about this, but it's another $150 we can't afford to spend right now.

With all these bills I've had to stop physical therapy, and my headaches have been out of control. They can become completely debilitating, and on top of all the other horrible sensations my body is producing, I just can't deal with them. My last round of Botox seems to have helped a little, and if money permitted I'd have it done again. Of course, money does not permit. The other night I spent an hour in the bathroom just banging my head against a wall, trying to relax my skull muscles. It was very painful, but actually helped a little bit.

But the icing on top of this shit cake is a nice little side effect of my bowel issues that has caused me to see a colorectal doctor, and schedule a fun procedure I won't tell you about because well, you really don't want to know.

When it rains it pours, and I'm ready for the sun.


So It Goes

It's been another two weeks and it's possible (*knock on wood*, *throw salt*, *chant prayer*) that I'm finally on an upswing.

To go back a little, my barium swallow ended up going well. I had forgotten that the disgusting liquid I had to take following both of my surgeries was not actually barium, but some other horrible liquid they make you drink to test for leaks. Barium is much thicker- it's like a chalk flavored milkshake. It is gross, but nowhere near as bad as the other stuff. During the procedure the radiologist said that my wrap looked very tight, but that's probably because the wrap was still so new and my swelling had peaked. My doctor had wanted to make sure it wasn't loose.

Unfortunately about six hours after my swallow (and when it was time for me to go to physical therapy) I started to get horrible stomach cramps and I was in a lot of pain during PT and for the next few hours. I looked online and saw that drinking barium can cause those cramps, so I'm not anxious to do any more swallows any time soon.

Since that time my swelling has continued to go down. I'm still having a problem with very cold liquids and mucous, but I've been able to eat more and more solid food. The biggest problem I've been having is with vegetable skin, or other tiny chunks that don't dissolve in your mouth (like the seeds in tomato soup.) I still haven't (and won't) attempt bread or anything that gets gummy when you chew it, or meat. I've tried tiny pieces of chicken in chicken soups and the result is never good. But the best news? The other night I ate a whole roll of cucumber sushi! It was the best thing I've ever eaten. I'm craving solid food less and no longer burst into tears during fast food commercials. It's made me feel a lot better emotionally, but I'm still struggling with food in the way I struggled before my surgery.

The bad news is that I don't think my Gastroparesis has gotten any better. Now that I'm eating more solid food I'm getting very nauseous again after eating, and although I can't taste my food for hours and hours anymore (the best result of my surgery so far) I can definitely feel it. A few times I've gotten more nauseous after eating than I ever did before my surgery. I haven't been able to get into my post-op appointment but I e-mailed my doctor's PA and she said this is normal. She said that GP can get worse before it gets better after these surgeries and to make sure I'm eating small amounts all throughout the day. As it is I'm having one small-medium sized meal once a day and that's all that's going to happen for awhile. There's too much to do during the day to eat and then deal with the nausea that follows.

To put this as delicately as possible, by lower GI system has also stopped working again and that has been a real pain in the ass (LITERALLY) to deal with. My doctor prescribed me a new medication that will hopefully help. But it's $200 a month (thankfully my mom picked up my first bottle for me) and I'm still worried about things down there. Nothing is going to be easy, that's for sure! But that's life right?