A Steroid by any other Name is still a Steroid

I am getting over a nasty respiratory tract infection plus asthma. The doctor I saw over televist wanted to prescribe prednisone, and asked why it says I’m “allergic”. I said that it triggers mania in me. So he prescribed a steroid inhaler, which did give me my breath back. They always say “it is not systemic,” and I always fall for that line. Doctors and their fifty-cent words.

Colorful octopus multitasking by painting, reading magic book, knitting, and stirring potion underwater

Being sick meant I had a few three-to-four hour day night’s of sleep. As my breathing got better, my sleep did not. Pressured speech, doing hundred things at once (including being in the busiest season at work). My therapist noticed, and gave me this assignment.

  1. Sleep 7-10 hours (taking 2 clonazepam nightly until I’m stable).
  2. No caffeine (I had some last Monday, and my coworker said I was talking too fast, so I blamed the caffeine and switched to barley tea)
  3. Low lights
  4. Limit extracurricular activities to 1-2 per day (I have a long list of self-care activities, and she knows I feel compelled to do them all.)
  5. Take breaks during work (I’m working 10+ hours with straight meetings/work/work-meetings. Any time I get even five minutes, I shut my eyes and do a breathing exercise.)
  6. At least 15 minutes of quiet time (no screens/maybe guided meditation)
  7. My husband and I meet weekly to go over things like home, money, “deposits”. Have a brief meeting every night to go check in. Also where I am on the UK mood scale.
  8. Check in with my therapist on my app daily (highest heart rate and why, exercise?, HRV level and notes).

I took today and Monday off to see my best friend and booked a hotel, because I knew I’d be busy now (just at work). Since then hubby and I bought a car and are moving to a new apartment next week. There is a list of major stressors, and I think I’ve ticked most of them. The chosen ones (car/apt) will be great in the long run. I pulled my husband through some stressors these few weeks. I am concerned when I get manic, and I see my husband stress to keep up. The worried/tired look on his face is a good litmus test for how bad it is for me. It helps me to push myself to slow down for his sake. As he get more stressed and crises get higher, I feel more relaxed. My therapist mentioned this is common in people who suffer PTSD, if you have a history of trauma, crises feel normal. When things are mellow, you feel uncomfortable. This is probably why I enjoyed working on the suicide/crisis hotline so much. She said, even though I feel calm, my cortisol is still spiking and this is not a healthy place to stay.

I think the only people benefit fom my hypomania is work. I wear multiple hats with different departments, and I often have many different people reaching out to me at the same time. I have three computers for two “places”. This week, I’ve been in meetings all day for deadlines in three departments coming up (twice in two meetings at once – thanks Google). AI has been a blessing and a curse, I can program/draft memos/agendas, etc., so much faster now, but AI goes as quickly as I do, so I have to force myself to take breaks. I’m learning multiple different systems, and I’m an admin or backup admin to two already.

Today is my day off, and I need to go back to that list again and again. I may play a video game, I’ve been playing cozy games, but I really want to play Subliminal. I’ll give it a try. I will also pick some non-screen extra-curriculars like coloring and packing.

CKD, Cuddles, and Mania

In June, we got a new kitten in our house. After losing our 14-year-old ragdoll last year, I thought I would never get over it. This little (soon to be humongous) creature lights up my life. He’ll do a call and response meow every time I enter the room and rush into our backpack, so I’ll take him for a walk. There is very little better than purrs and cuddles.

I got my kidney labs today. Disheartening, that they were not good, even though I hydrated per the doc, and I’ve been doing low sodium eating. I was sad, but I will wait to see what the nephrologist says. I also meditated in VR (Tripp), which helped a bit, too.

I tried another alternative to Lithium. I learned quickly that I am allergic to Lamictal. Strike one (Geodon) and two (Lamictal). I will try to take less lithium, but I’m not optimistic that that will be enough. I need a break before I try another alternative.

Last week I had a hypomanic episode. Thank goodness for clonazepam and Seroquel. During my last manic episode, I found this scale. It helped so much to have a clear scale to explain my mood to my doctors/therapists. It also helps to see when I’m nearing the danger zone. Last week I was at a seven, so my work was on fire. I’ve been to ten multiple times in my life (more before I found clonazepam).

Time to watch something humorous and see why my phone is blowing up. May be a response to my charming and talkative self last week.

Everything Everywhere All At Once is not Sustainable

After a few days of poor sleep, I took a Seroquel last night at 9:30pm. I went to bed immediately knowing that it can affect my mobility. At 10pm, I woke up with a rapid heartbeat. I started to panic that it had interacted with something else, and there was no way to turn back. I took an ECG test on my watch. The results were that it was not a-fib and my HR was 99. After imagining the worst for a bit, I did some deep breathing and fell back to sleep. I slept for eleven solid, blissful hours. I woke up this morning and asked the interwebs about the rapid heart rate – BARD (told me to go to the ER), Google, and Reddit. I found that a rapid heartbeat can be a side effect of Seroquel. Phew. 

I had a lovely day. First, my hubby and I met this morning. We meet every week to discuss aspects of our life, and we have done this for about ten years. I love our strategy sessions and brainstorming to make our lives run more smoothly.  We also use it to discuss things like our mental health.

The movie title “Everything Everywhere All at Once” is a great five words to describe hypomania/mania.

Today, I:

  • Created a Sheet recommendation list (movies/tv/books/podcasts/restaurants, etc.) and shared it with my friends. I’m always adding people’s recommendations to my Notes app and losing them.
  • Created a Sheet to hold our meeting notes (topics: money, house, exercise, deposits, etc.).
    • Deposits – activities that add to my emotional bank (tarot, knitting, movies, video games, etc.).
  • Set Tasks and reminders for myself and our home – laundry, changed sheets, cleaned the table.
  • Watched RuPaul’s Drag Race while FaceTiming with friends.
  • Reached out to a friend who wanted to FaceTime this weekend.
  • Cancelled the group mediation group I started three weeks ago due to the ice. 
  • Listened to the American Gods soundtrack (I too often listen to the same music on a loop).
  • Watched a movie from my recommendations – Lloyd the Conqueror (entertained us both, which is a masterful feat).
  • Played some World of Warcraft

I think the biggest win I had today was not going for a walk this evening when my task reminder went off.  I have to remind myself to simmer down and focus on just being here.

Simmer Down Plan

  • Make some tea with inositol
  • Start a fire (we are having temperatures in the teens)
  • Listen to my “Simmer Down” Apple Music playlist
  • Knit the scarf I started when I had surgery. One of these days I need to learn how to cast off…
  • Catch up on my Ten Percent Happier meditation challenge (Imperfect Meditation)
  • Early bedtime with a clonazepam at the ready
Photo by Lisa Fotios on Pexels.com