Without the dolphin taste tuna is really bland

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Speaking of ad campaigns a retarded budgie could think up, Highliner (the fish people) are asking “Wonder why don’t you eat fish more often?” on billboards all over town. Long and painful minutes were spent in coming up with replies:
1) because there’s none left;
2) ask us again in Spanish;
3) very slowly ask again in simple English, it takes the Ministry of Fisheries and Oceans a little longer than most to catch on;
4) because your product has the consistency and taste of flaky wet gyp-rock wrapped in dried kitty-litter;
5) because without the dolphin taste tuna is really bland.

The first Top 5 List I wrote as my college paper’s humour columnist, back in 1995. “Retarded” didn’t make the final edit.

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Almost fifteen years ago, when I was in the second semester of my journalism program, the head of the program asked me to take over as humour columnist for the journalism program’s newspaper.

It was a fairly prestigious position, plus it gave me a guaranteed showcase every two weeks. Editorials, for whatever reason, had no byline at the time. The opinion page columns were shared among the class, and getting a news story into each issue was definitely not guaranteed.

Just weeks earlier, at the end of the first semester, I had actually been targeted for expulsion. For months I had been on a bipolar roller coaster — I was late by hours everyday, I missed the same morning class for six weeks in a row, and I failed several projects.

When he offered me the column, he told me the only reason he allowed me to return for the second semester, was the quality of a feature I had written on a local, legendary, radio personality.

It was the feature, plus a throwaway but irreverent story I wrote on what students were planning for March Break, that made him decide to hand the column to me.

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“Students have a hard enough time finding the money to travel to the corner store let alone Disney World. So if you’re stuck in the Ottawa area trying to pay off the Valentines Day bills, try wandering over to one of the multitude of museums, take a tour of the parliament buildings, or spend the Doritos money and take a bus tour around town, it beats watching [OJ Simpson] sit and stare on CNN.”

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From what I remember, the guy I was replacing had gotten lazy, or he was just overwhelmed by being in the last semester of a very tough program. I do know he owes me $10. His column was titled “Truth, Lies and Innuendo”, which I thought was cute.

When I sat down with a friend to brainstorm titles for my column, his idea was to call it “A handful of pills and a bottle of Jack Daniels”, which was shot down pretty quick. The program head, who also taught first-year journalism, came up with “From the edge”, which I thought was lame, but “Standing on a ledge” was cool — but only because I couldn’t get away with “Falling from a ledge”.

I managed to get away with my (kind of) subtle reference to suicide for the first few columns… pretty much right up until I told the program head I had a case of the Bipolars.

I actually only had an opportunity to write four columns before the semester ended. They were dark, sardonic, and pretty much random with regards to who I targeted — except for the college’s Students Association, I went after them every column.

But those four columns generated more letters to the editor, and direct calls to the program head, than every other piece published that year. I think there were only a dozen, but the letters were mostly positive. The calls, however, weren’t. I wrote something about an ad campaign for the number one local radio station, so they called asking what they had done to piss off the college.

Then there was the night when a bunch of us were taking advantage of the free Internet access to finish off some school work, when the president of the Student’s Association walked in, sat down, and spent twenty minutes alternating between anger at something I wrote, and desperately trying to be our friend.

He turned out to be a really decent human being.

Then, with only a few days left in the semester, the program head took me into his office and told me I was being kicked out of the program, but for really real this time. I had missed most of my classes, and some of the classwork I had submitted was definitely infected with the Manic.

He had already spoken to the head of the screenwriting program and, if I wanted, I would have a place there in the fall. Or, he said, I could take a full semester to get my Bipolar shit together, then come back to the journalism program in next year’s second semester.

I’m still not sure if it was the right choice, but I went with what I knew.

But either way the problem was, I had no idea how to find treatment for the problems I had. I had been living in a room at the YMCA, and they were also kicking me out for not following their rules. So, after three weeks of near starvation and looking at imminent homelessness, I moved back to my hometown where my parents paid for the first month’s rent for a small bachelor apartment.

After the first month I was back on welfare and sleeping 16-hours a day.

Six months later, having learned nothing about my recovery, I moved into Ottawa’s Youth Hostel and bought some ties and a few nice shirts.

My first day back, repeating my second semester, I was twenty minutes late. When I walked into the class the program head introduced me to my fellow — and much younger — students as the “best writer” he ever had.

He also told me to immediately take over the humour column. I renamed it “Life of the Times”, a play on the name of the paper. It was mine for the next three semesters, and a year later I won the Ontario Community Newspaper Associations award as “Best Humour Columnist” in all of Ontario.

In the awards magazine they called me “brilliant”.

But, during the school year, I fucked up every personal relationship I could create, I missed major projects and tests, I spent a lot of time drunk, there were teachers who wanted to toss me out of the program, and about half the students — who all worked on the paper — hated my column (mostly because they wanted it).

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When I filled out my college application, I had to list three choices. Journalism was my third option, but I missed the “Mature Student” tests for the other two.

The reason I filled out the application in the first place was because my girlfriend of three years had finally tossed me to the curb. The bipolar was untreated the entire time, so my behaviour was… erratic, plus, except for a few jobs lifting heavy stuff, I had been on welfare the entire time we were together.

I’ve never held a grudge. She was supposed to have a boyfriend, not a patient. But she was magnificent, and I was deeply in love with her. And I was a completely devastated wreck for a long time afterwards.

Going to college was supposed to be a way to get back at her, or get her back.

I think the columns I wrote, with their bite, anger and sardonic humour, came from what I was feeling about her. I had other reasons to be bitter, angry and sardonic, but she left a gaping wound in my chest that I lacked the ability to heal.

And that was the foundation I built myself when I was twenty-four. Left entirely on my own, I used a tragic yet inevitable ending to a love affair as an excuse to prematurely enrol into a program I didn’t want to take, and which I was kicked out of, only to succeed beyond my wildest dreams, while failing nearly every course not directly associated with the school newspaper.

This is the rope I’ve been hanging myself with my entire life.

I spent years afterwards trying to live up to the words of the program head, and the awards people, but kept failing because I was constantly fighting the bipolars. People would hire me to work on their magazine, or newspaper, based on words like “brilliant” and “best”, only to find out months later that I couldn’t live up to the most basic of schedules.

Left untreated, the manic depression took away every opportunity I was able to create for myself. Finally, in 2002, I was left homeless, unemployed, banned from social assistance, and rapidly burning through whatever goodwill I had with the people who wanted to publish my book.

It took me seven years in recovery to learn the ways and means to control the manic depression, seven years before I could understand, every time I started to succeed, I’ve killed myself. Whoever I was at that time, I put a gun to that person’s head and pulled the trigger.

And it’s still going on. For a few years I had two very successful blogs, but now I only update this one once or twice a month, and in the past six months the other one has dropped from a PR5 to a PR3.

I was approached a few weeks ago to write a column for a good newspaper, the paper received letters praising my first column, but now I can’t focus on getting the second one done.

I impress someone with what I can do, then spend months proving them wrong.

And I do not know how to fix this.

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...thanks.

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Posted in Bipolar, Bipolar Disease, Bipolar Disorder, Clinical Depression, crazy people with no pants, Health, Living With Depression, Living With Manic Depression, Manic Depression, Mental Health | 10 Comments

Ten years ago my brother stood at the White House and watched a low flying plane turn away

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Ten years ago, on September 11, 2001, my little brother was standing in front of the White House speaking to our mother on his cellphone.

He was preparing for an early morning tour, and my mother was trying to tell him airplanes had hit buildings in New York. My mother could hear the loudspeakers telling people to leave the area. My brother said he had to go, and that was the last mom heard from him for seven hours.

As my brother was leaving he saw a plane, flying very low, and banking away. He could see the windows, and the flaking paint on the plane’s tail.

A few seconds later, as he and the crowd moved away from the White House, he heard the explosion as the plane hit the Pentagon.

Either Flight 77 or Flight 93 had the White House as its intended target. The whim of a demented madman changed the target of the former, the sacrifice of forty normal yet extraordinary people made sure the latter would never get to its target.

We both thank Todd Beamer, and all the other passengers on United Airlines Flight 93, for making sure my brother didn’t die that day.

He spent the rest of that day safely making coffee for the Australian Prime Minister, and the other refugees who had made it to the Australian embassy.

My brother was in shock for a long time after that day. He considered it not only to be a near death experience, but also a shared near death experience. He saw a planeload of people seconds before they were all murdered, he believed another planeload of people had to die so that he could live.

Unfortunately, after he finally got home, there really wasn’t anyone around who could relate to what he went through. So, for a few years afterwards, there were some dark depressions, some self-destructive behaviour. But, thankfully, there was also a recovery.

Since then my brother has lived a very normal life. He has an interesting job, a fantastic wife and a baby boy. He is also Godfather to my son.

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...thanks.

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Posted in crazy people with no pants, Health, Mental Health, Politics | 2 Comments

The surprising role of insulin in my recovery from depression

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Known best for its role in the body as a regulator of blood glucose levels and fatty acid storage, insulin also acts in the brain to aid memory and thinking. Thus, when insulin regulation is disrupted, as it is in many common medical conditions including obesity and diabetes, the risk for cognitive impairment rises.
M. J. Friedrich, ‘Insulin Effects Weigh Heavy on the Brain’; Journal of American Medicine, 2006

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Vanderbilt University Medical Center researchers, working with colleagues in Texas, have found that insulin levels affect the brain’s dopamine systems, which are involved in drug addiction and many neuropsychiatric conditions.
The results are some of the first to link insulin status and dopaminergic brain function and hold several implications for human health and disease.

Vanderbilt University Medical Center, “Insulin’s Brain Impact Links Drugs And Diabetes”; ScienceDaily, 17 Oct. 2007.

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…diabetes causes a narrowing of the arteries and makes the brain more susceptible to gradual damage. People with diabetes are more vulnerable to depression and are more likely to suffer a decline in mental ability as they age.
The Franklin Institute, “High Sugar Intake Over Time”; ‘The Human Brain’.

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I’ve known for a while that diabetes can cause depression, but I didn’t know how. It was just one more cause on top of all the others and, because diabetes was something I hadn’t been able to control, all the others needed to be looked after first.

But recently I have taken the steps towards taking control over the diabetes, and I have noticed a difference both in body and in mind.

So, is it possible the insulin has already, less than a month since my first dose, begun healing the parts of my brain the lithium and therapy couldn’t touch?

Lithium is a mood stabilizer, it’s meant to stop the extreme ups and downs thrust on us by the manic depression. It plays a crucial role in our recovery from manic depression by giving us back the ability to reason, to think our way through the days where, beforehand, we could only suffer.

Lithium not only stabilized me, but through that stability it took away my desire to kill myself, and then it took away the fantasies, and then the thoughts of suicide being a reasonable option altogether.

But it doesn’t repair the damage done to our brain by a depression-causing disease like diabetes.

It’s like all this time I’ve been fighting two causes of my debilitating depressions — growing up in a commune, raised by no one, then abandoned by two thirds of my family when I was eight. The other, the manic depression, with which I was diagnosed in 1988. But, I only recently found out, there was a third cause. Something I had left untreated, and allowing it to fight against me, since roughly 1992.

In fact they all went untreated for so long. Previous to 1988 I had seen a therapist and a few child counsellors and a guidance counsellor in high school. But nothing with any substance. The first time I got serious about any of it was in 2003, when I moved back home, suicidal and with a head full of PTSD.

So I’ve been fighting a three-pronged attack, but on only two sides. The lithium for the manic depression, the therapy for the abandonment issues and family stuff. I started taking medications to control the diabetes two years ago, but only because I had started worrying about the future state of my feet and legs.

And now, two years later, I’ve started taking insulin. And a few days later I was so sure I was experiencing what I can only call a “clearing of the clouds” that I checked online to see how insulin, as a treatment for diabetes, effects depressions.

And I found this:

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“Symptoms of depression are common in people with diabetes compared with the general population, and major depression is present in approximately 15% of people with diabetes. Depression is associated with poorer self-care behaviour, poorer blood glucose management, health complications, decreased quality of life and psychological well-being, increased family problems, and higher healthcare costs.”

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Insulin, basically, tells cells it’s dinner time. The cells then eat the sugar that fuels every part of out body. If the insulin isn’t around to activate the cells, bad things happen. Like legs get chopped off because they can’t heal from minor cuts and bruises.

Or brain cells starve, and it gets harder and harder for the brain to conduct normal business. Like remembering stuff, like focusing, like getting depressed for no real reason.

Since starting insulin my numbers have plummeted from the high teens, to an average of 9.5mmol/L in the morning, and 16mmol/L in the evening. I’ve seen a 23.9, but that was a mistake, I’ve taken a few readings too close after eating, which defeats the exercise entirely.

But I’ve also seen normal numbers, like 4’s and 6’s, that I’ve never seen before.

So, I’m certain the physical effects of the insulin are not due to a “placebo effect”. It’s not wish fulfillment. The numbers don’t lie. But mentally I feel clearer, more capable, I feel as though I’m using parts of my brain that have been on “standby” for years.

But that clarity is not something I can prove.

I am willing to allow the possibility that either I’m projecting — that the weight I’ve been carrying for so long, the one that told me how far below the knee my prosthetic would attach, the one that told me I’d never see my son graduate — is gone, and therefore I feel lighter and less concerned about the future.

Or, that I’m just reacting to a new treatment the same way I reacted to the lithium way back in 1989, with a few weeks of increased activity, and a few better marks in school, then a long crash that left me in the psych-ward.

Whether what’s happening now is real or not, it will be real sooner rather than later. The years, possibly decades, of abuse done to my body, mind and brain, by the diabetes is coming to an end. Not all of the damage is reversible, the nerves in my legs and hands are permanently damaged, but the damage done to my brain can be fixed by the insulin.

And the insulin, suddenly a vital part of my recovery, will finally take away the last source of my previously uncontrolled depressions.

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...thanks.

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Posted in Bipolar, Bipolar Disease, Bipolar Disorder, Clinical Depression, crazy people with no pants, Diabetes, Disability, Health, Lithium, Living With Depression, Living With Manic Depression, Manic Depression, Mental Health | 19 Comments

Internet down but so is my blood sugar

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My connection to the Internet has been tenuous and intermittent over the past few weeks. This weekend I’ve only been able to connect twice, including now. My ISP initially told me it was their problem, something about the line coming into the house. A service dude even showed up the next day with a ladder.

But, after being offline for most of this weekend, when I phoned them today they decided it was the modem. They’re sending me a new one, but it won’t be here for “two to five days”.

So… I’ve got a few posts ready to go, I just need stable access to the Internet to finish them. I guess the most important thing right now is my blood sugar has been places it hasn’t been since this diabetes thing got a hold of me.

My morning numbers are averaging 9.0 mmol/L (metric, I don’t know the American translation), with a few dips into the 7’s and even one 4.3. They generally rise though the day, so at bedtime I’m back up to the mid-teen’s. But even that’s a massive improvement over the 20-30 it used to be.

The other big, and weird, news is… after sixty years of marriage, my grandparents are separating. They’ve been living in a suite in a retirement home for the past ten years, and as of Tuesday they’ll have their own rooms.

My grandmother blames it on years of tolerating each other, and hitting a wall. My grandfather blames years of “emotional blackmail”. I think they’re both right.

Anyway. I’ve been lucky over the past twenty minutes to have a connection, hopefully I’ll be back full time in a few days.

…it’s a good thing I still have the PlayStation, otherwise I’d have to read a book or something.

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...thanks.

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Posted in crazy people with no pants, Diabetes, Disability, Health, Living With Depression, Living With Manic Depression, Mental Health, sympatico | Tagged | 2 Comments

Protected: Family without love is an inconvenience but without respect it becomes abuse

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Posted in Bipolar, Clinical Depression, crazy people with no pants, CSG, Father, Health, Living With Depression, Living With Manic Depression, Manic Depression, Mental Health | Tagged | Enter your password to view comments.

My first night with insulin

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The nurse at the diabetic clinic was finally able to find my family doctor, and he finally faxed a prescription for insulin to my pharmacist, and now I’ll finally have the opportunity to get better.

From the appointment when my doctor agreed insulin would be appropriate, until today when I picked up my injection pen and other cool paraphernalia, it took four months to get to this point. I know it’s nitpicking, but if my doctor hadn’t gone on vacation, if my nurse hadn’t gone off on her vacation, if my doctor had sane operating hours, I would have been on insulin six weeks ago.

If I had done what I was supposed to do I probably would have been on insulin last year. Or, if I had done what was really necessary, I would have exercised more after high school, and stayed away from the junk food.

Regardless. Tonight’s my first night on insulin.

They’re starting me off on a once-per-night shot of Lantus, an insulin product manufactured by Sanofi-Aventis. The dose is 10 units, and it increases by two units every other day. The goal is to have my blood sugar levels at, or very close to, normal. Which is 4-7 on my blood sugar meter.

As of two minutes ago I’m a 23.9, which is about twice the number where they start to look at you like you’re retarded.

The dose is basically based on weight, which I have a lot of, so by late September they’ll probably jump me to the 100 units level. They want to do this slowly. Because my numbers have been so ridiculously high for so very long, they believe any quick dip in my numbers will essentially leave me a drooling idiot.

Basically, if I hit 10 mmol/L tomorrow morning, which would be high for anyone else, I’d have all the symptoms of crashing, or hypoglycemia — “shakiness, anxiety, nervousness, palpitations, tachycardia, sweating, pallor, coldness, clamminess, fatigue, weakness, apathy, lethargy, coma” (Wiki).

So… fun fun fun. I don’t mind needles at all. I used to take photos of the needle in my arm when the nurses were taking blood for my lithium levels, and they were never out of focus.

At $107 per prescription the insulin itself is surprisingly expensive. The Ontario Disability Support Program covers the full cost, except for the $2 dispensing fee. The needles are free, the pen and even the meter and test strips are free as well.

There’s a large amount of free swag when you’re diabetic. The clinic offered me a huge amount of Glucerna products today as well — mostly snack bars and meal replacement drinks. Which are pretty frigging good. I took a box load during the previous appointment, so I felt too weird having them hook me up again. Maybe next time.

The injecting pen itself is very Star Trek. It has a cartridge that pops in and out, and which lasts a few days, and it comes with a really cool carrying case. I also have to start wearing my MedicAlert bracelet full time.

I stopped subscribing to their fairly expensive service almost immediately after they sent my the bracelet. I’m not entirely sure why having my “records” in their mainframe is so vital. All the paramedic has to do is look at the bracelet and it says “Type-2 Diabetes”… what else does he need?

The clinic wants my to stay on the Glyburide for now, but I’ll be off it in the autumn. I might be on the Metformin for the rest of my life (yay gene therapy!).

I also have to change my eating habits. I’ve done fairly well over the past 2.5 weeks to clean up a little. I’m down from 4L (a gallon) of diet pop a day (I know), to a small can every other day. And I cut my milk consumption in half. Basically milk is no longer a snack, it’s only for meals.

I’ve substituted everything for Crystal Light packets. They’re $3 for a small box, the package says the ten individual packets are good for 10L (three gallons) of juice, but I find it tastes better at 2L per packet. So that’s 20L of whatever it is in the packets for the cost of 4L of pop.

I found the CL on my own, but the diabetic clinic highly recommends the product. There’s really no nutritional value to them at all, but for a diabetic it beats the B-Jesus out of pop, and high sugar drinks.

I still drink a lot, because the diabetes makes me so frigging thirsty, but now it’s water with a silly colour and some taste.

Anyway. According to the nurse at the clinic I shouldn’t notice a difference either physically or in my blood sugar numbers until my dose ramps up a little.

Mentally, however, I feel pretty good about getting this recovery kick started.

…it all seems a little more urgent at the moment since my left foot has blown up like a balloon, and won’t come back down, and my right foot feels like it’s breaking all over again whenever I walk over uneven ground. Come on gene therapy!

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...thanks.

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Posted in crazy people with no pants, Diabetes, Disability, Health, Living With Depression, Living With Manic Depression, Mental Health | Tagged , , | 8 Comments