Friday Conversations With My Psychiatrist | December 19, 2008

Friday was the day I told my mother all the good news about my recovery from the various diseases and conditions I’ve been living with for the past two decades.

I started telling her about the incredible decrease into normality of my blood sugar levels, and how the dentist said the damage from the periodontitis was slowing, but the more I talked the angrier I was getting.

When I finished telling her about all the good news, about how my life was getting better, I was staring out the window of the Subway we were sitting in and spitting the words out. When I was done she was smiling and said everything sounded so great, so why, she asked, was I angry?

I couldn’t even look at her. I just stared out the window, then down at my sandwich, and said “I’m not angry, I just don’t like talking about this kind of stuff.”

But I was angry, and angry at her. And an hour later I actually admitted it out loud in my doctor’s office. I’ve been dealing with the periodontitis for almost a year now. I’ve lost two teeth because of it, and almost lost a third last week.

But every time I’ve tried to explain to her what’s going on, she starts talking about second opinions and other dentists, as though there’s a really good chance the ones who treat me bought their degrees off a hooker they found on Craig’s List. But that’s as far as it ever goes.

The night after I decided to keep the tooth, I walked over to her place to tell her and my step-father what was going on. As I was talking to him, she came home with a huge bag of oral hygiene products. There must have been $50-60 worth of gels and pastes and fluids in the bag. She hands me everything and, before I can react, she’s handing me a paper from her own dentist.

Based on how she described my symptoms to her dentist they’ve diagnosed me in absentia as having “xerostomia”, which is a condition in which the mouth cannot generate saliva. This can lead to an increase in cavities and halitosis.

Even if I had xerostomia, which I don’t, I’d still be pissed off. It took her a year, and nearly three of my teeth, to get involved in what’s happening.

And when she did get involved she blew $50 on crap I don’t freaking need, just days after I told her the landlord had gifted me with $320 in hydro and gas bills.

My mother and I have a very unique relationship. When I was a year old she gave birth to my little brother. It almost killed her, and the doctors said another pregnancy would almost certainly kill her, so she was in the hospital for a very long time afterwards. Roughly six or seven months after she got out of the hospital my mother was right back in over complications from a third pregnancy.

This time the doctor told her the only way for her to live would be to have an abortion. Which she did. Complications from the procedure, and from the pregnancy, kept her in the hospital for six months. Then, when she got out, she was bedridden for another few months.

During all of her time in the hospital I was allowed to see her twice. While she was in the hospital a young couple in the political collective in which we all lived in pretty much adopted my brother. They fed him, slept with him, and were his surrogate parents.

At the same time I was relegated to the “To-Do” list next to the fridge. As in… To-Do: JP — fix the door; VK — buy some bread; BF — feed Gabriel.

When my mother was finally well enough to get back to her life, and this is according to several people I’ve interviewed who were there, we were no longer allowed to refer to her as “mom” or “mother”. It’s a Maoist thing.

The first time I really identified her as being “my mother” was after we had escaped from the collective and she was the only adult in the room. I was 8.5 years old. I wouldn’t call her “mother” regularly for another twenty years.

“Show me the child until seven and I’ll show you the man…”

Well, here I am.

…just to clarify, my mother did her very best to provide for my brother and myself, both during our time in the collective, and afterwards.

While she was recovering from the years of abuse she suffered in the collective, and from her own mother, she was also raising two young children. She never hit us, she always fought for us, and she always made sure we had a birthday party, a clean place to live and a pet.

But we’ve never been on the same page. We’ve never been comfortable with each other.

And the lack of comfort leads to an inability to communicate, which means she waits and waits, and then it’s an explosion of action. And some of why she doesn’t know where I am in my recovery, or even in my life, is because I just haven’t told her… because I don’t have the energy to tell her.

So after spending a year losing teeth, she finally calls her own dentist and spends $50 on hygiene products the day I was supposed to lose the third one.

Or how she would never get involved with my schoolwork in high school, but she’d flip out at my piss-poor report card and the ensuing argument would end with her threatening to send me into foster care. Or me threatening to punch her.

My psychiatrist pointed out something interesting about the report card thing…

People normally belittle you in an argument… not necessarily call you an idiot, but they make sure you know they think their position is the sane one. But she would make me feel like an idiot by telling me how smart she thought I was. There was no chance for rebuttal. There was no opportunity for me to feel anger towards anyone except myself.

And then I was left on my own until the next report card.

When I was a young teen I was someone she watched the news with, someone who could hear her frustrations with whatever was happening in the world, someone to listen to her observations. But she’d get frustrated at mine, dismiss them and tell me to be quiet. She would ask me to read her columns before they were published, but dismiss my own poetry and short stories.

When her fiancé died back in 1987, and her friend came over to console her, I put my arm around my mother’s shoulders only to have her immediately shrug it off. Her fiancé had been my father figure for at least a year. He was the first man to really take an interest in teaching me stuff about engines. He was the person who taught me how to work until a job was done properly.

That night she left to be with his family and left my brother and I alone. My brother took off to be with his friends and I stole her car, drove to a friends place, had some drinks, drove home and watched a movie.

In my head that evening basically works as a metaphor for our relationship.

Other Appointment Stuff: I’ve lost eight pounds since my previous appointment.

Before my appointment I was in the video store and found se7en and Pitch Black for sale in the two for $20 bin. Despite having $40 in my pocket, and really wanting to own both of them, I didn’t buy them. I’ve been desperately broke all month, and the $40 was two weeks worth of food. Turns out… I should have bought them. I forgot Disability sends the cheques before Christmas.

As I was walking to my appointment I ran into the cute girl who works at the convenience store. She also believes “Die Hard” is the best Christmas movie ever made. She also likes Garfield’s Christmas Special, so I told her about Garfield Minus Garfield… I think she’s the only non-family member I’m having conversations with at the moment.

Mom and I actually had a nice conversation, as we generally do, on the way home. We ended up at the grocery store where she bought me $40 worth of food, and I took a candid photo of a woman in blue jeans.

.

...thanks.

.

Posted in Appointment Day, Bipolar, Bipolar Disease, Bipolar Disorder, Clinical Depression, crazy people with no pants, Health, Living With Depression, Living With Manic Depression, Manic Depression, Psychiatry | 6 Comments

Thinking About Sex And The Possibility Of Living Without An Encyclopedia Of Symptoms

Unusual thirst; frequent urination; weight change (gain or loss); extreme fatigue or lack of energy; blurred vision; frequent or recurring infections; cuts and bruises that are slow to heal; tingling or numbness in the hands or feet; and trouble getting or maintaining an erection.
“Symptoms of Type 2 Diabetes”; Public Health Agency of Canada

Swollen gums; bright red or purplish gums; gums that feel tender when touched; gums that pull away from your teeth (recede), making your teeth look longer than normal; new spaces developing between your teeth; pus between your teeth and gums; bad breath; bad taste in your mouth; loose teeth; a change in the way your teeth fit together when you bite.
Symptoms of Periodontitis; MayoClinic.com

[A]t least five of the following must be present for at least two weeks and must be present most days all day: depressed mood; marked loss of interest or pleasure in activities that used to be enjoyable; weight loss or gain; insomnia or hypersomnia (oversleeping); apathy or agitation; loss of energy; feelings of worthlessness and guilt; inability to concentrate or make decisions; thoughts of suicide (which should always be taken seriously).
Understanding Bipolar Disorder; Centre for Addiction and Mental Health

…difficulty sleeping, or want to sleep more than usual… changes in eating habits; feelings of hopelessness; low self-esteem; low energy levels; restlessness; loss of interest in normal activities; decreased sex drive; feelings of guilt for no reason; difficulty maintaining relationships; difficulty concentrating… may have thoughts of death, or may attempt suicide.
Symptoms Of Chronic Depression; Penn State Milton S. Hershey Medical Center

Finding out who I am without the diseases and conditions I’ve been living with has suddenly become a potential reality. This is not something I expected to ever happen. It’s not even something I’ve prepared for.

Recently, like two days ago, my diabetes went from being something I thought was going to kill me sooner rather than later, to suddenly being something I can manage. My blood sugar levels, which had been averaging 26 last February, with at least one daily spike into 33+ territory, dropped to an average of 20 in June, then 14 in September and are now — thanks to diet and medications — within the “normal” range.

I’ve decided what I’m going to miss least, right after spending so much time wanting to kill myself, is the “trouble getting or maintaining an erection” thing. Yeah… that’s going to be cool.

…this could be the first time I’ve ever written about sex issues here.

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Posted in Bipolar, Bipolar Disease, Bipolar Disorder, Classic, Clinical Depression, crazy people with no pants, Diabetes, Health, Living With Depression, Living With Manic Depression, Manic Depression | 13 Comments

Drawing A Line In The Enamel With A 7.2 Blood Sugar Level

“Everybody pauses and stares at me, these two teeth are gone as you can see. I don’t know just who to blame for this catastrophe! But my one wish on Christmas Eve is as plain as it can be. All I want for Christmas is my two front teeth, my two front teeth, see my two front teeth.”
“All I Want For Christmas Is My Two Front Teeth”; Kraig Hohf, 1944.

Tooth enamel is the hardest and most highly mineralized substance of the body…
“Tooth Enamel”; Wikipedia

“I spent half my life thinking dying was the most important thing I could do… or — at least — that dying was my most likely accomplishment. What the fuck did I care about what shape my teeth were in? Who knew, ten years ago or fifteen years ago that I’d be here ten years later or fifteen years later needing to have a tooth pulled so my jaw doesn’t get infected which will require even more surgery?”
“When You Spend 6570 Consecutive Days Wanting To Kill Yourself The Little Things Get Neglected… Like Dental Hygiene”; Me, June 13, 2007

“This morning it also felt as though the swelling had pushed the tooth up a little. So I found a way to the emergency room so I could get some antibiotics. The last time something like this happened I waited a week before getting to see a doctor and I ended up losing the tooth. This one doesn’t feel as severe as I remember the last one being, but I don’t have enough teeth left to be dicking around anymore.”
“Searching For A Better Tooth”; Me, November 30, 2008

I’m keeping my tooth. This was not the plan. At some point in the next few months it will probably have to come out, and it still wobbles like a Weeble but it’s still in my head where it’s supposed to be.

The plan was to have it pulled, but the plan was made three weeks ago when I was popping Extra Strength Tylenol, and then ES Advil, like Smarties. All because another one of my lower molars had loosened and become infected.

It was almost like the tooth had been pushed upwards by the infected gum, so when I bit or chewed anything I was driving it down into the sore. Then I upgraded to prescription strength acetaminophen and clindamycin for the infection. And as the infection subsided the tooth slid back down to where it’s meant to be.

When I made the decision I was actually sitting in the dentists chair, with that paper bib chained around my neck, waiting for the freezing to kick in. I kept thinking “yeah, it’s still tender, and the roots are so close to the surface there’s a definite issue with heat and cold… but fuck it, I want my tooth.”

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Posted in BiPolar Christmas, Bipolar Disease, Bipolar Disorder, crazy people with no pants, Dentist, Diabetes, Health, Living With Depression, Living With Manic Depression, Manic Depression, Punk | 22 Comments

No Beaver For Me

“Four of the five nominees are genuine medical professionals (including one dentist’s office in Windsor), offering good sound advice on staying healthy. The remaining one, Salted Lithium, describes one person’s long walk away from depression. That one has my vote, because of the strength of the voice at its core.”
“The Greatest Canadian Blog – Part V – Part III”; Bow. James Bow.

The Canadian Blogging Awards for Best Health Blog were announced Sunday night… finally. And I came in fourth. that's right...Unfortunately, since only the top three positions get the right to put a smiling beaver into their sidebar, I won’t be having one.

Since it was basically a popularity contest it all came down to how many people were willing to give up thirty seconds of their life to vote. Which is cool, I totally understand most of you were busy that week, and I’m not going to get into blaming anyone specific for my loss. Mostly because naming the people I blame would totally screw up my chances of winning next year.

So I’m blaming communists.

The blogs which did win are actual Health Blogs written, researched and maintained by people who actually have an educated opinion about what they’re writing about. So that probably helped them a little.

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Posted in Awards, crazy people with no pants, Health | 11 Comments

No Post Day | RIP Bettie


There’s a YouTube here of Betty Page. If you can’t see it please reload,
then contact Google and tell them to stop being evil.

Whether she was helping pack a girl into the trunk of a car or helping a woman get dressed, Bettie Page always seemed to be having fun. Without her smile a lot of the little movies she starred in would have been creepy and weird.

With her smile they were charming, and almost like tutorials on how to be sexy and have fun.

Bettie died on Thursday as a result of old age and complications arising from a bout of pneumonia. She was 85. She had one of the more interesting lives I’ve ever read about.

Crappy childhood, great student, became one of the highest paid models of her time, crashed, lived desperately poor on social security until she had a nervous breakdown and beat the crap out of her landlady.

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Posted in Art & Depression, Artists With Depression, crazy people with no pants, Health, No Post Day | Tagged | 8 Comments

Tooth Extraction Postponed Due To Weather So My Grandfather And I Talked About Death And Hockey

I was supposed to lose another tooth today, but when I woke up I found my little village under almost a foot of snow. I also found a message on my answering machine from my grandfather, who was going to give me a ride to the dentist, saying the weather was bad but he’d be at my place early and to meet him in the parking lot downstairs.

So, with the phone still in my hand, I looked out my window and of course there he was. It took us about twenty minutes to get out of the driveway because of the new snow and old ice, then after a hundred yards the road just mostly wasn’t there anymore. So we ended up at my parents’ place, the idea was we’d hang out until the snowplows took care of the road.

Over tea and cookies we went through our usual discussion cycle… politician X is an idiot; the Ottawa Senators are ruining hockey; life in his assisted-living residence is killing him; the British were assholes to the Acadians and French-Canadians in general; electric cars will bankrupt the energy grids… which got us talking about some of the jobs he has worked on around the world.

As an engineer my grandfather worked on some of the largest construction projects in the world, including the Churchill Falls hydroelectric dam, which is the largest underground powerhouse ever constructed and also one of the world’s largest power producers period.

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Posted in Bipolar, Bipolar Disease, Bipolar Disorder, Bud, Clinical Depression, crazy people with no pants, Dentist, Depression, Health, Living With Depression, Living With Manic Depression, Manic Depression | 9 Comments