smoking

I am a mess

~ KJ ~ 5 Comments

These past two weeks have been difficult. So difficult that I could barely speak about the shitstorm that was inside my head, let alone write about it. I became emotionally constipated. My words, my emotions, they continued to build up — but none could find their way out. After awhile, it started to hurt.

It’s scary for me when that happens. It leaves me unable to communicate my needs. It prevents me from asking anyone for help.

And I desperately needed help. I was trying to be strong, but I could no longer hold myself up underneath everything that was piling on top of me. One thing, I could handle. But it was everything all at once. The unwanted correspondence with my mother, her finding out where I live, the holidays, my upcoming appointment with the doctor. The flashbacks, the memories. It was just too much at once, and I started to drown.

I was tired of the fear and the pain. I was tired of living. Tired enough that I ran out in front of a car in the middle of a busy highway one morning, hoping it would hit me and end my suffering. But the car didn’t hit me; it slowed down just in time. I walked back to the curb like nothing had happened. I went in to work like nothing had happened.

I could have died in that moment. The car could have not slowed down and I would have been struck and killed. But I couldn’t process that reality. Instead, I just pushed it away, as if it were some minor inconvenience like missing the bus or being late for work.

I didn’t tell anyone about it. I couldn’t understand what was going on inside my own mind, let alone try to explain that chaos to another person. But deep down, it scared me. It scared me that I got to the point of trying to die without any forethought at all. There was no warning. There were no red flags. I just got off the bus one morning and thought it would be better if I could just get hit by a car and end my life. There was no planning, no chance for intervention.

It scared me because even in my darkest moments, in the times that I want to die, there is something inside of me that wants to continue on, that wants to live. But that didn’t happen this time. There was no pull to live; only an impulse to die.

I became my own biggest enemy. Greater than the fear of my mother was the fear of myself. Because no matter how badly my mother wants to kill me, it will never be as much as I want to kill myself.

I finally broke down and told my therapist what happened. I wanted her to save me. I wanted her to say something that would flip the switch in my brain from death back to life. I was desperate, but even my desperation was full of false hope. I knew she couldn’t save me. No one could save me but me.

I told her I would be okay. I told her I could be safe. But I didn’t believe it.

I found other ways to cope. I started smoking again. I stopped eating. Because even though cigarettes and starvation won’t kill me today, I know that each puff of smoke I inhale, and each meal I skip brings me a little closer to the death I still believe I deserve. It’s a more acceptable form of self-induced pain; a discrete, prolonged suicide. And no one’s the wiser.

I’m still alive. I still go to work. I still go to therapy. I still do my schoolwork and write my articles like everything is okay. But it’s not really okay. I’m not okay. I am a mess. And it’s difficult for me to admit that. It’s difficult for me to write that down. I am a mess.

I want to be strong. I want to be able to say that shit doesn’t bother me. But I would be lying. So instead I say nothing at all. And I write nothing at all, I think in part because I don’t want my mother to see how much she affects me. I don’t want her to know that even from far away, she still causes me pain and heartache. I don’t want her to know my struggle, my fear, my pain, my misery. I don’t want her to feel like she’s won the battle, the battle that I never set out to fight in.

But in my silence, she is still winning, because silence is what she wanted all along. Silence is why I suffered as a child. Silence is why I still suffer today. I don’t want to be silent. I want to be able to say how I feel inside, through my voice and through my writing. I want to be able to ask for help when I need it. I want to be able to say that I am not okay when I am not okay. I want to be able to speak without fear.

I can’t do any of that if I’m silent. I have a lot to say. I won’t let her stop me.

My name is KJ. I am a mess. And that’s okay.

Doctor’s Appointment

~ KJ ~ 2 Comments

I had my doctor’s appointment on Monday.

It was full of a lot of disappointment.

I am proud of myself for sticking through it and not backing out, despite terrible anxiety.

I sat in the waiting room filling out endless paperwork. I’m pretty sure my legs were shaking the entire time. I considered walking out twice, but I couldn’t.

I finally got in the room and the doctor came in. She seemed a nice. A little upbeat. I’m weary of upbeat people. Perhaps she drank too much coffee. She looked over my paperwork, then focused on my lengthy list of hospitalizations. Panic attacks, psychiatric, psychiatric, malnutrition, psychiatric, psychiatric, and then at least six hospitalizations for pneumonia that I could remember in the last decade. Then she noticed the name of the hospital and asked me where it was.

“Oh, I delivered babies at that hospital. I used to live there!”

My heart sank a little. Of the hundreds of cities and towns in this state, this doctor happened to live in my hometown, just a few minutes away from where I used to live. It’s not even a major city, which makes it even more weird. A part of me instantly put a guard up. Anyone from back home is a possible threat in my mind, even though the actual likelihood that they are is slim to none. Tell my brain that.

She did a mental health/depression screening. I failed. I should have known better. Because then, of course, she wanted to put me on psych meds. No thanks. She named several antidepressants that her patients had shown success on. That’s great. Except a) I don’t have clinical depression and b) I can’t take anti-depressants. I am part of the small percentage of people who have reverse reactions to SSRIs and SNRIs and end up more depressed and suicidal. There are no medications for DID. I didn’t come here for psych meds. I started to get frustrated and lost hope in the rest of the appointment.

Then she suggested a medication for my migraines, and said it would also help me stop smoking. I recognized the name as a medication I had taken before and had to stop taking because I couldn’t handle the nausea and complete loss of appetite. But she was a little insistent, even after I subtly mentioned a few times that eating enough is already a problem for me. But I’m fat, so most doctors don’t see past that and assume I could benefit from a loss in appetite. They don’t realize that, just two years ago, I weighed 160 pounds more than I do now. I just gave in and let her write the prescription, telling myself I could decide later on if I wanted to take it. Then I realized that her dosage is 4X the dose I was taking when I stopped taking it some time ago. So I’m certain taking this medication will not go over well.

She was especially concerned with my respiratory problems. I have a history of asthma, chronic pneumonia, and respiratory failure. I smoke. I have a family history of heart disease. She wanted an EKG, but by the end of the appointment I just couldn’t do it. She listened to my lungs. I hate taking deep breaths, because I can hear and feel the air struggling to get out of my lungs when I exhale. It is not a good sound. It is not a good feeling. This was no different.

She tried to explain, using her hands, what was happening to my lungs. She mentioned COPD – and this wasn’t the first time I had heard that. My long history of respiratory problems and consistent pattern of breathing difficulties had been pushing me towards a COPD diagnosis, but no doctors had ever made it official and never made it a priority. She prescribed me a few different inhalers, which she said would treat both asthma and COPD. And in my mind, it hadn’t yet clicked that she was insinuating that I had COPD. I thought she was just saying it was a risk to try to get me to stop smoking.

But then, the next day, I checked my medical record online to make sure all of my information went through, and right there, towards the top of my chart, was chronic obstructive pulmonary disease, unspecified – Active – Diagnosis Date 03212016. For some reason, in that moment, it hit me. This diagnosis was on my medical record. What the fuck.

I was angry. I was enraged. Not at myself. But AT THE DOCTOR. How could she do this to me? I am 30 years old. COPD is for old people. I am not old. I do not have COPD. And being the irrational person that I am sometimes, I responded by going to the store and buying MORE cigarettes – because in my mind, if I already have the diagnosis, why the fuck should I care now? It’s just been a whirlwind of emotions about this that I still haven’t processed yet.

Going back to the appointment, she took a lot of blood. Probably more than I’ve ever had taken before. She is testing my vitamin levels, thyroid, blood titers, all the usual shit and then some. And that was it. There was so much focus on my mental health and my breathing, issues that I thought I had under control, and nothing about my constant pain. I was disappointed. I have to go back and see her next month, but I just don’t know if it’s worth the travel to get there. It did not go as we (me and my therapist) had hoped. I will talk to my therapist more about it in our session tomorrow, but I just don’t know. I need to take some time and think it over. As I smoke more cigarettes. With my new inhalers.

I’m sad that so many doctors don’t consider the past, only the present. Of course I have trouble sleeping and hate life sometimes. If you knew what I experienced the last 30 years, my present makes sense. Yes, I’m overweight now. But I lost a tremendous amount of weight in a relatively short amount of time and got sick from it. So while yes, I need to lose weight, I don’t need to promote my eating disorder to do so.

I know that some of my health issues are my own fault. Smoking does not help my cause. But I also had severe respiratory problems well before I started smoking. I started because at that point, I didn’t care. Part of me still doesn’t. But still. I’m only fucking 30. Where the fuck did I go wrong in life?

Meanwhile, the shittiest fucking people alive are still living. My mother will probably outlive me. My father has had several heart attacks, a stroke, and congestive heart failure for years and he is STILL hanging on. What the fuck.

Life is a cruel joke sometimes.