The Time of Illness

I had two days off. No schedule for radiation, but
The tests for clotting factor went on as usual
Without me. I rested like a long distance runner
My drug fueled system humming along as if I ran
On chemicals alone. Did you know that Warfarin is
Rat poison? This is proof to Z that all medicine is poison
To me it means that someone found a really good use for
Rat poison. I take twice as much Warfarin as Z to keep me
From blowing a gasket, to keep my heart humming along
Like a clock that runs a bit too fast, but steady as she goes.
The bruises that cover my arms and legs don't bother me at all.

Z hemorrhaged again last night but refused to go to the hospital.
She determines that she just needs to cut back on the Warfarin
I ask her why and she says, "What can they do? All they can do is
Give me a transfusion." I wonder why that is such a bad idea. I want
Oxygen. I want oxygen rich blood. I think they might give her Oxygen
But keep my mouth shut. I took her fresh peach cobbler hot from the oven
Vanilla ice cream. She eats it as if she were a starving child and I choke back
The truth that the peaches were purchased at the grocery store and were only
99 cents a pound. I make up a perfectly plausible story about my neighbors friend
Drew who grows peaches in Southern Utah for peach brandy. He always has too many
Brings a bushel basket for the neighbor who passes plenty to me for fresh peach cobbler
Thankfully she doesn't ask about the ice cream. It is Bryer's All Natural, Natural vanilla
She eats it like a starving child. I took certified organic red potato soup, organic milk,
Watermelon cut into bite sized pieces and chilled. I know from having spent a lot of time
With Z that she does not get enough fluids to stay well hydrated. I liked the idea that when
She was in the hospital they pumped fluids into her veins. She says it made her swell. Well,
Yes, when the tissue is hydrated it plumps with pulsing life.

I'm a woman who takes a handful of pills every morning with her first mug of latte.
I don't do a lot of research on the drugs I take or study inserts for dire
Side effects.
Life has some nasty side effects. Life can kill you.
Don't we start dying from the moment we're born?
I took so many risks, still do, daring death to take me
Like a lover, who sees an opportunity when I sleep
I should be so lucky

So, the schedule is set for this week. Radiation every day
Clotting factor and food are on Z's agenda and mine
If all her radiation treatments are in the afternoon
I can take her, park the car and wait with a book
Patiently. I hope I live up to her expectations
I hope I don't disappoint her. Today it was peach
Cobbler and vanilla ice cream, tomorrow begins
The hard part, now that the tumor is bleeding
She's no longer just getting rid of the blood clots
In her lungs. Now the tumor is bleeding. Isn't that
A bad thing? I try not to show my extreme distress
I come home and take a handful of pills with my
Evening cup of Earl Grey Tea and smoke half a dozen
cigarettes. I resolve to keep on doing what I'm doing
As if it will protect me from her loss. What are the odds?

Riding the Bipolar Roller Coaster

It's been a long time, in bipolar terms, since I experienced a real depressive episode. But I remember, now that I've been going through it again, that depression sometimes presents as organic illness. I start to feel sick. Feeling sick is not my normal state. This feeling sick sends me to my internist. And in the early phase I might have some mild and transient illness that can either be treated or waited out. But I don't bounce back. Feeling ill lingers. Not sick enough to simply stay in bed, but not well enough to want to do much of anything. It's a headache that's hard to get rid of, or a bowel disturbance, or low grade fever, or a slow, creeping stupidity that scares me more than anything. It's the transitions from one pole to the other that are the most dangerous. It's when we, the bipolar, realize depression is bearing down on us and we still have the energy to do something about it, that we know we can't stand it again. That's when we think about suicide. If I were suicidal, I would not be talking about it, so relax. I'm not suicidal. But I have been there, more than once. It's why I don't fear death by cancer or heart disease or a fatal car accident.

In Salt Lake, under the umbrella of medicare, we have Valley Mental Health. And within Valley Mental Health is a group called The Master's Program. You have to be bipolar and over fifty to qualify. I think calling a program for the old bipolar patients The Masters Program is both funny and apt. If you've lived past fifty and you are bipolar, you're damn special. You have survived a very difficult life. And I'm always amazed how many of us there are. We are often treated for substance abuse(self medicating) which might result in a bit of trouble with the law, especially for men. Men are more likely to be incarcerated than women, since men are more likely to be violent against others, where as women are more likely to be self destructive.

We can be extremely charming, and we can be horrid. I would not choose a bipolar friend to hang around with. In my opinion many of us are more trouble than we're worth. And in transition we can be seething with barely suppressed rage. In a manic phase we can seem as if we're taking large doses of amphetamines--motor mouthed and loud. I sure wouldn't chose to spend my time with anyone like me. But for the person experiencing a bit of mania it's damn fun. We all live for the hypomanic phase of the illness. But, like the way down, the way up is also dangerous.

All this to say, I called The Masters Program today, got through the gate keepers to the psychiatrist's nurse. She said she would get back to me tomorrow when she'd had a chance to talk to Dr. Issabela, whose booked two months out. So I was instructed to call Fred, my therapist, set up an appointment on a day Dr. Issabela will be in the office. She will look in on me between appointments, consult with Fred and between them they will decide if I go off Doxepin Hydrochloride and back on Zoloft. I have over the course of my life dealing with this monster illness found that not that many of the drugs to control my illness are tolerable to me. They all have some side effects. And some are worse than others. This drug gives you tremors and this drug makes you fat, this drug makes you stupid and this drug steals your dreams. Go ask Alice. I'm guessing she was bipolar.