Those Damned Little Pills

amanandpill

For the very first time since I swallowed my first 20 mg. tablet of Paxil four-and-a-half years ago, I finally understand why so many people living with mood disorders stop or want to stop ingesting those damned little pills. Those little pills, like slap-happy lovers, amend their  promises of change immediately after they’ve failed you once again.  One more chance?  One more try?  We’re narrowing the field; one day we’ll strike the right chord, just have patience.  Patience?  What patience?  NAMI (National Alliance on Mental Illness) reported that adults who live with serious mental illness die 25 years earlier than other Americans . . .

Imagine yourself standing next to the Greyhound bus to say good-bye to Hope as she takes a window seat, looking at you detached and hopeless2indifferent.  Your worst fear is happening: That Greyhound bus is leaving you utterly Hopeless.  Hopelessness is a loaded .38 in the nightstand on your dad’s side of the bed; hopelessness is impressionable and interested in alternatives; hopelessness implies that the rough-housing and agonizing conflict you’ve accepted as life is all yours, pal, so grab some gloves and climb into the ring!

Eighty-sixed and cast aside, people with mood disorders are often adrift and desperately clutch to any buoyant object to preserve the credo of the awringingdowncast, that missing people like you are rescued.  But there is no rescue.  Or search.  No one even noticed you were gone.  But then serendipity zips past on her jet-ski waving and reassuring her return. Immediately you squeeze and squeeze again until every bit of blue sky is wrung from her fly by.  You weave strands of hope into bonds of promises and cling to them for their six-week trial, hoping your wholeheartedness created the perfect environment for the mood stabilizing drug to speed down your arterial on-ramp and slide into your bloodstream, easy-sneezy!

Nope.  Nothing.  Nada.  That bitch Hope and her batty cousin, Serendipity played you once again for the hapless Sad Sack, the lunatic adrugcompdesperate for clemency, the believer of broken promises in the form of a pill.  Those damned little pills!  The pharmaceutical industry’s great hoax endorsed by psychiatrist’s, dispensed by Pharmacists, and dutifully swallowed with some water and a handful of hope.  Hope that it’ll take; make a difference; do something; ease my burden; make me laugh.

At my desk 30 minutes after waking, the gravity of hopelessness, fatigue, and apathy plunge my mood underwater; the depressive side of bipolar ajetleads to chronic pleas for the manic cavalry to save the day.  Hold on, I mutter to myself, Just hold on for the pills; they’ll carry you far away from despair. Into my mind’s ground fog I wander further out on the pier when a carefully apportioned packet of dextro-amphetamine salts (think F-22 Raptor Fighter Jet in a mach-1 vertical climb); mood-stabilizer (think the F-22 Raptor running out of gas); and anti-depressant (think glider) are swallowed to ensure mood stability.  Followed by a pair of diuretics to reduce significant edema caused by heart failure and pulmonary hypertension.  At last I down two pain medications and one muscle relaxant for back and knee pain associated with recent weight gain caused by heart failure and venous insufficiency.

How did life become a scene from Soylent Green?  Not so long ago I’d lounge sleepily awaiting the skipping return to bed of my spouse.  Now mycomforter mornings are strict regimens in a very specific sequence to assure all medication has been ingested.  I too, would like nothing more than to flee from this pill-filled merry-go-round so-called Life and run back to that sanctuary of pressed sheets, downy comforters, famished pillows which swallow everything, and quiet, inside-joke laughter reserved for those blessed with wellness.

Instead, every morning I sit at our kitchen table despising those damned little pills. 

 

Hard Truths Abolish Life’s Peripheral Pleasures (for Jean)

amaculardegeneration

Living with mental illness reminds me of the perpetual tightening of sight associated with macular degeneration.  A close friend’s mother is facing a destiny of dusk, the light of day dimming earlier and earlier like the cold and snowy late months of fall.  She’s waiting for disease to throw the switch as though she hadn’t paid her utility bill.  She asked me one afternoon during a summer visit, how dark is dark; how blind is blind; once it’s dark and I’m blind will I continue farther into the cave and deeper into its darkness; or is my blindness an unmarked dead-end?

I sat in front of her incapable of producing some quip of levity to lighten the despair.  I didn’t know how to answer.  Or, what to say.  The absence of chit-chat hung between us like humidity.  Finally I answered the only way I knew how: honest and awestruck.

I said, I’m not living with an insensitive eventuality; my conditions (serious mental health and cardio-pulmonary compromise) are likely to flatten me, like being crushed by an immense breaking ocean wave, or belly flopping into the speeding approach of pasture, absent of any canopy of resistance my last minutes hopelessly free-falling like aimless snowflakes.  Then it happened.  Stopped.  Quiet and conscious while the tiniest pieces of life clung to daylight, right before it too, daylight, stopped.

acandystoreYou and I are the little boy and little girl whose noses are pressed flat against the confectionary store window.  Our yearning is painfully apparent to the plumply indulgent chocolatiers who’s moving each bit of life with the careful determination of a chess master to capitalize on each enticing, heavenly, and scrumptious creation.  We’re accustomed to forfeiting the peripheral pleasures which adorn life for those unscathed by physical mutiny.  We’re weary of the world’s pace, gaining speed to get anyplace but right here on this bench.  And we’re disinterested in watching a generation plow through a banal life ignoring its dangers and instead pursuing schedules chock full of unwieldily opportunities and difficult-to-deny distractions, especially those who’ve never stared into the intense and stoic countenance of a doctor about to tell you the most incomprehensible truth.

To wonder and inquire about your predetermination is natural and reserved for the courageous.  To have courage in light of the truth you must’ve stopped pursuing distractions, stopped running away from things, and stopped denying your mortality.  And life’s hard truths can only be understood by the courageous.

2012 in review

The WordPress.com stats helper monkeys prepared a 2012 annual report for this blog.

Here’s an excerpt:

600 people reached the top of Mt. Everest in 2012. This blog got about 7,300 views in 2012. If every person who reached the top of Mt. Everest viewed this blog, it would have taken 12 years to get that many views.

Click here to see the complete report.