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lynnifer
05-20-2004, 05:00 PM
Alright, fess up. Who's on 'em and who finds 'em useful?

I expressed an interest in trying some this week - second time only in my entire life. My young GP said he didn't believe in them the first time - about two years ago. The nurse was 'skeptical about me using them' because the doctors in this area are receiving warnings from the pharmaceutical companies regarding those who have expressed suicide ideation (no doubt so the companies can absolve themselves of liability if something should happen - B@$#*&#S! - saturate the market and then go 'oops sorry we were wrong they aren't useful?').

I'm going through a rough time - second time on a picc line in two years - still working full time - with just enough time to come home and sleep and feel crappy from this antibiotic (Merrem). My bladder has gone nuts too - accidents galore. I feel like I'm witholding the Atlantic Ocean. Seems like every time I have a day off I have some sort of medical appointment. It's difficult to get in/out of the car/washroom/bed whilst watching where the stupid IV pump is and not dropping it. I 'unplugged' myself today for three hours knowing that the tubing had to be changed anyway - ahh freedom - only five more weeks to go - it was twelve two years ago, there had better not be an extension on this. http://sci.rutgers.edu/forum/images/smilies/frown.gif

I don't think saying that I would refuse treatment a third time is expressing suicide ideation, more like frustration ... I think it's being practical. I was worried my kidneys were shot because I had burning pain in my mid-back but the pain has gone away to be replaced with blood in the urine (which incidently I read in a CPS can be a side effect of this antibiotic). I also said if my kidneys were shot that I would not seek treatment, again I think that's my choice? It's not like I'm married, have children or close immediate family to worry about .. so what gives? Aren't I Master and Commander of my own ship here?

I know people will say 'at least you can work full time' but let me tell you - I am 31 years old, been paralyzed 19 years and am holding on by my fingertips. Trust me, I love what I do; they'll have to drag my dead carcus away from there and pry the police radio out of my cold dead hand .. but .. it's killing me. I like having nice things (if you can call a discounted - must have been hot - Prada purse a nice thing). I had to go off of work the first time I had the picc line for three months - I almost went insane with nothing to do. I see a sister about 3 or 4 times per year, a brother when he needs money - other than that, no family contact.

I read some scarey statistics the other day on Transverse Myelitis - that 65% suffer major depression (something immune system related), 45% are cognitively impaired (great, I get to die a depressed nut) and 15% commit suicide. That's pretty damn high. I have worked so hard to carve out a normal life as possible - that's always been my only goal and I have done extremely well at least I can say that - I just don't want it taken away piece by piece. I'm always so tired and it just gets worse - part of having TM if I understand correctly but half the frickin' doctors around here have never heard of it.

Another thing that scares me is that I seem to have lost the ability to relate to others (I don't really know anyone else that I chum with that's disabled - just the way it is I guess - the couple that I do one won a settlement and doesn't work, the other was born with her ailment and works just enough not to be cut off by welfare .. so nothing in common wth me). They both say I work too much and have no social life - well work doesn't talk back, hurt me and I get out of it what I put in - it's the perfect relationship in my opinion. I see those from work sometimes but it's tough to see the cops, their wives and perfect families - when I have none. I admit it, I'm happy for them - sad for me.

I tried to relate - I went to church once and was treated like the 'po disabled chile who wandered in from the cold' pfffft. I also tried a support group once but it was all old ladies (sorry to the elder females in the reading audience).

I am so sorry to vent here - I know we don't need more depressing posts around here - but I'm really scared that this is what it feels like to go nuts - a depressive cognitively impaired nut (buying into those statistics). I was about to buy my first house - this medical setback has me wondering if I just shouldn't quit everything and give up. If I do, it would almost mean certain death, I think, for this workaholic. There's a police psychologist I spoke with a couple years ago and I am thankful for that opportunity but that's no way to live either so I don't want to go back - how 'Californian' (sorry to those from California in the reading audience - I'm depressed but still have my sense of stupid humour).

I just don't know what to do anymore. These mood swings are becoming closer together and more extreme. I guess it isn't normal to look down at the IV tubing and think that if you injected an empty syringe, it would mean death from an embolism.

I honestly believe this is chemcial. I don't understand why I can't have anti-depressants - I think I'm a perfect candidate for them. I've come this far - 19yrs - without them - I say kudos to me. Then there's my 19yr old looking-like Britney Spears niece - who gets a different anti-depressant every time she's at the doctor - perhaps I should see her frickin' doctor instead.

Sorry this is so long.

lynnifer
05-20-2004, 05:09 PM
Christ, I can't believe I posted this. Too personal? It's too personal isn't it!?!

Replying to my own posts now ... it's confirmed .. I'm nuts. lol

woman from Europe
05-20-2004, 05:35 PM
I have been on them and I never found them any useful. I have tried all kinds and it does not help. When I take them, I am still depressed and I can't feel the joy of life. I never eat them again, better to have the up and downs instead of only the down periods.

But my life is like a rollercoaster http://sci.rutgers.edu/forum/images/smilies/confused.gif

Some days I think life is soo nice, the next day I am ready to kill myself. But who are going to take care of my children if I do http://sci.rutgers.edu/forum/images/smilies/smile.gif

So I can't help you, but if you are nuts, I am nuts too.

TH 12 incomplete 12-12-69. I am still a walker but I do not know for how long time.

SCI-Nurse
05-20-2004, 05:57 PM
I would suggest that you download (small fee) and read the consumer clinical practice guideline on Depression and Spinal Cord Injury published by the Consortium for Spinal Cord Medicine. At the same time, download and give to your physician (or better yet, have HIM pay for it and download) the professional version of this document. It gives valuable information on both the diagnosis and management of depression in people with SCI.

You can find both documents here:

Consortium for Spinal Cord Medicine Clinical Practice Guidelines (http://www.pva.org/cgi-bin/pvastore/products.cgi?id=1)

(KLD)

Annabanana
05-21-2004, 11:03 PM
Hey lynnifer...so sorry to hear you are going through such a rough time, you have to look after yourself girl!

Go see a different doc I say, my experiences with anti depressants have not been good, but there are many people on them who say that they have worked well for them. Ive tried one called luvox that made me instantly ill and another some years back that had me wanting to go back to bed at lunch, so I've always just tried to deal with my emotions myself. Maybe you could try St Johns Wort and some counselling? I know with myself if i had someone to offload some of my feelings onto it would probably help, but instead just keep on keeping on...doing the daily grind and trying to convince myself and those around me that life is good.

Cris
05-22-2004, 04:57 AM
Perhaps its a lot of little thigs adding up to a syngergistic effect. When the PICC line comes out and your overall health is better, so will your mind.

Anti depressants didn't help me, as said before, I would rather have the ups and downs than just be flat.

betheny
05-22-2004, 05:33 AM
lynnifer...

STOP! DEEP BREATH! PAT ON BACK for being incredibly articulate!!!

My advice is find another doctor. You're having trouble seeing out from under the cloud, not interested in people and activities, have massive cause for situational depression God knows. Just the time on the PICC line would bum me bad, plus so little social contact. If you can come out from under the cloud (which anti-depressants have helped me with in the past), then you can tackle the other issues? Just a thought, hang tough girl, it's gonna get better...Beth

C5/6 incomplete, injured Aug. 2000

Broknwing
05-22-2004, 04:46 PM
I know I haven't been dealing with all this for nearly as long as most of you out there. And definately not as long as you Lynn. But, I'm taking Celexa and it has worked amazingly well. I take it at night before I go to bed. If I miss it then & take it in the morning, my day is a little off, but not bad. If I miss it all together once, I feel pretty crappy but a lot of times don't realize why. If I've missed it for 2 days I fall into a depression. Prior to my accident, I hated even taking tylenol or motrin, now I am happy to take the medications that are helping me get back to "normal". Celexa is one of them. Keep your chin up. I will pray for you that you find something to help you feel better about everything you are dealing with. Feel free to contact me by e-mail p.m. if you want more info or just need an ear to vent to.

'Chelle

woman from Europe
05-22-2004, 05:10 PM
I think something is happening to people living with a SCI for a long time. To many bad things happen and you get tired of pretending everything is ok.

You are getting more trouble with diseases, you want so much to live like everybody else and you get bored and tired. And people believe you are managing things soo well.

But life is not that simple. You need to vent and you need people to care for you and someone to talk to about the problems. You need someone to talk to somebody who understand your struggles.

You are welcome to e-mail me if you want to. I send you a big hug http://sci.rutgers.edu/forum/images/smilies/smile.gif

TH 12 incomplete 12-12-69. I am still a walker but I do not know for how long time.

Spadfan
05-22-2004, 08:22 PM
Lynnifer,

I am the nosy old fart that asked you about some of the dressings you were using on your pressure sores.

I noticed from your profile that you are not only working full time, you are also working shifts. Are these rotating shifts that keep your sleeping hours all screwed up? If they are, is there any way you could get the "powers that be" where you work to put you on a straight shift, with your same responsibilities, so that you could have a regular sleep routine? At least while you are on IV antibiotics and preferably for the rest of your working career.

I still admire your spunk. http://sci.rutgers.edu/forum/images/smilies/smile.gif And great big "ole" hug!!

[This message was edited by Spadfan on 05-22-04 at 11:31 PM.]

Sue Pendleton
05-23-2004, 04:27 PM
Lynn, are you a member of the TMA? Have you checked with them to see if there is a local shrink or neuro familiar with the condition? If not, try checking out:

http://www.myelitis.org/

I agree with Span also about rotating shift work. I did it for 3 years in the military and even the US Army agrees it is detrimental to health in many ways.

I don't do the drug route myself. I realize you may not be able to handle the next suggestion alone depending on your physical state but does your area of coverage include any K-9 units? If so how about adopting one of their retiring dogs? Best damn med in the world in my opinion. Just feel suicidal when you lose the noble beasts. If, when that happens maybe time for a service dog??

Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

crags
05-24-2004, 08:03 AM
you might consider removing some of the work stress in your life. if you have a disability policy at work, i'd cut down hours and tap into it to start. just be very careful with your claim information and procedures.

often times one needs to step back and re-evaluate one's situation. work has it's benefits and detriments to everyone, even more with sci. if you have the option of hour reduction, ignore the rah-rah crap of the "super-sci cheerleading section" that claims destroying yourself at work is necessary for full "assimilation" in the "real world"

maryonwheels46
05-24-2004, 12:35 PM
I donot have many people around me, anymore. You do need to find a DR. Just a small dose of Paxil or some kind of med would help. Find someone and let them like you. You obviously are one tough girl, have plenty to offer as a friend. Stop so much work you are wearing yourself out.

metronycguy
05-24-2004, 04:29 PM
lynnifer , i think you have had enough and you need a break, try and cut down on some hours and try and find a new doc, at this point i cant see how ad meds would hinder you, whats wrong with feeling good and less anxious?
i hope things are a little better this week

tegdirb
05-26-2004, 03:42 PM
posted by wfe:
"I think something is happening to people living with a SCI for a long time. To many bad things happen and you get tired of pretending everything is ok."

geez, it's only my third year and i already feel that way. i take effexor at a very lose dose 37.5mg, but may need to try something else. i feel ok most days...im never really happy or really sad. lately i feel this BS is never going to end. if i stop taking effexor, i start hitting major depression and cry all the time. i know i should see a shrink, but i just don't think they get it or would benefit me much.

AngelaandKC
05-26-2004, 05:56 PM
Hi there,

I say go for it. Anti depressants are there for a reason. If it doesn't work for you, you can always stop right?

However, keep in mind that you might have to try several before you find the right one for you.

And you might find there are side effects. Paxil and others that inhibit seratonin can lead to increased spasticity, etc. that does not normally effect non SCI folks.

Ask your doc for samples so that you are not buying and trying lots of different ones.

Best wishes!

duge
05-26-2004, 06:20 PM
Lyn
It probably is chemical. about 5 yrs ago before my sci I cam home from work one night and just sat down in my garage and cried like a baby, for no apparent reason. I went to my Dr. and she said yes you got a chemical imbalance. Hell I thought I was going nut's. I told my wife there is something deffinatly wrong here. Sounds like you are trying to do way to much too! Be nice to yourself lady! you come first! remember that
Duge

T-12 incomplete 10-3-02

canuck
05-26-2004, 10:48 PM
I'm on 200 mg of Zoloft a day & I function so much better when I'm on it. People with Spina Bifida seem to have a high incidence of depression too. If your current dr. won't subscribe see somebody else or go to mental health.

Aurelia
05-27-2004, 02:31 PM
Bridget, I am on the same as you 37.5 Effexor and find when I forget to take one I get a weepy and teary, but I haven't taken them for over a week now, mainly because I actually forgot for about 3 days but the weepiness disappeared too. It might be a side effect just coming off them. Mind you I might go back on them again as it does take the edge off reality.

marco25
05-30-2004, 04:50 AM
Lynnifer, wow. I admire your honesty and your determination. Never give up....

I'm now on 75 mgs of effexor for stress-related depression which almost killed me a couple of months ago. I feel so much better. It's not that drugged up, drunk or life is so jolly now feeling ... just "normal," balanced, power to cope--chest pains and headaches are gone. If I skip a day I get irritable, short tempered.