Showing posts with label Combigan. Show all posts
Showing posts with label Combigan. Show all posts

Saturday, May 3, 2014

"but oh, that magic feeling, nowhere to go..."

i'm boring you with another repost of the past glorious because... the title song has been circling 'round my cerebral marquee all day, being the song to which i woke.  yes, the irony -- and you know the irony rule.  

no, not "irony rules!" -- jeez.
rather: "share the irony!" -- duh.

originally published 28 february 2011, just prior to beginning ketamine subanesthetic infusions. "oh, that magic feeling, nowhere to go..." i must have had some foreboding of the proverbial k-hole to come.



I have decided not to be ashamed of my behavior today.  There's nothing to be gained from such shame.

Honestly, the reasons for my outbursts aren't clear, even to me.  Stress, pain, blahblah?  It's likely that I've maxed those accounts out long ago.  There is no further purchase to be had from tired woes.

It started in the elevator, as these things do.

Giggle.

No, it started promptly at 4 am -- as Fred came to bed, I rose.  Sleep hadn't put in an appearance, though I had drifted near a nightmare.  I have had nightmares for the last four or five nights -- real ones, the kind that leave you dripping with sweat, heart pounding, images runningdancingjumping left-to-right and back, fast.  My response is automatic, as much an echo as the dying scream I imagine hearing fade through the cracked bedroom door, slipping quickly around the corner into my office and hiding, crouching behind the freeform green rocking chair that Fred once said frightened him.  ("Can we get rid of that rocker?  It scares me.") (I am still so very sorry to have laughed.  He was very serious.)

The first night of mares had me shouting "I don't know where I am!" --
The second night, I queried, "What is that?" (pointing to a shadow on the ceiling)
The third night I don't remember any words, just a bunch o'guttural goo and a whistle.
Last night -- emphasis on speed -- "I-don't-think-so-I-don't-think-so..." (wherever I was, I was lost)

There's a theme.  It's facile.  Boring, even.

It's the first week off of antibiotics in a month and darned if I don't think these things are related to a resurgence of those feisty bone-smacking bacteria sorts, those pestilent punks.

So, anyway, restorative sleep continues to be a mythic thing.  As Fred faded, I shifted gears and pretended the things I did in that darkling time were important.  The kibble bowls needed scrubbing, the rosemary trimming, online bills scheduling, biscuits a gentle touch -- Nephews needed birthday checks, brothers an unexpected kind word, strange and cancered children prayers.

I finally got myself a Laughing Buddha -- it's been a lifelong desire -- and I do not fail to rub His Belly in these chiaroscuro mornings.  Dobby the Runt Cat rides my lap, leaning into the wind kicked up by this speeding wheelchair, nose raised to the unknown, looking like nothing so much as a faithful dog.  He goes eyeball-to-eyeball with the smiling Buddha and does not blink first.  He's a remarkable cat and loves these early hours.

By the way, if anyone knows how to train a cat to modulate his voice... I need suggestions.  Dobby has adopted a permanent scream that is grating, that flails strips of inner ear and takes tiny melon balls of brain matter... It's truly awful and we don't know exactly when or why it began.  He wants something, desperately, but after checking on hunger and thirst, general comfort, humidity levels, belly rubs and fanny whacks, and yes, even laser lights, we are left with what we had -- a cat that levels an intensely meaningful gaze within a strangely wizened little face, then screams.

I wanted Fred to sleep as long as possible before we had to head out for my ophthalmologist's office, a good 40 minutes of Tête de Hergé highway away. 

Two weeks ago, I reintroduced myself to the good EyeMan, I, the errant glaucoma patient having gone missing due to distraction and a lack of insurance.  Nonetheless, I kept up the eyedrop regime and kind of enjoyed the respite from appointment upon appointment. 

Of course, I was also losing vision, a distressing thing.  It turned out I have cataracts in both eyes and -- much more importantly -- out of control eye pressures, despite the medication.

So he fiddled with the eyedrop prescription and had me back today for a visual field test and another pressure check. 

To get there, of course, we rode in red, red Ruby.
As he and his colleagues are hunkered down on the eighth floor, we took the elevator up.
I don't often board elevators that are full, preferring not to risk being touched.  You'd be amazed at the number of people who think a wheelchair is an invitation to pat a shoulder (oy! always the shoulder!) or to reach down to my sorry knobby knee, all the while speaking to whomever serves as that day's Gimp Escort, because the person in the chair could not possibly have higher brain function.

But I did today.  Get on a crowded elevator -- in case you lost track of the relevant antecedent.

And sat staring into what amounted to a huge mirror as we stopped on every floor.

It wasn't that I did not recognize myself.  I'd know those small, beady, darting eyes anywhere.

But... what happened?  Where did my face go?  When was I smushed down, squashed, and caricatured as an unfinished lumpy dough, resting between rises?  Cast blame on steroids, on a cushingoid effect, on collapsing joints and bones, on a lack of regular tennis and even fewer occasions for a morning run.

So, of course, right there in the blasted reflecting elevator car, I started to cry.  Thankfully, no one noticed, we made it unperturbed to the mighty eighth floor, I had the VF test, and was escorted to an exam room, where I promptly pissed everyone off.  Last visit, I transferred easily from wheelchair to their exam chair, then watched as the nurse laughingly drove my chair into a wall.  "Ooops!  I wish I had me one of these..."

Today, I was dizzy, febrile, and had recently wept.  No question but I was staying put.  The exam chairs slide out of the way very easily and the doctor, I knew from past visits, didn't mind at all.  But the nurse pursed her badly colored lips, went "tsk tsk tsk," and then huffed and puffed her way to a gathering of nurse-types in the hall, where she proceeded to "tsk tsk tsk" with renewed vigor.

Fuck 'er, I say.

And cried while I waited for The EyeMan.

Last time, both eyes were 30, I think.  Today, 29 in the left and 31 in the right.  Actually, I might have that mixed up.  So he added another medication -- and back I will go in a month.  We've picked up right where we left off, he and I.  A regular dance.

The new drops sting and blur my vision.  I threw the package insert away when I saw the prodigious number of side effects. 

Oh, and I cried some more on the way home, but at least had recourse to a pair of dark glasses and a driver distracted by squirrelly traffic.

Thursday looms large, as do my hopes for it.  There is, I think, a psych evaluation necessary for the ketamine infusions, so I'd best quit this bursting into tears business immediately.

Once there was a way to get back home
Sleep pretty darling do not cry
And I will sing a lullabye

Golden slumbers fill your eyes
Smiles awake you when you rise
Sleep pretty darling do not cry
And I will sing a lullabye

Once there was a way to get back homeward
Once there was a way to get back home
Sleep pretty darling do not cry
And I will sing a lullabye

Friday, March 11, 2011

Who told Carolina that they could play?

from IdiomsByKids
A quick summary of schtuff:

My BP decided to become an issue, after a lifelong stint of being too low, by catapulting itself into the rafters.  200/110 last week, 160/110 yesterday at the MDVIP go-to-guy's office.  This making no sense, we deduced that it is the fault of those nasty eye drops... Combigan. 

Clearly, it wouldn't be exactly wise to trip out on i.v. ketamine on Monday with hypertension, particularly as ketamine causes an initial increase in blood pressure -- as part of its hallucinatory charms. 

So I stopped the drops and will put my head together with the EyeGuy next week... and go-to-guy put me on Bystolic.  He also strong-armed me into purchasing a BP kit.  What was sweet, though, was that he had researched prices and such.  That just adds a certain je-ne-sais-quoi to his character!  WhisperWhisperMurmurMurmur... I think they have that at Walmart for $40... WhisperWhisperMurmurMurmur...

Last night it was still high at 188/93 and I cursed the blood pressure gods.  Today, though, ha!  Ha!  I laugh in the pimply red face of hypertension.  Just now:  126/71.  Ta da!

We flew across hill and dale, took a sharp left at the Lone Alp, and arrived early for my appointment with the General Surgeon yesterday morning.  All well and good, except for the note on the door, dated September 2010, announcing that they'd moved their offices -- moved back to the hill, right behind the dale.

We flew, again, this time mumbling and grumbling under our various breaths.  Hot Stuff that we are, we *still* arrived with five minutes to spare. 

But not a half-hour early, as instructed!  [This is a new pet peeve.  Don't schedule an appointment with me and then, when you call to remind moi, say, "Please arrive a half-hour early..."  No!  Make the appointment for the actual time you actually want me to actually be there.]

He has a great staff, and he, himself, was very personable and able to sell me on getting a portacath put in (installed?)!  I loved his claim that "no one has ever regretted it." So, I am to show up at the hospital next Thursday morning, at an ungodly hour, and he will toss that sucker in me, hitch it up to the subclavian, and voilà!  Instant intravenous access.  For some reason, I have to go through pre-registration at the hospital the day before.  Kind of ridiculous for an itty-bitty procedure of this sort.

Okay, so I am touchy.  It's the same hospital where I was gifted with enough trauma and malpractice, mispractice and other-negative-insinuations, including the very CRPS for which I am now constantly seeking relief.  I was told, back in 2005, that "no one will treat you here, not a doctor, not a nurse, not a pharmacist..." That came out of the mouth of an orthopedic surgeon I had consulted, liked, and with whom I had scheduled a shoulder replacement.   (The right side;  The Sentinel Event was subsequent to the replacement on the left.)  Two days before surgery and someone decided to tell him "who I was."

That's right!  I'm THAT GIRL!

How ludicrous that he would threaten me with the big black ball when it was his colleague's malpractice at the heart of everything.  Talk about misplaced emotion and severely impaired thinking.

So anyway... yeah, I may peer half-blind from my gurney next week and see the same anesthesiologist who screamed at me that he and his department had been discomfited by my complaints about being nearly killed and successfully debilitated by his hospitals' various minions.

I'm thinking I might spit in his general direction.  Or something classy.

So, if you are keeping score:  Monday is Ketamine Day!  Tuesday is Recover from Ketamine Day!  Wednesday is go hang at the hospital and bleed into little tubes day!  Thursday is Put-In-The-Port Day!  And... I think I have a couple of appointments elsewhere... that I prob'ly ought to cancel.  Fred and Ruby, at least, would appreciate that.

Ach.  Oh, and today I am supposed to start another month-long love affair with antibiotics.  But that rx is sitting over at the pharmacy waiting for Fred to pick it up.  And Fred is pooped.  So... I say:  Tomorrow is soon enough. 

I am making Executive Decisions to beat the band.

I am full of hope.

I figure, until proven otherwise, I am a person who is at one with possibility and potential, all coming together at a certain point that can be graphed as Monday Afternoon, when their various forces and energies shall gift me with an orgasmic... CURE. 

Or something.

Maybe the hallucination of a cure?
Maybe a significant reduction in pain?
Maybe not?

Hell, it's a luxurious option just to be able to rest and cavort within Possibility and Potential all weekend.

"On Monday evening, darling, when I am cured, let's try that new Thai restaurant we noticed five years ago!"
"Sweet cheeks?  Tuesday morning, while I enjoy a significant reduction in pain, as established by the Visual Analog Score, I would love to give you an intensely rejuvenating back massage, the way I used to when my hands actually followed instructions from my brain.  Where did I stash that gallon of Patchouli?"
"Yo!  Fredster!  Reserve a court for Wednesday and I'll show you my best cross court volleys... And would you PUH-LEEZE put that damn wheelchair in the freaking attic?"

It is heresy to say, I know, but my excitement rivals -- oh, hell, it outshines by far -- this weekend's ACC tournament.  Who told Carolina that they could play?

[Talk about confusion -- Somehow, my computer keeps sending me to the 2009 ACC Tourney website.  Had me feeling positively daft...] [Also... I am so old school... my brain rejects VATech, BC, and Miami as even being part of the ACC.  I still barely allow for GATech and Florida State...] [Oh, let's be honest!  The only teams that really matter are from the superior northern Carolina, as Clemson, Maryland, South Carolina and Virginia are just meaningless examples of linguistic linguini, mere placeholders.  It's all about Duke, Carolina, N.C.State, and, well... Wake Forest.  Or maybe just Duke, Carolina, and N.C. State.  Errrr, actually, between you and me?  It's all Duke and Carolina.  I mean think about it.  That match up has it all -- public versus private, and a rich history of four corners and three-pointers.]  [Waving to Jim Valvano -- ah, those were the days!  The Cardiac Pack...] [Okay, I'm done now...]

It's Duke and Maryland at 7 tonight, with Florida State and Va Tech to follow.  Virginia, Wake, State, Ga Tech, and Miami are all already out...