Tag Archives: doctor

Staying Healthy (or 2 Needles in 30 Minutes)

I’m usually pretty on top of my health. I have to be since I have some on-going medical issues, but it’s easy to let some of the regular stuff slide from time to time. Recently, I had my annual appointment with my doctor and she mentioned that it would be time for me to get blood work done again since it’s been a few years since everything has been checked. I know this is necessary, but I hate doing it.

And in the same conversation, she mentioned that flu shots were available and that I could get one while in the office that day. I turned down the flu shot then (I was still over getting sick and didn’t want to risk feeling off after the shot), but I promised her that I would be getting my flu shot soon. I don’t want to get the flu, but I do miss when they offered the nasal spray vaccine since I didn’t have to deal with a shot then.

While I wanted to put off the blood work and the shot, I had to get my blood work done sooner rather than later. I have to do a MRI cancer screening (more on that after I do it) and part of the stuff I had to do before the MRI was a blood test. So I had to get in and get it done so I went on my day off this week.

I was more than prepared to be at the hospital for a few hours. The blood work area can be super crowded and I’ve waited a while there before. And for my flu shot, I would have to go to urgent care because being a faint risk means I don’t want to sit in a chair for my shot (I’ve fallen out of chairs before and it’s not fun). So when I went to the hospital, I had my book and my phone to entertain me and I tried to keep my heart rate down and my breath steady.

I did the blood work first (that one is the worst one so I wanted to get it over with) and as expected the waiting area was really crowded. The way they do blood work at the hospital is that you grab a number, check in at the desk, and then you wait for your number to be called. I grabbed my number and waited to check in, and I noticed that they were on number 220 so I figured I had a while to wait.

blood-work

To my surprise, as soon as I was checked in my number was called before I could even sit and relax. I have no idea why I was next when there were plenty of other people waiting before I got there, but I went back to get it done.

Fortunately, the woman taking my blood was very understanding and didn’t make me feel bad for shaking or crying (yes, I was crying as soon as I sat in the recliner where they take your blood). She was very calm and was telling me step by step what she was doing and warned me before she stuck me. I was grateful for that because some people try to surprise me thinking it will make it easier, but that’s when I usually faint.

It seemed like it took forever (they needed 5 vials of blood) and my vision was getting dark and blurry from time to time. But I never fully passed out and that is a big accomplishment to me! I still hated the process, but since my MRI will involve an IV I’m glad that this longish needle time went better than I expected.

As soon as the needle was out of my arm, I took some time to calm down and wipe my face (I’m so glad I don’t wear makeup when I go to do blood work) and then made my way over to urgent care for the second needle.

Again, I was expecting to wait a while. I’ve been to urgent care several times and usually there is at least a 30 minute wait. And when I was checking in, the person next to me asked the receptionist how long the wait was and she was told 90 minutes. So I figured it would have some time to calm down and read while waiting.

Nope! Within a few minutes a nurse called me back so I could get my flu shot on an exam table (this is not normal, but I’m glad they allowed me to do it). The nurse was very nice and he understood my issues with needles. And he also told me when he was going to give me the shot so I wasn’t surprised. I’m not sure if my body was still in shock from the blood draw, but I didn’t feel the needle and I didn’t feel like I was going to faint.

By the time I was walking back to my car, I realized that only 32 minutes had passed since getting the parking ticket for the parking lot. I survived 2 needle encounters within 30 minutes and there was no fainting! This was a victory in my mind, but I know I’m not totally over my needle issues yet. But hopefully this will be like the dentist where it gets easier each time I go in.

My arm still hurts from the flu shot and I have a pretty decent bruise from the blood draw, but I’m glad I decided to do both my needle things in one day and was able to get it over with quickly and without too much drama. And in case anyone is wondering, my blood work came back with everything looking good!

Being Sick (or Feeling Off)

As I mentioned in Monday’s post, I was having some trouble with my workouts because I was feeling off one day and sick another day. Fortunately, I’m finally feeling more like myself now but this bug that I caught just took it out of me like I wasn’t expecting.

This all started on Wednesday when I was feeling fine except for a weird sensation in my throat. It’s almost like a feeling of insatiable thirst. Whenever I get this, I’m usually about to get sick so I was trying my best to take care of myself. I was drinking lots of water, eating as healthy as I could, and making sure I got extra sleep.

Thursday morning, I woke up at 4am feeling like I had daggers in my throat. That’s never a good feeling and I was on my phone right away to see how early urgent care opened at Kaiser (urgent care is a $45 co-pay for me but the ER is a $500 co-pay). It wasn’t going to open until an hour before I had to start working and I didn’t want to ask for time off, so I decided I was going to make it through the work day the best I could.

I did let my manager know that I was feeling sick, but since it was only my throat hurting and no other symptoms, I was guessing that I had strep throat and figured I would go straight to urgent care after work and get whatever prescription I needed. My throat continued to feel worse and worse as I worked and I finally asked my manager if I could end work an hour early to get to the hospital. I promised I’d make up the hour and she let me log out.

I had an interesting adventure at Kaiser. I was starting to feel a bit more sick than before and I got really confused on where to go to check in for urgent care. Somehow, I ended up signing up for a nurse’s visit to get a strep test without confirming that I didn’t need a regular appointment. It was all corrected in the end, but I was so confused and my head was starting to hurt.

Before I had my tonsils out almost 8 years ago, I got strep throat pretty regularly. I was used to doing throat cultures and just assumed things would be easy for me this time as well.

kaiser

It wasn’t easy this time and it hurt so much that I almost punched the nurse helping me! I felt so horrible after that and kept apologizing, but she was really nice about it all and said that it happens all the time.

After being at urgent care for almost 3 hours, it was figured out that I didn’t have strep and was sent home with instructions to get rest and drink plenty of fluids. I thought maybe I’d only have a really bad sore throat for a few days and would be done with it.

Turns out, I was pretty sick with a cold. The entire weekend was spent on my couch trying to catch up on sleep (since I wasn’t sleeping well at night), drinking lots of water, taking decongestants, and just getting through the day. I hate being sick like this because I really wanted to get stuff done and was supposed to be working over the weekend. But the best thing for me was to lay low and just let this bug get out of me.

Even though I’m finally feeling a bit better now, I’m still feeling off. Being sick with a cold is usually a longer recovery process than any of us would like to put up with and I’m trying to be patient with my body. I know that I might not be totally better for another week or so and I’m trying to be easy on myself. Sleeping is getting better so my mornings are better than they were over the weekend, but I’m still getting really exhausted by the end of the day.

It’s been almost a year since I was sick like this. If I get sick once a year, that’s not too bad. And once I’m feeling better, I’ll be getting my flu shot so I can do my best not to catch the flu this year. Hopefully I won’t have to be doing another sick day post for another year and I can remind myself that sometimes we don’t get to control how we feel and we just have to get through it.

Seeing My Therapist (or Building Habits)

I saw my therapist earlier this week. This was the first time that I had seen him in 6 months because he has been feeling like I’ve been doing a pretty good job lately. So he trusted me to be ok with a 6 month gap between appointments but let me know that if anything changed I could see him sooner if I needed to.

I had been feeling pretty good about this appointment lately. After my interview for the audition recently, I have really realized how much progress has been made and I knew that my appointment would be filled with positive news.

I had brought a couple of things with me to my appointment. Usually, I bring my happiness checklist, but I’m now using an app to track that so I made sure my phone was charged so I could show him if he wanted to see it. I also brought my Spark Planner with me. I’ve been tracking so much stuff in there lately and I wanted it to remind myself of anything as well as proof to show him if he wanted to see it.

The first thing discussed in my appointment was how I was feeling about Vyvanse. I think I’m doing pretty well on it and there was only one minor concern about things. I’ve been taking my larger dose in the morning and smaller dose at lunch, but I feel like maybe those should be switched. There is more time between lunch and bedtime than there is between breakfast and lunch. And since I’m not having sleeping issues with Vyvanse, I’m not worried about a slightly larger dose at lunchtime. My therapist agreed with me completely and my new prescription bottles will reflect that (for now, I just take the afternoon medication in the morning and visa versa until I’m using my refill).

After that check in, we discussed how I’ve been doing with my happiness checklist and other things. I told him how I had been using an app for the checklist since it’s easier and I always have it with me, and I think his biggest surprise is that I’ve continued to keep it up. He wrote down the name of the app (HabitBull) so he can tell other patients as well, so that made me feel pretty awesome.

And then we talked about my Spark Planner. I told him how I had been tracking a lot of stuff in there this year and I was showing off the various sections of it. I showed him where I can track my annual goals, monthly goals, and weekly goals and I think he was impressed that there is such a big focus on goal setting. It’s good for me to have goals to reach toward, so the more I can focus and have to think about my goals the better.

But what my therapist was most impressed with were the monthly challenges that are within the Spark Planner.

30 Day Challenges

I showed him the monthly challenges I’ve been doing and let him know that I’ve basically had 100% success with keeping up each challenge even beyond the month that I set the challenge for (the only one that hasn’t been 100% has been weighing myself in because I can only do that at home and I was in Santa Barbara for Rayshell’s wedding without my scale). And I know that I can’t do 100% perfection with all challenges for the rest of my life, but even if I only keep them up part-time these are all good habits that I’ve been building and that’s just awesome.

And habit building is exactly what my therapist wants me to focus on over these next 6 months. The more I build positive habits in my life, the more likely that recovery from my eating disorder will become a positive habit eventually. While the individual habits are sometimes recovery related, even the non-recovery ones are helping me get into a better space in my life and to build my habit building muscles up so that I can use them for whatever I need to.

I knew when I bought my Spark Planner that it was going to be a good thing for me, but to know that my therapist thinks that this is what will help me get to recovery one day is amazing. I’m still figuring out what recovery really means to me (and that’s something I did discuss with my therapist), but I’m feeling even better that recovery is in my future one day.

At the end of my appointment, I felt incredible and on cloud 9. My therapist even said that in some ways, I’m doing better than he is and he needs to get better and doing some things like I’m doing now. For me, so much of my habit work is having something to remind me to do it. I have so many alarms/reminders set on my phone so I know to do something. If I didn’t have that, I would easily forget and that’s what life was like before. There’s no shame in needing to be reminded to do something, but for some reason I was not willing to do that before.

But now that I’m fine with the dozens of alarms on my phone, I’m making sure I’m getting my new habits done and I’m excited to see how I’ll be doing in 6 months when I see my therapist again.

“BLUE” (or Supporting A Friend’s Film)

This past weekend, I got to attend the premiere of my friend Robert’s film. This was something that I know he had been working really hard on, and I was so excited to see the finished product. So I had been counting down the days to the screening!

Robert worked with Marie and Chris (the epic party throwers) on this project, so a lot of people attending the screening were the same people who I see at lots of parties throughout the year. That made the event even more fun and I think everyone shared my excitement about it!

The film that Robert and Chris did is called “BLUE” and it is a very personal story for Robert. It shows people what it is like living with depression and how it can rule your life even if you are doing something fun or that you love. Depression in the film was represented by Blue, a puppet, and I think it was a really great way to show people what mental illness is like.

Blue

Technically, I was diagnosed with depression when I was younger, but the more I’ve learned about mental illness and depression I believe that I was actually misdiagnosed. I think my depression was a side effect of my panic/anxiety disorder. The panic attacks made me sad and I didn’t know how to make things better. That depression is very different from when people are diagnosed with depression, but I can still relate to the concept of the film.

While I don’t deal with my panic/anxiety on a daily basis, I do live in fear for when the next attack will be. Fortunately, they are getting better now so I’m not in as much fear as I was before. But I’m still wondering when the bubble will burst and I’ll have a horrible panic attack that causes me to not be able to do anything for a day or so. That feeling is similar to what some people with depression feels when they wonder when their next down time will hit them.

I loved this movie! It’s short, but the message is very effective and clear. I think it’s a great way to show others what mental illness can feel like and how we can feel crazy when we can’t just forget about it. And I think that everyone else who viewed it felt the same way because everyone was just so touched after the end credits were done.

And because my friends Robert and Chris are so amazing, they have posted the movie on YouTube for everyone to see and share.

(if you can’t see the video above, click on this link: https://www.youtube.com/watch?v=Rk_D9x5BeRI)

I hope that you all take a few minutes to watch this movie and to share with everyone you know. Let your friends who have a mental illness know that you are trying to understand them. And let your friends without mental illness know that they should watch this so that they can try to understand their friends who battle this every day.

After the screening, Robert had arranged for a photographer (Adam, who did my last headshots!) to take photos of us with the puppet who was in the movie. I love photo booth set ups and this one was so much fun! And of course, taking photos with a puppet is a pretty awesome thing too.

Me and Blue

Adam also took some fun candid shots before and after the screening. Most of them haven’t been posted yet, but I love this one of a bunch of us in the backyard before the screening started.

Party

After the screening and photos, most of us hung out in the backyard just chatting like normal. But it wasn’t like normal because everyone was more open than I think we’ve ever been before. We were discussing some more serious things than we normally do and there was no shame in what anyone had to say. This movie really did bring us all closer together even though we were already pretty close to begin with. I think anything that helps to remove the shame from any mental illness is such a gift and I’m so glad that Robert and Chris did this so we could feel more open with each other.

If you deal with depression or mental illness, please know that you aren’t alone. There are so many of us out there who know exactly what you are going through and maybe not everyone is ready to share that with the world. By being willing to share, you might inspire others to share and be open too (I experienced that with this blog).

And if you are dealing with mental illness and want help, please get it. There is no shame in needing someone to talk to or medication to make things better in your life. You may find a way to live a fuller life by getting help, and that is something you don’t want to miss out on.

I’ve Made Progress (or I Think My Therapist Will Be Proud)

Yesterday, I had a phone interview/audition for a commercial about people who have binge eating disorder. I actually had auditioned for this commercial last year when it was slightly different, but when I saw they were shooting again I submitted myself.

Typically for auditions you don’t have a phone interview, but since for this project you have to prove that you have been diagnosed with BED by a doctor and meet other requirements that aren’t normally an issue with commercials, the phone interview is the first step.

I’ll start by saying that I’m not going to get the audition for this because they need to fit certain age and size requirements right now, and I’m not a match for that. It’s not a big deal and I’m totally ok with not being able to audition because I got so much out of this phone interview.

The woman I spoke with yesterday was actually the same woman who I spoke to last year for the phone interview and audition I had. It was nice to catch up quickly with her and she was excited that I had submitted myself again for the project (I was afraid that they wouldn’t want me to since I didn’t get it last year, but I figured it was better to try than not to).

The phone interview first covered a lot of technically stuff. You do agree that you are willing to share medical information with the production team (if you got the commercial, it wouldn’t be public so your privacy is protected) and you have to agree that you are ok with sharing the fact that you do have binge eating disorder. Since I share that on here, I have no issues with saying that in a commercial. I think that most people aren’t as comfortable being public with things as I am, and I understand why the casting team wants to check with the people they are talking with to make sure they know how public it will be.

After going over that I was diagnosed by a doctor, we went over what treatments I’m doing for my eating disorder. I mentioned that I’m still taking Vyvanse and that I’ve finally been seeing some progress with it. I think a lot of the progress is due to some personal development I’ve been doing along with the monthly challenges in my Spark Planner. But to be honest, until I had to share what things were like before versus what they are like now, I didn’t realize how much progress I’ve made.

My eating disorder is not gone (I still wish it was and I know that it is not a totally realistic goal to have), but my episodes are less frequent. The reduction has not been as much as I would have liked it to be, but anything is better than nothing. I’ve also had more clarity lately about things. I’m not letting myself stay down about stuff as long as I would have in the past. If I have a bad meal or bad day, I’m getting back on track a lot faster than I would have before. I’m not waiting until the next week to fix things.

I haven’t seen my therapist is almost 6 months now. When I last saw him, the plan was to go 6 months and to see what that brings. Of course, if I felt like I needed to see him sooner I could have made an appointment. But the past few months have been pretty awesome for me. And when I see my therapist again next week, I think he is going to be pretty happy with the progress I’ve made and hopefully he can help me plan out how to not just continue with what I’m doing but to continue making steps toward whatever recovery will end up being for me.

My Medication Routines (or Feeling Like An Old Lady)

Growing up, I didn’t take any medication or supplements on a regular basis. I took medication when I was sick (and since I got strep throat multiple times a year that did feel like a regular medication), but beyond when I was sick I didn’t take anything. Not even a multi-vitamin. It just wasn’t something that my family did and since I ate a pretty decent diet there was no need for any supplements.

The first time I had to take a medication on a regular basis was right before I turned 18. When I was getting ready to leave for college, I had a doctor’s appointment where I was checked out and got up-to-date on immunizations. One of the things they check for is TB. This is done by a skin test where they inject a little amount of a TB protein under your skin and then you return a few days later and they measure the bump. My senior year of high school I did tutoring at low-income schools and I must have been exposed to TB because my test came back positive for TB exposure. Even though I had my tutoring job, it was pretty unexpected that I would test positive for exposure and since I was leaving for college soon we had to get everything in order quickly.

I had a chest x-ray and tested negative for TB (most people with exposure don’t have the disease), but I was still required to take a year of medication to make sure that my exposure remained dormant in my body. That was a year of medication (which my body didn’t react well to) and a year of a B6 supplement because the medication can cause a deficiency. I had to do this the first time I was living away from home, so I took it seriously and never missed a dose. I knew that I needed to take the medication for a real reason and I didn’t want to make any mistakes or have to extend how long I was taking it for any reason.

Since then, the only other medication I took on a regular basis outside of painkillers for my hip was birth control. This of course changed when I started on Vyvanse. Then I was taking 2 medications in the morning and that wasn’t too bad or difficult to manage. Then my Vyvanse dosage increased and I started taking one in the morning and one in the afternoon. Once I started the afternoon dose, I had to add melatonin to my routine and take that before bed (the Vyvanse can make it difficult to sleep).

Taking medications 3 times during the day isn’t always easy to remember, so I have an app to remind me to take my mid-day and nighttime things (it’s easy for me to remember my morning stuff). It’s actually pretty nice to have an app to remind me especially at night because it’s a reminder to turn off the tv or stop doing whatever I’m doing and start getting ready for bed. Since using the app, I’ve been able to get to bed earlier on a regular basis and I know that even without the melatonin I’m sleeping better now (so that’s a bonus!).

But lately I’ve been working on other things that can help my health and that has included taking supplements. I’ve tried many times to take a multi-vitamin, but my stomach can’t really tolerate them. But I discovered that I don’t have the same stomach issues with the gummy ones, so I take those now. My mom recommended that I start taking Zyflamend and some sort of oil, so I started those. I tried fish oil, but my body wasn’t feeling good on those so I switched to flax oil. And then the new hip surgeon recommended I add glucosamine so I got some online and started taking them yesterday.

My mid-day and nighttime pill routines haven’t changed, but now I’m taking so much stuff in the morning to keep me at my best.

Morning Medicine

I know that some people don’t believe in supplements, but I don’t think they are doing any harm to me so I figure that even a minor benefit will be worth it. And it takes me so little time in the morning to take everything so it’s not a big inconvenience to my life.

But I never thought I would be someone who takes a ton of pills each day. That always seemed like an old person thing and I don’t think I’m that old yet. But it seems that more people my age are looking into more supplements now than people did when I was younger, so it makes sense. Hopefully all of these things will help me as I’m working on my recovery and will keep my body at its best for as long as possible.

Another Year Another Orthopedic Surgeon (or Not Worrying About My Hips As Much)

I wrote last year how I was meeting a new hip surgeon because my original hip surgeon had left the hospital I go to (I loved my original surgeon and wished he was still with Kaiser). At the appointment last year I was told that some of the issues I had been told I have in the past weren’t quite correct and there were other issues that I needed to worry about.

I left that appointment a bit confused. I tried to be ok with the idea that I had the wrong diagnosis originally and that there was a new plan in place. But the more I looked up hip dysplasia (what the new surgeon told me I had), the less it made sense to me. I don’t have the same pain and walking issues that dysplasia patients have. I know that I had bone spurs and torn cartilage because it was seen on the MRI and that is the surgery I had. I couldn’t understand how my original surgeon could have missed something so big when he operated on me and examined my hip so many times. And lastly, I hated the surgery options that the new surgeon gave to me when I looked more into them. One of them had a very extensive recovery and it still would be a hold over until I had a total hip replacement.

With all this confusion in my head, I decided that I really wanted to get another opinion and another treatment plan figured out. My Wednesday Orangetheory coach, JZ, has a similar hip issue that I have (but hers is much less severe and she was able to treat it with stem cells). She was going to refer me to her doctor, but he wasn’t Kaiser and I wasn’t going to go outside of my insurance. But then JZ told me that a guy who sometimes works out in her Wednesday class is an orthopedic surgeon at Kaiser and introduced us. He doesn’t specialize in hips, so he couldn’t meet with me. But he got me a referral with the hip specialist at Kaiser Panorama City (where he works). While I don’t love having to drive so far to meet a doctor, I figured that it was worth my time to see what was going on.

I had my appointment this week on Tuesday and things couldn’t have gone better for me! First in my appointment was another set of x-rays. The x-ray techs were super nice to me and laughed because I knew exactly what positions I had to get my body into for the next x-ray (I had 4 taken).

After the x-rays, I went back to the exam room and waited for the doctor. It seemed like it took forever for him to come back and I started to panic a bit. I was worried that it was taking so long because there was something really bad in my x-rays and he was trying to figure out how to break it to me. But when he finally came into the room, he seemed to be all smiles.

He started by asking me my history and what my original and secondary diagnoses were. We discussed the surgery I had (which was almost 10 years ago!) and the treatment plans that I got from the original surgeon and the one I met last year. Finally, he asked me about the pain that I’m feeling in each of my hips and he did a quick exam to test the rotations on my hips.

After that, he brought up my x-rays and said that my right hip specifically looks much better than it did last year which is not something that he would have expected to see based on my history.

Hip X-Rays

(last year is on the top and this week is on the bottom)

He said that the arthritis is still showing in my right hip and you can see where the points are that are worse off. But he said that if I did have hip dysplasia, it is so mild that I don’t need to treat it. He pretty much agreed with what my original surgeon said felt like I was doing a pretty great job so far. My hips look as good as could be expected (or maybe better since the space in my hip socket is better now than a year ago). He did discuss how I need to lose weight (I know that and explained to him that I’m working on recovery from an eating disorder) in order to keep my hips as healthy as possible. He also discussed potential knee issues that I could have down the line, but honestly right now I’m only worried about my hips.

This surgeon said that the only surgeries that he could see me needing in the future are hip replacements (no alternatives to total hip replacements will work for me). But he doesn’t see me needing them anytime soon so I don’t need to worry. When I feel like I’m in so much pain that I can’t keep going, then replacements will be the next step. But for now I can keep doing what I’m doing, keep taking my anti-inflamatories (I take ibuprofen for pain and Zyflamend as a daily supplement), and I’m going to start taking Glucosamine to see if that helps. But this surgeon pretty much said that he expects that he will be retiring before I need my next surgery so it’s likely that this will be the only time I see him.

I left Kaiser feeling better than I have in a while! I don’t have any negative feelings toward the doctor from last year, but I’m glad that he wasn’t right in what he said. Knowing that my original diagnosis was correct and that I’m not in need of surgery any time soon is a great feeling! Of course, I wish I wasn’t in any pain and didn’t need any surgeries but that isn’t my reality.

The only thing that bugged me a bit is there really isn’t anything for me to do know for the pain I feel. The pressure and pain that I feel in my right hip is from the arthritis and that will be that way until I get the replacement. It would be awesome if the doctor had said that there was something I could do now or a medication that I could take to make all the pain stop now.

Overall, this was exactly what I wanted this appointment to be. I was told that my original plan was the right plan and that I’m doing everything right for now. This took such a huge weight and stress off of me and I’m just so grateful that I can put my hip fears out of my mind and just focus on pain management when needed and continuing to be as active as I can!

A Year On Vyvanse (or Help Is Expensive)

I’ve been taking Vyvanse for just about a year now. It’s crazy to think that a year ago I started my journey with this medication and my therapist. And while I’m still struggling, I’ve made some significant progress over the past year.

When I started Vyvanse, I had so many hopes that this would make all my binge feelings go away and I would be “normal”. And for the first few days that was exactly what it felt like. But then my body adjusted to the medication and while it does help quite a bit, it’s not the miracle drug that I secretly hoped it would be. Over the past year, we’ve adjusted my medication a few times. I started at 20mg a day and right now I’m at 50mg a day (30mg in the morning and 20mg at lunchtime). There is a chance that things will be adjusted again when I see my doctor in a couple of months, but for now I’m happy where I am.

While I’m so grateful that I was approved to be on this medication, I know how lucky I am. Not everyone does get approved even if they have a history of binge eating disorder. I think you need to prove to the doctor that you are working on things yourself and not expecting the medicine to do all the work for you (similar to getting approved for weight loss surgery). I think the fact that I was doing a regular workout routine helped show my doctor that I am working toward a healthy lifestyle and one of the things holding me back from achieving what I want is my eating disorder.

I’m also grateful that my parents have been willing to help me with the expenses related to the medication. I do have health insurance (which got so much cheaper after the Affordable Care Act since I have so many pre-existing conditions), but I still have to pay for prescriptions. My medication co-pay is $50 a month. And I have to pay that for 2 different strengths of Vyvanse, so each month costs $100. And on top of that, I have a deductible for my prescriptions. Thankfully, I maxed when I refilled 1 strength of Vyvanse the other day. But it still made it extremely expensive ($250 for the deductible and another $150 for the prescription). It will be just the co-pay for the rest of the year, but $100 a month for a medication that isn’t required for my health is something to really think about.

I’m thinking about talking to my doctor when I see him in a few months about either going back down to 2 20mg pills a day or up to 2 30mg pills a day. That way, I only have 1 prescription per day and it will be half the price I have now. Money isn’t the best reason to ask for a prescription to be changed, but I at least want to bring up the concern to my doctor.

Outside of the help that I’ve gotten from the medication, there have been so many positive steps I’ve made in the past year toward my recovery. Before, my recovery was a passive effort. I tried, but I wasn’t trying that hard. Now, I have changed how I track my food. Not having to see the calories has allowed me to have 100% accurate food tracking with no stress. I’ve been listening to podcasts about recovery and reading books to help me. These are things that I should have done years ago but haven’t. While the books I’ve got aren’t free, I wait until they are on sale to buy them. And of course, the podcasts are free to that saves some money.

It’s sad that for me to get help it costs as much as it does. But I’m spending a lot less than many people do. For people who don’t have prescription coverage (or as good of coverage as I do), Vyvanse can cost significantly more than what I’m spending. I’m lucky that my appointments with my doctor only require my co-pay and nothing extra. And I’m not in an in-patient facility (which can be thousands of dollars a day). It’s not making my money issues worse because my parents are helping, but that’s also a lucky break I have. I wish that more things were available and free (or cheap) to help with recovery from a binge eating disorder. I feel in the next few years that maybe there will be more offerings as more people are diagnosed or aware of this eating disorder.

For now, I’m happy where I am a year into this new plan and hopefully the next year will bring even more progress toward recovery and hopefully an idea of how to maintain the progress I have made so far.

I Support Depression Screenings (or Why Must People Shame Others?)

There was an announcement made the other day about the idea that pregnant women and new mothers should be screened for depression. When I read this, I loved the idea right away. 10% of new moms will have some sort of depression and I know that there isn’t always a lot of help that is offered right away. My friends who have had babies have said that the first few weeks after birth can be lonely because they are in their own bubble with the new baby. And if they are depressed and in that isolation, it can be a horrible combination.

I think we are all familiar with some of the horrible stories of when postpartum depression is undiagnosed and new mothers do something drastic like hurt themselves or their children. While screenings can’t prevent all of these incidents, they can help limit them. And knowing that everyone is being screened for depression may help take some of the stigma off of it for new moms.

I don’t have any children, but the idea of postpartum depression has been something I’ve thought about. I have been diagnosed in the past with depression (I still debate if that was the correct diagnosis or if it was really my panic/anxiety disorder being misdiagnosed). While I was being treated for depression my doctor asked me if I was on birth control. When I told her that I was she seemed relieved. I was told that the hormonal changes that come with pregnancy could be pretty bad for me and could make my depression worse. I did some research on postpartum depression and it seems like it’s manageable if diagnosed and treated. Now that I’m not sure if I’ve ever had depression I’m not as worried about it as I was before. But it will be something I bring up when I have kids in the future.

But if people aren’t too familiar with depression and have postpartum depression, they might not know that this is something that can be helped or fixed. And having this screening for new moms will help make sure that everyone is ok.

But after this new announcement, an author shared on Facebook her thoughts about it and it made me pretty mad.

PPD

This is a horrible statement to make. Being diagnosed with depression doesn’t automatically mean getting medication. When I was diagnosed with depression I didn’t get medication. I only got medication after I was diagnosed with panic/anxiety disorder and then it’s only medication that I take when I need it (which isn’t often). Medication is not the only way to treat depression and in fact it’s rarely the first option.

Saying that all hormonal changes are normal will make women who are suffering from postpartum depression think that they can’t get help or that doctors will ignore their symptoms. Saying that meditation, prayer, nutrition, or love will fix it will make women who don’t see results from those things feel even worse about their depression. Sometimes you need to see a doctor, sometimes you need talk therapy, and yes sometimes you need medication.

As far as I know, none of my friends with kids have had postpartum depression. But if they did, I would have supported them in any way I can. I know that mental illness is not something that you can just wish to go way. You need to get help and there’s nothing wrong with that. And hopefully anyone affected gets the help they need and get through this. Depression is something you can overcome, even if sometimes it feels like you can never get out of the hole you feel trapped in.

If you or someone you know has postpartum depression or is struggling, please reach out and get help. Help is out there for you.

Moving Forward With Therapy (or Educating Myself)

I saw my therapist the other day. It had been a while since I had seen him and there were several things I wanted to discuss with him. First, I wanted to make sure that none of the pain that I’ve been dealing with lately have to do with my medication (they don’t). I also wanted to show off the happiness checklist that I had worked on since our last session. I think that he’s still shocked that I am keeping this up, but he’s encouraging me to keep going.

The main thing we discussed of course was my experience so far on Vyvanse. It’s a mixed feeling for me. I feel that it is making a little bit of difference, but it’s not as much difference as I would like or expected. And while I do have prescription coverage on my health insurance, it’s not cheap to be on daily medication. The main thing I told my therapist is that I don’t feel like I’m ready to give up on it yet, but I’m still torn on my feelings. He knows my hesitation with upping the dosage because there’s only so much you can take in a day, but his recommendation was to increase the dosage a little.

Before, I was taking 20mg twice a day (morning and lunchtime). Now, I’ll be taking 30mg in the morning and 20mg at lunchtime. So far, it’s going really well. But that’s how it is every time I start a new dose. My body loves the feeling of it because it’s an increase, but I can’t keep increasing it forever. I’m hoping that this dose will continue to work past those first few days, but I’ll have to wait and see what happens. I am having other positive side effects from the medicine, so that’s good. My panic/anxiety disorder has gotten much better and more manageable (the opposite of what usually happens on Vyvanse). I also have more focus and can concentrate on work without being distracted as easily.

The other thing I discussed with my therapist is that I’m really working on taking a more active approach to battling my eating disorder. I don’t think I’ve really been passive, but there is so much more that I can do and I’m going to make an effort at it. I’ve downloaded some apps that are designed for people with eating disorders to be able to focus on the disorder and keep things objective and not subjective. Part of these apps is a reminder to eat. While you’d think that I wouldn’t need a reminder to eat, forgetting to eat is a big part of my problem. It’s mainly lunch that I forget and by the time I remember I’m starving and want to eat everything in sight. So having a reminder to eat is helpful.

I’ve also started listening to a podcast about binge eating disorders. I’ve only listed to a few episodes so far, but I’m really enjoying it. While some of the stories aren’t exactly stories that I can relate to, it’s helpful to hear what other people have done that may or may not have worked. It gives me ideas of things to try to help myself.

I’ve also gotten a couple of books about binge eating disorder to read. I’ve had some of them for a while but never felt motivated to read them (I only felt motivated when I bought them). So I’m starting with “Brain Over Binge”. I’ve heard lots of good things about this book, so I’m hoping that it will help me a bit.

With all these new things that I’m doing to work on my eating disorder, my therapist has decided that unless I feel like I need to see him sooner I don’t need to be back for six months. This is definitely a big step and even though I know that I can see him sooner if I need to, I’m hoping that I can make it through six months on my own and feeling ok about things. I’ve already scheduled my appointment for six months from now so I don’t accidentally schedule something else that day. And I’m going to be continuing my with happiness checklist so I’ll have six months of tracking to bring to my next appointment.

I have no idea if after six months I’ll continue with the Vyvanse, but I have to say that I feel more positive and that getting my eating disorder under control is closer to me now than it ever has been.