Tag Archives: medication

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.

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.

Replacing My Scale (or Somehow It Wasn’t A Big Deal To Me This Time)

I’ve seriously had a love/hate relationship with the scale. I refuse to look at any scale other than my own because I know that the scale might not be calibrated correctly and I’m not being weighed in the condition that I always weigh myself in (which is first thing in the morning after going to the bathroom and before I eat or drink anything). If I have to get weighed in somewhere (like at the doctor or for an Orangetheory challenge), I do blind weight where I step on the scale backwards and don’t find out what it says.

I’ve had panic attacks related to my scale. If I have to replace it, I feel like all the effort I had previously put into my weight loss is worthless because the new scale might weigh me differently than the old one. I’m aware how crazy that sounds, but panic attacks aren’t rational and that’s really what my crazy brain thinks. So I’ve gone months in the past without a working scale (which doesn’t help my panic attacks either because I’m terrified I’ve gained a ton of weight and don’t know it), or I search high and low for the exact same scale I previously owned thinking that somehow that would make a difference.

I don’t know when this issue with the scale started, but it’s been like this for a very long time. So when my scale was acting weird I got really nervous. I would step on the scale and a variety of error messages came up. But since it would eventually zero out I thought I could weigh myself. But I would get such an extreme range of weights from the scale. It could start at 375 pounds and then go down to 17 pounds and everything in between. So I knew that something wasn’t right and it needed to be fixed.

First, I changed out the batteries thinking that it would fix the issue. But even with the new batteries I had the exact same error messages (mainly it was an overload message which shouldn’t have happened because the scale is good up to 400 pounds and I’m not near that weight at all). So since the new batteries didn’t work, I immediately went on the search for a new scale and was scared that it would take a long time to be ok with a new one.

I’m shocked that I went onto Amazon, found a scale with decent ratings, and felt totally ok ordering it right then and there. Because of Amazon Prime the new scale was at my doorstep early the next morning and the old scale went immediately into the trash.

New Scale

As soon as the new scale was set up (I’m happy that it came with batteries so I didn’t have to buy them), I stepped on it. I weighed 4 pounds more than I did on my old scale, but that’s ok. That is my new current weight and as long as this scale keeps working that will be the weight that I will be working with.

It was as simple as that. No panic attacks (although I was mad that my scale broke and the company had gone out of business so I couldn’t get a replacement or any help) and I’m fine with the new scale. I don’t know what changed in my life to make this so much easier than all the other times I’ve had to do it in the past. I still plan on doing blind weights when I’m not at home, but I know that doing that will keep me from worrying what the scale says at other places or under other conditions. I wish that so many other things that cause me panic attacks or anxiety could go away for no reason like this did. So many things would be so much easier if that happened, but I know that it’s a bit of an unrealistic dream.

I’ve got a few other things coming up that have always caused me panic that I haven’t had to deal with recently (more on that in another post) and I’m cautiously optimistic that somehow they will be easier for me now. I had that experience at the dentist recently and there really is no reason for it. I’m wondering if it has anything to do with the Vyvanse dose I’m taking. It’s supposed to make my panic/anxiety disorder worse, but maybe it’s making it better?

I can only hope that that’s true.

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.

Less Panic At The Dentist (or Am I Finally Over This?)

I had to go in for one of my regular cleanings at the dentist on Monday. I’ve talked about my issues with the dentist before and I hate that I’ve had this problem for so many years. I wish I could be someone who doesn’t think twice about going to the dentist and just shows up and gets the cleaning done with.

But instead, I get horrible nightmares relating to my teeth for the week or so leading up to the appointment (usually they are about my teeth falling out or having massive holes in them). And the morning of the appointment my stomach is horribly upset and my heart is racing. I feel sick until after the hygienist (who is awesome and knows how to deal with my panic attacks) tells me that there is nothing that concerns her. Then I just deal with minor stress through the rest of the appointment (she could always change her mind and see something bad with my teeth) and don’t feel stress free until I’m paying the bill (which I think is what most people get stressed about).

This appointment had to be rescheduled from earlier this month and the only time they could fit me in was in the afternoon. I usually like morning appointments so I can get it over with, but it wasn’t going to work that way for me. So I did my best to get through my day (including a morning workout at Orangetheory) and tried to not freak out too much.

Because I’m on Vyvanse (which is a stimulant), my panic medication (which is a depressant) isn’t as effective as it could be. If I was smart that day, I would have used that day as a day off of Vyvanse and just taken my panic meds. But I didn’t think things through. I took both my morning and lunchtime Vyvanse before my appointment and made sure that I was properly panic medication medicated before going to the dentist.

On a random note, I found out that one of the dental assistants at my dentist’s office isn’t there anymore. She was the one who would always call me before an appointment and remind me to take my medication. She saw me before I started taking it and she joked that she never wanted to see that crazy side of me again. I was pretty out of control at one major appointment and I know it isn’t fair for anyone there to have to deal with me when I’m in the middle of a horrible attack. But I’ve always properly medicated myself since then so I saw her reminders as just something funny and a joke between us.

When I got to the office, my heart was racing and I was shaking and sweating. It wasn’t pretty. And I had to wait a bit for my appointment which seemed to make things worse. Thankfully, when I sat in the chair I was able to relax a bit.

It does help that the hygienist changed the order of the cleaning so that it’s easier on me and my panic attacks. It’s all minor stuff she did, but it’s made a major difference for me.

And I’m shocked to report that even with the higher dosage of Vyvanse plus having taken both pill prior to my appointment that this was the easiest appointment I’ve had in years! I don’t know what changed, but I stopped panicking within a few minutes of the cleaning starting. I usually have bruises on my wrists or arms from where I pinch myself to not focus on the cleaning, but I’m bruise-free! And I’ve had appointments where after I’m done my body aches from shaking through the entire appointment. But this time I don’t know if I was shaking at all!

I don’t get why things are easier on me now. It really should be the opposite. And I’m not over my issues with the dentist because my morning was just as bad as it’s ever been. I just was able to feel normal again much sooner than I usually can.

I really hope that this is a new trend for me. If I can get to the point where I’m only panicking before arriving at the appointment, that would be a huge victory for me! I know that if I need major dental work again in the future that the panic attacks may come back stronger than ever (it was a major dental work appointment that started the attacks). And because genetically I have bad teeth it is very unlikely that I won’t need major work in the future.

But for now, I’m thrilled with the progress I’ve made so far and I’m glad that I don’t have to be back at the dentist for 4 months!

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.

Following My Doctor’s Instructions (or Days Off From Vyvanse)

At my last appointment with my therapist, we covered a bunch of things. We discussed my decrease in exercise due to my calf tear and the anxiety it caused me (if only I knew then that coming up there would be a week where I could only work out once). We talked about my happiness checklist and the fact that I’ve continued to do it every day as he asked me to. I’m still one of the only patients who has actually followed through with this homework assignment he has given to many patients. And we also talked about how I was doing on Vyvanse.

I’m very torn on Vyvanse. Since increasing my dosage to 2 pills a day instead of 1 pill a day, I’ve noticed that it does help me more often. But it doesn’t help all the time like I wished that it would. I know that it’s an aid and not a miracle drug, but that doesn’t stop me from wishing it was a miracle drug.

While it does help at times controlling my hunger (and I do sometimes forget to eat most of the day) it isn’t a weight loss medication so I’m not seeing a huge change on the scale. I know that I shouldn’t judge the medicine’s success by what number is on the scale, but I do.

I expressed these frustrations to my therapist when I was there last. He brought up a suggestion to me that I’ve been trying to test out. He wants me to try going one or two days a week without taking Vyvanse. He wants me to do that on days that I’m not doing anything that may put me in a tough situation with food.

At first, I didn’t want to do this. But the more I thought about it, the more it made sense. Since this is a time release medication it’s good to have days without it so my body doesn’t get used to it. I’m close to the maximum dose that my therapist would prescribe, so he doesn’t want to keep increasing it because I will max out soon. So having days with no medication and then days with medication is a way to keep my body from getting used to the dosage.

I wasn’t sure when I’d try doing this at first, but then when I got sick I just forgot to take my medicine (despite the alarms I set on my phone). There were 3 days in a row that I didn’t take it. Those 3 days were pretty much a blur to me due to how sick I was, so I can’t say if I felt that different compared to when I’m taking them. I tried another day without medicine this past Sunday (it wasn’t a busy day for me so it seemed like a good day to try it) and I did notice a difference. It’s almost as if my anxiety got worse because I was terrified on how I would feel without the medicine.

But I got through the day just fine and since then the past few days have been better days for me. I don’t necessarily feel like the medication is working more. But it feels like the concerns that I have in my head every day are a bit quieter for me. It’s not going to be easy to find days that I’m ok with not taking my medicine, but I’m going to try to find one day a week that I can do it. If I can’t, that’s ok but at least I’m making a real effort in trying it. And knowing how much better I feel this week is motivation to keep having a day off.

Of course, I still wish that Vyvanse works more than it does. It’s unrealistic but I can dream. But at least now I have a much more positive opinion of Vyvanse than I did before and I think that will help with the success of the drug.

Are any of my readers on Vyvanse? I’m curious about your experience on it because when I’ve done Google research it seems like I’m having a unique experience. If you don’t want to comment (and be public about being on it), feel free to use the contact page to send me a message privately.

Trying To Go With The Flow (or Staying Calm And Remembering To Breathe)

I hate when I have a bad day. Obviously, everyone hates bad days, but I feel like my bad days take it to an epic new level. And when that happens, I get sucked into how bad it is and feel like I can’t dig out of the hole of awfulness.

This past Tuesday was one of those epically bad days. It didn’t start off too bad. Work got off to a good start, but then it just took a direct downhill turn. The majority of my shift I felt pretty horrible and really debated if I want to stay at my job anymore or if it’s time for me to move on. To be honest, I’m still debating this issue. I don’t really get time off at my job and when I have taken time off it’s made me feel guilty because my co-workers have to cover my share of the work. There are more and more things and opportunities that I’d love to do, but they happen during my work time. I have no intention of leaving my job anytime soon, but I’m also not going to ignore options that come my way.

The worst part of my work shift that day was the last customer I had to work with. It wasn’t the customer’s fault at all. They needed a confirmation resent to them, but it didn’t appear that the type of order they placed could have been done. I got this customer the last minute of my shift and I ended up working 30 minutes after closing trying to figure out their situation. One of my co-workers stayed on too and was a huge help, but we still had to manually search through every city that our show runs in and never found their order (it ended up being an error on the location’s side so there was no way we could have helped the customer).

After working 30 minutes late, I was late for my next thing which was a meeting with my therapist. It was a pretty standard check in appointment and we’ve decided to continue on the dosage of Vyvanse that I’m currently on. He re-wrote my prescription and I was on my way.

Once I got to the hospital to get my refill, I found out that my doctor forgot to write today’s date on the refill order (since it’s a controlled medication, I need to have a handwritten refill request every time). I wish I could have just gone outside and added the date or shown them the bill from seeing my therapist, but they needed an entirely new refill request.

Of course, because of traffic, there was no way I could drive all the way back to my therapist to get another form. So I called and asked if one could be ready for me to pick up another time. I did manage to go at 7am yesterday and got the new form, but now they are out of the medication at the hospital and it will take at least 4 days before I can get my medication (I’ll run out before then).

After that day, I was ready to just sit and home and be in a funk. And that’s exactly what I did. I felt like nothing was going to go right with my day so I didn’t want to bother. And fortunately, I didn’t have anything else that was urgent to do that day, so I could indulge in my bad mood.

I’m lucky that it seems like these epically bad days only last one day (except for the fact that yesterday they ran out of my prescription at the hospital and I can’t get it refilled for a few days). I’m totally in a better mood now. I wish that I could control how I deal with bad days better, but I don’t think that I handle them horribly. I just want to be able to get out of the funk prior to going to bed for the night.

Another Year Another Dentist Panic (or One Medications Overriding Another)

I had my big dentist appointment this week. The big appointment is when I not only have a cleaning with the hygienist, but I also have to do x-rays and see the dentist as well. I hate these big appointments because I always think that something is going to be horribly wrong and I’ll be told that if I don’t fix something ASAP my teeth will fall out.

I know it seems crazy to think that, but so many of these appointments have ended in the past with me scheduling more appointments for major dental work. I’ve had more fillings, crowns, and shots than anybody would ever want in their life. And I know that there will eventually be more major dental work in my future because all the work that was done previously won’t last forever. Many things will need to be repaired or replaced one day. I’ve already had to have one crown cemented down again. And while that wasn’t that extreme of an appointment, it was still pretty painful for me.

The panic meds I’ve been taking for years have helped a bit. And even when I had my last cleaning and was dealing with Vyvanse plus my panic meds wasn’t too bad. But the combination of the double appointment plus the Vyvanse was not that great.

The night before the appointment, I couldn’t sleep. I have had tooth nightmares for several nights leading up to the appointment and knew that I would have another nightmare that night as well. I woke up exhausted and tried my best to time out my medications. I took my morning Vyvanse plus a painkiller (I figured that some pain relief couldn’t hurt). I’m lucky that my increased dosage of Vyvanse is split so I only had one dose prior to my dentist appointment. But I still had more panic than before.

Whenever I have these double appointments, I always try to schedule my cleaning first. That way, the hygienist can give me a heads up if something looks suspicious to her. She didn’t see anything so I moved on to the next chair for the x-rays.

X-rays aren’t painful, but they aren’t that fun for me either. I always look at the screen when the x-rays come up and try to see what they might show (I have no clue how to read dental x-rays so looking at them doesn’t do me any good). Once the dentist took a look at my x-rays, he gave me a clean bill of tooth health. Nothing is looking like a cavity (or pre-cavity), all my fillings look good and don’t need to be crowns yet, and all my crowns are secure and aren’t causing me any extra tooth sensitivity.

As soon as I was done paying, I got out of the office. I don’t like being there because I still have memories of bad appointments in the past. Even after I have a good appointment, I start thinking about the next one and get scared that in 4 months I will have something wrong.

I wish I could just outgrow this fear. I’m aware that it’s silly and I haven’t had a bad appointment in a while. But I don’t want to be comfortable either because I know that my panic makes me take better care of my teeth than many people do.

I’m just glad that I survived another dentist appointment and had nothing wrong. And I was able to schedule a couple of things to be right after the dentist appointment so I didn’t have to think about it too long after the appointment ended. I was too busy focusing on everything else (and all the good stuff) happening in my life.