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About Geek

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    living better through chemistry

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  1. Blood pressure is a good thought. I have a cuff at home, I can check it myself. I think the intensity has increased recently, but I admit I haven’t kept notes and I’m really bad about remembering that kind of thing. My Pdoc is aware and I think it’s part of why she reduced the Vyvanse... there’s a small interaction between them. I haven’t generally been taking painkillers for these, mostly because I’m stupid. I don’t have any painkillers at work and by the time I get home I have decided I deserve the pain and can tough it out. Yesterday the pain was bad enough that I was a little lightheaded and mildly nauseous, so I took 2 Tylenol and 2 aspirin. That eased the pain enough to relieve the nausea and stuff but it didn’t make the pain go away. The headache hasn’t been that bad before, and I do get the occasional migraine so maybe that’s what this was yesterday (though it didn’t feel like a migraine).
  2. I started 150mg of WellbutrinXL on Feb 9. Three weeks after that my Pdoc increased the dose to 300mg and reduced my Vyvanse dose from 70mg to 60mg. I have had near daily headaches pretty much since the beginning - so for about 5 and a half weeks. Generally they hit mid-afternoon, about 8 hours after I take the Wellbutrin and Vyvanse. Pain intensity varies day to day. Is this a thing with Wellbutrin? There have been no substantial changes to my caffeine intake and thanks to 300mg of Seroquel (IR) I am sleeping a minimum of 8-9 hours per night. Work has been stressful and stuff, but it seems like this is a long time with the headaches, and they happen on weekends too.
  3. FYI, with most insurance, you don’t have to pay the ER copay if they admit you. The evaluation and everything there is kind of “included” in the bill for your stay. Ambulance would be separate, but if the after hours team could help, maybe it would be worth it? I get you about not wanting to go by ambulance. My other thought is that maybe the hospital website says something about parking for ER visitors? At the hospital near me that charges for parking they waive the fee if you’re admitted. Some hospitals have a valet service for the ER so you wouldn’t have to worry about parking at all! Finally, no one lives in your head except you Cheese. Not Husband and not Tdoc. So their opinions, while important are not based on all the data. I know it’s scary and even embarrassing, but it is really a growth thing for you. You’re taking care of yourself!
  4. I wonder if IP might be a good idea. Hear me out - I'm not saying IP is comfortable, it never is. But... I think it is a place that maybe it is possible to "let go" even more? Like, if you're IP you can't beat yourself up for not cleaning the kitchen. It's perhaps the only place where it is okay (expected!) to be absolutely as crazy as you feel you are (for whatever "crazy" means for you - sleeping all day, staring at the wall, listening or even talking to the voices, worrying about the death sensor). And if you can "let go" maybe the doctors there can help you? Maybe they will see something your pdoc doesn't see, because your mask (much as we all hate them) is too good? I'm sorry things didn't go so well with your tdoc today and that you felt dismissed. I'm with CNO, though... could you consider the ER? Or at least talking to the after-hours team? Maybe you could show your post here to Husband and ask him to call the after-hours team? I know you hate that they listen to him and not you, but sometimes it's helpful to have someone who can talk for us when the words get stuck in our throats. Worried about you.
  5. I took imipramine (Tofranil) for a while. I can't say it made much of an impact on my depression, but I didn't have trouble with side effects either. The only thing was that it was the first time in years I was able to reliably sleep without a sleep aid. Not that it made me groggy or tired or anything - I could just... fall asleep at bedtime, and stay asleep through the night. I have chronic suicidal ideation, and my pdoc (who knows me very, very well) would not let me have more than 2 weeks of imipramine on hand. I don't tend to think about OD-ing (which she knows), but her position was the same regardless. After a while, I got her to rx 30 days at a time as long as I agreed to let a friend pick it up and hold it for me, filling a med box for me weekly. It was annoying, but *shrug*
  6. You seem to be out to prove that I'm wrong, that my opinion is invalid, and that I have not supported it with facts. All I have done is show you that I have supported my opinion. You do this often on the boards: respond selectively, in a haughty, entitled, know-it-all manner, telling members that they're wrong - usually without fully reading or considering their situation, experience or opinion. You are rarely supportive or kind. Learn some empathy. Believe it or not, you are not always right - and when you are, you don't have to be a jerk about it. I'm out.
  7. Which is why, if you read all of my post, you'll see I said:
  8. I didn’t question the safety of either esketamine or ketamine. I questioned esketamine’s efficacy for treatment of TRD, which is a new application. The FDA’s role is to verify safety and efficacy of pharmaceuticals prior to their introduction to the market and after as well. There are also safety concerns about long-term repetitive use of ketamine. Recreational users have shown higher incidence of bladder and kidney problems, stomach pain and memory loss. We don’t know how dose-dependent those side effects are, and won’t for a long time.
  9. I'm concerned that the FDA loosened its criteria in approving this medication. Don't get me wrong - IV ketamine is the only thing that has made a significant impact on my TRD, and I have tried many, many meds, TMS, ECT and intramuscular ketamine. However, if the FDA usually requires 2 short term clinical trials to show statistically significant improvements over placebo, they are not helping the public with TRD by approving a new med that shows less efficacy. Esketamine may show promise in treatment of depression - but the FDA is doing a disservice to desperate, sick people by moving the goalposts.
  10. Geek

    What are your therapy goals ?

    Mostly, stay alive, stay functional, keep my job, etc. Also, longer-term/bigger picture, make local/IRL friends, date, hate myself less.
  11. I haven't formally asked for accommodation citing ADA. However, I did disclose my diagnosis to my last employer before taking an 11-week leave of absence for ECT (my employer didn't have to give me that time off, as that company was too small for FMLA to apply). A year later I requested a modified schedule to take Friday afternoons off to participate in a medical trial. They granted the schedule change at the time, but later said I had been taking advantage of flex time and PTO (even, they said, when it was all approved ahead of time). I found that after that they questioned all the time I took off. They bullied me into admitting that when I abruptly took a week off, calling in sick (but checking in with them on the phone daily), I had been IP (I had a doctor's note, as required, but it didn't say what ward I'd been on). They told me I wasn't trustworthy or dedicated and wrote me up, putting a written warning in my file. A few days later my supervisor apologized, after a friend tore him up and down and said I had a good case against them for discrimination. However, none of the expectations changed, the president never spoke to me again, and the warning remained on my record. I ended up leaving that company a few months later (of my own accord). My new company doesn't know my diagnosis or that I'm disabled. I'm reluctant to disclose, though probably coming close to needing to.
  12. Geek

    did MI make you start drinking coffee?

    I don't like coffee. I can tolerate it with cream and sugar... but I dislike drinking my calories, and I run warm... so I don't tend to want a hot drink. I dislike drinking my calories, so I don't do iced coffee either. I do drink diet coke, with caffeine. I do seem to use it as a way to deal with lack of energy and need to focus. I drink more caffeine (without consciously realizing it) on work days, for example, than on the weekends.
  13. Was writing a post on my phone. Clicked the chain link deal to insert a link but it showed me this error I was able to replicate that in this thread just now. I’m using an iPhone.
  14. There is some evidence that taking metformin with zyprexa (or other AAPs, but zyprexa is best studied) can reduce the incidence of weight gain. I know I’ve read that starting it at the same time can reduce the amount of weight gained, but I can’t seem to find that paper. This meta-analysis shows metformin aids in losing weight while taking Zyprexa. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3045546/ This meta-analysis looked at more studies and came to the same conclusion. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-1049-5 When I asked my Pdoc if she would rx metformin along with my Seroquel she said she wouldn’t be comfortable with that. You may need to see an endocrinologist - one who has experience with psych meds would be most beneficial.
  15. I have found IR ritalin to have a hard crash - but also that the crash can vary by manufacturer. Any chance your prescription was filled with a different brand? Pharmacies change the brand of generics they provide based on what they can get cheapest. Maybe talk to your pdoc about trying concerta? Pretty sure it's a longer release than ritalin LA (it's still methylphenidate though), so then you may not need the IR boost in the afternoon.