When Multiple Local Doctors Finally Beat You Down…

This has been a year I hope to forget.  I’ve had endless appointments and testing done for GI issues (starting with a large gallstone that nobody would remove without repeating tests that had been done two years prior with no change in those symptoms), kidney function abnormalities, etc.   I’m done. They win.   Even though the new primary care doc (different health system) is a far cry (in a good way) from the “healthcare providers” (use term very, very loosely)  I’ve seen this year, I am no longer interested in testing, treatment, or being BOTHERED by sitting in waiting rooms and arranging my limited life around waiting rooms.  My newish primary doc is a decent sort.  But he wanted me to see a GI doc before referring me to a surgeon.  Well, I don’t want a surgeon now.  I don’t want ANYTHING from medical people in this town.  I can use Urgent Care for simple stuff.  That (and any trip away from home) requires getting in and out of the care twice for one appointment/stop.  THAT causes a lot of pain that generally results in at least a day or two in bed to help the muscle and joint/disc pain.

Sent to current doc after messaging about still seeing GI doc AGAIN, when symptoms have improved “enough”:

“I’m SO, so sorry to be a pain in the ass. Really, I am. I just don’t want to be bothered with medical anything other than the bare minimum to stay alive within the ‘cage’ of my house. Appointments are not worth it to me. I’m buying my own Blood Sugar strips/CPAP junk. My labs were better. That should buy time. Plus, appointments are painful with the DJD and DDD. A single there/back = 1-2 days in bed.

I’m just DONE with folks meaning well, but not hearing that I DON’T CARE anymore about finding out about any new problems. I won’t go to the ER. I don’t care about the gallstone. I don’t care about anything but basic maintenance. I’m trying to wean off of all meds I can. I’d like to spend time not thinking about appts, tests, etc. The nausea is better. I’ve had mild nausea intermittently for years, and that is livable. Belching yesterday’s lunch at breakfast the next day tells me that my gastric motility is dull- don’t need a test for that, and don’t want meds for it. The stomach pain is much better since NOT having to deal with the other health care systems.

If I’m not interested, why should anybody else put more energy into something that doesn’t effect them?

My goals: 1) not wasting what little is left of quality of life in one waiting room after another. Nobody will fix the things that effect mobility (clot history)-and my shoulders are not strong enough for rehab anyway, and the rest of it is just not fixable. After the hell with the other healthcare systems in town not giving a damn about what I want out of things, I’m just done looking for anything else that would need anything done about it.  If that means palliative now, so be it. I can’t leave the house in the late spring/summer/early fall during the daylight (heat) anymore. If I have to have anything done, it means hiring “help” and I don’t “do” babysitters. And 2), not contacting your office unless there’s something that can be treated VERY, VERY simply (UTI, URI).

Had I seen you first this year, I doubt I’d be where I am now, but my PCP of 11 years was still here- and she was the ONLY reason I stayed with freaky OSF for so long. I don’t trust much right now (nothing related to you). I hope that changes. I’ve had 2 GB ultrasounds, the endoscopy, and abd/pelvic CT. If there’s something going on that isn’t on any of those, I won’t want treatment anyway. SO why waste anybody’s time?   I’m done on the patient rodent wheel. I’m fully aware of the risks.
I’m sorry. “

We’ll see if this is clear enough with the new guy.  He’s been reasonable in the past (saw him many, many years ago when I was still able to work, and only left when I switched jobs and had different insurance).

DO NOT MOVE TO Northern ILLINOIS if you have a lot of medical issues and expect decent care from  “local” “healthcare professionals” unless you get the one that implies “merciful”  (all sold out to other companies and they’re no longer advocates for patient well-being, but profits, but I’m hoping the one I’m with now is at least not terrifying).   Smaller communities are being paid bonuses to deny care to seniors and the disabled…so they send folks for tests that are cheaper than the fix… and/or hope that folks give up, since that population is limited in transportation options many times.

https://www.forbes.com/sites/theapothecary/2016/02/21/aca-savings-paying-doctors-and-hospitals-bonuses-to-deny-care-to-patients/#6a9ec5aa6c46

Well, mission accomplished.  I’m done.

Buying a Reborn Doll

I collect and create reborn dolls.  I often cruise through eBay to find used reborn to either collect as is, or to repair/upgrade them (they’re also USUALLY cheaper)…. and I have found some shady junk inside of those dolls.  And those are the ones that are actually reborns.  Many are just plain old dolls or collectible dolls that are mass produced.  None of those are reborns. They CAN be made INTO reborns- but out of the box factory dolls are not art.  Reborns are an art form.  Those who paint them are reborn artists.

What is a reborn?   A reborn doll is a one of a kind, hand painted collectible doll for adults. They are NOT toys.   It is not a factory made doll. It’s not a doll from Ashton Drake or Paradise Galleries (those are collectible dolls- and many are very sweet).  It is not a “handmade” thing with over 100 available from China.

It takes hours to make a reborn from a blank kit.  The paint is done in layers- starting with the veining, base skin tone, blushing, nails tipped in white, eyebrows and lashes, etc.  Many are indistinguishable from a real baby in photos.

They are then weighted and stuffed.  The weighting is done with fine GLASS BEADS- not aquarium rocks, steel wool, rags, newspaper, pebbles, or anything else besides polyfill stuffing.  I’ve actually pulled those things out of dolls I’ve purchased… and immediately fixed.  I personally do not like poly pellets.  They don’t add enough realistic weight, and take up much more space, without providing any real benefit.

Reborns shouldn’t have eyebrows drawn on by permanent markers.  There should be visible blushing. Every wrinkle should be painted.  Hair can vary.  I personally find human hair to be creepy- but mohair rooted one hair at a time is exquisite when done well.  The limbs should be filled half way with glass beads, and the rest STUFFED with polyfil.   The weight in the body and head is done by filling nylon knee highs with fine glass beads, and putting them in the head (so it needs to be supported and is floppy IF the size of the doll is realistic with that- so no floppy 24 inch and up babies.  Another  weight is put in the butt.  The head should be fully stuffed with polyfil stuffing. You don’t want empty cheeks.   If there is a magnet for the pacifier, it should be placed correctly so that the pacifier fits the face properly.

They are expensive. Just the basic materials cost more than 130.00 just for the very basic doll kit (others cost more), body, stuffing, paint, beads, clothing, magnet for pacifier, etc.   That doesn’t include anything for the time it takes, or the ability to do them.   Solid silicone dolls are much more expensive.   And they weigh a ton.  But some are stunning.   The ‘usual’ reborn is vinyl (not the same as silicone, no matter how many times the Chinese sellers on eBay repeat it).   I typically charge $250-350, depending on the size and cost of materials. That gives me about $100 for my work, which takes many hours over several days.

Here are some of the babies I’ve painted or repaired (repainted or added layers).

This is how they start….

This is the Caleb kit (first one I did).

And this is how he ended up:

“Caleb” kit
14″ long, 2 pounds

Caleb kit

‘Avery’ sculpt
21 inches, and about 6 pounds

‘Taite’ kit
16 inches and about 3 pounds.

This one went to OH this week 🙂

So be picky.  Ask questions.  If your reborn doesn’t look like a real baby- and I mean REAL, then don’t waste your money.  Keep looking.    Forever Babies Reborns on Facebook is my page, and where I will post when I have dolls available (studio is being reorganized at the moment).

Well, No More Palliative…

And I’m more than bummed in some ways, but in other ways, I’m really OK with it.  But, considering where I live, and my experiences with the medical folks here, it’s not that surprising that it’s been frustrating.  It’s been 16 days since the nurse was here to meet with me for being on palliative.  I was told that the chaplain and social worker would contact me, to set up a time to come and meet with me as well.  I haven’t heard from anyone.   When I called the nurse today, and asked to be taken off of the list, she asked if something had happened, and I basically said “Yeah- nothing!”.   She told me people had been sick.  Had I known that (COMMUNICATION), I would have understood.  Why can’t someone just let a person know that they weren’t forgotten, and someone would be in touch as soon as they could.  I can understand THAT.  Even a 15 second e-mail… that would have been enough.  I could have sent my well-wishes for the sick staff  in a reply.

At the only meeting, I was basically told that there were much sicker patients than myself, and what did I want from palliative- which sounded like I didn’t belong.  The next day on the phone, it didn’t seem to be an issue, so I didn’t bring it up.   I know there are sicker people out there- I used to take care of them !   But this isn’t a competition !   When I mentioned knowing that they had sicker patients, she said that she didn’t mean it that way… OK. that’s fine.  Good to know.   *thumbs up*

Ended up OK- should I decide later on that I want to try palliative again.  But for now, I’m on my own. Again… or is it still?   I see the gallbladder surgeon on Friday (with a completely different healthcare system in town)… once the gallbladder is out, my days with doctors will be few and far between.   Seems much safer like that, and if not safer, at least much less frustrating.

“You Look OK… “

Well, that’s great !  I’m glad I don’t look like I feel...  I’d have to worry about the dogs mistaking me for a fire  hydrant or other excretory depository.

I’m not sure what THIS looks like: 
– autonomic dysfunction: inconsistent regulation of blood pressure, heart rate, temperature
– diabetes w/complications on insulin
– degenerative joint disease (with one shoulder now having symptoms, both shoulders, both hips, and both knees involved- and no “elective” replacement surgeries because of my history of pulmonary emboli).
– degenerative disc disease, from cervical spine to sacral spine (or neck to butt)
– severe fibromyalgia
– carpal tunnel
– TMJ
– peripheral neuropathy (progressive sensory, diabetic amyotrophy)
– nocturnal epilepsy
– neurocardiogenic syncope/POTS (related to autonomic dysfunction/dysautonomia)
– GERD (fairly severe)
– epigastric hernia (vs. ventral- still getting worked up)
– sleep apnea
– diabetic nerve pain (feels like thighs are on fire, or hot needles in feet)
– defeated patient with little hope of getting anything addressed without some sort of support.

And I’m not sure how ‘visible’ my history is, either:
–  APL (acute promyelocytic leukemia)
– acute, subacute, and chronic pulmonary emboli in all three lobes of my right lung and           right pulmonary artery
–  multiple concussions
–  mild stroke
–  TIAs
–  falls
–  hydration issues
–  kidney injury (related to dehydration)
–  pyelonephritis
–  sepsis (r/t pyelonephritis, cancer, and post knee replacement UTI)
–  and I’m sure things I’m forgetting, including several surgeries.

Now add a doctor for nearly each of those, who don’t talk to each other.   I’m supposed to manage it all, AND manage the communication (or lack thereof) between doctors.   BTDT, and it ain’t working !   My job is to be a compliant patient.  But how can I be compliant when decisions are being made without any input from myself, and the doctors not communicating with each other before ragging on me?  I get to be a participant in my own life !!   If not, I can’t work with that physician/NP/PA/XYZ.   I can’t trust anybody who won’t hear MY concerns.   The first part of assessment is focusing on the issue at hand- and that includes patient concerns.  LISTEN- it’s cheap and used to be fairly standard.

Otherwise, if I’m not a part of my own healthcare, why should I go see those who have ME figured out without my participation?

 

 

 

Four Months Using MEDICAL Cannabis… It’s About the CBD, Folks !!

OK, so it’s been 4 months since I’ve had my medical cannabis card.  I’m still learning, but have been amazed at the unexpected effects of using CBD and THC.   I’m now getting into terpenes, which is a totally different post for the future.  Chemistry was never my ‘thing’, but I’m having to adjust a bit with that !!

I actually have this poster in front of my gas fireplace in my living room !! No hiding it !

Some of this might get into the TMI territory- and I’m OK with that if it helps someone else.  I’ve written before about my battles with eating disorders.  I was a starving laxative abuser.  I didn’t binge much, but if “forced” to eat a ‘normal’ meal  with others, I’d load up on laxatives BEFORE eating, so things moved more quickly.  Long term effect of that?   Can’t poo without laxatives. At all.  Prior to using the CBD in particular, I was taking SIX stool softeners and SIX stool softeners with stimulant laxative EVERY DAY.   I’m now down to 2 stool softeners a day.  NO laxatives !!  That is a minor miracle, considering I’d had to take the softener w/laxative since 1995 (last bad relapse).  That’s right.  23 years.  Part of that is also due to being able to stop some of the medications that are constipating (opiates, anticonvulsants, nausea meds, etc).   But prior to being on any of those, I was taking three softeners w/laxative daily.   Something changed- and all that changed was  adding medical cannabis products- especially the CBD.

CBD oils are not all the same.  You need one with a good track record.  I like Charlotte’s Web.  Most of the time, I use the capsules.  I do have the oil for edibles, or sublingual use for faster onset of action.  CBD is the base of my medical cannabis ‘program’.  That might disappoint those who hope for using more  mind-bending THC as their primary medication.  But THC is more of an enhancer.  I don’t like the feeling of having too much THC (and that amount is different for everyone).  This is a core difference between medical and recreational cannabis.  I don’t find anything “recreational” about it.    This is about a better quality of life….not escaping it.

Since starting the CBD and THC,  my psoriasis is cleared up by about %95.  That was unexpected, and amazing after years of prescription and over the counter shampoos, creams, solutions, etc.   I’ve also been able to completely get off of carbamazepine (Tegretol), cut the gabapentin (Neurontin) by %60, and subsequently stop or reduce the medications and supplements to deal with the side effects of those meds (especially the carbamazepine).

Cannabis is great for chronic conditions, and some acute symptoms (nausea).  It’s not optimal for acute pain, as I found out when I broke my ankle a month ago.  I’ve needed opiates a few times this month (6 doses) to allow me to sleep with the acute pain.  But that’s still very little compared to most opiate consumption after something like a broken weight-bearing bone.  I was disappointed about taking the opiates, but I also needed to be practical.  Since I’ve never been addicted to drugs or alcohol, I have some leeway to use opiates, but the goal is not to use them.  It had been quite a while since I’d used the Norco 10/325, and the first dose was a doozy.  I could definitely feel it (not good).   After that, I split the pill in half.


As I mentioned, my next ‘thing’ to figure out is how to use the terpenes, which are compounds in virtually every plant.  They have medicinal benefits, and I want to learn how to use them.  I’ll post more as I learn more, and have a chance to use them.

So, there’s always more to learn, but it’s been an overall VERY good experience.   My primary form of cannabis is capsules, but I also use tablets, mints, candy/chocolate, other edibles, concentrates, occasional vaping, and occasional dry herb vaping.   I don’t smoke. No combustion = no products of combustion.  Vaping creates steam, so MUCH less likely to have toxins.  To me, smoked cannabis absolutely reeks, and I don’t want to expose my dogs to that (or get them stoned), bug the neighbors, or stink up my house.   I also have distillates of CBD to use with cooking, should I ever get some culinary bug after my ankle heals.  Watch “Bong Apetit” on Viceland if you want some great ganja cooking tips.

By getting the small dose products, it’s easier to titrate the THC dose. That’s one reason I love the Ascend THC tablets- they’re only 2.5mg each, and can be split if need be (I use a whole one).

These come in different ratios of CBD:THC… I like the 2:1. Ends up being about 12-14mg of CBD and 6-7mg THC in each capsule.

2.5mg THC tablets.

SO, if you aren’t getting the benefits from medical cannabis that you hoped for, I’d encourage you to take a look at how much CBD you’re using.   An example of the doses I use per day (and it is different for everyone, and you ALWAYS start low and go slow when increasing doses !!) :   CBD is about 100-120mg.  THC is about 30-40 mg.  But CBD is da bomb !!

Not Personal

I simply don’t trust people  anymore.  Even many I’ve known for decades. After the 2016 election,  I have no faith in the capacity of humans to discern evil or the myriad of other negatives that the UNpopular vote put into the formerly respectable Oval Office.   I have no capacity to understand ANY reasoning that supports “it”.   It’s proven itself repeatedly to be a lying, xenophobic, ignorant, delusional, racist, PROUD crotch grabbing, family splitting, heartless buffoon.  I will NEVER understand how that is acceptable !!  Granted, the choices were limited in 2016, but the SCOTUS nomination ‘perk’ wasn’t enough for me to sell my soul to the devil.  Das Tweetenführer (<– saw that term originally on a comment section online; not original).  The Hitler of America.   SCOTUS nominations are a lame excuse… just because something is legal doesn’t mean those who don’t like it must participate.  

SO, I’ve cut out most people from my life.  Either they’re in the  “it”-lover camp- and tell me I’m overreacting, “It’s not that bad”, etc.  I’m JUST as entitled to my feelings and beliefs as the it-philes are to theirs.  Do NOT tell me what I “should” believe… I’m not any of you.  I don’t CARE what you think about me.  If you refuse to “let” me have my beliefs and feelings, then I refuse any relationship that has to be censored.   I will never (nor do I want to) understand the line of reasoning that goes into a  vote for ‘it’.   But, I do understand that it is the right to choose a buffoon, if that’s who best represents whoever voted for it.   Does ‘it’ represent YOUR values?  Really?

I used to vote GOP the vast majority of the time  (I don’t care what party the County Clerk or Coroner belong to – if they keep their noses clean, they could be from the Generic Party for all I care).  NEVER again.  They allowed this national disaster.  They allowed an absolute douche on the ballot.  I honestly think that suicide is a rational option if ‘it’ would get re-elected in 2020 (should ‘it’ not be in prison).  I can’t stand this Divided States of UnAmerica.  This is not the country I grew up in, and if I weren’t physically limited, I’d be gone.  Canada, UK… somewhere civilized.  I would NEVER choose this as a place to live.

The divisiveness FROM the GOP during the Obama years was just as nasty- and likely racially motivated (so worse)  based on comments from people I actually know.  That sickens me.  Something changed on January 21, 2017… and I don’t think the US can recover.  That would fit in prophetically with Revelations (the US wasn’t ever intended to be the Boss of the Planet).   This little experiment of the USA is done.  It failed.  Gonna be like the Berlin Wall coming down, or the break up of the USSR.  A bunch of complainers in England thought things would be better here. What fools !   I resent the lot of them.  Should be the Pilgrim statues torn down- not the Confederate ones that erase part of our history that is uncomfortable at best- and downright painful for those who were treated as property.  Do we want to negate THEIR reality?

I resent this “era” of treating the world like crap.  Our allies are leaving like rats off a sinking ship.  And they are right to do so.  Guilt by association.  I don’t ‘do’ that either.  I don’t blindly follow humans, like the GOP seems to do.  Tow the party line = don’t think for yourself, or check the accuracy of comments/accusations.   Take the easy way out- and just be told who to vote for… that will NEVER be me (and never has been).

I sincerely think about when would be the final blow for me, that would make me consider ‘opting out’.   The separation of those little kids from their parents was bad for my ‘opting out’ thoughts. It’s a MISDEMEANOR to crossi the border  illegally (non port of entry) though when entering at a port of entry, it’s legal to request asylum. A MISDEMEANOR means losing one’s kids?  How is that American?   This country is based on immigrants (who trashed the indigenous people and treated them much like property, by telling them where they could live and lead their lives per their beliefs).  The settlers in this country STOLE it.

I’m at the point that I really don’t give a shit what people think of how I think.  The people I grew up around (evangelicals) weren’t as rabid as they are now- but I don’t trust them.  My love for God is unchanged, as is He.  It’s the humans.  Many actually cause physical pain. and in the remainder of this term, it’s hard to tell how much more damage “it” will do.  And now “camps” are being set up to house the families (the ones lucky enough to ever see their kids again)… arbeit macht frei.  Dachau anyone?

Am I proud of my intense feelings?  Absolutely not.  But I understand the ‘why’ of them. And it’s not malicious.  It’s humiliation and horror.  It’s compassion for the targeted (our own citizens as well).  It’s everything “they” stand for by condoning ‘it’.  This isn’t home.  This is a nightmare.  And the MAJORITY POPULAR voters are hostages. This is the first time that I remember that the person in the Oval Office actually vilifies anybody who disagrees, and creates it’s own alternate universe- where its followers genuflect and drool in its presence, and hang on its every word or tweet.  I don’t think ‘it’ has ever read the Constitution, and has no idea how to ‘uphold, defend, and protect’ it. This has been one huge paid golf game for ‘it’.  And the crimes perpetrated against non-it followers are celebrated by “its” Kool-Aid consumers.

This isn’t “normal”.  It’s great that we have diversity in politics… but it should never be cruel.  It should never have a “f-you” attitude towards any of our allies, or the brutality of “zero tolerance”.    What happened to moderates?  What happened to “United”?    And for the “Christian” voters…. how is cruelty something Jesus would support?  What about the serial affairs?  What about ‘it’ not believing in asking God for forgiveness?  That should have been a  huge red flag for actual born again Christians who claim to support this evil. Read Matthew 6-7… does that sound like the GOP?  Nothing in the GOP reflects Biblical principles.  Compassion and charity aren’t in their wheelhouse.

Thank you to Call The Midwife, for hours of reprieve.

DIVIDED?  We’re gonna fall like lead through tissue paper.   I already mourn the death of the United States of America.

Suicide Secrets- Time to Spill It… Secrecy Just Makes It Worse

With all of the suicides of notable people in the last couple of weeks, it has stirred up my own battles with depression and suicidal thoughts.  Not to worry- nothing ‘serious’ has gone on for years.  When the physical pain becomes more harsh than usual, or there are more health scares, I do think about the ‘what ifs’ of a longterm and debilitating illness, but I’m nowhere near that.

“Flaws”  were never discussed in my home, even after I’d talked briefly with our pastor about suicide when I was in 8th grade. There were some hard times in high school.  An English teacher that I did not have as a teacher reached out to me, and did an old, quick depression assessment.  I didn’t do well, and she told my guidance counselor who’d known me since I was two years old.  He talked to my dad (the principal of said high school) , who was furious that I’d made some “not perfect life” comment to those outside of our house.   I was given strict instructions to never tell anybody that anything was wrong.  Verbatim:  “If someone asks you how you are, you say “fine”.  I don’t care if you have an arm dangling by a thread.  You are FINE.”  When I worked in psych and alcohol/drug rehab, “FINE” translated to ‘f-ed up, insecure, neurotic, and emotionally disturbed.   I guess I have been ‘fine’ a few times in my life 😉

Back to the suicidal stuff.   In my early teens, it wasn’t something I considered seriously (mostly because I was terrified I’d get in trouble, assuming I’d mess things up and survive). And I didn’t really want to DIE.  I just wanted to feel less confusion, fear, and emotional pain.  I felt a lot of pressure being the principal’s kid (some self-imposed, some overt instructions from my folks).  Then I went to the University of Illinois after a summer of becoming anorexic.  I was a mess.  That was the fall semester in 1981.  By the first couple of weeks  after Christmas break  in late January 1982, I was still a mess, with the anorexia getting worse, and being alive felt like torture.  With my brain starving, my thoughts were not ‘normal’, and dying seemed like the only way to make the eating disorder end.

By the first week of February 1982, I had a plan, a private dorm room, and the whole thing figured out- except I didn’t really want to die. Plan:  I would overdose on the tranquilizers I’d gotten to (presumably) make me less anxious about eating, involve some sort of booze, and go into my lockable dorm closet, lock it from the inside, and also make sure my dorm room was locked.   I had been mandated to see a university student health center counselor my first semester there, and I finally fessed up to her.  She had the university fire department take me to McKinley Health Center, where they ‘babysat’ me until an adult friend (for a long time, from church) could come and get me- I did NOT want to face my parents.  I was SO ashamed for not being ‘perfect’ enough.   There was a blizzard that made most of IL a skating rink that February, so it took a few days for everything to happen to get me to the hospital near Chicago.   Where my parents were waiting in the lobby (I hadn’t considered them needing to be there to sign me in, since I was on dad’s insurance).   They were allowed to see me, then ‘banned’ from any contact for a month until my assigned psychiatrist tried to sort out the family dynamics.

I wasn’t a teenage drinker.  I’d  tried a few things here and there, but I hated the whole going across state lines thing on Friday nights,  where the drinking age was 18 at the time.  But that fall semester of 1982, when I finally got to return to school, I was not coping well with feeling like  the designated nut job.  I tried SO hard to make it look like all was well, but it wasn’t.   I started going to bars and drinking 4-5 drinks in less than 2 hours, then stagger back to the dorm.  On September 2, 1982, I got  back from the bars, and was SO tired, but couldn’t fall asleep. I remember taking the prescription sleeping pills (from shrink I was assigned to at the hospital near Chicago).  I just kept taking them (there were 10 Dalmane 30mg capsules left, and I took them all), like some sort of automated prescription Pez dispenser was dropping capsules into my hand, that went to my mouth seemingly of its own accord.  I didn’t think about dying, but after taking the sleeping pills, I was told (and stomach contents confirmed) that I then went on to take 50 imipramine tablets.  No matter what was going on in my head, my body went into a 3 day coma.   My roommate didn’t notice anything alarming enough to call an ambulance until the day after I’d taken the meds on top of the alcohol.  I told her I was just tired until I couldn’t talk anymore.  I was told more than once that I physiologically shouldn’t have survived the type and quantity of medications along with the booze, and the length of time before my stomach was pumped.

I didn’t want to die.  I wanted the expectations to FEEL less intense (they weren’t imposed by anybody but myself at that point).    I’ve been in therapy for various things, starting with the fall of 1981.   I was stunned to wake up in the ICU at the same hospital where I’d been born prior to being placed for adoption.   The first thing I remember was someone putting an oxygen mask on me (then I fell asleep again), and a syringe going towards my crotch (at the time, I didn’t know that a syringe removed the water from the balloon of a catheter that keeps it from falling out.  I didn’t know I HAD a catheter… so that was awkwardly confusing).   I also remember not being able to follow the Saturday morning cartoons they’d put on the TV.

One therapist would ask me about suicidal thoughts, and told me she would NEVER ask me to give them up, since having that option helped keep people from feeling backed into an inescapable corner.  She would ask me to hang on just until she called me at whatever pre-determined day/time she came up with.  And that was helpful.   She never shamed me for essentially just looking for ways to not feel emotional pain.   I never liked “contracts” because I didn’t want to sign something I might not be able to uphold- but the simple verbal request to hang on was enough (everybody is different, and some folks need more supervision, so more formal contracts or even interventions and required hospitalization might be the first step some folks need).  At the very least, I knew that someone cared enough to take 5 minutes to call and see if I was OK the next day.  Sometimes, when things were chaotic in my head, that external reminder that I wasn’t alone was sufficient.

I hope someone reads this who is a survivor of someone who completed a suicide attempt, not surviving it.   You need to know that it isn’t about not loving family/friends enough to stay (or reach out).   In that state of mind, people truly do believe that the world (meaning their family and friends) would be better off without them.  It’s about not being able to imagine things ever getting better.  It’s a desperate, last-ditch attempt to find some peace.  But it’s not generally about not wanting to live.  It’s about not wanting to have to endure emotional pain that feels like endless torment.

Don’t be afraid to be blunt if you are concerned about someone.  Asking about suicide will not make someone suicidal !!   The best thing someone can do, especially if they don’t know what to do, or don’t have training in crisis negotiations, is just to listen.  Don’t judge.  No empty “it’s going to be fine”.   And NEVER “oh, it’s not that bad”- that just says “you don’t care enough to try and understand me”.    Let the person know that you realize that they are doing the best they can.  Let them know that you understand that their pain is overwhelming.   NEVER “I know how you feel”…. unless you are in a person’s head, and have had identical experiences and reactions to things, you have no clue.   Empty platitudes are not helpful.  Saying something like “how can I best help you?” is very helpful.   Letting someone know that you don’t have the answers, but will do what you can to help is SO much more helpful than someone who is clueless trying to help someone when they don’t take the time to really understand the situation, and can’t admit that they don’t know what they are doing.  If you feel like you are in over your head with someone who is suicidal, call 9-1-1.   If the person gets mad, they’ll either get over it or not- but don’t put yourself in a position to have unimaginable regrets if the person can’t hang on.