what do you call catatonic unresponsiveness if occasionally releasing a minor motoric twitch by finger? i do not refer to a catatonia, rather, a case of tremendous mental frustration where extreme negativity completely influences physical posture. for a few hours this afternoon, i was too sunk to move.
invalid friend chuck and i drove to the ucla medical center this morning for a final medication evaluation. afterward, we walked around westwood village and investigated a local bicycle store. since i have driven around the westside numerous times over the last two weeks, all parking nervousness and traffic issues were released. i knew exactly where to go, had intended the most efficient route, and was prepared to take the first, second, and third options for parking the car.
there were no problems. my mood was elevated enough to drive via surface streets over to
supergo bike shop in santa monica (now "performance bike"). we hate that place. years ago it was an interesting presence, but now the shop is about to be bought out by 'performance bike' and an inevitable generic experience looms. stocked with specialized, weighless, and their own 'access' brand, supergo used to be a nice shop about ten years ago but now the only fun involves colorful customers from the diverse santa monica population.
[sigh]
everything is done for the insurance review, right? after this morning's appointment, i now have a prescription and am technically under a doctor's care so facilitating more papers or proof for the insurance review should not be an issue. over. why can i still not relax? i neither need to do anything else nor fret. [unfortunately "the review" is and will continue to be an issue until a letter is received from the insurance company stating that my problem is continuing. this is a logical, and therefore acceptable, anxiety.]
after a decent day of being out and about, i returned to chuck's house and googled the specifics relevant to my new prescription, and... and...
mannitol is listed as one of its inactive ingredients.
now wait just a minute. how can this be? mannitol is a derivative of corn and i told doctor #1, #2, #3, and #4 that i am allergic to corn, wheat, egg, soy, and latex.
note:
doctor #4 wrote down: allergic to paxil and zoloft.
i feel i have been ignored.
i have no voice.
what i say is inconsequential.
i am inconsequential.
anorexia is a very loud reaction to those feelings.
why does
doctor #4 think i am allergic to zoloft? do we really know? i tell everyone how there were
no spectrum considerations years ago when i tried zoloft but the medicine's *base* definitely made me itch. how does this make me allergic to the zoloft? it doesn't-- that part remains unclear. allergic to the pharmaceutical excipients (inactive ingredients) in zoloft's tablet form? yes. allergic to zoloft alone? perhaps not.
so what if there are numerous anti-anxiety preparations and combinations of medicinal compounds to try? why move on to another drug, or, as is the case of this new prescription, another drug class? wouldn't you think if a patient who had limited success on various infant-sized dosages of antidepressants said "what about zoloft oral concentrate" a doctor would consider the liquid or at least research the possibility? hasn't
doctor #4 been taught that doctors are to run with all itsy bitsy positive things a difficult patient says?
consider: perhaps i didn't seem difficult.
consider: but i "said" i was obstinate.
consider: i did offer one arrogant answer.
after too much thought at the computer, i got upset and considered driving back to the clinic just to poke my anger into this new doctor's chest. at the very least i would be the opposite of the shy mumbler he saw this morning.
brain says: "this prescription was written out basically for the insurance review. it's over. shut up. you don't have to buy or take these pills! you don't have to go back to that doctor. leave it alone."
okay, so what? calm down!
it was only for the review.
who cares?
i will pay for these recent doctor appointments and think i should get something out of them-- whether or not i intend to use the information or treatment now isn't the issue. after all of the negative things i have written about trying another pill, i
would try this medicine if there was no obvious reason or allergen to avoid. why not? due to my sensitivity, any benefit from the drug would be noticeable almost immediately.
knowing my medicine evaluation was related to the insurance review,
doctor #4 assumed i had 'medi-cal' [a low income state-funded medical program in california] and therefore, all medicine he prescribed for me would be free. i do not qualify for the 'medi-cal' program (disqualified by my car's value alone) and, if choosing to fill the prescription, would pay for the medicine at a regular pharmacy. this attitude of his bites my ass because if i test it out, only a quarter of one pill per day would be needed. a prescription for five pills (or less) would be in order due to history of intolerance. since he thought i would get the medicine for free,
doctor #4 wrote out the prescription for way too many pills. annoyed with this, i mumbled something about "owning too many stocks to consider applying for a state program or services." "i think 'medicare' pays for it then," he said, and signed the prescription. wrong again. i do not have 'medicare' either but know the original medicare plan will only pay for the costs of prescription drugs when a member is admitted into an inpatient hospital setting. is this doctor 'a sickening and contributing waste to everything wrong with the system' or was he 'the accommodating and good guy' who was trying to hand me a break?
why do i write that-- sickening, contributing to waste. is it just because he signed a huge prescription and doesn't know off the top of his head that mannitol is corn? well, yes. i wonder if his action could be seen as a physician also trying to alleviate anxiety? in using the large prescription, i would make one trip to a pharmacy rather than having to return soon thereafter. perhaps, looking in one direction
doctor #4 is a jerk. perhaps in the other perspective, he is simply a nice guy.
another grip with this prescription: results of clinical studies and drug trials. more people on this new medicine reported weight gain than people who were taking a placebo. [i am about to choke someone. seriously, let me wrap my hands around a neck and shake---]
what?? is this guy new?? is he a resident? why would he prescribe anything on an outpatient basis which may increase or change appetite unless the patient is somewhat [--deleted--].
earlier this morning, i had whispered the word 'grave' when referring to anorexia and stopped, waving off the unfinished sentence. there is no other way to refer to it. suddenly, three out of the four doctors grabbed their pens when i whispered that word-- the fourth had no pen.
we were sitting in front of a surveillance mirror.
possibly being recorded?
oh, who the hell knows?
i feel so sick right now.