Sunday, April 27

"show the sadness" v. "keep the sarcasm"


the last two months are written on the body:
- numbers are down
- in just six weeks, my hair had two distinct bands
- dental issues due to anxiety-related bruxism
- an issue of endocrinology


AND the sick solution: since emotional intensity has been physically recorded, no one can render the way i feel to be meaningless. there is no need to feel embarrassed now if choosing to reveal that a few recent losses hurt tremendously.


no seoul for me.


Friday, April 25

1936 ford
their newest hotrod project-- 1936 ford

my dad understands. my parents are making the long drive to madison for a car show this weekend but stopped to send me e-mail. they empathize with the exact sentiments i am too uncomfortable to put out there.


Thursday, April 24

it's only been five hours since putting my cat's death on paypal, and i knew it would feel bad, but... i can't even find the joke. something stabby and along the lines of, "actually, his obituary trumps many written of human lives i have met."

paws saw london,
paws saw france...
his first playmates were an iguana and a (caged) tarantula.
quite a life for a little stray born in ely, minnesota.

relief was expected today. this isn't the case. the wave rolls between obsessing over his last sights and sounds, to seeing how his absence-- particularly his continual loudmouthed chatter -- is already accentuating my isolation.


Wednesday, April 23

oh kitty, it's all good now. i hope.


Thursday, April 17

aside for two see's vanilla lollipops this week, my problem is still not giving an inch. this is causing great distress for invalid friend chuck and resident doctor #4. their attempts at solving the puzzle are valiant, but routinely toward the wrong solution.

invalid friend "wants answers" and gets upset upon hearing that "there are no answers." his frustration, in concert with my flabbergastation, has been inspiring a lot of irritability. AND elevated conversations. AND broken material goods. AND, soon, physical fights.

AND what does all of these tense situations do? they tighten my problem. anorexia binds right up. the best possible scenario would be to loosen up and allow some leeway. resident doctor #4 mostly understands this, but invalid friend (who experiences it first hand by eating meals at my house) does not.

resident doctor #4 is concerned and wants me to drink 32 ounces of water each day this week. this is a problem. he mentioned that given my current weight, it is important for me to refrain from any caffeinated beverages right now. this part of his request is not difficult.

on tuesday night, he didn't push for the inpatient option, but as time goes by-- i don't see myself breaking out of this. admitting myself to a hospital could be alright. given the politics of insurance, it would not be for long and perhaps it would offer a much needed respite. illness is a torment alone. the situations at home are escalating negative behavior.


those yellow caps indicate a kosher version of diet coke which is regularly available during passover


you never write much about invalid friend chuck anymore.
true. i deal with enough ritual and repetition, so why allow recycled sentiments of him?

chuck, who does not drive a car and must not be that much of a klutz after all, has just delivered 21 two-liter bottles of diet coke to my home.

when questioned what he was thinking, since chuck knows i refuse to drink "gratuitous filler" such as diet soda unless in a country without potable water, he just looked at me. AND was he not *just told* that my doctor wants me to restrict caffeine?

AND i, of course, appear to be ungrateful since these liquids can only be refused.


Wednesday, April 16

"any variety of intervention will initially worsen this episode"

v.

"inaction automatically reinforces illness"


Tuesday, April 15

at the time of the last post, anorexia was a current component, but one without structure. the inability to obtain food was not the driving force of what disrupted the week, and it remains odd to think my doctor wanted to focus on this tertiary issue. now that a few days have gone by, and most of the panic and anxiety has subsided, that interruption, or inpatient respite, should have happened.

anorexia is strong, alone, and definitely protecting me from feeling anything. this is not definitive of my typical day-to-day anorexia with its rules, distractions, and puzzles regarding exercise and calories. this current restriction is very specific to emotion, and similar to weeks which have paralleled great trauma in my life. "food" seems like such a minor issue regarding what is restricted in total right now and the concept of extracting from this realm merely for food is almost quizzical. maintaining this "all-encompassing feeling of protection" is 1000 times more important than eating. it also feels as though this is a deep state of mourning after an intense ordeal.

but... what is going on? why this period of decompensation? all current events which have inspired stress, in my opinion, barely warrant any acknowledgement. sure, waiting on other people to finalize their decision sucks. putting valuables into the hands of an inferior middleman sucks. trying to determine on a day-by-day basis if my cat is suffering or not sucks. these are low level, but typical anxieties. they are unfortunate, or without instant and definitive solution, but i think none of them rank as traumatic.

i do not appreciate feeling this way without holding a tangible reason. "i deal with major depressive disorder and all of its components occasionally come around" is not good enough.

first possible genuine reason for this lull: my future job will change how i relate to "anything and everything." i have previously revealed not feeling nervous and how i am looking forward to this experience, but my body knows. it has been interesting to see panic attacks produced over "anything and everything." when framing the extremes, this is reasonable. the future is a fairly big deal, and it apparently *is* traumatic enough to cause this deficit. the interpretation of panic regarding insignificant events is perfect, but it sounds ridiculous.

second reason: paws is slowing down. what is the process other than to keep him comfortable? a week ago saturday, i returned home to find blood had been coughed up in several places around the house. the following day, paws was as good as he has been during any time over the last year-- jumping up onto the desk, purring, even cleaning. today was not good to him. it's worrisome. i need a definitive protocol other than "wait." this end of his life is sad and expected, but again, not traumatic.

i have an appointment with resident doctor #4 tuesday night. chuck left him a voicemail message and told him i was still refusing to eat. some type of intervention is apt to happen. inpatient? probably not. partial hospitalization eating disorders day program? summon a useless dietitian? for what reason? food is not the problem-- it is only one of the visible results of how i am feeling. i don't know. at my saturday appointment, resident doctor #4 questioned whether we needed to consider an inpatient stay or get strober involved this week.

back in january, i secured a relationship with an additional doctor (resident) at ucla. his supervisor took me aside and said to be clear with strober that we all respect him-- but also feel free to tell him that we all think he is an arrogant expletive. essentially, i have been avoiding this specialist. my problem might need strober, but my problem does not need that right now.

treating 'this particular episode' of anorexia lacks sense, since it ignores the catalyst. my physical health is stable even though my body weight is not. AND i should not leave my cat alone or in the hands of someone else this week.


Saturday, April 12

the majority of this last period of decompensation has subsided. last week, suffocating into dense protection was achieved through any ordinary sentiment. perhaps now, i am merely collecting them and only bound by twisted situations for a few hours per night.

saturday, a resident doctor #4 day. i was completely off this morning-- to the point it was suggested hospitalization prior to my next appointment (on tuesday) was not out of reach. i expressed an unfamiliarity with inpatient procedures and went on to question the therapeutic care for anxiety.

so, it was a little weird when i stopped and he said, "inpatient for anorexia."


Thursday, April 10

ordinarily, ocd can seem cagey because it works on too many planes, but it has locked anorexia into "a frightening state of unshakable no" for the last four days. "i'm not going to eat until i am dead." anorexia's words cannot change. by design, ocd facilitates that nothing is flexible-- not even a sentence.



i expressed concerns over the possibility of an inpatient respite, when actually, invalid friend chuck may need hospitalization first. chuck only intends to help, does not understand why kind actions inspire problems, and therefore refuses to extract any involvement. the subsequent guilt from seeing him bleed as he hits wall after wall keeps me intricate and impossible. he is nervously walking on eggshells for no reason-- nothing chuck can do will be correct.



AND resident doctor #4 continues to hold the ends of ambivalence.

one the one hand, my weight loss is critical and anxiety is the worst he has observed from me. the suicidal ideation, which comes and goes, has arrived and is frightening because my spirits are good.

on the other hand, it's the recent and positive progress which is working to stir up this much turmoil.


Monday, April 7

last week was the worst. i may be saving for dramatic changes, and paws took one step closer to death on saturday, but panic attacks continued to stem from trivial and unreasonable situations. there has been a lack of investment toward these panicked episodes, and therefore it's pretty disturbing to watch their flourish while i actively state the contradiction. consider how physically intense these panic attacks can be-- my nourishment process assumes unwavering allegiance to ritual, but this week my body weight is down a solid four pounds.

one example of a situation inspiring both trivial and unreasonable panic attacks:

at a self-serve kiosk at the post office, i sent three letters out using certified mail. each of these transactions produced a receipt and tracking number. this was not a new machine, and there was no question as to whether or not i was buying the correct mailing options.

after four business days, the only update in the usps tracking system stated that postage had been produced at the kiosk, but the facility had yet to scan in or confirm any receipt of the items.

after seven days, the tracking system finally took note that one of these letters had entered the system. the usps is historically inferior in regard to this process and the addressees all know this. this lack of updated information was a real concern, but trivial. given the time span, i didn't care too much, but the panic ensued.

the typical fears promoted that *this was a horrible situation* and it could not be rectified had the envelopes actually gone missing. for instance, introversion would restrict me from contacting the recipients in a timely manner, and perhaps, i would not be able to attend to anything which needed to be done alone or out of the house. it was also perceived to be financially disastrous to reproduce the contents in those envelopes. this panic was very unreasonable to me-- my argument being rooted in my consistent documentation of an ability to thrive.

the counter exchange from anxiety has been that 'the ability to get out there and engage on profound levels' does not confirm any capacity to continue. it argues how my production is ordinarily all or nothing, which definitely allows for a return to complete isolation. i *should* worry about any project attempted, even the simple posting of letters at the post office, because there *is* the potential for me to withdraw and not attend to any disaster.

this perspective from anxiety is the kind of crap that will dissolve when discarding disability (by signing on to, and then succeeding at full-time, out of the house employment). this process of redefinition will draw out the endless spectrum of uncertainties and possibilities. the contemplation over 'taking a job outside of the house' and then eventually 'living without the pathological doubt' is expected to seem never ending.

i do not feel nervous whatsoever about redefining myself. what will happen upon employment? no time has been spent worrying about it, but the anxiety is inevitably gigantic. it must be here-- misdirected and protective.

perhaps, it is interpretable:

anxiety has been focusing on anything and everything aside from the millions of fears related to working outside of my home on a daily basis. (it has stressed out over looks from a stranger, simple things like a particular word a person chose to use...) consider those squashed emotions standing behind the detail of the notoriously non-updated usps tracking system.

it felt like i was panicking about the postal service.

the potential for disaster, catastrophic fantasy, _______, and ___________.

all of that doubt.

may i have been panicking about?: "what it is going to mean to leave all of these doubts and fears behind? these fears have been my constant. what is it like to live without them? what can possibly be intense enough to replace that level of fear? the way i go about thinking, and then reacting, to almost every subject and situation is about to change-- but to what? what's it like? how will i feel?"

since my 'constant' is about to confirm a radical level of freedom, and then depart without definitive replacement, of course 'anything and everything' has room to panic. with this job ("confirmation that i no longer need to act as though i may succumb to housebound agoraphobia at any moment") the way i will go about each seemingly meaningless situation and transaction will be different. i cannot know what it will be like to live without that stress. those answers are neither available nor can they be accurately articulated. lately, anxiety is over the top and inspired by the tiniest topic-- and it appears that it should be.

now, if the chaos from the last week is translated and accountable, to what extent can it continue?


Wednesday, April 2

primitive peril of allosteric load


actively refused to depress my cns this afternoon:

= found a rain-soaked $20 bill
during the 'first additional' panic-inspired run

= found a $100 bill folded into a triangle
during the 'second additional' panic-inspired run





the fire today eventually inspired the stove, but the greens had greyed.
consider: by fault of dark trunk, time, or suffocation?

AND then why waste the assay on fermentation?


the rest of the week will be spent trying to keep myself from being hospitalized for anxiety disorder. the most insignificant of situations are exciting panic attacks lasting four or more hours. value can easily attach to these trivial concerns which are accelerating, therefore my frustration focuses on the most unreasonable panic-inducing experiences. their origin is real, and understood, but awareness does not (yet) function to mediate or reconcile the physical response.

my solution has always been to suck it up and mend or eliminate the catalyst, but circumstances reducing the threshold cannot accept my authority. none of these anxiety producing agents, neither the trivial nor the unreasonable, are in my control.

what happens when one is hospitalized for anxiety? let me call upon my own television education for a moment and guess "dixie cup with an ativan tablet, a blanket, and an offer of apple juice." or, of course, the preposterous offer of seroquel, as a sleeper, then prn.

obviously, ativan could be taken right now (and there are probably unopened samples of seroquel here, too) but when anxiety is overwhelming, i am determined to remain in this hyper-faux safe state of ready, set, act.

impending situation X is out of my hands.
so are last night's no big deal stares from Patient Y.
AND Burberry Z.

AND a-f, g-j, kl, m-->

AND the saturday morning security guard (who resident doctor #4 refers to as a "crazy bitch") really needs a separate entry.