Every writer learns to manage a multiplicity of points of view: to think within her own head, and within the head of someone observing her, and within the head of someone she's observing. Any person could do with this same ability. Any person who's aging, or sick, or struggling with an addiction, could do with learning this, too. People in this category are precisely the people who can maintain an unrealistic perception of ourselves (yes, I include myself) and our abilities. For example, Phil's dad fell off ladders and into creeks in his later years, because his perception of himself as all-capable physically never got updated as he became eighty-something with blown-out knees and a triple bypass; which is why my grandma, formerly super-active, is beyond bitter and frustrated at her confinement to a wheelchair.
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once you're in the vortex... |
These are things I am not willing to admit to anyone out loud. I'm admitting them not out of narcissism but a desire for clarity and completeness, and to help.
There's also a major bind, which I'll also mention.
Consequences
- Physical strength is a prime area of mistaken self-perception. I can do all my regular bodyweight exercises fairly well, so I'm just as strong as ever, right? But stepping out of my own borders, I'm having trouble opening heavy doors, or lifting 15lbs above my head, carrying big grocery bags, etc.
- Soreness, fatigue. Yes, my muscles get and stay more sore. Yes, I get really tired. And I'm not abusing stimulants as I was in the spring, so no getting around it.
- Memory loss--I'm famous for my memory, and have always been glad to rely upon it. Lately, though, I've felt like an Alzheimer's patient, between finding myself somewhere and wondering what I'm doing there, and losing a word, and not remembering what comes next in a process. All short-term memory stuff. But yesterday I cried when I couldn't remember a friend's phone number and had to look it up. OK, it's just one digit I couldn't remember, but really, phone numbers are a package deal...
- Logical awareness and balance--as in my body, so in my head. A level of meta-awareness remains, where I can hear that what I'm saying makes no sense; but my logic, usually impeccable, isn't straight at times. I stare down the depths of a conversation and see a whirlpool in a drinking straw, and am helpless to squeeze things back up. That's a good part of why I'm writing this post, as I can logic myself out of doing all kinds of things I should be doing.
- Spatial awareness and balance--my goodness, I have become the most laughable klutz. If I pick something up, it's almost a given that I'll drop it. If it's anywhere near me, I'll run into it or tip it, or bruise myself on it. Sometimes I lose my ability to touch-type, or even type the semblance of the right order of letters.
I often get lightheaded when I stand up, or bend over. When doing my signature kitchen dance (no, not "chicken dance," even though I'm mixing up my words too these days ;) ) -- normally, I'll whirl from one area to another, picking up, setting down...I've actually put my butt down more than once.
- I'm in ketosis, holy grail of Low-Carb dieters; not on purpose. Some consequences of ketosis:
- horrible breath. Can you imagine how mortifying that is?
- worsened hallucinations. Yes, I have them normally anyway, but more frequent, more scary; consistently in several senses (visual, auditory, tactile at least). There's actually a bit of research recommending ketogenic diets for folks with bipolar 2 but the psychotic piece is a specifically cited reason why it's not for bipolar 1's.
- stress on the kidneys (who have already been extremely and repeatedly stressed)
- some heart-stress-type stuff--see, I never normally go away from my doctor without chapter and verse clarity!
- Hair loss. This wasn't happening earlier this year; grounds for my claims that nothing was wrong. It's falling out like crazy now, and I have pretty long hair.
It gets into everything!
- Hypothyroid--I have this already, as a long-term consequence of this illness/addiction. I hadn't noticed until I saw a picture of myself, though, that my eyebrows are disappearing: a pretty sure sign that I'm not taking enough thyroid med for how hypo my thyroid is.
- Amenorrhea--a given, pretty much my whole life even if you don't count childhood. Pretty convenient, except that it causes estrogen dominance, and the lack of progesterone affects smooth muscle contractions (think: peristalsis) and adrenals (think: containment and resilience) and many other hormonal functions.
- Gut stuff--food allergies and sensitivities worsen; digestion and absorption less effective with impaired peristalsis; irregularity.
- Absorption issues--both of food and of necessary medications, since both brain and gut are missing what they need.
- Adrenals--shot. Jump a foot in the air at anything sudden or loud; find it hard to make on the spot decisions.
- Aging--what a painful irony after all the fruit-and-vegetable eating, all the attention to good herbs and sunshine; hey, and all the calorie restriction. That's supposed to conduce to longevity, isn't it? I've always looked young for my age. Now, I'm being told I look ten years older. I really don't know what to do with that. I've never wanted to be vain about my appearance, but my youthfulness is something I've taken for granted.
- Honorable mentions: intermittent chest pain, impaired judgment in decision making (e.g. drinking a gallon of water preparatory to weigh-in, to make things look better vis-a-vis the ultimatum. Things look very bad. People were fooled as to the quantity but not the act. Three days later, I'm finally not feeling sick from this. Or, going on a long hike without having had lunch. Or, driving while hallucinating to be somewhere I needed not to be hallucinating). Having a hard time seeing the funny side of things, which doesn't help with the extreme relationship difficulty. And more...
The Bind
"Some" of these issues will be helped by gaining "some" weight--less than they say, in my experience. Improving nutritional status is more the key However, some of the physiological issues won't be changed, although they will respond better to medication.
Even more of a bind: weight restoration doesn't deal with the underlying issues. At all. I was barely close to 'fully restored' when I left treatment this time, and I was just uncomfortable. Last time I was in treatment, I left 'fully restored,' which just led to losing a shocking amount of weight in a very short amount of time, together with other 'behaviors,' and running away from any kind of treatment for many years. When I've been at relatively 'normal' weights, my pain and discomfort with that clouded anything else that was going on to the point that it was hard to access underlying issues. I've known friends undergo exactly the same thing, so I'm not just speaking for myself here.
Based on my experience, there has to be a compromise--especially with those of us who are older. A weight range that's lower than 'standard' but still healthy. That will allow us some physiological ease, while removing enough of the 'mind panic' for therapy to actually reach. I think this would be a far more effective strategy than putting people on Zyprexa or Seroquil so that they gain weight behind their own backs and then feel betrayed in the ultimate manner.
Full disclosure and my own bind: when I left treatment, I was just at the top of the 'compromise range' I had proposed to them. Even more reason for me to walk my talk now.