(or—If I’m Going To Have To Eat My Words, I Hope They’re Nourishing)
09-07-12
I had a successful trip to Urgent Psychiatric Care (UPC) this morning. Successful, but harrowing. Suffice it to say that The Weather Channel lies! I checked before I left the house and saw a pocket or two of light rain, but nothing in the area I was travelling. Not the case. At one point, I was driving in water that came above my ankles. I didn’t have a car in front of to observe, so I was already in it by the time I should have tried to avoid it. At 45mph, on a scooter, rain HURTS!
During my initial triage evaluation. My BP was 156/103 and my pulse was 104. After explaining my commute, they opted to re-try both after I was calmer.
An hour later: BP 153/100 pulse 89.
I’m not sure why it is so high. But I will address this serious new symptom on Thursday, at Mission of Mercy in Mesa. There they will evaluate and prescribe medication at no cost.
Back to the psych evaluation. The good news is that the medication I was on and compliant with for the longest (Lamictal) is now generic. I was prevented from staying on it in the past due to its cost. The doctor prescribed it for a month in a step-up regimen. I will see her a few days before the prescription runs out so she can increase dosage to get me to the therapeutic level, which is going to take about two months. The bad news, and I’m just trying to be forthcoming and transparent, is that even at $15 for a month of medication (as opposed to $200), I am using my last $20 to pay for it. I have a few dollars and cents in cash that I will save for scooter fuel. I put $3 in it this morning, which should last if I’m frugal.
The doctor offered to prescribe a non-addictive sleep med, but I declined. I have used a Benedryl in the past and she said that would work as well as what she could give me.
I’m averaging 4.5 to 5 hours of sleep every 30 or so hours. I’m experiencing symptoms from both ends of the bi-polar spectrum at the same time, which doesn’t happen too often — racing/creative/grandiose thoughts on one end — tearful, sad, depressed on the other, and as I said, both at the same time. The doctor I saw this morning has noted this in my chart.
On discharge, I have been requested to get on a wait-list to become a psychiatric outpatient at Desert Vista Behavioral in Mesa. The discharging doctor said it normally takes a little longer than a month to reach an established patient status, so for the time being, I am to use UPC for follow-ups and medication.
UPDATE: I just got off the phone with Alexis, my amazing friend and LifeGroup leader @ church. We’re meeting tomorrow morning for prayer. She has offered to help get my prescription. I am blessed in so many ways right now…1) I didn’t die on the way to UPC; 2) I didn’t die on the way home; 3) the medication I need is available generically; 4) I have people surrounding me who love and want to help me…Mom, Dad, Linda, Kelly, Maribeth, Alexis, Stacey and Naveen, My Creator, Lord and Savior.