busybee fluffy rambles

well I just had a lousy experience that has me depressed and frustrated and withdrawn and just hating everyone around me

My therapist was trying to convince me to come out to an art gallery opening on Vashon Island and I wasn’t feeling up to it but I decided I was wallowing and I should get out and do something nice.

So I start driving to the ferry, and I follow the GPS instructions for getting there, and there’s a long line of cars so I go a few blocks up to try to not cut into the line, and I guess I didn’t go far up enough because when I got in line, the person who pulled up behind me ran up to my window and started yelling at me for cutting in line, and acted like I was being a jerk on purpose. And then when I didn’t immediately get out of the line (which runs parallel to a busy street and it’s difficult to tell when it’s safe to pull out) she ran up to the person in front of me and told him what I’d done and then he started yelling at me too.

This was too much for me and I had a meltdown and had to head home.

And now I just want to wallow some more.

From her point of view it probably did seem that I’d cut in line and I understand her being upset but I didn’t know, and if I’d been told nicely that “hey the line starts up at such-and-such street” and not gotten other people mad at me too, things would have gone very differently. But now I just like. never want to take the ferry every again because now I"m worried I’ll get people mad at me again.

It sure would be great if people didn’t assume malicious intent. I absolutely wasn’t trying to hurt anyone, I was just confused about where to go while having a bad mental health day already. Being yelled at and berated for an honest mistake, by multiple people who immediately assumed I was out to be a jerk, is not what I’d call a good time.

The worst part of this is that the people who yelled at me probably feel like victorious defenders of justice, and they’ll never know the actual end result of their actions.

Stop me if you’ve heard this one…

Dextroamphetamine was working pretty well for me for a few days. Then last night I had some pretty bad insomnia accompanied with a major panic attack. So I think I’m going to hold off on it again and only using it 1-2 times a week, and not on adjacent days.

Why is my metabolism like this?

Probably for the best though; while on it I was getting super-productive again, and having pain flareups as a result. I need to find a good balancing point.

Dextroamphetamine on its own has been working pretty well for me for the last few days, and my blood pressure has been only slightly elevated (not to the point that I could feel it).

Today I decided to try using a small amount of cannabis as well, and within half an hour I felt my blood pressure spike. It’s “only” 140/90, which is pretty elevated and enough for me to feel it, but not enough to worry about.

Anyway, I looked it up and there have indeed been a couple studies that have found that THC and dextroamphetamine interact to cause a blood pressure spike. Oops.

I don’t remember which particular strain I had loaded up in my vaporizer; it’s either Harlequin (which is 95% CBD) or Lemon Smac (which is 100% THC). So I’ll need to try a more careful experiment in the future to make sure I’m even using the right strain to begin with, but I don’t think I’ll be doing that any time soon. I’ll also probably want to try it with something that’s nearly 100% CBD just to be relatively-safe.

Fenofibrate is affecting me the same awful way that Lipitor did, back in the day. If triglycerides are the problem underlying my pain, this medication doesn’t seem to be the answer.

Maybe I should try just eating nothing but salad for a month.

I took my little 10mg capsule when I woke up at 8 AM, and I felt it kick in during my shower. It’s led to a feeling of clarity and less chaos in my brain. I did a few put-off chores before work, and at work I’m not feeling totally overwhelmed by stuff. I’m still not focusing on what I mean to be working on, though.

Blood pressure is 131/89, heart rate is 65. Slightly elevated from my baseline but definitely nothing to be worried about. My hands are also slightly shakier than usual but not, like, alarmingly so.

This shows some promise and I’ll be working to adjust the dosage and timing accordingly. I might try supplementing with a caffeine microdose later today.

Also, last night was my first dose of fenofibrate, which hasn’t solved all my pain issues overnight but I’d expect that to take a week or so to be effective.

Two weeks since my last ketamine infusion and my anxiety is… present, again, and my chronic pain never went away at all but now I’m feeling a lot more aware of it.

I went back and tried Adderall again and it didn’t mess me up, although it also didn’t help me like it did the last time I tried it. But neither Adderall nor caffeine are messing with my blood pressure or increasing my anxiety, so I’ve reopened the conversation with my doctor regarding other meds for ADHD. In particular, I asked about Dexedrine and Desoxyn. Both of them seem promising at the dosages I’m looking at, although my insurance won’t cover Desoxyn (which is unsurprising, there was a TV series about it) so we’re trying Dexedrine first.

Regarding chronic pain, my doctor went over my chart and he noticed that we never really did anything about my high triglycerides, and then he had a thought: what if my high triglycerides are contributing to my fibro symptoms? Doing some cursory literature search found that it’s plausible, at least, so I’m also going to start on Fenofibrate to lower my triglycerides and hopefully get my body in some sort of balance there. He’s also ordered some more labwork to see if I have any gaping vitamin deficiencies.

Have I mentioned how much I cherish this doctor? Of all the doctors I’ve seen, this is the only one where I feel like he actually listens to me, doesn’t talk down to me, understands that I know my body and have done my reserach, and is willing to try things to attempt to treat these complex, deep-seated issues that have caused me problems for the past 25-odd years. It’s a lot easier to be patient as a patient when the healthcare provider treats me with respect like this.

He’s definitely a rare breed.