Thursday, August 26, 2010

I'm at the top of the rollercoaster

I leave for two weeks in South America with my dad on Saturday. I hope no one's expecting a travelogue with photos and interesting stories and stuff. I'm no photographer and expect I'll need all my energy just get through these two weeks. It will be my very first time out of the country. So just know that between 28 August and 10 September I'll be having this new experience during which you might or might not hear from me.

BTW: I realize that's exactly the kind of information one should never post online because then people know exactly when your house will be sitting empty and vulnerable. But since my husband will be home the whole time, I'm not concerned. His doctor has cleared him of all dietary restrictions and approved almost all physical activity. Bob is walking without any aid at all and feels pretty good, but he's not going back to work until mid-September.

So there, all you burglars: I'll be on vacation, but my husband is home 24 hours a day and is ready to defend.

Tuesday, August 24, 2010

Monday, August 23, 2010

Two Weeks in South America

I'm allergic to sunlight and I'm heading towards the equator. Hmmm...

Saturday, August 21, 2010

I do not like summer

On Thursday night I found myself at a company function which took place at Ravinia. I spent three hours reclining on grass, listening to live music and breathing in the warm, humid summer air. I didn't get bitten by bugs, thanks to a co-worker's 98% DEET insect repellant. I was wearing long pants, but smeared it liberally on my arms.

On Friday I found myself at another work function: the annual staff picnic. It was not a good idea to do these two things within a 24-hour period. My arms were red and itchy, a reaction to the DEET, I think. I switched to all-natural bug spray and spent another three hours outside in bright sunlight, carefully wearing long sleeves and a broad hat to keep the sunlight off my skin. That's because I get rashes from direct sunlight. Unfortunately, even though I tried to stay in shade as much as possible, my legs were vulnerable. It was so hot and humid, I tried to get away with wearing shorts. This was a bad idea.

I left the picnic early, but the damage was done. After an evening of restricting fluids because bathrooms were a bit of a chore to get to, I should not have spent the hottest hours of the very next day outside, again restricting fluids because bathrooms were a bit of chore to get to. By the time I dragged myself out of the park, I had heat exhaustion, but as has happened before, I didn't realize it.

Unfortunately, I didn't go home to lie down and rehydrate because I didn't realize I was in any trouble. Instead I went downtown to buy a money belt for my trip that starts next Saturday. After falling asleep on the train, I realized I'd pushed myself too far. Instead of going straight to the luggage shop on the corner of Michigan and Lake, I went to Macy's where I was mercifully able to get a couple of glasses of water, free. But it wasn't until I got back home an hour after that, that I was really able to drink and rest like I needed to.

That's when I noticed the sun rash that was now spreading across my legs and chest. Too much sun. Too much outdoors in a 24-hour period. By the time I went to bed on Friday night, my right leg had a broad, bright red patch of skin behind the knee, swollen and itchy. I put ice on it.

Today I'm suffering from pink patches on my arms, legs and chest that are swollen and itchy, in addition to that bright red place. My husband asked if I wanted to go to a street festival with him this afternoon. In the bright, hot sunlight. I said, No. No more outdoors for me.

Summer is excused from the table. As far as I'm concerned, summer can go away for a long, long time now. Fortunately, in Chicago it does. That's why I live here: for those nice, long, protracted, endless winters. (I often wonder about the sanity of people who live in Chicago, but don't like winter).

Saturday, August 14, 2010

Oh, yeah. Depression.

I was talking to someone this week about my worries about Bob's health, my health, my upcoming trip and my fears about life in general. She asked me how long I have been depressed. I was surprised by this. I didn't realize I was depressed. But as I turned it over in my mind over the following 24 hours, I had to admit that what I've been feeling lately is familiar from the time(s) in my life when I was depressed: the inability to sleep, the default bad mood, the lack of pleasure in things that used to cheer me up, the heightened level of anxiety and certainty that things are about to go wrong, the feeling that there's nothing to look forward to. This last one is particularly striking to me because my favorite time of year is coming up: cold. One of the reasons I moved to Chicago was for the cold weather and I anticipate it every year, especially the protracted Christmas season that the U.S. now begins October. I love all that and the end of August signals that it is close. Yet I slump around.

It's interesting for me to think about being depressed. While it's possible to feel depressed for a day or a week as a response to a specific stressor, the state of depression is a psychiatric diagnosis. I thought I was feeling exhausted and drained by the ordeal of Bob's hip replacement surgery and being his only hospital advocate and caretaker. But it's been a couple of weeks now and he's doing great, so if my mood continues to drag, I guess there is another reason. Certainly having a husband who's pulling through so well (he's now walking without a cane!) plus having a fantastic trip to Peru with my seasoned traveler father coming up on August 28th should have me walking with a bounce in my step. Life is good, things are going well at my job, I have excellent friends and my family is still sending supportive cards as they monitor Bob's healing from long distance.

But even without an official medical diagnosis from a psychiatrist, I suspect this is correct: I'm depressed. Not severely, but enough to interrupt my daily habits, make me worry even more and sap my enjoyment of life. Knowing this has given me more patience and perspective. Having been through depression a couple of times, I have a better grasp of the difference between reality and what's in my head. Now when I feel annoyed with someone or impatient with a situation, I can remind myself that this is just my interpretation of events which is currently darkened by the chemical imbalance that causes clinical depression. Imagining coming out on the other side of this period of depression is what gives me hope that life won't always feel this way.

But I feel bad about my husband. The last time I went through a depression, I lived alone. If I dragged myself through my days just to slump listlessly in front of the TV all evening and then toss and turn all night, I was the only one who had to put up with me. There were weekends when I spoke to no one and knew it was for the best. The stream of insults and cuss words that I had for the world should not have been spoken out loud and as long as I had no interactions with people, there was no fear they would be.

I console myself that the way I feel now is nowhere near how I felt then. Back then, I envied people whose obituaries showed up in the news, felt scared all the time and wondered if my life was worth anything at all. None of that is true now. This is a milder depression and now that someone whose opinion I trust has pointed it out to me, I will work to put it behind me. Still, Bob will have to live with me until then. Sadly, he's housebound and this means that the only person he sees each day is his depressed little wife. I'm making an effort to stay aware of his feelings so he doesn't think I'm upset with him. I don't want to be the woman in the depression medication commercial who sits despondently in the blue light of the TV while her family peers at her anxiously.

Years ago, at the same time that a psychiatrist diagnosed me with clinical depression, a therapist also identified me as a depressive. That felt right. I don't have a problem thinking of myself as someone with mental illness. We all have our health challenges that are influenced by both genetics and environment. We inherit certain tendencies towards diabetes or obesity or arthritis or mental illness and a tendency toward depression is a part of who I am. My challenge is to manage it, stay on top of it and not let it take over as it has before.

At what point does my usual pessimism about life slide into depression? I don't know. I always believe that life sucks more often that it doesn't and remain unconvinced that life is better than the alternative, but I'm not always depressed. Those are just part of my usual personality and I can be very cheerful and fun in spite of my belief that we're all screwed. But under prolonged stress, the darkness takes over and I lose sight of what's good about each individual day. I withdraw and snap at people and feel like crying too much of the time. Guilt becomes a constant and I start wishing someone would punish me. I should have known I was depressed, but it's hard to see from the inside. Each time I've dealt with it, someone else has had to identify it for me.

There are people who don't believe in depression. They think it's a pharmaceutically-supported, made-up diagnosis for people who are too lazy to take responsibility for ourselves. They see the prolonged incapacity caused by depression as the self-indulgence of people who refuse to engage with our lives. They think someone like me should snap out of it, get a hold of myself, put mind over matter and stop acting this way. They think it's a choice and my problem is all in my head.

I agree with them: the problem is all in my head. That's exactly where it is. We're all born with a certain capacity to produce and keep in balance the brain chemistry required for regular functions. Some of us don't have adequate production of the hormones and the receptors that would keep our moods in the same balance as most others. Our brains need a little help.

Here are the things that help my brain regain its chemical balance so I don't feel depressed:

1. Physical exercise.
2. Sweets.
3. Medication.
4. Falling in love.

I exercise regularly, but it's not quite enough to get me back in balance if I'm dealing with a great deal of stress. Sweets aren't practical over the long term because they do their own damage. The early falling in love crush feeling is also hard to sustain. That leaves meds.

One thing that drives me crazy is the belief that there's something wrong with being on medication for mental illness. I think this is often held by the same people who think there's no such thing as mental illness because we should just snap out of it. But it's also held by people who think mental illness is shameful, which includes many of us who live with it. We want a cure for our disorder. We want to put the diagnosis behind us and never identify with it again.

This is very sad. We should not feel ashamed of something we have no control over. Here are some things people should never feel ashamed about:

Skin color
Sexual orientation
Inherited conditions such as diabetes, anemia, chronic illnesses
Mental illness

Granted, we aren't always born with mental illness the way we are born a girl or a Mexican. I believe my depressive tendency is the result of a combination of genetics and the life circumstances that have manifested depression, more than once. Given the right circumstances of family, environment, culture, etc. maybe I could have lived my whole life without ever becoming depressed, but I don't live in such a fantasy.

I will grapple with my brain chemistry and my gloomy tendencies once again and probably not for the last time. Maybe I'll go back on the meds, maybe I'll try some new treatments. I will do this with a particular focus on being gentle with my husband, who has done nothing to deserve being married to a women who's in a long bad mood. In the meantime, I'm grateful for the insight that allowed me to see that my familiar challenge is back.

Monday, August 02, 2010

Remarkable things

1. I have GREAT FRIENDS who have really come through for me this week. One friend is getting the equipment I blogged about last time and another brought Bob home today so I wouldn't have to take another day off work or try to drive him home in rush hour traffic. I am extremely grateful to both of them.

2. Maybe you don't have to see people all the time for them to still be your friends.

3. My husband is very strong to have gone through hip surgery with only a local anesthetic. He is very resilient to begin to recover so quickly. I didn't know he'd bounce back so fast. The surgeon predicted that Bob would spend at least a week in the in-patient rehab center, but he was only there four days.

4. He is very, very glad to be home and I'm glad to have him here.

5. I told Bob, "The next time one of us is in the hospital, it better be me." I want to lie around with nothing to do for eight weeks while he drives all over the county. I never even get sick.


7. Maybe being hit by a car would get me a nice long break...