Mornings

One of the larger tasks I have had to work on during this whole mental health process is sleep. My sleep patterns have always been odd, at least that’s what I’ve always told myself. When I was younger I would tend to wake up in the middle of the night and have difficulty going back to sleep. Then I spent the better part of 25 years working night shift. Mostly 12 hour shifts but there was a good bit of that time spent working 24 hour shifts on an ambulance. This meant, of course, that any time, day or night, the pager could go off and I’d have to wake up and at least be able to pretend to be functional. I got used to it pretty quickly. I was even pretty good at it. I wouldn’t even take off my uniform, I’d get back to quarters, kick my boots off and fall asleep in the recliner. As soon as I stopped moving I would fall asleep and as soon as the pager went off I’d be awake.

The unfortunate thing is, apparently brains and sleep patterns aren’t really supposed to function like that. I’ve tried various pharmacological and non-pharmacological techniques to help regulate my sleep but what finally seems to have worked is Lunesta (eszopiclone). I’s the only thing I’ve found that will put me to sleep and not make me a total zombie the next morning. The difficulty is, it turns out I’m kind of a zombie in the morning anyway. I have probably slept more in the past year than I did for any two years I was working put together, I slept for eight hours right before I sat down to write this very post, and yet I still take literally hours to feel like my brain is fully on-line in the morning.

I have been assured, and also noted myself, that this is something of a family trait, and I come by it honestly but it’s still troublesome. I’m sure this arrangement is much healthier for my brain-meats but I do miss being able to get out of bed and start the day instead of spending two or three hours bumping into walls.

Ouch

An important lesson was learned yesterday. Yesterday was my first session of my second round of TMS, which was fine. There was a lot of talk about “dosing” and “intensities” but what it comes down to is, they’re zapping the left side of my brain a little longer this time. I think. I once again reassure both myself and my audience that there is good science behind it. The truth is, though, even the people who do it still don’t know exactly what it does or why it works. But it does.

The difficulty began when I decided I should go out shopping immediately after I got back. The shopping took considerably longer than expected and I ended up being out of the house for 4-5 hours1 which, it turns out, does not work for me. Or at least it didn’t yesterday. I’m not sure exactly what I did in between when we got home and when I went to bed, which was about 8pm, but I slept for almost 12 hours with no significant interruptions.

Okay, I can already hear people saying “WTF did you mean by ‘does not work’, sport?” so I’ll try to provide a little more detail. I have, in the past, described the situation as being like needing to go to the bathroom. You can be walking around and you’ll get that little kick from your bladder that says “start thinking about me”. This, as we all know, is not urgent and you can ignore it. If you ignore it for long enough, there comes a point when you don’t really have a lot of choice in the matter, you have to go. Many2 people will not have allowed things to get to that point, which is good, but you can imagine. So there came a point yesterday when I had to go and I kind of couldn’t. So I pushed through. I didn’t do anything awful or inappropriate3 but I really can’t remember a lot of detail about the rest of the day and it became pretty obvious that I wasn’t thinking clearly at times.

I did get home safe and sound and, as mentioned above, after sleeping for nearly 12 hours I even feel better. I am still much more physically tired than I would have expected but most of my brain is back on line.

Small steps.


  1. Which is not as long as I would have guessed. I’m basing this off when I left the house and semi-cloudy recollection of when we got back and if I had guessed I would have said it was 6-8 hours. ↩︎
  2. I worked in an emergency room for a long time. I know not everyone has lost control of their bladder at some point but the number who have may be higher than you think. ↩︎
  3. Except possibly being very disagreeable company for my wife. I’ll have to ask. ↩︎

How Am I Doing?

The short answer is, better. The long answer is, as it has been previously, it depends on how far back you look. Compared to two years ago, I am noticeably improved. Compared to ten years ago, I am still a complete wreck. There is no question that I have more energy and less brain fog than I did last year, but I still jump at sudden noises, I still have difficulty being out in public for any length of time, and I currently have a bruise on my forehead because I woke up from a dream all in a fluster, leapt out of bed because my pager had gone off, or someone called a code, or I can’t even remember what, and I went face-first into a wall. There is still work to be done.

Again, though, I do feel like I’m starting to come back to life a little bit. Nothing much has been showing up here, I’m afraid, because I’ve been spending a great deal of time playing No Man’s Sky, and working on an unnecessarily complicated and overly detailed setting for a Dungeons and Dragons game I hope to start running next week.

I’m going back to see the TMS1 people next week to see if I might benefit from some supplemental brain-zapping, and I continue to take my meds and see my therapist. I have been assured there isn’t much more I could be doing to help myself along the road to recovery. The speed of recovery wouldn’t be as much of an issue if we currently had a functional federal government. I have been waiting for a final decision on social security disability benefits for some time now and I can’t really foresee much progress coming in the next 3-4 years. This is something of a disadvantage.

At this point, all I can do is try not to worry about it. I have to get better and find something economically viable to do with myself, sooner rather than later, but there really isn’t much else I can do to speed the process along. Things will work out or they won’t.

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  1. Transcranial magnetic stimulation, for those who may not recall ↩︎