On Monday, I spent pretty much the entire day in computer classes. As I explained, here, the severity of my sleep deprivation became inescapable. Yesterday was supposed to be a Google (for business application) class. However, when I went to schedule an appointment, expecting a 2-3 week wait, I was offered an appointment during the scheduled class time. I opted to see my doctor.
Where to start?
There’s a laundry list of physical and mental health conditions I experience.
- Diabetes, type 2
- Sleep Apnea
- Bipolar II Disorder
- Binge Eating Disorder
There are also symptoms of other things happening as well. Pretty much all of these things contribute to the sleep disturbances or the fatigue or both…perimenopause probably being chief among them.
And then there’s the chicken or the egg matter of an almost 40 lb weight gain since the beginning of the year. Having the nurse tell me 275 wasn’t a shock, just an unpleasant reality check. The really disheartening thing is that I worked hard, made healthy choices, and lost nearly 30 lbs last fall.
Depression & trauma triggers activated the BED, which I know contributed a lot to the weight gain. However, it’s a scientific fact that sleep deprivation, stress, and hormonal changes all affect metabolism and contribute to weight gain.
At this point, I have to say how profoundly grateful I am for access to healthcare through the ACA, which I know has had a negative impact for many. If I hadn’t had access to diagnosis and treatment for my mental health issues five years ago, there’s a high probability I wouldn’t be here today.
After five years of primarily focusing on my mental health, I made a decision at the end of 2018 to do better in taking care of my physical health. Fortunately, the community mental health agency I’m working with now, has been making changes to integrate mental and physical healthcare in their services. So, my new primary care physician is at the same location as my therapist.
Today, she informed me they are now providing (or will be soon) acupuncture, as well as chiropractic care. Both of these things can help with the fibromyalgia and potentially help improve sleep.
We talked at length about all the things and she ordered a comprehensive series of bloodwork to check the various thyroid hormone levels, as well as the other hormone levels to determine where I may be in the premenopausal transition.
I was dehydrated and my veins went into hiding. The first stick went all the way through the vein when it moved. The second stick got 4/7 of the vials needed before it collapsed. The third stick had the vein move on it. The fourth stick finally got the job done.
Note: the nurse had a “two stick policy.” I pushed him to do the last two…I didn’t want to either come back another day or go to the hospital for the draw. The nurse is more than competent. My veins are just hard af to get blood from.
I now have an assessment scheduled with a Psychiatric Nurse to evaluate my psych meds, an initial chiropractic appointment, an appointment with my therapist, and a follow up with my doctor all scheduled for July. I start a 13 week Diabetes group starting on the 10th. I attend a weekly group Dialectical Behavior Therapy class and am taking a Peer to Peer Mental Health class on Saturdays.
This is all as much a part of job readiness as the computer classes, job related workshops, and meetings with the employment specialists.