Tag Archives: medication

How To Live Forever (Dedicated to Mr. Dan Kooner)

I have told lots of different stories about life and society before, and I have used many different storytelling media, from essays to letters, and advertisements to artwork.  However, I am quite sure that I have never written a fable.  Has it taken me twenty-seven and one half years, and too many scars for me to keep count of, to learn a story with a “moral”, or, perhaps better put, a “lesson”?  I don’t think so.  If I really wanted to, I could write a book that would sit beside Aesop’s annals.  When I think about it, it seems that usually, I am prone to trying to “teach” in more subtle ways.

The reason I am telling this particular value-laden tale is because when I lived it, about a month ago on Easter Sunday 2012, it jumped off the page of my day and slapped me across the face, then handed me a pen.  That “moral of the story” was so glaringly obvious that I knew I had something, and behind a closed door, I laughed out loud for the first time in quite a while when I got home from Shopper’s Drug Mart (Commercial/Broadway Station location, Vancouver, British Columbia) as I reviewed what had just happened in my mind.  Indeed, laughter really is the method by which we manage to survive in this mad world.

Years ago, before I had walked away from many things – graduate school, domestic abuse, and my uterus, to name a few – I wrote a letter to the owner of that very same pharmacy, one Mr. Dan Kooner, after what I believed was an unacceptable situation as a customer and human being.  As I outline in the “Letter of Complaint”, later published on this website, as part of a series of letters of the same genre (they can all be found on the right hand sidebar, under “categories”  ), one of the pharmacists working under him had lashed out at not only me, but my family doctor too, when I brought in a prescription for codeine – a mild painkiller that was keeping me going at the time, warding off some of the excruciating endometriosis-enduced pain that had suddenly become unbearable where it had previously been manageable.

The pharmacist in question had scolded me for bringing in a prescription that was “not written properly”, and said it would cancel out all of my existing prescriptions which, of course, were my psych meds.  At the time, I was still on a whopping 450 mg of Effexor, and a single missed dosage would send me into withdrawals that were agonising in a different way than my pelvic pain, including characteristic “brain zaps”.  The thought of being without the antidote to the zaps, in addition to not having sleep or anxiety medication, in the middle of my struggle to keep up at school in the midst of being ill and getting little sympathy or slack for my condition, made me very uneasy.  I still do not understand why my tears angered the woman behind the counter so much, after I meekly asked if she could call or fax my doctor for a new script and she angrily agreed to the “<BIG SIGH> extra work”.

When she still was not happy with the document she received in response, and I tearfully and rather desperately asked, “Should I bring my prescription to a different pharmacy or something?”, the answer I received was unexpected.

“Yes!  This is the last time you are allowed to fill any prescription here!”

I had not been doctor shopping.  I had not forged prescriptions.  I had not yelled at the staff, cursed, or behaved rudely.  When I wrote a letter to the owner of the business, explaining how presenting a piece of paper written in a language I did not even understand led to this severe punitive action, after frequenting the pharmacy very often, sometimes paying as much as $25 per day for my other prescriptions – the price of convenience, as I would have paid far less in dispensing fees at a smaller pharmacy instead of the Shopper’s franchise, but would not be able to pick my medication up as early as 6 am and as late as midnight, a realized necessity after starting grad school and being awoken by pain in the wee hours of the morning as well as having classes that ran as late as 9:30 pm – I expected an apology.

Instead, Dan Kooner, the owner of this particular Shopper’s pharmacy and store, failed to respond and then banned me from the store outright the next time he saw me and figured out who I was.  Coincidentally, I was again in a weakened position, asking a small favour of the Canada Post workers at the store regarding the order of a transaction due to something made complicated by electronic banking.  Here was the same young woman, being outwardly emotional in public, and asking that the staff at his store treat me the same way that they would like to be treated themselves.  Wasn’t this expectation reflective of something I learned when I was young, called…

The Golden Rule???

Apparently I was fooling myself, and failing to grasp some societal expectations that had long surpassed the “golden rule” in terms of level of importance, namely, keeping one’s feelings – and of course any accompanying tears! – to oneself, and accepting mediocre treatment – never asking a store employee (in case there is any concern, I had put in my time – for five years I had been a store employee as well, and I remembered being happier than happy when I could go beyond what I had been trained to do and use my role to really help someone – I guess my ethic was outdated) to do something for a fellow human being that strayed from the order of the past hundred transactions they had put through.

I was more than upset – I was seriously disillusioned with the state of humanity around me. Like I had so often, and would so often, I felt very alienated from the culture and people that surrounded me in Vancouver.  It seemed that I was one thing that just didn’t belong.  I used a familiar survival tactic (it was not yet time for laughter), and I wrote about what had happened.  I was not shy about using Dan Kooner’s name.  He was a business owner in my neighbourhood, and his actions took place in the public domain - I was not exposing anything about him that he hadn’t been glad to do in front of a sizable audience of customers at his store.  I was not criticizing anything but his professional behaviour.  There are websites dedicated to rating people in other occupations, like doctors (www.ratemds.com) and professors (www.ratemyprofessors.com), but none for pharmacists or business owners.  I was not participating in any kind of “defamation” that folks in other professions, including my own, both as a  scholar and writer, are not subject to all the time.

Obviously, I did not see Mr. Kooner again after he “banned” me from his place of business.  I had no desire for us to cross paths again, and I had learned that the personalized treatment I received at Maggie’s Pharmacy, a much smaller business, not part of a chain, owned by a Hungarian woman, that puts up a solid fight against the Canadian retail giant just across the street, was worth the less convenient hours.  It would be years until a “perfect storm”, of sorts, brought me face to face with Kooner in – where else? – his store.

This past Easter weekend, I had that horrible flu that I caught during my stay at “One West”, the psych ward at Vancouver General Hospital, and I had not been able to keep any food in my body without paying for it with hours of terrible nausea and liquid diarrhea  :ngacir: for two weeks.  The Thursday before two holidays that Maggie gave herself and her staff as days off – Good Friday and Easter Sunday – I felt so ill that I went back to the hospital, this time to the ER, by ambulance.  My methadone clinic had written a prescription for the following week the day before, forgetting about the holiday closures.  Thus, on Thursday morning they called to tell me that they would write a new prescription for me to pick up and bring to a pharmacy that would be open for me to come in on the long weekend, either Safeway or Shopper’s.  In the past I had gotten “carries”, take-home doses of methadone, on long weekends, but this time it was too close to a hospital admission for suicidal behaviour (it is easy to overdose on even a double dose of this potent medication).  I planned in my mind to bring my new script to Safeway, and when I went to the ER and left my dad, at a distance, the job of letting the clinic know I would not be able to come to pick it up, they let him know that they would fax it to Shopper’s.  I had told my dad all about my trouble with the pharmacist and owner there, years ago, but he assumed that the staff would have little memory of what happened so long ago, and certainly would not be so silly as to bring up their past nonsense.

I was less optimistic about the situation, and in the end, more correct.

The very same woman pharmacist gave me my methadone on Friday and Saturday.  She, again, gave me a hard time about the way my prescription was written!  I suppose I was more equipped to deal with her style of interacting with people, and talked with her about what the words written on the prescription were intended to mean until she gave me my methadone.  On Sunday, I expected the annoyances to be finished with.  Instead this tale would come to a climax, and, being a fable, the moral of the story of “scarsarestories vs. Shopper’s Drug Mart Commercial/Broadway” would be revealed.

So, what is it?  What happened that makes it worth my time, rehashing this old, and not so pleasant, business?

When I arrived at the pharmacy counter on Sunday, I saw the woman pharmacist, Ritz, motion to get the attention of someone working in the back, beyond my view of the going’s on as technicians filled vials with pills.  I cannot say I was surprised when Dan Kooner stepped out.  I was still ill, the antibiotics I had been given at the ER had just started to work.  For a moment I dreaded whatever stupid fight was to follow.  Until Kooner opened his mouth.

He held my methadone dose behind the counter, as if to threaten that he would not give it to me if I did not agree with what he said:

“Hey there!  You sure had nothing good to say about me on the net.”

“He-hey,” I laughed slightly, “That was a long time ago…”  I smiled at the man, ready to call a truce.  He did not return my friendly expression.

He put his hands on his hips, “Well, that kind of stuff never goes away, you know. That will still be there in ten, fifteen years!  You know, I have a daughter now?”  He was visibly agitated, “What if she goes on the computer and reads what you wrote?”

His demeanor was not indicative of someone about to apologize for the reason I had written about him at all, namely, making me feel so crappy – discriminated against for being on psychiatric medication, and losing my faith in the people and society around me.  But, he still had the chance to do so, I was standing right in front of him for the first time in years.  He could ask me to clarify what had gotten me so hot and bothered.  He could have a discussion with the young woman that was apparently not worthy of his services.  And if he did take a little interest in my feelings, those of someone who could be his own daughter, now, twenty-some years later, I would have amended the posting that angered him – I would have had no problem saying that perhaps I was too quick to judge, had oversimplified things, or at very least I could have left things on a positive note, saying that people could change.

But that did not happen, when I offered, “Well, I could take down that post…”

This only seemed to get him more worked up.  Still holding back my methadone, essentially threatening that I would experience a lot of physical discomfort if I did not agree with him, he retorted  ”Oh, YOU could, could you?”

I couldn’t help but grin again, “Yes, I could.”

I guess he thought he scared me enough to take down the post.  I guess he did not understand that it was not a threat or scare of someone in a position of power that I was looking for.  Speaking of power, he sure seemed disturbed that I, a lowly consumer of medications for psychiatric illness, pain, and addiction (to pills, at that!  ), had a little bit of power, herself, all of a sudden, power in my words, put in a public place, as public as his business.

He could not say that I had been false in my telling of the treatment I received at his pharmacy.  Only that I “had nothing good to say”.  And I hadn’t.  Nor would I have anything good to say when I wrote about him again.  Could he not see that he was putting the noose around his own neck?

“Well, that would be nice!” he said as he slowly began pouring my methadone into a cup for me to drink.

I smiled all the way home.  I had been thinking about that “golden rule” and how so few people in the world around me, especially as of late, treated others anywhere close to how they would like to be treated, or how they would like their mother or sister or daughter to be treated.  I had walked into a beautiful illustration that afternoon, not what I expected to do when I dragged myself out of bed to Shopper’s, after mustering up the energy for nauseous hours during which I dreaded each step of my relatively short walk to the pharmacy.  It was the first time I thought about writing for months, and the most genuine smile to cross my face in ages.  Although this story conforms to most fables, and tells the tale of someone who violated the “moral”, or value, that is taught through the telling, I was happy for the sake of my experience, and my ability to make people think with my writing, even if I couldn’t always have the effect that I desired.

WOrds are powerful.

Words outlive us.

I am guessing that even more than Dan Kooner wants his daughter to think of him favourably (at least I certainly hope so), he wants his little girl to be treated with respect in the world that she grows up in.  Had I been treated with respect in the first place, his name would never have graced this website – or, like the name of my new pharmacist at Maggie’s, it may have appeared in a positive context.  But, for the purpose of this story, never mind that first experience with Mr. Kooner or other members of the Shopper’s staff.  By the grace of Jesus (and by this I mean to say, a statutory holiday based on the Christian belief in a man named Jesus, and the apparent date of his death, which changes every year, of course, depending on when a certain Sunday in April falls :amazed  ), the health care system, and a nasty bug I caught while staying at a hospital that is part of the same system, Mr. Kooner was given a second chance to treat me with respect, years later.

Instead of having a conversation he did not want to have, and instead of having no conversation at all, Dan Kooner threatened me with a day of feeling really crappy, which would have resulted if he did not give me my methadone, and tried to intimidate me into taking back what I had said about him before, none of which was untrue – he could not argue with me on that.  He could only complain about what I did after I was understandably upset by the treatment I received at his place of business – write.

It is incredibly rare for us to get a chance at an edit in life.

Among other things, and I could name a few, that Sunday Mr. Kooner taught me about what not to do if I am given the chance to show respect in a situation where I failed to do so in the past.  And as I sit here at my aunt’s house, a woman who, like me, has struggled with psychiatry and “mental issues”, and a woman who I am growing very close to now that the two of us crazy gals have managed to give each other a second chance, seeing how silly our conflict over a serious car accident was, I am reminded of one particular definition of “insanity” that I am usually not that fond of.

Today it seems fitting.  That “definition of insanity” is “making the same mistake twice”.

 

 

“I must admit, I’ve become quite the addict.”

Says Anne Sexton, and say I, as I continue the mind-bending process of coming off Effexor.  Indeed, I am so f’d up, that my gay boyfriend, who I met and married in the psych ward, who says I am beyond flaky and is looking for new blood, had to stop me from writing “of Effexor”.  It’s time to “cruise dinner”.  For me, this means stealing as many “desserts” as possible as it is the only thing that resembles actual “food” on the tray one is presented with at 8:00 sharp, 12:00, and 6:00 sharp. 

I cannot upload media from this ward in the hospital, so I haven’t been able to post much, as media would be much favourable to my verbal diatribes that have to be spun from from my own head.  I sleep away as much of the days as possible, with the promise in mind, “you’ll get better!  You just got here!”

I appreciate all of your support immensely, more than immensely, super-immensely (I’m out of it and that sounded Japanese) and ask the occaisional spammer – “why do you read my writing if you hate me, it, and anything to do with it, so very much?”

I will update whenever I can.

scars (in the ward!)  xoxo

Responsibilization? More adventures in psychiatry and the doctor’s office…

After much ado about nothing, I finally obtained a steady supply of codeine for my severe menstrual cramps, brought on by the fact that taking an atypical antipsychotic for three years pressed the stop button on my reproductive system.  Now it’s making up for lost time by torturing me for seven days out of each 28.

This only took one year!

…and the reason that I am finally “allowed” to have 45 of these pills in my possession at one time is the topic I want to discuss, but I’ll give a bit of background history first.

In my hometown of Winnipeg, my GP, who I started seeing when I was 13, had her practice across the street from the Victoria General Hospital, where I spent much time at what we nicknamed “The Hotel Vic” – a.k.a. “Unit Six”, the psych ward.  Thus, she was well aware of each institutionalization I underwent, and I always updated her on the cocktail of psych meds that I was on, as it changed after each hospitalization.

However, I started having severe menstrual cramps (similar to a migraine headache, in that they make me want to hide in a dark, quiet room, hoping only that I will fall asleep to get some relief) at age 15.  We went through the NSAIDS (non-steroidal antiinflammatory drugs) – naproxen, tordal, and then ketaroilic acid – the last one caused an allergic reaction, the rest of them didn’t touch the pain.  From then on, she prescribed me about 40 tablets of Tylenol #3 each month.  She knew me before I became a “psych patient” (at age 19), and I suppose this made her realize that my need for some codeine (I emphasize the word as it is the least strong of opiod painkillers, it comes in some over-the-counter cough syrups, it is really not a big deal!) once a month had nothing to do with my ever-changing psychiatric diagnose099901420s, the possibility of trying to “self-medicate”, or the chance that I might have a “dual-diagnosis” (i.e. drug addiction + psychiatric illness).  Alaryyk and I witnessed a good example of the latter when Wellbutrinwoman invaded our home the other night and started chopping up her antidepressants to snort them.

Even when I was in the hospital, if I happened to get my period, one of the psychiatrists would immediately prescribe me two Tylenol #3 tablets every four hours as needed for pain.

If you’ve been keeping up with this blog for some time, you know that my ability to get the pain medication I’ve needed for 10 years has been incredibly difficult since I moved to Vancouver.  In part, this is because my liver can no longer tolerate Tylenol.  Did you know that the majority of visits to the emergency room that are liver-related are due to Tylenol over-usage, or extended usage?  In my case it’s not only the Tylenol that has weakened my liver, but also the incredibly high doses of various psych meds that I’ve ingested since I was 19.  Effexor is particularly bad for the liver, and Effexor has been a staple in my psych meds diet.  They put me on it on the morning of my first hospitalization, and I’ve been on it ever since.

Docs here in Vancouver are terrified of prescribing Tylenol #3s minus the Tylenol – i.e. 30 mg, generic codeine tablets, as they are opiates not cut with something that will destroy your liver if you attempt to take more of them than a doctor tells you to.  It would still take a hell of a lot of codeine to overdose, but they could also be used recreationally.  Using pain medication for recreational purposes is so far from any reality that I live in right now that the proposition seems ridiculous.  Unfortunately, all meds that could possibly be used for purposes outside of “medical treatment” carry labels warning physicians not to prescribe them to “people with a past history of addiction”, “people with a mental illness”, or “people with a family history of mental illness”!  Vancouver docs seem to take this WARNING very seriously, at least the GP I ended up with.

For the past two days I have been writhing in pain, in bed, taking my clonazepam as a sleep-aid, because my doctor was not able to see me until 3:45 pm on Friday (today).  She could not fax a prescription to my pharmacy, as can be done! – she had returned from her 8-week vacation to China, and I suppose she wanted to check on my “stability” before giving me *gasp* a few codeine pills! I had to get an extension for an assignment again - something I was really hoping not to have to do after my extended period of illness throughout January – April, when a “medical certificate” per week excusing an absence was pretty much the standard.

After waiting in the waiting room and filling out a form outlining “the reason for my visit today – note that your visit is 15 minutes long“, and then waiting in the doc’s office, with Alaryyk sitting beside me because he’s the most wonderful, supportive man I’ve ever met :) , my physician entered the room.

She looked slightly peeved.  I had called the office in the morning asking if I could speak with herSpeak with a doctor on the phone?!?!?! The lovely receptionist (all of the receptionists at the office hate me, not because I’m rude or demanding, but because I expect them to perform their jobs) basically hung up on me.  Alaryyk reminded me that this had probably been reported to her, “That crazy scars woman called again!…”  These receptionists infuriate me – I would love to have a part-time job sitting on my butt answering phones and typing things into a computer at a doc’s office, getting paid at least $20/hour ($12 more than minimum wage; $11 more than I make as a “paid student” as my grant is disbursed).  If you ask them to do anything that involves having to stand up, they lash out.  Maybe they need a little Effexor. :razz:

I ignored this expression and started into my very reasonable and logical argument – I need a steady supply of codeine during my periods.  I cannot afford to be paralyzed by pain for days each month, and I think that such unnecessary suffering is inhumane.  I have been on this medication for ten years, I do not “abuse” it, it is the only thing that works for my pain, and I will have to go elsewhere if this is not facilitated.

My doc seemed to agree with each point that I made.  I was neither frantic nor, heaven forbid, “distraught”, as she cited as the reason for me being banned for Shopper’s Drug Mart pharmacy back in January.  However, the decision did not lie in her hands or mine – after asking the obligatory questions about whether or not I “thought about suicide”, she turned to Alaryyk to make the call.

At first I thought, how patriarchal!  My “man” is the one who is able to determine whether or not I am stable enough to have a bottle of codeine tablets in my possession?  Then, on the ride back to the pharmacy (he assured her that there would be no problem) he reminded me of how similar this was to the power that was placed in my hands while he was hospitalized last November/December.  Family and friends actually have a lot of power in determining a “psych patient’s” fate – not as much as psychiatrists, but still, they end up being the determining factor.

Luckily, this is great for me and Alaryyk…if no other “friends” or family members that get particularly freaked out about our “disordered” minds get involved.  Although Alaryyk pays the rent here, he was not allowed to return home until after the doctor’s had asked me at least three times, on seperate days, if I felt he was safe to live at our residence.  I had to say YES, YES, YES, YES, YES, again, again, and again, until the shrinks at the UBC psych hospital were convinced.

My heart now goes out even more than before to those that are “sent” to the psych ward (read: picked up by the police and left to wait in the ER waiting room in handcuffs until the shrink “on call” arrives to check one in to the ward – it seems that s/he comes back about once every 24 hour period) by friends or family members who do not understand the workings of a mind that is slightly different than others’.  For example, a group of “friends” called the cops on my best friend in Winnipeg last fall, speeding up her plan to escape to Europe, after she had an episode of tears, and made a tiny cut on her face with a razor.  As I know this woman incredibly well, and share her experiences of “mania” and “depression”, I would have been able to help her by having a long talk and holding her as she cried, probably crying in unison, our tears healing one another, getting it all out, and getting ready to move on from whatever spurred the minor breakdown.  I considered flying back to Winnipeg to help out, but luckily, she’s one of the smoothest ladies ever to grace this Earth, and talked her way out of getting stuck at the Hotel Vic.

Like Alaryyk was after time in the hospital last fall, I am also reminded of Goffman‘s comments about “betrayal funnels”, and the quite arbitrary series of “abnormal” behviours/emotions that lead one to be institutionalized by one’s family and/or friends.  It is a mental health “intervention”, and other things like one’s proximity to an appropriate hospital influence the “crazy one’s” fate as well.

However “good” their intentions may be, family and friends who have no experience with us folks who are a little unique, who dare to act out when something strikes a nerve, and do not conform to society’s image of “sanity”, can be very dangerous.  Although the individual is “responsibilized” for their conduct in neo-liberal society – i.e. environmental circumstances and influences are completely disregarded, the problem lies solely in the mind of the “strange” individual – they are “de-responsiblilized” for the outcome of that conduct – this power is placed in the slippery hands of family and friends, who are assumed to know the individual that is “acting strange”.  If these family members and/or friends have no previous experience with psychiatry, they may send someone to be electroshocked or prescribed a cocktail of zombifying meds, not realizing that a little “weirdness” is simply part of who they are.

A lot more could be said about this, and I hope it initiates some discussion.  But, (deep sigh of relief), I am finally out of pain and the friends that were supposed to come over the night of Wellbutrinwoman are going to arrive in a few minutes.  I will cut it off here, and thank my lucky stars that my next of kin knows me for who I am, and is not afraid of me having 40 codeine tablets in my possession!

Good Friday Night,

scars xo

Pure Gold…some choice vintage psych med ads!

(Smith and Kline are still around!  French is on the payroll, but Glaxo has replaced him. :sad: )

(scars is unstable…but it doesn’t rhyme :sad: )

(indeed, it would be hard to maintain carrying this paper bag teeming with groceries in high-heels without an antipsychotic! :sad: )

(…then along came Prozac to “welcome us back” :) )

Advertising for Psychiatric Drugs

The most popular topic on this blog thus far is (after reviewing my detailed statistical analysis :lol: ) – psychiatric advertising, past and present.  If this is getting folks here to hear our message of mad pride, I think the gallery of print ads should be expanded.  I have gathered a number of ads, but as a community, I bet we can come up with a lot more!  Now that this site uses wordpress.org, I would like to create a slideshow on the homepage of some of the “best” vintage and current ads for psych meds.

This one is my current personal favourite:

Please send me your favourite, or very not favourite, ads for psych meds at scarsarestories@gmail.com, so that we can get a collaborative gallery up!

(more new stuff that will be going up over the next few weeks – a custom designed heading, made by my incredibly talented friend Van Gogh, a lot more “about the authors”, an even better blogroll than the one on the old site, and my newly written papers – “Revved Up!: Expeditions with Emily Martin”, and a yet to be titled piece on brain scanning technology and “Pediatric Bipolar Disorder”;)

Insomnia and “The Dilemma”

As I am writing this post at 2:49 am, Pacific Standard Time, the reason for this topic is rather obvious – I cannot sleep.

Only this time, I don’t have an answer as to why sleep will not have me.  I’ve gone through the lists of meds, side-effects, and interactions, which usually leads to some understanding of why my body is doing what it is doing.  I often point my doctors in the right direction, I often hear them respond, “That’s interesting.  That’s probably it.”

This is when I realize I am facing “The Dilemma” of psychiatry/madness/crazy, that I laughed at a couple of weeks ago when watching the Canadian short film, “That Crazy Game Called Life”.  The animated short feature shows a number of playing cards being turned over, that dictate this little character’s experience of current mental “health treatment”.  The playing cards end up actually being flashcards, like the ones I used to study in high school, and they provoke thought.  Underneath “The Dilemma” a very short, but very concise definition was given…

Side-effect or Symptom?

Yes, I am staring at the dilemma just like this little guy.  Should I ask my doc for another pill, something to help me sleep?  I cringe at the idea, the last thing I want is another vial of psychopharmaceuticals, but I’m pretty useless when I haven’t slept; I, like all human beings, get a little “psychotic” when I haven’t slept for days.  If I chose this option, I would like to be able to take into good faith the fact that I am experiencing a “symptom” – of “bipolar disorder” or whatever you want to call it, as we all know I reject the DSM‘s labels and static lists of criteria for “disorders” – being a little different, and having problems with things like sleeping or eating enough or concentrating on “the right task” or being able to silence my brain, in this case, to silence it enough to let it fall asleep after a busy day.

Or, is this some side-effect of my current medications, in which case I would like to remedy that the rational way – to get rid of whatever is making me type right now instead of dream.  This seems less likely, at first, as my psych meds haven’t changed for over a year.  Then again, who knows when a new side-effect might pop up – the trials completed on the pills I take only monitored participants for eight weeks.  Is my brain just a ticking time-bomb, armed and ready to explode with yet another side-effect at any time?  Will this get progressively worse?

By listening to my body and researching these drugs – often an incredibly depressing process, but my desire to learn new things and piece together my own puzzle has redeeming qualities – I can often “figure it out”.  But research only extends as far as it exists.  I am reminded that the long-term consequences of psychopharmaceuticals remain a mystery, not just to me, but to everyone, from patient to doctor, from pharmacist to Big Pharma.

The fact that this time I cannot resolve “The Dilemma” is unsettling …and not helpful with falling asleep.

Conduct Disorder Camp?

I have a confession to make…I’m an “ER” aficionado.  Even though I can’t stand the way “mental illness” is portrayed in the series.  How many times do we hear one of the fictional docs scream, “5 of Haldol, stat!“?

However I’ve never done any kind of content analysis on the longest-running medical drama series created by Michael Crichton.  I started watching the show with my mom when it first came out, and one of the last things we did together was watch it, her stroking my hair as she lay on her deathbed – I had stopped crying, having found out a few days previous that she would not live, that there was no hope left.  It was a happy moment of stillness and acceptance and love.  Perhaps that’s why I’m so attached to the series.  I had to get drunk when I was sixteen, after seeing Dr. Mark Greene, Dr. Doug Ross’s (played by George Clooney – I admit, I have had a bit of a crush :lol: ) original compatriot die of brain cancer, with the lovely Dr. Elizabeth Corday, his new wife, with his new baby smiling through their last days with him.  I still cry when I hear the reggaé version of “Somewhere Over the Rainbow”, the song that played at the episode’s climax.  I’m getting emotional just thinking about it.  Phew!

Still, like I said, the program does not exactly challenge hegemonic, stigmatic, false beliefs about the “mentally ill”.  This can be seen most clearly during the episodes when Dr. Abby Lockhart’s bipolar mother, played by Sally Field, comes around for a visit.  Poor Abby is an alcoholic and her brother is also bipolar and commits suicide eventually, as their mom did everything from abandon them for months at a time when they were little children, to chase them around with knives.

Here are a few examples of her bipolar behaviour:

Abby & Maggie 1

Abby & Maggie 2

Abby & Maggie 3

Not exactly a challenge to the DSM‘s list of symptoms..

That’s not what this post was spurred by however.  The other day a rerun from the mid-2000s was on – I do have the first twelve seasons on DVD, well, knock-offs ordered from Hong Kong via E-Bay, but I’m missing a bit of a chunk in there, I have not seen every single episode ever made – and a young boy, appearing to be between about ages 9 and 11, comes into the ER after escaping a boarding school/boot camp institution of sorts, where parents can send children with conduct disorder to have them resocialized into obedient young citizens.  At this camp that sounds like something from a horror film, this young boy claims to have been fed “Seroquel, Risperdal, Clozaril, Halidol…”, listing off the drugs quickly – he is apparently as familiar with them as I am, at age 10 or so.

Now, I am well aware that children are being fed antipsychotics like candy by doctors, parents and teachers, especially since the “advent” of “Pediatric Bipolar Disorder”.  However, I have never heard of antipsychotic boot-camp for kids.  Do such places actually exist?

I can’t hunt down a clip of this episode, although YouTube is blooming with clips of Abby and bipolar mom “Maggie” sparring – I guess this is more “entertaining”.  The episode I’m talking about ends with the “conduct disorder”-riddled boy’s mom coming to the ER, clueless about what’s been happening at “camp”, and then taking the opinion of the psy-experts running the private program guaranteed to fix your kid, over that of Dr. Luka Kovac, the ER doc that agrees with me, that this is child abuse.  The child is given a shot of Haldol, and is rushed away in a wheelchair, drooling.

Was this episode exaggerating the way in which kids are drugged, or are there actually “Conduct Disorder Camps”?  If anyone reading this knows of one, please, do tell…

The “Evil Stepmother”

…someone I haven’t written very much about before, but find myself needing to do so today for catharsis.

Last night, an e-mail response from her crushed me like an insect from 2000 miles away.

I decided I would try to be civil with her after moving away from the city where she lives, to please my dad and make things easier for him, and because of a comment a good friend and stepmom made – that perhaps we didn’t get along in part because of hegemonic culture about “The Evil Stepmother”.  We are taught through popular culture that stepmothers are supposed to be evil – interesting, I thought, maybe I should give her another chance before writing her off completely.

If I want to talk to my dad or sister, I always call their cell phones to avoid hearing her voice on the other end, but there have been times when she has picked up dad’s cell phone.  And things have been civil, friendly even, hell, I thought we may even be able to get along in person one of these days, as long as it was restricted to a short period of time.  During, say, four accidental phone conversations she has seemed interested in how I’m doing, even excited about my new Vancouver life.  In December, she asked if she could use a photo of me at my campus for some kind of family calendar, and I hyperbolically answered that I would be “honoured”.

But I forgot one very important thing – that she is a phony.  In a bigger than the Catcher in the Rye sense.  For example, she loves Christmas and birthdays so she can put on a big show in my dad’s big house for guests.  But usually when she’s in the safety of the kitchen, fussing with something, she’ll make a loud comment about someone at the table in the other room – i.e. either me or my sister.  Then, behind my dad’s back, she’ll make fun of how little money he makes.  Really, a lovely woman.  The last time I subjected myself to one of her little “dinner parties” was for my 24th birthday.  I was living with my ex-boyfriend and his family at that point, and we were all invited for a 5:00 dinner – I had warned that it needed to be early-ish because I still had work to do later that evening.  We arrived timely, the ex, his sister, his mom and I.  When the clock turned to 7:00 and we were still eating “appetizers” and the main course was still in the oven, and E. kept talking and talking but making very little sense – she tends to be really interested in something someone says, but then elaborate on it and…make no sense.  I’m sorry, I’m not trying to sound mean, and I don’t have an example because these things she thinks are of some kind of deep relevance make so little sense that her words don’t even stick together in sentence format.  Dinner was finally served at almost 8:00.  We sat around eating and talking for an hour, mostly me and my dad, my sister had probably left the table as soon as she was done eating, one privilege teenagers have that adults do not, and my dad said something about there being cake.  I said, very discretely, that he should bring it out then, because I still had a couple of hours of work to do when I got home.  Tragically, my request did not stay between me and my apologetic looking father.  Dad and E. go into the kitchen and as soon as she is out of eyeshot but within earshot, she starts loudly ranting about how unappreciative I am, and about how my work is of little importance.  ”She thinks she can just come over here and we’ll cook dinner for her and her friends and…

It was my fucking birthday.  I hadn’t been over for dinner since the previous Christmas.  My guests looked at me, our faces all saying “get me out of here!” – I had told them that she had earned the nickname “Evil E.” for a reason, and they now realized why.  Re-enter sheepish looking dad and E., with as much of a fake smile as she could muster plastered over her face.  That was the last time I spent a birthday or Christmas with my family – it was one of her lesser insults, nothing compared to treatment I’d received at her hands in the past, not to mention her daughter’s 2.5 children minivan family, but I decided I was done.  Why would I subject myself to these scenarios?  They really got under my skin like nothing else.  I can usually take an insult, but there is something so very pointless about her’s – she gets off on conflict and condescension.

Not to mention gossip.  Before I speak of one particular statement, that came not out of her big mouth but out of her seven year-old grandson’s, perhaps I should give a little bit of a history about how this woman entered my dad’s, and unfortunately my and my sister’s, lives.

My father started dating E. a mere few months after my mom passed on after a 2 year battle with breast cancer.  I was 13.  All I wanted was for my daddy to be happy, and I accepted that this woman was now part of his life.  I did not meet her for some time, I suppose dad thought that would have been inappropriate, and it would have been.  E. was the real estate agent that had sold my mom and dad their first house.  She lived in our neighbourhood, although I had never met her, but now that I know which house she lived in on the next block, the image of that house is burnt into my memory more than the house I grew up in is.  When mom and dad’s first attempt to have another child resulted in a stillborn baby boy, my dad tells me that she was “very sympathetic and actually had many meaningful conversations with mom.”  Alright, a little weird.  I knew nothing about this, nor did I know that E.’s son had died in a car crash somewhere in between, but her and my dad bonded over their grief.  He lost his wife and she lost her son – horrible things to happen to a person, things that screw a person up a little, but not license to treat people like shit for the rest of one’s time on this planet.  I don’t do that, my mom didn’t do that, my dad doesn’t do that, nor do any of my many friends who have experienced even more loss in their lives.

I’m not going to suggest anything about my dad and her having an affair pre-mom’s death – I have nothing to prove this, and whatever, that’s not my business, and speculations about that have nothing to do with our relationship.

I finally met her after returning from a high-school exchange from Japan.  I was overly warm, I felt slightly disappointed that it wasn’t reciprocated, but the poor woman was probably nervous.  And after this, she did warm up.  After a few more dinners “out”, she started spending more time at my dad’s new, 4000 sq. ft. McMansion.  Oh, I forgot to mention that visiting the building site was one of their favourite past-times during the courtship phase.  As a fourteen year-old, this didn’t mean much to me.  Anyhow, more time, accompanied by wonderful home-cooked dinners (nice for a change), and what seemed like a sincere fondness for our whole family.  I could get used to this.  Over the next years, E. always bought me the most thoughtful Christmas presents, and I enjoyed conversations with her, trying to make sense out of her nonsense, and we went shopping together and out for lunch.  By the time I left for Montreal after high school, she was staying over more often – in a bedroom in the basement – and I had no problem with it.  She came to my graduation, she was kind to my friends, she wished me well when I left for university.  Previously she had been living with her daughter to “help take care of her young children”.

I now wonder if her distaste for working for a living had more to do with said arrangement than helping with the care of small children.

E. hasn’t worked in the past ??? years – I’ve never known her to work, she has never worked while she has been with my dad, and she now spends her days – from morning (well, late morning, she likes to sleep in, and will throw an outright temper tantrum if she is awoken by the footsteps from above of my dad getting ready to go to work, or my sister to go to school) to night – sitting at the computer doing…???  I know she likes to chat online with her family in Ontario, look at photos of people’s children, etc, but that can only take a certain amount of time.  She doesn’t read books, she doesn’t go for walks, she lives in the dark, literally.  Maybe she’s a vampire.

Back to the timeline – when I decided to complete my undergrad in Winnipeg instead of Montreal and moved back, I didn’t move back in with my family, as after living on one’s own doing so is rather difficult.  At that point, the Josh (serial rapist) relationship was taking over my life, and my relationship with my dad entered a state of disrepair for several years, as he did not approve of my living arrangement, but wouldn’t say so outright, so we fought about stupid things like me wanting the use of his old couch that was sitting in storage, him not supporting me enough in what academic discipline I chose to pursue (at one Christmas dinner party he actually announced, “I don’t see anything wrong with a parent wanting their child to become a doctor or a lawyer.”  Ick.).  E. was equally patronizing, and she no longer bought me Christmas gifts, but there was no major conflict – I didn’t realize the extent of her unfounded hatred for me until after my first hospitalization, when I periodically resided at my dad’s, in between shithole apartments and other hospitalizations.

When I lay in the ICU recovering from my seizure/coma, my dad tried to question me about what had been going on before the seizure.  I had no idea because the past month and a half had been erased from my memory by the seizure.  But I wanted to provide him with some kind of answer, and I can only imagine what was coming out of my mouth at the time, since this was before I was well enough to walk around the unit if assisted by others, yelling about capitalism.  Eve came along one day and when my dad left the room, she looked at me with a grin and said, “I know when you’re lying.  Your mouth twitches.”  Creepy.

Once fully recovered, I moved back in to their home (I hadn’t seen it as my home for a long time) and I was on 600mg of Seroquel.  My speech was slurred and I was walking into walls.  Every time she was around to witness this, she mocked me.  In the teasing tone of a five year-old, she slurred her words to sound like mine.  I left the house as soon as the rat-infested apartment that fit my social assistance budget became available.  From that point forward, her only interactions with me consisted of throwing insults at me and trying to provoke a fight.  Sometimes I did fight back – things got so heated that at least twice our fights became physical.  In 2005, my dad and her married.  He spent $10,000 renovating the master bedroom, but to this day she has never spent the night there.  She still lives in the basement, not only during the day, but also at night.

I spent one more period living at the house when I was older, had not been hospitalized for a couple of years – I was “stable”, going to school full-time, I had been hired as a peer-tutor for First Nations students, I was a scholarship recipient.  She treated me worse than ever.  And she treated my dad like dirt.  I had no idea what had been going on in that home.  I spent the evenings with my sister, who seemed never to leave her bedroom – she ate her meals there, had her own TV, and her cat never even left the room.  I came to understand why – the arguments that transpired the minute my dad walked in the door after a long day at his monotonous job (he’s a computer systems analyst – after failed attempts at English and architecture degrees and time spent in Istanbul that involved much LSD, he saw the potential to get a well-paid job fast when computers came about in the later 1970s and he was good at math – i.e. he works to live, counting down the days until retirement).  He couldn’t do anything right, whether it be deciding to cook a certain meal or deciding what to watch on their television set.  She would lash out at him, he would beg for her not to start a fight over everything, she would get louder, he would get louder, she would disappear into the basement, and he would sit alone on his custom made leather sectional, in the dark, watching TV, until he went to bed upstairs.  My sister told me this was what had taken place in the household every night since they had been married.  I spent all of my time with her – this poor kid who had isolated herself in her room since she was twelve to avoid getting caught in this conflict.

If she did, she would say things like, “You better be happy you aren’t my daughter!”  What was this threat meant to imply?  Violence?  My sister was not a rebellious teenager like I had been, there was nothing to punish her for…

The last straw came when her nasty words came out of the mouth of her seven year-old grandson.  I was sitting in the kitchen, waiting for the bus (it only came every hour and there was a snowstorm outside).  He came stomping into the house with his older brother – I didn’t know they were coming, but I smiled.

E. said, “Hey H., why don’t you say ‘hi’ to Scars?”

I won’t say hi to her because she takes pills!!!

I went upstairs, very upset.  The issue of my “craziness” had not come up for at least two years, and why on earth would a child that would have been four or five during sixteen months during which I was hospitalized five times, and the subsequent encounters with Eve mocking me, be talking about my meds?

As I tried to sneak out of the house without being noticed to wait at the busstop (the bus would not come for another 45 minutes, adding injury to insult) but was unsuccessful.  Eve came up the stairs from the basement, with an amused expression on her face.

“I’m sorry you had your feelings hurt, but what can you expect?  People talk about things, things get around!”

Excuse me?  I didn’t say this, I just walked out of the house.  Conflict avoidance.  How much talking was going on about my “mental health” and my “pills” amongst E. and her daughter, with that child within earshot, about my encounters with psychiatry?  As I said, the topic hadn’t been “active”, so to speak, something worth gossiping about for at least two years.  Did this child remember a conversation from when he was four?  Possibly, but very unlikely.  I had not seen the kid since the last dinner party – and this was what came out of his mouth, completely unprovoked?

I finally got on the bus.  I was meeting my boyfriend.  I didn’t like my boyfriend very much, but he liked me very much – to the point of disturbing idolization that can never be upheld – so he was my boyfriend.  I told him about what happened, I was crying.  He told me I shouldn’t be, that kids are just kids, and everyone knows E.’s a bitch.  I moved in with him and his family very shortly after.

When I flew back to Winnipeg from Vancouver last June to attend my undergrad graduation and my dad asked E. to come with him, she started kicking and screaming and I walked out of the house.  I did not want to know.

Back to the present.  Last Friday I had some spare time and decided to send some of my photos from Peru and some photos of my new apartment, Alaryyk, our kitties, etc. to my dad and sister.  Hey, I thought, why not include E. as well.  She likes looking at people’s photos, and all of those times she’s answered the phone, she’s been really – nice.

Big Mistake.

March 19, 2010.  11:19 am

<pictures>

xoxoxoxo Love and Miss You all soooooo much!  I have a trinket for each of you from the southern hemisphere in the mail.  Let’s do a big trip together sometime (did somebody say Hawaii?)
Much Love!!!

Scars

***

March 19, 2010   11:22 am

Sorry! the next big trip (weddings and funerals excluded)is ours – Mine and
Stevies. Glad you enjoyed Pery ect…

***

This may not seem like the hugest of insults, but it will be the last.  I can hear her mocking tone.  Her disbelief that Alaryyk and I will not be celebrating our marriage with a $?0,000 ceremony.

I will no longer endure this woman.  For my own well-being.  That e-mail had me on the floor for several hours.  Not because she’s a bitch, but because she will drive a wedge between my relationship with my dad for the rest of our lives.  I will never visit him, if she is going to be around, so he will have to visit me.  Does this mean I will only see my dad a few more times before he dies?  That’s what had me floored.

That’s what made me needy and emotional and inert for the weekend.

But it’s for the best.  If I saw her, I would punch her in the face.  Then I would only get to see him once.

Alas, it is the day from hell once again…

I say this lightheartedly.

Every semester has one…that day when you couldn’t quite schedule classes such that not much time has to be spent on campus.  Last semester was much worse, I admit, when I had the night class that almost derailed my career Wednesdays from 5:30 pm -9:30 pm (I preferred to call it an evening of “enhanced interrogation techniques” :( ) and then had to teach on Thursday morning from 8:30 am -12:30 pm, usually on about 2 hours of sleep after managing to unwind/recover.  This semester isn’t nearly as bad, as I am on some kind of medical leave from teaching, and only have to be at the campus for the full day today for my own classes.  I don’t know why I avoid the place like the plague so much – perhaps because the institution that once was built as a North American base for critical social research is now so corporatized that Academic Freedom Square has been renamed – a dedication to some rich corporate guy whose name I cannot think of right now – and it is nearly impossible to find a water fountain that has not been turned off so that students are forced to buy Dasani water.  Indeed, Coca-Cola has invested much into this University where undergrads are taught to despise globalization and corporatism, at least in my sociology/anthropology department.  Something does not compute.  I work from home.

A long-winded way of saying I have no time to post anything new today, so I’ll leave you with a couple of my favourite new psychopharmacological drug commercials.  I don’t know if I’m losing my hearing, perhaps – could be a side-effect of Effexor, almost anything could be – but for the life of me, I cannot hear the mention of any “benefits” of taking these drugs, but only the “possible” side-effects.  Please correct me if I’m wrong.  Here they are:

Abilify – a dopamine and serotonin BLOCKER recommended for those on antidepressants (serotonin and/or dopamine REUPTAKE INHIBITORS, ie. INCREASERS).  Yes, folks, they are selling us drugs and their antidote.

Cymbalta – essentially a rerelease of Effexor, but a different isomer of the molecule, giving drug companies the opportunity to rename, repatent, and reap the profits!

That’s all for now, must run to pick up my pills and take the train and bus up to the campus.  Like I said, tell me if you heard any benefits there…I really should be telling my doc if I’m losing my hearing – I’m sure there’s a pill for that too!

Journals from my first hospitalization (the only “voluntary” one out of five)…how naive I was…

At precisely eight am a nurse knocks on a door and I am awoken.

“Doing alright in here?  We’ll bring you breakfast in about an hour.”

A few minutes later the lights brighten andd I start to cry because time is regulated the same way on flights across the International Date Line, triggering memories of Japan, of a day when I and the other girl on the exchange skipped school to walk up a thousand rocky steps in the rain to visit a Shinto shrine on top of a hill.  I wasn’t haunted then.

You guessed it, I’m back at the HSC’s emergency room.

It turned out that Josh was right, going to the bar was a bad, bad plan.  I was too drunk to stand by midnight so Penner and Tammy took me back to their place and put me to bed.  A couple of hours later when the booze wore off I got up, only to find that Penner and Tammy were gone, back at the bar after disposing of their nutcase friend.  I was furious, made some random phone calls, one to Josh I guess because he grabbed the pair of scissors from my hands.

Yesterday I discovered that cutting myself works almost as good as cough syrup at making the ghosts go away for a little while, and I carved a lovely cut into my left arm before I was so rudely interrupted.

Next came the screaming, “I want to die!  I don’t care, anything is better than this!”, the 911 call, the hospital.

Once there I try to lengthen the cut with the oxygen valve on the wall of the room somebody has hidden me away in, I try to break the glass window that looks into the rest of the ER with my foot.  A nurse threatens to put me in restraints.  I’m smart enough to avoid getting “violent” again.

And so I’m fed through the system one more time.  Only this time I know I’m going to die if something isn’t done, if something doesn’t change.  Josh knows it too.  The system doesn’t care.  We arrive at the hospital at four am.  At ten am I’m finally seen by a psychiatric nurse.

“Okay, we’ll see what the doctor has to say.”

Cold mashed potatoes and green jello.  At one pm the doctor sees me.

“Okay, I think we’ll pass you along to psych.”

At three pm the woman who will decide my fate walks into the room and I try to explain that I’m not going to survive outside of a hospital.

“Unfortunately, we don’t have any beds.” The cunt is smiling as she says this.

I burst into tears and Josh starts yelling at her.

“Okay, I’m going to make a few phone calls, I’ll call another psychiatrist and come back.”

I am going to DIE.  This is how the story ends, prepare yourself for the anticlimax.

I could have flown to Japan in eleven hours.  Anna is in Japan right now, backpacking on her Russian mobster Father’s dime.

Anna isn’t sick.

And just when I’m about to lose all faith in the system, not that I had any to begin with, the psychiatrist returns to tell me that there is a bed after all, at the Victoria hospital, the hospital where my baby brother died.  Josh and I both start crying as a wave of relief washes over us, and I wonder what skeletons will come walking out of daddy’s closet when he drives us there, when he’s forced through the doors of the ER on the other side of town.

Somehow he manages to unearth some of mine instead.  Of course he does.  But the story sounds a little different when it exits his lips,

“’Don’t cry mommy.’  And she said to me, she’s a little angel, and she realized that she had so much to live for!”

Another round of tears, and make mine a double.  Is this really going to change things?  Will I become human again?  Will daddy?  Will Josh?

I hope that this is the beginning of the end, but know that it is only the end of the beginning as I kiss the two men goodbye.

After another three health care professionals ask for my life story and I’m given a tour of Unit Six – lounge with television, pool table, ping pong; kitchen from which patients may help themselves to food; linen closet; quiet lounge with books we can borrow or where we may quietly visit with others – I am left alone, in the silence of a private room that overlooks the city, so tiny and so huge, the strip-mall capital of the world surrounding me and crushing me.  I’m on the inside now.  It really is very quiet.

August 22, 2005

Time isn’t the only thing that’s regulated at the hospital, specifically at Unit Six.  I write because I’m not allowed to have a cigarette for another half hour.

After a fitful sleep I meet new doctor #4209, Dr. Derocquigny, let’s call him Dr. D.  He wears his hair in an impressive comb-over and black, wire glasses sit on the tip of his nose.  His office is a throwback to the sixties with dark wood and blue plush chairs, confidential notes unscrupulously strewn about a desk.  I give him the jist of things, and things I’ve forgotten to tell other doctors or things they didn’t bother to ask about, like how every time I look at a clock and it’s 11:11 of 11:25 I have to look at the clock an odd number of times, the lower the number the better, and wish that Josh and me will be together forever and always, that he won’t leave, before reciting some other nonsense, an affirmation that I made up when I was a kid.

“So there’s a common theme here – abandonment.”

“Yup.”

“Your Mother abandoned you by dying and your Father essentially abandoned you by not allowing you to grieve her death.”

I nod my head.

“Lots of chronic issues that will have to be kept watch over on a long term basis, and some personality issues, and you’re very depressed.”

“Yeah, I woke up feeling awful again today.”

“Yes.  And you’ve been on the Celexa for a year.  Have you noticed a change?”

“Honestly?  No.”

“Okay, I’m going to give you a test dose of Effexor, 37.5 mg.  I find more people respond to it, even though Celexa is my favourite SSRI.  Different things work for different people.”

“Okay.”  I don’t tell him I already gave myself a 400 mg test dose of Chris’ Effexor when he stayed at our apartment.

“And your other doctor, Dr. Kettner, is worried about you losing weight.”

“I know, but I swear, I don’t have an eating disorder!  I have everything else, but no eating disorder.  I used to try to make myself puke to get rid of the way I was feeling in high school but I couldn’t.”

“Trying to purge yourself of bad feelings.  Uh-huh.  Bad feelings aren’t kept in your stomach.”

He manages to make me crack a tiny smile.

“And how did you sleep?”

“Not well.”  I’m not even lying, trying to get pills.

“Did you have trouble getting to sleep or trouble staying asleep?”

“Both.”

“Okay, I’m going to add some things at bedtime.  One to help you fall asleep ad one to help you stay sleeping.”

“Okay.”

“Okay, we’ll see how you do.”

He opens the door for me to leave.  Three new pills.  Things are looking up.

* * *

I attend the day groups for lack of anything else to do and my inability to fall asleep.  I’m handed a photocopy of some self-help book and led through a breathing exercise – “Imagine you’re lying on a beach, feel the warm sand…”

I’m there for a minute but then I’m back here, staring into a cup of pills.  I open my eyes.  It’s time for a smoke, but not for another freaking half hour!  I sit in the lounge and watch “Days of Our Lives” with a few of the other girls here.  I haven’t seen the brainless soap opera for seven years but the plot hasn’t changed.  Then another nurse whisks me away to recite my life story, just one more time, and she tries some good ol’ positive reinforcement on me, telling me how strong I am and how much I’ve accomplished.  Everyone here is trying to compensate for the things daddy never said but I still feel like ripping my arms open.  Sometimes even validation can be invalidating.

When I’m finally let out for a cigarette I meet my neighbour, Angeline, who just happens to be a short, Filipino Angelina Jolie circa “Girl, Interrupted”.  She bums two smokes and talks about how crazy everyone else here is and tries to get me to give her bus fare to break out of this place.

Naturally I have an easier time talking to her than anyone else here, not to say that they aren’t pleasant, with the exception of Michelle, who prances around Unit Six in a fuzzy halter top and fuck-me boots, trying to pick up the guys here and casting evil looks at the girls.  Aside from her I’ve met Kristen, a single mother about my age who almost did herself in Saturday night; Nicole, also a single mom, bipolar, with a tan as dark as her thick brown hair; Kari-Ann, also bipolar, with short blonde hair and a nose ring like mine; Tammy, who is trying to get rid of the “monsters in her head”; Louise, an elderly lady that hands out compliments and speaks endlessly about gerbils as we smoke; Donald, probably a schizophrenic, who says “Hi Jen” a little too loudly every time I pass him in the hall; John, who wears a Hawaiian print shirt and disrupts the groups with lame jokes; and Avi, an older East Indian man who tells me I have a beautiful face.  The conversation with them feels sketchy and forced, and I start handing out compliments too – we all do – to fill in the gaps.

* * *

Josh comes to visit and drop off some of my things and we scream at each other outside for a good half hour before he comes up to my room.  Actually, I was the only one screaming.  He wants me to get off the clonazepam while I’m here, but I feel like emptying the contents of my arms for God’s sake.  I don’t know what the fuck to do.  I leave a note for Dr. D.  Our goodbye is cut short when the bus pulls up early.  Damn, I’m scared of losing him.  So fucking scared.  Is it my fault that I just eat whatever pills come in the McDonald’s ketchup cup?  Seroquel, clonazepam, risperidone, and lorazepam this time.  At least I’ll be sleeping tonight.  The moon shines bright yellow and soon it will be fall.

August 23, 2005

Day two.  Time passes slowly here, of maybe it’s just me, being still for the first time, or the lack of change, fantasizing about sharp objects of all shapes and sizes.  I sleep through the morning, through the psychotherapy group in progress across the hall that I was supposed to attend.  When I crawl out of bed Angeline is waiting for me, waiting to stir the fucking pot.  She sneaks behind the reception desk and grabs my smokes and a lighter and we go outside forbiddenly.  She talks about jobs she’s had in the past – modelling, nursing, banking, and the list goes on.  I don’t know whether or not to believe a word of it and she’s starting to make me feel nervous and manic, like the girl who took things a little too far.  Luckily Kristen comes around a little and joins us after a while, sitting on the grass facing a cold beer store.  She invites me to join her in listening to some CDs when we go back upstairs, noticing my weariness and Angeline’s randomness.

Back inside I see Dr. D.  Mental illnesses are divided into two categories – Axis one, which includes depression, bipolar, and schizophrenia; and Axis two, which encompasses personality “issues”.  Dr D. thinks I have Axis one depression in addition to BPD and starts feeding me more and more Effexor.  He shoos me out of his office again, “We’ll see you tomorrow.”

Lunch is vegetarian stew that looks more like a vegetarian’s barf, but I don’t go hungry – some of the others donate portions of their meals to the fake vegetarian trying to avoid mystery meat.  After lunch it’s time for arts and crafts, I’ve never been good at the crafts bit.  We’re supposed to make animals by gluing golf balls together and painting them, adding googly eyes, etc.  I am making a little replica of Peter when a pair of scissors goes missing causing the activity to come to a halt.  When I finally finish a perfect little cat I try to carry it to my room on a paper plate and it crumbles in my hands, painted black golf balls fall and dance about the floor.  It’s time for a nap.

* * *

I wake up to a phone call from daddy.  He doesn’t mention finances once.  Now I know what it takes to have some kind of “normal” relationship with the man I share half my DNA with – a stay at a mental institution.  I wish this bothered me more, I wish hearing him talk to me the way he did when I was all he had made me cynical rather than eager – and hopeful.  I know that caring voice, that ideal father fasçade will disappear after I leave here, when budgeting and good grades and not smoking become real again, when he’s no longer scared of losing me is when he will.

After I talk to him and then Josh I spend most of the evening talking to Donald, who I find out is an amazing man.  I find out he constantly listens to headphones not because he’s a schizophrenic, although he probably is, but because he loves music, especially the Beatles.  We swing our legs like the arm of a metronome as we speak, trying not to dissociate.  He tells me about his youth, about living in Osborne village and travelling around Europe in a camper with his sweetheart in 1975, about Vatican City and sex on the beach in Greece.  This man makes me think that life is probably worth living.  I know everyone here has a story that’s probably more interesting than mine, and I can learn something from each of them.  When I consider that the women from Donald’s past would probably be afraid of him now I feel a great sense of injustice.

August 24, 2005

I wake up at five am and stumble down the hallway, past the linen closet, past the workout room, past the patient phone, to fetch some pain meds from the night nurse.  I have my period – at least I’m not pregnant, I’ve been too stuck to renew my prescription for birth control pills for at least two months, I guess because they don’t change the way I feel.

I realize my logic is absurd.

I shuffle back to my room after downing a T3 and try desperately to sleep, turning from my right side to my back to my left side to my back and so on.  On Unit Six we wait all day for bedtime and it seems another day has begun.  Five fucking am.  Every little while I hear my door open and feel a flashlight being pointed at my head.  At one point I think I hear someone in my room, scribbling down notes about me on a clipboard, but when I open my eyes I realize it’s just the cooling vent making strange noises.  The pills that used to knock me out for twelve straight hours now only provide sleep for a few.  Maybe it’s me, maybe it’s the constant bed checks, who knows.  When I do fall back asleep a P.A. announcement resounds immediately, “Breakfast trays are here!”  So much for sleep.

I put on some clothes, sort of brush my teeth, and go to the kitchen to eat a banana and a stale bagel with marmalade on it.  I hate marmalade.  Then I sit in the lounge to watch the news.  Apparently Brad Pitt eating at some pretensious restaurant in Calgary is news.  For fucks sake.  Fifteen minutes until smoke time.  I figure I’ll go back to my room again and try to clean my nose ring, another simple task I’ve been neglecting, but I’m stopped short – the doctor will see me now.

“How are you feeling today?”

“Pretty much the same.”

“Your urge to cut?”

“It’s there – I was looking down at the knife on my breakfast tray…”  Oh sweet, sweet knife with serated edge.

“I’m going to give you another dose of Effexor.”  I’ve already had 150 mg at breakfast.  A little more for tea sounds fine with me.

“I have these obsessive thoughts about knives, about plunging a knife deep into my chest…”

Dr. Wakeman used to interpret these fantasies as a desire to perform surgery on myself, to littlerally “get the weight off my chest”; Dr. D. approaches the matter from a less Freudian and more medical point of view, and we talk about obsessive thoughts versus impulsive thoughts.  My thoughts have drifted into the realm of obsession.  I bitch about daddy for a while and leave the office just in time to join the others for a cigarette, two cigarettes.  Chain-smoking is the rule around here, and at ten am I’m being forced to participate in the psychotherapy group.  I’d rather eat nails, shards of glass, earthworms.  I find out that Nicole and Tammy are being discharged this week and I wonder who will take their place.  Tammy tells us about how last weekend when she went home on a pass she lay in bed with her daughter and felt like she was protecting her from the monsters.  I think this is perhaps the most beautiful thing I’ve ever heard.

* * *

Loud, short yelps coming  from the seclusion room resonate down the hallway.  On days like today the psych ward isn’t exactly condusive to mental health.  It all started with that goddamn psychotherapy group, I warned you, “Interaction Group” they call it.  At the group a topic is given by a psychologist, Dr. Bruce Hutchison, a real pompous asshole.  Both inpatients and outpatients participate in telling the group what the topic means to them, and then the last half hour is less structured, and glorious “interaction” begins.

The topic today is stress and substance abuse.  At first I was excited, I could speak for days about those subjects, hell, I already have in this book.  Most people go on about smoking joints, drinking beer, snorting a line of coke now and then.  When my turn comes around and I start talking about crystal meth it seems everyone shuts down, writes me off as a lost cause, Hutchison is unaffected.

Fine, whatever, I can deal with apathy.  So everything’s peachy until the last man speaks, a woman actually, Suzanne, an outpatient.  She tells us all about her suicide box, a box of saved up, old prescription drugs she keeps, and about the times she’s taken a couple of bottles of pills with a bottle of wine.  You see, last New Year’s I decided my ideal suicide would involve a bottle of expensive wine and a few bottles of valium.  Thoughts of that scene race through my head.

Time for interaction!  The rest of the outpatients, particularly an annoying woman wearing a pink sweatsuit with the words “hip hop” on the ass, spend the last segment of the session telling Suzanne why she should throw out the box, while us inpatients just sit back and watch.  I lose it a little more with each passing second.  A bottle of pills would taste so good, go down my throat so smoothly, be digested so exquisitely making those little volcanoes erupt in my stomach.  This is my fucking destiny, this is my story, this is how it goes.  I don’t know why I stay in the room, first tapping my feet, then my fingers, then putting my head between my legs.  Does anyone notice me slowly going crazy?  No, they’re too focused on Suzanne and her stupid fucking box.  When the half hour is up I run to the nurse’s lounge.

“I’m not okay!”

A nurse brings me to the kitchen and pours me a glass of juice.  Angeline plops down opposite me.  Fuck!!!  She is a fingernail and I am a chalkboard.

“I just want to be by myself right now.”

The nurse doesn’t think my idea is sound, so I wait at the table listening to Angeline scratch and scratch until someone finds a doctor to get me an Ativan (lorazepam).

“You’re selfish.  What’s so wrong?  You don’t need to be in here, so many people are worse off than you, at least you have your Dad.”

I haven’t the fortitude to respond.  I just sit and wait for a pill to be brought to me as the rat spins the wheel faster and faster in my head.  I wish I could pull it off.  The pill arrives, just one, not sixty, and no Merlot, just water to chase it.  I soon find myself in my room, under a hundred blankets, in the fetal position pretending I’m inside mommy’s womb.

* * *

But the day goes on as days do.  Kristen rescues me from Angeline, we listen to silly music in the quiet lounge, lying on the floor.  At one point we get up to use the phone and who else but Angeline has been using it for an hour.  We knock on the door to let her know her time is up and receive bouts of profanity in return.  Finally a nurse comes and tells her sternly that she must get off the phone, so she hangs it up and starts throwing some kind of fit.

“Someday you’re all going to be someone’s keeper!” she screams.  I have no idea what this implies.  The entire floor is put on lockdown until the nurses can get her to lie down and stop screaming.

I’m absolutely frazzled, I feel like I’ve taken things one slep too far, even though I’m not the one screaming.  I’m back in sixth grade and I’ve put snow on the substitute teacher’s chair.  He’s about to sit on it and I can’t take it back, there’s nothing I can do.

* * *

Josh and Penner come to visit in the evening and none of us scream, that’s got to mean something.  They rescue me from another vegetarian stew with chicken fingers and fries that taste undeservidly delicious.  Penner says Unit Six is nicer than the psych ward at the HSC, where she stayed after landing that plane.  I love these two miscreants with all I have and when I kiss Josh goodbye it feels like our first kiss, like we’re back at his parents house, making out on the couch before they got home.  I was wearing a blue corduroy skirt and a black sweater with feathers on it.  I feel like we’re alive, not quite human but alive, for the first time in a very, very long time.

August 25, 2005

This morning I meet Wesley, a nineteen year-old who smokes the same brand of cigarettes as me.  His story could be mine – crystal meth, good marks, steady job, breakdown.  He has his guitar here and plays me two of my favourite songs, full of self-pity.  The he plays two of his own, one about cocaine and one about the psych ward.  They’re trite but still beautiful.  The doctor calls him away before he can finish the last one.  I think I will be friends with this boy and I jot down his phone number in my journal where I know it will be safe.

* * *

I should be doing laundry, one of the few chores patients are expected to do themselves, because we’re “able-bodied”.  I lie in bed instead because sometime in between Bocce Ball and a phone call to Josh a profound sadness has been injected into my veins.  I don’t think I’ll be getting out of here any time soon.

No visitors tonight so I’ll have to amuse myself, and there’s nothing amusing about depression.  Although the affliction is romanticized by many, although I’ve been guilty of doing so myself, depression is boredom, isolated in its purest form.  Lying in this hospital bed I can see exactly why I started using drugs, why I once put a cigarette out near the veins in my left hand, why I don’t look both ways before crossing the street.  I can see all my accomplishments and all the failures that went along with them.  I can see that there is much more to my illness than borderline personality disorder’s neat list of symptoms describes.  I can see the knife under my parents’ bed that I hallucinated when I was five, and it’s still pointed directly at me, it has been all along.

Dr. D. orders 450 mg of Effexor.

August 26, 2005

Something’s not right.  Donald says his left leg is giving out on him but his doctor tells him that getting it checked out is “not necessary”.  Plans are in the works for him to be shipped off to a real asylum, one where the criminally insane reside, half an hour outside the city.  Just lock us away and forget about us.

Me, I lie in bed, perfectly still, watching the sky above me move, blue fading into white fading into grey – summer fading away.  Occaisionally a bird flies by, a tiny little V-shaped thing like children draw in pictures.  I cry and cry for no reason at all, or because I’m sick, or because Prozac Nation lied to me and told me that medication would remove the grey cloud that’s positioned itself over my head.

Dr. D. starts me on Wellbutrin in addition to the other six meds I’m on.  He says that Effexor and Wellbutrin in combination is the most potent brew of the “new” antidepressants.  Hee says that if this doesn’t work I’ll have to go off all meds for a week and then begin taking a monoamine oxidase inhibitor, one of the “old” antidepressants, like the ones that make Karen’s hands shake.  Not only do they inhibit but they also prohibit one’s diet, one’s lifestyle.  If on an MAOI, I could kill myself at a wine and cheese party by simply partaking in the festivities.

The truth is, despite popular knowledge and the claims of psychiatrists, there haven’t been many advances in psychopharmacology since the seventies.  It’s always been a guessing game and still is.  Even if this new concoction makes me better it will stop working in a few months, maybe a year if I’m lucky, once my brain gets used to the chemicals intruding it and finds pathways to return to it’s regular habits.  Desperate housewives and disillusioned college students may pop billions of dollars worth of SSRIs, but here on Unit Six, we are all still waiting for a cure.

Donald is probably my favourite person here.  He lends me his precious headphones to listen to Paul McCartney’s “Distractions” when he can tell I’m not doing so well.  He puts an arm around me for a second when I’m sobbing after Josh’s visit.  He tells me that I remind him of his high-school sweetheart.

Donald lives in the past where things are simple and the world seems huge, but his intentions are purely altruistic.  I’ve never met a man like him before.

Meanwhile daddy tells me it’s okay if I miss a semester or two of school, and Josh makes an emergency appointment with Dr. Wakeman.  He’s sick too, and it’s time for us all to get better, somehow, I have to believe we will, or I’ll end up like Angeline.

August 27, 2005

Synchronicity.  Terror.  Joy.

Some days cannot be described using words but if I had to pick three, those would be the ones I’d choose and one of them is stolen.

Wesley is amazing.  We think the same thoughts.

“You’re a fascinating person.”

I look down at my slippers.  They have smiley faces on them but I’ve defaced them and turned those smiles upside down.  “So are you.”

“You’re so lost, and it’s so beautiful.”

I start crying, not for Happy or Sad, but because I feel too much to hold it in; I have to exhume something.

“I’m not just saying that for self-benefit.”

“I know.”

We speak and then we are silent and in those silences our souls are revealed to one another.  I have trouble looking him in the eye.

I don’t want to have sex with him; I don’t want to ruin this energy, lightning only strikes once.  I want to sew our bodies together with thread.  I want to eat his flesh.

“If we’d just taken a class or something together or something we’d probably never have met.”

“Probably not.”

“It makes you wonder how many people out there are just like you.  A lot?”

“No.  Not very many.”

“Probably not.”

Silence.  Those eyes.

“It’s like we’re kindred spirits or something – I know that sounds corny but…”

“No, it doesn’t.  This doesn’t happen very often.”

“No, it doesn’t.”

I feel alive again.  Not quite human, but it’s a start.  I can see myself as a professor of sociology again, rather than a corpse.  At the same time I can see myself living out the rest of my life in here and being quite content.  But I need to run away so that Wesley remains perfect forever.

* * *

Daddy visits.  He was supposed to arrive at seven and he finally shows up at eight-thirty, half an hour before visiting hours are over.  I make him come out for a cigarette with the lot of us, sitting on pine needles underneath an evergreen tree because the air is full of mist that looks like snow near the light of the streetlamps.  Donald calls him J.R.R. Tolkien.  Wesley listens to him tell a long-winded story and the groundhog that has taken up residence under his deck.  When it is time for him to leave I accompany him downstairs.  He hugs me goodbye and says over and over,

“Can’t I just take you home?”

Sadness lingers like the mist in the orange light but I do not cry.

* * *

I call Josh to say goodnight and I’m not scared of him leaving me when we hang up for the first time in – for the first time ever.  Could this really be?  Could the meds actually be working, could I be getting well?

Am I in love with Wesley?

Where is the crash, the payback for a good day?

Happy, is that really you?

How you terrify me so.

August 28, 2005

Happy runs away when Kristen, who has become my roommate because her former roommate, and elderly lady, is puking or shitting something that smells like sulphuric acid causing me to give up my private room.

“You and Josh could still see each other, but you should go live at your Dad’s for a while, save some money, get better.”

The wheel starts spinning.  I want to stab myself in the jugular with the fork that’s lying on my bedside table.  Kristen starts playing some bad R&B break-up music and I feel like I’m going to start vomiting, pain shoots through my head, but I can’t leave because I don’t want her to hate me.  After two songs I decide I can pretend to clean up my side of the room and make a break for the nurse’s station during the process.

“Get this fork away from me and give me an Ativan!”

Fuck, I don’t need advise from a twenty-three year-old with a five year-old daughter who is attending CDI Business College – you know the type “We offer jobs in exciting fields like child psychology, TV/VCR repair…” – and who tried to kill herself because she snorted one too many lines of coke at some party.  And to top it all off she likes country music even more than the cheesy R&B and has one of Dr. Phil’s latest books on her bedside table.

I’ve never been good with roommates.

There is nothing to do on the weekends here.  Visiting hours are extended, but that is only useful if you have visitors.  Josh and I agreed not to see each other for a few days after our last spat of throwing insults back and forth and seeing who could cry harder.  Penner is out with the lesbians-only clique she’s established.  Daddy is out spending money he does not have, and is up to his old parenting via denial tricks and won’t let Angie come to see me.  Wesley is out on a day pass, not that I care, not that he would want to keep me company.

I tap my feet and wait for four-thirty.  I can have another Ativan then.

* * *

After dinner meds and after dinner I meet two new people, Erin, who tried to hang herself and shares my love of shoplifting useless things; and Shauna, who is afflicted by a mixed bag of personality disorders and who lived in Japan the same year I did, teaching English.  Together we watch the sun set and the clouds turn bright pink.  Nicole stops to look and remarks that we’ll never watch a sunset like this one together again, we’ll all be well and in different places next time the sky explodes into colour.  Wesley calls Nicole the bipolar superhero.

I’m feeling better, a little too good, mischievious.  I pace the halls – Angeline can be heard screaming from the phone room and I’m in the mood for a scene.  Unfortunately she storms out before the nureses have to intervene and I’m only granted a glare before she heads for the elevators, so I sneak into Wesley’s room – he’s roommates with Donald who is quite distressed as I break the rules and enter the room of someone of the opposite gender – and place a twig shaped like the letter “Y” on his pillow.  We found one like it under the evergreen tree last night but he insinctively destroyed it before we could talk philosophy.  I just told that dumb story about the guy who responds to his final philosophy exam, which simply asks “Why?”, with “Why Not?” and gets the highest mark in the class.  In Montreal Katrina used to claim that guy was her dad.

Donald tells me that I am a giant.

“It must be hard, being a giant,” he says, sympathetically, “You want to take big steps but you have to be careful and try to take little steps so you don’t crush people.”

I agree with him, probably a punishable mistake, reinforcing his delusion, but I can’t help it as I find the metaphor quite fitting.

August 29, 2005

Cigarettes are my only company today, I guess it’s time to learn how to be alone.

Several patients are being discharged – Tammy, Nicole, and Kristen.  I wonder who my new roommate will be as I sit on my bed trying not to dissociate, and I think for a minute that I’ll miss Nicole’s insights into mental illness, but then again I don’t think she likes me much.

What are you talking about?  Yesterday she told you that you are a kind-hearted person who will change the world someday.

Yes, but she wouldn’t join me and Donald, smoking on the bench, instead she went to sit with Kari-Ann, far away in the grass.  It seems the two are best friends because they share the same label, and I certainly don’t know how to rid the world of labels.

We might as well all have stamps on our foreheads, no, tattoos, more permanent.  Mine reads “Borderline” and psychiatrists don’t like borderlines because we’re too unpredictable in manner and mood, so I’ll be sent home by the end of the week, I’m sure of it.

And will I be different then?  Will this place have changed me?  Everyone tells me I should take that semester off, but something inside me tells me I should just buck up and hide in the library stacks.

* * *

By six pm I am sobbing and pacing back and for the in front of the nurse’s station.  Tammy, Nicole and Kristen’s replacements have just walked in.  I’m even talking to myself a little, me, the queen of first impressions.

Eventually a nurse notices me.

“Can I help you with something?”

“Yeah, I’m depressed as hell and I can’t stop crying.”

What I need is a hug and someone to talk to.  The nurse and I stare at eachother for three seconds before she speaks.

“Is there some medication I can get for you?”

I pause.  Is this what it’s come down to?  “Yeah, sure.”

“What usually helps when you’re feeling like this?”

“Benzos I guess?”  I’m incredulous.

She hands me a cup of pills and I swallow them apathetically.

“Do you want a movie to watch?  I can open room six-twenty-four for you – “

“I’m too depressed.” Oops, that came out a little too loudly.  The newcomers watch.  Welcome to Unit Six!

“Oh, I’m sorry you’re so depressed.  You should watch some TV.”

“I think I’ll go write a note for my doctor about this.”

“Good idea, just keep yourself busy!”  The nurse departs.

I stand in the middle of the hallway not knowing whether to go right or left.

August 20, 2005

Some days are too typical to bother writing about.  I’ll be brief.

I see Wesley after my eight am cigarette.  The magic seems to be gone, I think because I feel I have to live up to “fascinating” or because the sexual tension between us is making me stutter.  We sit down together to watch New Orleans sink on TV, but he gets up almost immediately, muttering something about having to get stuff together in his room.

I work out, take a shower, try to keep myself fucking busy.

Dr. D. sees me for longer than usual and the look on his face says “What the hell am I supposed to do with this one?”  I leave him another note, apologizing for being the cause of his frustration.

Josh and Penner are scheduled to visit me but neither of them are answering their phones.  I leave manic messages.

“I feel like I’m just one big problem!  I really need you guys to come here.  Please come!!”

I call Angie because she’s turning fourteen today.  This day will forever remain in her memory as the birthday her sister missed because she was in the nuthouse.  I wish her a good one and lie that people are in line for the phone so I have to hang up because I have nothing to say for myself.

When seven pm rolls around and there’s still no sign of Josh or Penner I believe with all my heart that they’ve rethought the cost/benefit analysis of being part of my life and decided they simply cannot afford risking an investment in something so unreliable, something that certainly doesn’t promise much of a return.

I sit on the floor near the nurse’s station weeping, mourning my loss.  I cry so hard that my body convulses and I cannot breathe.  The nurses are fed up with me, just like Dr. D.  One of them begrudgingly gives me an Ativan and tells me to go lie down and settle down.  Lying down I come up with a plan.  I’ll break one of the CD cases I have in my room and use the pieces to dissect my arms.  All I want is to see blood, my blood, bright red water.  I stand up to put this plan into action and Penner and Josh appear before me, holding sunflowers.  Some days I wonder how long I can live like this for.  Some days I wonder if it’s worth it.

August 31, 2005

And some days are just empty white boxes on the page of a calendar.

When fuck-me boots Michelle first arrived here Donald snuck into her room in the middle of the night and starated kissing and touching her, believing that she was a girlfriend from his past.  So when Donald puts a hand on my hip and tells me I’m dressed provocatively (I’m wearing jeans and a t-shirt) I have no choice but to tell a nurse.  I’m a fucking hypocrite but I can’t afford to be traumatized further – waking up to a forty-seven year-old man trying to have sex with me might send me over the ledge.  And I didn’t know that the hospital staff would write up a formal report and take away his smoking priviledges.  He passes me in the hallway.

“I can’t smoke because you told them I did something inappropriate, Jen.  I don’t remember anything inappropriate.”

He looks so sad.  Goddamnit.  I feel like a piece of shit.

I walk throught the rest of the day expressionless.  I do as I’m told.  I feel like a robot, a robot with a few screws literally loose.  “Keep Fit” group, cigarette, lunch, cigarette, call Josh, dinner, cigarette, silence.”

My new roommate is a tall, thin Native girl who’s either catatonic or won’t speak to me because I’m white.  Everyone else is hiding in their room or laughing with their visitors.  Wesley is out on a pass, not that he’d want to watch me cry anyway.

“You’re pushing people away,” Dr. D. remarks, “It’s your worst fear but you can make it come true with your behaviour.”

Really, huh.  Never considered that one before.

But I can’t make it stop!  My brain is broken and doesn’t seem to be responding to the massive amount of chemicals being forced into it.  I should be put down like an annoying pet.  Instead the doctor orders 600 mg of Effexor, the highest dose one can take before the drug becomes toxic.

* * *

Wesley shows up and we spend the evening wearing blankets like capes and running around the ward, going outside and smoking, the wind is ferocious and our capes fly in the wind.  He’s Batman and I’m Robin and we paint pictures of animals doing drugs to “work through our addictions” and we laugh.  Then I call daddy because he called earlier and left a message for me to call him back.  My short time of being treated like an equal, a human being, has expired.  He accuses me of being on drugs and implies that Josh is the reason I’m at a mental hospital; he cannot accept the fact that there’s this thing called mental illness that affects people, that chemical imbalances can’t be blamed on anyone.  In addition, me needing $250 for rent, not his $500 000 dollar house, is the reason for his financial ruin.

Why am I surprised?

I hereby promise that I’m not ever going to have any kind of relationship with my father.  I die a little death every time he lets me down.  The bull stops here.

September 1, 2005

Tonight I mourn the loss of my Father.  The man a little girl used to wait for at 5:30 pm while she built castles out of the blocks that her bipolar aunt, the one the man would later disown, gave her.  “Daddy!” she would exclaim, throwing her arms around him, the man wearing a suit and tie that smelled like Clorets gum and photocopied paper.  The man took the little girl on roller coaster rides at the fair, took her out for ice cream on hot days, hurtled her around on a sled in the winter.  The man always looked like he was enjoying these adventures as much as the little girl, the man with the beard and mustache that he refused to shave.  But as time passed and the man’s wife miscarried child after child the man changed.  The little girl couldn’t finish all the food on her plate sometimes, then the man would send her up to her room, or drag her up the carpeted staircase if she wouldn’t go herself.  The little girl couldn’t practice the piano sometimes because of the noise in her head – voooom, vooom, vooom – and then the man would punch her in the stomach, knocking the air out of her.  The little girl cried for no reason sometimes, then the man would get very angry.   He would call her a crybaby and yell “Just stop it!”, so she ran somewhere, usually behind the locked door of a bathroom, where he wouldn’t see her cry harder, hugging her knees to her chest.  More time passed and the little girl grew up, watched her mom die, the man was all she had left.  The girl got lost, found drugs that would make the tears stop.  The man didn’t notice that the girl looked pale and too thin.  The man never asked her how she was doing, and if she cried he would yell again, “I don’t have time for your emotions!”  But the girl got good grades and nothing else mattered.  She graduated at the top of her class and won a scholarship to attend a prestigious university in Montreal.  The man never congratulated her, just wished that the scholarship was larger, and when the girl moved away he called her once every month or so to complain about the money she was spending to cover her living expenses.  The girl moved back home to save the man money.  The man never thanked her.  There would be no more hugs, no more rides, no more ice cream.  All that remained of the man the little girl used to wait for, every evening, was a beard and mustache.

Tonight I cry but I don’t run to hide.  I cry for a man who no longer exists, or maybe for a man that never existed outside my head.

She cries because she is free.

With freedom comes responsibility and poverty.  I know things will be different when I leave this place.  Change is a choice and I want desperately to change, to stop chasing spectres and trying to catch hummingbirds.  As my tears wane the grey sky outside is lifted, revealing the blue, pink, and purple underneath.  Hundreds of birds come out of hiding and fly towards the setting sun.  Donald looks at me looking out the window from across the room.

“Jen,” he says, “you look like you’re in your own little world.  You’re a real individual, you don’t follow the crowd, you do your own thing, I like that.”

I smile for the first time today, a real smile, not the smile of a cashier telling you to have a nice day, whatever that means.

“Thank-you.”

Dr. D. has promised to get me on disability insurance and has given me a full weekend pass to go home.  Josh tells me that Peter waits for me to pass through the door everytime he come in, and that he is giving away all the liquor we own to Penner before I arrive.

While I’ve been pacing the halls of Unit Six Josh has seen Dr. Wakeman and gotten prescriptions for trazadone and seroquel, to silence the voices he hears after I go to sleep, and hopefully to silence some of his complaining about his fucking back problems.  He is also going to be collecting disability benefits until school starts in January, this is the plan.  He believes things are going to get better and I believe him – somehow I still trust him, I guess that’s what love is.

This weekend will be a test for a pill-popper and a visit to life after the psych ward.

I look in the mirror and see the girl I always wanted to be.  Why is it so tempting to hurt her?

* * *

“I’ll be Nunk, you’re Munk,” announces Wesley as we head out for the last smoke of the day.

“Okay, Nunk.”

“I wonder what the security guards would say if we told them that.”  Rampant paranoia – we’re smoking on hospital property which has recently been outlawed.

“Probably up our meds.”

“Yeah, put us on tranquilizers or something.”

“I think I’m just going to start doing that, not hide my craziness, you know?”

“I don’t know, I feel normal for the first time on these meds.”

“I don’t.”

September 2, 2005

I’m starting to feel like a permanent fixture here, as another group of patients arrive.  Rachel is quiet and seems incredibly fastidious and her diagnosis is simple depression.  She does not smoke and she’s earned the coveted weekend pass in two days.  She makes me feel dirty.

The other two provide entertainment.  Kari-Ann and I try to muffle our giggling when Cuong, an Asian man that speaks little English comes in to the kitched and starts flailing his arms about wildly in some attempt to exercise while the rest of us sit at the table for Friday afternoon’s coffee and cookies group.  He then opens a package of soda crackers, breaks them into a few pieces, places them neatly on top of an apple in the fruit basket, and leaves.

Jennifer is a clonazepam addict, much worse than me.  When she is told she’ll have to wait fifty minutes for a pill she starts speaking so quickly and loudly, she sounds like a goddamn jet plane,

“I’vealwaystakenclonazepamitjustcalmsmedownyouknow?Itjustmakesmefeellikeahhh.”

This is why you shouldn’t eat clonazepam like candy.

Dr. D. doesn’t see me until late in the day, and when he does I have a breakdown in this office about daddy, about how fucking mean he is, about how he disowned his own sister when she was too sick to attend my mother’s funeral, about how easy it would be to call him and ask for a ride somewhere or a little cash.  The doctor says it’s a positive thing that I’m crying so hard, that it means the antidepressants have kicked in.  Still, I ask him for a lobotomy.  Instead, he starts me on yet another pill – lamotrigine – a mood stabilizer.

A mood stabiliser is probably what I need this weekend, for which I am both excited and terrified for as I wait in line for my bedtime meds.

September 5, 2005

I fail the test.  Saturday goes wonderfully.  Sunday Josh sleeps all day and I start having obsessive thoughts about cutting perfect, straight lines across my limbs with a razor.  After much deliberation, I go to the drugstore and refill my old prescription for clonazepam.  I eat all twenty-one pills at once and take eight of Josh’s trazadone too.  I feel nothing.  When Josh wakes up he can tell that I’ve taken something when he looks into my eyes.  I am honest with him and he takes me for a long walk during which he insists that I’m delusional, that my depictions of him never getting off the couch are inaccurate, that I’m the only crazy one, that he’s put up with a lot more from me than I have from him.  I scream at him to shut up and threaten to hit him if he doesn’t, but he carries on as I start to cry and question the depth of my dementia.  I don’t even know where we’re walking.  “Can we go home now?” I sob as we walk down our street to the apartment.  I don’t recognize the setting.  Monday I have no pills to slow my thoughts so I fulfill my fantasy and start cutting into my biceps with my razor.  Josh finds me.

“Goddamnit babe!”

He takes the razor away, but there are blades in the medicine cabinet and I slip one into my pocket.  He walks me to Penner’s apartment because he cannot stand the idea of accompaning bloody, broken me back to the hospital.  He kisses me goodbye and promises to visit me during the week.  I climb the stairs to Penner’s third floor suite and immediately ask to use the washroom, where I take out the blade and continue where I left off, sliding it across my forearms.

When I exit the bathroom my shirt is covered in blood.  Penner quickly pulls up my sleeves.

“These are fresh!  You just did this!  Don’t fucking lie to me!  I’m taking you to the hospital, my dad will drive us, let’s wait outside.”

The elevator takes us up to Unit Six.  Penner drags me to the nurse’s station and shows off my bloody arms.  They are bandaged up and I am asked to spend the night sleeping behind the nurse’s station where I can be woken up to test my “sense of consiousness” every hour.

September 7, 2005

“When people start bringing things into the ward from outside like razors, it’s probably time for them to be discharged.”

I stare at Dr. D. blankly, trying to find the logic in that statement.  Two days from now I’ll have to leave.

Josh dumped me over the phone yesterday.  The reason?  I’ve gone completely mad, I’ve changed, he “couldn’t even fuck me on Sunday or Monday”, he doesn’t know who I am anymore.  I’m not the girl he fell in love with and he’s been thinking about doing this for weeks and it’s the hardest decision he’s ever had to make.

“Is this permanent?”

“Yes.”

The weekend was a desert, and I a piece of straw that broke Josh’s back.  Fuck, Saturday was perfect though, we made love looking into each other’s eyes and he told me he could see the whole world in my eyes.

Remembering this I begin my death mission.  Today is the day I will die.  I tell my primary nurse what just happened and ask her if I can take a hot bath.

“Are you safe to do that?”

“Yes.”

In the tub I try desperately to drown myself but I can’t get enough water in my lungs and my nose hurts like hell.  I climb out.  I will have to fetch razors somehow.  I pretend to go out for a smoke and walk to the drugstore across the street, fucking oppertunist bastards, making it this easy.  I try first to buy five razors and a bottle of 200 tylenol pills.  My credit card gets declined because Josh advanced all the cash that was left on it after daddy paid it off for the third time this year.

“I’ll go find something less expensive,” I say with a smile that matches the cashiers.  I scurry back to the aisle where shaving products are kept and stick two razors down my pants and make a run for it.  I take the elevator up and enter my room, get into my bed, and start sawing at my arms.  I feel no pain.  Why aren’t these razors sharper?  Blood starts to soak the sheets.  A nurse comes around to do rounds and I hide under the blankets.  So far so good.  More sawing, a nice deep cut near my wrist, blood pouring down my arms, I hope I start to feel light-headed soon.  Another nurse comes by.

“What’s going on here?”

“Nothing.”

“What have you got there, in your bed?”

“Nothing.”

“Come on, I’ve seen it all, let’s see your arms.”

I sheepishly show him my bright red arms.

“Where did you get the razors?”

“Across the street.”

“How many do you have?”

“Two.”  I hand over my precious instruments of death.

“Come on, let’s get you cleaned up.”

I am led to the medical supplies room to get bandaged up once again.

“So why did you do this?”

“I want to die.”

“Sometimes people hurt themselves to make emotional pain go away.”

“I know, but today I want to die.”

“Death is quite permanent, feelings aren’t.”

“I want to die.”

I will be spending another night behind the nurse’s station and my cigarette priviledges have been revoked.  I sit on the bed for a minute before deciding that Josh must change his mind!

“Where are you going?”

I race to the payphone, dial our number, start begging through the sobs and the shaking.

“You have to hang up.”

I refuse to, Josh can’t go away.  I can’t hang up until I reverse his decision.  I start banging furniture around.

I overhear one of the nurses – “Should we bring them in?”

“I fucking love you too!” I scream at the top of my lungs, slamming down the receiver.

I exit the room to be greeted by two nurses and two men that look like they work out a lot wearing scrubs.  I am pushed along into the seclusion room.

“You’re going to sleep in here and the doctor has ordered a needle for you.”

This is nothing compared to my longing for Josh to come back, to visit me like he said he would, to stay with me through thick and thin like he promised a thousand times after I asked him a thousand times.  “I’m not going anywhere, don’t worry.”

One of the nurses empties a needle of fluid into my butt in front of the males who watch amusedly, but I don’t care.  I’m going to find a way to die in this room.  As soon as I’m left in the room I look for tools.  The pillow is wrapped in plastic!  I’m overjoyed as I rip the plastic off and put the maeshift bag over my head while holding it tightly around my neck.  One of the nurses peers through the one-way window.  Fuck.  “Look at this,” he says.  Before I can suffocate myself the bag is ripped from my hands and what’s left of the pillow and the blankets and sheets on my bed are also removed, leaving me with nothing but a lone mattress in the middle of the room.  I study it, looking for ways to use it as a weapon, but I pass out before I can think of anything, I don’t know what was in that needle but I pass out for twelve hours on the bare mattress.

* * *

I spend most of the next day crying.  I will have to return to the beard and mustache, daddy’s house is my only option, I’m in $30 000 of debt, for which Josh is to thank for most of, which I will never be paid back, which will never even be considered.  Wesley is leaving today in addition to my worst nightmares about abandonment coming true.  He hugs me tightly and whispers in my ear, “I won’t hurt you.  I love you.  If you hurt yourself I’ll hurt myself.  That’s just the way it is.”

I whisper back, “I love you too.” And before I can blink he disappears.

I think I will call him

* * *

I get the machine, but I don’t mind, I like answering machines because when you run out of things to say you can simply hang up the phone.

Damn machine, now I’m left sitting on my bed thinking of what could have been, what will never be.  I will never have a child with Josh.  I will never get to show Josh Japan.  I will never watch Josh play with Peter again.  I will have to sleep alone.

I hate sleeping alone.  Josh usually passed out on the couch, hardly ever cuddled with me, but still, I’m scared of boogymen and monsters under the bed.  Josh kept them away.

I thought the weekend would be a visit to my future, instead it was a visit to my past, and unknowingly, I kissed it goodbye.

September 8, 2005

I am being throttled into my future at lightning speed.  Wesley called back last night, and I am to go to his apartment tomorrow.  I don’t know exactly what this curtails, but I am certainly pleased about it.  Abour the way he said it on the phone when I asked what we should do –

“You will come to my apartment.”

As far as moving is concerned, I am actually kind of looking forwards to returning to daddy’s mansion for a while, having meals prepared for me, doing laundry for free, saving my disability cheques rather than spending them on ramen noodles and rent.

I think something’s working.

I’m tempted to ask if I can leave this place today.  The past three weeks have certainly been fascinating, but now it’s time to go, the hallways are starting to turn to dust and the ennui is palpable.  I suppose I’ll go to sleep.

* * *

6:15 pm.  I can feel a fit coming on.  I can feel the plasticine chemicals in my brain trying to stop it.  My heart races.  I realize how uprooted my life is going to be.  How will I spend my time at daddy’s house?  Everyone there goes to bed at 10:00 pm.  I haven’t lived there for three years.  I feel tiny little shocks going through my body, making me twitch.  Then I remember last Christmas, how I spent it with Josh, how we cooked our own turkey, how we talked about doing a better job next year.  Fuck that fucking turkey; fuck these fucking tears!  My nurse is on break but she’s coming to talk to me afterwards.  Fuck these fake plastic tears!  Fuck this fake plastic life!  What will I do tomorrow when there is no nurse on the way?  Talk to Eve?  Talk to daddy?  He laughed at me the last time Josh broke up with me.  Then he yelled at me for screwing up his goddamn routine as he drove me to work with tears streaming down my face.  And fuck Josh, I got over him that summer, I was ready to start a new life with Penner and Maybe, but he came back like a cancer, that fall.  He waited until my birthday to say “I love you.”  It took time for me too, it took time for the cancer to grow and meastisize, eventually taking over my entire body.  Have I been dead since then?  Maybe, but right now all I can remember are the happy memories, kissing and planning for the future.  Gone, all gone is holding hands while we walk to buy cigarettes at the gas station, gone is him surprising me with my favourite kind of scratch ticket, gone is the laughing at dumb action movies.  Gone.  And fuck, I have to fucking see him to pick up my laptop and my cat?  I’m going to be a fucking wreck.  No chemical could stop me from sobbing so fucking hard.  We wanted to go to Mexico this Christmas to get away from the awkward family get-togethers.  Gone.

Wesley better be prepared for the storm that’s headed in his direction.

The nurse arrives and tells me to focus on my future.  In just two years, I’ll be in Vancouver, starting my master’s degree, starting my life.

Gone.

* * *

I knock back my little cup of evening meds for the last time.  Leaving this place will be bittersweet.  This place.  Unit Six.  The Psych Ward.  This place is like summer camp for people who feel too much or hear too much or see too much – everyone is scared to come here, no one wants to come here, but when it’s time to go, to go back to life outside, you don’t really want to although you know it’s necessary.  This place is not a home.

I’ve met some of the most interesting and kind people here that I ever have or ever will.  I will miss Kari-Ann’s knowledge of mental illness and her will to get up every morning even though she’s tried fifty different medications.  I’ll miss Angeline’s nonsensical speeches.  I’ll miss Rachel’s grace.  I’ll miss the amazing speed at which Jennifer delivers her tirades and her caring sensitivity.  I’ll even miss both Michelles – one my silent rommate, beautiful and frail, and one who waits for no one and used to watch herself breathing out white clouds of crystal meth in a mirror the way I used to when I was in high school.  Most of all I’ll miss Donald – his tales of the past, his unabashed singing and dancing, and his amazing heart.  He sees things on a different wavelength than anybody else, but he’s given me reasons to hope, no matter how much it hurts.

The story is about to change.  Drugs and alcohol will slip into oblivion.  Some characters will be added while others will disappear.

That’s just how life is.

Gone.