Workers compensation sucks

I’m frustrated, angry, depressed, furious, but mostly just tired of it all. It’s been over a year now, and I have worse pain now than I did a year ago. My request for surgery was turned down, so now I have to get an independent medical review to see if it can be overturned. Until then, I just get to deal with the pain. It’s so bad right now that I’m resorting to crutches, which I hate, because I can’t put any weight on my right knee at all. It sends shooting pains up my leg, in addition to the “normal” pain where the condyles are crumbling and grinding against each other.

It’s really hard to stay positive when one is constantly in extreme pain, to the point where any tiny movement when I’m sleeping causes me to wake up in agony immediately. Needless to say, I haven’t gotten more than about 2-3 hours of sleep a night for the past two or three weeks. I was able to get an emergency appointment on Friday to see what, if anything, can be done. I highly doubt anything can be done at this point, until the independent review is completed. I think the best I can hope for is stronger medication and, unfortunately, being pulled out of work again. I emailed my new WC admin to ask about a stool for underneath my desk so I could rest it on something, and he hasn’t bothered to reply. I’m not sure why I expected any different.

All I can say is that they’re not going to out-stubborn me. If they want me to jump through hoops, I’ll jump through the damn hoops, but I’m fed up with being in pain all the time.

I’m feeling a little bit topsy turvy

“If I had a world of my own, everything would be nonsense. Nothing would be what it is, because everything would be what it isn’t. And contrary wise, what is, it wouldn’t be. And what it wouldn’t be, it would. You see?”

 

I think my feeling of being “off” started on July 24th when I walked out to find my roof slashed on my car. Nothing was stolen, but it still felt very much like a personal violation. My car is very special to me. He symbolizes the grown up me who is supposed to be fun and spontaneous instead of dull and boring. I feel good when I sit in my car. I enjoy the attention I get when people comment on what a nice looking car he is. (It never extends to what a nice looking driver he has, but I’m quite okay with that)

Things started to get better once I was finally able to get to the claims adjuster to inspect the tear and get a check to pay for the new roof. I felt like I was finally making some progress. Then, the following Saturday, I suddenly lost fifth gear. Thankfully, I have a dual clutch transmission, and was able to utilize fifth gear by switching into manual mode. Once again, I fell into stress mode, worrying about what this was going to cost me to repair it, even with my super awesome bumper to bumper warranty. At this point I was looking at a $250 deductible for the roof, plus a minimum of $250 deductible on the transmission repair. Since I’m still on disability, this meant that I was going to have to save up for a very long time before I could get either repair done.

I returned to work on a modified schedule, working four hours a day. After the first two days, my knees hurt so badly that I could barely walk. I made an emergency appointment to see my surgeon’s PA and he cut me back to 3 hours a day to see if that would help. I’ve discovered that if I keep my legs elevated at work, they don’t hurt nearly as bad, but I’m still having to ice them for several hours when I get home.

My check arrived from State Farm and I called the auto upholsterer that was recommended by State Farm (and more importantly, but a very close friend of mine whose wife used the same company on her beloved Miata) and found out that the cost of the roof and labor was the exact amount of the check I was given. State Farm forgot to back out the $250 deductible that I was supposed to pay. Oops. I called them and asked, and they informed me that the check was correct, so I was went with it. I ordered my new roof . In the meantime, Morgan (my 350Z) decided that he was going to use fifth gear again, and hasn’t had any shifting problems since. I still want to get it checked out, but it’s not on the urgent list anymore.

Then I went to see my surgeon. He told me that he’s done all he can do with arthroscopic surgery, and the next thing to try is a procedure called “autologous cartilage replacement.” Basically, they do a quick arthroscopic procedure where they harvest some healthy cartilage and send it off to a lab to grow into a patch large enough to cover the two condyles on my tibia that are crumbling. Then, he’ll go in and do an open surgery to essentially sew the new cartilage onto the bone, where it should theoretically grow into healthy cartilage and be just like new. Finding out I need two more surgeries put me over the edge again and I spend a good portion of Monday crying and trying to wrap my brain around the fact that this means I’m stuck here in San Diego for at least the next two years, and possibly as many as four. I’m trying to stay optimistic and think of how wonderful it will be to not have pain and grinding/crunching in my knee every time it bends, but it’s hard to stay positive right now.

I did get my new roof on my car installed on Friday, and it looks very nice. It’s driving me a little nuts that I can’t lower the roof until tomorrow afternoon, because it needs to stretch properly so that I don’t have issues down the road, but that’s a minor inconvenience that I can live with. Also on Friday, I got a surprise visit with my son, as his father had some business to attend to here in town.

At this point, I’m so mentally turned around and upside down, I don’t even know what I’m feeling anymore. I’ve been having panic attacks again since finding out about the new surgeries and I have a pervasive feeling of anxiety that I just can’t get rid of. I try so hard to stay positive and always look on the bright side, but sometimes it’s just too hard. I feel like I’m bogged down; stuck in a city I hate, for the foreseeable future, and every time I try to make any plans to leave, something else comes up to hold me here longer. I should have never moved back. I haven’t been completely happy since returning, and I’m brokenheartedly homesick for the Carolinas. It’s getting to be time for the leaves to change color, and the air to turn brisk.

I feel like I’ve lost control of my life, and that I’m surviving on the whims of others. The depression is creeping back in, and so is the anxiety. No, they’re not the same thing. I’m trying to do the one coping mechanism that generally works for me, and that is taking control of one aspect of my life and setting it right. If I can control just one thing, then I know I’m not helpless. Inside, I’m still screaming though.

Today is the final day of “Mental Health Awareness Month”

I’d written previously about how May was designated as the official “Mental Health Awareness Month” and how I felt that it should not be limited to just 31 days out of the year. I, of course, still feel that way. For those who have not been following my blog regularly, or have just started reading it recently, I’ll give a brief overview. I have two forms of depression: Borderline Personality Disorder and Major Depressive Disorder. I also suffer from panic attacks and anxiety. If you’d like to read more about any of these subjects, the NIMH website is a great place to start. It gives a detailed overview of the various types of depression, as well as a comprehensive explanation of what it all means.

Unfortunately, every person is different, and everyone’s presentation of mental illness and ability to cope will be different. I hide behind the walls I learned to put up after 6 years of drama school, and most people don’t realize I have any mental issues unless I intentionally share them. I’m trying to share them more now, to try to lessen the stigma of what it’s like to have mental illness. Most people think that the mentally ill are those homeless people who stagger around mumbling to themselves and panhandling. A great many of them are, but only because they haven’t had the opportunities I’ve had to seek help. I have had two excellent doctors who have helped me tremendously with finding the right course of medication that helps control my depression and allows me to live like a “normal” person most days.

I go through cycles where everything will be going great, and then some little thing will go wrong and I spiral down into depression. Lately, it’s been my knee issue. I feel like I’m taking two steps forward and one step back on a regular basis, except for those times when I’m only taking one step forward and two steps back. I deal with a lot of pain in my day to day life because of the bone spur in my C5 vertebra that is pressing against the nerves and causing a “migraine” that has been with me every single day since about April of 2006. Thankfully, I have an extremely high tolerance for pain, as I’m opiate resistant, so narcotics don’t help me at all.

At one point, I thought that I might be bi-polar, because I’d go through such intense mood swings, but I never truly hit mania and I never fit the other symptoms, according to my doctor. It’s just the regular cycle of depression. You start out okay, and then something triggers it and down the drain you go. Eventually, you fight your way back out of it and live normally for a while, and then you start the process all over again.

I don’t claim to be an expert on depression of any kind. I only know my own. I worry that my son will follow in my footsteps, so to speak, so I’m happy that he lives with his dad, who is a more stable individual. A person whom I consider to be a very good friend of mine wrote online today that she can’t take it anymore and felt completely unloved. I know it is the depression talking, and I sincerely hope that those who are (physically and mentally) closer to her can help her get through this. I know she is deserving of love, and I love her dearly, as do many of our friends. It’s so hard though, when the depression is lying to you and telling you you’re not good enough, or not pretty enough, or thin enough, or not deserving of love, because you are. Depression lies. It lies to you constantly and makes you doubt your own feelings until you don’t know if what you feel is true or if it’s just your illness making you feel that way.

Earlier this week I had a severe mental breakdown because I felt that my knee wasn’t getting any better and that I was going to have to live with yet another permanent pain in my life. I allowed myself to cry for a day and feel sorry for myself, and then I talked myself into believing that everything happens within its own time, and that I just have to be patient and let myself heal at whatever speed that is. I know I push myself too hard, and that’s one of my weaknesses. Unfortunately, pushing myself too hard on a newly operated knee can result in causing more damage than good, so I’ve had to go back to being a lazy lump with an ice pack  and elevation to try to get the swelling down, and to not walk any more than possible. I hate it though, because I’m not the type of person who can just sit around and do nothing all day. There’s only so much reading or crocheting I can do before I go batty.

 

I feel like my life has been turned upside down

I’ve spent the last 7+ months waiting to get my knee fixed, and now that I’ve gotten the approval, I’m a nervous wreck about the whole thing and I don’t want to do it. Don’t get me wrong, I’m still going to have the surgery, because it really is the best solution for me, and I wholeheartedly trust my surgeon, but the thought of surgery scares the bejesus out of me.

As a result of being scared stupid over this whole thing, my quality at work has gone downhill significantly in the past month. I have no one to blame but myself, but I just can’t seem to stay focused on work when all I can think about is someone drilling holes into my knee. I’m angry at myself for not being able to control my fear, and for allowing it to interfere with my work quality, because I take pride in doing a great job all the time. I really hate that I’m letting the mental issues get to me.

Speaking of mental issues, the stress of the impending surgery has brought the spinal headache back into full-blown constant pain, which has brought my insomnia back. I’m waking up 3-4 times every night with my head throbbing and my eyes feeling like they’re trying to pop out of my head. I’m just not sure what can be done at this point, because narcotics don’t really do anything for me, and I don’t want to change anything that may end up causing a delay in my surgery.

I decided to be rebellious yesterday and took my brace off around 10am and left it off all day. I just could not abide by it any longer. I hate the brace more and more each day, because it doesn’t seem to help at all. I do know that it is actually helping, because when I don’t wear it, I can feel a definite weakness in the joint and it makes the most horrid cracking/grinding/crunching noises.

Due to all the medical issues I have going on, I’m trying to simplify other areas of my life. I’ve stepped back from interviewing prospective volunteers for the cat rescue organization that I volunteer with, and I’m learning to say no to people who ask if I can do favors for them. I’m trying to find a happy work/volunteer balance in my life. I have no social life to speak of, so that hasn’t changed. I don’t really have anyone special in my life besides my cat, and that doesn’t really count. I’m not interested in dating because I don’t want to have to deal with the inevitable breakup when I pack up and move back to the Carolinas eventually. Yes, I know that I could be missing out on something special by not giving the men out here a chance, but since I’m not happy here, I’d rather wait until I’m happy before I try finding someone else to be happy with.

That’s about all I have going on right now. Work, knee problems, stress, insomnia, stress, headaches, volunteer work, and stress. I am counting down the days until my surgery, and hoping that I’ll be recovered in time for our big fundraiser three weeks later. In the meantime, I’m just trying to get through each day as they come.

Another night of insomnia

I don’t remember how long it’s been since the first sleepless night. It seems to go in cycles; I’ll sleep wonderfully for a time, & then things flip over and I’ll spend the night tossing and turning instead.

I don’t think I do anything different from day to day, but maybe I’d I start journaling my activities again, I’ll see a pattern that can be corrected.

I know that cardinal rule #1 is that you never, ever take naps during the day when you have insomnia. The problem is, by the time you get home from errands or work, or whatever, that nap is all you can think about.

Maybe that’s another thing I need to make a list of. There are plenty of things I need to do, that I’ve been putting off. If I start tackling those projects instead of allowing myself to nap, maybe I’ll get better sleep at night. I do try to go to bed & wake up at the same time each day.

Does anyone else have any suggestions for things I might try? Prescription sleep aids don’t help me at all; I still wake repeatedly throughout the night. I don’t drink milk, so warm milk is out.