yuuo: (Can somebody help me?)
So I got a call from United Health Care, who are partnered with Nebraska state Medicaid, to follow up on their services, make sure I'm getting what I'm needing from them, and help them figure out where the gaps are and how to fix them, which, I think, is fucking fantastic.

What's odd is that she was confirming my diagnoses, and mentioned that she had bipolar on her record. Which... was news to me. I asked her what my psychiatrist had on record, and she confirmed schizoaffective and anxiety, which... is also odd. My formal evaluation testing came up with those diagnoses, but the doctor went in and did some futzing with the diagnoses so that while the anxiety/panic disorder was correct, I had schizophrenia and possible depression.

I have no idea where the bipolar came in.

And, of course, I can't get into my patient portal for that provider without calling the office for a new link to register with (weird set up, but at least it's with the same portal system as my PCP, so I can switch between the two providers with one login) to see what the fresh hell is up with that.

It is also just now occurring to me that my therapist might've submitted the bipolar diagnosis, since she is licensed to make such calls. Which means I'm super happy that she's volunteering to come with me to my next appointment with my doctor.

My wife wanted to go with me originally to help me remember all the complaints I've had, because not only do I have such a shitty memory that I lose track, I get a bit anxious just seeing the doctor and get afraid that I'm not 'perfect enough' if I'm not responding to his treatments well.

But. Well. We got a letter in the mail on Saturday.

My wife's bilateral mastectomy is the sixth.

Which.

Is when my appointment is.

And I can't reschedule, because I'll run out of my meds before I can get in again, and they won't refill without an office visit anymore. Thankfully, when this came to light at therapy on Monday, my therapist was wonderful and volunteered to come with me, since she has been taking notes on my various concerns and I haven't been, and again, the anxiety and shitty memory. I used to have a decent one, then my disorder got out of control, and the meds I was put on for it fried what was left of my memory neurons.
yuuo: (Happy hurts sometimes)
Happy to report that I'm almost off the Zoloft. I got a partial prescription of 50 mg pills, with instructions to take them for one week, then cut them in half and take those another week, then I'm done. Huzzah!

Risperdal dosage has been cut in half. I suspect we might stop it entirely next time.

Still on only 40 mg of Fetzima. Would be happier with more, and we discussed waiting until next time to mess with my anxiety medicines. My anxiety has been through the roof lately. I'm scared to leave the house sometimes. But the doctor didn't want to fuck around with too many medicines all at once, so I'm to just hold on and hope for the best in the meantime.

Mental health medicine roulette sucks, but what is, is. At least I'm getting off the Zoloft and the Risperdal. One thing at a time.
yuuo: (Don't leave me like this)
Yeah, yeah, I know, I said I'd do something for Schizophrenia Awareness Week last month. Medicine changes and stress and plain old fashioned depression stopped that. I'll get to it some time. I can't promise when.

That said, I've got a pdoc (abbreviation for psychiatrist) appointment in about an hour and I'm not looking forward to it. I'm hoping he'll take me off the Risperdal entirely, leaving just the Latuda. I want to start getting off the Zoloft, too. But I'm scared we're going to maintain status quo, and that's not good enough. The progress is too slow. I want an increase in the Fetzima, a decrease in the Zoloft, and a cessation of the Risperdal.

I guess we'll see what the doc wants to do.

I miss Ritalin. This tired all the time nonsense is bullshit.
yuuo: (Wherever I go I take you with me)
EEG results are in. I am Depressed. My brain shows no signs of physical damage. My working memory is surprisingly good. My attention is in the shitter.

At least it didn't come back "You are 100% okay you big faker mcfakeyson." Which was my fear.

My prolactin blood draw also came back, my levels were up in the sixties. Which means my prolactin levels match that of a very pregnant woman- it should be 2 to 29 ng/mL. So uh. Yeah. He's weaning me down off the Risperdone, and keeping me on the Latuda. We've removed the .5 mg midday dose, and will decrease more the next go-round.

We also started me on Fetzima ER, which is a serotonin-norepinephrine reuptake inhibitor (SNRI). Which is different from Zoloft, which is a selective serotonin reuptake inhibitor (SSRI). SSRIs are the more common ones used, but since I had a bad reaction to Lexapro many a moon ago, and the Zoloft stopped doing anything fairly quickly and didn't respond to dose changes, we're trying a different type. But, since Fetzima takes a month to kick in, in the name of not sending me to the hospital from feeling shitty, we're not taking me off the Zoloft until I've been on the Fetzima a month, just to keep me from dropping too much and too fast.

So, here's to hoping the Fetzima works, because I really need out of this depression spiral. (Can I say that I have a feeling getting my prolactin levels under control might help, too? Pregnancy hormones, yikes.)

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