Yesterday morning started off with a bang (in a manner of speaking) since I evidently ate something that really didn't agree with me, making the 16 subway stops to my office feel like an eternity. Thankfully, I managed to make it to my building and then my floor without mishap, whereupon I dashed to the ladies room straight from the elevator and we'll leave the word picture right there, at the door, thankyouverymuch.
The physical misery made an interesting (and semi-merciful) change from the hormonal hell I have been experiencing lately. Honestly, the hot flashes and night sweats aren't so bad, but the emotional schizophrenia from the hormone wackiness is horrible. It makes me feel like I have no control over my sanity, which is worse than any of the physical discomfort. Yes, one deluxe menopausal combo pack, delivered direct to my doorstep. Yum.
I am always tired these days, or hormonally crazed, because chemo really is the gift that keeps on giving (one of its more morbidly humorous nicknames) since I have leapfrogged directly over my older girlfriends to get a giant head start on menopause. So my body is crazed (3 week periods, 1 week off) and I am a nervous wreck because my hormone levels are always out of whack (the urge to sob wildly at the drop of a hat is NOT my normal state of mind). Once I am DONE with menopause, it will be good (less estrogen to feed any hidden cancer cells) but in the meantime, I feel crappy all the time. Unfortunately, I don't know when that happy DONE day will be.
I imagine that the next several months will not be much better, pharmaceutically speaking, since my oncologist and pill doctor agree about the tamoxifen conflict flagged by the pharmacist (so no, I haven't started taking it yet). Evidently, there is some metabolic conflict between my Wellbutrin and the tamoxifen, so my options are: keep the antidepressants but don't take the anti-cancer drug, OR, take the anti-cancer drug and mess around with a neuropharmacological balance it's taken me years to achieve. THESE are my choices?!
Now when people commented on my previously chipper, perky, and positive attitude throughout my treatment this year, this does not mean that the Wellbutrin made me artificially happy. It just prevented me from sinking into the (a)pathetic heap I tend to become when left to my own devices.
You see, I have been taking it for years because otherwise I tend to get clinically depressed and: stop eating (I mean altogether -- not in that dieting kind of way people joke about), sleep all the time / have perpetual insomnia, cry constantly, lose the ability to concentrate, lose the energy to get dressed, much less leave the house (kind of an important factor in remaining employed, no?) and generally think I'm just a useless human being -- ALL THE TIME. Every time I stopped in the past (under doctor's supervision), sooner or later I wound up a soggy mess, and after a few years of trying, I just gave up and decided pills were the way to go.
So yes, once again, I get to go on that delightful merry-go-round of "let's try this anti-depressant and see if it works OR screws you up too badly" since, well, my pill doctor and I both agree that cancer trumps depression (although at this rate, cancer is going to CAUSE [menopausal] depression).
You can see why I am not looking forward to more pharmacological experimentation until I find an
effective AND well-tolerated replacement. Just read the package insert / warning label for side effects if you want to know what I mean about well-tolerated,
like this one. Consider also that it takes
weeks at a time to figure out the results for each new formulation I may have to try.
We are not even going to get into all of the emotional repercussions -- for my whole family -- arising from my brother-in-law's
severe Alzheimers as that subject alone... well... I just can't deal with thinking about it all right now (and do you know how selfish and weak I feel saying that?) -- so yeah, not feeling festive this December.
I have not bought a single present. Not sure I will either. And as for cards, I haven't even checked my stash to see if I need to order more. And I think my little tree will stay in the closet. Maybe if I feel really energetic one evening I'll buy a wreath. But doubtful. Yup, despite reading
A Christmas Carol (yes, THE Christmas Carol by Dickens) for one of my book clubs, I am feeling like pre-reformation Scrooge.
One mental anchor I'll be clinging to when I feel that I may lose it in the next few weeks is the thought of TWO WEEKS OFF. I had put in for vacation during the last week of December, but this past weekend I realized that perhaps taking off 2 solid weeks might have a geometrically more beneficial effect upon my sanity. Ergo, I am thinking the first week of January as well, since hey, I do have the accrued time from this year. My engineer and I had been talking about going away but I'm not sure that is in the cards, due to financial and logistical issues. We'll see (but don't hold your breath). In the meantime, he and I are talking about day trips here and there instead.
And just because it seems truly cruel to force you to endure my lengthy whining without any visual distraction, I am throwing in photos from my March 2008 vacation in Vegas. The appropriately ominous top photo is from Valley of Fire or Red Rock Canyon (I forget which) and the bottom one was taken on the grounds of the
Flamingo Las Vegas. I just thought the reflections and ripples turned out to be really cool.
