What I will discuss with Dr. P today

I will be seeing Dr. P today.  Hopefully, she won’t spend the entire session lecturing me about my weight.  I think we have been over that a zillion times.  I will start the session by saying, “I have a list,” and hopefully this will start off the session without the lecture!

First of all, I will mention the vertigo I have been experiencing.  This is how I will present it to her:

When I wake up, I feel just okay.  I’ll tell you about that in a minute.  I shower and walk Puzzle.  Then, I feel fabulous.  My mood is really high.  I feel absolutely terrific.  I have a smile on my face.  I even feel good when I pick up the poops.  [I have more to say about this that I’m going to not say here–not about poops but about something else.]  Then, I come home and have the first morsel of food of the day.  Within ten minutes, I get vertigo.  Dr. K has confirmed that this is vertigo by the way I have described it to her.  I even feel dizzy while seated.

At this point, my mood rapidly drops.  Recently, the vertigo has started to become extremely distracting, and I have started to become mentally confused.  Fifty percent of me suspects that the vertigo is a sign of the return of “It,” given that so much of “It” was physical.  At this point, my day is ruined.  I can’t do anything for at least 2-1/2 hours, often more, waiting for the vertigo to end, and even after that, I feel crappy for hours, usually into the afternoon.  Every now and then, the vertigo has lasted all day.

Here’s what I want to say about the bingeing:

I have had maybe three bingeing episodes since I last saw you.  These happen two or three nights in a row, then I stop.  I’m not talking about two sandwiches.  I’m talking massive binges.  I do not throw up.  I repeat, I do not throw up. The binges have to do with self-destructiveness and sudden dip in mood.  As you know, I do not binge voluntarily.  They cause really bad edema.  I am extremely concerned about the health consequences of these bingeing episodes.  My list of physical consequences, in addition to the edema, is something I want to get into with Dr. K, but it’s serious, and I’ve got to stop.

Here’s what I’m going to confess about that Trileptal:

I cut back on the Trileptal back in April.  I halved it.  This immediately stopped the swaying.  I had to do this to enable me to run on the treadmill.  As you know, I have been diagnosed with arthritis in my right knee and have been advised to stop running and walking for fitness.  The treadmill is a thing of the past.  I chose to bring the Trileptal back to its original dose as of nine days ago.  The swaying returned.  A couple of things about the swaying that might interest you include the fact that if I don’t sleep well, the swaying is worse, and if I take a nap that’s too long and I’m groggy, the swaying is extreme.

She will ask, “How’s your eating?”

I will say, “Good and bad.”  Bad, actually.  “Mixed.”  Of course, my response means nothing.

I don’t know what she will say to that, except, “Your last weight wasn’t good.”

I will probably hang my head.  Not so much in shame but in hiding the fact that I am hiding the fact that I am hiding something.  Well, I am not hiding but leaving out the facts.  I am not ready to tell her.  I am not ready to tell any human all the details of my food problems.  Maybe, I will write them down and let it all spill out in this Notebook.

The session will end there.

As we speak, I am experiencing the vertigo I experience almost daily.  It’s pretty bad at the moment, and has been going on for about an hour and a half.  I am sitting here typing at the computer.  I am sitting here, discouraged.  As usual, except for Puzzle’s walk, it’s not a good morning.  I wish there were answers.  Maybe Dr. P will have some.

Feedback and comments welcome!