Physical Health Emergency and Mental Illness

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Earlier this week I had to go to the emergency room because I had a piece of chicken get caught in my esophagus.  I couldn’t swallow water or even saliva.  I couldn’t even get the chunk out by forcing myself to vomit several times.  Didn’t get anything but dry heaves.  Since this happened in the overnight hours (I’m a serious night person) I went to the emergency room after a few hours of unsuccessful attempts to dislodge the caught chunk of chicken.

Fortunately the e.r. wasn’t very busy as it was about six a.m. when I checked in.  I was seen by a nurse who took down my entire health history and she told me that they’d have a doctor scope my throat to dislodge the blockage.  Since I wasn’t the only person who had to see this doctor that day I was in the hospital for probably four and a half hours total, including check in, initial consultation, prep for the scoping, and the actual procedure.  It wasn’t quite the in and out, but I did have a camera attached to a cable slid down my throat and have blockage removed. The doctor also saw what looked like a small ulcer.  I’m now on a medication for ulcers and have to see him again in a month.  Wish me luck.

I had to take it real easy for the rest of the day, so I just slept much of the rest of the day after my dad brought me back to my apartment.  Spent the next two days eating mostly oatmeal and apple sauce to go easy on my esophagus.  But things are almost back to normal, at least as close to normal as a life with mental illness will allow.

Why I Am Grateful For Tech And Science Advances

Just a few days ago I was chatting with one of the older residents in my complex and the subject of technology and scientific advances came up.  He made the statement to the effect that ‘besides making people easier to monitor, manipulate, and kill, tech advances have done little for the betterment of humanity.’  I wanted to laugh at this short sighted statement. How forgetful and often ungrateful we can be.  I’ve alluded to tech advances by and large improving things for people in previous posts.  In one I made the parallel between what technologies we in 2015 take for granted and what various U.S. presidents didn’t have (i.e. Jefferson not having railroads, Lincoln not having electric lights or telephones, FDR never having a credit card, JFK never having a microwave oven, etc.).  And these were things I just came up with at a moment’s notice.

There are drawbacks at times but these are often offset by the benefits of advances over previous techs. Sure antibiotics are often over used and can make some people less resistant to future sickness.  But how many people on this planet that are living full, content, and productive lives that would have died if it weren’t for the development of antibiotics to begin with?  Or automobiles?  Who seriously wants to go back to the late 1800s when cities like London and New York where having problems with the stench, diseases, flies, and rodents that resulted from entire lots piled high with horse manure?  I grew up around farming and often worked on my uncle’s farm during the summers.  I can tell you that farm animals like horses, cows, and pigs eat lots of grains and hay.  Since cars don’t eat wheat or hay, that frees up lots of crops to go to humans.  Yeah, I get the whole ethanol being made from corn argument.  But ethanol can be made from switch grass, sugar cane or anything else that ferments.

Another place I’m grateful for tech advances is in the field of medicine and health.  The two anti psychotic medications I’m currently taking weren’t available even in 2010.  And they have fewer side effects and the ones they have are less severe.  My current medications aren’t as bad in terms of promoting weight gain.  One medication I was on several years ago had sore joints and sleepiness as one of the side effects.  But because of the options made available due to advances in medical science I was able to switch to something different and the side effects went away quickly.  As far as the argument that psych meds promote mental health problems, have you looked at the history of mental illness treatments?  Before the 1950s about the only options for someone with my diagnosis were long term hospitalizations and electroshock therapy.  If I were born even in 1920 instead of 1980 with my mental health problems I would have either been long term hospitalization, homeless, or dead.  For the first three years of my mental illness problems I wasn’t on any kind of treatment.  Went through the last two years of public high school and the first year of college dealing with constant paranoia, depression, anxiety, and anger.  I was far more short tempered, argumentative, and paranoid without treatment.  It’s a wonder I didn’t assault one of my classmates or anyone else.

To suggest that modern medical tech advances have made us less healthy and lowered our quality of life is not only false, it’s stupid. Some will argue that we have more cases of cancer now than we did three generations ago.  For starters we have more people and people are living longer now than three generations ago.  In 1900 the average life expectancy even in USA and Western Europe was maybe 50.  Now we in USA complain that life expectancy is ‘only’ in the late 70s when in some places like Japan it’s the lower 80s.  Even in some of the poorer countries in Africa life expectancy is in the late 50s and even early 60s and that is with AIDS pandemics and civil wars. In the early 1900s these same regions life expectancy was in the early 30s.  Cancer is one of those things that the chances of getting go up with age.  My grandfather died of pancreatic cancer but he was 87 years old too.  He also had serious hepatitis during the 1940s.  Had he gotten that in the 1860s instead of the 1940s, he might not have lived past his twenties. What is worse, dying from a stroke at age 70 or dying from chorlea at age 25?

Some my argue that tech advances have led to the breakdown of the traditional family unit.  I know the stats state that divorce rates in many first world nations are at 50 percent or higher.  But traditionally many people were married more than once in their lives.  Men often remarried and had mixed families, not due to divorce, but because their wives dying from childbirth or any number of illnesses.  Women often remarried because of their husbands dying in wars, work related accidents, or illnesses.  If we were to take the numbers there are probably more people making to their 50 year anniversary celebration now than even 60 years ago, again due to more people and better health.  And sometimes men married more than once because they had more than one wife at a time.  Polygamy and not having one mate for life are as old as life itself.  It could be possible that someday, thanks to advances in medical tech, we could be seeing couples have 100th anniversary parties like some people have 60 year anniversary parties now.  What would you get a spouse who has been with you for an entire century?

I could go on but I won’t.  But we are often forgetful and even less than grateful.  I for one am grateful for tech advances.  I would love to see scientists, engineers, researchers, and health care workers get the attention that the media reserves all too often for politicians, musicians, and star athletes.  But that is probably not going to happen simply because bad news sells better than good.  Yet if you are a scientist, engineer, health care worker, researcher, or anyone who works to provide the essentials for modern living, I am thankful for all you men and women.  Keep up the good work.  If you are so inclined to see actual data on advances in health, wealth, and overall well being, check out humanprogress.org.

Stability With Schizophrenia and Updates

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It’s been awhile since I posted.  Some updates and randomness are in order.  With spring being in full effect now, I’ve been outdoors and exercising every day.  We have a park that has some hiking trails that I’ve been doing for close to an hour a day about three to four days per week for the last few weeks.  Still get a little muscle soreness from this but I’m doing far better than where I was one year ago.

The mental health is even more stable at least 95 percent of the time.  I still have my occasional flare ups, especially under stress.  Fortunately I’ve gotten to where I either isolate to avoid physical contact with people or I’ll call a friend or family member and just talk my way back down.  Some of these conversations are scary even for me.  I know it’s even more so for those talking me back to sense, especially when I get personal about my rants.  I just hope friends and family don’t take anything personal because I am not vindictive or combative by nature.

I also got a different car.  A family friend was looking to sell a ten year sedan with only 34,000 miles.  So we, my family and I, took it.  My previous car was starting to have issues.  But it was over fifteen years old.  Many people don’t have houses that old.  With my newer car I’ve been getting out a little more.  I rarely travel outside my hometown during the winter months.

I’m going to be a groomsman in a college friend’s wedding this July.  They are both high school teachers in South Dakota.  It’s an outdoor wedding in the Black Hills of South Dakota.  Beautiful country, especially in the summer.  If you haven’t been there, I recommend it.  I had to get measured for a suit.  I was measured a few years ago for when I was a pallbearer at my grandmother’s funeral, but since I lost weight I was due for a remeasure.  I get to spend three days in the Black Hills, always one of my favorite vacation spots.

Overall, things have been going well.  Been exercising almost everyday.  The weather is excellent.  The mental illness problems are at a minimum.  My new car is serving me well.  My old friend from college is getting married and I get to see it up close.  I’m getting out more.  No more spending entire days indoors because of winter weather.  I have been silent on this blog for a few weeks.  Not because things have gone bad, it’s because things have been going well.  Sometimes no news is good news.

Being Physically Sick With A Mental Illness

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I’ve been fighting off a real bad cold for the last several days.  While not as bad as some sicknesses more common in the winter months, it has taken a lot of strength out of me.  Since I also have mental illness issues, the decreased physical wellness has effected the mental health some.  I imagine many people with a mental illness diagnosis have flare ups of their problems when they are also physically sick.  I am no exception as my physical health impacts my mental health.

As a result of the constant coughing, sneezing, hacking, muscle aches, and general all around feeling of blah, I have made it a point to keep isolated.  Not just so I don’t get anyone else sick, but I am also prone to easier mental irritability and sensory overload.  I get sensory overload even on a good day, especially when I go to large public places like a shopping center, a ballgame, a concert, or even watching tv programs.  My family members can’t believe how low I keep the volumes on my tv, my iPod, etc. while I have a hard time trying to figure out how most people can have such dulled senses and notice almost nothing that goes on around them.  Some think I’m being hyper vigilant, but I just easily notice things that few can.  But when I’m sick, I really do get easily overloaded, notice even more of what goes on around me, as well as more observant of my own physical health.

It is my observation with schizophrenia are that many of the problems (namely short temper, depression, and a sense of being overwhelmed) become more easily triggered while I have a cold, a flu virus, strep throat, or any kind of infection.  Oddly, I don’t get these problems when I have abnormal physical pain.  But I rarely feel abnormal physical pain as I do have a higher tolerance for physical pain than most people I personally know, which from what I’ve researched isn’t uncommon for people with a schizophrenia diagnosis.

I am interested to hear from others with mental health issues, and it doesn’t have to be an actual diagnosis, whether or not having physical illnesses can make mental issues worse.  In my case, being sick makes it easier for me to be prone to irritability and depression.  Yet it has yet to lead to a complete psychiatric break.  I think being physically ill takes enough out of me mentally and physically to get one of those going, thank goodness.  Any thoughts on physical illness mixed with mental health issues?

Losing Weight while on Anti-Psychcotic Medication

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In addition to my problems with mental illness, I’ve been fighting problems with having an unhealthy weight since at least age seventeen.  I spent the first several years of my schizophrenia diagnosis trying to figure out the many aspects of my personal mental health problems.  I was able to figure out that there were seasonal elements, certain situations and stressors that made the illness worse, people and places I needed to avoid as much as possible, and I learned coping skills that made the mental part of my health much more tolerable.

While I was covering the mental aspects of my health, I completely ignored my physical health.  I gained a lot of weight during the first ten years of my diagnosis.  One reason I neglected my physical health was I often lacked motivation to stay with an exercise program.  I would do fine the first few days.  When the inevitable aches and discomfort set in, I’d take a day or two off.  I felt terrible for taking days off and would in time drop the program.

A second reason I gained weight was I fell into the trap of believing I couldn’t lose weight while on anti-psych medication.  Many anti-psych medications have weight gain as one of their most prominent side effects.  Noticing I was at a very unhealthy weight even as far back as early 2007, I went off my medications in an attempt to lose weight.  Real bad idea. I had a relapse after being off medications for three months.  Whatever weight I lost in that time off the medications was gained back and more.

Finally about the summer of 2013, I’m guessing, my general practitioner  told me that I would have major health problems, including diabetes, heart issues, and probably even early death if I didn’t do a complete change of my eating habits and physical activity.  That gave me an incentive to at least attempt to lose weight while on anti-psych medications.  My options at that point were to either keep blaming the weight gain on my psych meds and wait for an inevitable disaster perhaps only a few years in the future, or I could get more active and accept responsibility for my physical health with the same dedication I took to getting my mental health managed.  I guess my decision to lose weight came down to the persistent thought that my well managed mental health conditions would not matter if my physical health deteriorated.

My first efforts to lose weight were not entirely successful.  Beginning to exercise wasn’t much of a problem as I had the idea of dealing with diabetes, heart disease, and a mental illness all at the same time to keep me walking at least four to five days per week.  It was the adjusting my eating habits that was the major issue.  I would lose weight some weeks.  Other weeks I would not lose and often actually gain.  This went on until about April 2014.

After several months of exercise and learning all I could find about good nutrition on a small budget, I reexamined everything I was doing.  Every thing checked out just fine.  I even changed some of my psych medications at my psych doctor’s recommendation.  I finally decided to track everything I was eating for at least a few days.  It took only one day to figure out exactly how much I was eating on an average day.  That was an attention grabber.  I figured out how much I was eating and how much I was burning off through physical activity.  I could see that on even average days I was taking in more calories than I was burning off.  I found out why I wasn’t losing weight as easily as I wanted.  It wasn’t the psych medications causing it all alone.  It was that I had no idea how much I was actually eating.

Once I figured this out, I committed to tracking everything I ate every day.  I was able to do this though tools and trackers with a free account at wedmd.com.  I just type in what I eat, how much of a food I eat, and how much exercise I do.  I had to do this everyday for at least the first two to three months every day.  Once I knew how much I was eating everyday as well as how much I was exercising everyday and was recording it, that is when the weight starting coming off.  Since I started tracking everything I ate and all exercise I did I’ve lost over 45 pounds.  I’ve been doing this tracking since the middle of April 2014, so I’ve been doing this for right at five months.  I’m sure that for those who wish to have a diet and exercise tracking app for a SmartPhone or an iPod there are several good apps available that don’t cost anything.

Weight loss while on anti-psychcotic medications is possible.  It can be done.  Like anyone else trying to lose weight, it takes a lot of work, a lot of discipline, and it takes time.  I suppose I have the thoughts of where I once was, where I’m at now, how much better I feel now than even six months ago, and where I can and want to be as motivators.

Coming Back, Losing Weight, Mind-Body, How and Why

It’s been a long, long time since I last posted anything to this blog. For the record, I never gave up writing. I just took about a three month long vacation. It has been the longest time, in fact the only real time, I took a break from just about anything I do. An update on how things have gone lately is in order.

For approximately the last four months I’ve been seriously concentrating on getting back into good physical health. As a result of changes in eating habits and exercise routines I have dropped at least 35 pounds. Yes, I still have a long way to go before I get to my final goal weight. I notice a positive difference already, not only in physical health but also mental health. I’m not doing anything really out of the ordinary. I’m not on any fad diet. I’m not exercising several hours a day. I’m not eating organic food as I’m on limited budget as is. And I certainly am not taking any diet pills, powders, etc. I suppose if I was to describe my approach, I’d simply call it cherry picking what works for myself from several different types of diets and discarding what doesn’t work for me. Some may find it odd that I pick and choose rather than follow only one set plan with an almost religious fervor as many people do. My grandparents had a phrase for this tailor making a plan from only the best of everything that works for one person and may not work for someone else. It was ‘using your head.’

As my physical health gradually improved so did my mental health. I really do believe there is a mind-body, body-mind connection. Chinese medicine has innately known this for centuries. Western medicine for the longest time, having no real way to measure this, denied such a connection. This connection was denied even though it completely ignored any real world practical experience. That in itself is not ‘using your head.’

It is completely possible to know something is or is not so even if you can’t completely explain the why. For thousands of years, ancient peoples knew that the constellations in the night sky not only changed over the course of the year but changed at the same times each year. It wasn’t until a relatively recent time in human history that we figured out the why. I can’t offer a functional explanation why I feel better mentally after losing 35 pounds in four months, let alone a scientific one. I know simply that I do. That alone is enough reason to keep me working at losing weight.