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Friday, October 11, 2013

My struggle with obesity today

Hello. Thanks for dropping by. This could be a very good day as I have a "second opinion" mechanic coming by to check on my son's car. I think it needs a new head gasket and some coolant tube exchange work. We'll see. Fingers and wallet crossed.

As anyone know if they have checked my www.lose250.com progress site, I had a bad 2012 as far as great weight loss followed by horrible weight gain. I fell into a deep depression and life's stresses went through the roof and I gained massive weight, but, no excuses, I screwed up big time.

However; I lost a lot of weight when I was in the hospital and then the nursing home in January 2013 and since then I have held steady and have lost 8 to 10 pounds consistently per month. Today I scaled in at 309.6. I can't even remember when I was this weight before. Considering I started the year at 400++, I feel pretty good.

And I have been able to withstand another major depression and some current mania. Considering that it is only the 11th of October and my weight is starting to shed once again, it is completely possible that I could hit 299 by the end of the month.

But, I would still be happy if I hit 299 or less by the end of November. At the beginning of March I told myself that this was the year I was going leave the 300's behind. And now I'm looking right down the barrel of 280 to 285 by New Year's. I could actually reach 270 by my birthday on March 19. That would be the best present ever!

One side note: If you goggle massive weight loss photo's it pretty disgusting. Maybe it's my age or maybe it's the slower consistent weight loss, but my extra skin doesn't even look that nasty. My skin seems to be keeping up with my weight loss. A little flabby under the arms, but I think I can compensate for that in the gym. On Tuesday I get the knee injections that should hold back my arthritis for six months. In that time I can hike and run all I want. I don't think I'll have much of this loose skin thing.

Wednesday, October 9, 2013

US National Mental Health Awareness week.

This is a good time to reflect on mental health awareness week. Practically no one knows about the awareness week so I posted the crap out of it on FB. See http://nami.org/ 

I demand presents! 

Seriously, people should know that one in four people suffer from some kind of mental illness whether it's depression to schizophrenia; whether its professionally treated, or God forbid, not professionally managed.

The only way I really survive is with a sense of humor. I am, as you can read a few posts ago, very well medicated. I can't feel the medications, except for seroquel. It makes me dizzy or sleepy. I can't or shouldn't take it when I'm going to drive somewhere. I always drive okay, primarily because I don't drink and drive and avoid any distracting activities. 

A police officer wouldn't know the difference in my driving under the influence of seroquel, but I wonder if my timing is just a bit off. Like if someone makes an irrational stop right in front of me. I have had rabbits and other animals run out in front of me and I've never even ran over the remains of an animal, but I still can feel dizzy, so I don't drive on seroquel. The rest of my meds do say "can make you dizzy," but they don't. I'm probably just used to them. 

If I did get into a crash and I maybe acted a little off, I wonder how they could tell if I had just taken a seroquel unless I told them. I have so many drugs in my system I doubt a blood test would be useful anyway. I just have to rely on my better judgement. I have my wife or one of my sons drive me around when I do feel dizzy or sleepy. I think driving sleepy is one of the worst things you can do. It should be up there with driving drunk (well probably not that extreme), texting (also that extreme), and eating which I find distracting. I have been known to eat while driving, but I think I'll stop doing that.

Well, there's one thing. Mentally ill, depressed, bipolar... ect... shouldn't drive if they don't feel perfectly aware. I know that's not what they mean by "Awareness Week," but it does make me think.

What does it feel like to be lumped into the category or stigma of being mentally ill. It took me a long time to come to grips with the connection between being bipolar and being mentally ill. That's why I really prefer that people refer to or think that bipolar disorder is really manic depressive illness. 

Some mental illnesses like depression can be treated and forgotten. Some people are chronically or clinically depressed which is something else all together. One shouldn't lump behavioral illnesses with chemical illnesses like manic depressive illness (Bipolar) or schizophrenia. 

You hear a lot about mental illness on the news, almost always, say 95% of the time in a negative way. For instance, the guy who opened fire on the audience of the movie theater, coincidentally about fifteen miles from where I live and on the same night that I was watching a movie myself across town from this deadly massacre. It could have been my theater. My movie. I just got lucky I guess. They said he was "mentally ill." Of course he was. More recently, the poor woman who ran the police on a short car chase in Washington, DC. They said she was suffering from mental illness and had stopped taking her medication. How about the guy who poured gas all over himself on the National Mall also in Washington D.C.. Of course they were mentally ill, but I hate when they just say the words "Mentally ill." That could mean anything, but no one ever follows up the story with the facts.

We know, without a doubt, that someone that stops taking the kind of meds that I am on, will become delusional and dangerous to themselves or others. 

The most important things that Mental Health Awareness Week can do is end the stigma and open the healing or management and help people realize that the mentally ill need help from their families and friends. I have a very strong circle of family, friends, therapists, and psychiatrists who watch me all the time. They keep track of any irrational thing I do. They make sure I'm safe. I feel aware and safe today.    

Saturday, October 5, 2013

Quick description of what they do during a 72-hour suicide watch

The very first time I was placed on a 72-hour hold (Spring and Summer 2001) they took my shoes and gave me soft slippers. They took my belt and my wife returned with some sweat pants and they took the drawstring. No strings of any kind. I was allowed to check out my electric razor for 15 minutes. My door, if I even had one, was kept open at all times and they checked on me every 15 minutes. I think they let me out once I was on lithium and I ended up going to two other facilities that summer on suicide watches while they tried to boost my medications up until they were efficient. Collectively I spent around three weeks in three different mental health facilities that summer.

When I entered the protective mental health wing of Porter hospital in Englewood, Colorado in January 2008, I had all of those stringy things removed and they had someone in my room to watch me at all times. It's hard to sleep with someone a few yards from you reading a book. I was in a psychotic/bipolar episode and a danger to myself. That suicide watch continued for about a week and then they let me sleep with my door open and someone checking on me every 15 minutes. When I came back to reality they kept me on the protective wing until a bed was available on the regular watch wing. I was moved to my new room and given my laced tennis shoes the very last day of my inpatient care. You can't believe how nice it feels to have tied shoes. This particular facility is on one floor so I hadn't walked on stairs for a month. It took me at least two weeks to get used to our stairs at home. It was a three story home so that was a big deal.

I continued outpatient care for about three weeks when they decided I was okay. Outpatient care takes about four or five hours a day, but you do get to go home and sleep in your own bed. Oh man, nothing, even the shoes feels as good as your own bed. And, of course, being back with my family was awesome.

I would have gone back into the mental health wing in January of 2013 except I was on IV's with an infection that made it into my blood stream in the regular hospital so they just keep someone outside of your door. But, you do get to close your door when you're in the regular hospital. That was another month wasted.

Current medication list

I am currently on bariatric vitamins and b-12 injections and...
Lamital
Trileptal
Clonazepam
Seroquel
Ambien
Oxycondone
Synthroid
Furosemide
Klor-con

Weight loss progress

I'm a very impatient person to a fault. I'm also a competitive person to a fault. So, it's very hard to resist the urge to lose weight like crazy. I mean starve myself into skinny jeans, but that is exactly what got me to this point.

This time I have been diligent about losing weight slowly but surely. While I was in the nursing home in January I am pretty sure they initially scaled me in at 429 and then 421. I must have weighed more when I was admitted into the hospital at the beginning of January, but I don't know.

Whatever the case was, I didn't eat anything except for fruit. I wasn't trying to starve myself, I was just that sick and the food tasted horrible. In mid-February my scale, which only goes to 400, finally started to show my weight. 399 and then 390 by the end of the month. I took that start and became determined to lose no more and no less than 10 pounds per month. There have been a couple of months that I think I only lost 8 pounds.

Nonetheless, I scaled in a 312.4 this morning. I don't have any cravings and I feel as if I can make my big goal of 299 or less by the middle of November at the absolute latest. That would be one and a half months earlier than my annual goal.  

Friday, October 4, 2013

Protest, scream, demand an end to this pointless SHUTDOWN

I've lit up my facebook page enough to light a fire, but I need to vent here. Honestly, I don't know if the Affordable Healthcare laws will work. I've been arguing and debating that it will work, but that's primarily because no one else will. We hear from the fading Tea Party on television every night, but we don't hear enough from reasonable compassionate adults from either party so i scream from every online mountain top I can. If I knew of a protest, I would be first in line.

The experiment already began. The conservative Republican's had 42, now 43 chances to repeal "Obama Care" and failed. But, now it's here. Previously uninsured professionals and regular citizens alike are signing up in droves. They're crashing websites because of the volume of people rushing to buy this new alternative healthcare. You can't take away what people already have. Your best bet is to get back to legislating and try to work on the fiscal responsibilities and repercussions. Fine tune it. Fine tune everything. Balance the budget through responsible efficient budget cuts. Do all of those things, but stop the shutdown. Avoid the October 17th default. The game has ended. Get off the field and play another day.

In case this is the first time you have found my blog, let me give you a quick recap of my personal relationship to this US Government Shutdown. Before my dad, the filmmaker, professor and artist Paul J. Sharits, committed suicide in 1993 I had only worked at two companies in ten years. My resume was stellar. I had been promoted throughout the years from forklift driver to General Manager of Operations, third in line to the crown, of a rapidly expanding company. It was already large when I got there, but it started exploding with growth after I took my first position as a warehouse manager with them. Ten years of near perfect employment history.

After my dad died I went back to college and graduated sum cum laude with nearly perfect grades. I slid through my first graduate program and then I started to lose the rapidly emerging company that I led and co-founded. The pressure sparked my first near death manic depressive episode. I was hospitalized into three different mental facilities that summer. I worked at perhaps ten different auto dealerships and other non-related jobs and I earned my master's in education and instructional design in 2005. By July 2007 I was too worn out and sick to continue so I left the workforce intending on returning when I felt better. By November 2007 I was hospitalized for everything from mono to leukemia.

In January 2008 I went psychotic and had another major bipolar episode and spent the entire month of January in a protective mental health facility while they tried to pull me back into reality. My wires got crossed. We lost everything. Our beautiful dream house.. We were at the mercy of our families. They came through and held us together. They gave us shelter.

If you hired me from 2001 to 2007 you would have probably gotten a stellar ambitious employee. You would relax and feel good. Then I might call in sick a few days. I didn't have a cold. I was really unable to leave my room, my house, because of the sudden rush of depression. Then maybe I would come back. I would start arguing or ignoring the staff creating some hard feelings. The situation would spread until I became a liability; not the charmed one you thought you hired. I might become so manic that I might try to take over the company. No one could possibly be as good or as smart as me. Then I might have miss a month or more while I spent some time in the "hospital." Then I would need to work half days because I needed to attend outpatient therapy classes. You fire me. It's inevitable.

Being manic depressive or bipolar doesn't diminish my intellectual abilities, it just makes me impossible to work for or with. So all of my psychiatrists, therapists, state appointed psychiatrist, and a State appointed Judge agrees that I could no longer be in the workforce. At one time I was a great businessman and student and now I stood before the court with head down low and my stomach even lower as I said, "Thank you your Honor."

How did this happen? I don't know. But my grandmother, one of her siblings, my uncle and my dad all committed suicide before their 51st birthday. I turn 49 in March. I feel the illness getting worse. I do have the best possible medical and mental healthcare that money can buy and I still fluctuate, but not as badly as I would if I were off medication.

Manic depression illness is not behavioral; it's chemical and it will never go away. We might create better medications, but we will never "find a cure" or pray it away. Its insulting to even say that.  

So the social security mental health disability was approved or "awarded" in writing on July 17, 2013. I was supposed to get an award letter telling me how much disability money I would get each month in 60 days or less. 60 days passed and I called. They said they were working on it and I still haven't received that letter. Once I get the letter it can be 30 to 60 days before the benefits start to kick in.

Now, with the shutdown, my application or award, whatever you want to call it, is sitting quietly on somebodies desk gathering dust while the shutdown continues. If you figure out how hard it is to catch up with backlogged work, one can figure that for every day furloughed there will be one week to get caught up. So far my award has been backed up over a month and counting.

I really don't care what side you're on; I want the shutdown to stop. Get Americans back to work. Don't even come close to defaulting the country for the first time in our history.

Thursday, October 3, 2013

I need a break

I have written through some parts of the book that really deserve and require elaboration. For instance, the profound affect of my Uncle's suicide in 1980 and, of course, my father's suicide in 1993.

In 1993 I tried to be strong for my family and suppressed my confusion and grief. It resulted in a huge weight gain for me and possibly the emergence of my own manic-depressive actions and behaviors. I really should have gone into counseling right then and there. I definitely should have been seeing a psychiatrist. I had plenty of baggage to work through and my mind was stressing out.

In 2001 I had a major bipolar episode. I don't think "major" is strong enough. I almost took my own life describes it a bit better. I had to be institutionalized three times in 2001 describes it better.

I've easily written past those times by ignoring the details. Most of the book, more than 3/4's, is about my life and education about bipolar disorder since I collapsed in 2001. But, now I have to go back and detail my dad's suicide and my... 2001. It's too painful right now and I need a break. Today, tomorrow, maybe next week. I don't know. Maybe little bits at a time, but I will write it. I need to write it.

Tuesday, October 1, 2013

The United States Federal Shut Down is KILLING ME!

Okay. I only have about ten minutes or so to vent. I HATE THIS FEDERAL SHUT DOWN!

This is my situation as you may know if you follow my blog regularly. Uhg. I've re-written this stupid post three times.

The short version: I'm smart. Before 2001 I had maybe three different employers, each of which I was either upper management or the CEO. I was an extremely successful businessman since I was 19. I graduated college Sum Cum Laude (nearly straight A's). I won fellowships and scholarships both of my master's programs. I couldn't afford my PhD program.  

I had my first major bipolar episode(s) in 2001 when I tanked my dot com company. Since 2001 I've barely held non-supervisory positions in maybe ten companies. In 2007 I had to leave my last job. In 2008 I had my worst bipolar/psychotic episode and I haven't been able to hold a paying job since.

I won my mental health social security disability claim on July 17, 2013. Many psychiatrists, including State psychiatrists and therapists and the judge agreed that I am no longer able to hold any job. I have also had five bipolar related suicides in my family, so everyone, including the judge just wants me to take care of myself.

I was supposed to receive my disability award letter 60 days after the court award and I have still not received it so I am not collecting social security and I won't until 30 to 60 days after I receive my award letter. Everyday the gov't is shut down equates to a week of backlog.  

Don't get me wrong. Filing for disability was the worst day of my life. I had to recognize that I couldn't work anymore. It was hard. Very hard. BUT, I'm writing books now in hopes of pulling myself out of disability, but, in the mean time, I NEED THE GOV'T TO GET BACK TO WORK!

CONGRESS, STOP PLAYING WITH FIRE!

Monday, September 30, 2013

CPAP

I have been using a CPAP (continuous positive airway pressure) devise when I sleep since about 2001 or 2002. I wear a clear mask that blows a steady stream of air over my nose. I only breathe through my nose when sleeping. I guess that's a trained ability. Besides, if you breathe through your mouth it makes a silly sound and it's nearly impossible to keep the stream through your mouth. I have seen first hand a mask that covers both your mouth and nose, but I don't have the slightest idea how that helps.

I know that the stream of air keeps you nose passage open and helps you not snore. Its used for a condition or effect called sleep apnea which simply means your not getting enough oxygen when your sleeping. It's primarily used by obese people, but I used to snore when I was thin too, so I think anyone could benefit from using one. I started using mine after an all night sleep study at a local hospital.

An oxygen tube can be connected to the devise, but I just use regular air. A better explanation of the whole deal can be found at  http://www.nhlbi.nih.gov/health/health-topics/topics/cpap/

Anyway, my point is that I always sleep with my mask. I take naps with it and I travel with it UNLESS I fall asleep on the couch watching television. I'm the type of person that has to be moving all the time. If you slow me down and make me sit, outside of driving or in class, I fall asleep. I fall asleep at the movies all the time unless I have some cold tea or a water bottle to sip on.

I just fell asleep on the couch watching World War Z. It's not the movie. I love the movie, but the couch is super comfortable and I was watching the movie for the second time. I watched it last night On Demand (pay per view). It was worth watching again. The rental lasts two days. Anyway, I woke up with the worst frick'n headache.

Last January when I was in the hospital they recorded my oxygen at a level in the 90's when I used the CPAP, but in the low 80's when I went without which I guess can be dangerous to your overall health.

So now I have a headache and I'll have to take some acetaminophen. With my bad liver I am allowed to take acetaminophen every once in a while, but only two tablets twice a day if I have too. I know two tablets will take care of this stupid headache today. AND, then I'll finish watching the movie... without falling asleep.

Sunday, September 29, 2013

Feeling better

The seroquel worked and I felt better by the evening. I was still happy to go to sleep and leave yesterday away. I feel okay so far this morning.

My weight was from 429 or 421 in the Western Hills nursing home in January 2013. I'm not positive since I was still coming out of a psychotic state and I don't know if I read the chart right. The beginning on January, when I entered Swedish Hospital, I could have been as much as 10 pounds heavier.

In 2012 I had completely given up, having gone from 335 slowly to 350 and then I gave up and stopped weighing myself and started eating like a regular person. My metabolism can't handle that.

I didn't eat anything while I was in Swedish for 2 1/2 weeks with what started as a severe case of cellutitus and then the infection reached my blood stream which can easily have fatal results. I hated the food in the nursing home and I only really ate fruit for 1 1/2 weeks. By the time I got out of the nursing home I probably weighed somewhere around 404 or so. My home scale only goes up to 400. It kept showing an error until one day in February. I was 390 by the end of February. I wasn't going to lose this chance to kick off a diet to help my body in about a dozen different ways. I became devoted to making my self healthier for good.

I've lost between 8 and 10 pounds a month consistently. That per month goal has given me the chance to eat whatever I wanted occasionally, but only a little bit. Most of the time I just concentrated on high protein foods and never anything after 6pm. At some points in each month I would stabilize or gain a few pounds, but then I would pull it out by the end of the month.

This morning I weighed in at 312.4. I have two days until the first of October. It is possible for me to lose 2 more pounds by then and start the month at 310. That would put me at 10 short pounds to my first awesome goal. I'll be leaving the 300's behind two months early. Yup. I feel pretty good this morning.  

Saturday, September 28, 2013

Having a panic attack

I thought it might be good or terribly stupid to write while I'm headed into a panic attack. This won't take long. I feel weird. I can't explain it, but I'll try. Everything around me is going okay, but I feel like I need to run. No where in particular, just run. I feel like I need to be out of my own skin. I may have to call my psychiatrist, but I know she'll tell me to take an extra dose of seroquel so I will on my own. Maybe I need to sleep this off. My chest is tight and my breathing is short. I'm bouncing off the walls. I have to go.

Friday, September 20, 2013

Updated Bariatric Progress Log

Just a quick note. I painfully updated my Bariatric weight gain/loss Progress Log at http://www.lose250.com/

Wednesday, September 18, 2013

Found a new Bariatric Vitamin !!!

I should probably start with a slight revision to my previous post. I could just go in and edit it, but it's important enough to post here. In January 2013, when I was in the hospital for a very bad case of cellutisus (skin infection) I lost track of time. My wife tends to give me information bits at a time in case I can't handle the truth. I hate that, but she's kind of right. I do flip out when I learn about something I don't remember. This is one of those times. I guess the reason that I lost track of time while I was in the hospital for two and a half weeks is because I went psychotic. Not bad psychotic. I just lost touch with reality for a couple of weeks. I do remember all of the time spent at the nursing home, so  I must have been better by then. Opps.

My big news for all bariatric patients is that I finally found a new supplement to replace the Optisource who changed their formula or taste into butt. Twinlab makes a series of supplements for us that tastes great. The big chewable multi-vitamin pill tastes like berry sweet tarts! I found them at Spouts Market (formally called Sunflower Market) http://www.twinlab.com/product/bariatric-support-chewable-multi . Great stuff. They have a full line of bariatric vitamins and supplements.

An important part of weight loss is obviously exercise. Of course exercise burns calories, but not as many as you would think. Losing weight is still about good calories being used or burned in greater relation to those required to maintain or gain weight. Basically, you have to eat less and exercise because it helps you burn fat not muscle. For a long time I have had problems with my left knee. I run on the treadmill and hike on a regular basis and my knee would be on fire and I couldn't maintain my regiment. I went to a respected orthopedic surgeon expecting to have my MCL worked on. Instead he took x-rays of my knees and showed me something interesting. I have stage 3 out of 4 bone on bone arthritis. I have the same contact on both knees, but only the left one hurts now. He told me the right would eventually start hurting as well. The long term solution is a knee replacement, but I have to lose about a hundred more pounds to be eligible. The short term solution is to get a single injection of Synvisc one Hylan G-F 20 directly into my knee. He said it creates a temporary barrier between bones. It should last six months. Some of my friends have told me it can last much longer and you can always have another injection. You have to be tender on your knee for 48 hours, but after that you can do whatever you want to. SIX MONTHS WITHOUT PAIN! I'm in! Now I'm just waiting for my insurance to approve it which they most likely will. If I had only known earlier. So much pain could have been avoided. Anyway, with my new reduced weight my running and hiking are much easier aside from the knee pain. I'll really be able to hit the gym soon. Sooooo happy! I'll let you know how it works.


Tuesday, September 10, 2013

Weight loss

Hello folks,

In 2012 I watched my weight slowly go from say 330 to 350 to 360 and then I stopped weighing myself. I knew I had completely sabotaged my lapband surgery which is proof positive that the surgery isn't the magical solution that many believe it is. It's easy to stretch out the upper pouch to the point where you can almost eat as normal people.

I'm not sure how much weight I was when I first entered the hospital for a severe case of cellutisis on my left leg on January 4th, 2013. I imagine that it was somewhere around 430. I lost lots of weight for those first two and a half weeks because I was too sick to eat and the food tasted bland and just yucky. When I went into the nursing home I seem to remember 429 being entered on my chart. I do remember being told that I was somewhere around 421.

Once I got home in February my scale showed an "error" because it only went up to 400. After a week or so I finally got it to work and I was just under 400. Today I scaled out at 321. It's unbelievable but I have for the last several months been aiming for 10 pounds per month. I've been close to that each month, but I think it's been more like 8 pounds per month. By the end of this month I should hit 310 because my body took some time to get used to being around 320 to 325 pounds. That usually makes it easier to drop some quick weight.

I know that the "rules" say that you should only eat three meals a day of no more than a 1/4 cup, but I don't really pay attention to that. I don't exclude anything because I don't want get cravings. I do eat ice cream and a few bites of an Arby's beef and cheddar. I eat pretty much anything, but I don't eat more than maybe a 1/2 to 3/4 cups of food. My best loss days are when I don't snack and I have discipline at dinner time and after dinner. I think you lose the most weight while you sleep.

I have also resumed my weekend mountain hikes and I have also restarted my tri-weekly gym workout. It's important, but not really because you lose a lot of weight working out. I does make you feel stronger and more limber, but losing weight is more of a calorie in and calorie out. Sure you burn some calories working out, but eating less burns more calories. Especially if you eat less at lunch and dinner. You can completely sabotage your good discipline from the day if you eat a late fatty dinner of more than 1/2 cup. If you eat right at bed time or if you get up for a snack, you will gain weight.

I don't really follow those strict rules of high protein of 1/4 cup only three times a day because I am still losing 8 to 10 pounds a day without any cravings at all. Oh yeah, drinking hard liquor and beer completely messes up your weight and messes up my liver. Do I ever drink? Yeah, sometimes if I'm watching football with my brother or something, but I milk one beer during the whole game. I never have more than one drink every week. Most of the time I do not have any. Those become my good weeks. This week will be a good week. I imagine I will hit about 317 this week.

I will easily scale out below 300 by Thanksgiving. That will be a cool day. One note about my bipolar mood swings. The mornings have gotten better, but I have to take a seroquel in the afternoon otherwise my mind races too fast and I become combative. In all I would say that I am doing okay.    

Sunday, September 1, 2013

Bipolar moods swings

I continue to believe that most people don't understand. Sure, everyone has ups and downs, but it is the extremes that endanger bipolars. It's like you're out of control of your own mind. My biggest problem regardless of which swing I am in is racing thoughts. Not regular multilevel thinking, but thoughts that nearly scream in your head. They totally exhaust me. Especially when my moods swing within one day. I just want some quiet so I can think clearly. It usually takes extra doses of Seroquel and that makes me sleepy. Sometimes that's good, but if I have tasks to complete that day it is discouraging.

Their are exterior triggers... sometimes. I was trying to remember my hospital stay for cellutitus infection in January. I can remember a bit, but there are huge holes in my memory until I was transferred to the nursing home. My wife told me I went into full psychosis. Damn, I thought I was past that. The last time I went into full psychosis was in January 2008. It took them over three weeks to bring me out. I can remember the waking nightmares. It was truly scary. I don't remember this past January. Maybe that's good.

I have been having waking hallucinations that are usually quick and I have to scratch my head to remember how real they seemed. I had an incident where a child ran in front of my car. I stepped on the brakes before I realized it was not real. My psychiatrist is beginning to wonder if I should be driving. Maybe I made a medication error. Maybe I just need to concentrate on being in the moment. Maybe my mind was elsewhere. I don't know. My PCP thinks they may just be momentary peripheral vision which he considers normal. I'd like to believe that prognosis.

All that being said, I feel generally okay. I have it find more to do in the mornings. My mornings seem to be the hardest. By the afternoon I'm usually writing which forces my mind to go into a different world, a different sphere of reality. I really think the depression of the Winter and all of the physical and family trouble is behind me. I wish I was manic as long as I was depressed, but it doesn't seem to be. I'm not necessarily depressed, thanks to the increased and new meds, but I am diffidently not hypo-manic. Maybe for a few hours of the day. I can say that the new Trileptal has helped stabilize me to a point, but it also puts a weird taste in my mouth.

The bariatric vitamin of choice was Opti-sourse, but they changed their recipe and now they taste just as gross as the others. I'm trying to mix them in orange juice or keep a chaser very close by. I'll admit to not taking them as often as I am supposed to. This may hurt me in the short term because I am continuing to lose weight at the rate of 8 to 10 pounds per month. I haven't been particularly good in the last week and it has resulted in a September first weigh in of 322 instead of my goal of 320. Two pounds isn't much so I can't whip myself too hard.

I guess that's it. Finances are stable for once this year, but that may be short term as my cars all seem to be taking a crap all at once. Oh well, that's life.