I feel like I might have slept off and on for 20 hours -- not sure.


I have an appt with mdoc on Monday.
1 I need to type my short list of what is going on -- she
interrupts before I finish and gets me agitated.

2 I will bring a list of all the psych meds and side effects for the past 12 months.


3 I need a script for a mammo.
4 Also yearly blood work.

5 I gained a lot of weight in this last year. She will say something
and I will tell her something polite even though I will want to hit her.



(Sorry, in a grouchy mood)


M

I hope you slept well and feel rested. Since you run with so little mixed up sleep. Your body needs the extra sleep when you can get it.
Good luck with Mdoc tomorrow.
That is a lot of notes to try to put together about side effects of each med, that is unless you already have that written else where/here.
I hope you have a good day.
((((((HUGS)))))
bizi

What is NeuroStar TMS Therapy2

(Transcranial Magnetic Stimulation):

• Uses precisely targeted magnetic pulses
• Magnetic pulses similar to those used in MRI
• Stimulates key areas of the brain that are underactive in patients with depression
• Is conducted right in the doctor’s office

Facts about NeuroStar TMS Depression Treatment

• Patients are awake and alert during treatment
• Patients can go back to their normal activities immediately after treatment
• In-office treatment takes 19 to 37 minutes
• Treatment is administered 5 days a week, for approximately 4 to 6 weeks

With over 775 NeuroStar systems providing therapy, and more than one million treatments performed, this novel treatment approach to achieving remission is bringing new hope to patients every day.2
NeuroStar TMS Therapy may not be right for everyone. Talk to a NeuroStar physician about how this proven depression treatment can help and whether it is right for you.
Learn how NeuroStar TMS Therapy has helped reduce symptoms in people living with depression.


Find a NeuroStar Doctor

Yes. Basically an electromagnetic coil placed on the scalp to induce an electric field inside the brain.
Queens TMS Therapy | Queens Transcranial Magnetic Stimulation | Fresh Meadows

Pdoc had to change my diagnosis to "Depression" because that is
what the insurance will cover.

She is still waiting to hear back although it took her a good gd time
to write the letter and I do not know if she sent it yet.


M

I might have over -medicated with the buspar the other day.

I took more than one pill for the day and slept around the clock for a day or so.
It was a weird feeling to know that I was in another world.



I will try to stick to the one pill (5 mgs I think) and see how that goes.

Its half life is 6.1 hours.

This is what I typed and printed for mdoc Tuesday

Twelve months ago started with new psychiatrist: Depressed, anxious, sleep deprived, overwhelmed

Past twelve months: July 2016-July 2017:
Tried these drugs to add to my then current meds: Verpamil, Klonopin, Gabapentin

I could not tolerate the side effects.

• Seroquel
• Risperdal (Activating was up for over 24 hours once)
• Ambien
• Lunesta
• Ritalin
• Wellbutrin
• Lithium
• Temazepam
• Focalin / Dexmethylphenidate
• Viibryd / Vilazodone
• Buspar / buspirone hydrochloride

Side effects: were anxiety, agitation, nausea, diarrhea, brain fog, paresthesia, leg cramps, diarrhea
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
Current status: Sleeping off and on during the day and night. Stay home.
Currently taking: Verapamil, Gabapentin, Buspar, Klonopin.


Working with insurance company to get authorization for TMS

Transcranial magnetic stimulation

I typed also a few things about the sleep neuro:

Saw new sleep neuro: Sleep study December 2016
Sleep Apnea
Settings were lowered.

I have dreamlets: hypnagogic or hypnopompic hallucinations.

Go into REM sleep early/quickly while still “awake”
Also likely narcolepsy

1 mg melatonin early in the evening
recommended no blue light in the evening (no tv or computer)
recommended sunshine in the mornings
wants me to go to a nearby medical school for CBT for help with getting to bed / sleep patterns / fear of sleep


Apparently, when they fall asleep, folks with narcolepsy go directly*
into REM (dream sleep).
This is perhaps why I have a hard time committing to going to bed ---basically I start dreaming (hallucinating) while I am still awake or right at the edge of sleep.

She needs to give me a script for a mammo gram
I stopped eating at 3:00 am. That should be long enough if she wants me to do a fasting test at 2:30. More likely I have to go to an outside lab.

ALSO NEED HER FOR FMLA paperwork but I might have to make a second appt for that because I do not have all the docs I need - maybe

I probably should take a shower before the appt.

I last took a shower two days ago. Before that is was eight days.



M

I absolutely HATE it when doctors interrupt me when I have important things I need to convey to them. When my cognition was especially poor, I would write everything I needed to say down in advance, and wouldn't "start" the appointment until they read what I brought with me.

I'm glad that you've been keeping track of all the meds you've tried and all the side effects you've experienced. I's not just important info about the individual drug, but she needs to see the big picture as well.

Do you think the only problem with the Buspar was that you took too much? I could not tell from your post?

Do you have obstructive, central, or mixed sleep apnea?
My first study said I had central, but 2 follow-ups said mixed. I don't use a CPAP.

you made me laugh about wanting to hit her.