Peace and Quiet. Well, almost…

My husband is pulling his 24 at the station tonight, my daughter is spending the night with my mother, and the house seems rather calm and still for the first time in days.  My two-year-old is staying up past midnight for the second night in a row, but he’s singing to himself now, so it shouldn’t be much longer until the ole eyelids give up the ghost.

I’m still extremely unsettled with my daughter’s situation.  Being the weekend, I can’t reach anyone by phone to get a plan in place for dealing with her next “event,” for lack of a better word.  She seemed in rather good spirits today and we have told her to stop all the medications for fear that is what triggered all of this inability to control her thoughts and her struggle to think rationally.  She and her grandma were going to do a little shopping and veg out in front of the TV tonight.  A bit of a break for everyone. 

I’m feeling much improved today, but still not exactly well.  I can’t decide if it is more physical or emotional exhaustion.  Maybe a little of both.  I’m really dreading the upcoming week.  All of these “life-altering” events are coming too quickly and I’m wondering how much longer I can keep up.

I’m looking forward to a little day-trip up north to spend my dad’s birthday with him.  He’s turning 60, but doesn’t want anything special.  Yes… a lot of people just say that, but I know my dad and he means it!  When I asked him what he would like for his birthday, he told me, “Spending the day with you would be the best thing I can think of.”  He’s such a suck up!  Ha, ha.  So the plan is to leave here the morning of the 29th, take him to lunch, and just spend the rest of the day catching up in person.  I haven’t told him yet, but I was also thinking of inviting Mom (his ex) along.  She hasn’t been back home since we buried her mother and she has especially wanted to visit the cemetary since her husband passed.  My parents actually get along better now than they ever have, so I don’t see it being a problem.  Dad might enjoy the company.  He likes being the center of attention.  I will also have the chance to spend a little time with my grandmother.  Much needed time.

The boy is out!  Think I’ll prowel the kitchen for a late night pick me up.  I have to fast tomorrow night for a glucose test Monday morning and I can’t help nibbling all the things I know I’ll be thinking about this time tomorrow!

Still Catching Up…

This morning, my daughter calls me from school to tell me that she is vomitting.  Come to find out, she took the anti-anxiety medication before eating and I tried explaining that was all it was.  She called back again, complaining her heart was racing.  I told her to call her doctor, but they told her to call that non-doctor-counselor we met yesterday.  Turns out, the OB wasn’t aware the psychiatrist there doesn’t treat adolescents, only adults.  Therefore, my daughter was handed off to the “counselor” on staff.  So the OB said to bring her back later that day.

Meanwhile, she’s feeling worse.  I’m not much better off, myself.  Tremendous pain, stiffness, cramping, diarrhea, vomiting… the whole nine.  However, I drug myself out in the cold rain and went to pick her up.  On the drive home, I told her my husband was going to have to take her to her appointment as I was not well.  She wanted her boyfriend to take her instead and I reminded her he wasn’t going to be driving her anywhere.  Long story short, she wound up slamming the door, yelling all the way into the house.  I snapped!  All the issues we have going on and she’s throwing a fit over her boyfriend not being allowed to drive her?  I made her sit on the couch and gave her a piece of my mind.

Yup… there I was… telling my severely depressed, pregnant teenager that her “freaking out everytime she vomits” is getting old.  She insisted it wasn’t just the vomiting and I forced her to elaborate.  She explained that while she was in the bathroom at school, feeling as sick as she felt, she took out that bottle of pills, looked at them, and thought how easy it would be to just take them all and get it over with.  That snapped me back into reality pretty quick and reminded me how sick my child truly is.

When my husband got home, I filled him in on everything and told him I wasn’t sure what to expect.  I didn’t know if they would want to commit her, assign her to out-patient care, or what.  We asked my daughter what she wanted and she honestly felt scared that she would have these thoughts again and was worried that next time she might not talk herself out of it.  That was all we needed to hear!

So they go to the OB who asks a few simple questions and instructs them to go straight to the emergency room.  They waited four hours to be seen for a total of maybe five minutes and they told her she needed to find a psychiatrist.  Well DUH!  But it is Friday night and no one in this town appears to be qualified to treat adolescents, let alone pregnant ones.  And that was that!  They told her nothing about her meds (because they aren’t qualified to), gave no advice on what we need to do to help her with the panic/anxiety attacks… NOTHING!  Just sent them home!

I may be niave here or just ignorant on the subject, but when someone is saying they have sudden thoughts of suicide and feel uncertain about whether or not they can talk themselves out of it, shouldn’t they be admitted for observation?  They claim they can’t keep her because they aren’t “qualified” but they’ve had more experience with this than we have!  What the hell are we supposed to do?  Even the patient leaflet that came with the meds said if you have suicidal thoughts to seek immediate medical attention.  What good is that when all they do is say “we can’t help”? 

My disgust with the medical profession knows no bounds, but this has just blown my mind!  I did the best I could at explaining to my daughter why she isn’t getting any help and she seems understanding, but so hopeless!  I’ve promised to do some hotline calling or something tomorrow and told her to just go off the meds and get a good night’s rest.  She and my husband had a pretty good vent session about their experiences at the hospital and both seemed in pretty good spirits before turning in.  Let’s hope tomorrow is a bettter day for all of us!

Catching Up: The OB/GYN Visit

We got an appointment with the OB and my daughter was found to be significantly depressed after answering a brief questionaire.  The NP said she was going to give her some anti-depressant samples (Welbutrin) and an anti-anxiety medication (Buspar) to tide her over until the Welbutrin got into her system.  She said that should she have any more thoughts of suicide to head to the ER.  The NP also said she would call us with an appointment to a psychiatrist who would monitor her progress with the meds.

They called and said the appointment had been set up and it was 2 hours after an appointment I had that day.  I took her to my doctor with me, for fear we would run short on time.  I got a referral to a neurologist, a return appointment for more blood work, and x-ray orders for the radiologists.  We left there and went to my daughter’s appointment.  When we finally got in to meet this person, he tells us up front that he is not a psychiatrist, but a family counselor.  Let’s review… we tried family counseling before and the nut job told my 15-year-old daughter that she had every right to explore her sexuality and told me that she was depressed and angry because I was oppressing her desires.  Fast-forward a few months and my daughter is sneaking out of the house at night, sneaking her boyfriend in, and winds up pregnant.  Forgive me if I’m a little turned off by family counselors now.  What’s more, the NP told us she need to be in the care of a psychiatrist and this person was NOT one.  He did give us a referral to one, but one that has just joined the practice and doesn’t yet take our insurance plan.  I figured we would go back to the drawing board on that one.

Against my better judgment, my daughter wanted me to drop her at the boyfriend’s apartment and let him bring her home later and I did.  I went on to the radiologist and ran into my mother who had also been sent there for imaging on her veins.  It was just wierd to bump into her like that!

By the time I got home, I was wiped out.  I wasn’t in pain or anything, just feeling exhausted and overwhelmed.  No rest for the wicked, though, right?  My hubby had let the boy take a four-hour nap and I had spending half the night up with him to look forward to.  Around 9 p.m., my daughter calls to tell me her boyfriend had just been pulled over and that I may have to come get her as the officers may refuse to let him drive home with so many recent infractions.  JUST LOVELY!  You see, the boy got shipped here from El Salvador by his parents when he was only 17 and now he can’t get his citizenship because he is here illegally.  That means no driver’s license, but he still drives.  He HAS to so he can work and support himself.  There’s no public transportation, too far to walk or ride a bike, and he can’t afford a cab.  And yes, I’m an idiot for letting my daughter ride with him, but what can I do?  Lock her up?  Let her run away?  Or just do the best we can?

Needless to say, all the excitement left her rather sick to her stomach, dizzyheaded, and not well in general.  And what do I do?  Announce that she won’t be riding in a car with him anymore.  That sets her off and we have a few “words of prayer”.  No sooner than I get that over with, the husband comes in pissing and moaning about how she’s using her depression as an excuse to get out of everything.  He is SOOOOOOOO understanding!  Then he proceeds to force the boy into bed when he is nowhere near sleepy, forcing me to get up and “rescue him.”

I think I finally got to go to bed around midnight, only to wake up to more drama!

Depression During Pregnancy: Can it be?

When my pregnant daughter began demonstrating some of the classic warning signs of depression, I quickly dismissed the idea because pregnant women just do not get depressed. Chalk it up to hormones or whatever, it is just unheard of! Or so we thought!

Yesterday, a rather benign discussion about some of her responsibilities being neglected quickly escalated into an argument. In an instant, the argument turned into an explosive rage! Our once, non-violent daughter kicked a baby security gate across our kitchen and stormed outside. Left in her wake, I was at a loss. Could this just be hormones or stress?

After she had some time to calm down, we had another attempt at a discussion and what she had to say for herself sounded almost scripted from a pamphlet I read once about the warning signs of depression. Then she dropped a bomb on me… she said she often had thoughts of shaking the shit out of people, including me, and worse yet, hurting herself. Come to find out, she had been having frequent thoughts of suicide!!

Regardless of popular theory, I was convinced my child was depressed and I assured her we would get some help. I came online and did some poking around to see what our options might be and was surprised at what I found. Doctors and scientists now believe that pregnant women can indeed suffer depression and it may occur in as many as 10 to 20% of all pregnant women! Why didn’t we get the memo? My daughter has been told that her panic attacks and anxiety were normal during her first trimester, but several doctors would disagree.

What’s more, at her young age, she is considerably more likely to develop depression so I’m even more shocked that we weren’t told to be on the look-out for this. Now I almost dread calling her OB/GYN today because they have already neglected to tell us about something she is at such high risk of developing and completely missed some of the warning signs themselves (i.e., panic attacks, anxiety). Of course, after yesterday’s episode, I don’t think there’s any room for debate at this point and if they aren’t prepared to help, I will find someone who is.

My only concern now is how this will best be treated. I’ve read that there are certain anti-depressants that have been approved for use during pregnancy, but my own experience with them has not been positive in the least. When my illness was at its worst, I became depressed and sought help. However, my depression wasn’t so much chemical depression as it was situational, so when they gave me meds that altered my chemistry, I learned the difference real quick! When I went to the doctor, I just didn’t want to face another day of extreme pain and fatigue. I just wanted to go to sleep and never wake up again. After I started the meds, I was volatile! I hated everyone, everything, and wanted to go around blowing up shit! It was more like, “I’m going and I’m taking everybody with me! Not literally, but you get the idea. I finally went off everything and started reading support information for people with chronic illness. It changed my life! Just knowing I wasn’t alone did wonders!

So what can I expect these meds to do to my already violent and unstable daughter? Will her doctors even be willing to try medications? Will she be willing to take them and take them regularly? Just defining the problem isn’t even half the battle here. And I intend to ask why we weren’t warned about this either! I am growing weary of a medical community that doesn’t provide enough information to us patients to better manage our own health!

Email from the Mom-In-Law

I got an email from my step-mom-in-law the other day, expressing her disappointment and saddness with “the choices” our family has made. I’ve yet to recieve clarification on which choices specifically concern her, but she did mention the “unfortunate news” of my daughter’s pregnancy. However, she mentioned my husband and myself by name, as well, when telling us how “saddened” she was with the paths we have chosen.

While my first reaction was to simply put her back in her place and forget about it, I soon found myself realizing how I was guilty of often doing the same damn thing. When my daughter first told me she was pregnant, all I could think about was how my hopes for her future had been crushed. Let me point out that she is only 15-years-old and you will understand what I mean. I even sat her down and tried to convince her to seriously consider abortion as there were two lives at stake here, hers as well as the baby’s. But I didn’t stop there. When she tried to tell me that being a wife and mother was all she had ever wanted out of life, I proceeded to tell her that she had no business worrying about being a wife or mother right now because she hadn’t finished her education and experienced all life has to offer.

As time passed, this weighed heavier and heavier on my mind. Like a bolt out of the blue, a quote by Mother Theresa came to mind: “It is a poverty to decide that a child must die so that you may live as you wish.” It finally made perfect sense to me. I had tried to convince my daughter to abort her baby so that she could live the life I wished her to have. I was suddenly transported back to a time several months ago when my illness had me convinced that life was no longer worth living… when the thought that kept me going was wanting to see my children grow into adulthood, for them to experience true love and the joys of parenthood. I didn’t think about graduations from universities or huge job promotions! Their finding love and having a family were what I wanted to live long enough to witness. Where did I lose sight of that dream, that hope, for them?

A few years ago, as a 32-year-old single-mom, I had an unplanned pregnancy. Although I was unable to take birth control pills, I had avoided pregnancy for 12 years using various other methods. I still had a normal period that first month, so when visiting my doctor for vomitting and headaches, I dismissed her suggestion that I might be pregnant. She persisted and viola, the test was positive. However, it was a slow-positive. I wasn’t sure what that meant, but she sent me to another facility for a blood test. Meanwhile, I had a million thoughts running through my head. She phoned me the next day to tell me that my hormone levels were not in normal ranges and that could indicate a possible miscarriage. In short, it was “congratulations” one day and “deepest sympathies” the next. I was scheduled for repeat blood tests in the following days to determine if more action would be required and eventually, my cycle resumed and the pregnancy had ended.

I’ve never told another living soul, but that hit me harder than I could have ever imagined. I told my mother and boyfriend that it was for the best and I was okay with how it all worked out, but I truly wasn’t. I was getting older and hadn’t quite let go of my dreams of five kids playing in my backyard. I never met “the man of my dreams” and felt it unfair that I was never given the oppotunity to have more children. I had lived with the “shame” of being an unwed mother before and wasn’t sure how much more difficult it had made my daughter’s life. I just couldn’t do that to another child. Or could I? A few months later, in the heat of passion, my boyfriend got over-eager and “let the boys play in the rain without putting their raincoat on.” I nearly bolted upright in the bed! No exaggerating! How could he have been so selfish? But later that night, I remember almost praying, if you will, to whatever powers that be… please let this be! If I am meant to ever be a mother again, please let this be. A few weeks later, I had a positive pregnancy test.

Although I didn’t get pregnant on purpose, I sure wanted it to happen and the guilt of that nearly killed me. My boyfriend’s disappointment with the news should have finished me off. Though my mother was thrilled for me, his was furious! Women in their 30′s should know better than to get knocked up, right? Suddenly my wonderful news wasn’t so wonderful. I spent the majority of my pregnancy feeling ashamed and responsible for ruining so many lives. Imagine, thinking of a baby as something horrible! Some dreaded curse! Shame on all of those who ever made me feel that way! And shame on me for ever trying to do the same to my own daughter.

My boyfriend and I married a few months after our son was born and he is one of our greatest blessings. My husband’s mother continued to cause such grief that I just don’t allow her to have anything to do with me or my son. My husband’s father and step-mom, on the other hand, have been supportive. Or so we thought, before getting the email mentioned above. But knowing how sometimes the things we want in our lives that don’t fit into the expectations of other can sometimes still be a blessing, I can no longer be so judgemental with my daughter. Sometimes being a good mother means not interrupting your child’s evolution into adulthood.

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