Cancer Selfies

Bipolar Awareness Day

Apparently yesterday was some sort of bipolar disorder awareness day. I was pretty busy with a full day of scheduled existential crisis about mortality to notice.

All I've got to say is that we're fucking human, and you can get hyperfucked if you're still writing us like we're magic weirdos with intense mood swings. Especially if it's for a dumb meme, that dangerous misinformation will spread for years.

We're human. I'd love to have a conversation about what depression or hypomania feels like if you're curious, but all you alls simply must stop spreading medical misinformation first.

From the comments

James Petrosky: This sounds like a very specific call out. If is not. I didn't see any of my friends posting stuff like this. I did see lots of stuff like this in groups some of you frequent, though, and that's more than a little bit suspect

James Petrosky: bout me, though, and my mental health.

I don't talk about depression so much anymore. I still experience it, am still medicated and still speak to someone regularly about it. From a medical and quality of life point of view, I absolutely still experience it. But philosophically, is it still disordered if it's about an extremely real thing? Is it still depression when you are surrounded by proof of your impending mortality? Of the failure of all treatment options to accomplish anything beyond the bare minimum?

I don't know, and if you want to have a conversation about it you can find me at a bar outside the University of Waterloo most Wednesdays 2006-2009, because that's the time in my life for such discussions. Today whether it is or isn't depression doesn't matter (and I really mean that, I'm not looking for validation either), today is one of my extremely finite days, and I should make something of it regardless how I feel (although what is dependent on how pretty strongly).

James Petrosky: I've had some hypomania this treatment cycle. It's weird feeling so motivated to do things, and having the feeling of having energy, only to have it all come crashing down when the reality of a body ravaged by months of chemo becomes unavoidable. I still spent a week not sleeping, with a mind that wouldn't stop (only about 25% thoughts of death, so could be worse). Hypomania is only good in fiction, although it can be briefly enjoyable.

Excitement and Mania

Something about recovering from a hypomanic episode that I can't remember being talked about is how it's hard to trust yourself again after.

I was making my plans for today over breakfast, and got excited that I think I'm going to finally make it to the end of a long chore chain today. And I had to stop and reflect whether this was a healthy, normal excitement, remnant mania (chores, even the completion of, don't usually cause me joy), or normal excitement retriggering an episode (no idea if this is possible, but I would take great pains to minimize risk).

This morning, based on the speed of my thoughts and the fact I've seen everything I've started through to the end, I'm confident it was normal and healthy. But I have to second guess every elevated state for at least another week because, for me, the real risk comes from having an episode and not knowing it's happening, damage control has so far been simple for me if I'm able to reflect, but that requires a tremendous amount of vigilance.

And it's really hard to enjoy moments of genuine excitement if you have to constantly second guess your own mental state.

From the comments

James Petrosky:The task I'm going to get to is eliminating a box I've kept on the floor since April 2020 as overflow pantry storage. My apartment is shit and has no storage, so this has been the only option until now. Today I will

-sort through some more records, freeing up some living room shelf space -sort through stem ware to see if anything is worth saving or giving away, placing remainder in opened up space in living room -move food into space where stemware was -possibly rearrange kitchen gadgets to fit in remaining food -fill entire trunk of car with two weeks of donations

Is it realistically that much? No, but I no longer have a lot of energy so it's pretty ambitious for me

James Petrosky:Moving anything in this places cascades down several other levels of bullshit, but getting rid of a perminant floor clutter is a major victory that makes all future tasks have fewer cascades. Especially because everything in today's cascade is either getting a real home or getting donated.

Guide to Identifying Waterfowl

It's really, really easy to understand why depression is so terrible. Some people are still unrepentant swans about it, but they're dumb and wrong and should be punted into low earth orbit.

It's a lot harder to explain why mania or hypomania are also the fucking worst, in their own grotesque and magical way. Because every creative project I've ever done (lots of 3D prints, the LED crystal glass stuff, ones I've yet to complete like a cat laser turret) was born of hypomania. And a lot of frankly unimpressive and boring ones, too, but their boring and I'm hypomanic so I actually can't make myself think about them. Art critics of all media love to retroactively diagnose someone as bipolar, and use that to explain their output. And who the fuck wouldn't want any favourable comparison to van Gogh, even if it's in the form if an extremely serious mood disorder.

I won't lie, hypomania is the most fun I can possibly have. Because level James or depressed James can only enjoy one or two pleasurable activities at once (eating and watching a movie, for example). But hypomanic James easily gets to, and maintains, five (movie, music, food, cat videos, paper stage designing of 3D print project) without feeling like I'm missing out on anything from any of them. Genuinely, the only way to top that is to add drugs, which I know magnifies the feeling further, but generally don't do because I know the risk factors and apparently statistics have the power to get through to me.

Hypomania looks a lot less attractive from where I sit right now. The party ended days ago. The creativity, joy and way the colours of those lights looked has all returned to a tedious normal, one I'll forget is as mundane as a mallard in time, but a normal that almost hurts for now. I don't sleep much while hypomanic. I don't need to. I can silence my racing thoughts for three hours a night and that's plenty. I still can't sleep, and am really feeling that lack right now, after another night of insomnia and three hours. I also mean the party ended in a more literal way, because my manic ass starts cleaning projects, and would finishs many, but whatever is left over at the point it all crashes down is for my level, exhausted, self to deal with.

I'm so tired. I'm not looking for pharmaceutical, natural, or any sort of supplement remidy here. Between the bipolar disorder, lithium, cancer, chemotherapy, and high blood pressure I simply won't touch anything not okayed by my oncologist, my kidneys and my liver are both in bad shape and I cannot risk further damage.

But I'll accept mental tricks for falling, and especially staying, asleep. Apparently there's some overlap in things that work for jetlag and things that work for bipolar insomnia (preliminary research, not the exact insomnia problem I'm dealing with, but it's something). And no, getting extremely high doesn't seem to help, I'm just uncomfortably high and awake the same amount of time (this does help for regular sleep, though, so it wasn't a bad thought).

From the comments

James Petrosky:Tldr enjoy my hypomanic rant about how hypomania gooses and swans at the same time and how I'd really rather just duck.

James Petrosky:Geese are exciting, fun and delightful. Swans are dicks, jerks and bad. Ducks are just ducks, ducking around, doing duck stuff (but not that duck stuff sicko this is a wholsom waterfowl analogy)

Justine Wiesinger:Things that help jet lag/sleep during the day in my experience: Maintaining a very regular eating schedule Eating lots of fruits and veggies Walking as much as possible Resisting daytime naps by getting involved in other things Things that might help at night: Peppermint tea before bed Wearing a sleep mask Ear plugs if needed Telling yourself a story as you go to sleep that does not involve yourself in any way Visualizing something endless, like releasing a rabbit and watching it run and run over the terrain Setting an alarm for the morning and NEVER looking at a clock during sleeping hours Rejecting stressful things your brain wants to dwell on by reminding yourself that you don't need to problem solve at 3 AM I know all of these might not be possible with your illness but I am throwing them out because I don't know what is or is not accessible to you at any moment, so throw out whatever doesn't suit. Most of my strategies are for fighting anxiety so they might not be applicable to other situations. I have also heard "no screens for an hour before bed" but never followed this

Brennan Moline:Growing up with a bipolar parent, I saw how destructive and painful the mania was -- as much so as the depression. I remember a depressed former friend saying she envied bipolar people because at least they had 'highs' and I had to restrain my anger as I explained those highs were just as painful as depression's 'lows'. I wish I had advice for insomnia -- I delt with a rough bout of it that only got better after a really bad mental crash, but that doesn't help. I hope you feel ducky soon.

James Petrosky:Brennan Moline, when I'm depressed, I wish I had an episode incoming to get me doing stuff again. Sure could use the energy to clean the apartment, it hasn't happened in a month or so at that point. Right now I could go for a week of depression sleep. But really we all just want to be silly ducks, puttering around the pond, having good but uneventful duck days.

Exhaustion is bad for mortality salience

Cycle 16, Day 12

Gang, I'm so tired. Tired of counting cycles. Tired of the side effects. Tired of living in a sort of constant existential terror.

I took a walk to the beach, roughly 400m, and found myself lightly winded when I got there. Walking back was the same story. I've been doing some basic yardwork, collecting leaves that fell on the patio stones mainly, and after three hours of medium-light labour I'm so exhausted I need a nap. I've never been the most fit person, but even at the peak of my cancer pain on the late summer I was still able to work (medium-heavy labour) fifty hour weeks without wearing myself out. It's a lot to get used to. And to add further insult, my nose has been running constantly for the last month. It's a known side effect, but it's gross and frustrating.

For the sake of my mental health, I need surgical dates to look forward to. I'm hoping I hear something this week

From the comments

James Petrosky: Most of the time I'm pretty comfortable with my mortality, but the anxiety and depression and exhaustion have a way of eroding the peace I've made and found.

James Petrosky: My personal nurse has been a tremendous help, though

Cathy: