So, I've graduated from University, and the state has cut me off the health care teat.

If anything happens to me now, I'm totally screwed.

It's unlikely I'll be able to get decent (much less affordable) health coverage during the time I'm temping, especially with my myriad pre-existing conditions (major depression, sleep apnea, anemia, heart trouble, obesity, carpal tunnel syndrome, plantar fasciitis, and high blood pressure).

Basic Health, the State of Washington's health care plan for low-income people, banned me from coverage for a year after I couldn't pay the premiums last fall. I don't know if I can get back on there or not. Even if I can, the waiting list may be 6 months or longer.

I have enough anti-depressants to last the month, but after that, I'll be back to no meds.

I really like the CPAP for my sleep apnea, and it really helps, but it turns out Medicaid was only RENTING it for me, so it's likely I'll have to return it. That means the very thing that is helping me become more stable and energetic and able to work will be yanked out from under me.

The USA: Where health care is a for-profit industry. If you can't afford it, too bad, fuck you and DIE.

I fucking hate the United States of America. I really, really do. I am so very, very disgusted with the monster this country has become.
I met with my Psychiatrist today for the first time in months (since I sat out of school Fall Quarter, I wasn't eligible to see her).

She and I agreed to keep me on the Fluoxetine, instead of putting me through another med change by switching back to Zoloft (eek! That last switch was HELL, as those of you who read my journal know!), but we did up the dosage from 60mg to 80mg per day. I'm fine with that, though I just wish the Prozac wasn't killing my sex drive, with a new boyfriend and all...

She also wants to put me on ADHD medication, Vyvanse, which is an Adderall product... BUT... she can't try me out on it until I get my blood pressure back down. It was 150/88 today, which is high for me, though my weight seems to be holding steady at 386. Once I get it back down to 135/85, she'll give me a free month's worth of Vyvanse. AND, after that first month, if it looks like it's working well for me, I'll need to find a way to cough up $150/month. *cough*
Had a followup appointment with the P.A. at Interfaith Medical Clinic this morning (which is why I missed DVR Job Club today).

We've upped the Fluoxetine to 60mg/day, close to where I was before back in the 1990s.

No comment from her on my blood pressure: 140/90. Pulse: 80 bpm. Weight: 389 lbs. She did ask if I was getting any exercise, to which I answered "yes, some" -- which is true. I've been taking guests and friends up to the Sehome Hill Arboretum a lot lately, which gets me out of the house.

If all goes well, with school registration, then I won't have to see the staff at Interfaith anymore - I'll be a student come January and have access to the Student Health Centre, which has far superior care to the free clinic.
OK, I've now been on the Fluoxetine at 20mg a day for 5 days. So far, so good, with only a few instances of suicidal thoughts, bursts of rage, self-destructive behaviour and binge eating. Starting a new regimen of antidepressant meds can trigger all of these things in me, which has happened over the past 5 days. I actually was "stable" in my depression before starting the meds, and was warned by the prescribing P.A. that the early stages of taking this med could be rough. She was right.

Today I up the dose to 40mg, as prescribed. It could be a roller coaster ride for the next few days, so be warned. Buckle your safety belts, please keep arms and legs inside the ride at all times, and enjoy your visit to Disneyland.
kevyn: (Default)
( Oct. 31st, 2007 06:02 pm)
So, I finally got to see a new Physician's Assistant today. She decided to prescribe Fluoxetine (Prozac), so I am back on that again. I was on it for years back in the 90s, but it stopped working. "Prozac Poop-Out," the phenomenon is called. She said it's possible it will work again now that I've been off of it for a few years, and it's covered by the state.

Of course, it takes 2-3 weeks minimum to start working, so we'll see.
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