I have missed you tons, and I have no excuses for why I haven’t
been writing just...
Life has been uneventful... I am still helping the elderly
woman. I keep staring at a blank pad of paper and want to write so very bad,
but I just can’t seem to be able to pick it up.
I have actually been feeling pretty good. The rTMS,
medication mix appears to be a good one. There are just two problems;
1) Constant
thoughts of Suicidal. Most are fleeting, but others get stuck in my head and it’s
all I can think about. Most I have no intent, others can be pretty scary.
Generally with them there is no depression just
(which brings me to number 2).
2) I
feel sad (not depressed, there is a huge difference), so sad about the life I have
created for myself and my son. Not only have I graced him with this amazing disease,
I also taught him how to waste money, how to alienate oneself, how to accept
the status quo, how to conceal your emotions, and how to hide oneself and be
what people want or expect you to be.
I have created a terrible life. I have no money to look
after myself now let alone when I should be “retiring” (a relative term these
days) – for this retiring means when I am elderly. I have NO hope in ever buying
a house. I have nothing to leave to my children. I will always be poor and a
burden. I wanted so much when I was little; I was going to be a dentist (but
realized that meant a crap load of school and the patient’s smelly breath),
then my next dream -which I held on to for years and years – the CEO of a large
corporation (one that built). All strange...but that is me strange...What I didn’t
know at the time was that I was harbouring a disease that would often show
itself but never had a name or an understanding of why – he is just weird – he is
spoiled – (to my mom from some horrible people) you’re a bad mom, it’s your
fault. I feel so BAD for what I put my mom through. I can never fix, change, or
give back what I took from her. She is an amazing woman.
In the rTMS world things have been changing, and in an
interesting way. There is a new way by which they administer the treatment. It’s
called Theta Burst Stimulation (TBS). “Protocols have recently emerged as a method
to transiently alter cortical excitability in the human brain through
repetitive transcranial magnetic stimulation (rTMS). TBS involves applying
short trains of stimuli at high frequency repeated at intervals of 200ms.”
“Human cortical excitability can be modified by repetitive
transcranial magnetic stimulation (rTMS), but thehttp://www.jneurosci.org/content/31/4/1193.full
cellular mechanisms are
largely unknown. Here, we show that the pattern of delivery of theta-burst
stimulation (TBS) (continuous versus intermittent) differently modifies
electric activity and protein expression in the rat neocortex. Intermittent TBS
(iTBS), but not continuous TBS (cTBS), enhanced spontaneous neuronal firing and
EEG gamma band power. Sensory evoked cortical inhibition increased only after
iTBS, although both TBS protocols increased the first sensory response arising
from the resting cortical state. Changes in the cortical expression of the
calcium-binding proteins parvalbumin (PV) and calbindin D-28k (CB) indicate
that changes in spontaneous and evoked cortical activity following rTMS are in
part related to altered activity of inhibitory systems. By reducing PV
expression in the fast-spiking interneurons, iTBS primarily affected the
inhibitory control of pyramidal cell output activity, while cTBS, by reducing
CB expression, more likely affected the dendritic integration of synaptic
inputs controlled by other classes of inhibitory interneurons. Calretinin, the
third major calcium-binding protein expressed by another class of interneurons
was not affected at all. We conclude that different patterns of TBS modulate
the activity of inhibitory cell classes differently, probably depending on the
synaptic connectivity and the preferred discharge pattern of these inhibitory
neurons.”
There is more information on the internet. When I find out
more I will post it.
I have only had one TBS treatment, it was weird. My usual hour
long session lasted only about 20 minutes, and where the paddle was on my head
felt warm for a couple of hours, and about 5 to 10 mins after I couldn’t keep
my eyes open...I was suddenly exhausted – so strange... I am not sure if it is
holding as well as the old way, but I will try it a few more times before I
decide if I should go back to the old treatment. Oh right, I forgot to tell you
that the new treatment is cheaper since it is shorter. Instead of $250 per treatment it is now $175
(still high but cheaper than anyone else in North America).
I am also going to star in my pdoc’s promotional video. They
will be shooting it for their website. I will totally post the link when I have
it. Then you can all see how dorky I look when getting a treatment. J
I am also looking at online dating (well actually I am
registered on two sites). Sadly I am way too picky (I’ll hold off telling you
what I am looking for, because you will think I am even more crazy – aim high
right?) And then I think about my life
and my bipolar and then I think wow what a catch, ugh. I am a good guy, it just
so happens I don’t “pack” light (get it lots of baggage ha ha). Oh well I will give
it a try, if “she” doesn’t like me for who I am then it wasn’t meant to be. I
wonder...How many dates before I should drop the bipolar bomb? Any ideas post
it in the comments?
I think that is it. Next time I promise to whine more about
this pathetic life I have created – no wonder I want to die... (sometimes)
Until next time Blogonians [blawg-awn-ee-uh n]s...
Dan