Tuesday, June 29, 2010

Starting a second job...


I get funny looks when I tell people what I do for a living. A lot of people don't even know my job title exist let alone know where to find me. My technical title is "Registered Polysomnographic Sleep Technologist"...that's a big word to describe a clinician who works at a sleep disorders center...a Sleep Tech. In short, I watch people sleep and try and find ways to help them get the most and refreshing quality of sleep possible. I'm part of a treatment team consisting of doctors, nursers, respiratory therapists and sleep techs who diagnose and treat a variety of disorders ranging from Insomnia, Sleep Apnea, Narcolepsy, Chronic Fatigue, Klein Levin Syndrome and REM behavior disorder. Despite the lack of public knowledge of sleep as a medical discipline most adults at some point or another have issues with sleep. Many never make it past their primary care doctor who writes a script for a hypnotic agent like Ambien or Lunesta, but when people look for more answers they typically find themselves at a sleep clinic. I've been a sleep tech for three years and I achieved board certification in February of 2009.

I started my latest gig tonight working for a doctor I met in 2008. I was interested because he has acquired a large research grant and has been doing some pretty cool stuff. This year he and his staff helped facilitate a double blind study observing the effects of risperidone vs. placebo on sleep and EEG (brain wave) activity in a group of schizophrenic patients. The study was nationwide and also had participants in India. The patients were paid very well for participating one night a week for nine weeks.

It's unfortunate how far the stigma of mental illness runs, even among trained medical professionals. I knew one of the sleep techs who worked on the research (the one who got me this job) and had to chuckle inside as they talked about risperidone as if it was only a medicine for the completely demented and insane. I take risperidone everyday as a maintenance med for Bipolar II, however this colleagues is unaware that I have Bipolar disorder or take psychotropic medications at all. I guess I pass pretty well...

So the doc's goal is to get us involved in some more drug trials. We could be on the cusp of the next great hypnotic or benzo. Who knows? So I'm super excited about this side job. I'm only committing to two shifts a month. I'm still keeping my full time job which is three nights a week with full benefits and pension and all that jazz. I was sort of scared to exert myself any more than I have been. I pulled back a lot last August after a hellish summer and have been taking it pretty easy with just my three nights at the hospital. All of my mood swings and episodes are related to environmental stress, but I feel like i can keep everything in perspective. Now is the time to work hard. The wife and I don't have kids yet and we are looking to be homeowners next year so the extra five hundred bucks a month will come in handy.

Above everything else it will be interesting to apply my skill set in a different way. I spend about 95% of my time treating sleep apnea so some cool research studies and drug trials will be a much welcomed change of pace.

mellow

Tuesday, June 22, 2010

sleepy head...

I can't get out of bed these days...I just can't do it! Tomorrow I'm gonna set two alarms and force myself up. I had plans to hang out with the wife and I slept all afternoon. I think I hurt her feelings, which is making me feel kind of icky right now. I'm not feeling as a fatigued as a few weeks ago, but this sleeping fourteen hours a day thing is annoying. I've always been a sleepy head ever since i was a kid. I feel pretty bad about it. Sloth is my worst defect.

I guess it could be one of the meds working against me, but the cocktail has been stable for quite some time and I've never had problems with fatigue before. I mess with my vitamins all the time, but I seriously doubt they could be causing the fatigue. I'm basically dropping a nuclear bomb of B vitamins on my system everyday. How the B's could be working against me I don't know. Too much B usually is eliminated through urine with little ill effect. I might try augmenting my magnesium back to all 400mg at night, but that always leads to gut trouble so who knows. Maybe I'm over thinking it, I should probably just get off my ass and start exercising. That would fix it in an instant!

I'm going to try and blog several times a week from here on out, but its hard to put yourself out there. I feel real insecure about it, but i know i just need to work at it.

I get to hang with my 12 step friends tomorrow. It's always fun to hang out with the drunks. They make me laugh. It's hard to believe that I haven't had a drink in three and a half years. Probably the best decision I've ever made....

Anyhow that's today's blog...

mellow

feeling normal again...



So how long has it been???

I had kind of given up on this blog thing. I thought it was all a load of crap, but when I gave it a read today I felt like I should give it another try. I've got nothing better to do at 4:40am anyhow. I think I was in a real pissy mood the last few blogs I wrote...today I'm in a really good mood!

I guess over the last month or so I have achieved a remission. No serious symptoms. I had a bout with some hypomania in February and I've really been struggling with fatigue, but I think the bipolar is in check so to speak.

I started Weight Watchers about 10 weeks ago and I've lost 26 pounds so things are good on that front. I'm still way over weight, but a solid year of binge eating will do that to a person. I guess there is hope. I just need to hang in there and continue with what I'm doing. The wife is really trying to get me in to running. It's done wonders for her. I just need to take the plunge. I bought a $100 pair of shoes that are just sitting in my closet. Exercise is suppose to be great for mood stabilization, but I'm just lazy.

Jane (my therapist) had cut me back to every other week and last week she said she didn't think I needed to come but once a month. I've got to admit I'm a little freaked out. I've gotten so use to seeing Jane and the doc all the time that doing things on my own seems a little scary, but I guess my treatment team is trying to send me a message. Maybe I'm not that fucked up after all. Maybe I'm actually stable for once. Who would have thought that could happen.

The fatigue was a real issue and I think sticking to a good sleep schedule has helped more than anything. I've pretty much come to terms with the fact that if I'm going to work graveyard I'm going to have to live nocturnal all the time. I function so much better when go to bed and get up at the same time everyday. I had added 4000mg Rhodiola for about 5 weeks to see if it would help with energy, but I didn't really see results. Then about a month ago I started 3000mg of sublingual B12 and 400mg D3. Then last week I changed from a B stress to a B100 complex. Anyhow all vitamins aside the sleep schedule is what is making me feel the best and the most chipper. I still struggle with getting out of bed. I don't know what it is with me, but getting up is just a drag. Once I'm up I don't feel depressed or anything I just have trouble getting out from under the covers.

I switched my fish oil over to a supplement called Omega Mood. I'm taking two 1000mg capsules and it has a 1000mg of EPA and 150 mg of DHA. I also switched over to Magnesium Glycinate. I'm taking 400mg. The Citrate was giving me gut trouble. The meds are all the same as usual. This will be the first time i've gone a full three months between visits to the doc in at least a year and a half. I see him in July some time.

Things are good I guess! I'm posting this to psycobabble. So maybe some of you guys on babble can subscribe and comment...

Peace

-mellow

The current cocktail...

Risperdal 2mg
Celexa 20mg
Topamax 50mg
Lamictal 100mg

Multi Vitamin
Omega Mood 2000mg
Magnesium Glycinate 400mg
Vitamin D3 400mg
B Complex 100
B12 3000mg