The Frist 36 Hours

Most of this story is true, I think.  Some of it was hallucinated.  A portion of it had to be told to me because I had no recollection of what was going on during part of it.  Some of it was dreamt and some of it was just there when I would close my eyes, like a video that only I could see playing on my eyelids, all while being wide awake.  None of the first 36 hours or so after I had open-heart surgery was pretty.  For a bit, I didn’t know what was real or what was being made up in my drug-induced imagination.  And I have no idea what all medications I was on at any given time during or following surgery, but I think the combination of all those drugs made my comprehension of current events questionable and my memory of those events a little whacky.  But this is how I think it all happened.

The first thing I remember after surgery was waking up with some kind of endotracheal tube in my mouth running down my throat.  I don’t really remember the tube being removed, but I do remember the pain from the tube being removed.  It hurt my throat.  I also remember darkness and calling out for help.  I remember being scared, but I couldn’t remember why I was there or how I had gotten to where I was.  At that point, so I was told later, I became uncooperative and combative with the nursing staff.  I don’t remember that, but I believe it because I can remember how scared I was.  I do remember accusing the nurse of purposely trying to let me die because she wasn’t helping me.  That’s what I thought anyway.  But of course, she was helping me, I just couldn’t see it.  I remember asking and begging for them to let me see my wife.  My wife was by my side that whole time, holding my hand.  But I couldn’t recognize her and, according to her, I thought she was trying to kill me as well.  All of this was in the first few hours of being moved from surgery to the Cardiovascular Intensive Care Unit (CVICU).

The next little bit of time would not get any better.  I found a new level of pain as the different medicines wore off following surgery.  This is a pain scale that replaces the old 0-10 scale that a doctor would use to ask you to rate your pain.  There is not a cap on this newfound scale, like with the number ten on the old one.  This new pain scale will go as high as you can handle it, and then some.  I honestly can not explain the intensity of the pain, especially when an unexpected cough or sneeze would blindside me.  This pain made it impossible to be comfortable.  It was difficult to sleep, to sit up, or to have a conversation.  Breathing hurt, swallowing hurt, and most other movements brought pain in ways I never before imagined.  I’ve always had a high tolerance for pain, but this was rough.  Thankfully, this new level of previously unexperienced pain only lasted a few days. 

Even with all the pain, the tricks my mind were playing were even worse.  Sleep would only last a minute or two at a time.  The dreams were so disturbing I would wake up trying to yell.  I did tell my wife about two of the dreams, the least disturbing of them, but I won’t be discussing any of that content here.  It’s a little scary to me that my mind came up with some of the images in those dreams.  And just as bad were the images while awake, when I would close my eyes for a short rest.  The colors and distorted scenes that were waiting for me with each prolonged blink is what I imagine Hell looks like.  I’ve served in two wars and have a few images that are forever etched in the dark, hidden parts of my mind.  Nothing I saw at war, not even my worst memory of war, can compare to the complete void of humanity that my mind was manufacturing for me to see.  I have no idea how my mind could possibly create such chaos that felt so real and imminent.  The dreams while asleep and the images my mind created while awake were bad.  Now add hallucinations to the tricks my mind was playing.  I have memories of and was also told by my wife later that I kept asking who was walking around me, touching me on my arm.  I kept thinking I was seeing someone walking around in my room.  When I would ask, my wife would point out that we were the only ones in the room, there was no one else there.  I don’t remember what their faces looked like, but I promise I saw people in my room that apparently weren’t real.  And I felt these imaginary people touch my arm multiple times.  I have no rational explanation for anything in this paragraph. 

Somewhere around the second day after surgery, we had to address a minor complication called postoperative ileus.  That means my stomach didn’t “wake up” after surgery.  There was no movement down there.  Because of that, the doctor ordered an NG tube (Nasogastric tube).  Up the nose, down to the stomach.  It was used to drain the contents of my stomach.  This complication cost me two extra days in the CVICU.  I don’t remember the tube being put in.  I remember telling the doctor later that if they pulled it out, they better be sure of it because I would fight anyone that tried to put it back in.  I guess I remembered it being put in at the time, while in the hospital, but I have no memory of it now.  But I remember how miserable I was.  I still had chest tubes from surgery.  I had oxygen going in my nostrils.  I had more IV’s than I could count.  And the icing on the cake of misery was having that tube in my nose.  I was truly hating life for a brief moment.

I think the first 36 hours after surgery were the most miserable, most scared I’ve been in my life.  In my research leading up to having open heart surgery, the thing that worried me the most were the stories of recovery, not the actual surgery.  Recovery is a long process.  There are countless do’s and don’ts.  Restrictions on lifting, restrictions on movements.  Restrictions on food and medicines.  I never imagined that the initial recovery would include the mind tricks I suffered through.  Thank God that went away after a few days.  The memories of those twisted thoughts and images still choke me up, but at least they stopped.  Boredom is the hardest part now.  Days seem to drag on.  I want to do things, but I know I can’t if I want my recovery to go smoothly.  My wife has been amazing.  She’s doing all my chores and hers.  She’s taking care of me even when I’m difficult and unhappy about being unable to do things for myself.  I’m irritable.  I’m a little depressed.  And I haven’t had a cigarette in over two weeks.  My wife is a saint for putting up with me.  She is my reason for wanting to get better and to do better. 

I feel like the hardest part is behind me.  I’m still confused by the first 36 hours.  I’m actually still a little disturbed by the first 36 hours.  I’m sure it was a combination of shock, pain, and medications.  But that still doesn’t make it any less troubling in my mind.  Thank you for suffering through this post with me today.  I believe most of it to be true even if I don’t remember it all.  Good day, God bless.

Dave

Walk It Off

I saw a meme on Facebook that said, “Telling someone with PTSD to get over it is like telling someone who is deaf to listen up.” I guess the same thing could be said that someone with a compound fracture of the leg should just walk it off. Or that someone with a stutter should speak clearly. Maybe we could tell a blind person to look closely. None of this works that easily. There is some truth to that meme. But there are also some things we can do to better ourselves.

I will never “get over” this thing called PTSD that I was diagnosed with in 2015. I will likely have to deal with the symptoms for the rest of my life. Just this week, I had a mild PTSD moment at work, for about a minute or so. And I happened to be working with the only other army veteran in my department at the time. Yeah, he gave me shit, but he was also understanding and helped me out. I have explained to most of my coworkers at my new job how sometimes I might need a minute to regroup in certain situations. In five weeks at my new job, that’s only happened the one time, for that one or two minutes. I’m nowhere near the bad place I was three years ago. I’m not as trapped in the darkness of my mind as I used to be. I feel better now than I have in years, many years. Some of it coincidence of fortunate events, some it is that I’m making decisions to be better.

Other PTSD moments->  https://storyofmylife.blog/2017/03/18/ptsd-moments/

I do, however, still have some issues. I slept on my couch three nights in a row last week because I didn’t feel like taking my sheets out of the dryer and making my bed. Funny thing is, there are two beds in the guest room, made and ready to go. I still have trouble occasionally with sleep and dreams, even with the medications from the VA. I’m also lacking motivation. Especially with my writing, as can be evidenced with the fact that I haven’t posted here in a month. Depression is an ongoing issue, although I deal with it much better now than I have in the past. I’m continuing to learn how to deal with all this. It’s a process.

It’s not easy->  https://storyofmylife.blog/2017/09/02/harder-than-it-looks/

I took a new job last month. If you follow Story of My Life, you may remember that I left working at the restaurant in the airport for a new restaurant job. After two months at that job, I made another change, to what I hope will be my last job change. Here’s the thing. This new job is something I’ve never done before. Years ago, I had the self-confidence to do almost anything. Not so much the last few years. But I decided to make a complete career change. I built up enough confidence to take a chance and go to an interview for a job I had applied for. And to be honest, at the time, I couldn’t remember for which job I applied when they called me for the interview. But I accepted the interview. I had applied for a number of jobs late last year when I knew things at the airport weren’t going to work out. I knew it was time for a change.

Back to Work

At the interview I was asked, “Have you done this kind of work before?” Um, nope. I think I said, “Not exactly. But if you’ll teach me, I’m a fast learner, I work hard, and I show up on time.” In the last year and a half, I can count on one finger how many times I was late for work (not including the time I was subpoenaed for deposition last-minute or the time the VA took an hour and half to do something that should have taken 5 minutes). I was late clocking in one time, by one minute. And for the few of you that personally know me, you know that still bothers me. But my response to his question, along with me already having a commercial drivers license, got me in the door. On a side note, I’m glad I renewed my CDL a couple years ago even though I wasn’t using it at the time.

My newfound confidence paid off. I got the job. I’ve been there five weeks now. This confidence is something I’ve been rebuilding for a while now. It’s taken a long time. It’s not that I was able to “get over” having PTSD, it’s that I worked at it. I take my medications as prescribed. I go to my appointments. I work on staying calm in stressful situations, which doesn’t always happen, but it certainly works a lot better than it did just a few years ago. And I am open with people about what’s going on in my head. Believe it or not, that helps tremendously.

So, like a deaf person can learn sign language to communicate and function in the world, I can learn to deal with and overcome my PTSD. Yes, “my PTSD,” I own that shit. It’s mine, for life. And while the symptoms will always be there, I will continue to find ways to survive and function. It’s not always easy, but it is worth it. Just don’t tell me to get over it. It doesn’t work that way.

Thanks for visiting Story of My Life this week. Good day, God bless.

Dave

Dreaming on the Couch

I fell asleep on the couch with the windows open. The rain briefly woke me, but I rolled over, snuggled into the cushion, and propped my leg over the back of the couch. I tried to go back to the dream I was having about a girl that never met her grandmother. It was in black and white. The grandmother died during the war. The Greatest Generation was not able to save her and was forced to let her go. I don’t know the whole story, but my mind had been filling in the blanks as I slept. Before the dream was interrupted, the grandmother was visiting with the girl, telling her stories of when the girl’s dad was a small boy. Only the girl could see her grandmother. The dad played along with the girl’s imagination when she would tell him the stories from grandma but got chills when hearing some of the events of his childhood that the girl could not possible know. Then, the rain stormed in.

I was unable to return to that dream. Instead, I found myself in a mystery upon revisiting my slumber. I am unsure if I was the mystery or if I was trying to solve a mystery. The clues to this mystery were in a large, yellow house from a dream I used to have as a child. A house I’m not familiar with during consciousness but knew very well in recurring dreams from many years ago. There were hidden rooms, stained glass, and a fireplace on every floor. All the stained-glass windows were framed in yellow creating an ominous feel to the house as the sunlight shined in. I could never make it to the top floor no matter how many flights of stairs I climbed. The house apparently went up without end. I’ve never seen that house from the outside, I would have no idea how to get there, except to go to sleep.

My dreams are vivid, almost always in color, and feel very real. They aren’t even about war that much anymore, but the intensity and adrenaline feel the same, sometimes waking me in a fit of yelling or punching. Often times I can feel my heart pounding when I wake after one of those dreams. Sometimes the people I served with at war are in my dreams, just doing normal stuff, but the dreams are still intense to the point of waking up fearful or startled.

When I fall asleep, I see tiny flashes of light inside my eyelids. I think that’s a side effect of the medication. The medications work well for me overall, despite being jolted awake occasionally from seeing flashes when I’m half asleep. The original PTSD medication the psychiatrist put me on a few years ago made it all worse. But we found the right one, despite the slight side effects. Some nights I start dreaming during that time between consciousness and sleep, while I’m still aware of my surroundings. For some reason, that can cause me to wake up freaking out. That usually makes for a long, restless night. It becomes difficult sleep. I think my body or mind, or both, are trying to prevent me from sleep, for my own protection. Am I trying to protect me from myself? Interesting.

Sometimes I’ll spend a whole day trying to decipher a dream from the night before, wanting to figure out if it has some meaning to me. Most of them don’t. But some of the dreams become reality. I would tell you about them, but you wouldn’t believe me. Hell, if I wasn’t the one having the dream and then seeing it unfold in real life, I wouldn’t believe it either. But I’m not even surprised anymore when it happens. I like daydreaming. I can control those, most of the time. Unfortunately, none of those come true. Or fortunately, who knows?

I envy those who don’t remember their dreams or are not affected by them. But if I didn’t remember mine, I might miss something. Because they aren’t all bad. I have good dreams, too. I guess the occasional good dream is worth suffering through all the weird, bad, vivid, crazy dreams. Just like life. Sometimes there’s more crazy restlessness and worry than good, easy, peaceful times, so enjoy the good when it comes. Sleep well, my friends. See you in my dreams. Good day, God bless.

Dave

Check these out, too, for more on my writing on dreams:

The Illusive Dreams

Abstract

 

My List Is Complete

About twenty years ago I managed a pizza delivery store in Panama City Beach for a couple of friends of mine. During the spring break season, we were open 24 hours a day. It was busy. According to our food distributor, we were the busiest independent pizza store in the country based on how much cheese we ordered each week during that time. MTV was in town covering the festivities of party-goers, Spinnaker and La Vela were packed every night, and the strip was bumper to bumper traffic for miles all day, and continuing late into the night. Needless to say, getting everything done each day was a monumental task.

One of the guys I worked for there was a list-keeper. Everything he needed to do was on a list. It wasn’t always the neatest looking lists, but it worked for him. He kept everything in Steno pads. And he always seemed to have everything crossed off his list at the end of the day, for the most part. I was impressed with his ability to get it all done, but also not happy with myself for never finishing my list and always having to move things to the next day. I was a great manager, but for some reason, I could never cross everything off my list.

I finally asked him one day, “How do you get it all done? You have a page full of stuff, the same as me, but you get a lot more of it done than I do.” His reply changed my life. Well, that’s a little dramatic, but his words certainly have stayed with me for more 20 years. It was so simple. I still use his strategy today. He said, “When I get something done, I add it to my list and check it off.” Mind blown. Eyes opened. Life changed. The philosophy of that simple idea is amazingly deep.

He would start his list with what was important to be accomplished. It might only be a small handful of things. As he would get things done throughout the day, he would add those things to his list. Since those things were already done, as he added him to the list, he would check them off. That’s brilliant. Do you realize how much stuff we actually get done in a day? If you made a list, you would know. And if you knew how much you do get done, maybe you wouldn’t beat yourself up for not completing your to-do list, a list that might be unrealistic to begin with.

As 2017 draws to a close, I look back on the year and I know I did not even come close to getting all the things done that I wanted to this year. If I had made a list at the beginning of the year of all the things I wanted to get done in 2017, that list would still need some work, or the year would need to be extended. But I won’t lament or lose any sleep about not finishing my hypothetical list. I will, however, be happy with what I did accomplish, even if some of it is trivial or perhaps less productive in the big picture of life as I see it. I still got a lot done this year. I survived. And that is a rather huge accomplishment in and of itself in some respects.

I finish this year broke, but none of my bills are behind. Except my student loans, which will likely never get paid. I didn’t get much done this year on the novel I’m writing, but I estimate that I wrote about 30,000 words to my blog in 2017. Neither of those endeavors pay the bills. I really just want to make a living as a writer, but I like the job I have and the people I work with. I’m not where I want to be in life, but I am certainly not where I was a short while ago, which is a good thing. I didn’t finish everything on my list for 2017, but I am pretty happy with what I did get done, including the less important things I added to the list as I went along.

My friends, do not make an overwhelming list for yourself that you cannot finish. Once you start moving things to the next day, it becomes easier and easier to keep doing that. You will never get it done that way. Pick a few things that are important. As you move throughout your day, week, or year, add to your list the other, less important things you get done and check them off. You’ll be surprised by how much you really get done, even when it doesn’t feel like it. Happy New Year to you all. May 2018 be a year of checking off the important things on our lists and realizing how important the things not on the list are that we get done as well.

Thanks for stopping by this year. Hope to see you in 2018. Good day, God bless.

Dave

The Illusive Dreams

I awoke seven times from within the same dream.  I was stuck.  It was a dream within a dream, within a dream, within a dream, within a dream, within a dream, within a dream.  Each time I crawled out of my mind’s subconscious, I saw a new reality.  Each time I had to learn that I was still dreaming and none of it was real.  On the seventh time I awoke, I was awake, but wondered if I was still dreaming. I could not tell, at first, what was real.  I didn’t want to be fooled again.

My body was drained of any energy that should have been replenished during slumber. I got up to move around, as I had in each of the dreams. My eyes struggled for a moment to focus on my surroundings.  My legs were shaky as I tried to walk.  My thoughts were hazy with memories of weird, vivid images that were very real.  Except that they were not real. My body ached, but that was not proof enough that I was no longer trapped in a dream. I have felt pain in my dreams.

It is one of the strangest feelings, waking up to find out that you are still dreaming. How could I have fallen asleep in a dream, then fallen asleep with that dream, and then again, and again, and again, and again, and again? I remember during one of the dreams thinking that I was trapped in my mind, or that maybe I had fallen into a coma. While still dreaming, I tried to figure out what would have put me in such a state. I find it odd that most often I cannot control my dreams while I’m dreaming, but that I sometimes have my wits enough about me during some dreams to think rationally and try to force myself awake.

But each time I awoke, I was dreaming. Each time, it took me a few minutes to realize I was still dreaming. Each time I had to force myself awake. And even when I woke up from the last dream, I questioned whether or not I was, in fact, awake. I don’t often sleep well, but I deal with it. However, when a dream involving multiple dreams plagues my sleep, it’s horrible. It’s a nightmare. It ruins my day. I would be better off not sleeping at all. I think that’s why my body and mind will sometimes make efforts to avoid falling asleep. Maybe they’re trying to protect me. I don’t know. Just a thought.

By the way, Sigmund Freud was wrong. I do dream in color.

Sometimes I wake up yelling, sometimes shaking or sweating, or otherwise disturbed. Sometimes a combination of those. And it’s always worse when I can’t even remember what I dreamt. When I wake up in the middle of the night from a dream I remember, I can usually go back to sleep after coming to terms that it was just a dream. Not every time, but more often than not. But when I can’t remember what startled me from slumber to fear, I lie in bed trying to piece it together, trying to figure out what is causing the turmoil in my head. But I have no memory of it and it can’t be proven because I have no evidence that a dream happened at all. There are no pieces to put together. It’s gone. I am chasing something that does not exist. And I’m losing sleep over it.

I call these my Illusive Dreams, the ones that wake me up in a state of terror but I can’t recall them. The ones I know I had, but I have no idea what the dream contained. That bothers me deeply. No, we don’t always remember our dreams. On many of the nights that I do sleep well, I don’t remember my dreams more than half the time. But I think most of us will remember a dream that jolts us from sleep into a brief paranoid mess as we come to the conclusion that it was just a dream. What if the illusive dreams aren’t dreams at all? What else could they be? Although I wake up feeling like I experienced a nightmare, I still have no tangible evidence or memory of it. Maybe it wasn’t a dream at all. Maybe it was real. But what is real in the subconscious of slumber?

Or maybe my life is just a dream that someone else is having and none of this is real. If that’s the case, whoever you are, please wake up. And wake up soon, I really don’t want to go work tomorrow. For the rest of you who are awake and reading this, thank you for stopping by. Sweet dreams, sleep well, happy thoughts. Good day, God bless.

Dave