Tag Archives: the VA

Eat Good, Die Happy

I was chatting recently with a buddy of mine that I’ve known for more than 20 years.  During that time, we worked together at three different places over the years in various capacities in different types of jobs. And we have kept in touch for much of that 20 plus years. Mostly we would talk about our kids, our relationships, and what mutual friends and former coworkers were doing. Lately, most of our keeping in touch is about doctor visits at the VA and cooking.  Since we’re both veterans and like to eat, we have a lot to talk about on both subject. 

In our recent conversation, he brought up having to change his diet for his health.  I told him that’s the worst part about getting the lab results at a doctor’s appointment.  I went on to tell him that I don’t mind dying one day, but I’d like to die happy.  Seriously, if I knew I was going to live this long I certainly would have taken better care of myself.  Coincidentally, I had just had an appointment with my primary care doctor at the VA the same day we were chatting and, among other things, the doctor went over my lab results from the previous week.  I, too, need to make a couple small changes.

This conversation with my long-time friend sparked a memory from my very early teenage years.  I was probably 12 or 13 years old, at my grandparent’s house on one of the many trips we used to take to visit them.  One evening, Grandpa pulled something out of the refrigerator for a snack.  Grandma scolded him, saying that the doctor told him not to eat that because it would kill him.  Grandpa put the lid back on the container, put it back in the fridge, and went about his business. No complaining, no arguing. That was the end of that.  Or was it? 

The next morning Grandpa and I were up early, probably getting ready to go out on his boat or some other adventure on the Mississippi Gulf Coast.  At one point while getting ready for our day, Grandpa got in the fridge and had that snack that he had been warned about the previous night.  Did he forget about being chastised by Grandma?  How could he forget something as important as not eating a specific food that would kill him?  I couldn’t believe it so I chimed in and reminded him.  “Grandpa, you can’t eat that!  Grandma said it would kill you!”  Grandpa smiled and what he said still resonates with me today.

Grandpa said, “Well, I’ll die happy then.”  And that was it.  That’s all he said about it.  He didn’t ask me to keep it a secret.  He didn’t try to explain or rationalize it.  He just wanted to eat whatever was in that old butter tub that was used for leftovers.  I can’t for the life of me remember what the food in question was.  And I have no idea what his lab results were that would make him have to change his diet, but he didn’t seem to care.  He was going to keep being himself no matter what the doctors suggested.  He was doing what made him happy. 

I’ve always been that way with food.  I don’t remember ever turning down a cheeseburger or pizza or biscuits and gravy.  And I love to cook.  If you are on my Facebook page, you’ve likely seen hundreds of food pictures.  Some pictures of the food I cook at home, some pictures of food at restaurants we like to go to.  I have a drawer full of printed recipes and a ton of screenshots on my phone of even more recipes.  I love to cook and I love to eat.  My Facebook page and my belly are proof.

For much of my adult life I was able to counter the effects of eating all kinds of good food by staying in shape.  I should probably point out that when I say “good food,” that doesn’t mean healthy “good,” it means tastebuds “good.”  But anyway, I would run a few miles a few times a week, occasionally do a little workout, and, of course, being in the Army Reserves we did a lot of activities that encouraged staying in shape.  Well, at least in “good enough” shape for me.  At any single point in my adult life, I could have benefited from losing 5 or 10 pounds to trim up my gut.  But that never bothered me because I was healthy, in decent shape, and could run for miles.  Not fast, but slow and steady miles.  I felt good,  I looked good, I was going to eat what I wanted. 

Let’s fast-forward to me now being in my mid-50s.  Add the aches, pains, injuries, surgeries, and other issues from working hard all my life. I now find it considerably harder to counter those effects from eating what I want, when I want.  I can’t do some of the things I used to.  And I miss doing those things, like running, working a “real” job, and just being more active in general.  I have a long list of problems that have developed over the last 5-10 years from my previous military service.  I’m planning on doing a blog entry of all those things in the near future.  Especially now that we seem to be figuring out some of the issues.  Well, maybe not figuring it all out as much as managing things.  That’s a mess of a story for another time. 

My lab results at my recent appointment weren’t horrible.  There are just a couple areas I need to address, nothing dire.  But I want to address those areas without adding to what seems like a myriad of medications that I’m already on.  I guess I should point out that some of those medications are why my labs aren’t worse.  But I don’t want more pills, I want fewer.  And when I asked my doctor about downsizing my pill collection, he said there was only one medicine that he might consider discontinuing.  So, I have to decide to either eat better (as in healthy), instead of just eating “good” the way I like to, or get back to where I can do some kind of exercise regularly.  The exercise part has become difficult since getting a joint replaced in my foot a few years ago.  After two surgeries, my foot still will never be good enough to run like I used to. Or walk long distances or even stand in one place for more than a little while.

So here’s the plan.  I’m going to keep eating what I like to eat because being happy is important to me.  But I’m also going to mix in a few salads and some healthy choices.  I will get back on my step-elliptical.  I was doing that regularly before my last foot surgery. I think I can still do it because of the minimal bend it requires with toes.  I won’t do anything crazy or drastic to change my lifestyle all at once. That rarely works for anyone. But there a handful of little things I plan to do for starters.  And then eventually build on that.  We’ll see how it goes.

I think Grandpa had the right idea, to some extent, about dying happy.  He went on to live for about 10 more years after that early morning conversation we had sometime around 1983.  Apparently, whatever it was he ate that morning wasn’t going to make him drop dead on the spot.  And whatever it was, I’m certain he ate it whenever he could get away with it.  But he was probably smart enough to only eat it once in a while, and only while Grandma wasn’t looking. Especially while Grandma wasn’t looking.

I think this is the lesson I want to take from my memory of that morning with Grandpa: Being happy is important, but sometimes we have to weigh what that happiness brings against what the side effects or dangers will be.  Going to the beach for 5 hours can make you happy, but that sunburn is going to be horrible unless you take precautions.  Rock climbing can make you happy, but that fall will kill you, so you better make sure your equipment is right.  And of course, eating “good” like I always have makes me happy, but I have to fix a few things with my eating habits. 

Thanks for stopping by Story of My Life today.  I hope you enjoyed it and maybe got a little motivation from it.  Good day, God Bless.

Dave

A small sample of pictures from the last few weeks of my eating and cooking adventures.

10 Days to Hell

As I’ve mentioned before, my psychiatrist at the VA changed how I can get my medications. I don’t like it. It doesn’t make any sense to have get them through the mail when I can go to the local military base, or even to the local VA clinic. But for some reason, my doctor says I can only get them through the mail-order system provided by the VA.

My New VA Psychiatrist

I called the automated system to reorder my prescriptions on November 8th when I had about 5 doses left. It usually takes a week. It’s not a big deal if I have to miss one or two nights of medication. But the one I need has yet to show up. On about the fifth day after running out, I called the automated system. The voice said the meds were sent out on the 10th, to give it ten days to show up. Liars.

On or around the sixth day without my medication, I was noticeably becoming unwell. My focus and thoughts were not good. I was more irritable than normal, more blunt than usual, and becoming severely depressed. By day 8, my anxiety of not having my medication coupled with everything else I just mentioned was overwhelming. I could feel it physically in my body, mostly in my head and neck. My head felt like it was being crushed by pressure. The headaches were incredible and nothing helped.

By day 9, I was overly emotional. Everything set me off. I felt hungover. I felt like I had not slept in days. My entire body was uncomfortable and shaky. The pressure behind my eyes caused vision problems. It was like blurry tunnel vision. I know much of the physical manifestations were anxiety that came from not having my medication and wondering if were coming at all. I was beginning to become dysfunctional.

Day 10. I hated my life. I hated people, even more than normal. I hated my job. I hated everything. At work that day, one of my co-workers asked if I were ok. She said I looked like I wanted to kill someone. I was in a very bad place in my mind. I was scared for myself. It only took ten days to get to hell from where I started. That seems like a very fast fall to me. Ten days is not a very long time.

During the ten days I would call the automated system for updates. Each time the voice on the other end of the line told me the same thing. The medication was mailed out on the 10th and to allow 10 days for delivery. On the 21st I found a way to call the after-hours emergency nurse at a VA call center. She made notes of our call that would be sent to my local VA clinic to my primary care doctor and the psychiatrist. The next morning, the primary care nurse called to tell me I could pick up a supply of my medication.

The VA is Killing Me

I eventually spoke with the mental health nurse, days later, after the emergency had passed. I found out the medication was still in “pre-ship” on their tracking system and has yet to be sent. All the while I was holding out hope that it would show up in the mail each day, being told by the automated computer voice that it had been sent out more than a week ago, trying to keep my head above water and survive the darkness of my mind and the horrible thoughts that were taunting me. But I was being lied to.

The Department of Veterans affairs is broken system. And the face of that system for me is Dr. Elaine Ramos at the Eglin VA clinic. Dr. Ramos, you are failing at your job. You are failing me. Those little diplomas on the wall in your office are worthless if you don’t care about your patients and what is best for them. Do your job, doctor.

Dr. Ramos can kiss my ass. I hope the rest of you have a wonderful week. Thanks for stopping by. Good day, God bless.

Dave

A Good Rant, I Guess

I had my second appointment this week with my new VA psychiatrist. It went better than I thought it would. But I guess with my imagination telling me how horrible it was going to be, it could only be better than I thought. In the end, it seems like my new VA psychiatrist and I agree that I didn’t like how she did things, and that she wasn’t going to change how she did things. I got the short of end of the stick, but the session did not escalate as my mind had led me to believe it would. I stayed calm even when I wanted to tell her to *uck off. I guess that’s a small step in the right direction.

I was able to articulate how I felt without acting on my anger. I was angry, but I kept it professional. And she knows I was angry, because I told her. I told her how I was upset about the postman letting my 13-year-old daughter (now 14) sign for my controlled substance prescriptions when they came in mail. I pleaded for her to let me get paper prescriptions to take to the base, but that fell on deaf ears. I am more comfortable going to a pharmacy than getting mail-order drugs. In addition, it takes up to ten days to get the prescriptions in the mail when I call for a refill. If I forget to call, I can just go to the base pharmacy and get it filled same day if I had a paper prescription in the beginning. I explained that this added pressure is not something I am dealing with very well. It’s causing me anxiety. Again, she didn’t budge.

At this appointment, my new VA psychiatrist seemed a little more caring than at the first appointment. During the first appointment she seemed cold, almost annoyed that I was there. I felt like she was confrontational. And I’ll be honest, I went in expecting a good experience. The last VA psychiatrist I had was good. For my second appointment with my new VA psychiatrist, she was understanding, personable, and never made me feel like I needed to be on the defensive, even when we disagreed. My first appointment with her was nowhere near that. I was upset. I was disappointed. And I was pissed off. But I guess, to add to my post from a couple weeks ago, I made a little step forward this week.

Little Steps, Big Steps

I keep asking, “Why does the VA have to be so difficult about everything?” That’s a rhetorical question. I already know the answer. I’ve written many times before that I believe they don’t have to be better or make it easy. They get paid either way. And the good doctors leave. The ones that can’t cut it in the private sector stay because they still get paid. I truly believe that for the most part. I’m on my third psychiatrist at my local VA in the last two years. And my psychologist at the Vet Center (part of the VA) left, too.

4 Months Since Therapy

I made a comment online on an article from our local newspaper a month or so ago. A gentleman replied, in a polite way, asking me to consider how much it would cost if I didn’t go through the VA and that the services wouldn’t be much better anyway. I kept my cool. Or at least I calmed down before I responded. Let me make something clear. The services veterans receive at the VA have been paid for. We paid for them throughout our service to our country. The care we receive is NOT free. It is pre-paid and paid in full. So, when someone remarks that you get what you pay for concerning the VA, I paid for it. With my body and my mind. I paid dearly for it. And I would like to get the services from the VA that I deserve, the services I already paid for.

Well, this week’s post wasn’t supposed to be another rant about the VA, but I go where the words take me. Don’t miss my original point here, that I handled my appointment with my new VA psychologist better than my mind told me I would. I still don’t like her, but I dislike her a little less than I did after the first appointment. Here’s to hoping the appointments continue to get better.

And Then There is Paul

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

Dave

Struggling

I’ve been struggling lately. Bouts of depression. Anxiety. Easily irritable. Minor anger issues, not eating right, and certainly not sleeping right. Weird, vivid dreams. Some about war, some about normal everyday life, but all of them so intense they turn out to be a nightmare. My body doesn’t feel good, I’m in persistent pain. I’m always tense, I can feel how tight my shoulders and neck are. I try to relax, but it doesn’t work. My breathing is not right. My focus and attention to detail is off. Way off. And lately I speak my mind without filter more than ever now, so, I sound like a dick. But if it’s the truth, get over it. Because I really don’t care. I do not subscribe to being politically correct. I never really have.

I think one of my issues is my medications. I’m not taking them like I should. I’m out of one of them and have started rationing the other one. Hopefully, my refills will be here soon. The first refills were sent automatically. Apparently, that was a one-time deal. I didn’t know to call and get the refills sent until I was almost out. The VA is genius about that stuff. Or they’re stupid. Or they just don’t care. (I’m going with curtain 3, they don’t care). And I’m still pissed at my new psychiatrist for changing how I can get my medications. If she had just let me keep getting them at the military base like I have for more than a year now, I would not be out of one and almost out of the other. I might be able to sleep at night and not worry about if I’m going to run out of them. I might be able to wake up feeling rested. She’s an ass. I plan on telling her that at my next appointment. Anyone want to go babysit me at my next appointment so I don’t need bail money?

My New VA Psychiatrist

Another issue is work, my job. I love my job. And I love the bond I have with most of the other employees. But the drama, stupidity, and selfishness of a few of them is more than I want to deal with. I’m losing my motivation to keep being the awesome employee I have been since the beginning. I’m not really that awesome, but I work my butt off, never call out sick, and actually care about doing the job right. What I don’t understand is how some people can just stop doing their job just because they aren’t happy about something or someone. Get over it and do your damn job. Stop leaving other people hanging. I helped open that restaurant. I cleaned, I painted, I organized, I helped get the doors open. And I worked my ass off doing it. I feel like I have a stake in it. Or I used to feel that way. Not so much anymore. I told the corporate boss that I’m updating my resume, but I haven’t actually done that yet to put it out there. We’ll see if anything gets fixed soon. But I’ve already had a job offer in the last couple weeks before it got this bad at work, so maybe I won’t have to update my resume after all. We’ll see.

Back to Work

The third thing that has me discombobulated is where I’m at in the army reserves. (Yes, I used discombobulated, that’s your word of the day to use in conversation). The unit I’m part of doesn’t seem to have their shit together. Even my Sergeant Major suggested I write my congressman. He’s retiring this month, so it’s probably not a huge concern to him if a Congressional Inquiry gets opened. He wasn’t prepared for my response last month when he asked me what was going on. I think any other Sergeant Major would have done paperwork on me for the things that came out of my mouth. I won’t go into detail since I still wear the uniform, but the army (at least in the reserves), seems to not care about the fact that I’m not right since coming back from my last deployment. Both physically and mentally. I don’t care if I stay in or they put me out, I just want them to take ownership of the pains I’ve endured. I want them to acknowledge the problems I developed that are a direct result of serving my country. I’m damaged goods now, they can’t fix me. But they can take responsibility for it.

Passing the Torch

(Damn it, I burned my popcorn. I need a new microwave. Or maybe I shouldn’t use the one I have while drinking.) Add burnt popcorn to my list of life-crisis issues. The current reality of my life is that even burnt popcorn contributes to the funk swirling around me. And I’ve only skimmed the surface of my troubles in this post. Or at least what I view as my troubles, the things that bother me, the things I dwell on. And how did popcorn make the list? Never mind, we just covered that. I’m struggling. Everything is on the list.

I’m ok, I promise

Let me make one thing perfectly clear. I am struggling. But I am not in danger. I am not a threat to myself or anyone else. My outlet is here, where I write. This is my therapy. I’m ok, I promise. Thank you for reading this week. Good day, God bless.

Dave

(Between writing and posting this entry, my meds showed up in the mail, so that’s a good thing. I guess better late than never).

My New VA Psychiatrist

For the few of you that are also on my Facebook page, you know I had an appointment with a new psychiatrist recently at my local VA. The reason anyone knows about it is because I posted my displeasure with the new psychiatrist there. At the end of the appointment, I left unsatisfied and wondering if she really cared or if she was just checking the boxes. I know for sure, she gets paid no matter how I feel when I leave her office. I think it was a waste of my time.

The main thing that upset me was the changes she made to how I get my medication. First, let me back up. A while back they gave me a prescription for a 30-day supply of my medications, but made my next psych appointment 50+ days out from that. I had to ration my medication so I wouldn’t be without them for too many days in a row before I could get them refilled. I would always get a paper prescription and take it to the base to be filled. It’s a process that has been working for a long time. It’s flawless. That process has never failed.

My new psychiatrist says I can now only get my medications through the VA. Well, one of them, which they keep in stock at my local VA, only comes in twice the dosage I take. Now I have to cut the pill down every night, whereas from the base, I can get it in my prescribed dosage. Not a huge deal, but still annoying, especially since I’m not fond of change when something has been working for as long as it has. That might be the PTSD coming out in me, I don’t know. The other medication is NOT kept onsite. They would have to mail it to me. I’m already out of it by the time of my appointment, and now I must wait up to ten days to get it in the mail. How does that help?

My new psychiatrist told me the reason she wants to change how I’ve been getting my medication for over a year is so that she can have control over it. She also mentioned that I would have to be at my house to sign for the medication when it arrived, although the postal service may allow another adult to sign for it, she didn’t know. It is a controlled substance. But that didn’t work. The postal service let my 13-year-old daughter sign for it. Tell me how much control the new psychiatrist has over that? Please explain to me how the way she wants it done is better than me taking a paper prescription straight to the base and getting my meds the same day, without a controlled substance being signed for by a 13-year old?

I plan on bringing all that up at my next appointment with her. And I may have already made a formal complaint about it before then. This is one of the reasons I find the VA so frustrating. Why fix something that isn’t broken when there are so many broken things they should fix? Why change something that has been working without fail and create a process that I am not comfortable with? She cared more about controlling my medications than she did about what was going on in my life, or at least that’s what I believe to be true. That’s how she made me feel.

That’s my frustration with the VA for the week. On a lighter note, the AMAs I’ve been hosting seem to be going well. I found out there was a glitch in the way they counted RSVP participants, so last week when I thought I was up to 500+, it ended up being a little more than 100. They fixed it and the numbers are now accurate. I’m still happy about all of it. I’m amazed by the number of people that take the time to ask me questions on there. The site I’m doing the forums on is still very new and will only continue to grow. And I’m getting paid to do it. I love that part. Go check out my next one if you want. And RSVP to it when you get there to help my numbers if you feel so inclined. And, ask a question. That’s the whole purpose of the AMA anyway. Hope to see you there.

https://militaryama.com/during-my-two-deployments-one-to-iraq-and-one-to-afghanistan-my-camera-took-158812/

That’s all I got for the week. Thanks for listening me to vent about the VA. I’ve said many times that all the good doctors leave the VA for better jobs. My new psychiatrist will probably be there forever. But anyway, Good day, God bless.

Dave