Tag Archives: the VA

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.

https://storyofmylife.blog/2017/06/10/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.

https://storyofmylife.blog/2016/10/08/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.

https://storyofmylife.blog/2017/08/19/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.

https://storyofmylife.blog/2017/04/22/4-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.

https://storyofmylife.blog/2017/04/01/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?

https://storyofmylife.blog/2017/06/10/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.

https://storyofmylife.blog/2017/03/04/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.

https://storyofmylife.blog/2016/03/12/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.

https://storyofmylife.blog/2016/05/21/im-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

The Frustration of Stress

“Stress is the difference between expectations and my view of reality.” ~Chuck Waryk.

That resonated with me when Chuck put those words in that order on the phone a couple of weeks ago. I think I knew that already, but I don’t think I fully understood what that could mean until I heard it phrased that way. He and I served in Afghanistan together. He and I both know the stresses of serving in a war zone, where we were most certainly under stress. But when I think back to that time, I don’t remember being overly stressed with the situations in which I found myself. Here’s why. I didn’t find it as stressful as life now because in Afghanistan I anticipated the enemy to launch and fire at us. It was reality. It was expected. And every time I traveled from my home base to somewhere else, there was at least one attack per trip. Often more than once a day, and occasionally for consecutive days.  https://storyofmylife.blog/2016/03/19/the-fear-in-the-eyes/

I think the first part of stress after war is expecting everything to go back to normal after returning home. I know that’s not possible, maybe it was more wishful thinking on my part, but I think I expected it to be so. I expect the VA to take care of the mental and physical injuries I sustained over there. I expect my Army Reserve Unit to do the things they need to do to either find a way to keep me in or put me out. I expect my body and mind to function as it did before I deployed.

I have a lot of expectation. Or, I should say, I HAD a lot of expectations. The reality of some of the above-mentioned issues make it painfully obvious that my expectations were lofty and unrealistic. Or, at the very least that my time-frame for those expectations are out of sync with reality. Things are moving forward with the VA and the Army Reserves for me, but much slower than I want it to. But it doesn’t stress me like it used to, because I have a new view of what the reality of those issues are. Although, the VA giving me a 30-day supply of medication, but making my next appointment almost 50 days away is stressful. Just so everyone knows, I’ll only be on my medications every other day until the end of the month so as not to run out and have to miss a longer, consecutive block of time taking them.

The thing that bothers me the most is that my mind and body will never be what they once were. That leads to frustration. Stress is the result of external circumstances that can have mental and physical effects. Frustration comes from the inability to change or achieve something. I can’t change it and that frustrates me. But I don’t feel the stress of it like I used to. I have accepted that I cannot change certain things. At my civilian job, I have told everyone I work with that my mind doesn’t work like it used to and to bear with me if my words don’t always make sense or if I have to stop and think for a moment to finish a task. And especially if I forget what you just told me because I’m actively engaged in a task and I have trouble concentrating on multiple things. I have found that being open and honest with my mental issues has greatly reduced my frustration with myself.  https://storyofmylife.blog/2016/06/04/memories-and-afghanistan/

While I’m doing better with accepting that the VA is a mess, that the Army Reserves is slow and sometimes incapable of taking care of Soldiers, and that my mind and body are well-worn, I still have work to do in other areas. People still get on my nerves. Lazy people who don’t do their jobs, people who don’t put the shopping cart back and just leave it next to their car, or people in the next hotel room over who are keeping me awake at 4 in the morning because they’re arguing and threatening to kill each other. I have no use for any of these people in my life. Their laziness and lack of respect for other human beings is frustrating to me. Yes, I just equated leaving the shopping cart in the parking lot to the drunken rage of a guy threatening to kill someone causing me to lose already illusive sleep. But that’s my life and view on things. I’m being open and honest. And it feels good.

All in all, I’m continuing to find ways to cope with stress, which in turn reduces my level of frustration. And I think taking a realistic view of reality is a huge help. Thank you, Chuck, for the wise, inspiring words. It made me think about how I view the world around me and adjust fire.  https://storyofmylife.blog/2016/05/21/im-ok-i-promise/

Thank you all for reading Story of My Life this week. Feel free to leave feedback and let me know you were here. Good day, God bless.

Dave