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

4 Months Since Therapy

It’s been four months since the last time I’ve been to a professional therapist/psychologist/psychiatrist. I may have mentioned in a previous blog that my psychologist that I had been seeing at the Vet Center (part of the VA) moved on to a better job. I don’t blame him. I know I’ve mentioned before that all the good ones leave the VA and the ones that can’t do the job very well get comfortable at the VA because they get paid whether they do a good job or not. The ones that are worth a darn know they don’t have to put up with the bureaucratic stupidity that is the U.S. Department of Veterans Affairs, they can make it elsewhere. In the last couple of years, I’ve seen way too many mental health professionals come and go at the local VA I use.

Overall, I’ve been doing well since my doctor left. So, let me first say, to make sure there’s no confusion, I do not feel like my world is crashing down on me. I’m ok, I promise.  However, I am starting to notice some things about myself that suggest I should start looking for a new therapist. In the last month, I find my frustration with life events to be more easily provoked. My attention span and interest in things has gone downhill. I have had minor, but very noticeable, bouts with depression.  And I have not been sleeping well at all.  Again, I say, I am handling all of this. I am in no way a danger to myself or others.  (https://storyofmylife.blog/2016/05/21/im-ok-i-promise/).

It was a rough week at work. Three schedule changes, a few contentious exchanges with the boss, and people not showing up to work. I actually started to wonder if I made the right decision in going back to work after taking a year off because of mental health issues. I wasn’t having bad thoughts. Not like the ones documented in my psychological evaluation from last year that the VA ordered. During that session, I discussed with the psychiatrist some of the morbid thoughts I had during my last job. This week, my thoughts were more questioning if the job was worth it, if it were good for my sanity. And with that, the doubts of me being able to function in the workforce flooded my mind. That’s where the bouts of depression came from, I’m sure.  (https://storyofmylife.blog/2016/07/16/depressed-ptsd/).

I took my truck to the shop this week. I only let one shop work on my truck. I told him my budget and a few things that I needed to get worked on. Nothing major. So, I thought. The one issue I figured would be the easiest and cheapest part of my short list was twice as much as my entire budget for maintenance and repairs on my truck. I’m not good under the hood, so I’ll explain it as best I can: The fluid reservoir for the clutch was leaking and the housing for the transmission must be removed to get the root of the problem. Ouch. OUCH. My truck is 16 years old and paid for. The money I spend yearly on maintenance is still much cheaper than a car payment. But, ouch, all at once this time. Well, all at once again.  (https://storyofmylife.blog/2016/07/23/448/).

These were the two highlights of my lows for the week.   I remember not too very long ago how either one of these stressful events would have derailed me. And while I am feeling the effects of these things, both financially and psychologically, I am in control. I am handling each of these things better than I did similar events in the last year and a half. I have my moments when I want to run away or simply punch someone in the throat. But I don’t. I can’t. I’ve come too far in my recovery from my own mind to go that far backwards. A few steps back on a long, forward journey are expected, but I’m not going to start over again. I can’t.

As far as the job goes, YES. I was supposed to go back to work when I did. Any earlier and I might not be handling this as well. Any later and I would have missed out on a great job that I feel at home with. I missed having a job during the year I was not working. And I’m very happy to be where I’m at now, it was perfect timing and I love what I do. I’m learning how to cope with the challenges of functioning in a work environment again, challenges that didn’t seem to be there before I went to Afghanistan. I’m doing pretty well with it.

My truck and I have a lot in common. We both have a lot of miles and wear and tear on us, and both need some maintenance from time to time. And if the maintenance falls too far behind, we run the risk of a catastrophic breakdown. In August 2015, I had a complete breakdown in life and I got “put in the shop” for a while. Since then, until four months ago, I had been getting regular therapy maintenance. Similar to checking the tire pressure or getting an oil change in the truck at regular intervals and having a mechanic check things over. Sometimes for preventative measures, sometimes for repairs, for both me and the truck. I do still take my medications daily, but I think I need some more maintenance than that right now. Nothing imperative, I just think it’s time to go back to therapy.  (https://storyofmylife.blog/2016/04/16/the-pysch-ward/).

Now I have to find a new psychologist and start all over. That’s the whole reason I’ve gone four months without therapy. I don’t want to start over. But I will say that the timing for my previous doctor to move on was good for me. I had made tremendous progress with him in the 10 months we met for my therapy, and by the time he left, I didn’t really need to see him weekly. Now, because I know I need it, I have to find someone else for therapy. A few years ago, I would have scoffed at the idea of needing therapy on a regular basis. But, like my truck that needs regular upkeep, I know I need it, too. Basically, I’m far enough along in recovery to realize that I need to go back to therapy. I think knowing that is a good sign. But it doesn’t mean I’m looking forward to it.

I put links throughout this post that relate to the idea of specific paragraphs.  If you haven’t read them before, it will give you an idea where I was, what I’ve gone through, and where I’m at now.  Also, go check out my friend Frank’s blog, here’s the link.  I think most of you would enjoy it, he’s a very talented writer.  https://fnvaughn.com/

That’s what I have for the week. Thanks for taking the time to be part of my week and reading Story of My Life. Good day, God bless.

Dave

Last Weekend

Last weekend I had my army reserve training at Ft Jackson, South Carolina. I drive over 500 miles to get there and over 500 miles back home. Almost every month I make the same trip. I leave Florida on Friday morning and get back Sunday night for a regular weekend. I spend about as much time on the road as I do in uniform for my weekends each month. I’ve been in this unit for a couple of years, and despite the weekends where we don’t accomplish much, I like the unit. I don’t mind the drive.

The first few months I was in my unit, I would drive up I-65 to I-85 to I-20 to get to Columbia, SC, where Fort Jackson is located. But my disdain for driving through Atlanta got the best of me so I found a different route. Now I take I-10 across the Florida Panhandle, then go north, driving back roads in Georgia to I-75 before getting on I-20 somewhere around Augusta. It takes a little longer, but the distance and frustration is less than driving through Atlanta. And the view is much better than being on an interstate.

Most months, the drive is good. I like road trips. There’s an always an adventure out there or a new sight to view as I drive. But this trip didn’t work out that way. As it happens from time to time on the road, I became anxious and irritable on my way up to South Carolina. I don’t know which came first, but they worked in tandem to make the whole weekend stressful. Unfortunately, that happens to me sometimes. I was in a funk all weekend.

I have a theory. I used to think it was just traffic and bad drivers in Atlanta. But, after almost two years of research by driving to South Carolina every month using multiple routes, I have concluded that my frustration is with Georgia motorists in general. I’ve been in traffic in India, Kuwait, Afghanistan, and many other countries all over the world (I’ve listed the three worst). Congratulations, Georgia, you suck at driving just as bad as motorists in third-world countries.

Here’s a suggestion. Stop spending so much time trying to figure out if you should call your mom’s brother “Uncle” or “Dad” and look in your state’s driver’s manual and learn how to drive. In that manual, you might find exciting information on how to properly use the lanes on an interstate. For example, stop camping out in the passing lane. Pass, or get out of the way. As far as your inability to use blinkers, refer to your vehicle’s owner’s manual. But here’s the Cliff’s Notes version: The blinkers are operated by the stick that comes out the left side of your steering wheel. Move it UP to turn (or change lanes) to the right, move it DOWN to turn (or change lanes) to the left. You can sit in your driveway and practice if you need. Your manual might have them listed as Turn Signals. Don’t let that confuse you.

On a brighter note, after almost seven months, I finally got some paperwork from the VA that I’ve been needing to turn in to my army reserve unit. It’s paperwork from a psychological evaluation I had last year that will have some bearing on whether or not I stay in the reserves. At this point, I don’t care what they decide to do with me. I just want to know. If I’m staying in, I will continue to give it everything I have. If I’m being put out, fine. But after more than a year and a half of being in Limbo, it’s time for the army to figure it out and tell me what’s going on. Is my career still going or is it over? This has been beyond frustrating for me. Either way, I’m satisfied and proud of what I did in the army. And I’d do it all again, even knowing what I know now.

DSCN6614

(and there’s one more ribbon I still need to add).

Thanks for reading this week. And to my friends that have Georgia tags on their vehicle, sorry, but the part about most of you not knowing how to drive is true. And you know it. And before my Alabama and Louisiana friends laugh and enjoy too much what I’ve written about Georgia motorists, y’all are right behind them on my list. Ha Ha! I hope you all have a great week, thanks for letting me rant, this post made me smile.

Good day, God bless.

Dave

Related posts:

https://storyofmylife.blog/2016/06/04/memories-and-afghanistan/

https://storyofmylife.blog/2016/05/21/im-ok-i-promise/

https://storyofmylife.blog/2017/01/21/the-soccer-game/

 

And Then There is Paul

I was sitting in the patient waiting area at the local Veterans Affairs Clinic to get refills written for my prescriptions. They were getting low and I didn’t have enough to make it to my next appointment. They have always been good about writing refills for my drugs between appointments, even when I wait until the last minute. Of course, I had to sit and wait since I didn’t have an appointment, which is fine. I have to do it this way a couple times a year. No big deal. One day, maybe I’ll get my medications and my appointments synched up and not have to get refills written between appointments. I’m sure that takes more planning than I want to do right now, though.

While waiting, I watched a number of patients get called for their appointments. The nurse that was in charge of doing their vitals, as well as height and weight, seemed to have a chip on her shoulder for some reason. Her demeanor and body language actually made her seem like she was in a pissy mood. She just didn’t look like she wanted to be there. But for those of us that deal with the VA regularly, we know all too well about those people.

From where I was sitting, I heard a Viet Nam-era veteran complaining to a clerk about that nurse. He went on about how he shouldn’t have to be treated like that. I’m not sure what she did or said to him, but he was not happy. Another patient, a man closer to my age, in his mid-40’s, was also offended by the cantankerous nurse.

I heard the ‘mid-40’s’ veteran tell the clerk as he checked in that this was his first time going to the VA and that he didn’t know what to expect. All I could think was, “Welcome to the VA, buddy. Get used to not knowing what to expect.” But I digress. Shortly after he entered the secured door where he would have his vitals checked, the door re-opened and he was coming out, seemingly trying to ask the nurse a question. Her response, which she said twice while pointing down the hall, was “Someone else.” He turned back to her as he exited the door and said, “Kick rocks.” I’m not quite familiar with that term, but I believe it’s a politically correct way to say, “Go **** yourself.”

I watched the ‘mid-40’s’ veteran go to the opposite side of the waiting area away from the door to Nurse Difficult’s chambers. I recognize the look on his face and the stare in his eyes. He was wondering if she was worth jail time and also trying to calm himself down. I know that feeling all too well. A minute or two later he came back and approached the clerk, explaining again that this was his first visit to the VA and he didn’t know what happened, that she had simply become problematic during his check in. Welcome to the VA, buddy.

Not all VA employees are like that nurse. But it only takes one or two people like her to make the whole VA experience an appalling reality. And then there is Paul. Paul is the clerk that helped me this week to get my prescriptions refilled and was also the clerk that checked in the ‘mid-40’s’ veteran for his appointment. I remember the first time I met Paul. I’m sure he doesn’t remember me since he deals with hundreds of veterans a week. But I will never forget the day I met him.

I had two main conditions when getting released from the hospital in 2015 after my failed suicide attempt. One, to go to a specified local mental health outpatient clinic to sign up for six weeks of group therapy. And, second, to go to the VA for ongoing treatment. I pulled into the parking lot of the VA at 4:28 PM. They hadn’t locked their doors yet and I was able to get inside. If you are familiar with the VA, once 4:30 hits, you can forget it. The world for them stops and you no longer matter or exist.   However, Paul apparently didn’t adhere to that train of thought.

Paul was the only clerk at a window that day. I approached him and briefly explained my situation. I’m sure I sounded like a nut-case, and maybe that helped in this instance, I don’t know. But Paul stopped what he was doing and made sure that I could get my medications and set up an appointment for me with Mental Health. First, he called the psychiatrist’s office to make sure the prescriptions could be transcribed to VA prescriptions so it could be filled on the spot. Then he made sure someone would be in the pharmacy to fill the prescriptions. After that he made a future appointment for me to see the psychiatrist. All of this was done after Paul was supposed to be able to tell me they were closed and I should come back the next day. Paul didn’t care about what time it was. Paul was helping a veteran that had just been released from a psych ward. To him, that was far more important than quitting time. Or at least, that’s how he made me feel.

In my dealings with all of them, there are only a handful of VA employees that are like Nurse Difficult. But like I said, it only takes one or two of them to ruin the whole experience and give the veteran a feeling of hopelessness when dealing with the VA. And then there’s Paul. Paul is the personification of what a VA employee should be. We need more people like Paul. I’m thankful I met him. I’m thankful he was working at the VA the day I got out of the hospital. He made a difference in how things could have gone that day, which, at the time, made a difference in my life. And he probably has no idea.

To Nurse Difficult, kick rocks, bitch. To Paul, thank you, keep doing what you’re doing. And to those of you who are going into the VA system for the first time, be patient. I know it’s hard. I really do. I almost got removed by security once a while back at the VA. It wasn’t pretty. But be calm and outlast them, like we did the enemy. And to the ‘mid-40’s’ veteran who was there for the first time, good job, bro. You handled it well.

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

Dave

related posts to this one:

https://storyofmylife.blog/2016/06/25/breathe-in-breath-out-if-you-can/

https://storyofmylife.blog/2016/10/08/the-va-is-killing-me/

https://storyofmylife.blog/2016/08/20/the-storm/