http://www.januaryfirst.org/www.january ... try_1.html
Yesterday, because Jani was falling asleep in the car and we were trying to keep her up so she would sleep longer last night and not wake up at 3am,
I gave her meds later than the prescribed time. I also gave her her meds later because she already has a severe sunburn under her eyes and on her arms and neck, thanks to the medications. Thorazine and Tegratol cause severe photosensitivity. Jani will burn in just a little sun in less than five minutes. Lithium is a salt and leaves her dehydrated and having to drink all the time. And we are not yet to the hottest part of summer. The combination of medications leaves Jani hot, itchy, and thirsty. She scratches her sunburn constantly and we shower her in lotion and Solarcaine.
Several times yesterday evening she screamed in pain, especially after I stupidly took her swimming and the chlorine got into her sunburned and rubbed raw skin under her eyes.
Today I sent her to school in a jacket, hat, and sunglasses. She has to walk around like the Invisible Man, completely covered up (even her hands will burn) which in turn makes her a risk for overheating due to the other side effects of dehydration and heat stroke. Yet she will not stay indoors during recess.
But the side effects, as crippling as they are, are the lesser of two evils. Jani did not get her meds on time last night at six pm. By seven, 400 the Cat appeared, although Jani said she wouldn't play with her. A few minutes later, I lay Bodhi on the floor after his bath to put a diaper and his pajamas on. Jani, passing by, realized he had one gotten one of her toys and was teething on it. She grabbed it from him, slapped him on the head. I reached for her arms, forgetting that Jani still had her feet. She kicked him in the side of the head. Not hard, thank God, but it scared the hell out of him. I picked him up and rolled away out of Jani's reach, putting my back between Jani and Bodhi, while Susan restrained Jani. Then we were stuck because Jani's meds were in her apartment, 200 feet away. I was only in my underwear, so Susan took Bodhi, wearing nothing more than a diaper, and ran to the other apartment to retrieve Jani's meds.
Had we been in Jani's apartment we could have dragged her to her room for a time out but we were over in Bodhi's apartment for dinner. We had no where to restrain her.
Susan humped Bodhi down three flights of stairs, across the parking lot, up two flights of stairs, got Jani's pills, and came back again. Jani got her medication and within 20 minutes of getting her Thorazine 400 the Cat was gone and Jani was no longer at risk for violence.
Susan, Bodhi, and I are like the people on Lost and Jani is the island. The meds are the series of numbers we must punch in (every three hours) in order to prevent the end of the world.
I kept Jani up until 9pm but she still woke up at three am. We had another incident at that point. I can get up at 5am. Even four am. But I cannot get up at three. The incident was caused by Jani refusing to obey my command to wash her hands after going to the bathroom (which should have made me realize she was psychotic). [!!!] She said she didn't feel like it and with no other way of getting her to do what I told her, I started dragging her into her room for a time out. She hit me the whole way. But there was a water cup on her dresser, which I had to get out because otherwise she would throw it against the wall. I couldn't reach the cup, hold Jani in her room, and close the door at the same time.
So I put my foot on her chest and pushed down lightly, just enough to hold her down, while I got the cup out. I turned and she leapt at my legs, hanging on while I shuffled to the kitchen to put the cup down. At this point I was worried about her biting since I was only wearing boxer shorts.
I have been bitten in several places but some are more painful than others. The more give in the skin (ie the fatty areas) the more painful. But this time she didn't bite.
I got her into her room, but again I had to push her down on the floor to give me time to close the door otherwise she would be back through the door. She does not care if I close the door on her head. She is psychotic in those moments. So I have to push her down on the carpet to prevent more serious injuries. I got the door closed and went to lay down on the couch.
Silence.
I lay there, wondering nervously if she would try to open the windows in her room and jump. Suddenly, BANG. She was throwing something against the door. I breathed a sigh of relief. At least I knew what she was doing. The last time she was silent in a
time out, we opened the door to discover her halfway out the window.
There a few more BANGS and then silence. I waited, hoping she would fall back to sleep from the
Benadryl I had given her. But she calls out that she is ready to talk (which is what we are trying to teach her to do instead of raging - talk out what she is feeling.
The problem is that the psychosis keeps her from knowing what she feels). [!!!]
I asked her why she was in a time out. She has to articulate the reason in order to come out. She said "Hitting." "And," I asked. "Screaming," she said. She hadn't screamed so I realized that once again she was disassociating from her experiences. She really didn't remember what she had done. Yet I still didn't give her a Thorazine. I was exhausted and just wanted to collapse, so I let her watch TV in the "dayroom" and I fell asleep on her bed.
By the time she woke me up again at 5 she was fully psychotic. She was running around, even with
Benadryl (standard ADULT dose in her) and playing with the rats and insisting that Bodhi wants to torture animals (because he has in the past discovered and eaten some of Honey's dry dog food.
I stupidly tried to reason with her for a few moments before I realized that there was no point because you can't reason with psychosis. So I gave her her meds. Within 20 minutes of getting her Thorazine she was back to her normal sweet self. It made me realize that
if Jani wakes up early she needs an extra dose of Thorazine because it is not the dose that matters. It is the time. She must have every three hours she is awake, and right before bed and right after she wakes up.
Today's update is a lyric from Peter Gabriel's "Mercy Street," from So, released in 1986. Overshadowed by sappy love songs like "In Your Eyes" and bombastic songs with claymation animation like "Sledgehammer," "Mercy Street" has always been my favorite Peter Gabriel song. Written about... [...]
http://www.januaryfirst.org/www.january ... try_1.html
"Ich kann gar nicht so viel fressen, wie ich kotzen möchte." - Max Liebermann,, Berlin, 1933
"Science is the belief in the ignorance of experts." - Richard Feynman, NYC, 1966
TESTDEMIC ➝ "CASE"DEMIC