Tanka Splendor: Vernal Equinox

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vernal equinox

fifty-fifth year of my life

will I find some peace

or will the dark curtain fall

as it tends to do in spring?

~cie~

notes

I created the Tanka Splendor badge with a free to use stock image on Pixlr. Please feel free to use it on your own blog. No credit is necessary.

I was not correctly diagnosed with type 2 bipolar disorder until I was nearly 40 years old. I was diagnosed with "depression and anxiety." I have both of those, but I have bipolar disorder rather than unipolar depression as my son has. My restlessness was sometimes blamed on ADD, which I have as well, but the restlessness becomes magnified in a hypomanic state.

My baseline mood is moderately depressed. Some of my depression is situational. Living in poverty is very stressful. I try to ameliorate the way I feel about it by the fact that I keep trying, but sometimes I feel like all my trying adds up to one big ole heapin' helpin' of horse manure and I become despondent. 

I live with suicide ideation. I think about offing myself a lot. Ideation is not the same as planning. My planning levels tend to be low regardless of how strong the ideation levels are. Generally speaking, I'm probably too much of an asshole to commit suicide because then I wouldn't be able to piss people off by existing in a corporeal fashion in their presence. But sometimes not having to struggle sure sounds like a winner.

I have experienced spring depression almost every year of my life since I hit puberty. My puberty was somewhat precocious and started coming on when I was nine years old. Thinking back on things, the first time I can remember seeing a strong manifestation that could have been identified as bipolar 2 was on my tenth birthday. 

Bipolar 2 can be sneaky since it presents with hypomania rather than full mania. Hypomania is like "mania lite." However, it can be just as destructive. I've learned to recognize the magical thinking that comes with the condition and to try not to act on my impulses during periods of hypomania. By magical thinking, I don't mean believing in fairies or even believing something potentially fatal like thinking I could get up on a roof and float down. Hypomania does not create that sort of delusion. (The delusion that jumping off a roof is a good idea. I like to hope that believing in fairies is not a delusion.) It does create the sort of delusion that I should buy into an MLM program for a thousand dollars and will make a butt-ton of money and be able to live happily ever after. I don't have the focus to be successful at such a thing, even if it is one of the few programs that is legit.

By the way, Watkins is not that sort of program. It is legit, and the "buy-in" for a year is only $30. I'm only saying this because the -666 of you who follow my blogs might be saying "oh, Cie, have you done this again with this Watkins thing?" No, I actually only signed up for Watkins to get discounts on my own merchandise but after reviewing the material felt good about recommending it to others.

I am trying to learn to forgive myself for sometimes really awful and personally destructive past decisions and to stop belittling myself for having a brain that works differently than the brains of the sort of people who tend to be held up as examples. Nobody will ever say: "why can't you be more like that ornery old hag cie? I mean, she's simply all over the place, and she's easily distracted except when she's laser-focused on one of her ruinous plans? Now there's someone you can look up to!"

I will be fifty-five in a month and a day from this writing unless I go tits up in the meantime. I have no hope that "this will be my year" as I always told myself on birthdays in the past and was inevitably disappointed. This will be a year. There will be no significant shifts. I will remain me and the world will wag on.

OctPoWriMo 2019: Day 3: Aunt Cie's Soapbox: Leave My Old Womb Alone (Choka)

Image by Solarus from Pixabay

lay off my old womb

I am not a candidate

for new motherhood

I can no longer achieve

reproduction, no

but it would not bring me joy

to endure the pain

of removing my old womb

it is my life choice

to keep my organs intact

despite a slightly

elevated chance that I

develop cancer

somewhere well on down the line

any womb is not

only worth saving when it

is available

to serve as incubator

~Cie~

Note:

The poem references the incidents of 2018 when my life continued revolving around my uterus despite the fact that the painful periods I had endured for 40 years had come to an end. In April of 2017, and again in April of 2018, I experienced post-menopausal bleeding, and in June of 2018, I underwent a D&C to determine the nature of the endometrial cells.

Had the cells been abnormal or the endometrial hyperplasia complex, this would have elevated my risk of future endometrial cancer by 36%, in which case I would have opted for a hysterectomy.

My cells were normal and it was simple hyperplasia. This only increases the risk of endometrial cancer by 1.6%. In the end, I felt that the risks posed by undergoing a hysterectomy, which is a major surgery no matter how casual a spin doctors try to put on it, were greater than opting for a wait and see approach. 

Post-menopausal endometrial hyperplasia can occur for a variety of reasons. It is more common in Caucasian women, in women over fifty, in women with a larger body type, and in diabetic women. I am a large Caucasian woman over fifty with a large body type who has diabetes. As it turned out, I also had a number of small fibroids in my uterus which were probably irritating the endometrium and causing it to overgrow.

My primary care physician wanted me to have a hysterectomy.

My OB/GYN wanted me to have a hysterectomy.

The gynecologic oncologist whom I consulted wanted me to have a hysterectomy.

This despite the fact that all of them quoted a very low increased likelihood of the type of hyperplasia I was experiencing ever developing into cancer.

I had one of those obnoxious trans-vaginal ultrasounds in February of this year which showed that the endometrial lining was still slightly thicker than normal but had greatly reduced in size and was within the perimeters of acceptable. I did not experience bleeding in April of this year. My OB/GYN wanted to do another D&C, but I said no. There was no presenting reason to undergo a procedure that leaves me feeling like someone has been up in my business with a cheese grater.

I consulted with a radiologist who specializes in a procedure called uterine artery embolization, which utilizes tiny radioactive grains to block the uterine arteries and cut off the blood supply to the fibroids so they shrink and cease to cause trouble. As opposed to a hysterectomy, which is a major surgery, this is a minimally invasive approach. The doctor told me I was not a candidate for the procedure because fibroids will shrink on their own after menopause, but she agreed with me that since I had not experienced post-menopausal bleeding this year, the endometrial thickness is within acceptable boundaries, and my hyperplasia is the low-risk variety for future development of cancer, a wait and see approach makes sense in my case. She discussed this with my OB/GYN and the gynecologic oncologist, and they agreed with her.

During The Year Of Focusing Way Too Much On My Uterus, I learned just how quick doctors are to recommend a hysterectomy to post-menopausal women. If a woman can no longer serve as a baby factory, let's just yank the old plumbing out, risks be damned. The fact is, major surgery is always risky although sometimes the risks of surgery are necessary. It is also a fact that the female reproductive system provides benefits to its owner even after menopause and unless it is malfunctioning in a way that makes life unacceptably uncomfortable or poses risks to a woman's health, it's best to leave it alone.

Uterus: it's not just for incubating infants. 

That's been Aunt Cie's Soapbox, Ladies! Hysterectomy is sometimes necessary, but it tends to be overprescribed, particularly in post-menopausal women.