I’m here tonight to share the final stage of the nervous breakdown I experienced early this year. The month-long illness was diagnosed by two medical doctors as a textbook “major depressive episode” and this major depressive episode was the worst thing that has ever happened to me, not the least because it adversely affected other people, too. But, as I can (and should) only speak for myself, I can only share my side of the story. That’s what this is.
This entry is so awfully long but I had to go the distance. We have to reach the bluer skies. I’m ready for those, aren’t you? Yeah.
So tonight, let’s close down the how and the why of the breakdown as best we can on a blog on a Sunday night. It’s as good a place and time as any: Who can totally explain why a black hole opens up in the psyche? How can we say for sure when these mental wounds begin and how long they’ll suppurate before they burst and run and require serious medical attention? It’ll take me a long time to understand all of this, but these installments of the PaperGirl Sunday Evening Post are an attempt. The 300+ pages of diary entries I’ve written in the past four months are attempt. Talking to my shrink is an attempt. Talking to my friends is an attempt.
That’s where I want to start tonight — I want to start with my friends.
In the depression, the days were short and dark. Nights were endless. Hope and vitality trickled out of me by the minute and it was so frightening to feel this and to see it, I was finally scared into asking for help. That’s how hard it is for me to ask for help: I have to be disintegrating before I’ll ask. (Yes, I have learned this is not okay and has to change.) Once I realized I was in fact disintegrating, I texted friends or called friends to come over. I wasn’t going to hurt myself, but I was afraid to be alone. In the deepest valleys of the depression, being alone was the most terrifying thing imaginable because to be alone was to disintegrate for sure; having another human in the room meant I might not go away completely, or as fast. When I asked my friends to come over, even though I was crying over the phone, I tried to make light of things, offering to get pizza and wine or suggesting we go see a movie. Here are a few of the things my friends said to me:
“I’ll be there in an hour.”
“Laura and I are comin’ over, Mar!”
“I love you.”
“Want to join me and Julia at the Field Museum?”
“I’ll head over right after work! I love you! Luke is coming over right now!!”
There was pizza and wine a couple times, but the moment any of these angels arrived in my living room, it was obvious these would not be social calls. The situation was not normal. My friends could see right away this wasn’t hanging out with Mary; this was sitting shiva.
Because no one had ever seen me like this. I had never seen me like this. My friends are otherworldly creatures made of dopeness and love, so when they observed me, they were kind and brilliant in their approach to care for me. These women and men did everything right. They brought me flowers, sewed with me, sent me jokes, talked to me on the phone, watched my favorite movie (Tootsie, duh), brought over — for example — a bag of white cheddar Pirate’s Booty and a six-pack, read to me, stroked my hair as I lay my head on their respective laps. They were brilliant, full of compassion and love for me; they were creative in their tending to me and relentless in their desire to help. But it was very hard to know what to do. Would I know what to do if a close friend literally could not stop crying for weeks? Two of my friends spent the night, sleepover style, during the final, awful week. They were with me when the worst of the panic attacks (I lost count how many), sank its needle teeth into my head and began to eat and pin-pricked every nerve in my body until I shorted out. That afternoon … that afternoon was terrifying for all three of us.
I felt guilty for those panic attacks, for shorting out. I felt guilty I could not entertain my friends, or be there for them. Their lives didn’t stop because mine was falling apart. But at that time there was nothing I could give them. I could only cling to them and beg them to stay just a little longer, which they always did, and without reservation. This neediness added to my sorrow, too, because depression is a sonofabitch. Nothing is safe. It eats everything it can, including good intentions and one’s ability to communicate love.
Remember how I told you there were five things that took me down? I was so busy getting on with the bitter end, I forgot to finish that list. Let’s do that now.
The other two blows to my life were money related.
My business is PaperGirl, LLC. In order to keep my expenses and tax stuff at least a little organized, I have a credit card for PaperGirl, LLC. I have a high credit limit on this card. I pay it off faithfully every month. (I think I’ve missed one payment in four years.) It’s got kind of a high balance right now — but not more than four digits — and it’s this is because I’m waiting on several reimbursement checks. I hate having a big balance on the thing, so I pay it off in big chunks if I can.
This credit card is my only credit card. It has my name on it and my business name on it. Outside of that, I have two debit cards. I have one store credit card. That’s it. Pretty tight, right? Pretty buttoned up?
Fun fact: If you have a credit card for your business, it does not count toward your personal credit score. Did you know that?
I didn’t know that. But I learned it when I applied for a mortgage to get a loan to buy a condo that would let me have my dog. The credit people were like, “Uh … so, you don’t have credit.” And I was like, “Uh … yeah, I do.” When I looked at my credit score, though, my credit card was not factored in. Because it’s a business card, it doesn’t count toward my credit. Even though my name is on the card. Even though my business is me and I am my business.
Without a personal credit card, one that just says “Mary K Fons” on it, not “Mary K Fons PaperGirl LLC, guess who got denied for a mortgage? Upon getting this news, I knew I was trapped for probably an entire year. A whole year more before I could have a puppy, a whole year more in the same space, in the building that broke my heart. It would be a year because I’d have to get a dumb (and “high-risk”??) credit card and “build up good credit for a year” like I’m a freakin’ 20-year-old undergraduate. I felt sick. I felt like a fool. I felt like total and complete idiot. And I wasn’t goin’ nowhere.
Dog. Breakup. Doctor. Money. Mom.
Details about that last thing, that fifth thing, that Mom thing, are absolutely nothing I’ll be going into. All I can tell you is that Mom and I had a fight. We never fight. Ever. We have never, ever had a fight. And then we did. And that was the last thing that happened that sent me down.
For two weeks — whether or not my friends were with me — I could not stop crying. I’m telling you: I was physically unable to stop crying. The tears would recede for a little while but then I’d shake my head and put my hand to my forehead and cry, and cry, and cry. Sometimes I could talk. A lot of times I couldn’t. There were periods during the breakdown when I just stared into space with tears rolling down my cheeks. One of the scariest things is that after a while, none of the circumstances that had brought me so low were front of mind. After awhile, I wasn’t crying about Philip Larkin, or the doctor, or the money. I was crying because … oh, my god. Oh, god, it was all just so sad. All of it.
The bottomless sadness of being alive. The death that waits for each of us. The despair in despair itself wasted me. Joy was something that existed on a distant planet. Sadness made me sad. Being sad about the sadness made me sad. And so I went down, and down, and down, and then, when I did not think I could go down more, I would remember that I was trapped, because of the money thing, and I would go further down. Or I would think of the fight and I would go further down. And I would think, “If Philip was here and I could pet him, I would be okay.”
The sadness monster was eating me alive. I have never felt anything more painful than that.
Next week: How I’m doing now — so good!! — and what medication I’m taking.
Some nights are list nights.
Tonight is a list night, not a narrative night. The list is the list of reasons why this is the case. And so, rather than disappear; rather than put something substandard into the multiverse; rather than not write a list I feel ought to be written, the list.
In telling the story of my nervous breakdown at age 39, I’ve so far detailed in two separate posts the death of my dog and the breakup of my relationship. There are three more disasters to share with you because there were three more blows coming for me before the major depression reached its most gruesome stage.
Tonight, the third disaster, but a heads-up for next week: I’ll combine the other two into one last post about the wind-up. I want to get to the climax and the denouement and then I want to go back to writing about dryer lint. Those were the good old days.
All right, let’s do this. Let’s talk about my guts.
Some people get colonoscopies. People with colon disease get them a lot, maybe every couple of years. Every two years, I have to get a pouchoscopy because I don’t have a colon. Instead of a colon, I have a medically fashioned thing called a j-pouch, and if you’re interested in reading the story of my chronic illness, click the “Sicky” category and you can enjoy all that wacky content.
My insurance was canceled in 2017 (a post about that is to be found in the “Sicky” category, in fact) and the cancellation meant I could no longer see my doctors and surgeons. Because of grad school and work, it took me a long time to getting around to finding new doctors. Dragging my feet on this was bad … since I was due for a pouchoscopy. The pouchoscopy is done frequently with gimps like me because we’re at a higher risk for various bowel cancers than other folks. It’s also seriously important to check for inflammation inside my funky new body parts because inflammation could be a sign of pouchitis, which is basically Ulcerative Colitis (UC) of the j-pouch. Which would suck.
And then there’s this other thing that a pouchoscopy can reveal. A pouchoscopy can tell the doctor if you — in this case, me — might be exhibiting signs of Crohn’s Disease.
Let’s see how quick I can do this: If you have UC, it means your large intestine is eating itself alive but your small intestine is fine. With UC, you can have your entire colon removed, get an ostomy, and get a j-pouch and everything blows and it’s awful forever, but whatever. You’ve still got your small intestine and that’s something, at least.
If you have Crohn’s Disease, your large and small intestine are eating themselves alive. Crohn’s peeps undergo (often over and over and over) surgeries called “resectionings”. A resection is where a surgeon takes out a too-inflamed, too-ulcerated-to-save piece of your guts. There’s no total colectomy with Crohn’s like there is with UC, because Crohn’s folks need all the entrails they can get. Any piece could fail at any time, you know?
If a person like me, a person with zero large intestine (aka, colon) is diagnosed with Crohn’s Disease, this is bad. This is the worst thing. This is the hell thing. This is the thing that wakes me up at night, the thing that makes me bite my cuticles till they bleed. If I am diagnosed with Crohn’s — whether it manifested after all my other surgeries or if I was misdiagnosed 10 years ago, doesn’t matter — then I will eventually have to undergo resectionings.
If you take away enough small intestine because you have no large intestine to take from you will eventually run out of intestine. If you run out of intestine, you can still live. But you can’t eat. You’re fed intravenously. Forever. And because you no longer sh*t, they sew up your butt. It sounds sort of funny except that it isn’t funny.
When I walk into a hospital or a GI doctor’s office, I experience PTSD from all the needles and bags and accidents and procedures and trauma and despair that I’ve known in the last decade — and that’s just when I walk in. If I’m in the doctor’s office and my doctor looks concerned about lab results or looks concerned about what I’m telling her about how I’ve been feeling, I tremble and shake. I also begin to stutter? When I’m in the GI doc’s office and things get out of hand, it’s true: I can’t get my mouth to say words. It’s weird. It’s frightening. When I have to get a pouchoscopy scheduled, I just … I don’t want to exist in my head. That’s how bad it feels. Basically, going to see my GI doctor is one of the most awful things that can happen to me, even when I get a clean (for me) bill of health.
Guess when I had an appointment to see my GI doctor? Sometime in early January, maybe? Yeah, after my dog and my boyfriend disappeared, and right before I got denied for a home loan and right before a huge fight with my family. It was sorta right in the middle of all that. And remember: This appointment to see my GI doctor was an appointment to see a new GI doctor, because I lost my insurance. New smells. New hospitals. New travel times.
The new doctor needed me to go through my medical history there in her office. From the first words, I could feel the stutter was gonna happen. My eyes started pouring hot water. Trying to “get it together” made it worse. The doctor was patient, but she needed the info in order to help me. By the time I got to the end of the story, which concluded with weird symptoms I told her I’d been having for several months, I was … not good.
“I’m concerned, with what you’re telling me about your symptoms,” she said, after clackity-clacking on her keyboard some more. She looked grave. “We need to do the pouchoscopy you should’ve had six months ago. I’m concerned about Crohn’s Disease, from what you’ve been telling — ”
And I don’t remember what came after that. Wait, I do remember: The doctor told me to go upstairs to get my blood drawn at the lab and she’d follow up with me about scheduling the pouchoscopy “as soon as possible.” I nodded and shook her hand. With a kind of fuzzy, hysterical static sound in my brain and behind my eyes, I took the paper. I went up to the lab. I got to the door. My legs didn’t work. I turned around. I left the hospital. I nearly threw up in the Uber.
All I could think of as I slumped against the car door was feeding tubes.
When I got to my house, I went up to my apartment. I didn’t know that I wouldn’t leave for a while.
Welcome to The PaperGirl Sunday Evening Post.
One of the best parts of the roaring fabric auction going on right now — click here for info on that if you need it — is that you and I have been able to hang out more. Doing a once-weekly post is what makes sense for me right now, but merchandise waits for no blogger.
My sincere thanks to all of you for the hip-hip-hoorays regarding the condo purchase. It’s thrilling, indeed, and I feel like you’ve come with me through this whole thing. The auction looks like a success, which is terrific. The bread from the boxes will be put into good use; I foresee those uses including but not being limited to: paying for the cleaning of my apartment before the tenants move in; paying the movers; doing the internet set-up, gas, electric, etc.; tipping the pizza delivery guy, probably several times over the course of the next couple weeks. Thank you. (Remember: On April 1st, thirteen (13) more boxes will go live to bid on, as well as quilts … and who knows what else! I’m kind of digging this eBay thing.)
In other news, I’m in Kentucky.
And though I am eager to get to the next chapter of the story of my major depression, it’s 10:15 p.m. and I haven’t the pep at the moment. I’m on location for Quiltfolk magazine and it has been a long-but-rewarding day. To begin the story’s next gnarly installment would be to steal from my already too-short night’s sleep and to write poorly for you. Do we like the sound of this? We do not. But when you hear from me next you’ll hear about the final blows, the knockout punches that took down our heroine. I’ll try my best to wrap up in that post the reasons why the breakdown occurred, to the best of my knowledge. Then I can get onto the how, the what, and the aftermath of the terribleness.
About an hour ago, in a desperate attempt to push through my tiredness and indeed write the third post in the series, I ate three handmade Kentucky bourbon marshmallows because that’s something you can buy in Kentucky. There was no booze in them, by the way (not that it would’ve mattered one way or the other.) I popped them into my mouth, bing-bing-bing, sure they would shock some energy into my brain. It didn’t work. And if three Kentucky bourbon marshmallows consumed in quick succession in a Hampton Inn in a suburb of Louisville, Kentucky, can’t give a gal the fortitude to write about a nervous breakdown … she should probably go to bed.
Yesterday, I announced a fun thing you can read about right here!
If you know about the fabric stash + book sale already, you’ll be more interested in this link that will take you to the Mary Fons eBay auction — and this red text is that link! If the auction is live already, it’s because eBay is complicated and strange, at least from the seller side of things. If it’s NOT live, yet, be patient, because it absolutely will be. Everyone will have time to play in the fields of a fabric auction, don’t worry. The auction will be up for five days!
NOTE: Many will notice that there are only 50 boxes for sale instead of 63, which is the count I gave yesterday. Have no fear! There are 63 boxes on offer, but eBay won’t allow me to post more than 50 items a month. (I told you: eBay, man.) I will post the rest of the boxes on April 1st, so look for that if you don’t get a box this time around.
Agh! It’s like throwing a party and hoping people will come, you know? However this goes down, I want to thank you most of all for the well wishes about the new place. It’s a new day. I feel like I’m breaking out of jail, I really do.
Have fun and be good. See you in a bit!