Wednesday, November 28, 2012

200,000 pills

English: Zyprexa
English: Zyprexa (Photo credit: Wikipedia)
Clonazepam tablets Klonopin 0.5mg.
Clonazepam tablets Klonopin 0.5mg. (Photo credit: Wikipedia)






                                    


                                     
   

The biggest mistake I have made in my life was walking into the office of a psychiatrist's office as a means of continuing education. Given the nature of communication, and how words often annihilate ideas and lead to confusion, it was almost inevitable that Dr. Pascal, although the fall guy for the profession, would reach for the prescription pad and the result led me into a quagmire of muddled diagnoses and the consumption of approximately eighty different medications. I have listed seventy-five here put I'm certain I have missed a few.  I apologize for the formatting problems of the listing of the drugs I have taken in accordance with the prescriptions.
           I began 200,000 PILLS looking for the right drug for me and it was during the many drafts and delays that I came to realize that an empathetic listener was the best medications. I did however suffer from a debilitating disorder but it was missed by all of these psychiatrists and the harm to my personal life is incalculable.                           


                                             200,000 PILLS

                                          DRUG INDUCED  COMA 

                                      US COPYRIGHT PROTECTED

Insomnia such as mine has driven many people insane, many have attempted suicide, and many have joined support groups, making their eventual suicide a certainty.  Remorse over consuming hundreds of thousands pills has enhanced my omnipresent sense of guilt, hopelessness, and decay. To prevent me from ending the life I love with uncommon greed, I ate even more pills to excise these psychological demons.

For decades, I have tumbled down a chute into a synthetic coma. It begins like this: despite my toxic bloodstream, I sip from a glass of filtered water and mash three mgs of Klonopin, a potent sedative, with the pestle of my tongue, and then press the paste into the membrane lining the mortar of my mouth. I eat 100 mgs of Sinequan, a sedating antidepressant that has failed to raise the black curtain of my dysphoria. This old drug induces coronaries, strokes, and causes black tongue, always a party favorite. Next, I down 50 mgs of Benadryl, ubiquitous in OTC sleep aids, and 10/20 mgs of Vytorin, to ensure many more years impaled on the stake of my fiendish malady, and finish with 20 mgs of Zestril, to restrain my roller coaster blood pressure, while I hum, for some reason, the William Tell Overture. Dessert is Zyprexa an antipsychotic marketed off label as a mood stabilizer; it is the newest green algae pond scum cure Du jour. My stable dysphoria attests to its efficacy.

To speak with eloquence given my lethal drug cocktail amazes my doctor, but I cannot recall if his comment came before or after his stroke. My lethal medicinal meal inhibits smooth muscle contractions, so emptying my bladder is a contentious battle. I run a warm stream of water over my hand, and stare into the commode’s blue Cyclopean eye while some urethral tears fall. Either a few beads remain to taunt me, or I enjoy holding my penis. I refill my glass and place it on my night table. My pill-parched mouth with its cracked tongue remains Velcroed to my upper palate until sunrise and my drug-inspired snort and sexy ululation terrifies foraging raccoons.          

Tormented still by my version of The Prince and the Pea, I slide to the carpet, and stumble forward to repeat my liturgy. The bedroom spins into a Tilt-a‑Whirl; hot flashes spew searing sweat needles through my pores, while the languid flutter of my eyelids, black wings tattooed with golden streaks, foreshadows my impending loss of consciousness. Lowering my head to prevent fainting, I allow blood to be reabsorbed into the blotter of my brain before toddling forward, locating the far bedpost with my forehead, smacking into the dresser, bouncing off two walls, the TV stand, stubbing my toe, and hop about doing the universal, ‘I-broke-my-fucking-toe dance,’ accompanied by the usual expletives. Undaunted, I stumble forward to stare into the bowl’s antiseptic eye to wring a single bauble from the dishrag of my bladder and I watch that forlorn drop plop into the ocular tarn while inducing a tingle rivaling an orgasm.

My drug-induced tarantella back to the rack of my bed is fraught with danger. Blasting off one object into another, and another, my forehead discovers the amoire, while I avoid a concussion, and crash onto the bed and grab the remote. What I need is a roller derby outfit with their phallus worshiping knee guards and elbow protectors. 

I pause at an infomercial for a hairspray to conceal bald spots – it’s the identical substance used to simulate snow making the gloomiest Scroogean Christmas white. Click. An attractive woman in an exercise outfit is bound to a body-sculpting device. Her fixed smile suggests severe motion sickness. Designed for the country’s pandemic of bulimia, anorexia, or for any masochistic this electric chair spins her clockwise, counter-clockwise until the poor model is on the verge of hurling.
I click to Girls! Girls! Girls! Whose scrumptious faces and bodies make men lose control of their cars, miss mortgage payments, murder their wives, and stuff their sleeping children into wood-choppers, but these beauties are pinning for you Mr. Nowhere Man. Their gravity-defying breasts make me wonder who will lift off first while the Greek chorus sings, Pick up the phone! Let go of your tumid cocks, drop your semen-congealed tissues, and pick up the phone! The girls’ tone escalates into a demand, ‘You snot-picking nerds pick up the phone! Pick up the fucking phone! Another click finds John Wayne and James Stewart with welcome mat toupees sitting askew on their keloid dappled heads; during this scene, to me, they are wondering if they have benign prostatic hypertrophy or a cancerous walnut. I laugh before plunging into a hollow coma.

Dream or REM—rapid eye movement—slumber is essential for emotional health. The medications I gobble distort REM whose deprivation can induce a psychosis, launch the good ship despair, and years have passed since I have had a genuine dream. Inadequate delta five sleep forces the brain to compensate, freeing the chimeras of a mind deprived of nocturnal delusions to run amok in the sunlight, an eerie double-exposed wasteland engraved with hideous images.

Toward dawn, my polypharmaceutical nightcap wears thin; a mule kicks a can against my ribs, and I awaken from a black culvert, a child with night terrors. Drenched in a sweatscicle, and frozen by shame, you would think I was monster, a Hitler, oh, name any sociopath unburdened by a conscience, and I am tethered to the most intense remorse, but what have I done?

          “Do you know how many suicides have been ruled as accidental overdoses?”
         
           “No, I don’t.”
                         


          “Neither do I, but I thought you might.” 

While each pill my drug-cocktail drags me closer to Death’s perimeter, I eat another two mgs of Klonopin, stuff silicon plugs into my ears. Daylight’s carnivorous glare enhances my dysphoria and one eye remains unzipped awaiting my enemy’s ascent; desperate, I scratch my way back into coma’s womb.

Serenity eludes me again, and I awaken in abject terror as the wasteland’s repulsive light dismisses the night and my heart is a metal noisemaker cranked in a drunkard’s sweat-creased paw. Thrust into the light from the darkness of my perpetual night, I taste the bile of my unfettered sorrow. The moon is my sun and the nocturnal shadows and ink that disheartens most infuses me with the pale recollection of my misplaced joy and obscures the charred soul of this murderer’s malady. 
    
None of the drugs doctors have prescribed for my amorphous dis-ease has tempered my pain. What damage drugs have done to my brain remains unknown? Do these medications protect me from the stress of my illness or are they destroying my brain? Many psychiatrists consider psychotropic drug damage a more virulent transgression than physical rape. Since it cannot heal, they believe the destruction of one’s brain, is a more piercing violation than the desecration of a body with its ability to mend.

Early in my life’s journey, I had strayed from the true path into a black grove. Trying to find the way, I wandered through the thicket lost, until I pushed the wheelbarrow filled with the compost of my angst into Dr. Alan Pascal’s office. Hoping to mine the archetypes in my psyche, I dumped that pile of my intrapyschic distress on his beige carpet. A brilliant psychiatrist with a reputation for a conservative medicinal approach, he wrote my first prescriptions for psychotropic drugs, inaugurating the hundreds of thousands of pills to follow. 

Pascal saw my judicious use of pot, speed, and barbiturates as a nascent flare, a sign of the incipient madness in the pith of my soul. Before I had entered his office, I had given up recreational drugs but  

Pascal never remembered this fact, enabling him to blame subsequent conflicts on those forbidden chemicals. During thirteen years of prattle, his erroneous zones became blatant, and I learned we had never spoken the same language.

Ignorant, in effect illiterate, I saw Pascal as a genius, a paternal model who would teach me to endow my life with meaning. I envisioned psychotherapy as an integral part of my education, but beneath this overt inspiration, as I scan back over the mildewed pages of my life, I see the naked specter of my chronic misery with great clarity. Given Pascal’s purported gift, I recommended his therapeutic insights to my friends. All of them had experimented with amphetamines, grass, Quaaludes, and barbiturates, and he treated us all with the same medications I received. We were all, by his standard, teetering on the brink of insanity.

Two chairs stood opposite each other in his anteroom. A huge plastic plant sat in a bucket filled with fake soil. A network of cobwebs decorated the plant; behind a vinyl curtain blocked the windows that, owing to the building’s construction, were at ground level while his subterranean womb was a curious symbolic arena to study the runes of patients’ psychological histories. Dr. Pascal’s collection of magazines, due to his parsimony, were limited to two hepatic-yellow mildewed issues of The Vacationing Physician, a professional journal, and an ancient copy of National Geographic, which was so old the women of Nigeria wore pasties. His office was ample; it contained additional plastic foliage.  

He greeted me in silence with his Jack-o-lantern smile, revealing a mouth with tiny seeds for teeth. His smile said I was a nerd but “I became a sagacious doctor in order to get laid or you are a nut.” He invited me in, and I sat in his Naugahyde dunking stool while he placed his albino-white ass on a leather chair in front of bookshelves whose tomes were the size of the Manhattan phonebooks, I dubbed it The Great Wall of Knowledge. Stacks of medical journals lined his desk, a Maginot line. During sessions, he slid my chair to the corner of his desk providing him with an unimpeded view of his patient who sat beneath a floodlight as if being interrogated by the CIA.

I waited for him to talk. He waited for me. He massaged his chin and readied his pencil. Then he tugged his earlobe and swiveled in his chair, and so it went . . .  until I broke the sacrosanct therapeutic silence. Left-handed he hooked his arm around a tiny spiral pad, writing in a furor as I spoke, and I recalled that southpaws die nine year earlier and a higher incidence of mental illness than right-handed people have. I should have kept my mouth shut and run.

Could the Sheetrock support the Great Wall of Knowledge and the wall next to the patient’s chair covered with thirteen diplomas survive the weight of Dr. Pascal’s framed authority? His large head evoked images of observatories; seven strands of oily, black hair like a car’s detailing on the bright pink dome of a skull appeared too large for his body like a baby’s head, and as an infant, I suspect, he resembled a fifty-year-old man.

When my hairline began to recede, he led me to believe that losing my long, curly hair was pathological. It took commercials for Rogaine, The Hair Club for Men, and hair transplant mills to make me realize that most men were very concerned about losing their hair. Since he was bald, reducing my complaint to a sign of psychopathology was perhaps compensation for his own premature loss and a form, perchance, of projected mourning. In contemporary culture, personal beauty is the gold measure of human value, while money is the silver. During my youth, many thought I had a great deal of gold.

When a girlfriend had sprayed her hairdo into a lethal weapon, we broke up for a few days. Kicking his conservative-bent aside, as I sat tethered to my Naugahyde dunking stool, Pascal dipped me into the polluted lagoon of his fallacious reasoning, decided I was a tad blue, and he prescribed the first little blue pill, Stelazine, an antipsychotic used off-label for ‘neurotic’ anxiety. To annul my lifelong insomnia, he prescribed another antipsychotic, Mellaril, a medicinal choice commensurate to killing an ant with a sledgehammer. The drug hangover made speaking almost impossible while I either bit my tongue, or plied it from the roof of my mouth. Mellaril’s half-life made this condition last from one dose to the next.  It was early one morning when I sideswiped six parked cars, making friend and passenger I had promised a ride consider an alternative means of transportation.

Eager to excise the tumor of my discord, perpetuated by what Pascal had begun, my ceaseless attempt to find a medicinal cure, found me in the offices of fifty to seventy psychiatrists, who can keep an accurate tally, who have prescribed each pill I have taken excluding a few recreational morsels, I had gobbled during my brief illusion of immortality. However, these noisome and dangerous medications have irrevocably altered my mind, my body, and my soul and though I’ve organized my neurochemical chaos as well as I could, my disheveled perceptions form a multicolored jigsaw puzzle in which the pieces no longer fit, and my own mind seems alien and damaged.
     
Who am I? I do not quite know, but I am without question a grunt in our army of doctor-induced drug addicts. Predicated on our morbidly obese, and gaining, lexicon of psychological syndromes, housed in the DSM, we now lead the world in mental illnesses. No one knows what incurred this epidemic of neurochemical deficiencies and excesses that has spawned the mind-bending desecration of brains and the masses of people suffering from them but immigrants who land on our shores soon become as insane as the rest of the population

Under the influence of 300,000 pills, that have failed despite their purported promise, I fell in love, again, again, and again… rented my body, selling it was absurd, and married, which brought me the wondrous gift of my daughter. My tale explores the stigma of mental illness, suicide, obsessions, compulsion, betrayal, squandered potential, our communal ignorance, and doctor-induced madness. 

Here’s the mind-bending list of drugs doctors have prescribed to control my incurable schizophrenia, poverty, and as one of the fifty million grunts in the army waging a savage battle against erroneous misperceptions, and the universal dread of those with a mental illness or its concomitant anomalies. 
1. Abilify                17. Dexedrine      32. Milltown         48. Ritalin             64. Trileptal
2. Adderall                   Capsules         33. Nardil              49. Ritalin-SR      65. Tuinal
3  Amytal Sodium   18. Dilantin         34. Navane            50. Seconal          66. Valium
4. Asendin               19. Effexor           35. Nembutal         51. Serax            67. Valmid
5. Atarax                  20. Elavil              36. Neurontin       52. Seroquel       68. Vistaril
6. Ativan                  21. Etrafon            37. Noludar           53. Sinequan      69. Vivactil
7. Benadryl              22. Etrafon-Forte   38. Norpramin       54. Stelazine     70. Wellbutrin
8. Celexa                  23. Geodon            39. Pamelor           55. Surmontil    71.Wellbutrin SL
9. Chloral Hydrate   24. Halcion            40. Parnate             56. Synthroid   72. Wellbutrin XL
10. Clonidine            25. Haldol             41. Paxil                 57. Taractan      73. Xanax
11. Concerta              26. Lamictal          42. Phenobarbital  58. Tegretol       74. Zoloft
12. Cylert                   27. Lexapro          43. Placidyl           59. Thorazine     75. Zyprexa
13. Dalmane              28. Librium           44.  Provigil          60. Tofranil       
14. Depakote             29. Lithium           45.  Prozac            61. Tranxene     
15. Deseryl                30. Luvox             46.   Remeron       62. Triavil          
16. Dexedrine            31. Mellaril          47.   Restoril          63. Trilafon       

Welcome to my life…

            Please see below an excerpt from Acid Dreams: The Complete Social History of LSD: The CIA, the Sixties and Beyond, by Martin A. Lee and Bruce Shlain (Grove Press)
Copyright 1985 by Martin A. Lee and Bruce Shlain
  
                                              This Section is titled MAD SCIENTIST
                                             The Mad Scientist is the late Dr. Paul Hoch
             
            Dr. Pascal, a pseudonym, diagnosed me with a disorder that emanated in the mind of Paul Hoch in 1948 and appeared in medical journals in 1949. Although I consider Dr. Pascal as one of the best psychiatrists I have known it was Dr Pascal who began my consumption of a wheelbarrow full of pills.  It was an egregious error and it has had a profound negative effect on my life. The diagnosis of pseudo-neurotic schizophrenia was a 'wastebasket' diagnosis that was compelling but never accepted by the psychiatric community or entered into the DSM in 1952. The problem with assigning a diagnosis predicated on my attempt to describe an abstract concept to Dr. Pascal is predicated on two main issues. In the first place, Dr. Pascal saw very few people with schizophrenia and he was making a guess predicated on my metaphorical description of panic attacks. True panic attacks are so profound that I felt as if I was dissolving and on the verge of death. 
          In an earlier post, I described being mugged. Though I had a gun placed to the back of my head, it was not as frightening as the panic attacks I tried to describe to Dr. Pascal and others. When I called Dr. Pascal, he knows that he has harmed me i ways that few can imagine, and he acts as one might expect from a doctor who had made a gaffe of monumental proportions. 

            What follows is the gist of what some journalists wrote about Dr. Paul Hoch.                         



 Dr. Hoch, early advocate of the the theory that LSD and other hallucinogens drugs, performed numerous  number of bizarre experiments for the army while also serving as a CIA consultant during the 1950s. He administered intraspinal injections of mescaline and LSD to psychiatric patients, causing an "immediate, massive, and almost shock like picture with higher doses." Aftereffects ("generalized discomfort," "withdrawal," "oddness," and "unreality feelings") lingered for two to three days following the injections.
Hoch, who later became New York State Commissioner for Mental Hygiene, also gave LSD to psychiatric patients and then lobotomized them in order to compare the effects of acid before and after psycho surgery. ("It is possible that a certain amount of brain damage is of therapeutic value," Hoch once stated.) In one experiment a hallucinogen was administered along with a local anesthetic and the subject was told to describe his visual experiences as surgeons removed chunks of his cerebral cortex.
  In another study, Hoch gave mescaline to a thirty-six-year-old male diagnosed as a "pseudo neurotic schizophrenic." Afterwards Hoch reported: "He had some visual hallucinations. He saw dragons and tigers coming to catch him and reacted to these hallucinations with marked anxiety. He also had some illusions distortions of the objects in the room. The emotional changes were apprehension and fear at times mounting to panic, persecutory misinterpretation of the environment, fear of death, intense irritability, suspiciousness, perplexity, and feelings of depersonalization. He verbalized the feelings of depersonalization as 'floating out of space,' seemed 'between this life and the next,' and had the feeling of being born. The paranoid content concerned essentially, why the doctors were taking notes and fear that he would be attacked by them. He also expressed an ecstatic grandiose trend of having the feeling that he was God in heaven and then, however, had the feeling of being in hell...The mental picture was that of a typical schizophrenic psychosis while the drug influence lasted."
As an afterword, Hoch noted, "This patient received transorbital lobotomy and showed temporarily a marked improvement in all his symptoms, losing most of his tension and anxiety. Postoperatively he was again placed under mescaline. Basically the same manifestations were elicited as prior to the operation with the exception that quantitatively the symptoms were not as marked as before."
Dr. Hoch also used electroshock treatment on patients who had been given mescaline. "It did not influence the clinical symptoms at all," he reported. "The patients continued to behave in the same way as prior to electroshock treatment." On the basis of these tests Hoch concluded that electroshock "has no influence on mescaline-produced mental states." He might have revised his "objective" assessment if he had taken the drug himself and had one of his assistants apply the volts while he tripped the lights fantastic. But those who secretly funded his research required only that he dish it out to mental patients and prisoners.

Postscript: It is my understanding that Dr. Hoch had worked under the auspices of Dr. Eleanor Benders and many of the subjects in her CIA project were young children who were given ECT, were placed in matrazol comas, like insulin, LSD and prefrontal leucotomies, lobotomies.  This experiment began in the early 1950s.  Dr. Hoch said, "Sometimes destroying a little brain tissue is a good idea."


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