Sent by God

3/15/17     10:54pm

A strange thing happened tonight. I was out to pizza with a friend and I had my dog Ellie. I know crazy people are drawn to me but tonight’s variety was different. I was at the counter waiting for a change in receipt when a disheveled man came in from outside and asked about Ellie. He started talking about PTSD service dogs and mentioned he was homeless. He told me he saw a super famous doctor in La Jolla once. I asked if he was a vet and he said no, that he wasn’t part of “the killing machine.” I tried to end the conversation and go back to my friend but no such luck.

The man came with me and sat down with us. He said there was something he wanted to tell us, something important. I have no idea what it was. I do remember him saying the word “bitchin'” and his name being Greg. My brother’s name is Greg and he’s the only one I’ve ever heard say that word. I wanted to give him a low income housing resource. Instead I heard about his experience being homeless, his family structure, some pro-Trump ranting, and how if he’s going to join a gym it has to be 24 Hour Fitness because it’s right down the street.

The man was filled with tears. He knew we wanted him to leave, yet he stayed. He asked if he could pray for us. He put out his hands and I held one and closed my eyes. He said a powerful prayer for my friend and I. God was there. I could feel it. He walked away and we took our pizza and left. The feeling stayed with me that God was there. Before I got in the car he showed up again and said to me that he really needs my help and would I PLEASE help him to get some place to live, some place with a bathroom and a shower, that he would work hard. He just really wants help. It was sincere. He never asked me for money or to buy him anything. He came to bring God to me.

I got in the car and told my friend about faith, that what is holding me up now is faith. I don’t understand what’s happening and I can’t fix or change it, but what I have is an unending faith and a posse of blessings and a crowd of people who love and support me. I have Jesus. I let go and trust. I am held. I’ve been really scared and, as my friend would say, “losing my shit,” and tonight God sent me a homeless man to refocus, to reconnect. He didn’t go anywhere. He never stopped caring for me, making everything right. Sometimes I just can’t see.

Thank you so much, God, for loving me. Please show me how to help your servant Greg.

© Michelle Routhieaux 2017

Wish List

3/5/2017   3:51am

251847-happy-birthday-to-me
So, it’s not my birthday yet but it’s coming up this Wednesday and a few people have asked me what I want. I’m not too good at birthdays, as evidenced by my track record, but I made a list of things I’d like to get or do. I’m not asking you to get me a gift or implying that you should. I just want to put the information out there for anyone who feels the need to. Thank you in advance. Here’s to a great Wednesday. :)

 

Amazon Wishlist: Michelle’s 31st Birthday
(collection of things online I’d like)

Free Options/Add-ons:

  • Choose DBSA San Diego on  AmazonSmile so my group makes a profit off of your Amazon sales. Just start your shopping at smile.amazon.com
  • Join Ebates using my referral link and then buy something. We’ll both get a bonus.

Gift Cards or Credit to:

  • CASH is always welcome ;)
  • Funds to see one of my cash-pay providers – Soleil, David, Dr. H, etc. – or towards my Phoenix Rising Training fund (please specify; my paypal email is whatnomuffins@gmail.com)
  • Amazon.com
  • Pampered Hands (Costa Verde Shopping Center)
  • Rigby & Peller (Fashion Valley)
  • Vision Direct
  • USA or Arco Gas Cards
  • Target
  • Chipotle
  • Jamba Juice
  • Rubio’s
  • Pieology
  • Sizzler
  • New York & Company
  • Kohls
  • JC Penney
  • Regal Movies or Edwards Cinema

Tickets:

  • Rock & Woship Roadshow March 10th – Ontario, CA. I’d love it if some friends could come along.
  • Chris Tomlin’s Worship Night in America – May 9th SDSU. I know some people agreed to go but I haven’t had the money to buy tickets yet.
  • Kinky Boots

Activities:

  • I’d like to try a Barre class
  • Santee Drive-in
  • Bowling at Parkway Bowl
  • Ice skating
  • Trampoline Park
  • Rock Climbing
  • Sea World (I get someone in with me free)
  • Butterfly exhibit at the Zoo
  • Art Night at my house or Quiet Party
  • Let’s go to laughter yoga in Balboa Park
  • Horse riding on the beach
  • An afternoon at Coronado dog beach
  • A night at the Shout House
  • Come to Zumba with me
  • Come to church with me

Well, I hope that helps. Helps me to know what I want!

© Michelle Routhieaux 2017

FUCK YES

1/27/17     12:09pm

I am SOOO ANGRY. And I slept 22.5 hours last night so I have plenty of energy to direct that way. I managed at least to scream “FUCK YOU!” after hanging up the phone.

I called the Coordinated Care Initiative line for the State of California. They are supposed to handle the conversion to and exemption of dual eligibles (those of us eligible for both Medicare and MediCal) from the new managed care requirements in this lovely state. The only easy way out of this requirement is to have HIV/AIDS or be an American Indian. I’m tempted.

What am I talking about?

Medicare is the health insurance offered to most seniors and people on disability (after 2 years). It’s hard to find a specialist that takes it but there are many useful hospitals that take it for medical and psych. There is a 190 day inpatient limit for psych days at a free-standing hospital. (When I’m better I shall be tackling this.)

MediCal is California’s version of Medicaid (federal health program for poor people.) It is near impossible to find a skilled clinician, if they give you a doctor at all instead of an intern, on MediCal. It is a good net if you have non-specific or only emergency medical needs but if you have chronic medical conditions and/or psych needs and have only MediCal, you’re screwed. In some clinics it’s better to be completely uninsured and pay a sliding-scale amount and see a good doctor. Having MediCal (and Medicare for that matter) also usually exempt you from prescription discount programs offered by manufacturers, even though formularies are scant.

If you have both Medicare and MediCal, MediCal won’t pay for any fee that is above what Medicare determines they should be paying your clinician – no matter how far below industry standard or just human dignitiy would allow. Yet our great state of CA decided that being covered fully by both insurances was just too much. In Jan 2014 they started a “demonstration period” of what’s called the “Coordinated Care Initiative” and started forcing people into either CalMediConnect (a program that pushes you into an HMO that rolls your Medicare and MediCal into one, SIGNIFICANTLY limiting your benefits) or whatever Medicare you already have plus being forced into a MediCal Managed Care Plan HMO. I opted out of this “demonstration” in the very complicated and hard to find way they barely provided as I watched the change mess up countless lives.

Then a few weeks ago I got a similar packet in the mail. I did some research online finding that the demonstration period ended Jan 2017 but no info on what the outcome was, whether it saved money, links to the actions taken by our government to expand or make it permanent. Nothing. Someone from CCI called to enroll me in a plan Wednesday since I hadn’t mailed in the form. I explained that I had no intention of joining an HMO because it would complicate and jeopardize my care and she told me where to find an exemption form. But the form says it’s only for people who don’t have another insurance. So I called back today.

I won’t lie. I’d be happy if this man’s head exploded and a MediCal doctor was left to piece it back together. He tried to convince me I wasn’t being forced into an HMO. FALSE. Then he told me I’d qualify for a non-medical exemption but failed to mention the American Indian or HIV/AIDS part right away. I asked about the demonstration period and where I could find information. “We’re just the enrollment center. That’s the state… That’s not my department. That’s not my issue,” he said. He kept coming back to trying to tell me my doctors wouldn’t be affected by joining a Managed Care Plan. Then he went and said it. “Well, if the only reason your doctor won’t see you is because of the extra time it takes to do MediCal paperwork, is that really a doctor you want to be seeing?”

YES!!!

How much more of a fucking idiot could he be?!! Just how they want them at the CCI office I bet. I told him, “YES!” Those are the doctors who have time to hear what’s going on, who listen to my situation, who have experience and choose to actually get paid for it instead of working for free or just supervising 10 interns at a time as they run around the office “practicing” medicine. FUCK YES.

Aside from just being rich, Medi-Medi with fee-for-service MediCal was the best insurance one could get. MediCal pays my monthly Medicare premium, automatically qualifies me for Part D Extra Help (making my generic drugs about $1 and my brand name drugs about $3), and picks up the copay at any doctor I see or prevents them from charging me one. I’m not looking forward to this new world and what will be denied or changed. At least I can blame screaming “FUCK YOU” at them on being crazy.

TIP:
I run into doctors who take Medicare but not MediCal and if you tell them you have both they say they can’t see you as a patient because they don’t take MediCal and it’s considered fraud to charge me my Medicare 20% or anything else.
WRONG
Usually I just call back and don’t tell them I have MediCal. Then they take me but I guess it’s still fraud.
I learned this from HICAP when I called a few days ago: It’s not fraud if they give me a statement in writing that they don’t accept or bill MediCal and I agree to this in advance of treatment. Sweet! I’m on the search for a preformatted statement like this and will post it when I find it. Then I can blanket the city and my group with this new information. I even had a girl turned down by a Sharp Urgent Care the other day because they told her the same thing. I do have ins at Sharp…

Don’t fuck with a fucker. I’ll take you out. ;)

© Michelle Routhieaux 2017

God Breaths

1/24/2017

yoga-therapy-art_0112-1

There was a great image in this session of my mind filling my body as I breathe in and my body emptying it as I breathe out, purifying. Soleil called these Earth breaths. I think of them more as God breaths. The letters and lines represent disjointed thoughts.

© Michelle Routhieaux 2017

Hope in Electricity

1/23/2017     11:43pm

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I feel so good. My body is really sore and I can’t drive but I feel light. Colors are crisp and clear. They may only last a moment but I have ideas. I smile warmly for no reason. I breathe deeply without having to think.

Today I had ECT (my 1st since April). A change in anesthetic caused some problems but I am so much better. I am blessed with an amazing doctor who genuinely cares about me and a dream support team. Friends are helping with rides. I am released to rest and sleep (both from my depression & ECT).

It’s been almost a year since I was doing somewhat okay. My current therapist says he doesn’t recall ever seeing me not in crisis. Late summer I started to get worse. My repeated calls for help fell on ears that considered them my norm. I prepped to go inpatient in Sept/Oct but thanks to an amazing arsenal of coping skills and extra sessions of therapy I was able to hold off. I asked for ECT. My doc wanted DBT-IOP. I got pushed into a different program instead due to my people being in DBT, despite my multiple warnings that it was not a good idea. It was, as anticipated, a catastrophe that ended with an event appropriately described as trauma that I’ve yet to be able to process. In 1 day I went from 25+ hours of treatment/therapy per week to 2-3 hours. Not good.

Lately my suicidal ideation has been through the roof. I’m fighting for my life. I’ve also been impulsive, angry, self-harming, dark, unable to access empathy, scared, feeling alone and hopeless. Last week I called my therapist at midnight. I packed for the hospital. I cried.

They laid hands on and prayed for me at church on Sunday. It was unexpected yet utterly calming. I was surprised last week when my pdoc offered ECT. In one moment she validated and made my ongoing normalized experience true. I was confused. Even this morning I was panicked as they put me under. But Dr. M had my hand and I could feel God and see the outlines of my angel and D- and some unknown to my left. I am exhausted and sore but I am okay.

God, thank you for blessing me with family & friends and kick ass doctors. Please continue with my healing and keep using me for Your will.

My next treatment is Thursday. I wonder how long they will last – not the set but how long between treatments before the effect begins to wear off. I’m itching to do weekly. I can drive then. ;)

I enjoy resting and sleeping now. And rain

M

Update 1/31/17  1:46am:

I had a treatment on Thursday and another today. The weekend was really bad but I feel better now. I’m getting some rest and reminding myself to do one thing at a time, be “gentle to self,” as we say in group. I’m proud of me and grateful for my treatment team, my friends and ECT. There is hope in electricity.

© Michelle Routhieaux 2017

Have you Smiled yet?

1/14/2017     1:06am

Now that all the crazy end-of-year giving charity hype is over I have to ask, have you Smiled yet?

jamies_hope_amazon_smiles-3

I’m always looking for new and easy ways to raise money for my group DBSA San Diego. I love Amazon Smile. Here’s how it works:

  1. Charities can sign up with Amazon for an Amazon Smile account.
  2. People like you and me go to smile.amazon.com and sign into Amazon. If you have a direct link, you can choose that charity easily. If not, you can search from a list.
  3. Then just start your shopping from smile.amazon.com instead of plain old http://www.amazon.com. An easy way to remember is by just using the Amazon Smile extension for Chrome that you can find here. Sometimes there will be a pop-up to remind you if you’re on the regular site.
  4. When you buy things through Amazon Smile, your chosen charity gets 0.5% of the price.

To choose DBSA San Diego, use this link: https://smile.amazon.com/ch/46-4731973
The location says Chicago, IL because that’s where we’re headquartered.

Shopping through Amazon Smile doesn’t cost you anything extra. You only have to sign up once. All the same products are available. You just get to help out in a really great way. There’s even a little note by each product if it’s a purchase eligible for donation.

I’d appreciate everyone joining to support DBSA San Diego and sharing with friends.
Even if you don’t support my charity, it’s a really great program.

© Michelle Routhieaux 2017

Windows of Opportunity

12/5/2016     9:38pm

yoga-therapy-art

I’m sitting in the VA parking lot. The potluck was tonight and I pulled it off well, got a special award from Libby. I cleaned up and socialized, kind of. I feel weak and dizzy and faint, like before I passed out yesterday. I walked the stairs anyway. I want that star.

(rest on my fist the space between my eyes)
Mom didn’t come.

I missed my opportunity. I fucked up. This is my fault. I need and wanted ECT. In the time I could have done it and recovered I tried something else to appease my doctor, which went horribly wrong. Now I’m in a med change. She’ll want to know if it’s working tomorrow.

Is my new med helping? Is it better or worse? I’m not sure how to answer that. Before I was severely depressed and non-functional. I wanted and needed ECT and had time to do it but needed help with logistics. Now I don’t know what I am. My best guess would be rapid cycling mixed episode with mild psychotic features and marked memory impairment. I go back and forth from bitter to rage to desperation to confusion – lots of confusion – and back. The period I’m not supposed to have now comes for about 3 days every week and a half. I’m bingeing a lot, making myself ill, impulsively maxing out my credit cards. I shut down completely in private and in public at inopportune times. I’m isolating from everyone, including D-. Fighting with Mom every day. Is that better or worse?

I missed the opportunity. They don’t come often. Today I went back to work for F-. I’m expected at group and outreach events and appointments. Because my moments are split I don’t get to pick ECT anymore. I don’t get to do what I know works for me ‘cuz I’m feeling now. Fuck.

(curled over, feel my heart beat on my skin)

I’m cold.
What do I do now?

Just keep working.

I didn’t matter enough to fix. :(
Not my turn.

3 – When Daddy hides the roller skates, run run away.
No like Daddy clip his fingernails.
Ice live in penguins, Mommy.

I get to see J- on Thursday. I don’t know how I’m going to pay for it but I want my life back. I NEED me back.

What do I want/need help with?

  • coaching through PRYT training – fundraising, planning, accommodations, follow-through, step by step
  • going through my stuff
  • fitting all I own into my room
  • conquering the garage
  • dancing again consistently
  • financial planning
  • losing weight
  • standardize & wrap up group business
  • have friends again
  • sing again
  • be in a musical again
  • scheduling – me + responsibilities
  • being around my mom with compassion

(stare, hear a GameBoy game song)

3 – I want to go humbly. I mean home. You bozo.

(VA police sweep)

The difference between now and then is that in the darkness I felt hope.

© Michelle Routhieaux 2016