Aventuras En Farmacéuticos Uno

I've just looked in the mirror, and my pupils are the size of fucking microdots (the real things, not the lovely old gelatin acid tabs, they're way bigger). Probably because of the two DFs I necked a couple of hours ago. Well, fuck it, my feet hurt like motherfuckers today*, like someone has driven electrified railway spikes through the soles of my feet, which is a little fucking inconvenient, to say the least. It doesn't happen for as long, or as often now, mainly because of the genius physiotherapy department at Lewisham Hospital, but it still hits me occasionally. The fucker is that painkillers aren't really that effective (they do take the edge off and put a dumb expression on my face tho), well, unless it's tramadol, and that shit is a. fucking weird, and b. gave me fucking evil withdrawal symptoms for over a week when I stopped taking it a few months after leaving hospital because my fucking GP** didn't fucking tell me how to come off the shit without actually going completely fucking cold turkey, and I was too fucking twisted to even consider that the SSRI and SNRI actions that are just two of tramadol's revolting bonus features would make stopping the shit even harder and more unpleasant than yr average opioid, and that fucker never thought to mention those tiny details.

Sorry, the reason I'm ranting about the tramadol withdrawal even though it happened ages ago, is that I've only just recently discovered this is what was actually going on, and it's pissed me off royally. Well, as pissed off as you can be in a dihydrocodeine haze, but fuck it, I really feel like ranting. Because when you've got a fucking patient who's been on the maximum fucking dose of fucking weird opioids for several months, maybe it might have been a fucking good idea to tell them that they need to cut down gradually, and that if they don't they will suffer the combination of opioid withdrawal and the added joy of the wonderfully named atypical symptoms (which, suffice to say, are shit), especially as said fucking patient is recovering from an already massively fucking horrible autoimmune freakdown. Because you really fucking need a serotonin crash (and all the fucking rest) in that situation, I mean recovering from Guillian-Barre is such a fucking garden of delights in the first place what with all the fucking fun of learning to walk again and wondering when you'll ever be able to fucking eat or talk or kiss properly, or actually be able to touch or be touched and actually feel it again, or even just play the fucking guitar, and all the fucking rest***. Bastard. Fucking irresponsible bastard.

I needed that. Like I said, I know it was a while ago, but it does explain a few things about how I was feeling then, my horribly fucked up state of mind at that point, and I'm also finally able to think, and write about that time without going fucking batshit, and I feel I need to now that I can. All I knew then was that I was in a bad fucking way, and got sicker, and even less able to cope around then. But now I know why. It was an awful time, and not just for me, in fact I suspect, ok, I know it was a damn fucking sight worse for those around me§, because I was an unpleasant cunt at the time (and believe me, I'm under no illusions about what a bastard I'm occasionally capable of being when I'm really riled under much less extreme circumstances than the above), but knowing why is important to (and for) me, not because it excuses anything I did or said or whatever, but because I finally have some rational understanding of some of the why, and have put enough distance between then and now to finally be able to look at the whole situation from a somewhat more objective viewpoint.

Sorry if I'm rambling, or if you feel like my therapist. All I can say is thanks for the comfy couch.

*Nerve damage, Guillian-Barre etc. etc.

**Not the one who actually diagnosed me, she was fucking brilliant. 

***I could go on, for hours, but I'll spare you that. For now, anyway.

§This is neither apology or confession. The people who deserved apologies and explanations have all had them and have generally been pretty damn wonderful about it, and the idea that confession is good for the soul, well, the soul doesn't fucking exist, and there's nothing to actually confess to. Catharsis is what this is, pure and simple, because although I've talked it out with the people concerned, there are still things I need to straighten out in my own head about that time, and writing it down as opposed to talking about it just seems to work better for me.