March 27, 2007

Q-Bombs And Kentucky Prozac

There's a Raymond Chandler quote I've loved since I first read it:

"There was a desert wind blowing that night. It was one of those hot dry Santa Anas that come down through the mountain passes and curl your hair and make your nerves jump and your skin itch. On nights like that every booze party ends in a fight. Meek little wives feel the edge of the carving knife and study their husbands' necks. Anything can happen."

When I was younger, I lived in San Diego and Los Angeles and Chandler is right about the big desert winds from the East that blow down the canyons and dry everything out and make the cities smell slightly of sage. We'd get these winds a few days at a time, a few times a year. After living in Southern California for several years, you knew that when the winds clocked around, then crazy shit was bound to happen. Big grass fires lighting up the hills and earthquakes. They always correlated with the Santa Anas.

But more than Nature itself, there was something about human nature that came unglued with the winds and that's what Chandler's getting at. People went slightly crazy and got bitter with one another over the smallest things. A San Diego cop once told me that crime always jumped during those times and that if he could schedule his vacations around the winds, then he would.

In Seattle, it's not the hot winds. It's the gray skies without end and, this year, the rain that won't stop. We are already 40 percent or so ahead of normal rainfall for the season and lately people have been getting squirrely. When the rains keep coming a week at a time, you spend about 95 percent of your life indoors--at home, at the office, in a car or bus, at a coffee shop and so on. Five or six months of that straight will eat you up. Even the city's third places are no refuge from it. A few nights ago, I was at a bar and I damn near had to break up a fight between guys who weren't drunk, but were peeved at one another over an imagined insult. Do I even need to tell you that it was over a woman?

It took about 20 minutes for shit to settle down and, then, people who pretty much get along with each other started laying into one another behind their backs. Gnarly, chippy shit about how so and so behaves or how so and so is a cry baby or how so and so likes to go home and cut the back of her legs and watch the blood in a mirror when she feels bad. The kind of talk that makes me order a double. I'm not disgusted by it--that would be too easy--but sometimes you need a little help while watching our simian, tribal behavior go down.

I've run into most of the folks from the debacle over the last few days and everyone agrees with me that the endless winter has made us slip a gear or two. And that it's pretty normal to play the primitive and so on. There's no other way to get it out and it's got to come out. There's got to be a break at some point.

I mention this because a couple of weeks ago, I had one of the shittiest weeks I've had since quitting my job last year. It was dark and raining during times when it should been at least half-light, I was getting nowhere fast as a reporter/writer, my parents had just euthanized one of their wonderful 13-year-old cats and, well, life sucked big time. I felt awful psychologically, slept a lot (by my standards) for a couple of days and I knew that if I had a few more days of this slippage then I could wind up in a nice little episode of depression and who knows where that might take me.

When I was newer to the psych game, I'd be sitting up with the self-tests and psych books and making appointments with my shrink when I got that way. I'd go in and tell the doctor the score. Whatever dose of whatever meds I happened to be on at the time would get upped or sometimes switched to something else and, of course, I went along. Who was I to argue against science and medicine, both of which I hold in high regard? I had to break whatever horse shit was in my head and soul. The trouble was that the docs would never back you off the meds a few weeks later when things got back to normal. The meds had done their job at whatever dose you'd gone to and so it made good clinical sense to stay right there. Later, the meds themselves would go south on me, but that's a story for another day.

Over the years, I've learned that if I can engineer a break in pending depression for a day or two, then things return to normal much faster than with, say, Prozac back in the day and I go on fine for another three to six months, longer if I am lucky. I snap out of it, literally, although maybe not biochemically.

So, recently, I began to run through my options since I figured I was a few days out from having to drop a Q-Bomb. That's a smallish dose of Seroquel that just fogs the brain for a day or two and reorients the internal solar system, but I like to avoid that route because the fifth of whiskey head the next day is too much. My options at that point were limited and it had been raining too much to go sit in the woods or stare at the Sound or do like a friend of mine does and go shoot hand guns in the forest when he gets all wintery in his mind. I didn't have any Ativan and I hate Xanax and I was getting to the point where I couldn't listen to music of any kind. And that's always a bad sign for me.

So, I did something pretty unconventional (well, at least medically, but folks go this way all the time) and I sure as hell don't recommend it to anyone else. I scrounged around and found some old marijuana, shake in the bottom of a long-forgotten baggie tossed in a kitchen drawer, and I smoked it. Then I went out and bought myself a few bourbons at a bar near my neighborhood. Yeah, I caught a buzz and walked home, the streets empty because it was a Monday night.

I haven't been depressed since. Kentucky Prozac worked its magic. Somehow that feels like a better--or at least an equally-efficacious--tactic than slamming a Q-Bomb or letting things drift further and going to the doctor weeks later in such dire shape, as I once did, that I'd be begging for whatever he was handing out.

Or maybe I am a complete fool. But I've never run into an combination of meds that buffers me against similar bouts of looming depression, so I have a low incentive to stick them in my head long-term. Same as with whiskey and weed.

Posted by Philip Dawdy at March 27, 2007 12:03 AM
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Comments

I agree the rain is a solid downer of late. Double dirty martini's knocked my rainy day blues down last week; and I could think in the morning[opposed to Seroquel].No pot stash here.Damn. My bar was far more dull sounding.
We do have Santana winds here; their called Chinook. I don't have a point, except to say, sorry you were feeling that bad, and am also sorry about your parent's cat, that's sad.
The sun was out today for a bit-hope you got to see it. Take care.

Posted by: Stephany at March 27, 2007 12:19 AM

Yeah, there's stacks of anecdotal evidence in favour of cannabis use for bipolar, but as far as I know only one academic study into its efficacy and no clinical trials.

Of course, given the fact its unpatentable and would be just as hard to monopolise has it has been to eradicate, there is little commercial incentive for a proper trial.

My gut feeling (again) would be that it could be useful for some people if they know how to regulate their dosage and have a reliable supply.

But being forced to withdraw during a dope drought in the middle of a depressive downer doesn't bear contemplating - especially if the 'drought' is due to being in a cell for cannabis possession.

Probably best to eat it rather than smoke it, as the worst cannabis side effects are what it does to your lungs. But passing a spliff or bong around a circle of good friends might have a good therapeutic effect too.

Posted by: michael at March 27, 2007 01:57 AM

Despite all the controversy surrounding legalization of marijuana, Michael reveals the truth: IT'S NOT PATENTABLE. (ergo, it won't enrich pharmaceutical corporations' bottom lines.) IF the product could be patented, it not only would become LEGAL, there would be voluminous studies showing how the entire population of the U.S.--no, make that the world--could benefit from regular use!

Posted by: Melody at March 27, 2007 05:28 AM

I have no problem understanding that pot works for some, but it makes me psychotic. I'm literally having conversations with God when I smoke pot. I used to do because I liked it and thought it was for real. My disturbed little young mind!

Posted by: Gianna at March 27, 2007 05:40 AM

I can't drink, never could, and pot is a very bad idea in Virginia and has never appealed to me, but I have found several cups of strong coffee with an Ativan to have the same effect as you describe. Starbucks Sumatra is my choice, politically incorrect as that may be...

Posted by: Alison at March 27, 2007 06:37 AM

It's funny that you mention marijuana, because I have wondered for a long time why marijuana is illegal but antipsychotics aren't. Both sedate. Both give people the munchies.

Posted by: anon at March 27, 2007 06:56 AM

Driving under the influence of a Q-Bomb,is legal. Driving under the influence of marijuana is not. Which driver weaving down the road would you suspect being under the influence of a legal and prescribed medication?[and being taken as directed]

From the Seroquel website:

"*Since drowsiness has been reported with SEROQUEL, you should not participate in activities such as driving or operating machinery until you know that you can do so safely."
I ask this: when would I know I could drive safely under the influence of a Q-Bomb? when I hit a tree? Unless you drive, you'll never find out.
IF I hit a tree loaded on pot I would surely make headlines and been hauled to jail, loss of license, etc.
IF I hit a tree on Seroquel, I'm legally driving in a coma state of mind, completely convinced that I am in control of my vehicle. Legally. The extended release version of Seroquel will be coming out on the market soon. Best watch out for the drivers under the influence and being treated for insomnia, anxiety, depression and last but not least bipolar disorder.[but it's an antipsychotic].

Posted by: Stephany at March 27, 2007 08:35 AM

Stephany--

Don't you just LOVE FDA-approved warning-guidelines?
In his book "Too Profitable to Cure" author Hoadley has this to say:

"The list of adverse events was expanded from the seven or eight warnings that accompanied animal insulins to the current 25 warnings. The new warnings, approved by the FDA and implemented to protect pharmaceuticals from liability, covered such a wide spectrum as to be ridiculous. Warning symptoms of impending low-blood sugar levels range from sweating, weakness or tiredness, to seizure and coma. . . . At the other extreme. . . is the ridiculous warning that instructs diabetics to take precautions while in the throes of seizure or unconsciousness. A comatose diabetic has a great deal of difficulty walking to the refrigerator for a glass of orange juice! Diabetics might not be protected, but pharmaceuticals certainly are!"

Posted by: Melody at March 27, 2007 09:54 AM

In the state I live in if you are pulled over and prescription drugs are interpreted to be the reason you were pulled over, (or in an accident) you can lose your license. I live in fear of being in an accident that IS NOT my fault, then asked if I've taken any meds. Lo and behold...I'm on a ton of shit...and then I can't drive anymore! I drive extremely cautiously. In any case, I know my state is not the only one that has laws about psych meds being a legit reason to get a DWI/DUI thrown at you.

Posted by: Gianna at March 27, 2007 10:51 AM

I love the rain. When I think about the oppressive days of sun to come, it makes me anxious. I love Seattle when it's kinda misting and overcast. No torrential rainfall, just the comfortable haze of moisture in the air. Grey skies and the grey Sound are comforting to me.
I always try to get through my depressive episodes without pharmaceutical assistance. I don't smoke weed because I have a friend who is addicted and I now find the smell repulsive. However, a couple of Maker's and some good conversation are like aloe vera for the soul.

Posted by: Chloe at March 27, 2007 11:05 AM

I like the rain, because it allows my darkness to reside within its natural environment. Thus the fear of sunlight.

Posted by: Stephany at March 27, 2007 11:23 PM

Meek little wives feel the edge of the carving knife and study their husbands' necks

What happens when the wife isn't meek?

Posted by: Stephany at March 27, 2007 11:26 PM

Moving away from Seattle after college was both very painful and very very nice.

I moved to DC, a real shit hole of a city, but for some bizzare reason, I find myself smiling and in a good mood all the time... except when I'm getting threatened by random black people on the streets.

I think it has something to do with the fact even in Winter it's sunny at least 80% of the time. Yay Sun, boo S.A.D... The Northwest is nice, but you can only take so much before you either become majorly depressed or devolve into a emo goth vampire that writes shitty poetry

Posted by: Roy at March 28, 2007 06:20 AM

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