Adventures With Ketamine

I had my Ketamine infusion on Thursday This time was harder than the others have been over the past few months. Maybe because I was dehydrated …? I don’t know. But … I honestly did not think I was that dehydrated though. It never even crossed my mind when I went in there. I could tell that one of the regular nurses started to get frustrated. She said my veins were even smaller than they usually are. It took her quite a while to locate one that she would even attempt to put an iv into. She started sweating and I felt soooo bad. I wish I could have just pointed to a spot anywhere on my body and said, there’s a vein! But there were literally no visible veins to be found.

So then came the manual search. She was gentle, like she usually is, but even just running a finger over my skin and some light tapping hurt. I felt as if I was covered in bruises. Except I wasn’t. I was just cold. After her 3rd failed attempt she called over another nurse who started with my hand, then worked her way up my arm, poking and patting and rubbing to try and get a vein to swell up enough for an iv needle to thread into. She said something about my arm being cold and commented on the fact that I appeared to be quite dehydrated. Something about the elasticity of my skin. I can’t remember exactly what it was that she said.

By this point the shivering had started. The first nurse took my socks off and started rubbing the top of my foot while the other one made several attempts at what she thought were strong veins. I had been fighting with every bit of strength I had to hold back tears but after another failed attempt at yet another promising vein – in my foot this time – a sob came out of my mouth. It actually took me off guard because I was not expecting it. I thought that the imaginary valve in the back of my throat was secure in the closed-off position but the force behind that sob blew right through it.

Somewhere along the line a 3rd nurse had come over and was rubbing my other foot. I didn’t remember her coming. It’s like she just appeared. She rubbed my leg and said, I’m only going to try once and if I don’t get it we’ll have to call Jackie. Jackie is one of the anaesthesiologists in the hospital and has been called on more than one occasion to come and place an iv in me. She’s never had to poke me more than 2 times and more often than not she got it in on the first try.

So that’s what happened. They called Jackie. In the meantime the nurses tidied up around my bed and got me a clean, warm blanket. They had used the other one to catch blood that had ran down my arm. They said they were going to give me a little break and then left me alone for a few minutes. I turned over on my side and held the blanket against my mouth and nose. I didn’t want anyone to hear me cry.

I stared at the curtain and just started praying. God, I can’t handle this … It’s too much. It hurts … it hurts all over. It doesn’t usually hurt this much. I don’t want them to touch me anymore. God, please … this is torture … I can’t …….... I know you’re here. You’re always with me. You tell me you’ll never leave me and I can come to you anytime. Well, I’m here and I really need you to be here too right now. God, please … make it stop ...

Jackie pulled up a chair and sat at the foot of my bed after a brief look over my arm and not finding anything of interest. She started rubbing my foot with her hands, to try and warm them up, she said. She told me to try and relax and to take a few deep breaths. With that little bit of compassion from her, I felt a fresh stream of tears run down from the corners of my eyes. She told me that if I take a few deep breaths it will help the blood to flow better through my veins and that my blood needs oxygen to flow properly.

Every time I tried to inhale my breath kept catching in my throat, which in turn led to a small gasp to get it back. It took several attempts before I got a good breath in but it really helped. I had started to feel like I was floating away. After a few good breaths I started to feel the bed beneath me again and I could feel Jackie patting the top of my foot. She spoke and told me to, stay really still now. I instantly lost my breath again. I felt the needle pierce the top of my foot and she slowly went deeper. I heard the click of the release button, indicating the iv was threaded into the vein and could be released from the needle. It’s in, she said. You need to breathe ….

And that’s all I remember. That was around 11am on Thursday. The next clear moment was when I felt Zoey’s wet nose against my arm around 9am Friday morning. Ketamine has that effect on me. It tends to wipe my memory clean of almost everything for 12 – 24 hours following the infusion.

My head felt like it had been smashed against a wall when I lifted it off my pillow this morning. I did a quick body scan to see if there was pain anywhere else. Nope. All clear! The first 24 – 48 hours after my Ketamine infusions are the closest I get to being ‘pain-free’. Today offered little space to appreciate the low pain level though. It was a freaking emotional roller-coaster inside of me today. Tears began shortly after I got up. I was washing my face and noticed that one of my earrings had fallen out at some point. This big wave of sadness just swept right over me and tears started falling. Wasn’t expecting that!

A little while later I was laying back on the couch and David was sitting on the opposite end. We were watching an episode of Station 19 on TV together and there was an intimate scene between a husband and wife. More tears … and no words to explain.

And that’s how the day has been. Little random things causing waves of tears. I was outside planting some things my therapist gave me, and tears were flowing. I accidentally bumped my leg, more tears. David called out and asked me to come outside so he could show me something and I cried while I walked out across the garden. Then just before I got in the shower I sat on the bench in the bathroom and cried even more. Like seriously. There was no end to the tears. And it all felt like it came from a gut-wrenching sadness that had tremendous force behind it. It could not, would not, be stifled.

The day is over now. It is late, or early, depending on how you see 3am. I’m reluctant to go to bed, as I sometimes find being in a horizontal position also heightens my emotions. And I’m feeling pretty raw as it is. But we are going out of town tomorrow, for the night. On Sunday our God-daughter has her very first communion and we’d like to be there with her. My face is swollen. My eyes are bloodshot and puffy. And my mood is all over the place. But the very least I can do is attempt to get a few hours of rest. Even if that means just lying still, with my eyes closed, while my brain continues trailing off.

Stillness is not effortless for me. It takes work sometimes. Wellness takes effort and I’m trying my best to do what I have to do, even when I don’t want to. Do what you have to do to make it to see one more sunrise. 🌻

Sunrise from my back patio

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