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Ketamine Infusion #5

I was not looking forward to today’s infusion, but again, I am holding on to hope so it was worth it. Today’s experience was slightly different. I felt more aware of my surroundings than in my prior infusions but the last 10 minutes or so were similar to before. I cried and felt isolated and paralyzed. I could see the people and surroundings around me but I felt completely separate. That terrified me. Luckily, the nurse was right there for me. Even as the infusion ended and my IV was taken out, I continued to cry, feeling nervous and scared.

As I came back to myself and had something to eat, I felt more stable as my head became clearer. My husband and I then met with the doctor. We discussed my progress and the necessary med changes. He gave us some options and I will be trying a medication class I have not tried before. I left the meeting feeling a spark of hope. I am eager for this change but it involves slowly tapering off of one of my medications and then waiting 2 weeks before starting the new one. The next few weeks may be difficult. It is only now, in this moment, that I see that I will get through this transition…there is no other choice. My therapist and my doctors at Yale are right there with me and even though I still can’t feel it, I see them. Their experience and expertise have guided me thus far and I trust them implicitly. Most importantly, my husband is right there beside me and I know I am very lucky.

I will have one more infusion on Tuesday and then the medication changes will continue. I am nervous about the next few weeks, but since I have already come this far, I can make it through this.

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Ketamine Infusion #4

I had a few days where I felt clearer, more with it and actually part of life. It felt good. I wasn’t “cured” as my mood was not greatly improved but it was certainly a difference. By Saturday late in the day, however, I started to feel more out of it and the past couple of days, while I have felt more in touch with my surroundings, I have felt more sad and irritable. I went in early this morning for my treatment and reported all of my updates. I was not necessarily looking forward to today’s infusion but the prospect of feeling some relief was my motivation.

Again, as the heaviness hit me, the tears flowed. I became frightened as I felt so alone. While the ketamine enters my brain, it forces me more into the bubble I already feel stuck in. I see everyone around me, hear voices and sounds and can make sense of them, but I feel cut off and as if they cannot see me. I asked the nurse for tissues and she asked if I was ok. I responded asking her, “am I okay?” She touched my arm and said, “you are okay. I am here with you.” While that made me cry more, it was the most comforting thing to hear in that moment.

I then started thinking of my beautiful daughter and was focused on her face. I missed her. I also thought of my husband and how much I wished he were sitting with me holding my hand, reassuring me. I thought of the conversation I had last night with my therapist who told me that she and my other doctors are there for me, in it with me. I cried more. I focused on the fact that I would see her tomorrow. I reverted back to thinking of seeing my husband once my treatment was over. I cried more.

The infusion ended and I was relieved. I drank water and ate some graham crackers and watched my blood pressure decrease (the ketamine increases it). I was a bit wobbly as I walked to the waiting area to my husband but was so glad to see him.

I go back for infusion #5 on Thursday and then we will meet with the doctor to discuss long term plans. This will involve medication changes as there are actually some meds I have not yet tried! For now, it is one day at a time.

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Ketamine Infusion #3

Yesterday I had several hours where I was more alert, involved and could formulate and explain my thoughts. My therapist told me I seemed a bit more together. By the early evening though I began to feel irritable and sad. I knew those hours when I felt clearer were a good sign and my doctors confirmed that this morning before they began my infusion.

I was nervous before they started and once it began that heaviness came over me and I felt as if I were watching everything from outside of myself. I began to cry as I looked at the clock and saw it was the time when I would wait with my daughter for the school bus. I did not see her this morning as I had to be at the hospital very early. I cried more when I thought of her and missed her so much. I focused on her face and what it feels like when I kiss her cheeks, her soft, perfect skin. I focused on her smile. I cried harder. The nurse asked if I was okay and I told her I was but I was aware that I felt scared and not okay. The doctor reassured me.

I then thought of how I am such a burden on my husband, daughter, family and friends. I felt trapped in the bed in the room as if this is my life now and my existence consists of being outside of myself. I cried more.

I looked around and all I wanted was comfort and while the doctors and nurses provided it to me, it wasn’t enough. I wanted and needed more. I could not feel it. I started to imagine my therapist coming toward me and reassuring me. It felt slightly real although I was not hallucinating. I think I was trying to feel a connection to someone or something. I then cried more, feeling so unsatisfied.

The infusion ended and I was glad as I regained myself. It really is such an odd experience and while it is not terrible, it is certainly not enjoyable. Some do enjoy it, some sob throughout, it depends on the person. I do think it is beginning to help me though and that is all that really matters. I have a life, a beautiful life that I want to live in from inside of myself, not outside looking in.

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