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November 17, 2006

Happy Birthday to ME!

Yessir and Yes Ma'am, I am all of 54 years young today...and I feel it! I feel better than I did last year at this time, and as I recall I felt pretty damn good last year at this time. In a couple of weeks, we attend the Connecticut Society of the Book Reception ($40 per person except for honorees) to find out who wins the various Connecticut Book Awards. DIVIDED MINDS is up for one in Biography/Memoir, and though the competition is stiff, we can always hope. And simply being a finalist is a coup in and of itself, I expect. Today I heard from Graywolf Press, to which I'd sent the query letter and ten poems representative of my poetry manuscript. Since they had obviously sent back all the poems I'd sent them, and had done so very very quickly, I almost didn't open the envelope, assuming it was simply a matter of a rejection slip stuffed inside. But I did, just in case. And along with my poems found a note telling me that they were interested in seeing the entire ms, could I please send it?! Well, this was a big surprise. In fact, I am writing this entry at 11:30 at night because it was so important for me to get the ms in shape to send out tomorrow. I didn't manage it, as I got hung up on creating a table of contents -- the computer hit a glitch and wouldn't do it the final time, though it had done it fine several times before. The damned thing simply disappeared, and I hadn't even printed it out yet!

But in any event, I do have the ms done and only have to print it, with a table of contents, and it is all ready to go to the mailbox on Monday if not Saturday. And then it is Cross your fingers and thumbs and wait and wait and wait wait wait.

Earlier today I heard from A M:


Hi Pam,

I have been revising the sentences like you told me, re-answering the questions one by one carefully. Lately, thinking clearly has been hard as my shrink recently changed my medication to Risperdal and Depakote and the side effects are bad drowsiness. I want to write poetry again so bad but the medication makes me feel so dulled out. I used to be so creative, always with a witty line for someone off the meds. It almost makes me want to stop taking them but I dont want to end up back in the hospital. Do you find your medication does this to you? Are you still on Zyprexa may i ask? My shrink wanted me on Zyprexa instead of risperdal but I refuse to tolerate rapid weight gain. May I ask what you take now and how you live with the horrible side effects of psychotrophic drugs? Another question, maybe you answer it in your blog, what's your opinion on why so many creative people suffer with mental illnesses? I say we have access to our emotions more deeply then others, we feel more passionately and this causes things to get out of hand sometimes. I heard that at a writers' conference so I cant take full credit for that insight but I beleive it is true of myself. What about you?


Oh Lordy, A, are you reading this? Please, please, take some time off from the poem business and let your meds get adjusted properly! No wonder you can't think -- you just started taking two very sedating (at first) drugs. They will help you, and the sedation will wear off, but it takes some time to get used to it and you need to give yourself that time, not expect yourself to be writing poetry. Even I couldn't do that. Every time I change meds, I have to take time off to recover from the stress and strain of it, and so do you. It is very dangerous, in fact, for you to be expecting yourself to work at your peak right now, when you are just starting new meds, because it will leave you open to such thinking as: Oh, I will always be this dull and sleepy, and I couldn't stand that so I won't take these pills, I'm gonna stop taking them now! And that could be disastrous. No, you need to stay on the pills and NOT demand a lot from yourself right now, not expect peak output or creative work from yourself, which would be setting yourself up for a fall you don't need. Please listen to me: you will write again, because you are a writer, and writers write. But at the moment, you are not in a place where anyone could write, not me, not you, not any writer, and we all would have to stop and admit that we can't do it and need to take time off. Can you read if you can't write? Reading feeds all writing and is the best way to learn to write better. If you can't read, which was always my problem in starting new meds, then feed, feed on experience, go places, do things, even just watch TV, but choose your shows carefully, don't watch junk but watch nature shows, and biography and history and PBS and C-Span and all the stuff you think would be boring...It really isn't and it feeds you the world; when you can't get out to the world sometimes it is TV that brings it in to you. (I remember how magical TV was when I first started Zyprexa, how amazing it was that I could watch it, and how wonderful the variety of shows was, so many interesting things to choose from and learn from...I still couldn't do much or go places, but I went places via TV and I'll never forget how grateful I was for that.)

No, A, I don't take Zyprexa anymore. I had to stop it, I was just too upset by the rapid and unceasing weight gain. But if not for that, I'd take it again in a New York nanosecond. Zyprexa was the single most miraculous drug I have ever taken. It literally gave me the world, or gave me back the world, as Dr O suggests. Whatever is the case, I feel like I never knew what life could be until I took that medication, never truly engaged with life, not as an adult, not since childhood. And it worked almost immediately; certainly within the first week I could tell things were different...I could read, I felt interest, I felt alive...All the negative symptoms simply dropped away, along with the positive symptoms! I was sedated, yes, but luckily for me my narcolepsy medication helped me wake up. Since it helped with the sleepiness of narcolepsy it helped with the sleepiness of Zyprexa as well. So in general, I miss Zyprexa almost as much as I am glad to be rid of it. Talk about ambivalence!

As for what I take right now? For anti psychotics I take Abilify 15mg and Geodon 160mg and Haldol 15mg, plus some other adjunct meds -- anticonvulsants and one antidepressant at an extremely low dose. And meds for Narcolepsy and CNS Lyme disease. I take about 15 pills every morning in fact, a whole handful. But the reason I take them is that I don't experience a lot of side effects. If I did, I would complain mightily and have. But my doctor and I worked for five years, tinkering in and out of the hospital, through MANY hospitalizations and crises to find an exquisitely balanced blend of meds that finally works and does not cause side effects I won't tolerate. I am very lucky to have Dr O. Most docs don't bother to do what she did...or would throw up their hands at my refusal to take so many different drugs because of the side effects. But she LISTENED to me, and said we would find a combination that I could take, somehow, and lo and behold, with time and patience, we finally did. Most docs though would not put a patient on 3 different antipsychotics, and 2 anticonvulsants and an antidepressant at a subtherapeutic dose, and trust what they saw, that their patient actually did well. No, most docs put their patients on one or two drugs at high doses and decide to let the patient fend for herself, whether or not she has side effects. Tough luck for her, they say, nothing to be done...Well, I say, something can be done, but too often the docs are too lazy to do anything about it, and the patients are too shy or scared or cowed to insist. I was all of those things, but I simply could not tolerate the side effects and so I stopped taking the drugs so often that Dr O was obliged to work with me. But she works with everyone, that's how she is. Most docs are not like her, alas. So I dunno what to tell you about your meds, except to talk to your doc if the side effects don't go away, talk to her or him and insist that something be done, that something can be done...But don't stop them on your own or you'll end up in the hospital llike I did, which I regret to this day.

As for why creative people have mental illness...I've got to go to bed now, so I will leave that question for tomorrow, okay? But I have some thoughts on the subject, and also want to think about it a little deeper. So until the morrow, take care.

Pam

As for creativity and

Posted by pamwagg at November 17, 2006 11:33 PM

Comments

Hi Pam, Happy birthday to you and lynnie!!! i've been out of the loop lately...haven't been reading all of your blogs. life is just very busy right now. matt is doing great right now. did i tell you that he got an "A" in his freshman seminar class!!!! we had a big celebration. he was very proud. now he will sign up for another class at Suffolk Comm College in the spring. baby steps are great!!!!! hope you get that book award. it's one of my most favorite books and i think it deserves an award!!! love, sue m

Posted by: sue marasciulo at November 19, 2006 09:53 PM

Ah! I hope that your 55th year is one of sheer magnificence! Happy birthday to Lynnie, too!

Cynthia

Posted by: Cynthia at November 18, 2006 09:35 PM

Pam,

I had wondered why you quit taking Zyprexa, since it had the effect for you, which it unfortunately it doesn't for me - experiencing the world or your life (as I remember) as being real.

I've found that adding 2 1/2 mg of Abilify a day has cut way back on the overeating that Zyprexa caused for me. More of a very slow 'over the years' weight gain.

I've printed out your poem writing instructions + am reading your 'lessons' with Alexis. Though I find it hard to sit down + focus, I look forward to the exercise.

Good luck with your manuscript. And the award.

Barbara

Posted by: Barbara at November 18, 2006 03:06 PM

Dear Pam,

CONGRATULATIONS! Your poems are too good to not be accepted and I will be praying that Grey Wolf accepts your manuscript. It would be so wonderful to have you included in my poetry collection. A book of poems is so much more intimate and you deserve to have one of your own.

Your advice to Alexis is on the mark. Your personal experiences are good teachers to us, so teach on.

And hello Paula, good to have you back. You and Pam make a strong team of writers.

Always Fondly,

Kate : P

Posted by: Kate K. at November 18, 2006 02:10 PM

Happy Birthday!

What a lovely B-Day gift the publisher's interest in your work is!

Here's hoping you have a book of your poems out soon!


-ky

Posted by: ky perraun at November 18, 2006 12:07 PM

That is SOOOO exciting about Greywolf! I believe in you; my fingers are crossed.

Posted by: Samantha at November 18, 2006 11:58 AM

And a big hug and happy birthday to Lynnie too. I almost forgot to include it in my post.

Posted by: Alexis at November 18, 2006 09:31 AM

Happy Birthday to Pam! Congrads on the graywolf news and I hope Divided Minds wins that book award. It desearves to win. I couldnt put it down and was sorry when it ended. I want the sequel and the movie version. I used to take abilify but it never worked that great for me. I have been on the Depakote for two years roughly off and on and risperdal was recently added. I can read but very slowly. But I write clunkily now. I do want to work on poetry with you, though. And I do want to continue our conversation on words and books with you throughout the year if you are willing. Let's stay in touch okay?

Posted by: Alexis at November 18, 2006 09:29 AM

Dear Pam,
There is so much exciting news and "been there, done that" advice in today's blog that I hardly know where to begin. I suspect that the must important and meaningful starting point would be to wish you (and Lynnie) a Happy Birthday. You have so much to celebrate as you start your rebirth. You and your sister worked long and hard to produce a dual memoir which not only received fine literary reviews(so dear to an author's heart)but became the catalyst that put you out in the world where you belong. At first a frightened, large eyed fawn, you gained confidence as you delivered your message about the urgent importance of regarding the mentally ill as people. No longer can society hide its fellow human beings in the "back wards" of inferior institutions."Out of sight-out of mind" is no longer an option. You are brilliant, articulate, an accomplished writer of prose and poetry, and you are schizophrenic. To add this minor detail is tantamount to adding that you enjoy pickled pigs' feet. I believe your message carried so much weight because so many people could not imagine that someone who is mentally ill could simultaneously be intellectually healthy. With your beloved twin as a perfect foil, your combined message was a powerful "heads up" to all who ever felt that they were somehow immune to mental illness as long as they were walking, talking, and chewing gum with a modicum of success. For all this and more, you must surely be proud to be celebrating your birth, the birth of a woman who has made a difference despite overwhelming odds and will continue to do so in this and many years to come.
Now on to your wonderful birthday present. What a thrill must have run through you as you discovered your poems had not been rejected, but the company was clamoring for more! I am so delighted for you. I feel better than I have felt in ages. I said that you were on a roll, and your poems were becoming more varied while retaining that sense of self that pervades your "show-not tell" style. Lo and behold, the proof of the pudding arrived just in time for your birthday, as did TEN comments following your justified plea for confirmation from your readers that you were not writing in a vacuum. Shine on, my friend of the heart. Your advice to Alexis is not only sound, but comes from the heart of your own personal experiences and errors in judgement made in the past that you now regret. Each word is therefore valuable. The only challenge you have yet to conquer is that of teaching me the art of compression. I know the rules, I taught them to my students with a fair amount of success, yet I do not practice what I preach. Is the teacher unteachable(or just too set in her ways-we senior citizens can be that way)? In any event, I seem to be back in the saddle(I'm full of cliches today, aren't I) so I hope you will ignore my unstoppable recitations for just a while. We have plenty of time to work on my style, although we both know you have far more important objectives at this time.

Overflowing with happiness for you,
Your Paula

Posted by: Paula Kirkpatrick at November 18, 2006 08:04 AM

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