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Apr 15, 2015, 10:32 PM
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Member Since: Mar 2009
Location: USA
Posts: 10,966
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This was truly a fine response. Thanks! 
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Am I just making excuses?
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Not in my mind.
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Is this reasonable to start with?
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Yes.
Not at all. Any length that is helpful is fine with me.
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I think though, that instead of having my therapist presenting the pros and cons, it would help me more to try to objectively make a list of pros and cons and then share it with her and see if she agrees. And of course I'd love to share it with y'all. I think that's kind of what you were saying, only maybe a little role reversal.
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I like your idea very much and I would love to read what you put together. When would you be able to do it?
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1) journaling's helpful for me. I could commit to spending 30 min/day journaling. I've got a lot going on. There' s got to be something for me to write about. 2) I've lost touch with a lot of my friends/family. I could commit to spending 15 min/day e-mailing, facebook, talking on the phone, in general catching up.
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I like these ideas very much!
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Regarding the pacing, I probably pace 5-10 min out of every hour, 17 or 18 hrs/day. I can commit to not going over 10 min any given hour and trying to keep it closer to 5 and cutting down to 14 hrs/day.
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In general, this sounds good. I suggest that trying to keep it closer to 5 could be more precise though. What if you alternate: 10 minutes for even numbered hours, 5 minutes for odd numbered hours?
I am a little concerned about going cold turkey on those three to four hours, it is a substantial change. How about dropping two hours for now and then if all goes well considering dropping an additional two hours in the near future?
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Overall, there's a lot more I should be doing. Career stuff, other ED behaviors etc and I do want to start working on that soon, I NEED to start working on that stuff soon. I had my electrolytes and a CBC drawn yesterday after they skipped labs for a couple days because my electrolytes hadn't been too terrible and pretty much everything - my sodium, phosphorus, calcium, hemoglobin, magnesium, and potassium came back low with my potassium, magnesium and sodium critical. And then they did an EKG which was abnormal, so it turned into a big drama. It sucked. Obviously they corrected everything IV, but there's obviously a bigger issue that I need to change. I'm not going to get out of here if I keep coming back with critical labs. And I want out. It's just...I'm so overwhelmed by everything right now, I'm not sure I can do a whole lot more, as pathetic as that is.
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I want to make sure that I understand you here. I think you are saying that you still have a lot of ED behaviors, and these behaviors are leading to the lab results you described. This is why you have an urgent need to change ED behaviors. But on the other hand it will be hard to change ED behaviors quickly when you are so overwhelmed and not at an inpatient ED unit.
How accurate was that? If it is basically accurate, then what one or two ED behaviors are the most important to address first in order to get consistently acceptable lab results?
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This was good for me to think about.
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Thank you very much for your kind words. Hang in there!
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