That's really good that the hospital visit went well Mishap, and I do hope things are beginning to improve for you. ((((Hugs)))) sent your way!
Disappearing contributors - part 2
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I just do not know what to do. I have got so much worse and just spend my time sitting about sobbing. There is no fleeting moment day or night when I feel well. I just do not know what I can do.
I tried the sertraline but became weepy and agitated and very nauseous, so I had to stop it. The beta blocker is stopping the heart arrhythmia but I fear might be part of the reason for my depression getting so much worse. I have decided to try going back on the dosulepin that I used to take for my migraine - it is an anti-depressant too and I just have to hope it will mix OK with the beta-blocker. My GP is away at the moment and I don't want to talk with his partner as he is so gung-ho - I really feel I could not cope with him. But I cannot do nothing.
I feel completely desperate - this illness is just taking my life away and I can see no end to it. I was having good days and bad, but now it is all bad and I do not know what to do.
If anyone else has been in this situation and has even a glimmer of hope to offer me I would be so grateful.
That's really good that the hospital visit went well Mishap, and I do hope things are beginning to improve for you. ((((Hugs)))) sent your way!

You sound a lot more positive Mishap. I think sometimes we just need someone who seems to understand. Hopefully things will improve for you now. 
-The hospital visit went well today. I had an echocardiogram which was, as I expected, normal.
I then spent some time with a very nice specialist cardiac nurse who grasped the situation straight away, realised how urgent it is to get on top of the depression and accepted the fact that I seem to be ultra-sensitive to medications of one sort or another. She demonstrated this by the fact that last night I took only the tiniest dose of beta-blocker, but my heart rate was very slow indeed.
She was reassuring about the AF, saying that it is not uncommon for the trauma of major surgery to cause this, but it is usually a one-off.
The SVT (the other funny heart rhythm) was less easy to explain, but she said it was reassuring that I am able to find ways of stopping it, even though it is a blessed nuisance when it wakes you from sleep all night. However, she thought that as it settles, I should be able to manage without the beta-blocker and that she would look at a regime of tailing that off whilst introducing the dosulepin gradually.
What was so good was that she cottoned on to the fact that I am desperate to get some ant--depressant treatment on the go - she is going to discuss it all with one of the cardiologists this afternoon and ring me back with his suggestions. I am so glad that she did not say to come back in x weeks or whatever - she realised that I need treating now.
I know that the dosulepin is likely to work for me, but had been concerned by my GP's assertion that it cannot be taken if you have an arrhythmia. It will be good to get a definitive answer to this, so that hopefully I can move forward. Your comment about dosulepin phoenix tallies with mine - I too found that taking it at night gave me side effects the next day, but that, for me, taking it at about 7 - 8pm worked out well - I seemed to sleep through the max side effect period and wake up OK.
So fingers crossed - I will wait and see what she has to say later.
Thank you for all your supportive messages; and special thanks to ethel for finding the time to help me when you have so very much on your plate at present.
I hope something can be sorted out for you Mishap. Sorry you are feeling so low.
Mishap sorry that you're so low.
I'm currently on dosulepin too, and find it I take it at night, I feel dreadful the next day. After a while of trial and error, I found that the best time for me to take it is around 6pm.
Mr P teases me about Pavlov's dog syndrome, as the moment I hear the 6 o'clock "bongs* on Radio 4, I head straight to the cupboard.
So sorry you are feeling so bad, Mishap. I have been so concerned with my own health concerns recently that I have not been able to think of others. hope you are feeling better soon, I have no experience of depression medication but I do understand that some medicines can react with others to make you feel very ill, so maybe they can sort out something. Please try to have a lovely Christmas.
the other day I was walking in the shopping centre and met a distant cousin who was always very bouncy and full of fun, a regular comedian and I always felt a bit irritated with him, having not seen him for a year we had a little chat and I was gobsmacked to see how he had changed. He has depression and lost his job while off sick, he was dressed in an old mans type of clothes, looked a bit down and out, he has no money and spends his time trawling the bargain shops all day. He hugged me and put his head on my shoulder and he was almost in tears. I did not know what to say, he said a tearful goodbye, so if this is what depression does to people I feel so sorry for them. I felt so helpless.
Be thinking of you mishap over the coming weeks.
Same message from me, Mishap. The doctors need to weigh up the effect this is having on you. Everyone knows about the power of feeling positive in helping the body to recover. I hope today brings some better news for you.
I do hope they can give you hope for a resolution.
Please be open (as you have on here) and frank about how you feel to your DD and Dr. Don't hint at your feelings, tell them straight. You need them to be in no doubt how you feel so that they can appreciate he urgency.
Things WILL turn around, but you need professional help.
Thank you for your kind messages.
Yesterday was truly dreadful - I did not even get dressed. I had started the dosulepin (which I think will be the right anti-depressant as I have tolerated it before as an IBS and migraine preventer) but in conjunction with the beta-blocker it left me virtually comatose - I truly could barely stand up. I did not take it last night as I am going to the heart clinic this morning and would not have been able to get there if I was in yesterday's state. However, I am going to talk to them about some drug to control the heart without making me more depressed (which I really do think the beta-blockers are doing) or making me so drowsy when taken with the dosulepin.
My DD is coming with me and will back me up and try and get across the urgency of doing something about all this. Finding something to make me better that does no worsen the heart problem is the first step.
I am struggling so much with permanent nausea which seems to be a large feature of this illness for me - I cannot tell you how it drags me down. I need to ask them about something I might be able to take for that as well - all the drugs my GP knows say not for people with heart arrythmias. I seem to be in a catch 22 whichever way I turn; but with my DD's backing I hope to try and get some answers this morning.
PS my DH sees a new CPN tomorrow ,we only saw the last one once. Par for the course I feel.
Mishap I always feel that when someone goes through what you have recently it is like mourning for the life you had before it all happened. You really miss the life you lived before when you were fit and active and it is almost like a bereavement ,you feel you will never get it back. I hope that doesn't sound over dramatic but that is my feeling and you may have to adjust to doing things differently but you will do them. Good wishes to you for an improvement soon.
You've been coping with a lot, mishap. A psych once told me that when we have to deal with a lot it's like shaking a bottle of lemonade. The pressure builds and builds until the bottle blows and the lemonade spurts out. The same is happening to you atm but it will settle.
Your cpn will talk to you but more importantly she'll listen.
I know you feel terrible atm but try to imagine you're in a tunnel with a bend in it. You're gradually making your way to the bend and when you get there you'll begin to see the light again.
I think Ffin is right - write it all down for the CPN - s/he will appreciate it - and your GP - and keep a copy yourself. You've been up against one hell of a lot over the last few years, it's no wonder you're a bit broke. It'll help them understand the cause of your depression and how to get you back up again.
Mishap The only way is up, and you will get there. Meanwhile keep unloading on here.
I don't have any helpful experience, except that my dd thought she was dying for the first couple of weeks on her anti-depressant.
((hugs))
Mishap ((((hugs))))
You are not being a misery at all! What are friends for if not to offload to? You have had a basinful to cope with and I just hope help, intervention and just life in general will help you to get back to your old self very soon 
Thank you all for your kindness. You must all think I am a total misery - but this is really not me at all.
Mishap I am very pleased to hear you have an appointment with a CPN. This avenue of help may be just what is needed. Tell your story from the start - beginning with your husbands illness and your foot problems, the loss of involvement with the community and choir. Write it all down. Every step taken to where you are now, matters.
I am so sorry you feel so desperate. 
Just wondering if you have felt worse since you have been on beta-blockers. When i was on them they made me extremely depressed and I had to stop them. Obviously if your doctor needs you to take them then you must. It's just a thought.
Mishap
You are right, it is a dreadful illness. I hope your GP practice can sort you out. I think sometimes we can feel worse at this time of year when we are supposed to be jolly but just feel wretched. Good luck to you.
Let's hope the nurse can up with something to help. I wonder if she will be able to prescribe a different antidepressant. There must be something that can help you over this.
Oh, thank goodness you've got a CPN appointment. A pity you have to wait until next Monday but an appointment nonetheless! Well, done! A CPN can open doors and should be able understand what you're having to contend with.
The suicidal thoughts are not untrue I am afraid. If it were not for my family and my awareness of what it would do to them, there are moments when it seems the only way out.
The problem with the side effects of the sertraline Jing is that I was just sitting about retching all day - I do not have the wherewithall at present to even begin to cope with that. It would be very hard indeed even if I was well. It also made me very agitated, with uncontrollable sobbing - I cannot do this to my poor OH. It was not within my control and was very frightening.
Oh Mishap I'm afraid I can only send (((hugs))) and
and sympathy.
The only thing I know which may get you help is to tell your doctor that things are so bad and you can't cope (the true bit) and that you're having suicidal thoughts (please God that bit is untrue). Even the useless partner should pay attention then surely.
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