I’ve totally and utterly put myself in a pickle. Despite my chest pains subsiding over the weekend, they’ve returned, sporadically, throughout this week.
I’ve been waking up on and off throughout the night for the past two or three nights; my body’s way of letting me know that yes, I am still alive and breathing. But last night, when I woke around three in the morning with slight chest pain again, I had a minor panic attack and had a clear realization: I can’t do this anymore. There was no ED voice to disagree, there was no rationalizing, there was no arguing, there was no compromising. In that moment I realized I had to stop engaging in my eating disorder and start eating again. The other voice, the ED voice, said, “Okay. I give up. Tomorrow, I will let you eat.” I then promptly fell asleep with lingering feelings of fear; how unfortunate it would be to die the night before I decided to begin recovery again.
And then a mere six hours later, when my husband had left for an overnight trip for work, I decided to go to the store as soon as I woke up in order to buy a donut and some chocolate peanut butter. My plan was to come home and eat the donut and mix the peanut butter with the last of our ice cream and fast the rest of the day. The two voices were back in my head: you can start recovery next week, after you indulge in the junk food you are about to buy, after you have the family bbq this weekend, after you lose a couple more pounds.
I bought some other much needed groceries, feeling guilty for spending over $4.00 on a small jar of chocolate peanut butter, and was in such haste to get home that I started leaving as soon as the groceries were bagged and put in my cart. The cashier said, “Woah, hold on there, I need to give you your receipt.” I casually said, “Woops!” and he replied with, “You in a hurry to get out of here? I don’t blame you!” I laughed an embarrassed laugh and took the receipt.
I ate the donut in the car and the ice cream and peanut butter when I got home.
The chest pains are on and off. They get worse when I panic. They will inevitably continue tonight, especially because I will be home alone, and that is when I most fear something will happen to me. There will be nobody to help if I suddenly go into cardiac arrest. There will be nobody to give me CPR. There will be nobody to call 911.
And here lies the pickle:
The week and a half’s worth of chest pains has got me pretty freaked out. And after last night and the fact that I made no effort to combat the ED behavior this morning despite last night, has got me even more freaked out. I think about treatment options and the reasons why it wouldn’t work:
1.) My job.
If I went into treatment, regardless if it was outpatient or inpatient, I would have to take a medical leave of absence. If I were to be honest with my employer as to why I was seeking a leave of absence, she would definitely let me go, as in permanently. She knows my eating disorder history and states that if anyone on her staff relapses, she will let them go. She will not rehire you until you have five years worth of “sobriety,” or in my case, “abstinence.” I suppose there are ways around this; legally I don’t know if I have to tell her why I’m seeking a leave of absence, but either way my job is potentially at risk. If I lost it, I wouldn’t be rehirable with the same company for five years and the odds of me finding another job in my field in my location? Slim to none right now.
2.) Funds
We are broke. We are barely living paycheck to paycheck right now, and to top it off, one of my step-sons was just in a bad accident (he is okay) and we will most likely be paying a lot of medical bills within the next few weeks/months. Despite my insurance covering treatment for anorexia, I’m sure there will be hidden fees in there somewhere, or the insurance would find some way to screw me over, or it would run out as soon as I gained a pound. Not to mention I wouldn’t be working, and I’m sure even if I went on disability, it wouldn’t be nearly as much money as I’m getting now.
3.) My relationship
There’s a risk my relationship could possibly end, or at least hit a rough patch, if I came to my husband yet again stating the need for treatment. The last time I did this in November, he threatened to leave while I “got my shit together.” Not necessarily a threat at divorce, but a threat to separate, at least temporarily. He made it very clear he thought I shouldn’t need to go into treatment because I had already been there and should be able to recover on my own with the help of OA. He thought I only wanted to go into treatment for attention, because treatment as always been a “trophy” for me in the past.
I just feel so alone and trapped right now. There’s literally nobody I can talk to about this. Even if I were to start small with going back to a therapist, none of the ones my insurance covers are ED specialists, and I don’t think we can afford the $20.00 copay I would be spending every week. Especially with what is going on with my step-son.
So I feel if I wanted to recover, at this point I would have to do it by myself. There’s always OA, but I think I need more than a 12-step program right now. A part of me wonders why I can’t just make the decision to eat 1500 calories a day and start meetings again. It seems so fucking simple. But then there’s apart of me that feels like maybe I’m freaking out for nothing and these chest pains are psychosematic.
But they are SCARING me. I’m scared to the point of wanting to just cry. I want so badly to get checked out by a doctor, but we are so fucking broke I’d feel guilty spending ANY money on this FUCKING EATING DISORDER.
I suppose I could call my insurance and find out what types of tests they DO cover so I won’t be surprised with a $500 bill again. Then I can go ahead and schedule a physical and request covered tests. Anything else, we literally cannot afford.
I’m really scared. And tonight I will be by myself….I hate this.