September 28th. Thursday
Last check-in. I’m sure. I think. I went in, hoping that the dermatologist would say I didn’t need to do this last month. I’m at 133mg/kg, which is in the 120-150mg/kg remission target area. I told her that the dermatologist at home said I should go another month, a month without any breakouts, and this one liked the idea. At that point, I thought, I’m already in the target area, she’ll give me something like 20mg/day. Instead, I’m still at 80mg/day. By the end of this month, I’ll have ingested 10,800 milligrams of Accutane. This’ll put me at 171mg/kg. I better frickin be done by then. I have no intention of continuing after this month. Whether I get a breakout or not. It will have been seven and a half months.
I asked her about the peeing. She said it was fine.
September 26th. Tuesday
Some quick math:
This is my fifth prescription. I’ve had two months of 40mg/day, two of 60mg/day, and by October, I’ll be done with a month of 80mg/day.
The first two months put me at a total of 2,400mg (40mg/day x 30 days x 2 months) of Isotretinoin in my juices, after the second two, I was at 6,000mg, and after this month’s prescription, I’ll be at 8,400mg. The remission target is 120-150mg/kg. I’m around 63 kg, which means I’ll be at 133mg/kg by the end of September.
That’s honestly enough…
I thought I wanted to go another month. Just to be totally sure. But I’m not sure if I want to anymore. I haven’t had a major breakout in a while.
Maybe I could just go for a really low dosage?
September 21st. Thursday
I’m feeling really low. I’m careful with the word depression. I don’t like slinging it around. But that’s sorta what it feel. I’ve been going about my daily schedule and everything seems really dreary. Writing has lost its appeal. I’m discovering new relationships between characters but it’s not as exhilarating as it used to be.
I’m trying to change where I do work. Constantly. I find changes like that necessary, else I just get really moody and sad. I usually work in the library or coffee shop. Today, I’ve chosen to work an empty classroom. I’ll have to move if there’s a class, but the cosmetic difference is kinda turning my world around.
I look fine. I was remembering this morning how I want to be able to roll out of bed and not think about how other people were looking at me (specifically regarding acne). I am comfortably in that reality now. I don’t notice the difference though. I mean that the change has been gradual and my perception of that change has been as well. I don’t appreciate being acne free as much as I would like to appreciate it. As much as I thought I would.
In some ways, it’s weirdly worse, this stage of treatment. During my last check-in, I was at the point where I was having breakouts pretty infrequently. At this point, I’m only still on Accutane to make that infrequently into a never. Which means that I’m not seeing any change. I’m just suffering mentally.
I’m going to see Smash Mouth live on Saturday.
September 14th. Thursday
I’ve been here before. Every time, I remember having the question, “this is bad but is this depression?” Obviously not a great question to ask yourself. I’m again in the headspace where I’m not looking forward to anything. I wake up tired and bored, wanting to go right back to sleep. I have body aches. I don’t know how I feel about anything.
Last week was prime. I got my homework done, I spent time with friends, I worked out, I played piano, and I spent time on personal projects. I’ve still been plenty productive this week, but in a much more frantic way. I’m not sure what changed. I do tend to freak out like this as soon as I get used to things. My boss and I talked about how we were both pretty bored in life at the moment. Like neither of us is looking forward to much. Bored is such a tame word, though it seems to get a pretty extreme reaction out of me.
Right now, piano and exercise are the only meaningful outlets I have. Communicating is harder and harder to do meaningfully. In some ways, I have stopped trying. People on campus seem much less viable dumping ground (emotional) all of a sudden. I had three significant confidants on campus last year. This year, one is taking a semester abroad, one is going through a lot as well and seems more distant, and the third one might have a crush on me which makes sharing with them super weird. I would normally be able to navigate any of these; maybe all three at the same time. But at the moment, I have nothing.
This has led me to reach out to others. I have a school friend from semester who’s now in NYC who was also on Accutane at some point. I talked to her about my fear of being permanently damaged by this. She said I’d be fine. Which is probably true. I believe I will be my old self after November 1st. But I’m fucking terrified at the same time because the life I’m living now is god awful. I’m scared. I’m so scared. I’ve been so scared for so long.
I also talked to two friends from home. Less helpful. Both of them were all about digging into the emotional cesspool of fear and vulnerability and desolate sadness that is my psyche to figure out how I feel. Which is great advice. But I’m afraid of acknowledging some things that might be down there.
It’s whirlwind of a week. I hope winter’s short
I scheduled my next check-in today. My last check-in was on August 15th, which means that I should be seeing the dermatologist next week. But they’re first opening was the 28th. What did I expect?
So I have to ration again. I’m basically back to 40mg/day now. Which is fine; it doesn’t matter how long it takes you to consume isotretinoin as long as you hit your kg/mg target. But every late appointment is more time on this stuff for me. Since I’m taking another prescription after this, I’m looking at 7.5 months. I’ll be clean in November, or whenever the drug leaves my system. Not soon enough tho. March 14th wouldn’t have been soon enough.
My back looks better. It’s just scars left now. There are a few red boys here and there but they’re on their way out. I’m on my way. My nose still has these nodule type things that haven’t seemed to care how much Accutane is being pumped through my veins. Still going strong. Also, my face still rivals a McDonald’s Filet-O-Fish when it comes to flakiness. But then again, what doesn’t? My lips are as unhappy as usually. I hope they don’t continue to produce skin as fast as they are now. That would be bad for my nonexistent love life.
Things are going though. It’s honestly a bit domestic now. Aside from the regression panic.
September 1st. Friday
Where to begin. I think I gave you all the details last week. Developments in the Ella department. Something happened.
I think I’m blowing it out of proportion, with the relative experiential desert that is my history with romance. We kissed. A few times. It was desperate and fleeting and wonderful. We were tempted to leave our lives behind and run away and be together in the wet and wild forests of Vermont.
We basically just hung out a lot more and things just started to happen. We’d be up until 3 or 4 in the morning in the music building practice rooms, learning music we could play together. She was leaving Thursday. I think it happened Wednesday night/Thursday morning, hours after I told my boss (in my weekly meeting about how I was faring) that I was definitely 100% not pursuing Ella romantically. We were lying on the music hall stage, next to the massive Great-Grand piano (one of the long boys). It was cold outside and I had brought along a blanket to wear instead of a jacket. I had spread it out on the floor and we were rolled up in it, staring at the ceiling. I don’t even remember what way I was facing or whether my eyes were open when she kissed me. I was a bit startled at first. But she kissed me.
I had a class at 1:30 on the last day. For the past few days, while Ella was staying with me, I had been waking up for breakfast, eating real quick, and then hopping back in bed with her. Today, I didn’t get breakfast. I barely got lunch. It was hard to leave, even when I finally did at like 12:45.
We went our separate ways. I had class until dinner and she had to say goodbye to other friends. She was leaving later that day. I had told her to catch me at dinner before she left. My first classes of the semester were fine. They went right up until dinner. She didn’t tell me exactly when she was going to leave, but we found each other in the dining hall.
Ella and I are very alike. We both found something at school that we didn’t have at home. We grew in ways that couldn’t be nurtured at home. I never hug people when I’m in Wisconsin. Physical contact is much more free in liberal, woodsy Vermont, and that was something I missed a lot over the summer. We both came back to this place that we love and have grown into. I’m going to be here for a while longer, but she had to leave yesterday. I think that factored into what happened between us.