Pill pals

I’m an anxious person, shaky and fretful, and when anxiety gets the best of me, I pop a pill. I hold out as long as I can before grabbing the amber prescription bottle, but when the physical jitters and mental goblins won’t blow off, then it’s time for Clonazepam. Swallow, wait, ahh.

Sort of. But the meds — those sedatives, so tiny and pink they’re almost cute — can blunt the edge, like sanding a jagged thumbnail on an emery board. Magic? Hardly. Mellow? Kinda. 

I’ve blabbed about this, my fun, adorable neuroses, on these pages before. But it’s been a long time and things evolve. 

No. No they do not. 

I’m exactly in the same place I was in 2020, or, for that matter, 2010. I remain a quaking Jell-O mold, gulping pharmaceuticals to stanch dramatized grief. Get a therapist! you scream. Exactly a dozen therapists later, starting at age 13, I’ve sworn off them. They’ve been as helpful as talking to my dear Aunt Gladys, who’s deaf in one ear and has narcolepsy.

Meditation has been my most recent move. Like many novices, my frantic, hamster-wheel mind — Did I pay that bill? Should I call her? Do I have a brain tumor? — has so far derailed any quality concentration, but I’m working on it. Anything to snuff my mind’s overactive orgy of tripe and trivia.

The tiniest shard of unresolved thought can keep me up all night. So angst often translates to sheet-tearing insomnia. I will toss, turn, cuss up a storm. I finally convinced my doctor to prescribe me Xanax expressly for insomnia, as it is worrisomely habit-forming. (A previous doctor scoffed, “That stuff is crack.”) 

My sleep success rate with Xanax so far is about seventy percent, which I consider worthy of confetti and party horns. Yet when it doesn’t work, look out. My pillow becomes a cloud of fluttering feathers. I chew it. 

I take other meds for mental “stability” (insert: laugh track), but the anxiety tabs yield the most direct effect. The other ones are like background Muzak, a calm, ubiquitous hum. In thirty minutes or less, my low-dosage Clonazepam is like a mental muffle, quieting the chaos. (I’ve also tried cannabis gummies, but they just make me woolly and irrationally hungry. A whole box of Kraft Mac & Cheese, at midnight — not a good look.)

As I travel a lot, I’m blessed my anxiety is rarely a stowaway; it was never issued a passport. I’m sure that’s because I’m relieved of quotidian complaints and overblown worries, transported to a scrubbed reality. I’ve written: “In my travels, my angst all but evaporates. I am unshackled, life’s daily detritus dispersed by an existential leaf blower.” 

I don’t need the pills in, say, Paris, though I bring them along for backup in case life kicks in and I start pacing and perspiring through the hallowed halls of Musée d’Orsay. 

Who needs all this? It must stop. It’s not so easy, of course. I’m resigned to being wired this way, though nostrums like meditation and mindfulness and all that cognitive crap pave avenues of mild hope.

Meantime I have the sweet companionship of Clonazepam, itty pink pills that chirp, “It’s okay, pal. I’m here to soothe the dread and iron out life’s pesky wrinkles.”

I’ve heard it all before. Almost daily. I don’t believe a word of it.

An EKG? WTF?!

So I tell my doctor that I think my heart is fluttering, murmuring, skipping a beat or doing something wiggy that makes me worry I’m about to have a heart attack. I like my heart to beat to a steady 4/4 tempo — your basic rock beat — and not do paradiddles and drum solos. I want Ringo Starr keeping time, not Keith Moon. 

The doctor raises an eyebrow but is distinctly untroubled and prescribes me an EKG, or electrocardiogram, which goes like this: “An EKG measures the electrical activity of the heart. It tracks these beats and electrical impulses and tells how the heart is functioning.”

An EKG? I frown. But what did I expect? I whine about my impending cardiac arrest and suddenly I’m hooked up to an octopus of cables. Did I think the doctor would just check my blood pressure and stethoscope things away? (Yeah, a little.)

Like any sane person, I loathe medical procedures. They’re intrusive, worrisome, expensive, and they smell funny. But I quickly learn that an EKG is rudimentary health stuff, like a blood test, or a digital rectal exam (sorry). Of course I do it. 

This is what the whole thing looks like (that isn’t me, and that certainly isn’t my nurse):

The procedure is so fast and easy — 10 minutes tops — that I’d barely call it a procedure. More like a way to have some chest hair ripped out. 

Just doing it makes me feel healthier. I’m unaccountably certain the results will be peachy and I can go on living a questionable lifestyle. 

Later, the doc summons me. Things are suddenly not so glowing. Irregularities appeared on the EKG. She wants me to get an echocardiogram, which is: “a test that uses ultrasound to make pictures of your heart.” It’s what they do on a pregnant woman’s belly to see the fetus, but on your ticker.   

Terrific. Now I’m not just stressed, I’m nearly beside myself. 

And for good reason. The echocardiogram I eventually get bears unsettling news. Apparently my heart is in distress: I have a dilated aorta and a “bundle branch block” on the left side. The doctor tells me to see a cardiologist and gives me the name of one. 

I sigh, hard. What’s wrong? the doctor asks. Well, I say, you just gave me a pile of shitty news. She tries to soften the blow: At most, he’ll examine you and tell you to come back in a year, she says. I sigh again. I’m a big sigher. 

Convinced I’ll soon be getting a triple bypass, or a baboon heart, I nervously see the cardiologist, a man bald of pate and kind of soul. Why are you here? he asks right off the bat. Well, I was told I was about to die, I say, if not in those exact words.

Not even close, he says. The abnormalities that appeared are actually totally normal, nothing to worry about, now get the hell out of here and live your life. 

Amazing! I’m free! I’m healthy! My chest will not explode in the next six months! This is a huge turnaround. A new lease on life. I almost kick up my heels like a leprechaun.

And then a dark curtain drops and it occurs to me that good health is fleeting. We are all decaying, breaking down, each breath the beginning of the end. The cardiologist’s warm, mellifluous words become so much empty prattle. Sigh.

But I am undeterred. I will seize the good news and slap the heavens with a high-five. I will take it day by day, adopt a zen perspective, stay calm, reside in the moment. The proverbial bus may smoosh me, or I’ll die a shriveled twig under hospice care, age 101. Really, I don’t know what’s next, how this life thing will play out.

I know only one thing: I kinda don’t want my heart to stop. Hit it, Ringo …