As much as I am fighting it, I am in a downward spiral. I can't sleep, I can't think, I can't do much of anything without an incredible effort. Work has been one long struggle to get through each second of everyday. I feel like I am losing touch with reality. But then again, my reality is nothing I want to hold onto.
My mind wanders to the depths of despair. Today, I worked for 40 minutes, and then called out. I went for a long drive. I stopped and bought some cheap cigarettes. After not smoking for over a year, it seemed like the sensible thing to do. I think if I didn't have them today, I would have fallen completely apart. I even thought of suicide. It wasn't just a fleeting thought today. It was a solid real thought. Death has become an option.
I've been thinking of the next 20 years, and my future doesn't look good. I got a new diagnosis from the rheumatologist I saw last week. Instead of sarcoidosis, she found that I my blood work is positive for another autoimmune disease; primary biliary cholangitis. It's a disease in which my body is producing antibodies that are attacking my bile ducts, eventually destroying them. This in turn means that my liver cannot release bile into my bloodstream and allows for the build up of toxins. There is no cure. Eventually, I will go into liver failure and die.
There is treatment. There are a couple of drugs on the market. However, from what I can tell, the drugs work in the gallbladder. I do not have a gallbladder. In worse cases, a transplant it warranted, but since I have diabetes, I may not be a good candidate for a transplant. So, I don't see much of a future.
I'm not sure what to do at this point. I have 2 cat scans on Friday. One with contrast and one without contrast. She wanted to get pictures of my upper body and soft tissues of my chest and neck, because my lymph nodes in my neck and armpits are always swollen. I'm so tired. Fatigue is a major symptom, and apparently people with liver disease don't sleep much.
In the meantime, I feel very alone. I stopped talking to Caton or whoever he is. I think he was a romance scammer after all. I told him I was sick, and that's why I haven't written in a few days. I wrote to him on Saturday, and didn't hear from him. Anyway, I deleted the app from my phone. At any rate, if he was who he said he was, he would have moved heaven and earth to contact me. So, much for my latest attempts at love.
I've pretty much decided that I am just going to be a sick old lady without any prospects. I suppose I should try to think positively, but I keep thinking about grandmom, Aunt Berta and mom. All of them had liver cancer or something wrong with their livers. I guess I'm just following the family line. I figured at best, I had 20 years or so left. But it doesn't look like it at this point. I guess I could just give up.
I am not a hopeful person. I guess I never was. It's time to stop kidding myself. I'm tired.