I consider myself competent and resilient when it comes to work. I may not be the most knowledgeable person, but I do know when to consult and ask for help. Especially when managing clinical cases that are slightly beyond my scope. Thus, at most times, I can clear my list of patients at a reasonably quick pace because I know what I’m doing. However, the volume and complexities of the cases that come through the door are becoming so overwhelming.
This left me feeling very exhausted. Mentally. Manifesting in physical weariness and mood disturbances. It has come to the extent that I am overthinking whether I have lupus or bipolar disease.
Lupus because I have rash on my cheeks, lethargy, myalgia and unexplained arthralgia. It is so noticeable because I have never experienced these symptoms concurrently before. My late mother did have asthma, but I never had any personal atopy history, not to mention eczema. Only acne. Strangely enough, the eczema flare-ups have been happening every fortnight or so with no specific trigger. The joint pains are worse. It is most palpable at the neck, shoulders and my toes. Not even my back or hips. However, the muscle ache is, of course, most prominent in my back near the scapula region. Specifically, mid-thoracic in between the shoulder blades.
Now, why the sudden bipolar?
Because I am caught between the feelings of ‘I might as well die’ (without suicidal ideation) and the reckless impulses of ‘I will book a ticket to Jakarta and stay there over the weekend’. Sometimes it’s not the feeling of wanting to die but just wanting to disappear. There were several occasions for the past few years that I remembered being in such a low that I wanted to drive off somewhere, leave my car by the road and just walk into the woods unnoticed. Like maybe at one of those jalan kampung. Or park my car near the petrol station and just walk away, sort of thing. Or keep enough cash and just walk out of the house to go somewhere while paying everything in cash to avoid any digital trail. Then there were highly energetic moments when I would feel like I want to do full Training of Trainers (TOT) sessions at the clinic, publish a paper, learn 3 foreign languages at one time, revive my Youtube channel and such.
So where am I at right now, mood-wise? Stable. Nothing overly grandiose. Nothing too mellow either.
The lupus theory. The bipolar or cyclothymia? Of course, I am putting this down to healthy stress. I keep telling myself that I will keep a diary on this and see if there is an emerging pattern. I never did. I should seriously make an attempt to document these episodes and see if there are any contributing factors.


























