Today I had my second ketamine infusion (my first one was last Thursday). I have my 3rd this Friday. The infusions are . . . interesting. It's very difficult to describe what they're like because they're ever changing and fluid and just . . . I don't know.
So they start by starting an IV and getting an initial set of vital signs. The ketamine is mixed with 60ml of saline and is infused over 40 minutes. My first dose was 35mg, my second was 40mg. The ketamine dose is weight based and isn't enough to put you to sleep. It's just enough to give you a controlled high. And that's basically what it is - a controlled high. Or trip, if you prefer. I sit in a comfortable recliner, sleep mask on, ear buds in. The music is meditation music, very soft and lulling. The nurse leaves a pulse ox on one finger and a blood pressure cuff on so they can monitor vitals during the infusion. The room is a comfortable temperature and the lights are dimmed (though I can't tell that because I have a sleep mask on). The infusion starts.
At first I feel warmth flow throughout my body and an almost sinking feeling, like I'm becoming one with the chair. Then floating. Drifting along either in water or air, I'm not sure, but definitely floating. Despite having my eyes closed and a sleep mask on I see colors. Mostly greens, blues, and purples, forming undulating waves that change into geometric patterns and then back to waves. It's very calming and relaxing. I can feel my pulse throughout my body but it is not bothersome - rather, it's comforting. The soft music seems to be coming from everywhere, from within me - not from my headphones. There is no sense of time. Thoughts come and go, seemingly random, but sometimes purposeful. However, I cannot grasp onto them. They flow through me, in front of me, behind me, with the colors and shapes. I feel warm and heavy and somehow outside of my body, but still attached to it. Occasionally, I can feel the blood pressure cuff squeeze my arm, a reminder that I'm grounded. If I feel like I'm floating too high I merely move my fingers and feel the chair and I know that I'm safe and comfortable. This continues on for some time before I start to feel sensations: the chair beneath me, my position, my shoes, my fingers. The colors dissipate and I'm more aware of my surroundings. I feel the blood pressure cuff and pulse ox being removed. I sit for a few minutes before removing my eye mask and ear buds. I feel calm, a little tipsy perhaps. But calm and comfortable and relaxed. The doctor and nurse come in and check on me and it's time to go. Hubby is there to drive me home. The tipsiness wears off quickly, before I'm even down to the car.
That's the gist of how it feels. Last Thursday was more floating, today was more of almost being enveloped by marshmallows. Cushiony soft surrounding me, pressing in on me. I felt more today than last Thursday, presumably because of the increased dose. The downfall today was that even though I went to the bathroom right before the infusion started, as I was coming to I realized I had to pee. Like, bad. I had to call out for the nurse and she helped me to the bathroom as I was still a bit unsteady on my feet. Luckily it didn't happen while the infusion was still going. But it was annoying nonetheless (damn bladder).
After my first infusion, I noticed at work the next day I was less overwhelmed. I was able to joke a little bit and actually genuinely smile. It was a breath of fresh air. It gives me hope that these infusions will help with the depression.
I have therapy on Thursday, most likely my last session with Mike. And that will be difficult. Then an infusion on Friday, and 2 next week. This week and next week feel impossibly long. This week because I'm off every day until Saturday, next week because I have something every day - I work Monday, Wednesday, and Friday, and have infusions Tuesday and Thursday. When I'm home I don't know what to do with myself and when I'm at work I don't know how I'll make it through the day. So yeah, a long 2 weeks. But I'll make it through. I always do.
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