The next section is the write-up I took into my doctor. Be ready, my list was over six handwritten pages to describe what I had been feeling.

Harry's Write-up For Doctor:
Sometimes I feel great physically:
Usually I have had a long night's sleep (over eight hours), but not always the case.
I can work on complex problems with ease.
During exercise or playing sports such as basketball I seem to perform at a higher level.
My concentration is good.
My organization skills are good.
Handwriting is neat.
My verbal communication is sharper than normal.
I feel very optimistic for no real reason.

Sometimes one or more of the following occurs:

	I feel "pressure" on the head. Sometimes I would call it a low level headache, other times just pressure. This is normally accompanied by what I would call a "slowdown" in concentration. At times it is just an inconvenience and I keep working at a close to normal level. At other times I feel lucky that I am accomplishing anything at work. It can be hard to concentrate to solve problems that should not be that challenging. Often at these times my handwriting gets worse. My handwriting seems to vary with how much I have been effected. In past conversations (with my doctor) I would have included the "pressure" feeling along with being "depressed". As we discussed in the past (with my doctor) this would have occurred on about a three to four week cycle. It seems like it is happening more frequently now and lasting longer. Often when this happens I get quiet, sometimes mean (mainly at home), not in a physical way but more in an emotional one. I become distant. I don't really get sad, but I think most people would say this is a form of depression.
	Dry or tired eyes or pressure behind the eyes. At times my eyes get tired and I think this makes be feel tired all over. I can feel good in the morning and then as the days moves on I feel my eyes just getting tired or kind of "pressure" building up behind them. This happens by itself sometimes and at others along with the overall pressure on the head that I described above. I do think that I have dry eyes in general. At one time I tried to wear contact, but could not because I eyes would dry out.
	Tired or hoarse throat at times. At times I feel when I talk my voice feels raspy or hoarse. If I ask people if they think I sound hoarse normally they say no. But to me it sounds and feels different and makes me feel tired.
	Communication/talking feels awkward. At times I feel like I am having problem pronouncing words and communicating. I will repeat the same word at the beginning of a sentence for no apparent reason. It is very subtle and those I am talking to do not notice. These communication problems do not necessarily only occur during times when I feel pressure on the head or tired eyes.
	Awkward motor skills at times. There are times when I feel almost clumsy and awkward in just moving around or when I am in the process of sitting down in a chair. At times when I play basketball I can just tell something is not right. I think that there is nothing obvious to those I workout or play with other than I am just having an off workout or game.
	Involuntary muscle twitching at times I have had some type of muscle twitching since at least college, but not to any significant level. I would get a twitch or two when I was falling asleep. I have worked out pretty hard with weights since high school. Up to this point I have attributed twitching to working out. Within the last six months I had some pretty bazaar twitching episodes. For a couple of days different muscles were twitching for prolonged periods of time. The same muscle will twitch for a while then a it would stop and an other one would start. I not only feel the muscle twitching but you can see it also. During this same period I had a couple of nights where either my body was having these twitches all over and it would wake me up or I was dreaming about it and it woke me up. The next morning I would ask Judy if she noticed that I was moving around all night twitching. She thought I was "crazy" as usual. Just yesterday I was getting twitching on the lower eyelid of my left eye periodically throughout the day. "Normally" the twitching feels isolated to a certain muscle or area in a muscle. When this occurs you can actually see the muscle move. I get this one "twitch" that feels different and to me seem a bit more disturbing. It goes down my leg then I feel it across the arch in my foot. It actually causes my leg to jump. I am normally sitting down when this happens. It happens in both legs and was pretty regular a few months ago, about the same time as my sleeping - twitching episodes. Since then I have had this happen on and off, but the "twitch" has gotten less pronounced.
	Often tired after coming home from work. Many times I will relax fairly early at 8:30 or 9:30 pm watching TV and fall asleep. Every now and then I will crash really early at 6:00 or 7:00 pm and sleep through the night. I have cut back on the amount of exercise I do and I think this has brought back my energy level at night some.
	Tendons in the back of my ankle, arch and neck seem to be tight. This has been going on for a couple of years. Sometimes when I wake up in the morning I can barely walk and hobble around until things loosen up. This is probably from playing too much basketball and not stretching enough.
	Get nervous in simple situations that I normally would not. When talking in front of a group or working with someone else on I get nervous where in the past this would be no big deal. This is especially true if I am doing something where someone was looking over my shoulder. When driving and something happens that startles me I will get a nervous rush of adrenaline. This would not have happened in the past.
	Missing meal and my eating habits greatly effect how I feel.

I took my list into my doctor and we had a great discussion. He said we needed to do a complete physical and blood tests to rule other things out, but he thought that it was still related to my manic depression. I was skeptical that all the physical things I had on my list could be attributed to the chemicals in my head. The tests and physical did not turn any up any other problems.