Giving in to the pain.

A couple of months back my back started playing up more than ever. Most noticeably the amount of times I would have to stretch my back out while  walking the dogs. From it being slow and delicate to bend over at the end of the walk to take my shoes off,  it became necessary to bend,  squat and stretch a number of times mid walk. At that point it all became enough and I went to see a chiropractor.

Prior to this point,  I suspended all running after my June 12th run at the Olympic Park. So to date it has been 35 days since I ran. And 28 since my June 19th London to Brighton Bike ride. Fair to say that the after effects of the run were not nice, but the bike ride impact wasn't as harsh.

Here I am after no training of any sort for 4 weeks,  now 2 weeks away from the epic,  long planned Pru London 100 Ride,  with no mental or  physical energy to think about doing it,  let alone managing it. Another day I had planned to see if I can manage a ride, and it's a no go.

In the last 4 weeks the situation has got worse and worse, to the point where today I have discovered that if I don't stand up straight, the pain is less. So since waking up today I have either stayed in bed, or walked around hunched over. Sitting awkwardly on the sofa now writing this,  my brain is convinced that going back to bed it the right thing to do,  as otherwise it means pain and discomfort.  So far I have resisted medication today,  as I am trying to get a feel of what is really going on inside my body. That and the fact I'm still very uncomfortable even on meds.

Right now,  this very second I am happy just to give up and do nothing. Avoid the shooting sensations and stabbing pains,  no more taking a shot to the balls. Just lay awkwardly and pretend all is well.

With a trip to the doctor booked for the 28th, something tells me I will be asking for an emergency appointment this week. Maybe even in the morning. It's just becoming stupid to try and hang on any longer now. One wrong move and the after effects stay with me for hours. That's no way to live for sure. Trouble is, having the get up and go to do anything about it is fast becoming a fight on its own. Mindset is still very much "sit still,  it will go away".

Thinking back the other day I realised that one of my falls from my bike a few weeks back was onto the hip giving me all the problems right now,  so was also contemplating going to a walk in centre or something, to get checked out properly to see if that started the progression of this problem in any way. I get the impression the GP will send me to hospital or refer me anyway,  so maybe cut out the middleman?

So hard to decide. I can control the pain by limiting movement,  so am not in immediate pain. Controlling and limiting movement for the next 11 days might be a bit excessive. A GP will send me for tests anyway,  so maybe hospital is the place to start. But then long term pain which doesn't require immediate intervention is more a GP thing,  right?

All a minefield really.

Meanwhile in the back of my head there is an argument going on. After all the sponsorship I have received and all the work I have done towards the 100 mile ride,  can I still do it a d save face? I did London to Brighton ok, so maybe this won't be so bad? Or maybe I will cripple myself by doing it? I don't want to let people down,  I don't want to be a failure to myself or others. I feel obligated to at least try. But to try and fail would be devastating.

How can one physical ailment cause this much unrest for me!

I am starting to think that this pain is bigger than  what the chiropractor can sort,  maybe something worse. Or maybe me not mentioning the accident might have pointed her in the wrong direction to treat me? Whatever the case,  I definitely need to speak to other people about it to get other possible issues checked out.

Guess tomorrow decides what I do next. Until then I am stuck stooping around,  eating convenient junk,  gaining weight again,  feeling disappointed and cheated.

Breaking point.

The past month or so I have found peace or at least relaxation in walking. Silly distances a day,  with and without the dogs.  Blisters,  sore feet,  back pain etc,  but it's all been worth it to silence my mind. Being exhausted at the end of the day is a good thing as I sleep better.

Unfortunately with my track record it was never going to last,  and now I find myself trying to find a new balance between resting and walking. The soreness has caught up with me,  and the mornings are now filled with dread at the thought of walking. Sadly that also means I am losing the enthusiasm to get up now.

After seeing the company doctor the other day and discussing medication doses,  it all seems to go hand in hand. The lack of interest in the mornings the dip in moods again,  and the struggle to keep walking.

Somehow I need to rearrange things so I can keep working on having a clearer mind with less anxiety,  and being able to exercise the dogs, and myself,  without resorting to self inflicted pain.

Should be fun,  new week,  new challenge. Lets see how that goes.

A little while later.

Well it's been a couple of weeks since starting meds for the depression and anxiety,  and some things have changed.
I would love to say they have changed for the better,  but that's not really the case.  I have gone from fretting too much at night and not being able to settle,  to feeling sleepy the second I stop being active,  and sleeping in later and later in the mornings.

Also in addition there is weird dreams and borderline paranoia after a bad dream. The other night I was almost too scared to go and get a glass of water after a bad dream,  and spent the next hour laying there translating every noise into something bad. Given there are 2 dogs in the hallway,  it's pretty safe,  but also lots of bumps and bangs.

Another new thing is feeling anxious in crowded spaces. Not big reactions but after the last train journey and staring at the floor,  today I found myself on a packed train on the way to Guy's Hospital,  and realised after a few stops that I was clenching my jaw pretty hard. As well as still not feeling comfortable looking at anyone.

Certain things feel a little more relaxed,  but I am still losing focus mid flow,  impossible to concentrate,  and avoid tasks that are not very straightforward. For example rearranging something. The first part is fine,  but knowing that other jobs will spring up from it,  and knowing I can't focus to get them done stresses me to the point of avoiding it all together.

In order to stay awake I am keeping myself moving still. Finding myself going on late evening walks to get some air,  clear my head and stop myself either over thinking or falling asleep. The second I'm active I'm wide awake,  be it cross trainer or outdoors,  as long as the brain disengages,  I'm awake. If I start thinking,  the eyes grow heavy, fast!

Right now I am once again working out how I am going to explain this to the doctor tomorrow when I see her (and the students) I can't say for sure the meds are working,  certainly hasn't had the same effect as last time,  that's for sure. Totally different. So maybe the issue is different,  the dose is too low,  or something has changed.  Time will tell I guess.

Still can't get my head around how I can be so comfortable one minute with certain company,  and then freeze up and freak out at even the thought of others.

I do know I want a good night's sleep soon,  and to wake fresh. I know I want to be able to get up and go as I have in the past,  and I want the fog to clear from inside my head too.

One last thing,  I have had the letter from the nicely named Psychological Therapy dept and have confirmed my wish to enter the program. Now I just want the first appointment to be soon so I can start to work my way through this,  without having to unload all my thoughts onto innocent victims like Nikki. Thanks for putting up with me the other day.
Fingers crossed the wait for the appointment won't be too long now.
Naturally my over thinking mind is worried they haven't got my confirmation,  so that's helping! HURRY!

Aaah well,  tomorrow is another day,  and I get to see the doc. Now let's see if I can get to sleep tonight without laying there trying to work out how to explain myself all night.

Thanks to those who continue to offer genuine support.

Struggling to stay awake.

One of the clear signs for me that my brain has had enough, is the lethargy. While the brain is active, all is well. I stay talkative, quite focused and alert. But as soon as there is nothing to distract me, I immediately become sleepy. I am guessing it is my brain wanting to switch off before it gets overloaded with thoughts and confusion. The situation is similar in the mornings too. Having become a creature of habit and getting up at 6 something every day for months now, suddenly I wake but in a very different state. Deep tiredness, wanting nothing more than to go back to sleep. On a couple of occasions now I have done just that and slept in til around 8am.

Losing focus is very much a big thing for me right now, just writing this is a bit of an effort, with my eyes and mind darting about all over the place, and having to make a conscious effort to stay on track. That said, I am only writing this paragraph as I have completely lost my track.

Today has been on of those days so far for me, and possibly one of the worst in this phase to date. Waking up just before 7am, and doing as I promised myself, getting up and out with the dogs ASAP to try and get back into the stride of things. All went well, good hour walk with the dogs, some fresh air and getting the heart pumping. Got home, fed them, sat down for breakfast, watched a program while I ate.... Then went back to bed. Unable to fight the feeling today, I just had to go with the flow. Yet here I am, after an hours nap, and still yawning like I haven't slept for days. Bags under my eyes, looking like crap, and feeling how I look.

The ever confusing yo-yo feelings of depression strike again. This time yesterday I was full of trepidation and anxiety about meeting a friend for dinner. Nervous about the trip over to West London, lots of people and possible interactions. The train journey over there was spent mainly staring into space when on trains, avoiding looking at people, focusing on the floor most of the time. And the transfers between trains where I had to walk, I mainly stayed close to the wall and walked along looking at it out of the corner of my eye. Sounds weird I know, but I was just along for the ride, my brain did as it pleased.

Turns out though that the evening itself, at two quite relaxed venues, was a good moment of clarity for me, and it felt good to clear my head for a bit, and stay distracted long enough to unwind for a while. A breath of fresh air for sure, and much needed. Proof to myself that I'm still in here somewhere. So thanks to Jason for taking the time out of his day to keep me company, and get my brain working right for a bit. Some interesting conversations for sure, and I even unloaded a few thoughts that I struggle with.

The rest of the time, when I am able to fight the tiredness, I feel like a bit of a zombie right now if I'm honest. As I said before, losing focus on thoughts is an issue. Trying to stay on topic can be a fight. Even watching programs I love can be a chore just trying to concentrate enough to make sense of things.

You know when someone says "clear your mind", something most of us find impossible at the best of times, to think absolutely nothing. But for me, I have moments where it is just that..NOTHING! Like I am rebooting, just staring, with nothing at all going on, until I catch myself, then it is a huge wave of thoughts crashing over me. Much like a real wave, once it passes all that remains is fragments of it. So when my thought wave hits, it is like being bombarded with a whole day of thoughts and emotions at once, and seconds later you are left with tiny pieces which together form nothing. Soaked through with pieces you cannot put together. This if course is followed by deep confusion for an undetermined period of time.

So with all that going on, I am hardly surprised that my brain just wants me to sleep. Lock me and itself away from generating any more thoughts to deal with. Problem there is, no matter how nice sleep is, I don't wake rested, I feel like junk for it, then beat myself up for having wasted time in the day. I have other things I need to get done, but can neither find the motivation nor the concentration to take on some tasks that would otherwise be deemed mundane. So there is a void in the day where there is almost nothing I can do with myself. Walking would be super cool, but I am trying to moderate that as its taking its toll on my feet and achillies, and of course there are a finite number of places I can walk to. Sure I can travel somewhere to walk, but that seems like a chore. Driving or getting public transport is an effort.  All that said, the outdoors is calling me, so I might venture out for a while.

Distraction is what I need right now. Non stressful, relaxing distraction. Conversation over coffee, entertainment to keep my mind occupied, so I shall seek to find myself some of that. But you know, just writing that has caused a wave of tiredness, almost like my brain trying to shy away from the idea. So who knows eh.

The plan for me right now, the hours and days ahead is to fight sleeping and inactivity, to focus on getting up at a reasonable time. Structure my day in a way I can stay busy somehow, without exhausting myself and causing more stress. Easier said than done. I am seeing the doctor again in a weeks time, so hopefully I will have levelled out a bit by then, or at least she will be able to make sense of things, and point me in the right direction.

As a footnote, I have to say that last night was one of the hardest battles I have had to get to sleep for a few days now. Just unable to relax my mind, being bombarded with thoughts with no relevance to the day just gone. Overloaded, and all just flashing through my mind, it was a very unwelcome feeling, and one I was hoping had passed for the time being. Guess it shows you never know what to expect when your mind is misbehaving.

Right, this has been enough of a challenge for my tiny mind just getting this far, and trying to make sure it makes sense, so will leave it there.

Thank you to anyone who has shown genuine concern, less so to those who just want to pry or make stupid comments, both sides have a huge impact on coming to terms with the situation.

So, I've been thinking

Probably not the best of ideas, given that its the root of my issues, but I'm only human right! And with no thinking, comes no doing.

Tracking back over the course of the past few weeks, trying to think where it all started to go wrong, it's impossible to say it was one event, if it was even anything I have done or been a part of that is. But I do know that in the past couple of months I have really gone outside my comfort zone, A LOT! Doing things I don't usually do, going to places which don't conform to "the norm" for me, and having thoughts and feelings which I, am in fairness, unfamiliar with.

After much advice and a little pressure, ok a fair bit of pressure, I did the whole "get back out there" thing. And I have to say, as  much fun as it was meeting people, spending time with them, and chatting, it has really taken its toll on me. Just sitting thinking about it now stresses me out. For the short while I bothered engaging with the whole "meet people" sites and apps, I felt obliged to impress or be someone I am not. Fact is, as per other entries, I am no good at that sort of thing, and am rarely as comfortable as I want to be with others.

There is one exception to the above, but things don't always go the way you expect, and sometimes you realise things a little too late.

So looking back, I have to say that trying to get out there and meet new women hasn't really worked out for me. If anything all it has done is allowed me to upset a few lovely people, and damage friendships rather than building new ones.

Then of course there is work, that in itself can really take its toll, and for quite a while now has added to the stressed of day to day life. That said, it has also been a great release too, so I can't honestly say what impact that has had. But can be sure it has played a part in the whole situation. Whether it be the nature of the job, or the environment, well that is another discussion.

My last blog entry on Tuesday mentioned that I might lose my writing brain for a bit, and I have to say, given that it is Saturday now, that seems to have happened. Trying to put paragraphs together is a bit of an effort, and thinking far enough ahead to write this, and keep the flow going is a nightmare. Let alone trying to stay focused on one thing for long enough to make it all make sense.

It's hard to say what impact the medication is having right now, 5 days in it will be having an effect, but as things have been a bit crazy the past few days, its hard to get a baseline. Tuesday evening I contacted a tattooist who's work I love as he said he had availability this week. Confirming Thursday all day was still available, I got thinking on ideas, and took the booking. Within the next 24 hours of conversation I went from one location to be tattooed to another, but stuck fast with my design idea.

The basis of the idea was quite a simple one. But might be awkward to explain. The artist is a new school artist Craig Measures (Instagram link to his work)  so the idea would have to be "cartoon like" I wanted something to relate to my ongoing battle with the day to day persona I have, and the inner me who constantly struggles to get out, so what better cartoon or comicbook character to relate to than The Hulk. Just out of coincidence, one of the things that is really helping me right now is working out. Be it cardio or weights, I have to go into a zone when I am training, so can put everything else on hold. Smack bang opposite my multigym is a huge Marvel mural, and directly opposite where I stand to train is... The Hulk. So the meaning ties in nicely for me.

Now obviously when I get a tattoo from a specific artist, I want their interpretation of the idea, so to jolly the idea up, we went with The Hulk smashing his way through a field of candy, just to put some bold and happy colours in there. Oh and a rainbow in the background, which is open to your own interpretation lol. So 24 hours after the first discussion I headed up to Birmingham for what would turn into a pretty epic day. Like I said earlier, things haven't been normal enough yet to get a baseline of how I'm actually doing.

Late morning we put the transfer on, and put a film on and got started. Anchorman played through, and as it did a couple more people joined us in the studio. Coffee was consumed, as were cookies and other sweet things, and progress was good. Over the course of the next X hours, we got through Anchorman, The Wedding Singer, Wreck It Ralph, Wayne's World and finally 40 Year old Virgin. By the time 40 YOV finished it was just us left in the studio, so it started to play over again, and got about half way through. Leaving at just after 9pm, I had been there for about 10 and a half hours, a fair bit of which was being tattooed. Craig admitted it had taken longer than expected, but was determined to keep his word and get it done in the day.

The end result, a stunning and bold piece, full of colour and character. Just what I needed. That said, the 130 mile drive home after was fun!
So here it is.

Now the downside to having your whole rather large calf tattooed with heavy colour in one go is, walking! As the healing starts, walking becomes rather uncomfortable to say the least. Not impossible, but just a little undesirable. With walking the dogs, and staying active having been my crutch recently, it leaves me in a bit of a bind. Today has been a first for a few things. First blog entry since meds, first dog walk since tattooing, and the first day of mixing with the mass public since doctors too. That went well!

Walking around Sainsburys earlier was a huge wake up call for me. Sitting in your own company it is easy to think that things are going well. But returning to the human race, and dealing with others really hits home just how you feel. Bit like coming home from 2 weeks away back to your home and dogs, and realise how much they stink. Put up with something for long enough and you become desensitised to it, so don't realise how it impacts you. When people put up with crap day in day out (from other people not dogs!) you soon just learn to live with it, and don't see how it affects you. Take a step back for a while, and on your return everything is a lot clearer to you. Then you have to decide what you are, and are not willing to put up with anymore.

Anyway, returning to the main subject before I sign off, thinking!
What I have realised is, with the best of intentions, sometimes things just don't work out. Be it your own ideas, or things others do and suggest, believing its for the best, from time to time the outcome is worse, not better. And then when you mix that with the issues of over thinking things, and anxiety, you are suddenly left with even more mess on your plate, and harder things to think about.

For me, for now, it is back to the depths of my own mind, and looking after myself, and my new tattoo.

The trip to the doctors.

Well that was easier than expected....NOT!
Arriving in the area a little earlier than expected, I decided to go for an extended walk around the block. Having walked to the surgery, I was already nice and warm, but not ready to sit and wait, so wanted to make the waiting time as short as possible.

Rocking up at the surgery a few mins before the appointment (OK 5 mins), I went inside, registered my arrival and sat down. As soon as I did, the thoughts started all over again, along with fiddling hands and a bouncing knee, borderline uncontrollable. Wondering who this doctor was, and what they would be like. A few minutes later all was answered.

In the hallway appeared a lovely gentle looking lady, calling my name. As I got up and walked over, she introduced herself as the doctor. We sped down the hall to the consult room, and I sat down. Right, I thought, I have this all sorted out, so here goes. This is what I said.

I don't know how to explain myself, errm, depression, stress anxiety.... *I looked up to see if she was following. She was smiling and patiently waiting. *
I have been like this before, years ago, deeper, darker, I don't want to go back there. *My hands start gesturing and waving, my eyes searching around the room*
I can't ..... I don't ....... errrm. THIS! This is it.....

On looking back up, she was smiling back at me, a reassuring look on her face, she replied simply "ok".

Taking another deep breath and trying to calm my nerves, I start over again, this time a bit more composed, explaining that I had even written out what I wanted to say, but the stress of even having this conversation is just too much to think straight. Stopping for a moment, I just breathe, and can feel my heart pounding in my chest, light headed and slightly confused. I tell her this is how I am feeling right now, and how hard this consultation is for me.

We take a break for a moment while she looks through my notes, seeing how far back it is since such an episode occurred. I tell her its been 4-5 years, the notes confirm this.
Getting back to the present she enquires into what I feel might have triggered this, anything happened recently, or that I have been dwelling on for some time. We discuss possible triggers, and how I feel about aspects of day to day life. The obvious question of consideration of self harm comes up, and it is batted back with strong reassurances that I have never felt that way, and I confirm I would seek immediate help if it ever crossed my mind.

Now onto the sticky bit, how do I want to proceed. Knowing the options of meds, counselling or both, she decides that given how things are right now, starting on medication immediately would be wise, and as I like to speak openly, she also decided that a referral for counselling should also be made. Knowing of course that it could take some time. Another reason the meds should begin straight away. The decision is made to remain off work for the time being, and to allow things to normalise without provocation. No added stresses or changes, just me, daily life and the meds, and see how we all get along, and if the dose is right.

As this conversation went on, during breaks in speaking, I could feel my heart slowing, and started to feel more relaxed about things. Expressing this to the doctor, she was pleased by this, and said as hard as it had been it was most definitely the right thing to be doing now, and catching it before it gets any worse. Apparently recurrences of anxiety and depression can happen much faster, and strike much harder at times too. Good to know, and explains how fast I went down the pan in a week.

A referral form for the counselling form, a prescription for the medication, and a sick note for work are all printed and presented to me. She then says she would like to see me in two weeks time for a reassessment of the situation. Going through her diary it appears that the week she was aiming for is booked out with medical students in the surgery, and she is worried this might not be fair on me. I reply expressing my happiness for students to be present, and anything they can learn from this is fine by me. Looking back in slight shock and delight she says that if I am OK with it, it would be a great opportunity for them. Then it is agreed, that week is fine.

So here I sit now, after necking my first pill of many, after saying how strongly against the idea I was, given that they were the doctors decision, and me not asking for them, I am happier with them. The down sides of course are.. I'm officially on medication again now, so needs declaring when asked, and I didn't really want to be on them but hey. Then there are the hallucinations in the early days, at least that is what I had last time. Not so much full on hallucinations, but a blurred line between awake and asleep, conscious and subconscious. You know when you wake up in your dream, then wake up for real? Well try doing that about 4 times before you actually wake up. Quite strange. We shall see if that happens.

Then there is the one thing I hate the most. Mind numbness. At the moment I over think everything, even more than normal. Taking meds helps with that, but last time it swung me the complete opposite way. Lack of attention. You know when you think you need to do something, then you plan out how and when, then you drop the matter until the said time arrives? Well my thought process goes to "I must pay that bill.............Ah well!" And nothing in between.
Obviously a numb mind also could mean shorter blogs, I'm sorry! lol Lets see if the change is shorter, less, or just more rational and better structured entries.

One last thing before I go, and I know most won't have got this far, so am not expecting a huge group watching over me. But this is the first time I have ever been on these meds and been living alone, so actually have no one to tell me if I am acting differently, being stranger than normal, or anything like that. So going back to blog entries and social media etc, if you do see a change, please let me know. You don't have to come banging my door down, just mention it, so I am at least aware. Being off work, I am going to try and keep as much company as I can where possible, so again, if I see you, let me know how I'm doing.

Thanks for reading, thanks for the messages and support I have received in this short space of time. I know I say " I appreciate it" a lot, but it's not hollow, it's sincere, and the only way I know to express my gratitude.
One final thing. Sorry for being dull, depressing or just a little off with you if I have been. The fact I am even engaging with you shows my true intentions, but right now I tend to make a mess of them from time to time. So if you can, please look past this.

Aaaah...... BOOM!

Waking up this morning after another night of broken sleep,  I felt clear and calm. You know like when you wake after a bad headache or pain,  and for a moment all is well. That false hope the body and mind give you, before switching everything back on again,  and turning the intensity up a notch. Well,  that just happened.

Not uncommon to feel that way,  but having not been here for quite some time,  I have to run it by a fellow nutcase,  just to get clarification that it was "normal".  The answer came back,  and confirmed genuinely nuts.

When I first woke,  the first thoughts through my mind were,  hey I feel good,  why am I even going to the doctors today. Starting to think it was all in my head,  then the penny dropped... Of course it's all I'm my head idiot,  it's my frickin brain!

A few minutes after that,  the first random thoughts of the day started to filter into my head,  and from there it all went downhill fast. Imagine the old days at the stock markets, on the trading floor. A few people doing the trades,  and a whole floor of traders shouting and waving at each other.
That's what goes on in my head over the most basic thoughts. Strangely enough,  writing like this blocks them out,  focusing on one thing,  being creative takes all the energy from the over active mind and puts it all in one place. Maybe that is why the recent entries have been longer than some others,  me desperately trying to keep writing,  stay focused and stop the inevitable slump that comes after.

So after waking wondering why I was going to the doctors,  I am back where I was before,  and glad I'm going there in an hours time. I wish I could explain how anxious I am about it right now though. Not a good feeling. So I am gonna get ready,  put my headphones on and take a walk up there. Get some fresh air,  bombard the voices and thoughts with poor choices of music,  and go see a pro,  in the hope we are on the same page. Fingers crossed.

Hi Doc, I'm going nuts!

For someone who has a past of, let's face it, mental health issues, but isn't receiving ongoing care for it, it's a really strange thing to have to go and see a doctor about. Usually you walk in, the doctor asks what's up, and you point to something, or present a symptom or injury to them. But when it's all in your head, you have to try and find a way of explaining yourself, without just saying "I'm depressed", or "I'm anxious".

Or at least I think you do! I'm not actually 100% sure how much explaining is necessary really, but I have always felt obliged to give some insight into the matter, just so they can make their own decisions on what the best course of action for you is. That said, as we know from numerous reports, GP's are only very basically trained for such issues, so how much information is really needed? That of course isn't a snipe at GP's, there is a limit to how much any one persons brain can absorb, so would rather the referral route, than the "I think I know what I am doing" one.

Last  night, after speaking with friends, and making the decision to go to the doctors, just to prove how messed up things are right now, I was fretting about it. That's right, after making the decision to get help, I was now worried about how to explain myself, and worried about how I would come across to them. Is that strange? Well it might be to you, but for me it is a classic symptom, and just reaffirms the issues I am having right now.

I got to about 1am and finally tried to change the subject in my head. So I imagined being underwater, scuba diving. Crystal clear waters, surrounded by a reef and loads of different species of fish. Just imagining myself drifting with the current, effortless. No finning, just gliding. That did the trick! That was also a eureka moment for me, and I realised that what would help right now is to get under the water again. Problem being, UK diving is rather nippy right now, and I have no drysuit, and obviously Red Sea etc costs money, and then there are the dogs etc. So it's unlikely I will be using that as therapy any time soon. But hey, I can try and find a way. Nemo 33 anyone?

Back to the whole doctor issue. I remember the last time, seeing a doctor I have known for years, and one I trust to listen before making a sweeping judgement. I felt at ease because I knew him I think. I explained that sleeping was a huge issue for me, getting my mind to stop was impossible, and it was affecting aspects of my day to day life. He got it, and we dealt with it step by step. I had counselling supplied by work, and at the end of it, I came out feeling alive again.
This time it is a doctor I have never met and know nothing about, so I am on the defensive straight away. I realise this sounds really stupid to some people, surely you just walk in and tell them what is up. But it isn't that simple and here is why.

Mental health issues span a huge expanse of conditions, and they all have very different ways of being dealt with. Especially when it comes to drugs, there are a multitude of pills and medications that can be prescribed. But it all depends on how your issues present.
For a physical issue the doctor can see it and assess it based on how it presents. For something in the head, it is very different, and it is also quite awkward. Have you ever tried to explain an object or a sensation to someone, without them having seen or experienced it. It really isn't easy, but the better you know someone, the easier it is to be on the same level and get your message across.

Then, even if you can explain it properly, you have the perception aspect of it. Example, tattooing. If two people with a tattoo discuss how it felt to have the procedure carried out, a lot of the time they will not only use different descriptive words, but also disagree about how the sensation felt.
Now take that to being a patient, trying to verbalise what is going on in your mind, in a way a complete stranger will understand.

I guess it comes back to the whole thing of keep it simple, but I don't do simple, so that in itself is a struggle for me.

So I have come up with this... And if need be I will have it in front of me when I see the doctor tomorrow. That way I won't ramble or lose my direction, but will say what is needed.

About 4-5 years ago I suffered quite badly with anxiety and depression. It wasn't the first time, but was the worst by far. Recently I have started having the same issues I had back then before I hit rock bottom, and am concerned that I am going back in that direction. Over thinking, trouble sleeping, lack of motivation, lack of concentration, and dwelling on certain aspects of life, both important and totally random.
A lot has changed for me over recent months, so I think the sudden instability has triggered this, as it did the last time. Last time I was put on medication, but would like to avoid that this time around, and see if I can shake it by other means first. Of course I am not ruling out the possibility.

Or words to that effect eh!

My appointment is early tomorrow morning, so I have about another 16-17 hours to get through before seeing someone about this.
Last night's blog entry alone had a positive effect for me, getting some thoughts and fears out there in the open, for me to understand a little better. Crazy as it might sound, typing and reading back most of the things I say, is like having the conversation I needed to have, but had no-one to have it with. Like one of those moments in something on TV, where something totally unrelated suddenly puts a case into perspective. It is the same for me, saying things, often typing them faster than I can think them (honestly, I think THAT slowly!.......... joke), words seem to appear from nowhere. Almost like opening the floodgates to my mind, and letting it all spill out, thoughts I could not access before are right there, and it makes sense.
Told you I was nuts!

So there we have it, the issue that has been smashing around inside my skull since late last night, driving me mad, and exhausting me mentally all day.
See there is another thing that has just come out that I had not even considered!

The mental exhaustion from the overthinking. Another classic symptom of the matter for me. Like a computer with some infected program running in the background sucking up all the resources, when you go into task manager, it is using 98% of CPU and memory, rendering the rest of the computers functions useless. THAT is how my head works when I am like this. A simple mundane issue will suck up all the resources and energy I have, and make it impossible for me to do the simplist of things. So sitting on the sofa staring at the TV which is switched off, is about all that is left within my limits of capabilities.

Right, before I run out of energy and shut down to conserve vital functions, I shall wrap things up here.

Basically the conclusion reached here is, keep things simple, explain the basics. That's all. Everything above was an example of my train of thought, just to come to a simple conclusion. Exhausting to read isn't it, and the real long way around.. Now imagine what it is like to have that thought process for most of the decisions you make every day. I kid you not, other than simple bodily requirements, everything else goes through the same mental red tape.
Needless to say, it is the reason I try and stick to a routine where decisions are not necessary. I can go the whole morning without needing to make any decisions, but once the first one arrives... Its over!

Right, that is enough this time. Here's to seeing the doctor. This time tomorrow I will have an idea of what their decision is.

Wish me luck.

Learning to walk again

For once, not a metaphor.
Following years of pain in my feet, mainly in my Achilles tendons, I finally decided to go to see the doctor about it. Coinciding with a flare up of gout, and with pain in the same region being hard to differentiate, I needed to know what was what. So as the gout subsided and the pain remained in my Achillies, I got the doctor to check them out. The diagnosis, Achillies Tendinopathy, aka a swelling and stiffness in the tendon, causing pain and difficulty walking. Anyone who reads this blog a lot will know, I LOVE walking! It is a huge part of my daily routine, and of course needs to be with the dogs.

One referral to the physios at Lewisham Hospital later, and I was examined, and given a series of exercises and stretches to do daily.
We went through a series of tests do check the distances the tendons moved. Measurements taken on day one showed quite a large difference between my left and right tendons. The right has always caused me the most pain, but the left plays up too.
After the first appointment I came away with a positive mindset that something could be done about the situation, and got stuck into the routine of following the program I had been given. Much to my surprise I started to notice a bit of a difference, and by the next appointment I felt like I was getting somewhere with it.

Unfortunately I was starting to get pain in my lower back and glutes now. Transference of the issue to another point. By the time of the second appointment I had a new physio with a new idea and checks. On mentioning my pain she checked the strength in my glutes by doing a side leg raise, then pushing the leg back down. Now she is only a little lady, so on the good leg she probably could have hung off it without it moving. But when we got to the right side, I was shocked, I lifted my leg fine, but it just collapsed as soon as she put any pressure on it at all. Truly shocking as I have never felt  had any weakness in there at all.

By all accounts, while I have been subconsciously managing the pain in my right achillies, I have in fact avoided using my right leg a lot, and because of this the muscle strength in that side has deteriorated quite badly. Cue the addition of more exercises to bolster strength in the right side. Side leg raises, and one leg stand to squats.

By the third appointment a few days ago, things have improved remarkably, and the balance between left and right is slowly equalising. The strength returning to my right glute and quads, and the pain when walking disappearing by the day.

And finally I reach the reason for the title of the entry. Learning to walk again.
Since realising there was hope, and taking health seriously again, I have decided to make my own contribution towards the fight for recovery, and made some changes of my own.
The main one being, teaching myself to walk in a different way to how I have done so for 40+ years.
I have always been a powerful walker, able to average 4.2mph a few years back (GPS measured) long strides, good endurance, and able to chalk up 10-20 miles in a day without worrying too much about it. In recent years my goal has been 10 miles a day, but the flare up of the tendinopathy has really dented that goal, with some days me not even wanting to walk the dogs.
However it was time for change.

Just a quick note, so powerful are my downward thrusts with my feet when walking, that I am prone to slipping, so as I push off with the leading foot, the foot will slip on the surface as I roll onto my toes. I also wear through trainers at an alarming rate!
So, with all the progress being made with the physio, I decided to give my feet a second chance. Consciously walking with less vigour, taking the pressure out of the strides, smaller steps, a more upright stance, and trying to block out the goal of time or distance, and instead concentrate on my strides and keeping them smooth.

Amazingly it seems to be working, I can do a full 5 mile walk in the mornings now with no ill effect on my achillies or any other part of my feet really. Maybe a little tightness in the toes, but I guess that is all down to a transference of impact from one part to the next.

The last time my tendons were measured, and the test done on my glutes, the improvement was huge. Greater range and motion in the side leg raises, surprising the physio somewhat as the leg carried on rising into the air almost out of reach for her. As well as an improvement in the strength too, able to resist the downward pushing much more. As for the elasticity of the tendons, the lunges I can do now are massive compared to when I started, even causing the physio to suggest easing off on stretches for the stronger left side, as otherwise I will be doing the splits next time I'm in.

I am really grateful to the NHS for providing me this physio, they take a lot of stick, but at times like this, they are a god send, and very competent at what they do. I can feel the changes happening as I do my stretch routine daily, so know it is playing its part.

The tough part for me now is to stay focused enough to continue with both aspects of the program, and maintain my determination to learn to walk again, but in a way which is beneficial to my body and health, and caring less about getting somewhere quickly, and being the fastest person on the pavement.  Changing the way you walk at this time in life really isn't easy. I realise there are other people out there overcoming much greater challenges with their walking, but from this small experience I have learned to respect them even more.

Just to add, I am familiar with changing how I walk regularly in the past, with flare ups of gout causing me to improvise, it be immobile. From those short spells alone, you soon learn about weight and pressure transference, and how it impacts other parts of the body.

Anyway, after a long  morning of walking, training and physio stretches (3 hours to be precise) its time for me to have breakfast.... Or is that lunch now?

A&E at breaking point

I am the first to admit that I have probably spent more time than some in hospital A&E departments, so coming from me this might all be a little hypocritical I know. But stick with me for this one, and see the subtle differences.

From an early age I have been 'unluckly' shall we say, and managed to find myself in many situations which have resulted in trips to the hospital. In the 80's growing up, I was so well known in fact at Sydenham Children's Hospital (now flats) that Sister Bell could get most of the paperwork done without asking my mum a single question. Broken arms (plural!), knocked down by a car, and referrals from the GP for various things like ingrowing toe nails, ruptured testicle (sorry I had to include that one)  etc. It all happened there.

But in my defence, as a child 'shit happens' Seemingly more to me than others, but kids just have accidents, fact.

As I have got older, I have managed to take the stupidity a bit, and my visits have become less and less frequent. Which I have to say is a blessing for two reasons. Firstly I'm not hurting myself as much, and secondly the kind of people you get in these places is alarming. And it's this point that it all really starts with.

For those lucky enough not to have visited an A&E or an ER, it will all be a little alien to them, seeing these shows like 24hours in A&E, and 999 what's your emergency. How it all works, what the system deals with, and who uses it.

Let's look at the name Accident and Emergency.

An accident which causes you harm requiring immediate attention, or an emergency situation where your physical well being is for some reason jeopardised. Now that's a wide spectrum and does indeed have scope for everyone and everything in there. But apply a little common sense for starters.

The TV shows occasionally show us scenes where someone has done something really quite minor and has chosen to blow it out of proportion, and turn it into a drama. Deciding that their situation is so horrific and unbearable, that they require IMMEDIATE attention. And I mean immediate. You see, for some reason, the more trivial the injury, the lesser the need for attention, the MORE irritation, anger and impatience oozes from these people.

'I have only sprained my finger and you want me to wait 4 hours?'... you know, you're right... FUCK OFF HOME THEN!

For anyone who has not visited an A&E dept, for you lucky people, allow me to tell you one thing for a fact... Certainly in London, if you visit one between 8pm and 6am, you can be sure that a LOT of the people seeking attention are under some level of influence of drink. And will see things like black eyes, sprained wrists and ankles, bumped heads, and other stupid falling over drunk kind of accidents.

Now of course, any incident causing injury to yourself which may require attention should be attended to, no doubt there. But maybe there needs to be some adjudication here, and maybe compare it to car insurance. Most of us pay PAYE tax and National Insurance which is our contribution towards health care, so consider this a third party insurance policy. Anyone making a genuine claim would be covered.

But... if you are a drunk who always likes to spend the early hours in A&E because you fell over for the 5th time this year, then maybe you need to be fully comp, or pay for your own repairs. I use drunks as an example, there are of course many more people who fall into the time wasting or self inflicted categories, as well as the pure time wasters.

Anyone visiting A&E is booked in, and 90% are at least seen by triage. People who think A&E is just like a GP but is a walk in clinic are clearly stupid, and people like this should be charged, or at least warned that charges may apply for further misuse. There are specific walk in clinics around the country, which are NOT A&E departments. Having just waited 2 days to get an appointment to see a GP, and having spent the end of last week and whole weekend in agony, with no sleep and in lots of pain, YES, I know it's not ideal, but sometimes you just have to wait your turn, plain and simple.

The culture of 24 hour shopping, banking, car washes and a life of convenience seems to have gone a little too far now, and people seems to misunderstand the role of these vital A&E departments.

They are over stretched, under staffed, and over run with time wasting morons who are drunk and think they are funny, bored and think it's a pass time, or people who are far too important to wait their turn. Meanwhile ambulances are stacking up, serious cases are being kept waiting, and seriously ill people are being left for hours undiagnosed or untreated, while 2 more stupid people have their little boo boos attended to.

Seriously now, WAKE UP BRITAIN!

It's the same time wasters and arrogant people who choke up these services with petty things, that sit there complaining that their toe nail which is torn needs URGENT attention, and that 3 hours is too long to wait, and how ridiculous is it. Stating that there should be more staff working, seeing people quicker, and then make sharp intakes of breath when they read the latest waiting time figures.

Don't you get it.... IT'S YOU! You are the cause of these issues. The staff are adequate on most shifts to deal with the genuine cases that come through the door. It's the time and resource wasting antics of stupid and arrogant people that cause these figures to skyrocket.

Responsibility for our actions was shunned a long time ago, and now society demands that whatever the cause, whatever the issue, public services should bow to your needs, and you should be given the attention you demand of it. Well, tell you what, NO! It needs to stop. 

Refuse collection used to be one bin fits all, now it's broken up, and people who don't comply end up with unemptied bins. Drink driving used to be tolerated, but now it is frowned upon.

So maybe it's time for the NHS to have bouncers at the reception desk, and to turn away anyone who is not an A or an E, and refer them to another service. 

Oh hold on, I can hear it now....'but its my human right'.... well that can fuck off too! Stop the pandering, ease up on the pussy footing around, and just get hard with it. Fast track these people the hell out the door, and give the people who deserve and need the attention, every second they need.

And while I'm on the matter.. If you rock up to an A&E with a genuine case, and the waiting time is a bit long, text a mate, slap it on Facebook, hell send a whiny tweet.... don't take it out on the staff eh!

I think that's my rant over for now. But will finish up by saying this.

The NHS as a whole is an amazing system, providing health care in a way that some countries envy. For someone who has spent a lot of time in the system both as a patient and as a carer, I think the NHS and all its staff are fantastic. From call centre staff right down to surgeons, and everything in between, I salute you and thank you for you choice in life to help others and work in some horrible conditions, with some truly foul and undeserving people.

Rant over :)

Thanks for reading.

PS, if you know a time wasting arsehole that likes to chew up the NHS's time, push them down a flight of stairs and show them the difference between a boo boo and a real emergency!

Regards
Michael

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