Tears, at last

Four weeks ago, I found a lump in my breast. Twelve days ago I was diagnosed with breast cancer. Today, I cried for the first time. I have a dozen reasons to be confident in spite of this acute health crisis. Breast cancer is among the best funded and well researched of cancers; I live two miles from a cancer care centre of excellence, and will have some of the best professionals treating me; my sister is a breast cancer survivor of over a decade, cured at the same clinic; my cancer has been caught early, has an established and effective treatment protocol, and has an almost 100% survival rate; I’m not facing a mastectomy; I’ve been overwhelmed with messages of support, many from women who have survived themselves. My appointments are all booked in, and start on Monday. But I wasn’t crying because of the cancer.

I haven’t felt so much as a pang of anxiety so far, though I recognise the very earliness of the days are affecting this, but I do also give myself credit for the hard work I’ve put into learning to live in each moment, managing the physical impacts of emotional labour by accommodating the toughest of feelings with as much equanimity as I can muster day by day. I reserve the right to tantrum and take sedatives the night before chemo or surgery, and I am under no illusions about the mental and physical challenges that lie ahead. I cried today while I watched a programme about dying. But I didn’t cry because I am afraid to die.

Tonight Statistically Significant Other and I were going to go for an early dinner and an evening showing of a film. I was looking forward to that. Good food, stimulating conversation, bit of culture and a cuddle – nothing nicer. Since my chronic pain and fatigue flared in February, I’ve managed out even less frequently than before. Each time, my body extracted the cost, taking larger chunks of my energy reserves in the days that followed. The energy savings using a wheelchair brought have diminished, and the sense that stability was possible has vanished. I’m back in the place where getting dressed and basic hygiene are aspirations each morning, and trundling down to the supermarket for odds and sods makes it a gold standard day. So when I woke up with a feeling of imminent upchucking, throbbing eyes and watery legs, I knew our plans were trashed. Brushing my teeth and hair while shuffling to the loo will be today’s notable events, and if I wash my face that’s a bonus. Still, this is familiar territory. My tears weren’t for yet another disappointment, another broken arrangement.

No, watching the (very interesting) documentary about death and dying, I was struck by a powerful jolt of neon envy at the sight of lithe and limber pensioners who are fighting death with fitness. Geriatric gym bunnies. Grey haired groomers. Power walking pensioners. I’m 51 sodding years old. On paper, I have another seventeen years of standard paid employment left in me. I’m 51 years old, and I haven’t worked in four years. I don’t have the energy to make my own coffee in the mornings, to sit upright for more than a few hours a day, even to put lipsalve on, lipstick long forgotten. My fifties are not about career building, and foreign holidays, and taking up yoga and painting and gardening, volunteering at the food bank, learning Gaelic and sign language; they’re about clean bedsheets put on by someone else, and afternoon rests, and watching far too much cooking telly for someone who can barely lift a potato peeler any more.

I cried not because I have cancer, but because cancer might be the catalyst that bricks me into this deteriorated state, that wipes out subtle but important improvements in symptom management that had me looking at those ambitions afresh thinking maybe, maybe. The treatments I have to receive come red-flagged with post-disease legacies like peripheral neuropathy, chemo-fog (cognitive impairment), and fatigue, all of which I already have, and all of which are ready to flare if I stand downwind of someone with a head cold. That’s why I cried, not for the cancer, but for the me I’m going to meet and have to live with when the cancer is long gone. I’m 51, but today I feel like a six years old trapped in the body of a poorly octogenarian, frightened and powerless at the enormity of the bomb my body has become.

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How To Be Interesting

At the weekend, I was blessed with an unexpectedly ‘good’ day. What that means in practice is that I woke up feeling as sludgy, stiff and achey as usual, drank my coffee, piddled around on FB, writing websites (I read a lot more about writing than I ever spend doing it) and daily dharma posts for an hour or so till my stomach felt ready for food. I ate a tasty breakfast prepared by The Boy, and took my morning meds. There followed a further hour as I rested in bed, doing much the same as already described, while the painkillers settled in, and by that time I have gleaned enough information about my unholy trinity of currently-most-debilitating symptoms – pain, fatigue, and noisy, discombobulating head zaps – to work out what level of activity I might aspire to.

So, after two hours, toast, tea and tramadol, I surmised this was a day that I could feasibly get up. After washing without feeling the all too familiar lurch of nausea that accompanies the zaps, I decided it was also a day I could safely put clothes on. Success! On such days, from thence forward, anything I do/achieve is a bonus, so rare have been days when I’m not wearing a duvet and bedsocks combo. The Boy came through looking glum.  He had one of his headaches.

I am a person with a chronic illness living with a person who has a chronic conditions. The Boy has asthma, bad enough to require daily puffs on two different inhalers. To make matters worse, he also suffers from what is unfortunately a familial trait of cracking headaches (actually, we have all suffered from migraine – my genes apologise, kids). He gets a few every month, and they knock him off his feet, requiring regular paracetamol and a restful day lying in his darkened bedroom, dozing away the pain. That’s ok, I said, it’s coincided with a decent day for me, so get some paracetamol down and pop off back to bed. I’ll do the dishes.

I did the dishes. I decided to tidy up the kitchen too. So I emptied the house bins, took them outside, sorted the recycling, dumped it into the correct buckets, then thought wait, I must pace. Sat down, had a cup of soup and some crackers, did a ten minute guided meditation and thought, gosh, this room hasn’t been hoovered since the tree came down… I’m not going to detail every bit of everything I did on Saturday. Because although for me this constituted a day to be starred in the diary, I’m acutely aware of what a drag it is for people to read what is essentially a description of very mundane, routine, household tasks. Things healthy people do every day, without a second thought. Unless the second thought is ‘God, I hate housework’.

So that got me thinking about one of the major obstacles to building a sustainable, rewarding life when one’s world consists, more or less, of a few rooms and small garden. How can I hold onto friends, relationships, when my daily life largely revolves around me, me, me: eating, drinking, meditating, stretching, resting, all solo and with my own health in mind.  How do I offer an equal friendship when I have so little to talk about? Never mind that I’m hobbled by the inability to participate in things that create shared memories – going to the cinema or theatre, exhibitions, out for birthday meals, going to dinner parties, even staying awake for the New Year Bells – or to do the little favours that cement connections, like getting joyfully hammered when someone gets a new job, or staying up all night with a pal to diss mankind when her partner misbehaves. When friends call me or come to visit, the most obvious second question after ‘how have you been’ is ‘what have you been up to’. I do like the suggestion of subversive mischief in that second query. Unfortunately, the answer is becoming a bit of a broken record. I’ve been in bed. I’ve been on FB. I’ve watched a lot of telly on every terrestrial channel, plus Netflix, Amazon, Now… I’ve listened to audiobooks. Drama and documentaries on the radio. Podcasts. I’ve probably knitted something new since last I saw them. If it’s been a good week, I’ve managed not one, but two showers and washed my hair. If it’s been a great month, I have hoovered.

Obviously I’ve been feeling the absence of a big, spiky stick to beat myself with recently, because this has been on my mind for a while now. The worry that I’ll be bored by a life limited to the size of a mattress has tilted a full 180 degrees and I find myself worrying that I myself will become the bore. The things I valued about myself have evidently diminished, I feel the effects every day. I can’t think acrobatically at all, I need a good ten minutes to write some stuff down and let it percolate, painfully, drop by drop, through claggy mental filters. My wit has dulled. There is nothing worse than starting what I think is a hilarious riposte, to find that I’ve lost the second half of the sentence and am reduced to muttering, pink-cheeked and foolish. I forget important dates my own, never mind other people’s – so key events in their lives drift by, and the most common opening in my text messages is ‘I’m so sorry!’.

This isn’t a cry of anguish at all. I really do appreciate how lucky I am, not only to have a close and loving relationship with my adult children and to live with my very caring son, but to have good friends who remember me as I was and appear to be handling (and excusing) my verbal and mental regression a lot better than I am. Basically, despite the changes in my body, to my mind, the fundamental fear we almost all share remains. That is, I don’t want to die alone. And if I am unable to sustain friendships (or even, beyond my wildest fantasies, a loving relationship), that is what I dread I am destined to do. So, as if I haven’t enough in my knapsack to weigh me down already, I’ve added a bit more. Not just how can I prevent myself from becoming bored (and lonely), but how do I prevent myself becoming boring … and lonely.

I have no easy answers, says the Universe. Well cheers, say I.

 

Hell(o)

One night in October 2013, I went to sleep and didn’t wake up. Obviously I did eventually, or I wouldn’t be here to tell the tale, but I slept past my natural waking hour, right through two hours of shouty arguing on the Today programme, stayed sound as local kids squeaked and squealed outside my bedroom window on their way to school. I slept through their playtime. I woke, heavy, syrup-soaked, aching, at 11am.  I had been asleep for 12 hours.  This didn’t unduly concern me – bit of a bugger to be that late for work, but hey, time to make up in the evening. I got up, had a shower and walked the three miles to my office along a magnificently autumnal Great Western Road. The following Monday night, I slept for 14 hours. On the Tuesday, sixteen. My son failed to wake me, shaking my shoulders as I ragdolled.  In January, after three months of intermittent sick leave, loss of muscle tension in my legs, pain that had started in my left shoulder radiating down my arm and across my collarbones, throbbing, making it painful to breath, a mind that had become tortuously claggy, my GP suggested I might be suffering from CFS (as GPs like to term it). I am an academic. I went back to University as a lone parent in my 30s, loved it so much I never left. I got a degree, a Masters, and completed a PhD six months early – the first to do so in my School at the time. I taught at both Glasgow and Edinburgh universities. I gave lectures, wrote papers, attended learned conferences where I felt a total fraud, but hey, they let me in so I went along with it. I loved it. I went out with friends; lunches, dinners, the cinema, exhibitions, the gym, late nights that featured a lot of alcohol, a lot of laughs. I moved house four times in six years as my children grew up, flew the nest, flew back again for temporary relief, went off once more. I got the life I wanted, I had the title, the job, and most importantly I had recovered and repaired from a toxic marriage. I was flying. I’m telling you this not to brag, but to show you who I used to be. Fit, energetic, keen, normal (ish), and really very happy. I became very, very sick. I got even sicker. I was advised this is not a disease you fight, not in the normal sense, for if you do, it will consume and destroy you. This didn’t fit with the ‘plucky Ellie raging against the world’ process I’d used to survive and thrive during a dreadful decade. This required….surrender. I don’t do surrender very well. Today, I live in relative peace with my disease – he’s called MElvin. He’s ugly-beautiful. He takes so much of my daily energy and minute-by-minute effort that I can’t work full time any more. I now spend my time determinedly working twenty hours a week in my dream job (my thesis is on domestic abuse and policy making, this is my first post-doc job directly related to it), crashing, then recovering. It’s a cycle I’m familiar with. My social life has contracted, but not disappeared. It’s mostly lunches, coffees, perhaps a drink after work. Sometimes there’s a little flash of Old Ellie, and the rage and frustration and sadness at things I have lost turns into ‘have at ye, ya bass’ and I go to the pub with friends and drink myself horizontal. MElvin extracts three bed-ridden days in payback. Serves me right, really. But I said he was ugly-beautiful. Some of that frustrated fury has translated into a swell of creativity, and I have begun to bake, to knit, to write – none to any great standard, but still, the things I produce from the tins, the needles, the words that spill out over the page, they say I’m still here. I’m still here. This blog is a record of my journey, now I have some equilibrium, and some understanding of the severity of my condition. I accept. That’s all I can do. But I’d like to remind myself of that, to have somewhere I can go and see the record of my existence. Look, yes, I’m still here. There will be socks. Buns. A little bit of political ranting. Actually probably quite a lot of that. There may also be cats. After much deliberation, I chose to call this place Somebody’s Empire, a modification of the title of a Belle and Sebastian song, Nobody’s Empire, written in direct reference to Stuart Murdoch’s own tussle with this illness. It’s optimistic triumphalism comforts and inspires me. I’ll putting it here once I work out how to do that, if you’d like to listen. This is my empire. You’re very welcome to explore it alongside me.

Making a deal with God

I haven’t written in this blog as often as I thought I might through the cancer trip, despite not really feeling much like a cancer patient thus far. Thus far. I had the first full force dose of chemotherapy on Friday, after a relatively comfortable ride through nine lighter weekly doses. One major physical crash, days in length, and a return to the protocol – not bad for an already sick chick. Tonight, my mind has unravelled and taken me to bleaker places than it has in a while.

I’m feeling a little grimmer than I have throughout today. More physical discomfort I’m not accustomed to – nausea, lethargy (as distinct from fatigue or weakness), a strange combination of boredom, a desperation for stimulation, yet a lack of any mental motivation or physical energy to do anything but lie and stare at a wall or a screen. I’ve been trying to distract by remembering good times, happy places, and, imperceptibly, memories of the past have been dulled with a chill shadow from current reality.

I keep a photo of my parents beside my bedside, me on my 21st birthday, sitting between my mum and dad who are smiling brightly, looking proud. They are only a few years older than I am now, in their mid 50s. They look healthy and happy. Sudden sorrow that not one of their daughters made it to that age without facing a terminal illness punched me in the throat and tears came, tears of sadness but also of anger and frustration, and more than a bit of fear.

As a history freak, I can’t help feeling that 50 isn’t too shabby a lifespan for a girl born into a working class household. As a feminist with a keen interest in global women’s health, I’m aware of just how lucky we are in western, developed, affluent nations to aspire to whole extra decades on top of the big 5-0. Tonight, I thought just how dumb and complacent we are, how priviliged and blessed, to even get to entertain the expectation as a given; that we will live our lives out in our definition of full, while our diseases and illnesses, our thoughts of death and leaving the world behind, can be safely tucked away for the many years we will enjoy after retirement, when we’ve travelled the world, seen the sights, kissed the great-grandchildren and accepted the changing of the season from autumn to a final winter when a compassionate chest infection will see us off to sleep our way out beyond the stars.

I’ll settle for 70. I feel 70 is fair, even if God (or whatever passes for him/her) disagrees. I feel I was assured of 70, and to renege would be a bit rotten at this stage of the game. Yet, illness is doing funny things with time now. Time is important, but what you do with it is more so. I wonder if 18 more years living in this body is really what I bargained for – is really what I would want. Don’t be mistaken, this is not a cry for an intervention, I’m not wrestling with the idea of a bottle of vodka on top of a beautiful mountain before slipping the breaks of the wheelchair off – there are several practical obstacles in the way, not to mention the fact that I’m nowhere near considering voluntary euthanasia. No, I think I can manage with my now familiar, routine, chronic illness, my shrunken world, my tiny hopes and soft, personal goals, my new definition of a Good Life Well Lived. It’s the thought of another bout of acute disease that is troubling me now. At least one more bout. Recurrence. New presentation. Even a new disease altogether. The possiblity that this won’t be the last time I have to wrap my head around the possiblility of death, because no matter how positive the prognosis, you still have to face the potential of the final curtain in a way that never felt so real, so concrete, so certain.

And I’m only 52. But at least I’m not 34. Or 18. Or seven. I’ve lived long enough to have given and received true love, to experience the radiant, persistent joy of motherhood three times, to see my offspring grow into independent adults and to know they’ll be fine. I’ve travelled, I’ve worked, I’ve been praised to the rafters, I’ve created. I’ve laughed, I’ve mourned, and I’ve rejoiced. I don’t think I could ever describe this as anything but a fully realised life. So if I could just go back to that original deal. Give me to 70, dear Universe. But give me it healthy, or as healthy as I’ve been before this hammer fell, so that I can make good on my side of the bargain, fulfil my promises. By all means, give me it with the physical sluggishness, and deadly fatigue, and thinking through syrup, and aches and pain, and too many showers not managed, but don’t give me this crushing weight of anticipation that it might be over sooner than I ever cared to imagine. If that makes me a coward, then colour me yellow.

It’s taken a while, but this evening I think I became a cancer patient, way past the surgery and the first stage of chemotherapy. Entering the final straight of the treatment plan, I looked in the mirror and saw a sick, sick woman looking back at me. Forgive me, as my fortitude deserts me, and my fear overwhelms. It was, I know now, inevitable. But you use what you’ve got, and this is what I have at hand to manage the concepts out of my head and onto a blank screen, to download them, even if only for tonight, so that I can sleep. Eighteen more years. It’s not so much to ask.

Love the one you’re with

In the way that life is so often strangely serendipitous, I’ve had this post in mind since January this year. That is, as I now understand it, BC. Before (Breast) Cancer. Of course, it wasn’t that the cancer which nestled in my breast had not yet taken root; that little creep had been slyly bedding in for a while by the time a lucky cyst developed on top of it, drawing my attention. More serendipity. Perhaps, despite external appearances, this has been one of my luckier years.

In November 2018, I hit the five year anniversary of the neurological catastrophe which knocked my life onto a different track from that which was expected. Five years felt momentous and meaningful. In all the literature I’ve read, any recovery can be expected within the first months or early years, but five years is usually the point at which most medics would agree things are going to be more or less as they are. There is no miracle cure for any of the neurological conditions that blight humanity at an increasing rate as our species adapts and learns to treat acute physical disease leading to longer lifespans. Unfortunately, despite great mecidal strides, there is as yet no such thing as a total hardware update. And old wiring is more prone to wear and tear. Our nerve networks rolling out via little grey cells from central HQ are as yet too mysterious to facilitate a software overhaul too. Anyway, all this is a long way of saying that by the beginning of this year, I had accepted my body the way it was, accepted available treatments were the best I could get, and was ready to focus on expanding and regulating some daily activities that would keep me fitter in mind and body.

I began swimming. I haven’t always loved swimming, but I love it now. I feel normal in the water, not fragile or sore. The water does its splendid best to take the strain from my muscles, and apart from the tricksy left calf needing some manipulation between lengths, I surprised myself with what I was capable of doing. My local fitness centre is great, adapted and adaptable, and the staff friendly and encouraging for myself and the other disabled swimmers I met there. In the water, I felt stronger than anywhere else, and it was terrific. In the changing room, however, I felt appaled and depressed when I caught sight of myself. I quickly found the blind spot in the room where I could dry and dress without encountering a mirror.

As a woman, I’ve had a lifelong uncomfortable relationship with my body. I became aware of eating disorders when I was less than ten years old, reading a graphic strip story in my olders sisters’ Jackie annuals about a girl who was starving herself to stay thin and therefore ‘beautiful’. I was bemused, not quite understanding the nuances, but getting the subliminal message loud and clear, reinforced by all the models used in teen mags to appeal to young female readers: thin is pretty, thin is good, being thin and smooth, wrinkle- and selectively hair-free is good. Adolescence wrought its usual chaos, and I developed a generous, Conway body – small bust, tiny waist, childbearing hips. Three pregnancies and the misery of an unhappy, dysfunctional marriage added pound upon pound, single parenthood and recovery from abuse wore me down till my collarbones stuck out. I’ve had a pretty typical relationship with my body that I would wager the vast majority of women have. Love/hate sums it up: I love food, and I hate looking at my body.

Now, I can cut myself some slack. Losing about 90% of my mobility, all of my stamina, and gulping down serious drugs in hefty does over a sustained period of time have all made controlling my weight not only difficult, but often at the bottom of a long list of priorities in terms of day to day life. My metabolism has also been hard hit, in the sense that my energy production and expenditure has gone entirely nuts. Knowing and understanding all of that doesn’t really help though, when you can’t face yourself naked.

Anyway, the swimming was going to cut me slack, the swimming was going to help me shape up. A family wedding provided a nice generous length of time to set a goal of losing some of the plumpness, firming up the wobbles, and, as a starting point, learning to like myself in clothes, at least. Then the diagnosis of breast cancer and, after a head-mashing frenzy of tests and examinations, scans and biopsies, the bottom line was that I had to lose a breast.

Wow. Jings. My emotions congealed. A bit of shock, a spot of dread, a twist or two of fear. As feelings loosened up, I found myself calmer than I expected, and ready to do what needed done. But my feelings towards my body, my poor, poor body, transformed. This body is a survivor. As well as fighting off routine coughs, colds, even really nasty flus in its half century, it has also grown three babies snuggled inside, then gave them life when they were ready. It manufactured the perfect balance of nutrients for them, kept them growing and thriving entirely on its own, during those vital early days of life. It has dragged me through months of deep, dark depression when my mind became absent and left it to cope with feeding and nurturing children, doing school runs, making money to live – it kept me showing up, when my mind was doing its best to hurt it with alcohol, nicotine, insomnia, existential dread. It survived the neurological attack. Even when I lost consciousness, it fought to defend itself, to limit and repair the damage. It has tried, for five years, to compensate for what is lost. This body has been through a mangle, over and over. And now it was going to lose a part of itself, it was going to be sedated and assaulted, with my collusion.

I know my body is part of me, and not a separate entity. I know, and believe, the feminist analysis of how women and girls are groomed to hate their bodies, and to assess their worthiness through the filter of a social gaze that defines what is beautiful and alluring, and values attraction over all other attributes, especially – but not exclusively – when it comes to women. I’ve had my breast removed, and it has, for now, saved my life. I didn’t really cry very much at all in the run up to the operation. I cried afterwards, but not for the reasons I expected. Not because my breast was gone, not because it hurt, not because of the scar that now runs from my breast bone to armpit. I cried with gratitude for this incredible bag of blood and bones, this old, creaky vessel which sails on regardless, and has healed itself once more. It has knitted back together the surgical wound, resolved the swelling and bruising; it is recovering, yet again. I don’t feel incomplete. I don’t feel bereft. I don’t feel any less of a woman. I feel in touch with the power of my body for the first time in my life, and I am filled with respect and awe. Consequently, how dare I hate any part of it, from the soft cushions over my buttocks and thighs, to the padding on my stomach, for every part of it is beautiful, because it is the sum of the story of my life. MY words made flesh.

Through life, I have been too thin, too fat, too round, too pointy – those were my own judgements. But bodies do change, they must change, in response to circumstance and happenstance. They are designed to do so. This is especially true of women’s bodies, which can feel they are constantly in a state of flux on a (usually) monthly basis from when we are so young. I can’t regret not appreciating my form in each of its incarnations, because regret is a waste of time. Of course I wish I could have found some respect and love for it whatever it was like, whatever it was dealing with. I can’t undo that, but I can aspire to more than just a grudging acceptance of this warm, generous wonder of biology, whatever its size and shape – it does not matter. My body is glorious. My body is a wonder. And I will love it now, however it presents itself to the world, and in spite of other people’s expectations.

The folly of festive finances

My first Christmas using a wheelchair has proven to be quite the eye opener, tilting the shade to shine light on a couple of issues that have been floating around on the periphery of my mental view but proving too elusive to grab and pin down until now. It’s been more challenging than other years, not least because a major financial anvil fell on my head in October (in the form of a giant vet’s bill for our beloved chonk, Tunnock). So my usual approach of budgeting over the final 12 weeks prior to the Big Day to facilitate an organised, sensible present-buying plan was blown to rubble, and delayed the onset of preparations until the second week of December. Thenceforth, an anguished and panicky mass shop ensued. It was not elegant.  It was not rational. It definitely wasn’t fiscally prudent. Since the organisational hub in my mind has been compromised by tiny myelin-munchers, I spent a whole ten days in a state of perpetual twitchy anticipation, writing duplicate lists and losing them, constantly thinking I’d forgotten something, and feeling as if my whole life was that lead rollercoaster car poised at the tip of the upcurve, feeling the gravitational twinges that you know are going to plunge you, screaming and at warp speed, towards the earth. I know, I know – over-reacting, much?

I love Christmas. New Year, not so much, but it’s close enough to the 25th to benefit from a sprinkle of lingering glitter. Cold nights spent indoors with lamps and candles lit, watching period crime drama: what’s not to love? However, that’s because by the time seasonal telly gets interesting, I’ve already bought, wrapped, and posted the gifts that need seeing to, and checked the number of parcels for each child to ensure a fairly equitable spread. That’s all done and dusted, and I’m usually anticipating the feast from the 15th onward. This time, I tried using my meditation practice to quell the gremlins in my gut who gnawed away at my peace and tranquility, and took the shine right off the baubles. It didn’t work. Favourite guided sessions, teachers and techniques that have preserved my sanity through medical appointments, test results, handing my notice in at work, holding onto my marbles during house moves, nothing could not overcome the block in my brain that just would not shift, night or day, to let me rest and relax. My anxiety rose, I became tearful, fragile, dull-witted, and worried.

There is no getting away from it: Christmas is a big deal for me to organise, fund and execute. It’s been challenging, skin-of-the-teeth stuff before, during the lone parent/student/phd researcher years, but it slammed me hard in a way I couldn’t absorb this time. I really don’t want to experience that mental state again, and more than that, I don’t want to risk the things perfectly healthy people also experience as a knock on effect of heightened stress: compromised immune system, tendency to pick up infections, or – my greatest dread – slipping into clinical depression. However (and this can’t be emphasised enough), choosing gifts, wrapping them up and giving them gives me great pleasure. I had a wonderful day with my children, in which I coped better with the physical demands than I have in recent years. I don’t want to trim the decking of halls, limit the tinsel, or – heaven forbid! – cancel Christmas altogether. That would dim so much of the joy of the season and I would miss out on the very positive mental boost participating brings me.

Once or twice, I just made classically stupid choices (eg not using my chair as I was getting a lift to and from a small row of shops, and ‘only’ for a couple of hours – oh, Ellie…).  Looking at it from this side of the crisis (I am now relaxed, meditating like a baby buddha, anchored firmly to earth again), I can see the concrete, avoidable boulder in the road that needs addressing to prevent such events in future, and it is this: I am now a lady of slender means. This year’s chaos stemmed not so much from the misfortune of Tunnock’s untimely tummy trouble, so much as my own failure to recognise some of the challenges of living long-term on a fixed, relatively low income, with no recourse to supplementary earnings, and, more critically, with no safety net. The latter is entirely resolvable, with the application of a bit of self discipline and patience to save small, regular amounts. That way, unforeseen financial calamities are less likely to floor me, but more importantly, Christmas won’t leap into my face like a terrifying pantomime baddie again.

This all makes perfect sense to anyone firing on full neurons, but – and this I have no trouble accepting now – I don’t. That’s my headline from this festive season: it’s one thing to live each day as it comes and try to be reflexive and adaptable to my fluctuating condition in order to manage it well, but it can’t apply to everything. It doesn’t ensure my life is as stable, safe, and sustainable as possible. Sick or well, we all need shock absorbers of one kind or another to protect that which we treasure. Although I don’t make new year resolutions – cheap words, easily forgotten, and far too good an opportunity to beat oneself black and blue for not being slim/loving/active enough (delete as appropriate – or, if you’re anything like me, leave them all in) – but instead I like to have a couple of things in mind to aspire to. Things to try to be a bit better at, or to do more of, things that benefit my overall health and wellbeing. This year, it will be asking my nearest and dearest to help me plan forward, shoot troubles before they land, think of ways to insulate my lifestyle to promote longer term stability and sustainability, so that I can, among other things, really look forward to future Christmasesqq without anxiety.

Happy New Year to everyone, and a very merry Christmas to one and all – next time.

Becoming ‘disabled’

Recently, I discovered that what I’ve been ascribing to personal failure (laziness) or a compounded consequence of my symptoms (fatigue+pain+brain fog) actually has its own name. It’s a discrete and commonly reported symptom that afflicts people like me with neuroimmune illnesses and disorders. It’s called lack of initiative, or lack of impetus. This is not initiative in the sense of having an idea to do something – those I have aplenty – but in terms of being able to instigate, to make a start, and then to persist at something, and (this is the crucial bit) this is irrespective of whether an activity is enjoyable and rewarding. My particular frustration is with writing. What used to be a hoot and a skoosh, with a solid day of writing being healthy-me’s idea of heaven, has become a source of self-criticism and punishment. Being unable to describe to my healthy pals the process by which I have been repeatedly failing to write consistently is horribly frustrating. I don’t have the words to describe how it feels to want to do something, but the messages being fired out from the brain just wither and fade before my hand can reach for a pencil. The very act of picking up that pencil takes on huge significance, absorbs my focus and attention, and subtly, slyly, energy leaks out of my battery as I try, by iron will alone, to make myself do it. Just pick the pencil up. Just pick up the pencil. Write a sentence down. Just one sentence. Then another one will come along. Just one sentence for today. Go on, you’ll be able to tick the ‘writing’ box in your bullet journal. People will stop nagging you. One sentence. OK, look, if that’s too much, just write down a word or two, just to capture what’s sitting perkily right smack bang in the middle of  your mind’s eye. That phrase, that clever little bit of linguistic acrobatics. Go ooooon. You don’t need to do lots, no need to build a whole wall – just one brick. Hey, let’s call it a pebble, and tomorrow there will be another one. Tiny pebble. A totie, tiny, speck of a pebble. Reach over and pick up the pencil. And thus, an hour, then two can evaporate, and still the page stays blank. At least now I have a name for it, and I can feel less alone, knowing that this is symptom as solid and serious as the pain, the numbness, the muscles flickers.

So I’ve been thinking about writing this post for months, ever since I took the decision to use a wheelchair for purposes of perambulation (wait, is that an oxymoron?). In the first heady days after getting the NHS-prescribed electric wheelchair, I thought I really ought to record my initial thoughts, because becoming a wheelchair-user is surely one of life’s momentous tipping points, a transition has occurred, an identity transformed. This momentous moment ought to be analysed, recorded and shared with the world. Except I haven’t been able to so much as reach out for that pencil. Today, I have managed.

What’s it like to use a wheelchair? Completely terrifying for the first few days, then great fun. There it is in a nutshell. Well, that’s what it felt like the first week I used it… Starting from square one, as it were, people tended to respond to the news with worried sympathy. I had to explain that my decision to use the wheelchair was not due to a deterioration in my ability to walk; the fact is, that’s been consistently rubbish for almost five years now. My muscles feel weak and watery, my legs tire out within a few minutes, I suffer from dizziness when I move my head around in order to map my location on the street, and for a reason I don’t fully understand, walking and standing combined seems to consume vast quantities of energy. I frequently got home in a semi collapsed state, needing assistance to get onto the bed to rest. It wasn’t great, as ways of living go. So I made a proactive decision, in consultation with my GP and the NHS physio who decides whether or not a chair is appropriate, that if I could reduce the distance I walked and stand up (and still) to as little time as possible, that might just allow me to use my energy on other, more life enhancing activities. Like, er, writing.

This has proved to be entirely the case. It’s a resounding success. I’m glad I didn’t write this post in the early weeks of using the chair, because it’s taken a while to really appreciate the impact it’s had on the state of my body. I do have more disposable energy – bearing in mind we’re starting from a pretty low point. Improvements that I appreciate include having an extra shower each week, putting clothes on a couple of days more often, and enjoying time sitting in my living room. It has also taken me places I really couldn’t go much before, like down to the chi chi cafes of Byres Road and the yarn heaven of my favourite wool/cake shop with something approaching regularity.

It’s not all brilliant, of course. And a few more unpleasant incidents have deepened my appreciation of what it’s like to live as a disabled person in our society. You really do have to have a good measure of self possession to use a wheelchair. People will look at you, and they will look at you differently. That can’t be denied. It took a little while to get used to this, and it was during one particularly uncomfortable bus journey I cracked what was going on. The reason buses can be awkward is that you a) hold up the journey for everyone else, as the driver gets out and folds down the ramp, b) there’s the potential to really screw up some poor mother’s day, by having her and her offspring chucked off as wheelchairs take precedence (by legal decree, it turns out), and c) you have to reverse something the size and dimensions of a washing machine into what feels like a shoe box. Facing backwards. Looking at everyone. It is stomach-knotting in ways you can only imagine. So there I was, doing a twenty-six-point shuffle to squeeze the perfectly bog standard NHS-issue wheelchair into a space FirstBus designed using their imagination but no tape measure, and all without cracking the corns of other mobility-challenged souls in the disabled and elderly seats.  I was plum-red and puffing by the time I could secure the brakes and we could all get on our way. It’s hard not to catch anyone’s eye when you’re the only person looking in the opposite direction towards an audience, and I noted with a skimming glance that at least four or five people were gazing at me (that was an improvement from my original estimate of everyone). Oh lawks. My idea of hell, generally. But then I thought, well, so what? People are looking at me because I look different – and I am different. In wealthy, healthy western countries, it’s not that usual to see someone of barely 50 in a wheelchair. Sickness and frailty are for old age, not the middle years. Not only that, it’s normal human behaviour to look at and assess anything different. People look at other people *all the time*, and for a million reasons. Maybe they were feeling pity for me. Maybe they were wondering what had happened to me to ‘put me in’ a wheelchair. Maybe they were cursing me for slowing their journey down. But actually, maybe they were wondering what they were going to have for dinner, or if the dog would make do with a quick once-round-the-block instead of the park in the rain, or what happened on Eastenders last night. Lesson number one: as in life B.C (Before (medical) Catastrophe), what people are thinking isn’t and shouldn’t be my concern.

While it’s possible to see this as quite an interesting anthropological moment, and maybe it would make a neat dinner table discussion, don’t ever get me started on the state of Glasgow’s pavements. Lesson number two: the state of the nation’s public highways and byways really is as bad as my Mum used to complain about. I am Dr Furious of Nutstown on this one. Lowered kerbstones are supposed to make life easier for a fairly large proportion of the population, including people on wheels, but also parents with little children in large buggies, and elderly people who aren’t as nimble as they once were. Glasgow City Council’s idea of a ‘lowered’ kerb is anything that is five millimetres out of kilter with its neighbour, and even if that dip is at one end only. I have a special extra foot thing on my chariot which makes mounting kerbs marginally more effective and less life threatening should they be insufficiently lowered, and I’ve still been left dangling off a footpath, three wheels on, one critical back wheel off, feeling the backdraft of cars as they whoosh by – seemingly oblivious – on the busy road behind me. It is so dangerous to make the fifteen minute zip to Asda by the quickest on-foot route, that I’ve got to follow a crazy zig zagging meander to find the safest kerbs for me to drop down from. At the end of my own street, the kerb is so badly lowered, I now travel down the parallel street below us and cut up a lane onto my home road, doubling back up to my flat. I add an entire length of a street onto my journey, just so that I know I can keep myself safe. This is especially important, because I’ve been the target for verbal abuse by men in a white van for having the audacity to set wheel on tarmac. It’s a crazy world out there, and I don’t feel as safe any more. It’s only a few weeks into wintertime, and I feel nervous and jumpy travelling about in the dark in my wheelchair too. Some drivers – who I am sure would be very nice if they found themselves sitting beside me for dinner – turn into feral, testosterone spraying grease-monkeys when they turn the ignition on. I am fair game for catching the flak of their workday stress apparently. I feel vulnerable, much more so than ever before. It’s a learning curve, but my instinct to smile and raise a middle digit to my antagonists is curbed, because I know if they wanted to scare and intimidate me more, then they could do so, very easily.

Finally, the big one that many of my friends in wheelchairs have to wrap their heads around: how to handle the reactions of people around you when you stand up. Lesson number three. Yes, yes, I cannot lie – I can actually still stand up. I can even walk for brief spells, though not without discomfort or payback, and with the aid of a walking stick. But I – along with around 80% of fellow wheelchair users – can stand up. It’s one of the most insidious myths about disability, that there are no degrees of impairment. You are paralysed, or you can walk. In the real world, only a small proportion of disabled people have entirely lost the use of their legs. For many, myself included, a wheelchair does two things: it reduces my overall pain load; and it expands the horizons of my world, offering an excellent tool to preserve independence as much as possible. It’s a piece of kit, in the same way as a perching stool, splints for weak muscles, and a walking stick is. It enables the completion of an activity that would otherwise be difficult or even impossible. It’s why the title of this uses inverted commas. My wheelchair is not a symbol of my disability; it’s an emblem of my liberation. I use a wheelchair; I am most definitely not in a wheelchair. I should say, however, that from what I hear and read (and gone through myself), there is a process when someone acquires a disease or condition that changes, often shrinks, their physical possibilities and life choices. It involves fear, longing, sadness and not a small measure of mourning, but also acceptance. I think everyone has a different moment in their process when difficult emotions start to ease up, and acceptance and peace with this new and unexpected direction in life kicks in. For me, the biggest mental leap was getting a mobility scooter. I had started using a walking stick with little thought, but I really chewed over every aspect of what using a scooter meant, how it would feel, what it said about my life, my illness. When it came to the wheelchair, I made an almost emotion-free decision. It was practical, it was sensible, and I was building up a few aspirations for getting out and about. I was frustrated at not being able to do very pedestrian (gettit?!) things, like nip out for a pint of milk. I realised the thing that was holding me back was really two things: my crap legs. Replace with four wheels and taaa-daaaaa, problem solved! Still, until you or someone close to you faces these choices, you don’t think about any of the issues I’ve mentioned here much. You don’t have to. And that’s fine, to a degree. Where it starts to become un-fine is where people allow social (and political) myth-making replace an accuracy much better acquired by asking people who know the truth – the sick and disabled – about their lives and experiences. So I’ve twice encountered evident judgement from other people, both times in a supermarket, and both times because I stood up. Once to reach for a bunch of reduced flowers in a bucket dangling at about lampost height (anything for a bargain); and again after I had put my items through a self service check out, then stood up to put them into my wheelchair back-pack (the other option is to twist my buggered left arm around to try to drop things one by one into it then pull the zip shut without stitching my finger into it – nasty, believe me). The woman behind me tutted so loud that I couldn’t help but look up at her. I didn’t even realise she was directing her ire at me until I saw the crossed arms and mouth set in stone, a glint of dislike in her eye. And I thought, quite frankly – fuck you. Fuck you and your ignorance, and your self righteousness, and your opinion based on bigotry, and your lack of manners and simple humanity. So I stopped what I was doing and I stared right back into her eyes. I stared at her until she was the one turning pink, and she had to look away. Only when she did, I got on with – slowly and carefully – packing my shopping away. I hope she remembers that experience. I’m also a kind enough person to hope she never finds herself in the position of having to deal with people like her, and the way she made me feel that day.

So much of what we know about disability, we glean from second, third, fortieth hand sources. We read about it online and in the newspapers. We cry at sad stories of children born without limbs, brave soldiers blown up with bombs, young mothers cut down by savage and incurable diseases. Yet, for a significant minority, those stories disappear when we see a disabled person behaving in a way that doesn’t fit our personal template of ‘disabled’, whether it’s someone getting out of their chair to pick up a jar on a high shelf, or tanking a bottle of wine in a pub, or even raising two fingers to van drivers. That’s disgusting. That’s what that woman’s face said to me that day. You’re disgusting, having a wheelchair that you obviously don’t need. The irony is that I’m an open and approachable person. If you wonder – ask. Let me explain to you how this life, how this body, works. Because I know it from the perspective of deep understanding and real life experience. The overwhelming majority of people I’ve encountered have been kind and compassionate and keen to help, and I’m glad I’ve encountered so many around my neighbourhood who have met me where I am, not where they think I ought to be. So this is the final insight I’ve gained recently: that woman was disgusted because I’m not doing ‘disabled’ as she wanted me to do it, or felt I should be doing it. And too buggering right – I’m doing it as me. Want to know more? Just ask.

Greetings from my mattress

I was planning to write a jolly piece about the largely positive experience I’ve had of using my new power chair in the last two weeks. It promises to be quite a game changer, in terms of energy conservation and by increasing my pain free time. However, yesterday was one of those mysterious crash days that I’ve never been quite sure what to make of. I woke after a soggy 13 hours sleep, and spent another hour trying to break the surface, to rise from a soupy subconscious to full-witted state. My duvet felt benignly weighted, pressing down, moulding itself to my form and generating just the right amount of heat to make me feel cocooned and cradled, safe and, unfortunately, tranquil to the point of sedation. With huge effort, I raised the bed head, rearranged pillows to support my cannonball head, and drank some coffee, hoping the caffeine hit would propel me over the threshold to operational perkiness. But after an hour or so, I was still listing gracelessly to one side, unable to concentrate on a screen, and dipping my eyelids to block out the dull light from the window. Uh oh.

Something stirred, and I recalled that light sensitivity, a relatively new symptom, has become a useful herald of incoming physical storms. It tends to provide a percussion background for a symphony of other stuff, rather than playing solo, so it was time to batten down the hatches. I couldn’t put my hands on a sleep mask, so resorted to tying a headscarf dotted with cherries around my eyes. Sense of humour still robustly intact, I thought I must resemble a hilariously distorted character from Fifty Shades, flannel jammies and blindfold, hot water bottle and cats.

The Boy appeared, all concern and have-you-taken-your-drugs. Yes, I’ve been a good girl today. I had been reducing the gradient on the head rest by half an inch every few minutes, trying to find the optimum position where my head could tolerate the sensation of uprightness, before realising only completely flat out would do it. I abandoned myself to the pillows and reached for the audiobook button.

I don’t find resting too difficult any more. I’m at peace with my body, mostly, and I like to take care of it. Resting feels proactive to me now, rather than the surrender it used to represent, as if by making my body do things that caused it pain and discomfort somehow made me a better, stronger, proper person. It’s one thing to be sick, but the greatest social sin is to ‘give in’ to it. It doesn’t take long before you realise that ther are no medals for suffering. Nobody is awarding you any brownie points for making things worse for yourself. Nobody thinks you’re any more impressive for bursting yourself so badly you need to lie in bed for a week. Nobody will be congratulating you for self-harming. That Friend – almost always talking from a place of ignorance having never lived with chronic ill health – who advises ‘not let it rule your life/get the better of you/win’ can get to France, as far as I’m concerned: they won’t be there to mop my tears afterwards, lying broken in bed at night. Having mulled this one over for many a year, I think those who advocate explicit martyrdom do so from a place of fear; if I, their strong, gutsy friend can be so reduced by pain, what if they get sick too? How awful must that pain be? If you’re still there, visible, getting on, pushing through, it can’t be that bad. It’s do-able, cope-able, and as much about their own terrors, not my experience, or even my best intersts. Still, however much I love you, off you pop across the Channel if that’s the advice you’re going to offer me.

Anyway, I digress. So, lying snug in the dark with an audiobook it is, not the worst way to pass a Sunday. Then blackness overwhelmed, and before I’d grasped the first line of a new chapter, I was out cold. Or warm, I should say. I came to three hours later, befuddled and bemused, not sure what had hit me. Then I crashed out again. And again. I finally managed to maintain a dopey consciousness for about an hour late on Sunday evening, but I lacked the strength to hold my knitting, or the concentration to watch TV. I just wanted to keep lying still, listening. I was back asleep by 11pm, and slept until 9am this morning, only disturbed by my phone ringing.

Unusually, I’m still feeling delicate today. I am managing to sit partially propped up, though only at about half the normal angle, and I could probably do with a straw to drink with as I’m in danger of drenching my neck every time I take a sip. I can’t open the blinds, but my lamp is on, the quality of its light being softer, less like tennis balls bouncing on my corneas. And obviously my tolerance for screens is much better today, as I’m managing to write this, albeit with the brightness setting down as low as it can go. I feel as if I could easily close my eyes and drift off whenever I fancy (I’ve found my proper sleep mask, which assures the blackest of unsightedness), but also just strong enough to resist that instinct. I don’t feel I need any more sleep, but I definitely need more rest.

The cause? A useful discussion with my neurologist last week gave me a better grasp of the unpredictability of my physical condition. When the central nervous system is damaged, he said, it becomes chaotic. A healthy CNS operates according to defined rules, and is a thing of wonder to behold, constantly receiving, decoding and responding to incoming information about the environment from all our senses, all at once, on a constant loop. Mine tends to cope with one thing and one thing only at a time now, and when it becomes overloaded, or stressed, or just has to work a little bit harder, it fires off confused messages to my skin (buuuuuurning), my ears (the tinnitus buzz that turns to jangling), my muscles (release the lactic acid…..wait she’s trying to walk – cramp! cramp!), and my general system (something is happening and we don’t know what to do, so we’ll power down all energy supplies). Yes, I do imagine my head full of Numskulls from the Beano. Everything and nothing causes this fatigue.

And so in the absence of physical stability, I can only persist with attentiveness, gentleness, and compassion towards my body day by day, a commitment to do what I can when I can, and with self fulfillment as an ultimate goal. It can’t be a bad life if lived in such honesty, can it?

Next time: wobbly woman gets mobile – the adventures of a baby wheelchair driver….

The algorithm of wellness

How are you today? No, really, kick back on your heels and think about that question for a moment or two. Chip it down, drop it in the hot fat of your brain, and see what you cook up. How…am….I………today? Nobody really does that, right? It’s a throwaway phrase, it just a means to open discussion, it’s a greeting, a friendly way to indicate you’d like to communicate with someone.  It works just as well when bumping into a friend in the street, or sending off a text or email – hey, how are you, how are you doing, how’s tricks, how are things going? Select your favourite, or any other variation on the theme. It’s social shorthand, a polite but largely rhetorical enquiry, a signpost pointing to an incoming glob of juicy gossip or passing on personal news. The destination is the point, not the sign that precedes it.

It’s a nice thing to do, to show interest in someone’s existence and journey through the world, though I don’t think many of us see it as that when we use it – we’re just ice breaking to get to the meat of the message. I never thought twice about it until I became chronically ill. When I did, it took on much deeper significance all of a sudden, and those asking it meant it – they wanted to know how I was feeling, how I was coping. Hmm, gosh, now you mention it, how am I today?  That’s a tricky one.

There is a real temptation – and I think this is true of most folk who get sick suddenly and without warning – to ponder my health every day. It’s a natural reaction, particularly in complex illnesses which are multi-systemic. Every day feels like a whole new spin of the fruit machine, with ten thousand possible permutations except you never hit the jackpot. You’re on edge, desperate to experience a miracle and complete recovery as quickly as you got sick, so you monitor every symptom. In chronic illness, there are usually core issues – my three are fatigue, pain, and weakness – but then comes a bountiful cornucopia of possible additional problems, like bladder or bowel issues, digestive and eating problems, hearing problems, dizziness, difficulty regulating temperature, fainting, muscle spasms, sore throat, swollen lymph nodes, light and noise sensitivity… Sometimes these move in and decide to make a home with you, other times they might just be mini-breaking, enjoying the hospitality while their host’s bouncers (ie, the immune system) decides how to boot them out.  Whatever the length of stay, they often fade in and fade back out. We (the spoonie we) must keep a track of these in order to present to our specialists, as some might indicate a deterioration, or a new condition (people with autoimmune issues frequently end up with multiple diagnoses). Or they might mean nothing at all.

So that’s problem number one when I’m trying to answer that question. There are usually quite a lot of bits of me to check out to before I can begin to work out how I am. Problem number two is that these symptoms are the polar opposite of predictable: unstable, unreliable, unruly, and chaotic. It’s like living with an internal toddler in a permanent strop, without the compensatory cuddles. Things skew and swing, not just from day to day, but hour to hour, even a couple of minutes can make all the difference. Sometimes a symptom can disappear for months, then pop up again. I’m currently squinting suspiciously at what I suspect is the toxic incubated spawn of vicious virus that gave me a month of vertigo a couple of years ago. I can stand up this time, but the ear hiss, dizziness, tingling and intermittent nausea are all present and correct. So I’m never quite sure at which point to say ‘great, I do not suffer from symptom x, y or z any more’. This illness abides by no rulebook but its own. It has made a bonfire of my mind-mapped life plans and replaced it with its own secret, malicious agenda.

The third and final problem is that of personality type, about which I can do little. I like to answer people honestly. I appreciate folk checking in, and I feel I owe them a straight answer. This, however, is not always an easy thing to do. I don’t want my children hung up on how I’m feeling at a stage in their lives that they should be off romping through metaphorical fields of poppies, travelling their own paths with no regard for their mum. I don’t want my friends to become bored, loosening our ties, because each day starts with a list of ailments. But by the same token, if I just say ‘I’m fine’ then I have to explain why I can’t get out of bed that day to go for lunch, or, even worse, plant false hope that I’m recovering when that’s far from the truth. At the same time, I am so sick and tired (ha!) of feeling that my life’s key defining feature is a measure of how sick and tired I am day by day by day.

So it’s time to shift the focus, I think. Away from a medical conceptualisation of ‘how I am’ toward a more holistic, more Buddhist way of viewing my self. Some aspects of the NHS have, inch by creaking inch, been moving towards this rounder view of health, and I reckon this will become more explicit as the numbers of us chronic sickies rise with expanding life expectancies. Instead of wishin’, hopin’, dreamin’ of being ‘healthy’ again, I’m going to focus on being well right at this moment. Wellness is, I’ve decided, a much better measure of how things actually are. It includes how my head feels, whether I managed to complete a task I’d wanted to get out the way, and if the flowers are blooming outside my window. Did I get some writing done, have I spoken to a friend on the phone, did I have a lovely shower with delicious smelling washes, and did I get out into the fresh air – even if that was the back step?  Have I read an interesting paragraph about anything, how’s the knitting coming along, and how was my meditation today? Do I have hopes and ambitions? Is there something to look forward to? If I look at my everyday life and the activities I do, how my emotions churn and change and how I respond to them, I reckon I can honestly describe myself as well. The natural outcome that follows, something which I believe flows from sustaining that wellness, is happiness.  The many tiny acts that create and sustain wellness make me happy.  Risking arrest by the cliche police here, but it’s really not about the destination at all, but rather the style of your strut down the road.

So, it’s time to cease dwelling on individual symptoms (insofar as I can; obviously if something bloody hurts, I’ll tackle it with heat, cold, massage, meditation and – frankly – many drugs to make it stop). Still, my journal will no longer document the disarray caused by minor skirmishes and major battles that rage daily across my internal landscape.  I’ve stopped assigning a numerical value to the pain, fatigue, weakness, whatever now. I did that for over a year, trying to make any connections, looking for some kind of pattern, so that I could apply a framework of understanding to it. I failed. There is no rhyme or reason. Sometimes there’s an explanation (my left arm protests if I carry anything heavier than a loaf of bread; the longer I walk around, the worse my head zaps and discombobulation becomes), and those are relatively easy to remedy (or risk and pay the price). But a nil result is still a result: I understand my limitations a great deal more now than I ever did before. More importantly, I am accepting them. I realise that life is forever changed, that full recovery is almost certainly impossible, that my body will probably always, to a greater or lesser extent, malfunction, and that I am and can be happy living with, not just despite of, my illness.

Do, please, keep checking in with your chronically ill friends and family. It’s always wonderful to feel the day has been shared, especially to those of us who are mostly housebound. However, if you ask how I am, and I respond ‘I am well’, you can rest assured that I am, as I am, happy in my moment, disregarding what my body is getting up to. And if you really want an accurate description of how I am physically today – ask me tomorrow.