This is a story about comfort zones...

Relax and put your feet up, I'm about to tell you the tale of two sedentary situations.

I'm institutionalised. Put me inside a hospital or a head office, and I'll feel right at home.

Most people don't like hospitals: they associate them with pain, death and stress. Most people don't find hospital relaxing; quite the opposite in fact. Hospitals are places of mysterious rhythms and routines that seem chaotic to most people. There are different sounds that all the machines make when they're working, and when they're making noises that indicate that something is going wrong. There are different NHS staff, in different roles, in different clothes, who appear at different times.

My week in hospital that I'm going to tell you about - although I spent the best part of two weeks in hospital  - sounds kinda nice, because I was never really afraid or outside my comfort zone. I find the functioning of complex organisations to be fascinating. I love observing the systems and the people, trying to second-guess what's going to happen next, and what's going on behind the scenes. I like asking loads of questions and adding whatever I can learn to my growing body of knowledge that allows me to feel more in control of my destiny and more able to know what to expect next, than the tense, anxious and extremely tedious waiting game that most patients face on the National Health Service.

Once one has resigned oneself to the maximum speed that a massive organisation can function at, the whole hospital experience becomes quite meditative. Sitting in Accident & Emergency, you can fill your time sneakily looking at the other patients in the waiting room, and trying to guess what symptoms they reported to the reception staff when they arrived. Shortness of breath, chest pains, numbness in one side, drooped face, earlier seizures, unconscious or otherwise delirious patients will normally arrive by ambulance, but any walk-in presentations will obviously jump to the front of the queue. Then, there are the people with minor injuries who have put up with their trivial ailments for days or even weeks. The reception staff aren't allowed to tell them to fuck off, so these idiots must sit for hours on end, only to be told off for wasting valuable NHS resources, quite rightly. In the middle, there are nasty workplace injuries, DIY accidents and total wildcards. You usually get seen by a triage nurse within an hour.

Having been admitted into Accident and Emergency, there is a brief flurry of activity while routine blood samples are taken, and perhaps you're hooked up to a drip. A barrage of questions is fired at you. Examinations seem to be probing and thorough. Surely these professionals are going to have this problem fixed in no time?

It's always a mistake to believe that important things are happening and it won't be long before the right diagnosis is reached and the right treatment is administered. One should be aware that the function of A&E is to rapidly assess whether you're about to die, whether you might need to be properly admitted to the hospital, or whether you can be discharged swiftly, suddenly and brutally.

Once on a ward, a certain amount of orientation and induction is necessary, but all wards function with great similarity. All nurses are grateful if you don't press the call button all the time, for trivial things, as well as being cantankerous and discourteous. Remembering one's Ps and Qs at all times is a pleasant distraction from boredom, pain and discomfort. There will be shifts, and it's important to be mindful of when these shift changes occur. The NHS staff see so many patients come and go, and many are lucky enough to only have a very short stay in hospital, so there will be a certain initial reluctance to absorb you into the system: the ward wants to spit you out undigested.

Having overcome some initial resistance, you can relax into hospital life. Your day begins with your vital signs being measured. Then blood samples are taken. Then there is the hullabaloo of breakfast, ridiculously early in the morning at 7am. Then, there is nothing. All of that disturbance keeps the night shift staff briefly busy before they hand over to the day shift. The day shift hope to be able to ease their way into the working day gradually. Consultants start to appear at around 10:30am, followed by a gaggle of registrars and junior doctors. The most important time of the day arrives: choosing your lunch and dinner for the next day. By the time that lunch is served, you can't remember what you're going to get because it wasn't long ago you had to choose what to eat tomorrow. The meals are pleasantly bland and easy enough to eat. Mealtimes are something to look forward to, even if the food is far from gourmet. Expecting much to happen during the day, in terms of treatment, is a mistake. Anticipation of treatment that has been promised can only lead to frustration and disappointment. The NHS does what the NHS does, and it does it at its own speed. Things cannot be rushed or expedited. Complaining or asking staff when things are going to happen or what's going on, will only piss them off and ruin their day. Dinner arrives surprisingly early. Treatment can be sprung upon you at the end of the day, just when you thought you were going to have a relaxing evening, or you can have a lengthy wait until you get your pain medication and anything to help you sleep. Dropping off to sleep is not easy, especially as the day shift will hand over to the night shift loudly at the end of your bed, and there will be more vital signs being measured before you'll be left in peace to try to get some rest.

And so, my week in hospital consisted of lying on a bed that had buttons that could make me sit up or lie down, with no effort required at all. I was able to elevate my bad leg, to reduce the swelling. I was brought paracetamol every 4 hours, tramadol every 6 hours, and 2 hot meals a day. There were few unexpected interruptions, and if I was well enough, I would have been able to read, listen to music, browse the internet and watch films & TV, pretty much all day, all evening and as late at night as I wanted. I could stake a piss without even having to get out of bed. Friends travelled to see me. Doctors came to my bedside, and I was wheeled to wherever I needed treatment, by hospital porters. I was under no obligation to do anything, except to get better, and all my basic needs were met. My lovely girlfriend augmented the hospital care, so I wanted for absolutely nothing. Blissful, right? I could have stayed for a month, and I would have even earned £676 (I pay myself minimum wage).

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Why then was I in such a hurry to discharge myself? Why would I leave the lap of luxury, and risk my health and even my life, by leaving the safe confines of hospital?

Well, that's a topic of discussion I've covered at length in prior blog posts, so I invite you to peruse the archives.

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People rarely change their bank. We open current accounts in our teens, and we keep them into adulthood. Some of us even opened special accounts when we were children, and we have a certain nostalgic brand loyalty for the bank that we've been a customer of since we were youths.

The 'big four' or 'big five' high-street banks have not changed for my entire lifetime. We have (in alphabetical order) Barclays, HSBC [Midland], Lloyds [TSB], Royal Bank of Scotland and Santander [Abbey National]. These banks hoover up 85% of all the current account banking customers in the UK.

Just like current account holders, people join these banks when they're young - often their first job - and tend to stay loyal. Many people who I deal with on a day-to-day basis have worked for 15, 20 or 25+ years for the same bank that's been so good to them that they've never felt compelled to leave. Everybody bitches about their job, but a bank employee knows that they're very well looked after and they'd be mad to go off in search of a better job.

I've worked for 3 of the big 5, and they're institutions that I feel very at home in. Some people might think that I work in a rather high-stress environment, where it's imperative that I'm up to date with the latest cutting-edge developments in my field, and I need to perform in an exceptionally demanding role. The truth is, once you're in the door, you're in for good. You get your feet under the desk, and adopt the right kind of jaded resignation, that everything is going to be slow, sloppy, shit and a massive festering pile of neglected crap that nobody gives two fucks about, and you'll fit in just fine. Moan as much as you want - everybody does - but for God's sake don't go on any crusades to change or improve anything. Just settle in, get comfortable and enjoy the masochistic experience of being in a world where not a lot gets done and the right answer is always "no".

A lot of people get into technology and engineering, because they like to fix things and make stuff that works. They like to build stuff. They like the feeling of completing a technical project, throwing the switch and seeing their hard work put into action. A bank is a terrible, terrible place to build anything that will ever see daylight.

Having come to terms with the fact that any ambitions you had of building useful things that people might actually use, will be forever thwarted by a bank, you can begin to enjoy the ridiculous game. You command millions of pounds of budget, and you will achieve nothing. When you estimate how long you think it will take you to do something, you double your original estimate, double it again, and then double it one final time for good luck, and it's still not long enough. When you are asked about the feasibility of doing something, or whether you have any spare bandwidth to perhaps do something extra, you instinctively say no; it can't be done; no chance. Nobody ever got fired for saying no. In fact, people start to love you and think you're great at your job, if you get really good at saying no.

Delivering pieces of important technology, 100% working and of high quality, in short timescales and with hardly any resources, is liable to cost you your sanity. "It can't be true" colleagues will proclaim, even as the results are staring them in the face. From denial, your colleagues will move to the belief that it's a one-off fluke, or they will hate you. Colleagues will mainly hate you for making them look like totally incompetent blundering slowcoach fools. Nobody ever made friends and got ahead in a bank, by doing a good job. Finding yourself burnt out from the exertions of persuading people of the merits of doing things properly, without pointless delays, you find yourself suddenly alone; isolated. You may create some kind of mythical; legendary; cult status around yourself and your achievements, but you have no future with the bank: the bank doesn't want your type, and it will unceremoniously eject you.

You can work for a bank for as long as you like, provided you just go along with things. Never challenge anything. Never push for change. Never go the extra mile. For sure, banking demands that you be seen to be going the extra mile, but it's all just for show; part of the act.

So, if you want to be really successful in your banking career, you learn the rhythm and routine of your department. You learn when your boss arrives at work, and you get to your desk before him or her, and leave with them in the evening, making pathetic small-talk. You learn who's got kids, what ages they are, and what stressful childcare arrangements are a pain in the arse for your colleagues. You learn how everybody gets to work. You learn whether they're morning people or night owls. You learn their interests: topics to get them talking; things that enthuse them. You learn who takes their job seriously; who's ambitious; who's jaded and demotivated. You learn who drinks heavily, smokes, gets stoned. You learn who's lived, and who's been insulated. You learn who's worked hard, and who's had advantages. You learn when to make yourself scarce and blend into the background, and when to promote yourself. You learn the things that need to regularly get done, and you discover many things that don't need doing. You learn how to do just enough to please the handful of important and influential people, and how to avoid having to do any pointless busywork.

You can't prepare yourself for boredom. There is nothing in the world worse than boredom.

My first week back in the office was 4 days of boredom. I've seen it all before, done it all before, and I'm the master of minimal effort. The only problem is that I need to look busy to make a good first impression. I forbade myself from reading the news on my laptop. I tried really hard to not look at my phone too much, and to pretend to be busy.

My boss and his boss, both sit right next to me. My boss is a nice guy who seems to have a paternal nature. The big boss talks too much and doesn't realise that I find him amusingly stupid. I listen, make the right noises and say some encouraging sounding things, but I'm completely failing to disguise my contempt for this fellow, but luckily he's the only one who fails to see my total lack of respect for him, except for my bosss. I endeavour to make my boss feel that my number one priority is in supporting him in making our team look good in the eyes of the big boss. I try to make the big boss feel in control, while diverting any respect he commanded away from him. There's a mutiny in progress, but nobody will realise until it's past the point of no return.

Virtually nothing can be achieved in 4 days in a bank, and I've achieved far more than anybody expects of me, even though I've spent a considerable amount of time in the toilets, browsing Facebook and writing amusing things for my friends to read. I invested as much time as I possibly could in developing a good relationship with my boss and my team, but I have nothing of value to contribute yet. Aside from dazzling my colleagues with my all-round technical knowledge, my main task is to stay the fuck out of their way and not disrupt things too much.

Regrettably, I've had to take Friday off work. Making a good first impression can only be done once, and the lasting image that my colleagues will have of me - the guy wearing the robocop ankle splint - will now be tainted with the fact that I had to take time off work, giving the impression that I'm unreliable and prone to sickness. Damage to your image like that can be irreparable.

Sometimes, it's desirable to be known for being unhelpful, regularly late to work and somebody who leaves on time in the evenings. Being somebody who walks out the office door, even when there's a major crisis, is the sign that you have become perfectly adjusted to bank culture. However, the clever ploy is to try hard at first, to develop an image of being a hard worker, but in actuality, you are avoiding work and responsibilities at all costs. In time, you will have the best of both worlds: being thought of as dedicated and useful, but actually adding no value at all.

My foot has been steadily getting more and more painful through the week, and I've been popping painkillers throughout the day. I've passed the week in a dreamlike state; heavily medicated. Having strong coffee in the morning to make me sharp and alert enough to make a good first impression, has meant that I've been able to stay awake in some horribly boring meetings, but it has made me a little hypomanic, causing me to be far too outspoken at times, but I think I've got away with it.

I've earned more in a single day in the office, than I would for almost a whole month of being in hospital. That kind of cash does motivate you to get out of bed in the morning, and to stay at your desk with your mouth shut, when really you can't stand being in the office.

You'd think it wouldn't be that hard, being a bit bored, going to a few meetings, talking to people, saying fairly standard things that are obvious. Having the exhaustion of being unwell, plus being in pain and discomfort, make things hard for sure, but in a way, it's been an excuse to be fucked up on drugs for 4 days and get paid an obscene amount of money for the privilege.

It seems fairly clear that if I can dial the intensity down to 4 or 5 from 11 - and the dial only goes to 10 - and ease my way into a gentle routine that I can just about cope with, then I'll be able to blend in for years. There's no reason why I wouldn't be liked and respected. There's no reason why I can't be perceived as doing a great job, even though I'm not doing anything useful. That's the main thing I need to remember: I'm specifically there to not do anything.

Saying the right thing at the right moment - being the smartest guy in the room (as someone I know once jibed) - comes easily to me, and it does unfortunately command a disproportionate amount of respect versus doing some real work instead.

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I'm not sure which week was more comfortable. Certainly hospital was more physically comfortable, but I was highly stressed about losing my lucrative hard-won contract and being too tired to be able to function when I started work. My job is extremely easy and I anticipate no problems, except coping with boredom and my propensity to blow a fuse with frustration at the snail-like pace that everything moves at.

Sleeping in my own bed has been far superior to the hospital bed, but getting up in the morning is never pleasant. However, my lie-ins were so ruined in hospital - by irritatingly early breakfast and the like - that I have actually been getting ready for work, relatively painlessly.

Commuting is hell, but because I know it's hell, I'm able to impassively observe the shit that I'm going through; detach. Commuting is the price that one must pay, if you wish for your gross income to exceed a year's average salary in the space of just 8 weeks.

How can anybody handle such contrast? It's insane. It's surreal.

How can I walk out of a hospital, against medical advice, and go straight into a brand new job where they're oblivious of just how sick I am and how messed up my brain is by strong medication? Can't they see that they have an imposter in their mix? Obviously not.

That, effectively, sums up the bipolarity of my life. The ups and the downs. The highs and the lows. What more extreme example could I come up with?

Tags: #bipolar #hospital #NHS

This is a story about affordable care...

I've been able to roll the dice a few times - following my dreams and chasing my ambitions - because of progressive liberal socialist policies put in place by the Labour government of 1945: most notably, the creation of the National Health Service.

I chose to leave an extremely well remunerated job with an American investment bank, with amazing private medical insurance and a brilliant team of occupational health doctors. That US-style of healthcare certainly gave me access to the very best treatment, whenever I needed it, but it was part of a "golden handcuffs" deal: a job that was so much better than anything I could get anywhere else, that I had to be insane to quit.

Life is a balancing act. You can have loads of money, but no time to spend it. You can have loads of time, but no money. You can have job security, but you'll be bored and constrained. You can have freedom and be your own boss, but you will carry all the risks and responsibilities. You have to choose what works for you.

While one friend has parked his tech startup dreams and has taken a salaried job, another couple of friends have just sold their tech startup. In the space of 6 years, I made myself sick with stress, trying to run my own tech startup; I went back to my old job at the American investment bank and stayed sick until I started rebuilding my life in London as an IT consultant. In the space of those 6 years, my friends had countless sleepless nights and worked relentlessly to build their startups to the point where they were worthy of investment or acquisition. In the space of those 6 years, my friend who originally introduced me to the tech startup ecosystem, built a bunch of cool tech and very gracefully pivoted into a job that really suits him, working for a company he really admires. In the space of those 6 years, my friends from the technology accelerator program we attended in Cambridge, raised millions of pounds of investment and sold their company to a tech giant.

Friends went to Silicon Valley to follow their tech dreams. One friend had to break up with his girlfriend. Another had to move his young children away from the family support network, and live with the risk that the USA would reject him and his family's request for residency. Imagine if I had moved to America. How would I ever afford the medical bills, when things have gone badly wrong? I would have been bankrupted many many times over!

Nobody's keeping a seat warm for me in a cushy job because I went to a posh school and a prestigious university. I have no trust fund or family money behind me. Running out of money has meant homelessness. Starting a business had to be profitable from day one.

There's just no way that I would have been able to pursue the opportunities that I have, without the National Health Service. In theory the UK and US are lands of opportunity, where anybody can start a business and become rich and successful. In practice, it's almost impossible unless you're already quite wealthy. The consequences of failure are just too much to bear, for most people.

My current business is consultancy. If I'm sick, I don't get paid. If I don't have a client, I don't get paid. However, I've calculated that I only need to work a few months of the year to earn the same as as the 'secure' job I gave up. It's a calculated risk. I might end up not being able to pay my tax bill. I might end up not being able to pay my rent. But, when things go well, they go really well. The odds are in my favour: if I can just get two or three contracts in a row, not get sick, maybe have some projects that run longer than expected, then I'll suddenly be way way way ahead of where I would be if I'd just plodded along with the golden handcuffs on.

I sat awkwardly on my leg and it went numb. My foot became swollen. My leg swelled up all the way above my knee. My kidneys shut down. I was admitted to hospital and put on dialysis. I haven't had any income since September. Surely this is why it's best to have a nice 'secure' job?

I've been stressed and depressed about losing a lucrative consultancy contract. I was literally about to start working again when I got sick. Contractually, I have no rights: the company could just award the contract to somebody else. I was going to have to start the search for a client all over again, meaning yet more loss of earnings.

Here I am in hospital. I've been here for a week.

I was seen by a doctor within an hour of arriving at Accident & Emergency. I've had two private rooms with amazing views over central London. I've been seen by top consultants, surgeons, registrars, nurses, phlebotomists, physiotherapists. I've been wheeled around by porters and served meals by catering staff. My bedding has been changed and I've been given clean gowns and towels. Numerous medications have been dispensed. I've had ultrasound scans and my blood has been scrubbed clean and drained of dangerous toxins by dialysis machines. My blood pressure, blood oxygen, pulse and body temperature has been monitored around the clock. Even the amount I drink and piss is meticulously recorded by the staff on the ward.

Nobody has ever asked me for my medical insurance details, credit card or discussed how I plan to pay for all this world-class treatment. Nobody is going to send me a bill when this is over.

As luck would have it, my client has decided they will wait for me to get better, so I can start my contract. Imagine if I wasn't able to take that contract in the first place, because of the risk of getting sick. Imagine if all the profit from my contract got wiped out by a humongous medical bill. How is anybody supposedly 'free' to become rich and successful, if they can't predict when they're going to get sick and how much it's going to cost?

This story is really a re-telling of three stories. The story of the friend who inspired me to follow my startup dreams and who inspired me to write about the importance of the National Health Service for social mobility; the story of the friend who succeeded, after 6 years of sacrifice, blood, sweat and tears, with countless sleepless nights and untold stress; and the story of me, who couldn't handle the chafing of the golden handcuffs, and got unwell because of the combined stress of running a tech startup with an unsupportive partner and unsupportive family.

I'm now lucky enough to have reconnected with old London friends, repaired friendships that were damaged or neglected when I got unwell, made new friends who are incredibly loyal and caring, and I have found an amazing lady who makes me feel loved to bits and completely accepted for who I am. Her family have welcomed me with open arms and most of the get well cards I've been getting have been from her family, along with offers of help to get me back on my feet.

While the welfare state is deeply flawed and it's an impossible task to get the social support that you need, as a single man whose life is imploding, the National Health Service has been the glue between the pooh, holding my shit together and just about keeping me alive. When you add in an amazing girlfriend, her family, loyal and caring friends and the rest of the social fabric that a person needs, you finally stand a chance of getting your life back.

I read with great dismay that the US Affordable Care Act (a.k.a. Obamacare) is being repealed. What the actual fuck, America?

If you wanted a case study for a society that's as close to perfect as you're going to get in an imperfect world, we should look to London. 300 different languages are spoken in London schools. The tower blocks of Canary Wharf sit in a London borough that's 46% Muslim. There are cycle superhighways, driverless trains, an underground railway that moves 5 million people every day. The Metropolitan Police are humble public servants, who protect the vulnerable and take people to hospital, involve social services and mental health crisis teams, rather than flashing their badges and drawing their weapons. The whole city exudes tolerance, inclusion and diversity: it's in London's DNA.

You might mistakenly believe that London is a city for the rich, but it's not: because of the National Health Service. The NHS employs 1.7 million people, and funded properly - like it is in London - it shows that socialism and multiculturalism can be made to work. The last piece of Britain's nationalised socialist infrastructure, not to be wrecked by the greed of capitalism; the NHS is a fly in the ointment for the Tories who want to sell everything off for private profits and damn the lives of British citizens.

I want the railways re-nationalised. I want the energy companies re-nationalised. Most of what comes out of Westminster is good for London but bad for the rest of the UK. What we're seeing is one rule for Londoners and another for everybody else. London gets state-owned public transport where 100% of the profits are re-invested in infrastructure. London has a remarkable set of public services that create jobs as well as keeping the residents well looked after. Socialism for London and capitalism for the rest of the UK... that sucks.

In my week in hospital, I've realised that London truly offers an enticing vision of a near-utopian society, so unlike the ugly one pictured in the dark minds of the populists. London is a European city, connected by train to Paris and Brussels. London is a mercantile centre, where East literally meets West at the Greenwich meridian line: the perfect time zone to deal with both Japan and San Francisco in the same business day. The peaceful co-existence of so many cultures in one crowded city is a modern miracle. I live here because of the immigrants, not in spite of the immigrants. London simply wouldn't function without its chaotic diversity.

Getting used to living in London is hard. The congestion is hard. The clash of cultures is hard. Seeing people who look and act differently is hard. Processing the humbling fact that the world is huge and complex is hard. Realising that you're in the racial minority is hard. Living a small, neat, efficient, considerate, reserved life, where you quietly observe and ask questions, as you discover your fellow Londoners have had incredible journeys, arriving here and building their lives, is hard. It's hard damn work, letting all this chaos and complexity assault your senses.

I don't want private hospitals, private health insurance, medical bills, policemen carrying guns, offensive foreign policy and an economy that offers no hope of escape from the socio-economic background you're born into, except for a tiny handful of sports stars, lottery winners, rappers and criminals. I don't want private prisons stuffed full of black people being used as slaves. I don't want a world of "us" and "them" with torture, pre-emptive strikes, invasion of sovereign nations, regime change and covert ops to destabilise other nations.

In a week in hospital, I've benefitted from everything that's great about Great Britain in the European Union and London's huge immigrant population. Only a tiny handful of the staff who've saved my life were born in Britain. Only a tiny fraction of the medical supplies and equipment were designed, tested and manufactured in the UK. I'm a stone's throw away from mosques where alleged firebrand hate preachers are supposedly plotting against the British people. Whitechapel Market is crowded with women wearing full-face veils, but I'm just another Londoner to them. If there's an exemplary organisation to demonstrate multicultural society working perfectly, doing life-saving work, it's the National Health Service.

Affordable care not only saved my life, but it's keeping my hopes and dreams alive, so I don't have to take a zero-hours contract McJob flipping burgers, just in case I get sick.

Tags: #NHS #hospital

This is a story about fear of death...

I had 3 major admissions to the Royal Free Hospital on the hills of Hampstead, overlooking central London. I snapped this shot after waking up with canulas in both my arms, 10 cables attaching me to an ECG machine, a motorised drip pump shoving fluid into me as fast as it could go. I was a pincushion from all the blood samples that had been taken.

Doing a quick body scan, my right leg was horrifically swollen. My right knee was damaged. The operation to reunite the two halves of my calf muscle, repair 4 severed tendons and reconnect 2 nerves, was still healing. I had a big burn on my lower abdomen. There was throbbing dull pain just under my ribcage at the front, and either side of my back, where my liver was torn and my kidneys were failing. There was fluid on my lungs. My chest was tight and constricted.

Was I scared? Did I call out for a loved one? Did it bother me that my prognosis was pretty grim? Do you think it even crossed my mind that I might die alone, except for one or two strangers in the mostly empty ward?

The photo captures the sun low in the sky, not long after dawn.

As long as I die in London, I know I tried my best to find my way back to the land of the living. I have no fear of death in London. Nobody dies of shame in London. If you can't find your will to live in London, you can slip away peacefully. You're never truly alone in London.

I had a 4 hour operation under general anaesthetic to fix the injury inflicted upon me by my parents. I travelled home on the bus on my own after a few days recovering in hospital. My leg was in plaster cast, held in severe dorsiflexion and was not weight bearing. I was as weak as a kitten. I let myself back into my friend's house, hopped up the stairs to the guest bedroom and collapsed in bed.

I had already spent several days in Oxford John Radcliffe Hospital in their high-dependency care unit, while they tried to stabilise my muscle damage and save me from kidney failure. I'd made my way back to London with a blood sodden bandage that was little better than the field dressing that I had improvised with sanitary towels and a dressing gown cord, before paramedics arrived. I had assumed that despite the wound being down to the bone, it was nothing that a couple of stitches at a minor injury clinic couldn't fix. It wasn't me who called 999. I was just trying to get back to London.

Back in London and finding myself with a spare evening before my operation, I had gone to a adventure sports film festival, hobbling along with my lame leg. The severed tendons meant that I was not even able to raise my foot any more, and it dragged and caught on kerbs and steps, causing great pain.

Having never experienced a general anaesthetic, I felt the same trepidation that I felt before my first skydive or another extreme leap into the unknown. However, there was never any doubt that it was something I couldn't face on my own. Just go along with it. Trust to fate, skilled professionals and technical equipment. Blind faith.

You should see the way I ride my bike. One slip and you're a goner, when you thread your way in-between the massive heavy goods vehicles, transporting steel beams for the construction of Crossrail. The double-decker bus drivers are amazingly skilled and seem to manage to not squash too many cyclists. However, when you mix together the debutanté Über drivers in their Toyota Priuses, hard-up black cab drivers, various small delivery vehicles, plus the unpredictable mix of abilities of people driving around central London, it's no wonder that paramedics call bike riders "organ donors".

When I hear that yet another of my fellow commuters has hurled themselves under a tube train, I burst into tears. It's too much to bear, thinking that some of my fellow Londoners have reached the end of their rope too. Perhaps those less personally affected by suicidal thoughts are the ones who tut about how selfish it is that a huge underground station has to be evacuated so that the human remains can be bagged and carted off to the coroner. The disruption to the capital's transportation network seem huge, but there are so many other veins and arteries in the heart of the nation, that people find alternative routes quite easily, with minor delays.

I'm not emotional when it comes to my own death.

I have fantasised about going on a scouting mission to a nearby tower block that has an open-air balcony with a 40 floor drop. My only concern would be landing on some poor unfortunate on the pavement below - hence the need to check the drop zone in advance.

I would never throw myself in front of a train. It would be too traumatic for the driver and the people on the platform. Even people on the train would feel a bump and judder as the wheels crushed bone and flesh. I know they would. People have described to me exactly what it's like for a tube train to run over a passenger, and I've had to run out of the office crying. Strangely, I don't cry for myself.

Jumping off a bridge in London would be pointless. None of the bridges are high enough, unless you were able to scale Tower Bridge.

Killing yourself in a public place is a bit selfish though. It's bound to leave a big mess to clean up and cause distress for an unpredictable number of people.

I didn't want to commit suicide while I was staying with friends. I felt that it might have been seen as some negative reflection on their hospitality, and would leave bad memories in the guest bedroom where I had been staying, which would tarnish their home.

I'm mindful that whoever I'm living with is burdened already with the uncertainty over whether my resolve to keep myself alive and well is not slipping.

When I am seized by the sudden urge to take myself and a sharp knife to the bathroom and open my radial arteries into the bath, I worry if I would cry out in pain as I dug into the joint on the inside of the joint of my arm, searching for the blood vessels with the sharp point of the blade. Then I worry whether I would be able to contain the mess within the bath, as my heart pumped my circulatory system dry.

Before I have gone any further with these thoughts, I realise that it would be grossly unfair to leave the discovery of my body and handling the police to a friend who doesn't deserve such a responsibility.

I think about setting myself aflame with petrol, in political protest at capitalism, inequality and social injustice, right in the centre of Canada Square. I think about how desperately agonising it would be to be burnt alive. I think about how suffocation would be as deadly as the heat, as the flames consumed all the available oxygen. Gasping for breath, and in unimaginable agony, death would be neither swift nor immediately assured. Dying of the burns over the course of the coming days would not be a great way to contemplate any last regrets.

It's the halfway situation that's the problem. A failed drug overdose so often results in organ failure and a much slower and more painful death than originally intended. Being knocked off your bike while wearing a helmet could mean paralysis rather than death. I know what it's like to score my arms with a razor blade. I know what it's like to wonder what the scars are going to look like when they heal. I know what it's like to experiment to see how deep you have to cut to reach the veins. However, so many cuts will stem the bleeding enough to preserve life, despite leaking profusely at first.

If you spend any time in psychiatric instituions, you meet suicide survivors. Most have had their stomachs pumped or filled with activated charcoal. Many will have their wrists bandaged. Scars from previous half-hearted failed attempts and self-harm, indicate a certain revolving doors nature to our treatment approach. Some of my fellow patients confide in me that they are saving up the very pills that were prescribed to them to prevent their suicide, so that they can have another go. One guy saved his tablets for 8 months and had things well planned except for an unexpected visitor. He was in intensive care for several weeks. He now faces a life of dialysis because his kidneys failed due to the toxic load. He was planning on attempting suicide again at his earliest opportunity.

I met a beautiful young Australian paramedic in hospital. You would have thought that she would value life higher than anybody, but the lesions to her neck indicate that she'd used her medical training to attack her jugular veins.

I read that media coverage of suicide can trigger a spate of copycat suicides. Newspapers are discouraged from reporting on the suicide method used. It's said that jails are like universities for criminals to swap tips and make connections. Could it be that mental health institutions are the same for the suicidally depressed, with more people being likely to end their lives using ideas gleaned while in hospital?

Frankly, there isn't much stopping a resourceful person from finding a way to kill themself. I've considered everything from inert gas to the application of an electrical current across my chest to send me into ventricular fibrillation. The one that is most appealing is drifting off to sleep and not waking up.

There's a famous quote by one of the few people who survived jumping off the Golden Gate Bridge, where they said they regretted it as soon as they had let go.

When I once took a drug overdose, there was a momentary twinge of regret that could have lasted about as long as it would have taken me to fall and hit the water, having jumped off a high bridge. There was a period where I would have been able to eject the toxins from my body, if I was suddenly determined enough to save myself. Instead, I then found myself accepting my fate, and a strange calm came over me before the chemicals hit my bloodstream. I was resigned and relaxed about whatever happened next. Death or organ failure. I didn't care.

It was only after a couple of days when my paralysis temporarily lifted and it was clear that the only way I was going to die was very slowly through the accumulated damage to my body, malnutrition and dehydration. I was pissing copious amounts of blood, and I knew I had to make a choice: an agonising slow death where I could be discovered, but it would definitely be the end of my kidneys, or a trip to the hospital and re-evaluate the situation.

I tidied my room. Took a shower. Packed my bags. Called a taxi. Sat in Accident and Emergency for hours.

When I was examined I was immediately admitted and I spent nearly 3 weeks in hospital.

It wasn't the right time to die. This was before I had worked my contracts at Barclays, HSBC and my current client. This was before I had somewhere nice to call a home of my own again. This was before I put together a 370,000 word document that explained who I was and how I arrived at the decision to take my own life.

I lay on the floor, semi-paralysed, and I thought about what kind of message I could scrawl in my incapacitated state, that would make it clear that I knew what I was doing. The circumstances leading up to that moment were a mess. It was too ambiguous. Even a suicide note would be seen in the context of great misfortune and stressful events in my life leading up to that point.

I had planned on starving myself to death or in some way doing myself in on the 1st of January, as some kind of protest at the way that we surmise a suicide with a neat soundbite that's supposed to explain all the reasons why somebody took their own life:

• "depression"
• "financial worries"
• "drug problems"
• "broken heart"
• "loss of status"

Take your fucking pick.

Without a conversation, we desecrate the memory of a dead person, by trying to oversimplify the complex problem of what could drive a person to arrive at the decision to kill themself.

In Japan, suicide is an honourable thing. The act of seppuku might be a protest over a decision or a preferable fate to torture. Preparation for the act includes writing a death poem.

Do you really want to be that crazy old homeless guy, yelling "I used to be somebody" as the world pays no attention and the streets finally swallow you into anonymity?

All glory is fleeting, but obscurity is forever.

Tags: #hospital #nhs #suicide #injury

This is a story about euthanasia...

I need to cover what I'm about to write with a hefty preamble, full of caveats and other disclaimers, because there are so many considerations with this issue, but it's an issue I need to tackle.

Firstly, let's consider this: nobody really wants to die.

For people who are in pain and other kinds of physical discomfort, or are otherwise afflicted by diseases, injuries or genetic problems that mean their quality of life is terrible, or certainly going to end up terrible: these people do not want to die. Those people would dearly love for a cure or some kind of relief from their symptoms that doesn't come with intolerable side effects.

Clearly people who want to prematurely end their lives in a dignified manner, have exhausted all treatment options, and their future looks bleak: pain, discomfort, infirmity, senility and disability.

Alzheimers and other kinds of incurable degenerative brain diseases carry the added worry that the sufferer will no longer be of a sound and rational mind when the illness reaches its late stages, and they will burden their carers, while perhaps not even being able to recognise their loved ones any more.

Let's also consider this: some people have hope, while others do not.

Yes, there's always a chance of a miracle cure. Yes, there's always a 1-in-a-trillion shot that God might personally intervene to remove the horrible afflictions that he originally cursed you with.

Most people love life and can't bear the thought of being torn from the arms of their loved ones. Most people cry out in fear, when they think they're about to die. Most people fight to survive.

There are people who have gone through many bouts of surgery, chemotherapy, radiotherapy, transplants and who take bucketloads of medications with horrible side effects, and generally battle through awful sickness and pain, holding out hope that their ailments will be at least treated well enough to prolong their lives a little longer.

Some people might spend a long time on a transplant list, barely surviving, while oxygen and dialysis just about preserve them while they wait for a donor match. An agonising race against time happens: will a donor arrive before the illness kills the poor helpless person who can only sit and wait?

I feel like I should use softer language, to cushion the blows for every person who's lost a child, parent, friend, partner, relative. Death is painful, and all the more so knowing that a person had so much more life left in them. Death can be so cruel. People so deserving of more life can be snatched away, while others who are seemingly careless with the gift of life can seem so selfish and ungrateful for their good fortune to have been spared by the gods.

And it's the ungrateful ones I want to talk about.

What do you do with the alcoholic who 'wants' to drink themself to death? What do you do with a suicidal person?

The footballer George Best famously received a liver transplant, and then proceeded to court controversy when he was caught drinking again. Instead of demonstrating his gratitude for his stay of execution, by becoming teetotal, he was clearly the same person - ungrateful for life some might say - as he was before he received an organ donation.

What do you do with somebody who is determined to kill themself? Do you put them in a straightjacket and keep them in a padded cell indefinitely, just so that they can die of old age in an asylum?

It might be the case that a suicidal person is in perfectly good physical health and does not abuse drugs or alcohol, but they are nonetheless determined to end their own life prematurely.

There's a general belief that telling people that their lifestyle is much akin to suicide, will curtail their health-damaging behaviour. Doctors mostly seem to take the route of saying "if you keep drinking, you're going to die young" to alcoholics. While most people would think that this would shock somebody into cutting down their drinking, in fact there's little evidence that it has any affect at all.

Similarly, telling suicidal people "you've got so much to live for" and "it's just your depression telling you lies" and other statements that make perfect sense to people who are not suicidal, is also ineffective. The only thing that has proven somewhat effective - as far as short 12-week studies paid for by pharmaceutical companies can tell - is psychoactive medication.

Smoking causes many preventable diseases, and is a big killer, but yet people still choose to smoke even though it's expensive, makes you smell and stains your teeth. You would have thought that the large "SMOKING KILLS" health warnings on packets would cause people to stop smoking immediately, but no.

You know what one of the most effective smoking cessation treatments is? It's the antidepressant called Wellbutrin (marketed as stop-smoking drug Zyban and generically known as Bupropion).

Why would an antidepressant be a good treatment for smokers? Well, let's consider two things: firstly, people smoke because they're missing something. Take smoking away, and a smoker's life is now incomplete. Removing nicotine and the habit/ceremony of smoking leaves a void in that person's life. Also, you've got to be fairly depressed to do something that's clearly a threat to your health, and possibly your life.

Wellbutrin is a fast-acting antidepressant, unlike anything we can get on the NHS. Instead of making people feel sleepy and emotionally numbed, Wellbutrin has been proven to offer a number of improvements in the lives of patients, including their sex lives. Wellbutrin is France's most popular antidepressant.

What do you really want from an antidepressant, other than to relieve your symptoms of depression now when you're feeling it? Being told that a medication might take 6 to 8 weeks to become effective, and then having to suffer your symptoms that whole time while you're waiting is no use at all! Some depressions will lift naturally after a month or two anyway.

But what goes up must come down. After some weeks or months taking Wellbutrin, many patients experience panic attacks and insomnia. Plus there's the obvious problem of having to stop taking the medication at some point, and suffering the comedown (sorry, I mean withdrawal syndrome).

Yes, the difference between 'drugs of abuse' and 'prescribed psychoactive medications' is precisely zero. Every medication that has an upside also has a downside. Addiction and habituation with prescription medications is just as much of a problem as with street drugs. The only difference is medical oversight and quality control.

And so, I arrive at the situation where I'm perfectly well aware that I can get short-term relief for the symptoms of my depression, in the form of a pill from my doctor. However, I'm equally aware that to go down that road is to have a lifetime dependence on medication for my sense of wellbeing. Basically, do I want to be a medically sanctioned drug addict? None of the stigma, but all of the same behaviours.

You're right, I wouldn't have to lie, cheat or steal to feed my habit. I can wander into my pharmacist, and get my uppers over the counter, and carry on like I'm a fine upstanding member of the community. Did you know that even heroin addicts are completely functional members of society, when they can get a clean high quality supply of the opiates they need? When doctors in the UK used to prescribe heroin, there were none of the antisocial problems that we instinctively associate with drug abuse today.

Of course, I'm not advocating drug abuse, but then I'm also pointing out that the flaws that afflict a smoker, a drinker, a junkie and even a depressed person... they're all rooted in the same psychological need to cure an invisible illness.

Pretty soon, I will have spent a year where over 75% of the time I was using no psychoactive substances at all, except for alcohol. A period of 115 consecutive days - 32% of the year - I was completely teetotal. For the whole year I had no tea, coffee, cola, energy drinks, or caffeine containing headache pills (more common than you think). I'm completely unmedicated.

How do I feel? Awful.

It seems to me like I have a choice: suicidal depression, or drugs (i.e. medication, coffee & alcohol etc.)

I know that a scientific study with one participant tells us nothing, but equally I'm not a group, I'm me. You can't dismiss my individual findings, that are true for me. I've gathered the data during a 20 year career, and I've come to the conclusion that my life is unliveable in its current form.

When you are conducting a scientific study, you have to control the variables. Thankfully, I'm an ideal test subject for this.

Since the age of 17, I've been a very well paid software engineer. For sure, during the first couple of years it took me a while to get my salary up to a decent level, but since the age of 19 I've never had to worry about money. Also, I've done pretty much the same thing for all my career: sitting at a desk, tapping on a keyboard, making software.

I've had the same running crisis my whole career. When I was 19, I was bored so I applied to university and was offered places at some very prestigious institutions to study psychopharmacology. I decided to stick with the money, and keep selling my soul to the highest bidder.

When I was 28, depression had crushed me to the point I was on my knees and unable to turn up and do the same office bullshit anymore. I retrained as an electrician and started my own company.

As a self-employed tradesman, I loved what I did, but I was grossly underpaid for the level of responsibility I had. Ordinary members of the public think that tradesmen are out to rip them off. In reality tradesmen are highly trained professionals whose job it is to stop houses burning down and families being electrocuted or poisoned by carbon monoxide.

The freedom of not having a boss, not having a 9 to 5, Monday to Friday routine, and not having to sit in the same damn chair at the same damn desk, pushing the same damn 102 keys on the same goddam keyboard... all of those things are just as great as they sound. However, getting paid peanuts to do dangerous dirty work is also not great either.

And so, I returned to what I'm experienced and qualified to do.

I earn staggering amounts of cash for moving my mouse around and looking busy at a desk. However, I used to earn £470 per day when I was 20 years old, doing computer programming for Lloyds TSB back in the year 2000. My job is exactly the same today, doing the same damn computer code for HSBC, JPMorgan, Barclays or any other damn bank.

But maybe the problem's banking? Nope. I've written computer code for nuclear submarines, torpedos, school computer networks, trains, parking ticket machines, busses, security guards, shop assistants and just about every other weird and wonderful industry you can think of. I've written in dozens of programming languages, for dozens of operating systems, on dozens of form factors. It's all the fucking same binary 1s and 0s and boolean algebra under the covers. All code is made from the same nuts and bolts. It's fucking boring.

And so, I can be a miserable exploited worker on a low wage, doing something I take pride in but knowing that I'm undervalued. I can be an overpaid and underworked software developer / scrum master / development manager / IT director. I can be a stressed out startup founder working my arse off to line the pockets of the venture capitalists who are going to get filthy rich at the expense of my health. I can be a destitute bum, a tramp, a hobo. Which would YOU choose?

I particularly object to the idea that I have to drug myself up, just to fit in with the bullshit jobs economy. I object to having to be high on antidepressants just to be able to cope with the same bunch of fucktards making the same fucking mistakes I've seen a million times over, in the job that I've mastered and brings in obscene amounts of cash. I object to having to be high on anxiety medication, to cope with the insecurity faced by the underpaid and undervalued front-line members of society who build your houses, look after you in hospital, grow your food and perform every other truly useful function that we need.

Even to work in civil engineering would frustrate the hell out of me. Crossrail, the multi billion dollar project improve London's cross-capital transportation, is rather pointless because it will be at full capacity on the day it opens, because London is already packed full of idle fucktards like me, clogging up the world with pointless makework jobs. Do we really need any more offices and office workers? Do we really need any more service sector jobs? Do we really need such a bloated financial services sector, with its equally parasitic support industries of corporate law and accounting? It's all such utter bullshit.

And so, I'm damned if I do and I'm damned if I don't.

In my 20 years of full time work, I've become worn down with it all. I'm exhausted. I've tried a number of things, and I find that bullshit prevails everywhere I look. My heart is broken by all the bullshit that trumps everything else.

I'm exhausted, and I'm depressed and I'm suicidal.

Yes, I know some people are grateful for their lives and what little quality of life they can squeeze out of their existence. Yes, I know that I have good physical health and I'm reasonably young still. Yes, I know that there'd a queue that stretches around the planet, of people who would love to have my job.

So, if I choose to reject all that and end my life because I feel like I have no quality of life, is that morally wrong?

You can't even level the accusation of me that I don't know suffering, and I don't know poverty. I've lived homeless in a park, destitute, penniless and surviving on charitable food donations. I've woken up in hospital numerous times in pain and discomfort. I've had numerous scrapes with death. Shouldn't all that stuff make me grateful to be alive? Guess what? You have absolutely no idea. Guess what else, I have a very good idea, because it's already all happened to me.

I wasn't born with a silver spoon in my mouth. I went to state comprehensive schools. I wasn't gifted jobs by any friend or family member. I had no head start in life. It's true that I have no obvious disability or disadvantage either, unless you count a couple of drug addict alcoholic parents, but I still had other family members, teachers and friends who were nice to me. It's not a fucking competition. The point is that the variables are controlled. I neither had advantage nor disadvantage, but yet I arrived at this point, here, now, today.

It's not like we can say this is just a short-term crisis. Like this will fucking blow over.

It's not going to blow over. For 20 fucking years it's been the same. The same shit, different day.

Yes, there were times that were actually pretty good, but guess what... they weren't sustainable. I liked living in a hostel with a bunch of other homeless people. I liked not having a job and being a bum. I liked having no responsibilities. Who wouldn't? But that's not real life. We don't get to have a freebie just because 'real' life is killing us. It still cost £120 a week for my bunk bed in a dormitory that slept 15 people, with one fucking bathroom between us all. My current rent is only £240 a week and for that I get a double bedroom, an ensuite bathroom, a kitchen, a dining room, a dual-aspect lounge with panoramic views over London and a balcony overlooking the river Thames.

I should be happy, but I'm not. Happiness is not a choice, no matter what you read on some bullshit Internet meme inspirational quote.

All the right pieces are in place. My doctors are chuffed to bits that I don't drink, smoke, abuse drugs or in any way engage in health damaging behaviours. My blood pressure is amazing. My cholesterol is low. My eyesight, hearing, teeth, joints... all of it is perfect.

And yet, my mental health is in ruins. I'm so depressed. I'm so suicidal.

I'm doing everything right, and yet everything feels so wrong.

Of course I feel guilty for feeling like this. What the fuck am I supposed to do though?

Honestly, I feel like I want to spend the next 30 days convincing people that the most humane thing is to let me end my life. Honestly, despite the things that should be really great in my life, nothing feels great. Nothing feels good or nice. Nothing works. Nothing is working.

There's still the possibility of just running away and absenting myself from all responsibility, but then when I'm dirty and sick from a life of destitution... when I die then, will anybody understand? A tramp, a bum, a hobo, a junkie, an alkie... these people are all too easily dismissed by society.

What happens when highly paid banking IT consultants start dying? Well if they're white middle class thirtysomething men... not much. Who cares? Probably just a selfish socialite, having a tantrum because they can't do whatever they want, one newspaper article basically said, in the wake of one death.

What the fuck is anybody supposed to do about this fucked up life that we're supposed to live?

I really don't feel like I can live this bullshit rat race anymore, and the alternative is a long slow death, shunned by society and marginalised.

In the long run, we're all fucking dead anyway.

Apologies if I'm triggering raw and painful feelings about your beloved family member or friend who is busily fighting for survival, or who lost their battle. I really don't mean things disrespectfully, but I can't lie anymore. I feel this stuff and it's undeniable.

Call me narcissistic needy spoilt white middle class brat if you like, if it'll make you feel better. It certainly won't make me feel any worse, but isn't that so terribly melodramatic and attention seeking?

Can you understand, how exhausting it is, having to justify your feelings and apologise for wanting to be dead the whole fucking time?

It's a one-way ticket and for sure it needs careful thought, but aren't we being a bit unfair, shutting down the conversation by guilt-tripping people into hiding their feelings? Perhaps suicide is a smart choice for people who feel that they have no quality of life.

Tags: #suicide #depression #mentalhealth #addiction #alcohol #drugs #medication #nhs #hospital

This is a story about brainwashing...

How do you think that somebody who has worked for the best part of 20 years in the investment banking technology sector, mostly as an IT consultant, would re-adjust to being under lock and key in a psychiatric hospital? The answer is: very easily.

Hospitals and the NHS are a home from home for anybody who's worked for an organisation with hundreds of thousands of employees. The ways that large organisations function are largely the same. The way that systems and processes are supposed to control large numbers of people, are nearly identical.

Being in the loony bin was welcome relief from the bullshit day job, but it's not like I had absented myself from all responsibilities. I still had to have my wits about me to avoid being medicated against my will and put under a 'section' - involuntary commitment to a secure facility, by rule of law - which could have seen my 2 week voluntary stay extended anywhere from 28 days to 6 months.

How did I manage it so easily? Perhaps it's because I knew I could leave any time I wanted to, but perhaps it could be because nearly 20 years of going to a shit office to do a shit job, has kinda prepared me for the monotony, rhythm and routine of spending weeks on end trapped somewhere I don't want to be.

There was a danger that just the very act of asking to leave could have triggered the doctors to decide to force me to stay longer. I knew that I had to remain calm, and give the medical team  enough of a peek at my psyche to be able to make a judgement that I was safe to release back into the wilderness.

The psychiatrist who took me under his care was in two minds, after 6 days, whether he was going to insist on 'committing' me, so that he'd get 28 or so days to poke around inside my head. Naturally, most people would freak out, if they found out that their liberty was about to be taken away from them. It's a game of brinksmanship: who's going to blink first.

Obviously, we don't 'commit' people any more to asylums. Instead we detain them under a section of the Mental Health Act, and put them in secure psychiatric facilities. You're no longer a loony in the loony bin. You're a "service user" in a "care facility". Of course, I'm not saying that the function is not useful or should not be trusted. I'm just pointing out that the names of things have been changed.

Bizarrely, if you say "I'm going to kill myself, I need to be locked up" you are very unlikely to be locked up. If you walk up to the hospital reception desk and use their phone to contact the switchboard, ask to be connected to the bleep holder for Psychiatric Liaison, and explain frankly your situation, you will have an amusing conversation with the poor Psychiatrist who has to follow official channels, but you're not going to get anywhere. The times that I have been admitted as an inpatient to a psychiatric facility, it has just taken time & patience. Only the truly desperate will sit in Accident & Emergency for 13 hours just patiently waiting for help.

Conversely, if you say "I'm not mad, I'm fine" once you're in the system, or in any way try to rush the process along, you're going to end up held down on the floor with somebody injecting Risperidone and Haloperidol in you, and you might wake up 40 years later, shuffling around the corridors of some institution, with the marked side effects of powerful psychiatric drugs causing you to make involuntary facial movements.

You can't fight the system. You can't fight the frustrating fact that you'll never get ahead in life and must instead sit at a desk keeping a seat warm, just so that your boss can appoint somebody from outside the company to come in and be incompetent at the job you were hoping to be promoted into, even though you were experienced and qualified to do it. You can't fight the frustrating fact that your miserable boring existence, helping the rich get richer and the poor get poorer, is making you pretty depressed, and you really want to fuck everything off and watch everything burn down.

Who is mad and who is sane? That doctor who just declared you to be mentally ill probably talks to their imaginary friend called Dob or Gob or Dog or Dod (or is it God?) who really knows? There's no proof that their imaginary friend exists, just like the doctor has no proof that the voices you hear aren't real and you aren't actually the Son of Dob, resurrected on Earth.

The invisible line between sane and insane is very blurry, when billions of people genuinely believe in magic, invisible entities that don't exist, and have absolute faith that some children's fairy tales are actually instructions that should be devoutly and literally followed to the letter as some kind of prescription for life.

It seems highly irreverent to say it, but people need to speak up, because the loonies are actually in charge of the asylum, when we elect and hand over power to people who believe in their invisible friends, fairy tales and magic.

By the way, for the record, I don't hear voices and I don't think I'm Jesus. But then, saying that kinda makes me sound a bit mad, doesn't it?

Tags: #mentalhealth #nhs #hospital #suicide #depression #religion #politics

This is a story about what happened next...

Ordinary person discovers this one weird trick. When they saw what happened next, they were AMAZED!!!

So, I've been accused of being anti-psychiatry, but in fact I'm not. The discovery of chemicals that can cross the blood-brain barrier and affect your perception of the world, has been incredibly important for the understanding of neurological functions, as well as the pathology of mental illness. It's also true that pharmacological interventions are priceless during episodes that would otherwise be unmanageable.

For the record, my own diagnoses have included:

• Clinical depression
• Type II Bipolar Disorder
• Anxiety
• Stress
• Borderline Personality Disorder (BPD)

I've been treated with:

• Antidepressants
• Antipsychotics
• Mood stabilisers
• Anxiolytics / hypnotic sedatives
• Sleep aids

Then having read a meta-analysis of psychiatric treatment outcomes by Robert Whittaker in his books Mad in America and Anatomy of an Epidemic, I decided to embark upon an unethical study, with me as the test subject. I decided to go completely unmedicated.

The general public often associate unmedicated mental health patients with some wild-eyed looney, who has slipped their straightjacket, ducked the tackles of the hospital orderlies and legged it out of some mental health institution. There is an assumption that people with mental health problems are homicidal maniacs, and a danger to the public. I'm here to dispel that myth.

Going unmedicated is not something I would ever advocate. The withdrawal effects from psychiatric medication are likely to be severe and unpredictable. It's not something that should ever be done without consulting your doctor. However, I did it, and this is my account of what happened.

Firstly, coming off medication is hard. Really hard. I've had comedowns from drug abuse that haven't been as bad as coming off anxiety medications, for example. What goes up must come down, and there's no avoiding the fact that coming off a 'feel good' medication means that you are going to feel bad. Really bad.

Fundamentally, that's why many of us take medication, isn't it? To feel normal. To feel better than we would do without it. That's certainly how I got mixed up in the whole world of mental health in the first place... because I felt terrible. I was exhausted and suicidal and depressed and demotivated and I didn't enjoy anything. I needed happy pills, because all my happy had leaked away somewhere, and I was just spending 14 to 16 hours a day asleep, and the rest of it in bed hoping that the world would go away.

The thing is, the unnatural 'happy' pills destabilised me, and my mood then swung too happy, and entered a mood cycle of alternating periods of depression and hypomania. Enter the mood stabilisers. It's starting to sound like a story about the old woman who swallowed a fly, isn't it? For those who are unfamiliar with the story, she then swallowed a spider to catch the fly, and then something else to catch the spider and so on, until she swallowed something so large it killed her.

The problem with trying to treat human moods with medications is that the brain has evolved to be homeostatic. That is to say, the brain has evolved its own mechanisms to maintain stability, and anything you introduce artificially will quite naturally destabilise those systems.

The stability of your moods can also be destabilised by supposedly normal things. We are all supposed to be able to cope with the pressure of exams, work, domestic duties and so on, but for some of us, it will all become too much. Is this mental illness, or are these 'nervous breakdowns' actually something that threaten to blight the lives of every single person? Is it a lottery as to whether the stress will become overwhelming?

I self-medicated for stress for years, using copious amounts of alcohol. Of course, at work you then have to compensate for the foggy mind caused by a hangover, so you start to drink strong coffee. I was probably having the equivalent of about 12 shots of espresso every single day. The amount of caffeine contained in those shots was practically the same as being an amphetamine addict, and indeed my boss at the time - who got me into this destructive lifestyle - had the racing speech and fast jerky movements that you would associate with a speed freak.

When I moved onto harder stimulants, including a drug that would keep me awake for over a week at a time, I found that my mind was not as robust as I had assumed it would be. I managed to induce within myself, symptoms that were unmistakably schizophrenic.

Consumed with paranoid delusions, hearing and seeing things and with completely warped perceptions, I was very mentally unwell indeed. This divided medical opinion. Some professionals wanted to treat me as if I had permanently damaged my brain, and had now become a schizophreniac. Others could see that the symptoms were likely to abate, if I just got some sleep, had some food & drink and started to detox and let my frazzled brain recover. Thankfully, the latter was the correct opinion.

Does that mean that all schizophreniacs can recover and live normal unmedicated lives? No, sadly not. I've seen quite a lot of people who have been suffering acute episodes of mental illness as a result of circumstances or substance abuse, and these people have recovered as soon as they were removed from the situation that landed them in hospital. However, there are clearly some patients who are either too badly damaged, or have some other pathology that is driving their illness, and medication is necessary to control the psychosis & mania.

For my own part, I have lived without caffeine for many years now, and I try to keep alcohol consumption to a minimum. I've been medication free for a few years, but I have dipped back into both sedatives, sleep aids as well as powerful stimulants, during times of crisis. It's been a few months since the last time I dabbled with anything psychoactive, and I'm still suffering rebound anxiety and depression.

Life is incredibly hard right now. I'm stalked by suicidal thoughts all the time, and stress is almost unbearable. I would dearly love the comforting embrace of a chemical security blanket. I long for intoxication. However, despite the hard, sharp edges of daily existence, at least my emotions aren't blunted and I feel like I have wonderful mental clarity.

Every day is a struggle, and my perception of time is completely warped. I feel like this depression is going to last forever, and I assume that everybody hates me and that I have nothing to offer the world, and I'm never going to be happy ever again. However, I'm able to be very rational, and I can see that my perceptions have merely been warped by my mood, which is partly because I'm still recovering from the abuse of sleeping pills, anxiety drugs and stimulants.

It would be easy to write off my tale as that of a drug addict, but that's not really the story. In actual fact, self medication with 'bad' chemicals was only very recently, and well after I was diagnosed with various mental health problems and had already been taking 'good' chemicals (i.e. medications). All psychoactive chemicals are inherently destabilising.

Self medication is a disastrous path to go down, but all attempts to force your moods to go one way or the other without changing the environment that you're in, will be doomed to failure. I wanted happy pills so that I could remain in the rat race, and maintain a standard of living that I had gotten used to. However, what I really needed was to escape that bullshit world.

Propping up my ailing mental health so that I could continue to work a job that I hated and that bored the shit out of me was a dumb choice. Mental health is too precious to fuck about with using pills and potions. If you're not feeling great, that's probably because you need to get out in green spaces more, eat healthier, get some new friends, ditch that mean abusive partner, disown those horrible parents who never congratulate you on your achievements and always give you a hard time, and quit trying so hard to impress people and be somebody you're not.

This is my prescription for life: be myself and tell everybody to shove their ill-informed opinions about my life up their arse. Nobody's an expert in my life and how to live it, and so many of the so-called experts are actually unhappy themselves, nor are they bringing happiness to the lives of the people they advise. Judge people on their results.

Fundamentally, there is an epidemic of mental health issues, and nobody is curing anyone, so trust nobody except for yourself, and do what feels right for you.

I discharged myself, because I was in hospital voluntarily. I've had several 'section' assessments but never been sectioned under the Mental Health Act. However, I'm an unmedicated mental health patient on the loose, so look out!

Tags: #mentalhealth #depression #bipolar #nhs #hospital #suicide #addiction #drugs #alcohol

This is a story about how people respond to incentives...

The last time I was in the Accident & Emergency department of a general hospital, I got a ticking off from the consultant. It was almost as if he didn't understand that the threat of kidney failure and early death was no disincentive to the path through life I was taking. It shouldn't have been a surprise to him: I hadn't gone to the hospital through choice, but instead the police had taken me there.

This was my life for a while: being passed from pillar to post by people who didn't understand what I was going through or how to deal with me. One thing that everybody seemed to agree on though, was that tough love was probably the best option. I should be ridiculed, shamed, talked down to and ostracised until I "saw sense" and decided to change the course of my life. Why would anybody choose the life that I had?

Actually, the police were excellent, seeing as they deal with society's dregs day in and day out. The well-to-do Royal Free hospital on the hills of London's exclusive Hampstead, was perhaps less used to dealing with those who have lost their way in life. Certainly, those who were struggling with drink and addiction, that I met, were sent to more central hospitals, like UCLH on the Euston Road.

I certainly don't see hospital as the first port of call, to rectify issues, and I bandaged my own massive leg wound and would have tried to avoid hospital, had paramedics not insisted that I was admitted, on another occasion.

It is only with regret that I have consumed NHS resources, but I certainly don't feel that there was any choice in the matter. When I injured my leg one night on London's streets, alone, I pulled out the broken glass and let it heal as I lay in agony in a bush for several days, with the blood-soaked wound sticking to my torn trousers. It needed stitches and I needed antibiotics to avoid infection, but I was lucky. I saved the NHS some money and I've got the scars to prove it.

Passing the buck, and driving somebody away from their home, family and friendship groups... making somebody feel ashamed, turning them into an outcast, demonising and villainising somebody... that's ridiculous!

I picked the wrong life partner: somebody judgemental, violent, abusive. That's my fault. I wasn't equipped with the life experience to know that I should walk away. My own parents relationship was full of verbal abuse and psychological warfare, but they stayed together: commitment to a partner was all I knew. I was naïvely optimistic that things would finally work, if only I tried hard enough.

When depression worsened and became bipolar disorder, when bipolar was overshadowed by addiction... things were chaotic, and consumed my sanity, temporarily. I was heavily dependent, trusting, of my partner and my Dad, and my GP. They acted with ignorance and without consideration of my wishes. Later, my partner would act with spite and selfishness.

It's hard to recover if your partner is working against you, and has your Dad in co-operation too. But, I'm going over heavily trodden ground. I don't mean to re-iterate this. I mean instead to talk about another approach: carrot, not stick.

I was dealing with something, in technical terms, called a clusterfuck. A combination of mental health problems, an unsupportive partner, unsupportive and even obstructive family, sex addiction, drug addiction, having to find a new home, new friends, new job... it's too much to ask of somebody. A breakdown, a major relapse, becoming completely dysfunctional: this was made inevitable by the circumstances around me.

Only the police acted with any restraint. The police see lives ruined, and people enter into the revolving-doors of criminal justice. The police know that slapping a criminal conviction onto somebody makes their life harder, rather than improving their chances of rehabilitation into society, so they are reluctant to condemn somebody to that fate. However, many in the rest of society are keen to label and ostracise and destroy their fellow human beings.

We are living in an increasingly isolated society, where we are mistrustful of each other. We avoid listening to anybody's personal story, lest it instil some sense of sympathy within ourselves. To view every stranger as a potential murderer, rapist, paedophile, thief and dirty junkie, is easier than just seeing other human beings, and feeling compelled to hesitate in the rat race for a second and give somebody a hand up.

We are all competing with one another so fiercely, that we believe that it is only with intensely selfish and self-centred actions, to the detriment of society as a whole, that we can get ahead, that we can succeed. We believe that we are helping our family, by turning a blind eye to the beggars, the homeless, the poor and the addicts and alcoholics.

The welfare state is being dismantled. The sympathy of society and the basic human instinct for care and compassion is being eroded. Instead we have a culture of "every man for himself" and we'll allow incredible human suffering to be perpetrated in our names, because we are sold good vs. evil fairytales by a wealthy elite, intent on turning us into scared, isolated consumers.

I feel with certainty that the depression that I feel - the dissatisfaction with what I see in the world - stems directly from an unpleasant attitude that's prevalent everywhere I look: the collapse of social bonds, and the mistrust of strangers, neighbours, fellow human beings.

I've paid over £30,000 just to be treated like a human being, by some kind and compassionate, non-judgemental people. That's all it takes to help somebody on the road to recovery: just don't be an arsehole to them. Be consistently nice to each other, and the world won't be such a shit place that people get depressed in, want to get intoxicated and want to kill themselves.

Yes, it's true that when my life is absolutely appalling, I will probably run to drink & drugs. What's the alternative? The razor blade and the noose.

They feed you in hospital. You could try starving people, to punish them for getting sick, but seeing as that's how I ended up in hospital I can't see why that would work. Carrot works. Stick doesn't

Tags: #depression #suicide #bipolar #mentalhealth #nhs #addiction #drugs

This is a story about living with a mood disorder...

Type II Bipolar Disorder took a long time to diagnose, despite a fairly obvious pattern of moods that can be easily traced back to adolescence. Of course, we all have mood fluctuations, but it's the extremity of those moods that qualifies something as a disorder.

I would say that hypomania was the more obvious one of of my pathological moods. Being able to concentrate and work with great intensity, with little sleep & food and a refusal to be diverted from my task, an irritability for distractions, hypersexuality, spending loads of money, risk-taking. Talking seems too slow to express your thoughts... the speed that you're thinking is too fast to explain to anybody else, to put into words. You're just a blur of activity.

It felt like driving with the hand-brake engaged for a lot of my life. I was always waiting for the next slim window of opportunity to work on something that I loved. Whether that was the Design & Technology at school, where there was never enough time to finish what I was working on before the end-of-class bell, or the lego model I was making, before it was mealtime and playtime was over.

Of course, we all have to work within a timetable, and we all have to eat & sleep, but these things always made me feel like I had to rush at everything I did as fast as I possibly could, in the hope that one day, I would complete one of my projects. I also grew incredibly frustrated with the limitations of timetables, mealtimes, bedtimes.

Switching to the world of work, there wasn't actually very much to do. Most people did very little. I ended up searching around for extra things to do.

The computer network at my first full time job ran like an absolute dog. That was because AppleTalk traffic from the office Macs and their printers was polluting the Ethernet traffic from the Sun SparcStations. I managed to talk my friend Lucas into helping me to rewire all the cables one evening.

I wish I could show you the actual images, but we weren't even supposed to be in the server room. This was a Ministry of Defence prime defence contractor with a high level of security clearance. The two junior programmers aren't supposed to go and fix all the networking problems in the office without any authorisation.

The next morning, everybody was commenting how amazingly well the network was running. Lucas & I obviously couldn't claim any credit, because we had acted without authority, but nobody was going to do a witch-hunt when everybody was so pleased that the most major problem affecting everybody in the office had been solved overnight.

That's pretty much how a person with Bipolar Disorder hides out in a corporation. You bumble along, bored, depressed, coming in late, demotivated... and then you suddenly pull something out of the bag that nobody else would risk their career to do, let alone the lack of sleep and unsociable hours.

Bosses seemed to just accept my erratic working patterns, knowing that when there was something that needed doing with an impossible deadline, that's normally around the time I'd wake up and start hacking something together.

It all kind of hung together until I started at a new company in 2008 and the project they were asking me to do was so huge, I didn't know where to begin. I was just entering a depression, which was bad timing. There was also a cultural problem, where their in-house IT staff built everything using Microsoft Excel, and any 'proper' software was built by Oracle consultants or bought off the shelf... but nobody liked those big expensive systems.

My depression got so bad I couldn't even get out of bed or stop crying randomly. I knew I wasn't going to bounce back quickly from that one. After a couple of months I quit that job and started making iPhone games in my back garden. 18 hours a day, 7 days a week. I couldn't go fast enough.

And so began a completely unstructured phase of my life. I would take on a project or interest, completely immerse myself in it for as many hours as I could stay awake, and stay obsessed with that single task until I burnt out. Then I would be depressed, and with no reason to even drag myself out of bed and go and be miserable at work, I would just be depressed all day in bed. I stopped answering my phone. I stopped answering the door. I never opened the curtains.

Being self-employed after 11 or so years of 9 to 5, Monday to Friday structure and routine, is kind of a red rag to a bull, if you have a tendency towards mood instability.

I relished those periods of hypomania. I wrote a series of iPhone games. I built a wooden summer house. I read a huge pile of books on Theoretical Physics and had lengthy email conversations with professors around the world, I wrote a mobile eLearning system and launched it at Learning Technologies conference, I decided that I wanted to be a startup founder and applied for TechStars, I learnt all about Bitcoin, bought Bitcoin miners and started mining in my summer house, I traded Bitcoin for profit, I wrote my own virtual CPU so I could attack algorithms like SHA-256, I started investigating security loopholes in things like internationalised domain names and the Google and Facebook developer platforms.

It's not long before you stray into legal grey areas though, so a lot of my projects have been shelved and I've had to go on raiding missions back to the corporate world, to stay afloat financially. These are normally timed with my hypomania, so a company gets 3 months of incredible productivity, and then a month or two of me being depressed, and then we normally go our separate ways.

My depressions have gotten worse and worse. They seem to last longer, and I've actually started to harm myself more & more. It's strange, when you emerge from a depression and enter a period of hypomania though... you can't remember just how dark those previous days were. There's no rational voice that says "hey! slow down, or else you're going to crash again!". Instead, the voice says "better go as quick as you can, because we know a crash is coming again soon".

So how do we know that depression is the pathological mood at the other pole from my hypomania? Well, I sleep. A lot. Sometimes 16 hours a day. When I'm awake I have very low energy, low motivation. I have no interest in things I'd normally find enjoyable. I don't want to see or speak to anybody. I generally think that everything is pointless, broken, useless, hopeless. Lots of negative memories keep coming into my head, and make me think "I can't believe I said/did that" with extreme regret, embarrassment, shame. I think the world would be better off without me. I start to do pros & cons of living lists, either in my head or written down. I start to think of ways to kill myself, and what affairs I would need to set in order before I committed suicide. This goes on for weeks, months.

I've written before about trying mood stabilisers and antidepressants. The side effects just aren't compatible with good quality of life. You might think that risk to life outweighs quality of life, but it doesn't, especially when you have the waves of hypomania to surf, before crashing onto the rocks of depression.

My body and my mind seems to have decided to adapt itself to this world, to this society, to this environment. We applaud the kid who busts their balls to study for their exams, and can then collapse in a heap during the school holidays. We applaud the employee who pulls the all-nighters and comes in at weekends when work is behind schedule. We applaud the 'overnight success' stories, when an impressive project is unveiled, seemingly created out of thin air, as if by magic. There is no magic. It's just an unsustainable burst of energy, focus, determination, single-mindedness and a touch of madness.

I'd like to go back to the routine I once had, pre-2009. Only I don't seem to be able to retrace my steps, yet. I know the formula that used to work, and a very dear and trusted friend urges me to take a permanent job, and he's probably right to some extent. However, if it all goes horribly wrong again, I would have earned a fraction of what I would have done in a contract.

I'm hoping I can find my little niché. Somewhere I can deliver more value than keeping a seat warm from Monday to Friday. Somewhere where the bosses are more interested in results than headcount in their empire. Pretentious? Moi?

I don't really care whether you think I should cheer the fuck up or calm the fuck down... my moods seem pretty intent on doing whatever they want to do. I've been fully aware of the calamitous consequences of not keeping my mouth shut at the right time, or not getting out of bed and doing some urgent crap. It doesn't really feel like I'm choosing even if it does look like a choice to you, as an outside observer.

This looks like a load of angst-filled teenaged immature self-centred selfish drivel. It probably is. I call it my life.

I'm probably more self-aware than you give me credit for. If you're thinking "oh my God, can you even hear what you're saying? Can you even hear yourself?" the answer is yes, yes I can. I spend a lot of time cringing and wishing things weren't so, and indeed wondering why I'm like a moth to a flame so often. I can see the train wrecks before they happen. I've plotted my mood and activity data, and the patterns are as clear as day. So what?

I'm sure there are days when you'd really like to be a bird, just soaring on the air currents above the ground, looking down on people & buildings. It doesn't matter how badly you want to be a bird. It doesn't matter how rational it seems, to become a bird and just fly right over that traffic jam that's getting in your way, it's not actually possible. That's a bit like those days when I would really like to feel normal. I can want it, but it's not actually possible. Anybody who tells you that you can stop worrying or be happy just by choosing is full of shit. You have my permission to punch them in their smug mouth.

So, I'd say my experiment with abstinence was a failed one. We need a little alcohol to calm our nerves. We need a little caffeine to perk us up. We know when we need it, and most of us know our limits. We're pretty adept creatures at tweaking our own moods. We probably need a pet for a bit of soothing oxytocin. We probably need a girl/boyfriend for a bit of serotonin and a squirt of dopamine. Other than that, we just need something to keep our minds occupied as a distraction from the inevitability of death and decay. Not God though. God is for crazy people.

Anyway, that's my two cents, on my two poles: Type II Bi-polar Disorder.

Tags: #bipolar #mentalhealth #depression #suicide #nhs

This is a story about getting airborne...

In startups, we talk a lot about runway. That is, how much money you have left to pay all your bills before you go bankrupt. The thing about doing a startup is, you don't make money from day one. You raise some money, build a product then try to get the revenue up higher than the bills... and you need to do all that before you run out of runway.

Most ordinary working-class folks know a lot about runway. They know that they have to pay their rent, bills and then make the remaining money last for things like food and transport, until payday. Every single month there is uncertainty about whether they're going to be able to get to work, if their money runs out before payday. That's called running out of runway.

A lot of low-paid jobs pay weekly. That's useful for something called cashflow smoothing. It means that your cashflow looks like lots of little peaks that aren't very high. If you got paid the same money on a monthly basis, you'd see a massive spike on payday, and then cash would slope down, down, down for a whole month, before spiking again.

If you run a limited company or a public company, you could pay yourself wages, weekly, monthly, whatever, but wages attract income tax. Income tax is 45% for people in the highest tax band. So if I wanted to do some cashflow smoothing, it's going to cost me 45% of the money I worked hard to earn. That's quite a waste of money if there's another way to pay myself that doesn't attract such high taxes.

Generally, I have to work for a month, then I can invoice my client for the days worked. My invoice is payable within 30 days, but it basically takes a whole extra month to get the money into my limited company.

Ok, great. Now I can pay myself wages... but I'll have to pay 45% tax and loads of national insurance. On the one hand, I really need some cash, because I've already lived for over two months without a single penny of income, but the main person who's going to get rich out of that arrangement is the taxman.

So I work another two months, plus the month for the invoices to be paid. That means that I have three months worth of invoices paid into my limited company. Now it's time to pay myself a dividend. Limited companies can pay dividends from their profits once every quarter. So, to maximise your dividends, you need to have 3 months of invoices paid into your limited company.

But that means that you've been working for 4 months, and not been paid a penny. Harsh man. However, the tax savings are considerable. This is not about me being a tightass with taxes. I always paid full taxes, and then when I got sick, there were no state benefits available to me, despite being under the limit for savings etc. etc. The state safety net just didn't exist when I was homeless and penniless, so fuck the government. I now save the tax and try and set it aside for when I'm sick.

Now, OK, you have your dividend... 3 months pay. You're feeling pretty rich, right? Well, if you've been living in a hostel, you might like to now get a flat. That'll be 6 weeks rent as a deposit, a month's rent in advance, and probably about £500 in estate agent fees. There goes £6,000 of your hard-earned cash.

What about how you lived for those 4 months with no income? How did you do that? I guess you probably had to borrow money. So, you use your remaining dividend to pay off all those debts you ran up, staying alive.

So, what now? Well, you'll have to work for another 4 months, and then pay yourself another dividend, and live off what's left after you got yourself a flat and paid off your debts. Oh, there isn't anything left? Oh dear.

The thing is, the system is fairly well tuned to fuck you. I can borrow money more cheaply than the tax, but the interest is compound, so it works out about the same. I could take a wage and pay the tax, but then I'll have less money left to pay off the debts. Between the banks and the taxman, you're f**ked.

It's true, each quarter things get a little better. I was planning on working for about 9 months, and then I would have been quite nicely sorted, but if you think that it's stressful waiting for payday, try waiting for 4 months for payday.

That's the life of an IT contractor. I'm an IT contractor. That's what I do, for a living. Yes, I could bake bread, stack shelves or work in a warehouse... are you fucking stupid? There's nothing wrong with those jobs, but if I wanted to burn money surely it would make more sense for me to do some IT contracting and then literally set fire to £50 notes. Jeeps, you must have a degree in Economics from Oxford if you think that it's a smart idea to not work the highly paid job I'm qualified and experienced to do, and instead work a job that doesn't cover my cost of living and is stopping me from getting the highly paid job that I'm qualified for. I'm sure that you'll be getting a tenured professorship any day now, with original thinking like that.

My cashflow is lumpy, and I don't have much runway, but at least this time I have the flat already, and a friend who can count higher than the 3 deformed stumps on their retarded hand has helped me to make sure I don't end up driven to suicide by the stress of being let down by liars again.

My plan was to start the contract hunt in the second week of January, when people were coming back from their holidays. I'm over 2 weeks late and sick as hell, but it'll be OK. I somehow got the HSBC job looking like this:

Yes, that's a hospital wristband. Arms are pincushions as usual from double canula and providing a gazillion blood samples (June 2015)

Tags: #career #london #computing #hospital #nhs

This is a story about dying while doing something you love...

Please forgive the gallows humour. I find death quite darkly comic, having lived in its shadow for far too long.

I found myself in possession of a year's supply of Supercrack once. It cost me less than $150 including shipping. A whole year of drug abuse, in one little baggie. Addiction never leaves your side. You can go anywhere you want, but you can't escape yourself.

Having a year's supply of your drug of choice should be an addict's wet dream, right? Well, it depends on the nature of your addiction. If you're still managing to eat and sleep, then perhaps you will make it to the end of the year. If you're not eating or sleeping, then you're simply committing suicide, slowly.

When I was trapped in an abusive relationship and kept away from London, I had given up on life. I was dying. I used to occasionally get scared of death, and clean up my act for a few weeks, but then I would always relapse, because of the same old abusive relationship and isolation from the city I call home.

I finally made it back to London, but there was pointless crap dragging me back into things that were far less important than saving my life.

That's a letter I received, in my mother's handwriting, hassling me about some divorce paperwork that could have waited until I had completed the treatment that I was undergoing to save my life. I had explicitly stated that I didn't want my wife or parents to be in any form of contact with me, while I was trying to get better. During this second attempt, I explicitly forbade my wife and parents from having any contact with me or the professionals who were paid to take care of me.

It was time to get better, get away from the s**ts who nearly hounded me to my grave. It was time to move on. It was time to recover.

Eventually, the vultures f**ked off and thankfully I had enough money left to pay the deposit on a flat and the first couple of months rent and bills, so I could get myself settled, get into a new job etc. etc.

I rented a room in a shared house near some friends in Kentish Town. My time up to this point had been wasted on pointless divorce crap that could have been deferred. I had been relentlessly harassed. Also, having my leg in plaster cast and being on crutches didn't help. My treatment was ruined by people not respecting my wishes. I was in a worse state than ever.

I hobbled into my new room and collapsed. I spent a week crying myself to sleep, I was so exhausted by the trauma of everything that had gone before. I had just about enough money left to make a go of things, but not quite. Everything had to go perfectly.

I had resolved not to commit suicide in my friends' house, where I was a guest, as it would have been a very unpleasant legacy to leave behind in somebody's home. They seemed committed to making that house their forever home, so there was no way I could do that to them.

After moving out and having a week where I felt that I didn't have the reserves of strength and money to continue, I decided to shut up shop. I decided to commit suicide.

The final straw was when my Dad tried to poison my friend's opinion of me, with his warped version of events. People were talking behind my back, and my confidentiality and consent to share information were completely breached. The place where I had spent the best part of £8k on treatment became some kind of counsellor and general centre for misinformation for my parents, despite explicit instructions that they weren't allowed contact.

I took a massive overdose and collapsed on the floor. The three metal prongs of a plug were sticking painfully into my thigh, but I couldn't move. The hot transformer for my laptop was burning my abdomen, scorching the skin, but I couldn't move. My arms were in the most uncomfortable position, but I couldn't move. The weight of my head rested uncomfortably on my chin, with my neck extended very awkwardly, but I couldn't move.

When you have taken an overdose, and you realise that it's overwhelming you, you start to panic. Can you make yourself throw up, if you've swallowed your poison? You know that it's too late... the chemicals are already entering your bloodstream and vomiting will make no difference. There was a moment's regret, and then resignation.

My body spasmed and twitched for quite a long time. There were a lot of auditory disturbances (I heard weird things). My mind kinda went blank for ages, or was caught up with weird confused thoughts. Then it dawned on me that I was alive but still on collision course with death. Day turned to night, and night turned to day, and so on. About 4 days went by with me paralysed like that... just breathing, and my body spasming.

I then started to think about death. I started to consider the possibility that I was going to discover if there was an afterlife or not. I started to think how embarrassed I would be to meet some deity who I never believed in. I didn't start believing in any god, but I considered how sheepish I would be if I met my maker.

Next, I started to think about the waste of it, the waste of life. Not that I was wasting my life, but that there was nothing positive that was going to come from my death. I started to consider how I could leave a message that would somehow prove useful to those who survived me. I started to consider how frustrating it would be to discover something in death, but have no way to pass on that discovery to the living world.

I started to imagine a weird experiment, where two suicidal people would risk their lives to discover if it's possible to communicate from beyond the grave. They would be in two isolated chambers, each with a keyboard. There would be a randomly timed event that would kill them, but they would get about a minute's warning before they were about to be killed. They would then type messages, and only in the event that the messages were co-incidentally the same, would the time be extended.

Eventually, one of the experimenters can type no more and rushes out of the experiment exit to safety. The other experimenter is killed. When the messages are later examined, we can see that the co-incidence of the messages being the same is immensely unlikely, but yet there were a sequence of messages that were identical, despite death being inevitable at that point.

Don't worry, I didn't decide to start a cult with a suicide pact. I did however decide that dying alone, leaving no note or anything was rather silly. I summoned the strength to claw myself off the floor and onto my bed, where I lay in agony for some time.

I urinated into a pint glass - I was virtually immobile - and saw that my urine was cloudy and the colour of orange juice with a lot of blood in it. My organs had started to shut down. My thigh was a painful mess from the plug that had dug into it, and my abdomen was burnt from the laptop transformer. My kidneys hurt and my tummy was tender and painful. My muscles were weak as hell. I had a lot of fluid on my lungs and my chest was tight. Breathing was difficult.

I decided to try and make death a bit quicker by severing my jugular vein, but my blood pressure was so low and it was actually really hard for me to even find a pulse. I kept blacking out with orthostatic hypotension.

Later, my ex-girlfriend discovered me in this dreadful state, and got me to the Royal Free Hospital in Hampstead, where the hard-working lovely people of the NHS saved my life.

Here's the view I woke up to, from my hospital bed. I was quite surprised to wake up (May 2014)

Tags: #addiction #suicide #divorce #depression #london #nhs #injury