Skip to main content
 

28 Days Later

3 min read

This is a story about mortality...

Black cab ride

I can't bring myself to read the comments on Twitter from approximately this time 4 weeks ago. For some reason it makes me feel physically sick and psychologically overwhelmed, to take myself back to that time.

I have no idea why I've taken the photos I've taken.

Usually, photos are taken from scenic panoramic views, or at tourist attractions. Our friends and families smile back at us from our photos - happy children and kissing couples. Our photos help us recall social gatherings and other pleasant occasions.

For over 2 years I've documented my lonely and erratic life. I haven't photographed my breakfast cereal, but instead I've photographed things that are like a breadcrumb trail, that will perhaps lead me back to wherever I misplaced my marbles.

Pictured above is the cab ride I took where I decided to kill myself.

It seems apt that there would be a gap where I was without my smartphone. If anybody's read Finsbury Park Fun Run, then they'll know that our smartphones are recording where we are all the time (part 3 is where you can see the geolocation data I downloaded from my phone).

It seems apt that there would be a gap where I was without a camera.

What you might find surprising is that the only hole in my memory is the part where I was in a coma on life support. I remember exactly what it felt like to have a seizure. I remember almost everything. You'll have to take my word for it though. I do also have the documentary evidence I've been able to gather: things like hospital discharge summaries and other bits of paper I collected on my erratic journey through the last 28 days.

I've started to think about my life in terms of 'pre' and 'post' the events of 9th September 2017.

You might think that you'd be flooded with relief if you found yourself unexpectedly alive after a near-death experience. Certainly, a man who survived a suicide attempt from the Golden Gate Bridge said that he felt regret the moment he jumped off. I did not feel regret at any point.

I'm sad that I traumatised friends and Twitter followers. I haven't really had a chance to speak to some important people in my life. I can't really face ringing round. I know it'll be good when I do though - I'm immensely grateful for the phonecalls I received soon after I got my phone back.

If we consider hospitalisation for somebody who's experiencing a life-threatening crisis, 28 days seems like the usual minimum amount of time that somebody would take to get well - we'd hold people in a safe environment for 4 weeks, to make sure they're not going to fall flat on their face.

Perhaps Wednesday/Thursday is the bigger milestone, because that'd be 4 weeks since my mind finally fractured and I became so unwell that I had to be hospitalised for psychiatric reasons.

It's as if my body needed to be synchronised with my brain - there weren't any physical feelings that matched what was going on in my mind.

Today, things feel a bit more lined up.

 

Tags:

 

Hospital Curtains

6 min read

This is a story about modesty...

Psych ward male dorm

It took 12 days to be "discharged" from my section - that is to say, to be allowed to leave the secure psychiatric ward whenever I wanted. However, it took 21 days before I was actually discharged from hospital: no vulnerable adult can leave hospital without a discharge plan, although I could have discharged myself against the advice of the healthcare professionals who were taking care of me, because I was a free man.

I'd been assessed to see whether I needed to be detained under the Mental Health Act at least 5 times. 6th time lucky.

When you find out for the first time in your adult life, that you're about to be detained against your will, I would've thought that everybody would have a similar reaction: "oh my god, I'm now trapped somewhere I might not want to be, and I don't have any say in the matter" which is distressing.

It's not so much that I didn't want to be in hospital; it's that I couldn't leave even if I wanted to. Although I wanted to be in hospital - because I knew I was very sick and in a dreadful situation - there was still a moment where I thought "oh shit what have I done?".

To calmly accept your plight is not something that would be anybody's natural reaction. Under such stress and shock, it's hard to recognise immediately that any attempt to fight against the system will lead to further difficulties. I was least surprised out of anybody that I got sectioned, having been the one who actually phoned the police to come and get me. Of course, escape is not hard if you're determined enough. I was conflicted - I was safe, but the price I paid was my detention: I lost my liberty.

Running away from a psych ward will result in the police being called to look for you. Britain's most dangerous psychiatric patients are kept in facilities which are far more secure than anything I experienced. I could have escaped easily and the police wouldn't have tried very hard to find me - I was a danger to myself but not others.

Our natural reaction to detention is to panic and start yelling for anyone who can possibly get you out - a solicitor, a social worker, a family member - and to start demanding your rights. There's a process that's got to chew you up before it can spit you out, and once you've just started the rollercoaster ride there's no getting off until the end - scream if you want to go faster.

Despite my messed up state, I knew that I had the right to appeal my 'section' with a tribunal supposed to happen within 7 days. I knew that my dad had the right to request my release, with a decision having to be made within 72 hours. I didn't have much hope that my dad would be helpful, so I requested an appeal.

It's so damn hard to get any treatment for mental health problems, beyond some cheap patent-expired generic medications or a computer-based Cognitive-Behavioural Therapy (CBT) thing. Inpatient hospital treatment, paid for by the NHS, is only given to very unwell people or exceptionally stubborn & determined people. However, when you have been admitted to hospital once as an inpatient under a section, you might struggle to ever escape the revolving doors.

Many of my fellow patients had the same story - they were released from hospital, stopped taking their medication, went mad and were brought back into hospital, where they were forced to start taking medication again... eventually being released and starting the whole process again.

Note, when I say "forced to start taking medication" I literally mean that they were held down by a whole gang of hospital staff members and forcibly injected against their will.

It would be stupid to argue that psychiatric medication is entirely unhelpful. However, one should be mindful that a perfectly sane person who had been taking powerful antipsychotic medication, would experience extremely powerful withdrawal symptoms if they stopped. Antipsychotic withdrawal symptoms are indistinguishable from the spontaneous psychosis that occurs in a person with a mental illness - how can one distinguish between a madman and somebody who's experiencing the perturbations of a brain that's readjusting to medication-free homeostasis?

As we move towards a world where the majority of us suffer near-debilitating levels of anxiety and depression, and psychiatric medications are dished out like candy from general doctors who have no specialist training in the treatment of mental health problems, are we diagnosing disease when we should be looking at what a person's life circumstances are like?

Ironically, I was diagnosed with adjustment disorder, which is to say that I simply couldn't cope with stressful life events - a clinical label for an intolerable clusterfuck of dreadful stuff which could happen to anybody. There isn't a pill for adjustment disorder, yet, although a bottle or two of wine each night is often chosen as self-medication.

The stress of living with 20+ mentally ill men in a locked psych ward is something that most people would not adjust to particularly easily. The 4 walls of my home were replaced with a curtain, which was opened every 15 minutes by a nurse or a support worker to observe what I was doing.

I think psych wards are necessary and I'd rather have the apparatus that treats mental health problems, than not have it at all. This is not an essay that criticises mental health treatment or the hardworking professionals who care for people with mental health problems. I write merely to reflect on my journey through the mental health system, which finally ejected me yesterday. I'm coming to terms with the fact that I was discharged from hospital, and today is the first time in weeks where I have woken up somewhere I can leave without having to ask permission.

Yes, I think that sums up yet another Earth-shattering overnight change to my life: I've gone from a flimsy curtain and a locked door, to 4 solid walls and I'm free.

 

Tags:

 

Why do I Still Want to Die?

7 min read

This is a story about subservience...

Back alley

It's grim up North. I didn't think it would be but it is. Here's Coronation Street. Beautiful, isn't it? Presently, that discarded sofa would be where I'd sleep if I discharged myself from hospital.

Without the crutches of alcohol, benzodiazepines and sleeping pills, I feel overwhelmed by stress and anxiety, because of the precarity of my position. Without a home; without a job; without financial security - there's plenty of rational reasons to be distressed.

People implore me to sit back and relax, but they don't realise that I've got loan payments to make; credit card payments to make; overdraft interest to be paid. To have to spell this out multiple times is frustrating.

"Why don't you just go bankrupt?"

Yeah, nice one, Einstein. Did you know that I do a lot of consultancy for financial services organisations? It's imperative that I have a clean credit record - prospective employers will do credit checks on me. You might as well suggest that I go out and commit a crime and add a criminal record to my list of woes.

"It's too soon to be thinking about going back to work"

Well, unless I'm accepting that I'm abandoning all hope of ever repaying my creditors and suffering a life of poverty at the mercy of the state, then no, it's not too soon. There's a concept called runway that I talked about at length during the first half of this year. I was unwell, but during my convalescence I was running out of runway. What happens when a plane runs out of runway?

In short, I'm driven to seek income, to prop up my depleted finances and keep servicing my debts.

If you're really wanting to poke your nose into the darkest recesses of my life, then you should know that I can easily earn enough to replenish my savings and get onto an even keel, with just 5 or 6 months of contract work in London. That I ever left London seems like a mistake, but I had few options - what I did was the right thing in the circumstances.

Today, I'm detoxed from alcohol and benzodiazepines - the physical dependency has been treated - but it quite literally nearly killed me. In addition to the massive deliberate tramadol overdose, my hospitalisation meant I abruptly stopped drinking and taking benzos, which caused me to have loads of seizures - in short, you should never suddenly stop heavy drinking or taking large doses of benzos, because you could die.

So, one might argue that I'm in a better place than when I attempted suicide. Yeah, I guess the biggest threat to my life has gone - my physical dependency on medications and alcohol.

Now, the biggest threat to my life is me - the desire to be dead is an insistent nagging thought that won't go away. It makes so much sense to commit suicide: all I have ahead of me is stress.

The rebound anxiety - having ceased taking medications and drinking alcohol - is causing me to suffer an intolerable amount of unpleasant feelings. It feels like I'm going to feel awful forever, and who would want that?

Of course, my perceptions are probably warped - nothing lasts forever. However, should I really be living my life just hoping to die of natural causes?

I could be writing about how pleased and happy I am to have a second chance - I survived a very large overdose and other medical complications that really should have killed me: the team at the Intensive Care Unit (ICU) were very surprised that I survived. Shouldn't I embody every trite contrived platitude you've ever heard? Shouldn't I be carpe diem'ing? Shouldn't I be counting my blessings? Shouldn't I be thanking my lucky stars?

Without stopping to consider all the reasons I tried to kill myself, my problems are not going to go away on their own, are they?

If my suicide attempt was an impulsive thing that I had any regrets about, then perhaps surviving would give me some long-lost appreciation for life. However, I'm spine-chillingly cold and rational about the biggest decision that anybody can ever make: the decision to die. Having been stuck in a never-ending cycle of attempts to get my life back together again, I was exhausted and unable to face rebuilding everything again. I'm still exhausted.

There was a fleeting chance that my suicide attempt could have been a minor setback, but I was completely shafted by the company I was working for. The mistreatment I suffered was inhumane; monstrous. I'm almost speechless that I could have been treated so badly.

I'm stuck between three things:

  1. To act positively, and go and earn some more money
  2. To act negatively, and pursue my legal rights
  3. To simply attempt to kill myself again

To follow the first option is to repeat the behaviours I mastered a very long time ago. It was 20 years ago I got my first full-time job; rented my first apartment. It was 20 years ago that I learned about office politics and how to get ahead in life - a life of corporate conformity.

Instinctively, I reject the bullshit that made me unwell. For 20 years I've observed the rats in the rat race, and for 20 years I've observed the world become a shitter place - an exploding population is on collision course with mass starvation; unrestrained fossil fuel burning has led to runaway climate change, which is causing parts of the world to become uninhabitable, killing and displacing billions of people; deregulated free-market capitalism has raped the globe's finite resources and created a culture of wealth-worship where nobody gives a fuck about anything.

To be a principled, ethical man, is a kind of disadvantage - my political philosophies about social justice and a more fair and equal world, are exploited. I find myself screwed over by people who are willing to trample on anybody and everybody, in a desperate and disgusting scramble up the slippery sides of a mountain of dead bodies.

I've proven that I can play by the rules, but the whole game is bullshit and most people are cheating. I don't have anything to prove to anybody anymore; I've shown that I can wear the corporate mask and fit in with the herd; I've shown that I can live a life of subservient conformity, but it drove me to point of taking my own life.

I don't wanna play anymore, and the only way I can see to call time on this bullshit is to kill myself.

I think to myself that I've suffered and that I must turn that suffering into a piece of art - a monument to the stupidity of humanity. It's grandiose and ridiculous to think that a piece of writing could have any useful effect on the world, but this is my only legacy. Do you deny me the facts? To think that I would no longer live & breathe was a shock to many who've stuck with me and followed my story.

Of course, I'm sick and I've got "insight" into my illness - that is to say that I can consider an objective point of view. It's natural that I'd be feeling terrible, only 24 days after I very nearly managed to kill myself. It's natural that I'd be feeling terrible, given the clusterfuck of issues I've got to sort out if I want to go on living. I can see that I may very well be feeling unnaturally anxious, because my brain is re-adjusting to life without booze and benzos to soothe the stresses that are ever-present in the world.

A doctor suggests that I avoid the news, political protests and other things that I might get worked up about. Is this akin to a lobotomy? I think I would very much like a lobotomy... that's how I arrived at the brain-numbing chemical lobotomy that I swallowed every single day. Unfortunately, my brain is very much intact.

Why am I still so painfully conscious?

 

Tags:

 

Gone Fishin'

7 min read

This is a story about being observant...

ECG stickers

Where do blue tablets actually come from? Well, presumably they are pooped out by blue fish, like the ones that can be seen swimming here on the pavement and road. Can you see them - the little blue fishies?

With our Sherlock Holmes deerstalker hat on, puffing from our pipe, we might deduce from the proximity of a large hospital and the lack of water, that these are not actually fish. What could they be?

An electroencephalogram (EEG) is a graph of what's going on in our head, quite literally. En kephalé means "in head" in Greek, and the gram bit means "written down". Electro should be relatively self-explanatory.

Were these fish involved in seeing what was going on inside somebody's head? No, I don't think so.

An electrocardiogram (ECG) is a graph of our heartbeat, as denoted by the cardio part.

In order to know what our heart's doing, we are all very familiar with the stethoscope, but there's a more accurate test that doesn't depend on human hearing. The muscles that pump the 4 chambers of the heart never stop unless you go into cardiac arrest or otherwise die. Muscles give off tiny electrical impulses, and these can be measured with highly sensitive equipment - an ECG machine.

So what about these fish? Well, it looks like they're the little sticky electrodes that are put on each of your ankles, arms and across your chest around your heart. When you are hooked up to an ECG machine, you've got a stack of cables attached to you.

One of my fellow patients at the hospital was in such a big hurry to get rid of these stickers, after having the health of their heart measured, that they tore them off and discarded them onto the floor, quite possibly in a fit of rage at having been cared for by one of the finest healthcare systems in the world. It's quite understandable that having received lifesaving treatment that's free at the point of use, this individual should have ripped these electrodes off their body and tossed them onto the road and pavement - that'll teach society a lesson, now that a street sweeper will have to come along and clean up this trash!

We might note that there are only 4 stickers, and we can presume that these are the ones from the person's wrists and ankles, which would have been most conspicuous. Perhaps it wasn't until the person explored their body later, that they found 4 more on their chest - one of which was lurking around on their left hand side and might not even have been discovered until a later date.

Debate rages in the United Kingdom, about whether we should have penalties to discourage people from treating the National Health Service disrespectfully. We could charge people for a no-show to a General Practice (GP) or outpatient appointment. We could charge people for any visit to Accident & Emergency for trivial matters that could have been treated at a minor injuries clinic, or perhaps did not require medical attention at all.

There is evidence that we are starting to allow a two-tier society to emerge where none is supposed to exist. Doctors' waiting rooms have plush leather seats for 'VIP' patients - who are paying for private consultations - while the NHS patients sit on hard wooden chairs. For an operation, paying to go private might mean skipping waiting times, even though it will be the same surgical team, in the same hospital, with the same equipment and in the same operating theatre. Although it's not supposed to happen, surely some of the waiting times are because private patients are queue-jumping?

Those at the bottom struggle with zero-hours contract minimum wage jobs, with the purchasing power of their pay packet decreasing every month, due to inflation. Things are not a lot better on the next rung of the ladder - an NHS Clinical Support Worker's salary tops out at around £15,000. That's £259 a week. Ouch. My rent in London was £480 a week. The wealth disparity is disgusting, isn't it?

While the cost of housing and the cost of energy - electricity and gas - is skyrocketing with double-digit percentage increases, wages barely increase at all. One only needs to look at the use of food banks, to see that the little people are struggling - people who clean your toilet, scrub your floor, wipe your bum, cook your food, stack your shelves and scatter rose petals along the privileged path that you walk. But, these spoiled brats still vote for a ruling elite who care nothing for the wails of distress that are now becoming a deafening scream of pain.

The bulk of the BBC was moved up to Manchester a few years ago, and it's been quite evident that it's had an effect on the mindset of the people who work for the broadcaster. In London, the homelessness problem is inconspicuous in wealthy districts, but in Manchester - where homelessness has soared 1,100% in just 7 years - the problem is inescapable. The BBC has shown a number of documentaries which accurately reflect exactly what I have seen and experienced: there are vast numbers of people in dire need of assistance.

Who wants a McJob that doesn't even pay enough to be able to rent a room in a shit apartment, and have any life at all? Does it surprise you that people are smoking strong synthetic cannabinoids which allow them to escape the stress and hopelessness of a hideous reality that nobody in Government seems to want to address.

There's a crisis that's going on all around us. Pull back the covers and human tragedy is unfolding underneath.

This is not a "wake up sheeple!" alarmist or sensationalistic think-piece, but in actual fact an unfliching and painfully truthful account - I bear testament to what I've seen - of the shocking disparity between London and the South-East, where our wealth is concentrated, and the rest of the United Kingdom where things are very grim indeed.

We talk about the 'Westminster Bubble' and I can attest first hand what it's like. At the beginning of this year I was at the grand headquarters building of Her Majesty's Revenue Collectors (HMRC) and it had been refurbished to an incredibly high standard. I was taken to an extremely grand room, which was capacious enough to hold at least 50, maybe even 100 people, but only had me and the two people interviewing me. Otherwise this space was left empty and unused, so far as I could see - perhaps a metaphor for all the empty homes that have been bought by foreign investors in London.

Meanwhile, it was barely two years ago that I was in social housing apartment (council flat) in London, which was in such a poor state of repair that there was literally 2 inches of water that one had to paddle through, in order to use the toilet or a terrible shower that barely worked. It's quite clear where our tax money is going - tax breaks for millionaires, not houses for nurses.

Bursaries for nursing have now been removed, so our nurses will emerge with the best part of £60,000 of debt when they qualify, which will further reduce their take-home pay. The interest on a student loan of that magnitude is more than 12% of our nurses' starting salary of £22,000, which means they will sink deeper and deeper into debt each year.

Who will mop up your sick, piss, vomit, blood, mucous, pooh, give you a sponge-bath in bed, say soothing things and give you painkillers when you cry out in agony, come running when you press the call button and generally make you as comfortable as possible when you're unwell?

As comrade Corbyn said: a millionaire in their mansion is going to need an ambulance if they have a heart attack, just like anybody else.

 

Tags:

 

Congratulations!!! YOU ARE THE MILLIONTH VISITOR TO THIS WEBSITE

5 min read

This is a story about winning a prize...

Visitor stats

This week's big climber in the UK top 40 is a new single from the National Health Service. This band has been churning out smash hits since 1948 and is loved by tens of millions of fans. Here on Top of the Pops tonight, you'll see a live performance from this sensational act. Keep watching to find out what the UK's number one hit single is, at the end of the show.

Here on this page are the dry words of a deranged individual. How will you choose to interpret them?

Language is a rather crude and imprecise tool to fully express ourselves. Ambiguity creeps in and the thoughts and feelings of the author are not communicated with high fidelity - each reader will arrive at a different impression from the text.

As a software engineer who's been building systems for some of the world's biggest companies for over 20 years, I could easily copy Uber's dastardly tactics of diverting any web requests from a certain region of the country - e.g. a specific city in the North of England - in order to display a different page.

Most of my readers are using smartphones or tablets. Readers who are using Windows XP and Internet Explorer are quite unusual, and it's easy to flag up those anomalies - they stand out in the data that I gather about my visitors.

It's not hard for tech companies and technologists to present something that has been customised and tailored for each visitor. You might think that you'd see the same Google search results as somebody else, for example, given the same search terms, but Google works very hard to identify individuals, even in their anonymised dataset.

Traditional print-media widely reports that we are living in social media bubbles, where we are fed things that we like, because we're more likely to share that content and spread it 'virally'. What is less well reported is how wedded we are to the walled gardens that we live in - Facebook, Twitter, Instagram, Snapchat et. al.

How long are you going to keep reading for? There's nearly 700,000 words here. Are you gonna read it all?

The best defence against anybody who would seek to jump to the wrong conclusions and make silly assumptions, is to present more data than can be reasonably processed - information overload - such that the farcical nature of reducing the complexities of life to some pathetic synopsis, are exposed as pure stupidity.

Of course, we would all love to feel that we understand all the laws of the universe. I've fried my mind with stacks of books and papers on theoretical physics, attempting to understand the fundamental nature of reality itself. Emotionally, I don't want to admit defeat, but digging deeper only seems to reveal even more unfathomable weirdness. Some of the quarks are called strange, charm and beauty. I love that.

Are you bored yet?

Can you not see that my intention is to create a maze of complexity that's impenetrable? It's not possible to know my mind. Even for me, I struggle to understand fully why I say and do the things I do. If it's hard for me, it's going to be impossible for you to dissect or categorise me; to judge me and to simplify me into something that can be captured by written language on a sheet of paper. What are you going to write in your report or your email?

There's mockery and disdain here, but if you dig a little deeper I hope you see that I don't have disrespect for anybody whose intention is to help and support me, and I have no intention of damaging my own treatment and recovery, nor anybody else's, nor cause any difficulty for the hard-working staff of the National Health Service and the ancillary support services.

Today, I'm a free man - an informal patient - but that puts me in an additionally vulnerable situation. I could be discharged from the hospital without a discharge plan - no place to live and no income. I'm sure some pen-pusher somewhere sees the opportunity for a quick win - am I just a statistic on a monthly report?

Tories out

It upsets me that front-line staff have been cut, while middle managers have plenty of time on their hands to justify their pointless existence. The managers have survived the cull, the pay freeze and the excessive demands placed on the over-stretched people who actually do the damn job. Police, NHS workers, teachers - to name but a few - are getting a bum rap.

The first thing that I'm excited about doing with my newfound freedom is going to a protest at Tory cuts and austerity, to co-incide with the start of the Conservative Party conference, in a certain Northern city. The establishment are coming to me, and I will thumb my nose at them and boo them. A friend suggested that I could throw eggs and if I got in trouble with the police, they'd probably just bring me back to hospital on a section 136... put that in your damn report.

"Risk to the community - possibly going to throw eggs at Theresa May, to protest against cuts to front-line services and damage to the NHS, as well as undue stress on the police and other workers who care for and protect our most vulnerable members of society".

 

Tags:

 

Two Weeks Ago I was Dead

9 min read

This is a story about the comeback kid...

Hospital property record

Here's quite an interesting document, to me anyway - it says that I was transferred to a Northern city hospital's intensive care unit (ITU) on Sunday 10th September and all I had were the clothes on my back. The date of my original admission to hospital - Saturday 9th September 2017 - is shown quite clearly in the top left, under my name.

The reason why this document is interesting to me, is that I started having seizures at some point after arriving in hospital. I was already well into a fatal tramadol and codeine overdose when the emergency services got to me. I'm pretty sure I remember the hospital telling me that they'd make me as comfortable as possible but I was probably going to die, or words to that effect.

I've been through all my paperwork and I can't find my hospital discharge summary. I suspect that it may have gone wayward during the insane events of the Wednesday & Thursday following my fatal overdose. I will be obtaining another copy as soon as I can. Any documents I can lay my hands on are useful for me, because seizures, coma and unconsciousness are not particularly conducive to remembering the events of my hospitalisation very well.

What must be self-evident is that I was very sick indeed, to have been in intensive care.

Anybody who's followed my story knows about my plans. One only needs to go back to a blog post on August 10th to see one of the actual boxes of legally prescribed medication that constituted part of my fatal overdose.

I use those words fatal overdose quite deliberately. I had calculated the dose that would be fatal, doubled it and then chucked in another shitload of prescription opiates for good measure. I wasn't messing around. This wasn't a cry for help. This wasn't some attention seeking bullshit. This was a very real, calculated, pre-planned and meticulously executed suicide - following the precise steps that I had outlined earlier in the day.

It might surprise you to learn that I set an alarm on my phone, so that I wouldn't tweet or otherwise let on that I was in the process of killing myself, before I was beyond the point of no return. Who does that? Certainly not somebody who has any intention of going on living, I would've thought. Would you be brave enough to take a fatal overdose and gamble that you might get saved by social media? Seems like a pretty dumb publicity stunt or way of getting attention - in all probability you'd just wind up dead.

I remember when I was in the Emergency Department of the hospital, trying desperately to get a drink of water - I was fully aware that having more fluids in me would allow more of the deadly medications to be absorbed into my bloodstream, accelerating my death. The hospital were wise to my suicidal intent and they knew that they could ignore my requests to not be treated, as soon as I fell unconscious or started having seizures. The anaesthetists must have stepped in at some point and put me into a medically induced coma.

Imagine waking up in a hospital gown, with a tube coming out of your piss hole, sellotaped to your leg. Imagine waking up and not being able to speak, because there's a tube down your throat. Imagine waking up and all you can see all around you are machines that are either pumping stuff into you or taking stuff out - loads of screens and loads of digital readouts. I had more input and output ports than a Personal Computer (PC) from the 1990s.

I've written about this before, but I need to write about it again, because I'm trying to process what happened to me with only the scant information that's available. Between the hospital and the police, they pretty much conspired to keep my friends, family and work colleagues completely in the dark about whether I'd lived or died and what the hell was going on. I wasn't really conscious until Tuesday 12th of September 2017 - that's quite a long time to be in limbo land. On the Tuesday, I was vaguely aware that my sister and my work colleagues wanted to speak to me, and I wanted to speak to them, but I wasn't allowed to. What utter bullshit.

The police have since phoned the company that I was working for, and told them in no uncertain terms that I was in hospital and not at all able to communicate with them to let them know I was going to be off work on the Monday & Tuesday. However, the company has severed all contact with me and has been avoiding the office since Wednesday 13th September 2017. What on earth could they be so afraid of, that they daren't answer the phone or go to the office? What on earth are they thinking? I have no idea, because they won't return my calls or reply to my emails.

Over that Wednesday & Thursday following my fatal overdose, everything collapsed around my ears. Without a phone, wallet, cash, laptop or any of the other things most of us take for granted every single day, I was lost in a city that was nearly completely alien to me, with not a single person to turn to. It was highly distressing. It was exhausting and stressful, to go from place to place, replacing whatever I could.

The Apple Store in the nearby shopping centre became the centre of my world, having been impolitely muscled out of my office with rather flimsy excuses. I dug my heels in, because something fishy was going on and I wanted people to come clean - what the fuck was going on? Why was I being treated so unprofessionally? It was a horrible experience, and not something I should have been put through, given my recent discharge from hospital.

I received a phonecall saying I had an email with some letters from a solicitor, from the company I was working for. How was I supposed to read this email, without my laptop or smartphone? Nobody from the company would speak to me properly. I did not receive even the bare minimum professional courtesy that should be extended to somebody who'd been a valued member of the team for some time.

Because the matter is now being handled by legal professionals, due to the complete refusal of the company to treat me with the common decency that any human being might expect - let alone adhere to contract and UK laws - I can't really go into any more detail. I'll be sure to share the details of any court proceedings so that this blasted company can't get away with their inexcusable misbehaviour.

Of course, the pages of this blog document my darkest secrets in unflinching detail, but this is therapy for me and I do not mix my professional and my social media identities in a way that might besmirch or sully the reputation of a company that is trading ethically and within the law. There are a lot of Nick Grants out there in the world, and I'm just one of many. In fact, this whole blog could have been created by somebody who maliciously intended to impersonate me, for nefarious purposes, couldn't it? Have you been careful to check who actually controls my Twitter, Facebook and blog? Is there anywhere that there is a direct reference to who and what I actually do for a day job, that could justify the mistreatment I've suffered?

One should remember that this blog has been the best thing I ever did, in terms of being able to stabilise my life and recover my poise after homelessness, addiction, alcoholism, financial problems and a whole world of pain, absolutely tore me to shreds. Should I hang my head in shame and hide in the shadows? Should I keep my mouth shut, and pretend that nothing bad ever happened to me?

There's absolutely no way you're gonna shut me up without killing me. I'm loud and I'm proud. It's more important that I write my story in unflinching detail, than cowering in fear and attempting to cover up what's happened to me. What have I got to be ashamed of? I've worked damn hard to get my shit together after it was blown to bits, so I'm damn well going to write about it.

Of course, culturally we only allow those who are already successful to share their stories of their life struggles, that challenge the status quo and our preconceptions. Paul Gascoigne and George Best have done a lot to bring the ethical debates surrounding alcohol abuse into the public consciousness, for example. Ronnie O'Sullivan and Stephen Fry have candidly shared their experiences of cocaine addiction, but yet we still revere them as great people... why is this? If you've been reading carefully, you'll know that I'm teetotal and I'm not on any drugs, except for pregabalin (for nerve damage) and zopiclone (because it's bloody hard to sleep on a noisy psychiatric ward of a hospital) which are both legally prescribed to me.

It seems I've taken a battering, because of foolish assumptions that have been made about me. Just about the only correct assumption that you could've made, is that I should probably be dead, after having ingested such a massive overdose and had plenty of time for it to take effect before the emergency services got me to hospital.

I really can't get myself into the mindset, where I would mistreat somebody who'd been hospitalised and was very sick. Please, somebody explain to me what have I done wrong, apart from what I've already very publicly admitted to? Is it right to crucify me; to punish me beyond the punishment that I've already suffered? Do you not think it was awful, what I've been through? Why would you put the boot in and kick me when I'm down? I don't understand why the shit continues to be rained down upon my head.

Does somebody want to explain to me how it's at all ethical, that I came to find myself homeless, unemployed and isolated in a city I'd never set foot in two months ago, after I took all the risks and put in so much effort to try and make a go of things?

Answers on a postcard to Nick Grant, Planet Earth.

 

Tags:

 

Am I... Evil?

12 min read

This is a story about seeing red...

Red alert

My dad had a fairly simple moral code for me, when I was a little boy: boys shouldn't hit girls or boys wearing glasses. That's about it. I remember guns were bad and I got in trouble (age 3.5) for looking like I enjoyed myself playing with a friend, who had brought his plastic guns with him. I eat anything and everything today, but I also remember being terrorised into eating rice pudding - which was slimy and disgusting in texture to me, before the age of 4 - so much so that I started throwing up with stress and anxiety, before every mealtime and lost so much weight I had to be hospitalised.

Perhaps it's clear, in retrospect, why I would turn to a hospital to protect me from bullies.

But, perhaps it's me who's evil, and needs to be locked away from the general public? Certainly, now that I've got chance to stop and catch my breath, I'm finding I've finally got time to examine the morality of the way I've acted in the past.

If you hit your kids or generally terrorise them to the point that they need to be hospitalised, trust me, they're not having a brilliant home life. At playgroup and school, I took this pacifism thing that my dad had been very angry about - a.k.a. playing with a friend with a plastic gun - very seriously and I got the crap kicked out of me by other kids... it wasn't until many years later that my dad suggested fighting back, which seemed somewhat odd given that I'd received these hippy lectures about being nonviolent. Anyway, I went down the path of pacifism and that's where I stayed. I was not having a brilliant school life - I was picked on every single day, to the point where, again, it would leave me collapsing in uncontrollable sobbing fits, while on the way to primary school.

Boo hoo! Get the violins out!

My first experience of domestic violence was me crying and being punched in the face, giving me two black eyes and a broken nose. I didn't even defend myself, let alone strike back... why would I need to? I didn't understand why I was being victimised like this, by somebody who was supposed to love me. I had to go into work with a bullshit story about having collided with a buoy while kitesurfing, to explain my two black eyes. It was the male extreme sports equivalent of "I walked into a door". I had to lie to her parents, when we went to see them for a planned visit soon after my face had taken that pommelling.

I'm 6ft tall (183cm), 13 stone (82kg) and I still retain some of my muscle bulk from rock climbing, kitesurfing and wakeboarding, although I'm obviously not in peak physical shape. I've got the mindset of a terrorised 3-year-old, ganged up on by two fully grown adults, but I'm in a body that can do some damage and defend itself now.

The problem - if there is one - is that if I feel bullied and attacked, and you managed to corner me, I'll smash my way out of the situation. I don't hit people - I'm still nonviolent. I don't get into fights. However, very occasionally I will trash something - more often than not it will be my own property - because the insanely horrible emotions just have to come out.

"Do you think that was the right thing to do?" a stern-faced looking policeman asks me. "Do you think there might have been a better way to handle that situation?" comes a second question, as if the first one - which I haven't had chance to answer yet - was not clear enough for me. Of course, I would have loved to handle things differently. Of course, I feel guilt and regret when I snap; when I can't take the onslaught anymore, and I've done something that I wish I hadn't - some property has been damaged.

She's asked me to travel out to the suburbs from the city centre; it's a considerable car ride away, including some travel on a dual-carriageway - the main road South, which turns into the motorway and would safely take me back to London, if we stayed on it. I get the cab to stop at a shop so I can buy some things for a romantic evening. I'm greeted with a hug, we lie on the bed kissing and cuddling... this is all how I hoped things would be; I'm relaxing and enjoying a pleasant evening; this is very nice. Then, she's hurling abuse at me, telling me I'm a terrible person... I'm sitting down while she's standing up, verbally attacking me and generally bullying the shit out of me. She suddenly asks me to leave... alright, no problem. I jump up, grab a rolling pin from the kitchen where it lies idle on the worktop and I smash her laptop to pieces, then I leave immediately. I regret it instantly and text her that I want to replace it, as I make my way to the nearest cab rank, to get a taxi to retrace the journey that I took hardly any time ago. Why had I been summoned to the suburbs for this abuse? Certainly, my loss of temper at the injustice of it all is in no way a justification for destroying her laptop - it was a disproportionate response.

I don't think people really see what's going on underneath the surface, even though I tell them.

Two police officers are interviewing me. It's 2am in the morning. I was just discharged from hospital after a suicide attempt, and my kidneys are still not fully functioning. My body is bruised as hell from where the emergency services had to kick in the bathroom door to get to me, slumped in the dark, dying. My muscles ache from the damage that was done to them by the massive overdose of opiates - prescription painkillers I had stockpiled. I answer the police questions. I admit smashing up that laptop - of course I did it and I want to replace it. The last messages I ever sent while still alive were attempts to get her bank details, so I could transfer her enough money to get a brand new replacement... although of course the destruction of her laptop must have been a shocking over-reaction in her eyes and upsetting for her, and I can never fix that.

Don't people see me as vulnerable? I feel like a 3 year old, being beaten up by grown-ups. I feel vulnerable; scared. People must see me as an easy target, because they certainly don't hold back when they're ripping into me. I find myself back in my trashed apartment at 3:30am on Wednesday morning. How did this happen? Why do people think I'm perfectly fine - OK to chuck out from hospital as soon as my kidneys are working a little bit? Why do people think I'm physically and psychologically indestructible? Why would the massive overdose that I took be seen as unimportant, and that I'm perfectly able to pick myself up and carry on with life?

I feel like I get a double-whammy. I feel that people take advantage of my good nature: my trusting and happy-go-lucky approach to life, where I try to be generous and loving. I take the risks - I make the first moves - and I put myself out there in the hope of getting something back. If I get nothing back, that's fine - let's just leave it there and move on. Why did I have to get dragged all the way out of the city centre and far from my home, simply to receive cruel and unpleasant treatment and be told to get out? My reaction was out of proportion though, so I also get the guilt. I'm guilty of smashing up that laptop. I'm guilty of seeing red, losing my temper, retaliating at the injustice of the situation, in a totally unjustifiable way. Now, I still carry that guilt and I always will - it stopped her hurling abuse at me, but that doesn't make it right. In fact, I can never make things right - I'm always going to feel terrible about her stunned silence, and the fact that it must have seemed like a crazy over-reaction to a bit of 'light-hearted' bullying and abuse in the place she'd dragged me out to, to do it - in the middle of fucking nowhere. If it sounds like I'm conflicted, I am. Where's the sympathy for the fact that I was taken advantage of, abused and left feeling totally abandoned in a strange city? Where's the consideration of the fact that it's obvious that I was on the edge: I very nearly succeeded in killing myself, as the very next thing that I did.

This whole traumatic episode has forced me to dredge up every 'bad' thing I've ever done, and reconsider whether I could have handled things better. What the fuck am I supposed to do? Turn down friends and girlfriends when they cross my path? Am I supposed to be negative and untrusting? Am I supposed to shut myself away, isolated behind closed doors and be anti-social, because I always end up just feeling like a mug... financially taken advantage of and cleaning up after my 'guests'. Should I not give people a chance? Should I be closed and negative, assuming everybody's out to get me? Certainly, everybody's come and picked my fucking pocket, quite gleefully.

I'm no angel. This is certainly not a piece that argues things in black & white. If you want to talk about black & white, then you have it in black & white: I smashed up her laptop with a rolling pin in a sudden fit of rage. My regret and remorse is meaningless - I did it, so that's that. I'm guilty of being an "angry man" right?

I wonder what percentage of my life I've been angry for. Certainly, most people who've known me for any length of time would not think "angry" as one of the first words that sprang to mind. Perhaps I just hide it very well. It's not really for me to judge anyway, what my personality is in the context of this tale and the wider issue of whether I'm some kind of crazed nutter, intent on smashing up the entire world.

I guess you could consider the nature of a dog, as an analogy. How much can you abuse the dog, before it bites you? Are the best dogs the ones that just whimper and maybe even shit themselves? Does a dog - even though it has sharp teeth and powerful jaws - only qualify as a good dog if it never turns on somebody who's abusing it? If you can answer that question, you might have gone some way to answering the question that fills me with doubt at the moment: am I a bad person; am I evil?

Frankly, I think we're all capable of saying and doing regrettable things, in the heat of the moment. The question is, how do you feel about what you did? Do you do horrible things on a regular basis? What's your predominant personality - are you a victim, victimiser or something in-between?

I don't want to fall into the trap of feeling too sorry for myself; feeling too victimised. I've said and done things I wish I hadn't. Also, why can't I stick up for myself? Why can't I avoid the people who think it's OK to pick my pocket? Why can't I tell those who would take advantage of me, to fuck off, before they bleed me dry?

I've seized upon this word "vulnerable" which neatly sums up me and my situation. I trust when I shouldn't; give when I shouldn't; take a chance when I shouldn't and generally end up fucked. Surely nobody would argue with the facts: I'm the one who ended up isolated and alone, dying of an overdose, losing all my property, losing a lucrative consultancy contract and an employment offer. I'm an example of the person that lawmakers had in mind, when they created laws that protect me from mental health discrimination and prejudice based on confidential matters.

There's a line in a song I've probably never heard, but I know the lyrics because my guardian angel told them to me. The song talks about how bullying a kid every day created a monster.

Am I a monster? I certainly seem to fight with monsters. Perhaps I would be wise to remember the words of Nietzsche, and be careful that I do not turn into a monster myself, if I continue to fight monsters.

It's not my instinct to fight. It's my instinct to be nonviolent. I only fight* when I've got nothing left.

 

Tags:

 

* - I don't mean fight her. She's got the money to replace her laptop now, I hope, and I really hope we can move on with our lives as best as we can, although I do appreciate that it was traumatic and seemingly an over-reaction from me. I feel very bad about what I did.

 

Perception and Reality

10 min read

This is a story about therapy...

Ward activities

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

 

Tags:

 

Happy Mondays

9 min read

This is a story about twisting my mellow...

Convict pyjamas

Here I am, in bed, wearing my convict pyjamas. I just woke up. Not looking too bad for 127 year old man. Mad for it.

Actually, I was woken up before 8am by the kerfuffle outside my bedroom door. On the opposite side of the corridor is the dispensary hatch, where the medications are dished out to everybody. It's quite lively at certain times of the day on this psych ward, which has some of the very sickest people in the North of England, receiving treatment for their mental health problems.

Have you ever thought to yourself "I can't go on" or maybe even "I wish I was dead"? Have you ever thought that you're going to have a breakdown and you need to be in hospital? In actual fact, you're tougher than you think. Very few of us will have an acute mental health crisis that is severe enough to require inpatient hospital treatment.

Am I admitting that I had a "nervous breakdown"? Don't be so ridiculous. I left the city where I have spent most of my working life and relocated to this Northern city, where I have no friends or family; I took on a very stressful new job; I tried to build a new group of friends and get a girlfriend... when that all came crashing down around my ears, doesn't it seem understandable that it would have destabilised my already fragile little life? I'm just an animal - like you - and I respond to the stimuli of my environment: if I'm being stressed by external things, then of course I'm going to have a reaction. Action -> reaction. Is that so hard to understand?

Of course, it might look like madness to have taken on so much stress all at once, but I did need to shake things up. I never quite reached the point where I was safe and stable, so it was sadly necessary to do something drastic. You might liken what I did to Electro-Convulsive Therapy (ECT) which is also known as "shock treatment". In fact, I had multiple seizures on Saturday and Sunday, and maybe even Monday. To be honest, I'm struggling to remember much about the time that I was unconscious for some reason.

It's pretty terrifying that there's this big hole in my life, where I was having fits and was in a medically induced coma. The memories around those 12+ hours that I was under a general anaesthetic and having a machine breathe for me, are pretty hazy. When I came out of the coma, there was an intensive care team there to greet me, who explained what was going on and knew all the right things to say to put my mind at rest. The team - every member of the huge NHS organisation - at the hospital was amazing. From arriving in A&E resus, starting to have seizures and being taken to intensive care, being moved to a high dependency ward to look after my struggling organs - which were being destroyed by the massive overdose of tramadol I had ingested - to finally being moved to a general ward... the whole journey through a National Health Service hospital is incredible and I'm crying as I write this, because it's the most amazing example of the advancement of our civilisation, that I can possibly think of.

Of course, I feel a great deal of guilt for the huge burden that I have placed on the NHS, which is UK taxpayer funded. I wonder to myself how much I must have cost, versus how much I have paid in. We can't all take out as much as we pay in. Obviously, we can't all take out more than we pay in either, but to spell that out is a bit patronising, no? Those who work in the NHS certainly wouldn't want me to feel guilty, but I do. I also feel grateful. Grateful to be a British citizen and resident of the United Kingdom, where world-class medical care is free at the point of use. Grateful, but indebted... guilty.

Another analysis might reveal that perhaps a stitch in time might have saved nine. I first approached a doctor about my mental health in 2008, and I was fobbed off within seconds of opening my mouth. Our general practitioners have very little time to understand their patients' problems and offer a diagnosis and treatment. Most of us would be unhappy to walk away from the doctor without a prescription for some pills. It has always been my stance, that I would decline any treatment that I didn't understand; couldn't see good evidence for the efficacy of;  I needed to see proof that the long-term outcomes were positive.

I remember writing passionately online, as early as 1998, about the analogy of putting a sticking plaster over a gaping wound. I wondered aloud, whether the psychiatric medications that are dispensed for mental health problems, are merely masking the symptoms and not treating any underlying problem. To this end, I applied to university to study psychology, and was granted unconditional offers for some of the best degree courses available in the United Kingdom. I decided not to go to university. I could see that clinical psychology was desperately underfunded. It's a helluva lot cheaper to give somebody some patent-expired pills, than it is to let somebody talk to a therapist.

Now, nearly 20 years later, I've seen enough evidence; I've done a meta-study of the literature. It's quite clear that long-term outcomes for the mentally ill are not at all improved by the medications that are commonly prescribed. It's also quite clear that we are in the midst of an epidemic of mental health issues. I use that word epidemic in its most precise sense - we are literally seeing explosive growth in the number of people suffering from mental health issues, and a dreadful decline in the prognosis for those unfortunate enough to be affected.

It's my firmly held belief that mental wellbeing is a function of our environment. In a world of Donald Trump, global warming, the threat of nuclear armageddon and a Conservative government who are determined to pass legislation that will allow them to hunt poor people, on horseback, doesn't it seem quite natural that we should all feel rather threatened and afraid?

One of my early childhood memories is of chatting to a U.S. Air Force base worker called Wayne, who drunkenly boasted that America could destroy all life on Earth with bombs that exploded with enough heat to vaporise a human being. Please, when you tuck your children into bed tonight, don't share this charming tale with them. I can almost remember the very moment that an 'irrational' fear of death sprang into existence in my head. If I had been born 30 years later, I might have been diagnosed with an anxiety disorder - I became afraid of everything, from horses to fairground rides, to electric sockets. I don't really agree with the 'irrational' part of the fear though - it does seem rather rational to fear things that can kill you.

Doing extreme 'adrenalin' sports and training to be an electrician is actually very logical - one needs to face one's fears, if we are ever going to conquer our anxieties. Children who have allergies so bad that they face deadly anaphylactic shock if they come into contact with things like peanuts or dogs, have had their allergies cured by simply introducing their body to tiny trace amounts of the allergens that could kill them. If there's one amazing thing about the human body, it's the ability to adapt itself - the plasticity, if you like.

Now, I've taken the 'trick' of putting myself in hostile and extreme environments, to a ridiculous level. Most people would be psychologically disturbed by having their liberty removed and being detained on a psychiatric ward with some very unwell people. Most people would crumble to dust under the kind of pressure that I've been under. This sounds very boastful and big-headed, perhaps even grandiose and delusional. Well, yes, if the facts were not in my favour then I would agree with you.

Here I am, writing to you quite calmly and happily from a psych ward. Do you think you would be doing the same, trapped inside an insane asylum with people who are too dangerous to be allowed out into the community? There's the constant sound of shouting, screaming, slamming doors and alarms going off. Staff members - perhaps as many as two or three per patient at a minimum - run from crisis to crisis. One itinerant patient can have their entourage of mental health professionals, trailing in their wake all day and all night long, as they make their "obvs" (observations). Sometimes a patient must be cornered, captured, and dragged off to solitary confinement, where they are thrown into a soundproof padded booth. "STRAP ME DOWN LIKE THEY DO IN PRISON" screams one particularly unwell patient. Is this treatment or is this punishment?

My working hypothesis is that we used to be able to remove the 'bad apples' in order to have a functioning society for the rest of us, but that was never the truth - basically, we've been leading up to the mother of all crises, because the vast majority of people are stressed as fuck and eventually the masses were always going to stumble to their knees, under such immense pressures. Society is very sick, but it's only just coming to light, now that we can no longer sweep the most conspicuous problems under the carpet.

I'm the eccentric mad uncle, carted off to the insane asylum to keep me out of sight and out of mind. However, it doesn't work so well when I'm able to continue to be connected to the world, through the internet and social media. Perhaps one might argue that mental health problems are contagious, and are spread through words - written or spoken. There's certainly good evidence that a suicide will spark a whole bunch of copycats.

So, I'm struggling to wrap my head around the fact that I nearly died, but I'm finally in a safe place in which to recover, where I don't need to worry about paying rent, buying food or even cooking and cleaning. All of the chores of daily existence have been removed from my long list of responsibilities. I pretty much just need to make sure I remember to take my next breath, while I'm in hospital.

Jeepers creepers, it's been a long hard road to get "sectioned". What a relief!

 

Tags:

 

Prince of Wales

17 min read

This is a story about being hounded to death...

Another hospital

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

 

Tags: