This is a story about panic attacks...

Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can't cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped - I don't know which way is up and which way is down.

If somebody was to burgle my home, I'm not sure whether they'd be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn't that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions - withdrawal was over eventually and I don't even remember it being that bad, in hindsight.

How long have I been drinking a bottle of wine every day for? Tonight I've had a tiny bottle of beer and that's it, but my drinking has raged out of control, as I've sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It's a miracle that I haven't had a fit, but the gaps I've had in-between handfuls of pills - lasting two or three days - could have killed me in a multitude of other ways anyway.

Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair - I become convinced that I'm unable to function; unable to face the future.

Like many addicts any alcoholics, I'm overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself - quickly by suicide, or slowly with drink & drugs.

Without structure & routine - social contact and the prospect of a happy & contented life - it's a miracle that I've not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol - of course - but the urge to drink was relatively easily resisted.

If you wished to categorise me as an alcoholic and/or a drug addict, I'm afraid your attempt would be thwarted by the facts. Alcoholics can't stop drinking and drug addicts can't stop taking drugs. Guess again, sucker.

I'm suffering unspeakable discomfort at the moment, but I'm forcing my body - including my brain - down a path that it's reluctant to take, but it's for its own good. It will be weeks, maybe even months before I feel the benefits of what I'm putting myself through, but I know that if I don't do it, the alternative outcomes are very undesirable, to say the least.

Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers... perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn't have a lot of triumphs to crow about - if superbugs don't kill you, then mental illness will probably ruin what little quality of life you had anyway.

My brain tells me I'm about to die or that I should kill myself. I know - rationally - that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn't make me feel any different at all.

Eventually, it's too much.

Tags: #suicide #alcohol #addiction

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about infidelity...

Yo ho ho and a bottle of Xanax. We're off to take a sailing trip across the Atlantic to New York. I'm nervous, but she's with me - she's also an experienced sailor - so I'm excited and I'm sure that between us we can manage the voyage. At first we are heading towards Dover. Why are we travelling East when we need to be sailing West? Then, we are becalmed and a fog descends. The water is glassy and flat and the sails flap uselessly. A road sign appears and it becomes apparent that we are in London, on a road. We are towing the yacht on a trailer. I rack my brains, trying to think of the best marina with a hoist to lift our yacht into the sea. I can't think straight.

This is a dream, obviously.

Next, I'm approaching a nightclub, skipping the queue outside and heading straight for the entrance. I present my left hand to the bouncer, who shines a torch on it. I brush past him so confidently, and he's not really paying attention, so he doesn't notice that I don't have an ink stamp that says I'm allowed in. Nobody challenges me. I go past the dance-floor and into another room. I notice somebody sucking on a glass tube with what looks like shards of gold, or maybe honeycomb, being ignited with a lighter. Then, an old schoolfriend wants to show me something he's making. He's pouring chemicals into a large jam jar. He's making shake-and-bake methamphetamine. The crystals aren't perfect shards of ice, but instead they're a milky mess. I know the drug will be potent, but the solvents and other chemicals used are deadly. I'm afraid, but also drawn to it, like a moth to a flame. Somebody has prepared some lines of a white powder; it's being passed around. I wake up.

My doctor warned me that my new depression treatment - California rocket fuel - would lead to vivid dreams, but I've always had a lot of dreams.

In a way, my new dreams are better than the old ones. When I used to dream before, they were basically all the same: I have some supercrack and I'm trying to find a private place to take it, but every time I think I'm safe from intrusion, and I'm about to snort a line, somebody interrupts me. Then begins a stressful game of hide-and-seek where I'm trying to escape the voyeurs who wish to intrude on my private drug use. I never actually manage to get any drugs up my nose before I wake up.

Of course, drugs are still my mistress. I've got a virtually unlimited supply of opiates, in the form of tramadol and codeine. I've got stacks of benzodiazepines, in the form of diazepam and Xanax. I've got loads of Z-drugs in the form of zopiclone and zolpidem. I've got pregablin, venlafaxine and mirtazepine. I've got Viagra and Cialis. None of these chemicals seem to make the blindest bit of difference to my depression, and they're certainly not my drug of choice: supercrack.

I go to the chemist, and I have to give two signatures, because they're giving me medications that are controlled substances - they're illegal to possess without a prescription. I'm handed a carrier bag that's bulging with boxes packed full of blister strips containing capsules full of chemicals, or pills that have been pressed into certain shapes and sizes, with numbers and letters imprinted on them. Everything is so colourful. If I lose a pill on the floor by accident, I can identify exactly what it is.

I get confused at night, as I swallow 6 pregablin capsules (white with black lettering), 2 venlafaxine tablets (round and dark orange), 2 mirtazepine tablets (small lozenge shaped, light orange), 2 zolpidem tablets (tiny white lozenges) and a Xanax (an oblong with "XANAX" imprinted on one side). Sometimes I also take a zopiclone if I can't sleep (round white tablet). When my leg was in pain, I would also take 2 co-codamol with 30mg of codeine in each tablet (large white lozenges) and 2 tramadol capsules (green and yellow). Trying to remember if I took everything, and make sure I don't take anything twice, is quite difficult. I'm almost at the point where I should prepare all my tablets and check I've got everything before I greedily gulp them down. I can now swallow 6 tablets at once, easily.

My real mistress, and the beast that's out to kill me - supercrack - is tamed at the moment. I know that a lapse would be disastrous in my financially precarious situation, but I'm also so doped up that my libido and craving for supercrack is under control... for now. I'm not a superstitious person, but I feel like I'm tempting fate just writing these words.

I don't bother keeping a tally of how long I've been 'clean'. It's a ridiculous idea. If a person quits one thing, they start doing something else. A former gambling addict might become obsessed with fitness and go to the gym 7 days a week. A smoker who quits will probably start eating more, to compensate for the loss.

It might seem logical that the longer you're addicted to something, the harder it will be to quit and stay 'clean' but nobody seems to realise that the more times you quit and have periods of abstinence, the better you get at quitting and resisting temptation. Medically, the binge & quit cycle of drug taking is the most damaging, because the binges are so extreme: days and days without sleep or food, and huge doses of really harmful drugs, when your poor body has just about recovered and was starting to get back to normality.

Of course, the really harmful stuff is to relationships. She doesn't mention it very often, but she's worried about the next time I just disappear off the face of the Earth, and reappear skinny, sleep-deprived and suffering from all the nasty side effects of supercrack: paranoia, obsessive-compulsive behaviour and panic attacks; not to mention tachycardia, malignant hyperthermia and rhabdomyolysis. I'm no stranger to hospitals and psych wards.

If you meet me in person, I seem polite, well presented, somewhat smart and certainly confident and self-assured. I can make smalltalk and feign interest in other people's lives. I remember the tiny details that people tell me, which I can see are important to them, so that I can bring them up if ever there's a lull in conversation; an uncomfortable silence. There's no chance you'd peg me as a 'druggie' or a 'stoner' or a 'junkie'. I take perverse pleasure in contradicting and confounding the stereotypes.

Despite my ability to confidently bullshit my way through life, I do wonder if I'm as seriously sick as my doctors tell me I am. They can't make their mind up whether I have treatment-resistant major depressive disorder, bipolar disorder, borderline personality disorder or some dual or triple diagnosis of all of them, plus the substance abuse, of course.

On top of the chemical cocktails, there's a bottle of wine every night, just like every other middle-class professional. Lots of people would say that alcohol is part of the problem, but the last time I quit I quickly went hypomanic and lost my contract. Seems to be the story of my life: losing my contracts through ill-health. All the evidence points to chronic illness that makes me unfit to work, but my confident and upbeat attitude - plus my employability - has got me stuck in a groundhog day loop, where I work enough to pay the bills for a year, but then implode spectacularly and find myself without gainful employment, yet again.

Undoubtedly, my affair with supercrack wreaks havoc across every area of my life, but what about the depression? What about the hypomania? What about the fact I see everything in black and white, and I either love you or hate you? Even when I'm 'well' and functioning, I've still gotta be right: intellectual pride and arrogance.

I've committed to a new regimen of antidepressants, for the first time in years, so maybe my mood will improve if I can keep taking the pills regularly for 4 to 6 weeks... then we'll see if these blunt instruments of brain manipulation actually fucking work for once.

Meanwhile, money pours out of my bank account and the end of the runway gets ever closer, but the wheels of the aeroplane are still on the tarmac. If I can't psych myself up to overcome the depression, stress and anxiety enough to hide my problems and tackle the arduous task of getting another contract, I'm fucked. The house of cards will collapse quicker than you can say "fuck my life".

It's remarkable how much time I spend thinking about setting my affairs in order: making sure my life insurance pays out to my sister, making sure I've left instructions so that friends who've helped me out get repaid, making sure I've thrown away everything that's of no value, making sure that I've listed the details of all my bank accounts and creditors, making sure I've left enough money in my company so that my accountant can wind up the business and he gets paid, and also making sure that at least a teeny bit of my legacy is preserved: I've written a novel and this blog has about 600,000 words, plus photos. I always said I wanted to leave a smoking gun, in case anybody wanted to investigate how stress - mainly financial worries - can destroy a person and drive them to suicide. My biggest fear is being written off with a simple throwaway label: "mentally ill" or "substance abuse" or whatever... things are never as simple as that.

While most people are planning summer holidays and extended weekend breaks over the bank holiday weekend, I'm paralysed by the ever-approaching end of the runway, combined with debilitating stress and depression. Things look straightforward, because I've made life look like a walk in the park so far, but in fact I'm just very good at hiding the deteriorating situation, when my back's against the wall. Just because I can rescue myself in the nick of time, doesn't mean I can always do it, forever. I feel physically sick at the thought of the effort involved in doing what I do, all over again, even though it's a well-practiced tried-and-trusted formula.

Time just gets frittered away, which is fine when you're getting your regular salary and you spend most of your time at your desk just counting down to the weekend or your next holiday, but when you're in my situation, in a way, I'm dying. How do you think you'd feel if you were left penniless, homeless and with a bunch of vultures trying to take the clothes off your back? How do you think you'd feel if you know you can make everything alright again, if only you were well enough to work, but you feel sick and the thought of going back to the office caused you severe stress, anxiety and paralysed you; unable to cope or deal with the situation?

Tick tock goes the clock, and it doesn't stop. You have to run just to stand still. This is why it's so attractive to run away with my mistress and pretend my problems don't exist: escapism.

I want to escape this invisible prison.

Tags: #drugs #depression #suicide #mentalhealth #career

This is a story about leading an insulated life...

Just in case you think I've been sniffing solvent-based glue, I'm not advocating giving booze or fags to newborn babies. I am - however - suggesting that our academically gifted, with their busy lives of music practice, homework, extracurricular studies, cultural, museum & historical sight visits, mock exams pretending to give a shit about charity & community service and being dragged off to France or Germany in the interests of practising for their exams: all in the interests of an immaculate university application... this has created vast numbers of insulated children who know little about narcotics except one lesson they did where they wrote names of drugs on a blackboard, when they were 13.

Let me disabuse you of a myth. There has not yet been a drug invented that is instantly addictive. If a doctor was to give a child an intravenous injection of diamorphine (heroin) - as many paediatrics will do in hospital - then it's certain to be an experience that the child will vividly remember with reverence. Ok, so the dose is selected carefully, but this is mainly so that the child doesn't vomit, experience unpleasant itching or suffer a respiratory arrest.

Now, let's disabuse you of another myth. Cannabis is harmless. The most insulated child's first opportunity to try drugs will be at university. I was so insulated that I thought "spliff" was a drug. It's spliffs - cannabis cigarettes - that are so dangerous, because they are often mixed with tobacco, leading to nicotine addiction and death through smoking-related diseases. Nicotine addiction is widely regarded as more addictive than heroin addiction.

Now, let's study two drugs, and compare why their chemical similarity is the polar opposite of their potential for addiction. Crystal meth, known more correctly as methamphetamine, should be well known to you as a highly (but not instantly) addictive drug. Ecstasy, known more correctly as 3,4-Methylinedioxymethamphetamine (a.k.a. Molly, Mandy, Adam) is taken by millions of party-going young people throughout the UK, especially at university where a night of drinking could cost £20 to £40 and upwards, but a dose of Ecstasy will cost around £3. You would have thought that the drug's low cost would create an addiction epidemic, but taking a drug with friends on a Friday or Saturday night, to attend a nightclub for little more than the price of the entry fee, is a far more enjoyable experience than living homeless smoking a meth pipe. There is also a peer group at school and university, who identity problem drug users and try to help them in a peer-to-peer manner.

The most dangerous group of drugs in the world are prescribed medications: benzodiazepines. Prescribed for acute stress or anxiety disorders, within 3 months, the body is physically dependent on the medication and stopping taking it will cause seizures and even death. If we're educating our children properly, we need to teach them that medicines are just as dangerous - if not more so - than street drugs.

While we're on the subject of prescribed medications, Adderall and Ritalin are prescribed to children for ADHD. Ritalin is more addictive than cocaine. Adderall is amphetamines.

Furthermore, Oxycontin and Oxycodone are prescribed for pain management, but these are powerful opiate medications - like heroin, morphine and opium - and the National Institute for Clinical Excellence (NICE) has not given a license for these medications to be prescribed on the NHS. NICE's decision saved the UK from a widespread disaster. Just because you get nicely packaged pills from your pharmacy, doesn't mean they're safe to eat like candies. Americans who became hooked on Oxy quickly figured out that heroin is far cheaper, which has given rise to the tragic opiate epidemic in the USA, which knows no class boundaries. Honour roll students are dying in similar proportions to suburban hoodlums.

What about cocaine? There's a reason why dealers market cocaine as "social" or "sociable". Cocaine tickles the reward centre of your brain, but it still needs external stimulus. On a night out on cocaine, every attractive girl/guy is looking at you, everybody thinks you're witty and funny, you're controlling the room with pure charisma. In fact, in a room full of people on cocaine, everybody is talking over each other but they only hear what they want. That drug-induced self-confidence might sweep somebody off their feet, or it could even stray into the realm of sexual harassment because your brain converts "no" into "yes". Taking cocaine in isolation is insanity... it's not a solo drug.

But what about crack cocaine? School kids should definitely learn about crack so they don't at least waste it. Cocaine is water soluble, so it can be drunk, swallowed, snorted, plugged (look it up) or injected. Crack can only be smoked and doing any of the aforementioned will have no effect. But seriously though, crack is one of only a handful of drugs that can lead to isolated drug-taking, which I explain the dangers of later on.

Of the mind-altering trippy drugs, ketamine is the main one to avoid, given that it's addictive and gives you bladder ulcers. LSD, mushrooms (psilocybin), DMT, Salvia and Peyote (mescaline) have very limited addictive potential.

The drugs that kids should be quite rightly scared of are the ones that can be quickly habit forming and are enjoyable in a non-social context. These are:

• Nicotine (inc. cannabis as gateway drug in spliffs)
• Heroin (inc. Oxycodone/Oxycontin as gateway drugs)
• Crystal meth (inc. Adderall & amphetamines as gateway drug)
• Benzodiazepines (when procured on the black market in large quantities)
• Ketamine
• Crack cocaine
• Supercrack

That's not a very big list, is it? You would have thought that drug addiction would be much less of a problem if that list was correct, but the story goes like this:

Good little Oscar went to a top university, fluent in French, Grade 8 piano and having given up every Saturday to helping little old ladies cross the road. Being able to name any piece of chamber music within 2 notes, and having memorised every placard of every museum, National Trust and English Heritage sight, plus recite the kings & queens of England backwards while holding his breath, he failed to make Oxford or Cambridge who don't want rote-learned fact regurgitators with mild speech impediments where their natural accent has been beaten out of them by a home environment so sterile that it could be used as an operating theatre. With 30 GCSEs (all A-stars) and 10 A-levels (all As) Oscar went through clearing in order to study underwater basket weaving at Luton former polytechnic, where he nearly choked on his own vomit when he saw a fellow student with tattoos, piercings, an ironic T-shirt and smoking a cigarette. She was female, and he later realised he had ejaculated in his underwear, having been forbidden from talking to girls, watching TV or unsupervised Internet browsing.

Finding his shyness and good manners endearing, and slightly out of pity, Oscar received an invitation to a party that evening.

Providing much merriment for the partygoers as he spluttered on a spliff. He then started giving everyone hugs in his deeply unfashionable clothes, when he was seduced into taking Ecstasy by a girl. The ejaculation retarding effect of the drug helped him to lose his virginity in an not-unrespectable time of 80 seconds, having penetrated the girl who he felt certain - at that moment in time - was the most beautiful in the world, and he would marry at the first opportunity. When the drugs wore off, he was surprised to discover she was 18 stone and missing several teeth.

By the end of his 3-year degree course, Oscar no longer had a healthy respect for drugs and died young, because of blood-borne diseases, transmitted through shared needles. His family did not attend his funeral, feeling they had given him the best possible start in life.

"Drugs are bad", "just say no" and other messages that suggest that sudden death or addiction may occur from drug experimentation, are pedalled in our 'better' schools, which has created generation upon generation of politicians who perpetuate the "punishment, not treatment or education" policies. Now with the advent of the Dark Web, a curious person like myself can find themselves with an addiction that never would have happened, had I been allowed to experiment with drugs in a peer group who were not equally insulated.

If we really wanted to curtail the tragedy of young lives cut short by drugs, we would end the two-tier strategy, where some children are streetwise while others receive an education that has limited use except to further an insulated academic career.

My [then] closest male friend who I've known since 2001, been on holiday with 3 times and even rubbed sun cream on his back, treated me like a completely different person - as if we had never even met and I'd spat in his soup & tipped his drink on his head - when I admitted I had a drug problem. This is what the private/independent/public/grammar schools and the league tables are producing: dangerously insulated and prejudiced children.

It's a pipe dream, to introduce schoolkids to the first-hand effect of drugs in a controlled environment - but the rate of psychoactive medications and drugs we consume shows no sign of abating.

Who do you trust? The doctors dishing out the pills that have created a heroin epidemic in the USA, the guy who's 10 years older than your 15 year old daughter who says "this won't hurt a bit" as he injects her with heroin, or the education system that can empower your children to make their own informed decisions?

Tags: #drugs

This is a story about decisive weapons....

Would I rather have the pilot of my plane, the driver of my bus, taxi or train, as a completely drug-free 'clean' individual, or would I rather that they had taken 5mg of dextroamphetamine before our journey? The answer is the latter, obviously, because they will be more alert, have improved ability to concentrate and faster reaction times.

US fighter jet pilots routinely use 'go' pills before a mission, which confer the abilities above, as well as allowing them to fly longer missions with less risk of dangerous sleepiness. Many road accidents are caused by people falling asleep at the wheel. Coffee will only give you a tiny fraction of the benefits of a 'go' pill.

Do you find that after a really important day at work, where you had to be at the top of your game, and you were firing on all cylinders; perhaps you had a bunch of coffee to keep you sharp.... do you find that you're still buzzing when you get home, and you have trouble switching off and going to sleep?

Coffee - especially the super-strong stuff we seem to drink in London and New York - can contain up to 300 to 400mg of caffeine, in for example a Pret-a-Manger strong cappuccino.

The problem with caffeine is that it's a bit of a crude stimulant with lots of extrapyramidal side effects. That is to say, as you increase the dose of caffeine, most people can't tolerate the way it makes them feel. Interestingly, intravenously, amphetamine addicts can't tell the difference between amphetamine and caffeine. Also, most intravenous amphetamine users believe they are being chased by 'them' - the police, men in black, shadow people, ninjas, whatever - but these side effects are just part of the fun.

So, the beauty of the 'go' pill is that it seems that I get all those desirable effects, with no side effects. You would be completely unable to tell that I was under the influence of 5mg of dextroamphetamine. Recreational use of amphetamines is normally quite obvious to spot: talking too fast, sweating, dilated pupils, restlessness, jerky unnatural movement. No side effects? Well, not quite.

US fighter jet pilots use 'no-go' pills at the end of a mission. Having been kept awake and alert for hours, it's now time to go to sleep or at least chill the fuck out. Sleep can be difficult without a 'no-go' pill.

My personal 'no-go' cocktail allegedly contains Xanax (alprazolam) and zopiclone, which have hypnotic, sedative, muscle relaxant and anxiolytic properties. To be honest, you could probably get to sleep naturally if you took your 'go' pill as soon as you got up, but it's pretty exhausting spending a full day in a highly alert state.

Isn't it madness, me taking all these pills? Shouldn't I just go 'clean'? Isn't it best that I'm completely drug-free?

Do you remember when you quit smoking? You chewed a lot of gum, ate a lot more, drank more tea and coffee. Do you remember when the kids were little and life was really stressful? You drank a lot more gin. Do you remember when there was that project with a really tight deadline and you were working really hard; drinking lots of coffee? You were drinking lots of wine in the evenings to relax. Basically, humans will compensate to make sure things remain balanced. If you hurt your foot, you might find your back is aching, because you've shifted your body weight to one side, to put less pressure on your injury.

My injury's a brain injury and the best thing you can do for the brain is to allow it to find its own equilibrium. However, life must go on. My brain's telling me to go to sleep in a dark room for a month or two, but I need to attend hospital appointments, do the administration for my company, line up my next IT contract, find a new flatmate, move money around and make sure the cash keeps flowing and doesn't run out.

A bit of dextroamphetamine is an effective antidepressant and helps fight any supercrack cravings. It's like methadone for a supercrack addict.

I'm on a mission to get back to coffee and wine as my 'go' and 'no-go' substances. I actually worked really hard to break my caffeine addiction, and now I only drink caffeinated drinks on extremely rare occasions. I'm certainly not habituated into having my morning coffee or cups of tea throughout the day, like the majority of adults are. This is how addiction works: you don't cure the addiction, you just replace it with something else. There was a time when I loved playing with toy cars. I had hundreds of them, and I played with them all the time. Then, I got a computer, and I loved playing computer games... and the process of swapping one addiction for another continued. I'll be just fine and dandy with some tasty food, wine to wash it down with, TV and film to distract me and a girl to put my arm around and take to bed for some rumpy-pumpy later on. That ought to just about tick all my boxes.

In the last two weeks, I broke my addiction to two opiates - tramadol & codeine - and I've obviously been off the supercrack for the best part of a week now. That's fairly impressive. Please forgive me for having the occasional G&T, glass of wine and my little 'go' and 'no-go' pills, just to keep the pedals turning.

I've got a torn muscle and ligament, damaged nerve and fractured ulna (bone in my arm) but I spend most of the day with no pain relief at all. It's only at night that for some reason all these injuries start feeling super painful and I might take a couple of co-codamol.

Interestingly, amongst the opiates, heroin was named because it was thought it would have military applications, making soldiers more heroic. Heroin addicts certainly do seem to be prepared to do almost anything to get their fix and not get junk sick. I guess the idea was perhaps to addict the soldiers, and then deny them their heroin until they had done their mission. I can't really imagine it'd be a great idea to have a platoon of men who are pretty much just dribbling and half-asleep. The Nazis had the better idea, giving their soldiers crystal meth. The nickname "marching powder" for cocaine is literally what it sounds like: cocaine was given to soldiers so that they could go on longer marches. You might think of the pharmaceutical industry as concerned only with the treatment of disease, but they have profited handsomely from military concoctions.

Adding fluoride to the water supply has made a major impact on the rates of tooth decay. Drug evangelists have touted LSD and MDMA as other candidate chemicals to be added to our drinking water. The idea being that criminal and aggressive behaviour might be replaced with love and empathy, or the 'sheeple' might have their consciousness expanded. For clarity: I do not endorse such ideas.

"Go to the doctor" is now a synonym for "go get some pills". People are extremely disappointed if they don't come away from a doctor's appointment with a prescription for some lotion or potion. The reflexive response of people if you ever say you are in pain, is to offer you aspirin, paracetamol, ibuprofen or preparations containing codeine (e.g. co-codamol and Solpadeine). People have looked at me in shock and horror, when I tell them that I don't take any medication for the incurable mutative virus: the common cold. What part of incurable didn't you understand?

Many people with mental health issues are asked "did you take your pills today?" or told "maybe you should up your dose" by people with no medical training or expertise, who they simply encounter in their day to day life, such as family members, friends and work colleagues.

We should be mindful that psychopharmacology is only 60 or 70 years old at most, as a fairly advanced field with the accompanying branch of medicine: psychiatry. Before psychiatry, chemists could offer preparations containing opium, cocaine, cannabis; all of which treat symptoms, not underlying issues. We will look back 50 or 100 years from now, and laugh at how primitive our medicine was... especially when it comes to addiction, mental health and the psychoactive compounds.

One final thought: if the majority of us are taking medication for depression, stress and anxiety, are we sick or are we actually victims of a sick society?

Tags: #drugs #addiction #medication #mentalhealth

This is a story about being locked in...

Let me quote from a poem called The Panther by Rainer Maria Rilke:

His weary glance, from passing by the bars,

Has grown into a dazed and vacant stare;

It seems to him there are a thousand bars

And out beyond those bars the empty air.

 

The pad of his strong feet, that ceaseless sound

Of supple tread behind the iron bands,

Is like a dance of strength circling around,

While in the circle, stunned, a great will stands.

 

But there are times the pupils of his eyes

Dilate, the strong limbs stand alert, apart,

Tense with the flood of visions that arise

Only to sink and die within his heart. 

Some of us do not seem to suffer in captivity. Some of us even thrive. "This is great: it's so comfortable, warm and dry in this big building" one pig says to another. "Yeah, I know and they keep bringing us all the food we can eat". Have these hogs found hog's heaven?

Perhaps this analogy serves well to explain why I bite the hand that feeds me. Perhaps it explains why any short-term comfort does not outweigh my long-term unhappiness.

"Stop complaining and take the free food and be grateful to work in a nice warm office" you might admonish me. "There are other people in the world who'd dream of having what you have".

How low do you need me to go? I've been homeless, penniless. I've cleaned hotel kitchens and done the washing up. I've done shitty jobs for shitty money. I've lived on the streets, in parks, crisis houses, and hostels. I've accepted food handouts. You want me to sink even lower? How's about being locked up in police cells, or on secure hospital wards? Is that low enough for you?

I tasted freedom once, when I was briefly released from my lifelong cage, and it was such a sweet feeling. No exams, no holiday projects, no homework, no bullying, no kissing ass to teachers. No interviews, no performance evaluations, no targets, no made-up work, no kissing ass to bosses. Nobody ever said "you're screwing up your academic prospects" or "you're screwing up your career" if I didn't conform and consent to live in a cage.

Obviously it it would be lovely to be a painter, a writer, a musician, a poet, and to be able to cope in captivity. Captivity demands zero creativity. Captivity can't cope with creativity.

Personally, I think the two worlds have been designed to be mutually exclusive. If I tell people at my day job that I wrote a novel they look visibly uncomfortable. The two groups just don't know how to mix, mingle, let alone relate to one another, or ask non clichéd awkward questions.

Am I medically broken for not being able to happily live in my cage, being fattened up for slaughter? Am I medically broken for wanting to be free of mortgages, ISAs, savings accounts, watching my digital bank balance slowly increment upwards. along with the days, weeks and years counting down until the day I die? Am I sick, if I reject a life of stress and anxiety, which benefits my paymasters, not me?

I'm sure there's a medically sanctioned happy pill out there to shut up the part of my brain that says "why are you enslaving yourself?" and turns me into a good well-behaved consumer, dragging a ball-and-chain of debt around with me.

Should I run clamouring for my doctor to anaesthetise me from reality? Should I ask for a chemical lobotomy that would allow me to be well-adjusted to a fucked up world?

Tags: #depression #suicide #career 

This is a story about dance, trance and magic plants...

On the left hand side of the picture above, we see drugs that are considered to be medications. That is to say, they are considered to have some useful function in the practice of medicine. On the right hand side of the picture, we see drugs of abuse. Drugs of abuse are considered to have no useful function at all, and have been made outright illegal in all contexts.

In the middle of the picture are pills that are sometimes considered medicine and sometimes considered drugs. Probably the best example I can give you of such a dichotomy is ketamine (not pictured) which is well known as a horse tranquilliser. In fact, ketamine should be better known as a general anaesthetic, and the drug of choice for paramedics to treat pain in victims of traumatic injuries, for example in the aftermath of a road traffic accident.

Dihydrocodeine is an opiate, and opiates are analgesic. Analgesics don't cause numbness, but they do increase pain tolerance. With enough analgesic, you could saw off your own leg and feel everything, but you wouldn't care about the pain. Anelgesics are painkillers. Dihydrocodeine is a painkiller.

Tramadol is an opiate, therefore also an analgesic.

Zopiclone, Xanax, diazepam and etizolam are in the hypnotic/sedative/anxiolytic category. Zopiclone will help you have a good night of uninterrupted sleep and wake up without a drug hangover: it's an excellent sleep aid. Xanax is a fast-acting, short-lived tranquilliser: it's great for stopping panic attacks, and might be useful if you're suffering a bout of unbearable stress and anxiety or struggling to drop off to sleep. Diazepam is a long-lived tranquilliser that's good for longer term management of stress and anxiety. Etizolam is a result of prohibition: it's an imitation of diazepam that used to be legal to sell and possess as a 'research chemical'.

MDMA is the abbreviation for 3,4-Methylenedioxymethamphetamine (and yes, I did just write that without having to look it up) which is more commonly known as Ecstasy, molly, mandy or generally as 'pills' in a clubbing/rave context. It's a stimulant and empathogen: it stimulates empathy. Its peak effects last 6 to 8 hours, but takes about 12 hours to wear off completely. The experiences can be very profound and long lasting. MDMA is extremely draining on the serotonin system of the brain, which can lead to a form of delayed comedown, coming days after taking the drug.

Crystal Meth is the commonly known name - thanks to the TV series Breaking Bad - of methamphetamine. It's a very powerful stimulant with effects lasting 12+ hours, and it disrupts sleep long after its desired effects have worn off. The more astute reader may notice that the final part of the chemical name of MDMA is the same as the chemical name of meth. As you might expect, there are similar effects: loss of appetite, increased energy and decreased need for sleep. However, while MDMA stimulates empathetic behaviour - hugging etc - meth tends to stimulate rather more hedonistic behaviours, such as fucking and masturbating to pornography. However, both drugs - being amphetamines - cause a man's dick to shrink to a little nubbin that's no use to anybody. Polydrug abusers might use sildenafil (Viagra) or other erectile dysfunction medications in conjunction with meth, in order to sustain a decent hard-on.

Spread out on the kitchen counter top, there's probably about £300 worth of drugs.

MDMA is extremely cheap, coming in at circa £10 per gram, which is enough for 5 very strong doses. Far cheaper than getting drunk in a pub or a bar. Pound for pound, MDMA represents excellent value.

Crystal Meth is the most expensive, coming in at about £100 per gram. Because of the crystalline form of the drug, it's far harder (although not impossible) to cut it with other things. Cocaine has an average street purity of less than 20%, because it's so tempting for every person who handles the coke in the chain, to cut it a bit and increase their profits. All white powders look the same, and numbing agents - like baby teething powder - will give the numbing effect that cocaine has. Crystal meth is generally pretty pure. It's usually smoked or injected. You do not want to mess with this stuff.

Diazepam is frighteningly cheap. 100 pills containing 10mg of diazepam each, will set you back £30 or maybe even less. The price has fallen drastically, from £1 a pill, to now 30 pence. It's important to remember that diazepam is a benzodiazepine, and the benzodiazepines are physically addictive. You can die if you take a load of diazepam and then stop taking it. It's not something you should mess with.

Xanax, by comparison, is very expensive. Because it's convenient to be able to take it and not be spaced out the next day, it's become America's favourite tranquilliser. The Rolling Stones might have sung about Mother's Little Helpers - referring to Valium - but now the housewife's choice is Xanax. Physically addictive, blah blah blah.

Zopiclone is nice and cheap and works really well without nasty side effects. The only problem is, becoming too reliant on it for sleep. At some point, you have to stop relying on pills and alcohol to get to sleep, and learn natural ways of making sure you can drop off and get your precious 8 hours. Try blue-light filtering glasses, not having any screen time after 10pm and sleeping with your smartphone and other electronics in another room, so there's no temptation to pick them up and start looking at Facebook or whatever.

Tramadol and Dihydrocodeine will take you on the journey to opium, morphine, fentanyl and diacetylmorphine (heroin). The cheapest opiate of all is heroin, because of the simple economic law of supply and demand. People fucking love heroin. I've smoked heroin on a few occasions and I enjoyed the feeling of carefree sleepiness, but I never got a rush of euphoria like I imagine you must get when you inject. I've never injected drugs. One should be mindful that the vast majority of new heroin addicts in America started their journey with opiates prescribed by their doctor - oxycontin, for example - and then moved to heroin because oxy is prohibitively expensive. Tramadol and codeine are pretty cheap, but they're also very weak compared with morphine and heroin.

There's no need to be afraid of any of these drugs in the sense that they're not going to leap down your throat and cause you to instantly become an addict who's prepared to murder your entire family for 50 pence, so you can have one more tiny little hit. These drugs are not like Venomous Agent X, which can kill you almost instantly if you absorb even the tiniest amount through your skin. You do not want to touch a pin head sized amount of VX nerve agent, but you can safely handle Ecstasy pills, shards of ice (crystal meth) and all of the other drugs pictured, and you will come to no harm at all.

Taking these drugs once, or even twice or three times, is very unlikely to result in addiction. You may enjoy the sensations; the experience, but it's quite possible that you might find the effects of the drug to be extremely unpleasant. Certainly, MDMA can be very intense and the intoxication of tramadol can be alarming. Interestingly, the calming effect of the benzodiazepines is often the best treatment for a 'bad trip' that you very much want to end. Sadly, there's no 'off' switch for most drugs. It's like when you've had too much to drink and you're throwing up: you wish that you could stop feeling so sick and that the room would stop spinning, but there's no instant fix.

To have this vast array of drugs just lying around, seems to invite disaster and is a risk in terms of the illegality of possessing so many controlled substances. Are you going to ring the police? Do you think I should go to jail? Is it right to ruin my life, because we should follow the law to the letter, even though the law is an ass?

To address the second concern: doesn't this invite disaster? I've had enough disasters in my life. I've reached a point where I'm rather sick of the drama and the near-death experiences. I'm rather sick of the paranoia and the comedowns. The drugs don't even work any more, because my brain has become so used to powerful narcotics. My brain is literally saying "you've been doing this shit for far too long". I'm almost at the point where drugs bore me.

Right now, I need tramadol, because I'm in a lot of pain because of my leg injury. The zopiclone will be handy when I run out of pregablin, which I'm using to sleep through my pain and discomfort. Having Xanax and diazepam lying around is never a terrible thing. At least benzos are a lot cheaper than a bottle of wine or two, a lot less fattening and a lot less liver damaging. It is a slippery slope though, and it is easier to get hooked on benzos than it is to become an alcoholic, because there isn't really a hangover per se, with the benzos.

The MDMA and the meth should probably get flushed down the loo. I'm too old to go clubbing/raving, and the crystal meth tips me straight into a hypomanic episode and turns me into a total sex maniac.

The dihydrocodeine will gather dust in the medicine cabinet, as a strong painkiller, in case I ever have a nasty injury again and the doctors are dicks about giving me prescription drugs to relieve pain. I do think that doctors in America have been foolishly over-prescribing opiate painkillers, because they believed the marketing of the pharmaceutical companies.

I'm sure you think that this cornucopia of chemicals is crazy. I'm sure you think this deluge of drugs is deranged. I'm sure you think this mass of medications is madness.

However, it's fucking hassle having to get a doctor's appointment, wait for the allotted date and time, and then persuade the doctor to give you what you want and need. There's every chance that the doctor may end up sending you away empty handed. Far better to have your own well-stocked pharmacy cupboard, and have whatever you need whenever you need it.

Of course, the nanny state is there to protect us from ourselves, which is why we arrest people who are about to climb mountains, don't we?

Prohibition has failed spectacularly, because it has created highly efficient black markets. Prohibition has failed spectacularly, because it has needlessly ruined lives of otherwise law-abiding citizens. Prohibition has failed, because the middle classes take just as many drugs as poor people, but the rich middle-class people are very rarely prosecuted. Prohibition has failed, because drugs are just as widely available as ever, and the main beneficiaries are corrupt customs, corrupt police and organised crime gangs. Prohibition has failed, because it fails to acknowledge the inescapable fact that people are always going to make, sell, buy and take drugs, no matter what the law says. Prohibition has failed, because it makes people paranoid and exacerbates mental health problems. Prohibition has failed because it directs money that could be used to help the tiny proportion of people who struggle with addiction, instead of using vast amounts of resources to persecute ordinary law-abiding citizens, who just want to smoke a bit of dope or take a pill when they go clubbing on a Saturday night.

You know prohibition has failed spectacularly, when the government makes mushrooms - which grow naturally in the ground all over the UK - a Class A drug, in the same category as crack cocaine and heroin. Are you fucking nuts? Are you fucking telling me that we should stuff our prisons full of people who picked a fucking mushroom in a fucking field?

Imagine this conversation:

Prisoner A: What you been nicked for?

Prisoner B: Murder. What about you?

Prisoner A: I picked a mushroom

That is quite genuinely the situation that the government introduced into UK law. I'm being quite serious here. Mushrooms are considered just as bad as crack cocaine. I wonder what the government were smoking when they made that insane decision.

As we know, when a government bans a drug, then clever chemists create another one that's almost identical. In America, they have a law that makes analogues illegal, so only whole new classes of drugs can get around their laws. All kinds of obscure chemicals - legal highs - burst onto the scene thanks to America's attempts to get clever with prohibition.

The UK government has gone a stage further and attempted to ban anything that has a psychoactive effect. That means that we're all 'in possession' of illegal drugs, because our bodies are stuffed full of chemicals that are psychoactive. It also means that drugs will simply get sold in 'kit' form: mix the ingredients at home and hey presto! There's your drug of choice. People will always find a way around the stupidity of prohibition.

The fear that has been stoked up by these terrible prohibition policies, has created a squeamishness about being able to have honest open conversations about drug taking. We should be well informed, not ignorant. We shouldn't be paranoid about being persecuted by the authorities. You have to be fairly brave to stick your head above the parapet. A lot of corrupt officials make a lot of money, through the ongoing boom times of the black market. There is an insatiable demand for drugs - and there always will be - which is why there is so much resistance to making drug taking into something that's safer, regulated, quality controlled and a well understood problem, rather than something cloaked in secrecy and hampered by stigma.

I've had problems with addiction in the past, but it makes me a stronger more well-rounded person, to have been through that ordeal and to know what difficulties are faced by people who become ensnared in the traps that have been set for them: draining their bank balance, destroying their health, and driving them to criminality. Why can't I talk openly about my experiences? Why do I have to be anonymous, hiding away with other 'dirty' junkies, in church halls where we self-flagellate for our 'sins' and hang our heads in shame.

Obviously I've had enough of prohibition, but I've had enough of being stigmatised and shamed into silence and anonymity too. I've had enough of people's wilful ignorance, when it comes to drugs and the lives of drug users. I've had enough of ridiculous horror stories and misinformation.

Perhaps you didn't even read this far, if you're the kind of person whose mind I'm trying to open, but perhaps you did, because on the face of it I'm an educated middle-class white professional man, working for prestigious companies in seemingly important roles. You can't quite imagine me smoking heroin, can you?

I'm challenging your preconceived ideas. I'm making you question what you thought you knew, and what you thought was obvious and without exception.

Tags: #drugs

This is a story about the opium of the people...

God is dead. We killed him with our science and our medicine. We killed god when the healing power of doctors trumped the ridiculously unsuccessful power of prayer and divine miracle. We killed god when Thomas Edison invented the electric lightbulb and let there be light. We killed god when the Manhattan Project unleashed the energy bound up in the atomic nucleus, creating bombs powerful enough to destroy the world. We killed god when popes, bishops, vicars, priests, nuns, monks, rabbis, mullahs and other spokespeople for organised religion, were proven beyond all reasonable doubt, by the scientific method, to be snake-oil salesmen; charlatans; frauds... just like witch doctors, mystics, faith healers and anybody else who claims they can perform magic or speak to nonexistent entities.

With life stripped back to pure truth; pure reason, a life of suffering and decay seems rather pointless. There is joy in procreation: watching your own flesh and blood offspring fumble their way through a harsh and uncaring world. The bonding hormone - oxytocin - and vicarious enjoyment of your kids' childhood makes parenthood neurologically rewarding enough for you not to just fuck off as soon as the screaming incontinent midgets have been ejected painfully from your vaginas.

Life has been built to not give you much joy. You can fuck, but you'll need a rest in-between copulations, and over time your interest in sex with a single partner will wane, as life prompts you to go and fuck somebody new, who you may be a better fertility match with. We weren't designed to have so much sex with so few partners, and produce so few children. The French have a name for the post-orgasm feeling a man has: la petit mort. Lit: the little death. Every time you cum and you don't make a baby, you die a little.

In a world of push-up bras, gymnasiums, good diet, flattering garments and mostly indoor jobs, women look amazing for far longer than they would under less favourable conditions. We have a culture of strip bars, escorts, pornography and film, television & print media bombarding us with images of the world's most attractive women. Ordinary women have responded by making ever raunchier choices of clothing and make-up, as well as complying with men's desire for casual sex and promiscuity. The ease of finding a 'hook up' on a mobile phone app - which doesn't carry the stigma of paying for sex - has meant that many men are quite content to not have a monogamous relationship, further exacerbating the problem, as women struggle to find the 'nice guys' who are looking for a something serious, but must use sex to bait the hook.

When you've had your fill of contraception-protected sex, skydiving, water-skiing, deep-sea diving, hang gliding, windsurfing, motorcycle racing and everything else that gives you a little hit of something that tickles your brain 'naturally' where are you going to go from there?

We live in a world where you can have an instant face-to-face conversation with your pick of 3.2 billion people, as if they were there in the same room as you, without either of you leaving your house. We live in a world where you can get into a pressurised aluminium tube and 17 hours later you will be on the other side of the planet, where day and night are swapped around, as well as summer and winter. We live in a world where news and information is distributed globally at the speed of light. We live in a world where many of us have access to vehicles that can carry us almost anywhere we choose to go, on a whim, at speeds that are far greater than we were ever evolved to travel at. How are our bodies and brains supposed to cope with this modern world? There are so many unnatural stimuli, can you really say that anybody is truly living a natural life?

When you start asking around, it turns out that we can't really cope with the modern world, without modern innovations. We need tranquillisers to calm our nerves, after the overstimulation of the city lights that never switch off; the sirens; the car horns; the traffic; the congestion; the crowds; the towering phallic structures of concrete, steel and glass. We need stimulants to be able to concentrate and overcome the exhaustion of the daily assault on our senses, and the steadily rising demand for our attention at all times of the day: there is always something electronic somewhere, bleeping at us for our attention. We need things to intoxicate ourselves, to escape the madness of the world and briefly be set free. We need things to numb the pain and insulate us from the growing discomfort and inescapable truth of our inevitable decrepitude and death, which is followed by black nothingness. There is no afterlife. There is no heaven and hell. This life is all there is, and then it's over, forever.

Some mentally ill people have this thing called religion, which is where they find comfort in imaginary friends and they really believe the stories in the children's books they read, to be true stories. These mentally ill people suffer from delusions, where they believe that talking to nonexistent sky monsters will change the outcome of events. These mentally ill people suffer from terrible superstitions that make them act extremely weirdly, like not eating certain things, saying certain things, and they do really boring stuff like going and sitting in buildings with other people who suffer from the same mental illness, and performing rituals based on delusional beliefs. However, this madness somehow seems to ease the suffering of a few of the mentally ill people a little bit. When there is a death in the family, for no reason other than the random chaotic unpredictable nature of the universe, the mentally ill people have their delusions to fall back on, so they can mistakenly believe that there was some reason behind an otherwise totally meaningless event, which actually helps them not feel so afraid and alone in harsh and uncaring universe that's out to kill them in an infinite number of ways.

The universe quite literally does not give any fucks who you are.

Entropy will destroy your body, to the point that every single atom will be scattered throughout the universe and even those atoms will decay. It will be as if you never even existed. Entropy will tear down everything you ever built, in the blink of an eye. Entropy is an unstoppable force, that will take everything you think is ordered and understood and under control, and it will show you just how puny and pathetic you are in the face of its relentless power to smash everything up and reintroduce the chaos and disorder that reigns supreme in a universe of unimaginable magnitude.

In a way, I'm jealous of the religious. They must be so blissfully ignorant. They were too stupid or they were denied enough education to allow them to become able to question the obvious lies that they were told, setting them up for a life where they can ignorantly reject things that are plainly obvious to anybody with an inquiring mind. To believe that there is value in the study of ancient scrolls or parchment, instead of the discovery of new knowledge and the ability to make rational leaps of understanding, by joining up the dots and applying logic... much better to live with faith in gods and magic, than to know your unhappy fate in the world.

And so, with the spread of education, perhaps we have seen the spread of misery, anxiety, stress and the need for some salvation of our souls that would have otherwise have been provided by something spiritual. Instead of turning to our priests, bishops, vicars and the like, we turn to our doctors to heal us. Our doctors dish out the goodies, in the form of antidepressants, mood stabilisers, anti-anxiety drugs, tranquillisers, uppers & downers and chill-you-outers.

Can you imagine what would happen to the world if we woke up and there was no tea, coffee, betel leaf, areca nut, khat, coca leaf, opium poppy, hemp, tobacco and every other source of a tiny naturally occurring amount of bitter plant alkaloids that humans love so much, because they tickle our brains, just a teeny little bit.

You would have thought that if smoking one cigarette is nice, then smoking 100 at once would be incredibly nice. You would have thought that if one cup of coffee is nice, then drinking 2 litres of pure espresso would be amazing. In actual fact, you will find that humans have somehow evolved a dislike of too much of a good thing. Everything that's nice, is only nice in moderation.

Life functions perfectly well like this, until the sum of all these things tips you over the edge. Living in the centre of a huge city, with the International Space Station and a zillion satellites orbiting overhead, jets roaring across the sky, helicopters swooping down on you, tower blocks hemming you in on all sides, cutting off your view of the horizon, mobbed by a sea of people, with choking traffic fumes and the deafening roar of internal combustion engines, as trucks, cars and motorbikes zoom along all around you. You're bombarded with light from a million incandescent bulbs, fluorescent tubes and LEDs, as well as the other electromagnetic radiation from televisions, mobile phones, power cables, WiFi routers, bluetooth devices, walkie-talkies, microwave ovens and power transformers.

An ever-increasing number of us cannot function in a godless man-made world without being drugged-up. Alcohol aside, antidepressants are the number one choice for the masses to become better adjusted to a hostile universe. There's nothing wrong with those people needing those medications. There's nothing immoral about taking those medications. There's no shame in being sensitive and susceptible to the madness that surrounds us.

Slowly, we build up cocktails of medications that salve a particular ache or pain in our souls. Each medication has its side effects, so we add other medications to compensate for the other ones, until we rattle like a tube of smarties.

I don't believe in conspiracy theories like 'chemtrails' and other madness like that, but I sure as shit know that modern living has elements that the human body and mind just can't adjust to: the sum-total of the unnatural is beginning to overwhelm us. Our very sleep cycles are being changed - for the worse - by our addiction to social media, smartphones and communications apps like email and text chat. We used to joke about crackberry when we got our BlackBerry mobile email devices, at the turn of the new millennium. It seemed like a Brave New World but perhaps all that glitters is not gold.

Shiny shiny new tech.

I used to get so excited about new tehnological toys, but now I'm excited - relieved - to tear off the foil wrapper that protects the little pills in my daily ration of soma. I feel immediate psychosomatic relief when I swallow the little capsules, lozenges and pills, that contain magic ingredients to salve my aching soul.

Where would we be without these breadcrumbs that lead us deep into a dark forest? A dark forest that we would never enter, if we weren't chasing these tiny rewards... these little crumbs... these pathetic minuscule tickles that we can feel in our brain. We surely would never work these jobs, without our morning coffee and our cups of tea, our gin & tonic and our glass of red wine. We would surely never want our genitals to be torn apart by an alien bursting out of our groin, except for the tiny hit of pleasure from a brief exchange of bodily fluids in a sticky tryst of sweat, bad breath and a tangle of limbs and hair.

I've seen the future and it comes in pill form. A pill to feel loved. A pill to have the most amazing orgasm of your life. A pill to feel all wrapped up safe in cotton wool, without a care in the world. A pill to forget about your hunger and your thirst. A pill to be awake and a pill to be asleep. A pill to help you think and another pill to help you not think.

A pill for every ill; and yet none that quite hit the spot.

Tags: #drugs

This is a story about the rising sun...

My toes are literally a bloody mess. I have new smart formal black leather work shoes, that have not been broken in. I have been wearing an ankle brace on my left foot, because the muscle, tendons and nerves are all screwed up and it's difficult and painful to walk on that foot when I can't raise it and the muscle at the back of my leg - particularly around my hamstring - is swollen and tender.

I get up and strap this contraption to my leg, which involved pumping up some inflatable bubbles. One of the little inflatable pouches has developed a leak. Without the pouches being inflated, it seems that the velcro strap around my calf just slides down, and the plastic cover that goes over the top of my foot and up my shin, seems to work its way out of position and start giving me incredible pain. Basically, the ankle brace isn't really designed for walking 15,000 steps, commuting all over London and having to travel to fucking hospital every night after work for pointless blood tests.

To cap everything off, what nobody realises is just how close to breaking point, self sabotage, suicide, fucking myself up and everything that entails, I was. It's almost as if the universe has decided to throw all the consequences of a full on don't-give-a-fuck supercrack relapse at me, except that never happened. That's not to say I wasn't all prepared to press the fuck it button in the event that the job hunting fiasco carried on a moment longer. That's not to say that I wasn't already at the end of my rope. I was fucked off with everything. I was stressed and depressed and I'd reached my limit. Life was unsustainable.

Life is unsustainable if you can't pay your rent, pay your bills, buy food, afford to leave the house. Life is unsustainable if you're on collision course with bankruptcy that's going to make you unemployable. Life is unsustainable if you're doing everything that's within your control to do, but those things that are outside your control are not going your way, and there's no way you can make anything go faster or create a different result.

I got my result. I got my contract. I started the new job and I like it. I'm very happy with what I'm doing and who I'm working with. I'm overjoyed that my bank balance is moving in the right direction again, and I'm earning more than I'm spending to simply be alive. It costs money just to stand still. It costs money just to breathe the air and look at the moon and the stars. It costs money just to drink the rainwater. Finally, I'm getting money in again, and it's flowing in fast, which it needs to do because who knows how long my health can take this fucking rollercoaster bullshit.

Anyway, two weeks ago, I went from being suicidally depressed and giving up, to the point where I literally though there's no point even bothering going to hospital. I'd been pissing grey-black liquid and then it stopped. I stopped pissing. It was clear my kidneys had packed up. My leg/foot was fucked: numb, hanging limp and useless, and swelling up like a motherfucker. My trouser snake was seriously traumatised and had swollen up to the point where it was an almost unrecognisable blob of badly damaged flesh. There was skin that was literally peeling off, revealing pink rawness underneath. There was plenty of blood, of course.

The hospital wondered why I was resistant to the idea of a catheter. The doctors puzzled over why there was so much blood in the tiny bit of urine I managed to squeeze out as a sample. The catheter point came up again and again, but 'luckily' my bladder was empty, because my kidneys had completely failed. The doctors scanned with ultrasound, and found not a single drop of wee in my bladder. My kidneys were well and truly knackered.

This is the sort of shit that's supposed to happen if I go on a 10-day supercrack bender, where I end up hiding under my own bed and barricading every door in the house. This sort of shit only happens when I stop eating and drinking, and only ingest highly toxic chemicals that are known to be super destructive to poor kidneys. I had become so well practiced in the routine of the binges, that I knew exactly what shade of dark brown and metallic smell of blood, my urine had to have to indicate that it was time to either go to hospital or perhaps have a drink of some water and stop killing myself with deadly chemicals.

The really fucking annoying thing is that all that fucking happened this time is that I sat on my leg a bit funny. It's so fucking ridiculous. I'd been drinking isotonic drinks and generally looking after myself, avoiding deadly Chinese supercrack. What the actual fuck? How can this be the worst ever fucked up that I've ever ever been? Why the fuck does this have to co-incide with my chance to work my way out of the shitty situation I'm in? Why does this have to fuck up my plans for some nice meals out, holidays and to just generally enjoy not shitting myself about running out of money? All I have to do is turn up to work, and not fuck up for 5 or 6 months, and everything's fucking peachy again. I can do that. I've done that loads of times.

Why do I have to work so fucking hard for this? Why do I have to fight the doctors all the way, to understand that it's not just a job, but there's my whole sanity and will to live on the fucking line here. There's my whole fucking livelihood and future on the line here. It doesn't matter how much I wave the "serious medical problem" card, nobody gives a shit: it's a commercial market. I'll replaced overnight, with no qualms. That's business. That's the way of the world I work in.

The fact that I'm turning up to work, not looking too bad, and just about able to cope with the foot, kidney and cock problem, is a fucking miracle. The fact I haven't just said "OK, it's too fucking hard" and killed myself in a blaze of supercrack glory, is a fucking miracle. I've got the fucking stuff. I don't even want to take it. I want this fucking job.

Maybe that's the point.

Maybe that's the test: how bad can I want a job. I've never really wanted a job that badly. I've just wanted the fucking money, and really all I've wanted is to be able to take supercrack. The job has been just a means to an end; and that end is supercrack.

How can you just pause your addiction for 6 months, 9 months, 12 months, and then pick it up again? Well, it's the same skills you develop when you get a boring as fuck full-time permanent job. You learn to put up with you fucking shit job for fucking years don't you? Same fucking thing. You just count down the hours, minutes and seconds, until it's time to get the party started. I can pick up and put down my addiction just as easily as you pick up and put down anything: a meaningless thing you didn't mean to pick up, and you hastily just put it back and never give it a second thought. Scary, isn't it?

I've got some shit worth fighting for. I've got rid of a flatmate who was leeching away my cash. I've got a lovely girlfriend. I've got a nice place to live - albeit rented. I've got this well paid contract on a quite interesting project with quite interesting people. I've got money coming in, just in time to stave off any financial problems and replenish my dwindling savings. I've got the opportunity to have a nice lifestyle of eating out, travel and generally not stressing about money, and sharing that with a wonderful girl.

However, it's a pill that's too bitter to swallow, to have all that smashed up and taken away, right in front of my very eyes.

My kidneys will recover on their own, in time. My one-eyed trouser snake is recovering surprisingly fast, although it's still out of commission. I can live with the foot/leg problem - albeit by using copious amounts of pain relief. I can tolerate the risks. I can do the job. I can make it fucking work.

The demands of the fucking hospital are tipping me over the edge at the moment. The lengthy trips across London after work for blood tests are the very last thing I need. The stressful arguments with doctors who don't understand the reality of needing money to pay rent and bills, otherwise being evicted and bankrupted. Didn't these stupid fucks ever play Monopoly? You can't stand still. You have to roll the dice. It costs money just to be in the game - to be alive. You've always got to pay somebody. There's always somebody sending you a bit of mashed up tree that's been pressed into flat thin white rectangles, covered with inky hieroglyphics, demanding your money. There's always a bill for breathing.

I know how to win at this stupid game. I know how to get loads of fucking money, so you can beat those cunts who keep sending you envelopes, demanding money with menaces. "Give us all your money or else!"

I can get in front. I can get to the point where life is enjoyable again. I can beat the stress and anxiety.

Except I can't, because my kidneys are being slow to recover.

Slow to recover.

That's all it is.

I'm pissing plenty.

My kidneys are making plenty of wee.

My potassium is safely within the limits.

There's not a fucking problem. Leave me the fuck alone and stop making me do extra shit, because I'm maxed out commuting to my job, and making a good first impression on my first week.

If you want to fucking help me out, you can figure out what the fuck is wrong with my leg/foot. You [doctors] didn't even scan it, did you? You were far too busy saving my fucking life by getting my kidneys rebooted, but you didn't realise that my life was already under threat of suicide. It says in my notes that the last time I was in hospital, it was a psychiatric admission because I couldn't keep myself safe. That was two weeks in hospital, and this kidney shit only lasted 10 days, although I must admit that I discharged myself early. It all matters though. You can't ignore the psychological damage that you might do, and the risk to somebody's life that it might create.

I can tell you with almost certainty that my kidneys will recover on their own. I can also tell you with absolute certainty that I will self-destruct, if my hard won contract gets fucked up and I'm left without that all important income, job, routine, workmates, self-esteem and all the other good stuff that goes along with having a purpose in life.

Fuuuuck. what have I got to do? Change my mobile number? Move house?

I just want to be able to nip to Guy's and St Thomas Hospital - near my work - for any fucking essential shit that needs to happen, after work. I can't be traipsing all across London for some fucking bullshit belt & braces crap.

Like I say, I've got the gun pointed at my temple, and my finger over the trigger, itching to pull it. Just give me an excuse. Make my fucking day.

Tags: #suicide #drugs #addiction #hospital

This is a story about sick leave...

On my very first week at my very first full-time proper job after college - working for British Aerospace - my friends talked me into pulling a sickie so that we could go to Alton Towers for the day. This was 1997 and I didn't yet have a mobile phone. I had to call my boss from a payphone in the car park of Alton Towers. You could hear people screaming with terror, as a rollercoaster thundered by, not far away from where I was making this tense phonecall.

I didn't make a habit of throwing a sickie. I moved to the town where I worked, so I could wake up late and walk to work. My boss was quite relaxed about me turning up late, as long as the work was getting done.

No sooner had I moved to Dorchester, then BAe decided to send me off to the Defence Evaluation and Research Agency (DERA) on Portsdown Hill, near Portsmouth. A friend and colleague, who became my boss for this project, would come into my maisonette every morning and coax me out of bed. The early morning starts were agonising, especially if I had spent the weekend clubbing in London and was recovering from drug-fuelled all-night dancing. My body clock was sent haywire, but because I was only 18, I suppose I could just about cope.

I didn't have another sick day with BAe or DERA, or with the next company I moved to Winchester to work for. When I worked for Research Machines near Oxford, I even managed to get to work during the petrol crisis. I was allowed a day off when snow pretty much paralysed the country, and I went sledging in Haslemere, Surrey.

As an IT contractor by now, I realised I could use the time off between contracts to do cool stuff. I went on a week-long RYA Day Skipper course, to learn how to sail cruising yachts. I spent time with family in Devon, and did my interviews over the phone.

The dot com crash and 9/11 were rather unsettling events, so I decided to take a permanent job with HSBC, who are one of the more conservative banks. The interview process was exhaustive, testing my literacy, numeracy, reasoning and a bunch of other aptitude tests, and a grilling from various managers. "Why do you want a permanent job when you're earning good money contracting?" they asked. "Why do you want to work in banking, now that the bonuses aren't so good?" they puzzled.

HSBC Asset Management had a very familial feel to it. They had a policy of hiring a lot of former London Irish rugby players, and Surrey and Middlesex cricketers. If you were accepted, they would look after you. There was camaraderie. There was true team spirit. There was also copious amounts of drinking.

Somehow I got through some 4+ years at HSBC without pulling a fake sickie. One weekend, I ate far too many magic mushrooms, and then a team in Hong Kong phoned me up to ask why millions of pounds worth of equities settlement messages were stuck in a queue and were not being processed. The backs of my hands looked like playing cards, the walls were throbbing and swaying and everything was bathed in bright green light. I made my excuses and quickly phoned a trusted colleague, begging him to handle the support call for me, because I had accidentally gotten a bit too pissed. He laughed and I got away with it.

I had a persistent tickly cough that was annoying me. I had read somewhere that dextromethorphan - the cough suppressant - could make you have a psychedelic trip if you took enough, so I rang my boss, and said that my cough was so bad I couldn't come to work. I then downed 3 bottles of cough syrup, containing DXM. I got precisely zero thrills out of that particular mad caper.

Moving to JPMorgan, I had the perfect job. I used to work mornings and evenings, and go kitesurfing during the day. I say 'work' but what I really mean is that I used to turn the volume up really loud on my laptop, so if somebody sent me a message or an email, it would wake me up and I could see whether I needed to deal with it. JPMorgan were really cool with people working from home, especially if you were supporting their live systems, which was mainly my job at first.

I loved that job at JPMorgan, and never pulled any sickies. In fact, I would often work weekends and late nights. I was pissed a lot of the time, and there were plenty of Friday afternoons in the pub where we never went back to the office except to get our coats and laptops on our way home, but that was the culture. Work hard, play hard.

Switching to New Look - the high-street fast fashion clothing retailer - I had a long commute to Weymouth every day and they didn't really know what they wanted me to do. I spent a day working in a store, which was interesting. I spent a couple of days at their distribution centre, watching the boxes of clothes arrive from the sweatshops, and the stock being sent out to the stores. I spent some time trying to understand what the hell they wanted to do as a business, and what the hell I was supposed to do about enabling it. Eventually, I broke down and decided I couldn't face the commute. I couldn't face the job. I couldn't face anything.

Three days off... no problem... just fill in a self-certification of sickness absence form when you get back to the office.

Four or more days off... got to go to the doctor and get signed off: get a sick note.

It started with two weeks off. Then a couple more. Then I couldn't even face going to see the doctor any more.

I found out what happens if you just stop turning up for work, sending in your sick notes, answering your phone... anything. I just disappeared. The company gets scared that they're going to get taken to some tribunal and found guilty of making somebody so stressed and unwell that they can no longer work. The company is scared it's going to cost loads of money and be hard to get rid of you, so they offer you a cash payment to fuck off quietly, promising you a good reference if you just resign.

With my JPMorgan bonus, my payoff from New Look and my iPhone App income, I was having a pretty bloody good year financially, despite being laid low with depression for a couple of months. I would have continued to take time off, but my phone rang and it was an agent with a contract in Poole: about a 20 minute drive from my house. I interviewed and got the job. I was the highest paid contractor in the company, which was a joke because the company mainly did Microsoft work, and I'd specialised in completely different technology. I actually bumped into another contractor I knew - Bob - and I felt bad that I was earning more than he was, because he taught me so much and he was so much older and more experienced. Oh well, the arrogance of youth, eh?

Anyway, my boss was this cool French guy who liked the fact I could speak colloquial French quite well, so he used to send me over to their main office in Besançon very often. It was great in the winter, because I could go snowboarding in a little place just outside Geneva, before flying home. Me and a friend bought a boat and used to go wakeboarding during our lunch hour. I took my boss out on my boat. I took one of my colleagues out sea fishing. Life was pretty sweet. However, I got bored and started claiming I had illnesses like swine flu, so I could take some time off work. I took so much time off sick, that my boss asked if I really wanted the contract anymore. I admitted that I didn't, so we parted company amicably. I partly needed to get away from an annoying guy with a ginger beard who I had to work with, who irritated the shit out of me.

I then became a full-time electrician. At first, I let the customers choose when I would do the work, and filled my diary up with lots of random jobs. Then, I learned that I could block time out, to give myself a break whenever I wanted. I could tell customers that I was booked up in the mornings, so I didn't have to get up early. It should have been a dream job, which allowed me to go kitesurfing whenever I wanted, but by this stage my relationship was on the rocks and I was depressed and stressed as hell. I didn't do much of anything. I sold my share of the boat. I started to get out of my depth with the work that I was taking on.

After becoming too sick to work, I had a couple of months doing nothing, and then a tiny bit of holiday cover work for a friend turned into some iPhone development work, which then exploded into my idea for a startup: Roam Solutions. I decided to create a software house specialising in mobile apps for enterprise. I threw together a hunk of junk proof of concept and we exhibited at the Learning Technologies conference, at Olympia. Somehow, in the space of a couple of months, there was a working app on iPhone and Blackberry, a fancy website and some glossy brochures. A whole exhibition stand had to be designed and built, allowing people to play with the phones but not steal them. There was so much branding to do. So much design.

I wasn't actually that passionate about what Roam Solutions did, which turned out to be mostly digital agency work. Rebranding as mePublish, then Hubflow; rewriting all the software and creating an Android version - those were momentary distractions. Sales meetings were stressful. Supporting your software 24x7 with just you and a mate is stressful. Getting any money out of our customers was like getting blood out of a fucking stone.

We managed to get about £16k out of a couple of customers and raised another £10k by selling a few percent of the company's shares. In return, me and my mate got to go on a 13-week 'accelerator' program. The program was fantastic fun, but exhausting. By the end, I didn't turn up for a couple of days because I was 'sick'. The truth was, I was burnt out.

I should have swapped roles with my business partner. He made a great CEO in the end, when I stepped down. Anyway, I just disappeared for months, and my friend helped to tidy up the mess and calm the shareholders down. I was almost out of cash. I needed a job.

I went to work for a company that helped people who'd got into debt problems. Not one of those debt consolidation places - we actually wrote to the creditors and negotiated debt-write offs, freezing the interest and lower repayments. We helped people avoid bankruptcy or IVAs. It was a cool company, but they wanted me to be IT director without actually vesting me in or letting me sit on the board. I wrote them a brilliant IT roadmap. They ignored it. I had an argument with the CEO. I went off on a sickie. The private equity firm that owned the company liked me and sacked the CEO. But then I got paid off because I couldn't face going back. The following year, I was at a conference, and there was the bloody CEO of the parent company, who'd followed my fucking IT roadmap to the letter, telling the delegates how well it worked. I felt proud, vindicated, but also I know deep down that it would have taken a lot of hard work to implement, and I was no part of that, so I can't really claim credit.

After the London Olympics, I went back to JPMorgan. I was not a well man. I was limping along.

I managed to fix one of JPMorgan's major issues that was threatening to cause a major catastrophe - front page of the Financial Times stuff - and then I disappeared, never to be seen again. I got a phonecall from my boss, saying I'd received an extra bonus in recognition of the important work that I'd done. I felt like a fraud, thanking him for that, but knowing that I was so sick that I wouldn't be able to go back to work.

My GP signed me off for 5 weeks, and my first thought was literally this: "I can get fucked up on drugs for 4 weeks and have 1 week to recover enough to go back to work."

There was The Priory. There was the separation from my wife. There was the realisation that the rumours of my mental health and drug problems were well known to everybody I knew in Bournemouth and Poole. It's a small place. I used to ride a tiny folding bicycle invented by Sir Clive Sinclair, for the 10 minute trip to work, but yet this had not escaped the notice of all kinds of people whose path I crossed. I was becoming known as a rather odd and eccentric character - a nutty professor; a madman; a drunk; a junkie. It was time to go somewhere so big that those kind of labels couldn't follow me around: London.

I put my back out picking up my niece to put her on the swings at the playground, so I had a week working flat on my back at home, while I was working for Barclays. I started to slowly relapse into taking legal highs, and ended up taking another week off, where I rewrote the entire software system we were working on in a nonstop hackathon without sleep. It rather made a mockery of the whole project, as well as terrifying the hell out of the architects.

At HSBC, I had a full on meltdown after my first week, realising that it was impossible to work a demanding contract while living in a hostel. Somehow, I managed to get away with a week off work, thanks to my sister ringing my boss and making excuses for me. I did also have half a day off because I was so dreadfully hung over once. I wasn't going to bother at all, but my boss persistently phoned me. I reeked of booze, as I turned up at my desk at 2:30pm.

At a well-known leading consultancy, working for the world's biggest security firm, I didn't take any time off at all. I was a little late on a couple of occasions, and had to ask one of my team to run my morning meeting on my behalf, but I was mostly a reliable little worker bee. It helped that I had a whole week-long holiday: my first relaxing week-long break for over 3 years.

I was all set to start a new contract with a well known high-street bank, who I once worked for when I was 20 years old and Canary Wharf was mostly just a building site. However, I knackered my leg, which caused my foot to swell up and my kidneys to fail. I had to pull a sickie on the very first day. Thankfully, they've waited two weeks for me to get better; most of which I've spent on a high-dependency hospital ward, having dialysis. My leg is still fucked.

And so, I go back to work tomorrow, limping along with my robocop ankle brace and doped up on tramadol. I've got one reliable reference from the last couple of years. HSBC hate my guts. Most people at Barclays were shocked and appalled that my contract was terminated early, and my boss lost his job over his decision to fire me, but do you think I can get a good reference? Who knows.

I should have paid my rent 10 days ago. I just told the taxman that he's not getting any VAT off me for a whole quarter, and he fucking hates that. I have no idea what my bank balance is, but I'm sure that what little money I have is being frittered away at a frighteningly quick rate.

However.

I could possibly delay a few weeks and get another contract. I could have stayed in hospital, letting them do their blood tests and fretting over my kidneys - which have proven resilient so many times before - and waiting patiently for them to finally take a look at my original complaint: my fucked foot/ankle/leg. It feels like I've torn a bunch of ligaments and muscle. It feels like my old injury has suffered major complications.

But, two weeks work gives me the best part of 3 months rent. If I can limp through the contract, I go from zero to hero. I've been so depressed about having to watch the pennies and not being able to treat my girlfriend to romantic dinners and whisk us off to exotic locations, or at least make plans to have fun. My plans have all been focussed on stopping the ship from sinking.

You might think I'm mad to take such a risk with my health, but mental health is part of it. Stress is part of it. Money and the need to not run out of it, is something that has to be considered. I don't trust myself: that I'm able to knuckle down and get on with the job. I did a good job of keeping my mouth shut in my last contract and it sorted me out financially a bit. This is my chance to continue that streak of improvement, if I can hold my shit together despite my health being a bit iffy. This is my chance to get in front. This is my chance to reduce all that stress and those worries and that anxiety and that depression about having to be super careful with money.

Anyway, let's see what happens tomorrow, eh? Let's see how sympathetic people are, about the fact that I've just been discharged from a high-dependency hospital ward, where I narrowly avoided chronic kidney failure, which would have meant having to have a kidney transplant and all the rest of that kind of shit. My leg is fucked, but I've found some contraption that allows me to get around without crutches. Still though, it looks like I broke my ankle or something. Surely, I've got to get cut a bit of slack, given what I've been through.

But, it doesn't work like that with IT contracting. Nobody owes me anything. The contract is between my company and another company. It's not an employment contract. It's a contract that says my company will provide consultancy services to their company - I could send anybody I think is qualified. I could hire somebody on minimum wage, train them, and send them to go do the job in my place, and I'd earn just as much money. However, the client doesn't really want somebody like me. They want me and they want me tomorrow at the latest, otherwise they'll just find somebody else. London's not short of talent. It was an extremely kind personal favour, that they waited this long for me to get better.

It's going to be horrible, starting work in pain and so exhausted from the nights in hospital where you're repeatedly disturbed by patients yelling out in pain, nurses coming to measure your blood pressure and take your temperature, and phlebotomists coming to take blood samples. They wake you up at 7am for the crappy breakfast of dry bread and marmalade. It's going to be a struggle to stay awake at my desk, especially with all the pain medication I'm taking.

So, it might all go to shit anyway, but at least I tried. I could have taken my sweet time over everything, and let the hospital string me along, but eventually, I can't cope with the frustration anymore: the lack of control, when your destiny is in the hands of somebody who doesn't even know what they're looking at. Somebody who's hiring because there's a knowledge gap in their organisation: they're hiring somebody who knows what they don't know, so how can they know that the person they're hiring knows what they know? So many stupid interviews, where the interviewer just wants to talk about the lame crap that they have just about managed to memorise. So tedious. In the end, intolerable.

I'm falling asleep and it's 5 o'clock and I didn't wake up until after 10:30am. Tomorrow's going to be fucking awful. But, think of the money. Just think of the money.

Tags: #career