injury – Nick Grant

Tag: injury

  • I Love My Job

    This is a story about having a métier…

    Hospital bed

    It feels strange to be writing this, but I’m really loving my job at the moment. I’ve always been a bit of a workaholic, but I often get depressed and demotivated when I’m not empowered to do my job effectively. I have often complained about being bored and unchallenged – a common consequence of working for very large organisations – but after a difficult ‘bedding in’ period I usually find myself in a role where I’m adding a lot of value, which I find very rewarding.

    I’ve written so often in the past 15+ months about how much I detest the rat race and the coercion of capitalism, forcing me to work when I’m very sick. Not long ago, my kidneys failed on more-or-less the day I was supposed to start a new job. My life hung in the balance, as the amount of toxins in my bloodstream put me at continuous risk of cardiac arrest. Whether my kidneys would ever function again was doubtable and I had weeks of emergency dialysis, lasting several hours a day.

    I discharged myself from hospital against medical advice, because of the coercion of capitalism. I need to work. I can’t afford not to work.

    That period in hospital was a major setback. I exhausted myself, persuading the company I was about to start working for to wait for me to leave hospital, which they did… but I had to leave hospital at least a week before it was safe to do so. My recovery from such a traumatic medical emergency was not straightforward – my left leg was not working properly due to nerve and muscle damage and I was in immense pain. It took months before I was able to walk very far without it causing me a great deal of agony. Work was impossible.

    A company asked me to build an app for them, with a very tight deadline, which I did, but my financial situation was precarious and I was still very unwell. The pressure was too much and I tried to end my life.

    A friend recommended me to the company he was working for, to build an application for them, which I did. I had a tight deadline, which I easily met. Strangely, the company decided to extend my contract, but the work was finished so I was incredibly bored. My colleagues worked in Warsaw and I was in London, so I had nobody to talk to – I was very isolated. I was still recovering from the suicide attempt.

    Another friend recommended me to another organisation. Again, there was a project with a deadline, which I completed early. I enjoyed that project, but I’d had to move house and I was rebuilding my life in a new city. The preceding events had left me in a very financially precarious situation, as well as isolated from friends. I finished the project, but my life was unstable – I got sick, broke up with a girlfriend and my personal life fell apart, although I managed to minimise the impact at work.

    I started work with the current organisation. I did so out of desperation, because I was in danger of losing all the progress I’d made to getting back to health, wealth and happiness.

    I lived in a hotel for months. It was awful.

    It was quickly apparent that there were people I enjoyed working with, and there were plenty of challenges to keep me busy, but my personal life was very badly broken. The work was good at times, but my brain chemistry was not healthy, and some days were very torturous. I struggled to find pieces of work which would keep me entertained and motivated. My mental health was a hit-and-miss affair.

    I struggled onwards, setting myself some major milestones: I wanted to take a holiday in October, to beat the winter blues. I wanted to take a holiday during Christmas and New Year, to get some more winter sun and because my relationship with my family is irreparably broken. I wanted to come back from holiday and carry on working, to cement my gains. I knew that I had to move house and settle somewhere – to have some security and put down roots.

    I suppose I always manage to make myself useful in any organisation, given enough time to get my bearings and manoeuvre myself into a role where I’m empowered to make a difference. The place where I currently work seems to have gleefully put my skills to good use, and I feel like I’m in the right place at the right time. I do stuff that I think will be useful and I’m rewarded for it, even though I’m rarely doing what I’m ‘supposed’ to be doing.

    I worry that disaster will strike. I worry that my big mouth will get me in trouble. I worry that the personal risks that I take – staking my reputation on my decisions – will backfire one day, if I make a mistake. I know that my employment is precarious; temporary. I’ll be kicked out as soon as I’ve served my useful function.

    I have a great deal of extra pressure on me now that I’ve made a commitment to a new city. My financial security would quickly collapse if I lost my source of income. My mental health would be likely to deteriorate very badly, with a major setback.

    I’m not sure why I’d lose my job when I am enjoying it, being very productive, doing useful work and being seemingly well received – well liked – by my colleagues, but I do have a propensity for getting carried away and doing stupid stuff. The springtime has often proven difficult for me in the past. I need to work very hard to keep my mood as calm and regulated as I possibly can.

    On a Sunday night when I’m usually dreading Monday morning, I’m actually feeling very happy to be starting a new working week. I feel motivated. I feel like I have a purpose. I feel empowered to do a good job.

     

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  • Life Is Better In Flip Flops

    This is a story about nerve damage…

    Tied on flip flop

    As you can see from the picture above, I had a very bad injury to my left leg. What you might not know is that the massive lesion to my leg healed perfectly. Some nerves were severed when a piece of mirror glass guillotined its way through my shin, but the nerves managed to regrow. The severed tendons and muscle was sewn back together and my leg had completely recovered.

    Then I got DVT (deep-vein thrombosis).

    The first I knew about the DVT was that my ankle looked a bit swollen and my foot went numb. It was the fact I hadn’t needed to urinate for several days which prompted me to go to hospital. On the day I decided to go to hospital, my foot, ankle, leg and knee were swelling at an alarming rate. By the time I was examined in Accident & Emergency, my left leg was almost fully twice as large as the right leg.

    My weight soared from around 80kg (176 pounds or 12½ stone) to 95kg (209 pounds or 15 stone) which is a heck of a lot of weight gain for 5 or 6 days. It took many many sessions of dialysis to get that fluid out of me, while the hospital anxiously waited for my kidneys to start working again.

    Unfortunately, the blood clot/thrombosis and other complications caused nerve damage. Presumably the blood vessels which had been surgically repaired and the nerves which had managed to re-grow and re-attach themselves, were quite fragile versus normal physiology. My foot went numb.

    To be more accurate, my foot was left numb after many months of excruciating pain.

    I had a nerve condition study and an MRI scan, but there was still a lot of swelling and other damage, making it unclear whether a surgical intervention might ever return the feeling to my foot. My main concern at the time was pain management, because it was too painful to walk any great distance, and pain kept me awake at night very badly. I was taking the maximum dose of tramadol AND codeine, plus supplementing prescribed painkillers with dihyrocodiene and other opiate medications, which I bought on the black market. I was briefly a very heavily dependent opioid painkiller user.

    Opiates have weird side-effects. I couldn’t tell whether the nausea, itching, constipation, cramps, sweating, diarrhoea, and intense anxiousness about maintaining my supply of opiate painkilllers, was a result of their effects or the effect of withdrawal. All I knew was that I would have periods where I felt incredibly rubbish, and then periods where things were more bearable, despite dosing myself regularly throughout the day.

    The thing which made the greatest difference – other than a loving, caring, attentive and wonderful girlfriend – was a topical ointment containing diclofenac, which is a NSAID (non-steroidal anti-inflamatory drug). Because of the earlier complications with my kidneys, many medications were contraindicated. Perhaps I shouldn’t have used the diclofenac gel, because it’s not very kidney-friendly, but it was the only thing which gave me any reliable relief.

    It’s possible that most of my pain was related to opiate withdrawal and strange interactions between the tramadol, codeine and dhydrocodeine, which I should not have been combining, but I did so out of desperation for pain relief. It’s possible that in my desperation for pain relief, I actually made things worse. Perhaps tramadol alone would have been more effective.

    Eventually, I decided that I hated all the effects of the opiates, so I decided to go cold turkey. I had been heavily opiate dependent, for a period of several months, so I was expecting to experience pure hell quitting the opiates. Certainly a lot of noise has been made about the addictiveness of OxyContin, Vicodin and other painkillers which have been implicated in the opiod addiction epidemic sweeping the United States, declared a nationwide public health emergency by President Obama on October 26th 2017.

    Back in July 2017, I tried to walk from my apartment to my local Chinese takeaway in flip flops – a distance of about 500 metres. I could not walk more than ten paces without the flip flop coming off my left foot, because it was so numb and my toes were somewhat ‘clawed’ such that I couldn’t hold the flip flop on my foot or tell when it was slipping off.

    For almost all of 2017 I was taking a neuropathic painkiller called pregabalin – marketed as Lyrica – which I found to be quite effective. However, it occurred to me that this painkiller might have been preventing the natural nerve re-growth which had successfully healed my severed nerves once before. After 9 months with no improvement to the numbness in my foot, I was becoming quite depressed about the prospect of never regaining any feeling in my foot, and consequently never being able to wear flip-flops again, without tying them onto my foot as pictured above.

    I like wearing flip flops. They’re an important part of my beach bum seaside-dwelling kitesurfer identity.

    I decided to stop taking pregabalin.

    If anybody tells you that pregabalin is not addictive, they’re just plain wrong.

    Pregabalin quite recently became a scheduled drug in the UK, making it illegal to possess without a prescription. Pregabalin affects the GABA system of the brain, just like alcohol, Valium, Xanax and GHB/GBL, which are all considered to have a high abuse potential, so naturally pregabalin is no different.

    Of all the drugs I’ve quit and medications I’ve withdrawn from, pregabalin is one of the worst. Because of its tranquilising and sedating effects, the rebound when withdrawing creates a state of insomnia, anxiety and induces the general sensation that the world is about to end, which lasts for months.

    I quit pregabalin under the supervision of doctors, tapering the dosage down gradually, but it was a pretty aggressive schedule, which was chosen by me. I wanted to quit pregabalin as quickly as possible, because I wanted to find out if it would help my nerves re-grow and allow me to wear flip flops again, or indeed be able to feel a kitesurf board underneath my feet.

    Pleasingly, I can report that I put on a pair of newly-purchased flip flops tonight, and I was able to walk around without the left one falling off.

    My left foot feels different from the right one, but I do have some sensation restored and I don’t have the aches and pains which troubled me during a lot of 2017.

    It might seem like a minor point, but it’s actually something that has disproportionate imporance in my life: To be able to wear flip flops again is a big deal.

    Life is better in flip flops.

     

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  • Proper Preparation Prevents Paranoia about Privacy

    This is a story about shame…

    Battle scars

    The holes in my wall tell a story. I picked up a massive wardrobe and moved it to block the entrance to my bedroom in an attempt to barricade myself in, because I wanted privacy so badly; I so desperately wanted the certainty of knowing that nobody would barge in on me unexpectedly. In fact, I spent the best part of two days and nights without sleep, attempting to secure my bedroom against would-be perverts hoping to barge in and catch a glimpse of me in my nest of shame.

    Obviously, it’s somewhat of a self-fulfilling prophecy. When somebody spends a couple of days dismantling beds, bookcases, chests of drawers and heaving heavy pieces of furniture into their barricade, it’s pretty noisy and the work is exhausting. As a person gets more physically tired and sleep deprived, they gey clumsy and they make mistakes, such as toppling a massive heavy thing with sharp corners into a wall, gouging out plaster and leaving an ugly hole.

    My body is covered with battle scars from my efforts to keep my shame private. I have an enormous scar on my left calf and another one on my right thigh. I have a broken nose from where I was balancing a piece of furniture above my head in an attempt to cover a window.

    My paranoia stems from my childhood, when I was constantly bullied, at home and at school. Nobody respected my privacy or my right to live a dignified life. My paranoia stems from an abusive relationship, where I was punched in the face, screamed at and generally verbally abused, and regularly had to put a door in-between my ex and I, which she would spend hours aggressively kicking while I was trapped in a room with no toilet, food drink, or exit other than to face the violent abusive woman on the other side of the door. My paranoia stems from not having a space of my own where I can lock the door and feel confident that I’m the only one with the key; feeling like I have no right to privacy and that I can expect somebody to barge in at any moment. Being a guest in somebody’s home is not the same as having your own safe space. Being a prisoner in your own home is truly traumatic.

    I built myself a summerhouse in 2009 and then insulated and carpeted it in 2013. I finally had my own miniature house with a front door I could lock, although it had no running water or toilet. I improvised a water supply using the garden hose and locked myself in there until my ex-wife moved out. I would have starved to death if she hadn’t, but I didn’t care… I wanted to escape from that abusive relationship.

    I could have had a clean break, but my ex-wife put me through hell with the divorce. I arranged a quick and easy house sale, which would have allowed us both to get on with our lives, but she sabotaged me at every opportunity. She ruined my chance of escape and recovery. She sabotaged my efforts to rebuild my life.

    London is not a good place to be sick and poor.

    London is not a good place to be paranoid.

    London is not private.

    However, at least London is anonymous. I completely lost my mind on the streets of London and nobody paid me the blindest bit of attention. Nobody would remember my face. I’m never going to see anybody who remembers me when I was insane, penniless, homeless, destitute and in a very shameful sorry state indeed. London was the perfect place to recover from the trauma, without getting paranoid about my neighbours witnessing what should be a private affair.

    Privacy is important when you’re struggling. Privacy is important when your life is filled with shame.

    Invasion of privacy sows the seeds of paranoia, leading to psychosis and schizophrenia. Human interest is a powerful force, which is the reason why fly-on-the wall documentaries and reality TV shows are so enthralling, and why we love to read people’s blogs, diaries and journals. It’s impossible to tear your eyes away from the spectacle of somebody struggling. People will line up like it’s a fucking spectator sport, watching somebody suffer and not doing the slightest thing to intervene or otherwise fucking off and minding their own business. People know when they’re being watched. Knowing that you’re being watched makes everything a million times worse. “Why don’t they do something or just fuck off?” you think to yourself, and soon it’s all you can think about; the audience is spellbound and they’ll literally spend hours watching and talking amongst themselves: “ooh it’s awful isn’t it?” and “yes I know. it’s been going on for ages” … but they never get bored.

    I’ve recovered a remarkable amount since those dark days of 2013/4. In fact, I’ve made a miraculous recovery, but it’s very far from complete.

    I’ve gone from owning my own home and a summerhouse, to now renting an apartment. I’ve gone from financial security to mountainous debts. I’ve gone from having every right to privacy, to the situation where I have to show my bank statements to letting agents and allow my landlord to come into my home. Instead of being my own boss, I have to submit myself to security vetting and allow people to pore over the details of my private life. I’ve been poked, prodded and generally put into a goldfish bowl to be gawped at by numerous doctors, consultants, psychiatrists, social workers and a whole heap of wannabe amateur psychiatrists, who think they’ve got me all figured out, but who fail to recognise that it’s grossly insulting and patronising for them to take a lazy glance and think they know me.

    Things are very difficult.

    I’ve had so many years and months of shame and swallowing my pride, and it fucking sucks.

    I’ve had so many people judge me who I really didn’t invite to pass judgement, and who really have no place, prying into my private affairs. I’m doing a good job of living a normal life within society’s rules. I don’t deserve to have people sitting in judgement of who I am, what I am, and whether my thoughts, feelings, actions, intentions, character and other attributes of me and my personality, are somehow acceptable to the self-appointed nosy busybodies.

    Where is my space where I can feel safe? Where can I be free from the tyranny of the judgement of puffed-up pompous twats who think they know best and they have a right to barge in on me in my private shame; to embarrass me.

    That’s why I work so damn hard. I’m trying to earn enough to buy a place which is mine and nobody has the right to come barging into. I’m trying to get my little slice of privacy and free myself of the tyranny of having to kowtow to other people’s judgement… most often other people’s inferior judgement.

    Please, give me some space. Have I not always used it wisely? Have I not proven myself to be very capable of doing amazing things, when given the space; the trust?

    I have my shame, which I’m attempting to de-fuse by making everything about myself as public as possible, but it’s a slow process. I feel like I’m only halfway there.

    I have my flaws. I have things I want to keep private.

    I need dignity.

     

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  • What’s Missing from this Picture?

    This is a story about unnecessary packaging…

    Holiday essentials

    I’ve had a stressful morning. I had to package my Macbook carefully so that it could be safely sent away to be repaired. I had to locate the original packaging for my Virgin broadband router and box it up so it could be sent back to them, even though it’s defective junk. I then had to find a UPS parcel drop-off point and a Collect+ drop off point to drop off the respective parcels. This required a trip to purchase bubble wrap, a suitable sized box and packing tape, as well as two more trips to two different drop-off places.

    While I was out dealing with those chores, I also had to purchase a piece of carry-on luggage and some flip-flops. The flip flops were sold to me in a box. I don’t know why flip flops need a box – just a simple cardboard clip to keep the left and the right flip-flop together is more than sufficient.

    Anyway, I’m home now. I have located my passport. I have located some leftover Euros I had from the last holiday I took… 22 months ago. I opened the box containing my new flip-flops and lo and behold, there was a discrepancy in the number of flip flops present in the box – 50% of the required number of flip-flops were missing.

    Do I drive back into town, park my car, walk to the shop and explain the situation in the hope that they admit their mistake and remedy it without quibble? Do I just purchase a second pair of flip-flops and then open and check inside the box before i leave the store? Do I just abandon the whole ill-fated exercise, and buy a pair at the tiny departure airport, where the shops will probably be closed? Do I take time out from the one single whole day I get to spend with my friend, without either of us having to worry about airport arrivals/departures, hotel check ins/out and all the rest of that crap, just to go looking for some suitable summer footwear?

    I don’t know why this is making me upset, because I don’t even know if the nerve damage to my left foot/ankle is so bad that I can even wear a flip-flop on that foot. The last time I tried, I didn’t have enough sensation and motor control to keep a flip-flop on my foot.

    Also, my flight’s delayed – French air traffic controllers on strike or something. My flight barely enters French airspace, but whatever… everyone should have the right to go on strike for better pay and conditions.

    My ‘holiday’ is really just a day spent with a friend who I hardly ever get to see, then we both fly home on Monday. I have another week to go before my current gig comes to an end, so I need to make sure I take the money while it’s there on offer.

    “Have you got any holidays planned?” asked a person I spoke to on Friday, which is code for “we want you to work solidly until you drop dead”. We’ll have to see how badly they want me, because I really need a holiday – a proper holiday.

    It seems churlish to complain, but I’ve had a month of hell. Breakup, losing my local job, getting sick, holiday plans pretty much cancelled, the stress of finding a new gig, the prospect of going back to London, the never-ending pressure to generate vast sums of cash to dig myself out of the hole… the hole I can never quite escape from. FML.

    What was supposed to be a romantic beach holiday with my [ex]girlfriend has now turned into a very brief weekend meetup of two old friends. It’d have been far easier for us to meet in London, as he was there yesterday. He’s travelled London -> Prague -> Lisbon -> Faro -> Lisbon -> Prague, and I’m travelling Wales -> Bristol -> Faro -> Bristol -> Wales. Our carbon footprint is criminal.

    Hopefully I’ll be in a better mood when I wake up in Faro tomorrow and I can hang out with my old friend for the whole day, free from commitments and responsibilities… I can put up with sweaty feet.

     

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  • Nice Place to Die

    This is a story about fear of death…

    London panorama

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    • “depression”
    • “financial worries”
    • “drug problems”
    • “broken heart”
    • “loss of status”

    Take your fucking pick.

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

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

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

    All glory is fleeting, but obscurity is forever.

     

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  • Whipping Boy

    This is a story about my family…

    Sad little boy

    What better example can I give you of the way I’ve been treated by my family, than the one from last night. At 2:15am – the wee hours of Monday morning – when I have to get up before 7am, to catch the train to work, I receive a phonecall from my drunk mother:

    “You look fucking shit”

    Yeah, thanks for the continued abuse. Because that’s what it is. There’s no beating about the bush here. When drunk drug addicts beat up on their kids, physically or verbally, that’s child abuse. Your offspring are your children, and as a parent, rule #1 is don’t fucking abuse your kids, OK?

    My sister didn’t arrive in this world until I was 10 years old, and my Dad was in too much of a drugged up haze to realise that I wasn’t like his pet dog. You don’t obedience train a child. A child is not a subservient pack animal, that can be taught to roll over, play dead, beg. You haven’t got a bad kid, if you find that your human child can’t be trained to perform tricks. You’ve got idiot parents who think they’re training a fucking animal, not raising an infant.

    Was I badly behaved? Was I fuck. Ask my teachers. Ask my work colleagues. I’m polite and well mannered. I’m courteous and considerate. That’s why I got good exam grades and always had top jobs. That’s why I was successful enough to buy my own home, pay for a lavish wedding & honeymoon, enjoy a playboy lifestyle with all the luxury trimmings, while my own misbehaving parents have amounted to nothing: not even able to support their children, and with inadequate pension provisions for themselves. In short: they fucked up.

    What could be worse, than having failed your children?

    If you offer your children worse opportunities than you yourself enjoyed, you have failed. If you expect your children to miss out on school trips and accept a worse education than you yourself enjoyed, you have failed. If you have prioritised your own alcohol and drug abuse, above your child’s welfare, you have failed. If you expect your children to go without, because you can’t be bothered to get a proper job and work hard to give your children the life that you and your peers enjoyed, you are a selfish failure. If you take out your frustrations on your children – abusing them – then you have failed.

    Me on balcony

    This is what I look like, right now. I just went out onto my balcony and took a photograph of myself, so you know exactly what I look like, right now. This hasn’t been Photoshopped, airbrushed or anything. This is me. Warts ‘n’ all.

    Do I “look fucking shit“? Do I deserve to be phoned up and drunkenly abused, in the middle of the night? What did I ever do to you, other than interrupt your fucking drug binge?

    It’s fucking hard going, being abused throughout your childhood. You start to doubt your self-worth. You start to feel like you deserve the bullying and abuse. You start to comply with the victim-blaming. You start to think it’s OK to be used as a convenient scapegoat for your family’s problems and shortcomings.

    But you know what? I came to London, and I escaped from the horrible household where I was always to fucking blame for something. I was always the bad kid. I was always in the wrong. Nothing was ever good enough.

    And you know what else? I forgave myself for all the shit my parents never said sorry for. They never said sorry for treating me like shit, for being abused in their drunken, drugged up rages that they don’t even fucking remember. They never said sorry, and they never will, because they’re a lost fucking cause.

    I forgave myself, and now I don’t think that I “look fucking shit“. I’m not shit. I’m not a bad kid. I’m not badly behaved and I’m not to blame for all the things that have been pinned on me.

    I’m just me, and I try hard, and I work hard, and I take chances on people, and I try to improve the lives of others, rather than just pointing the finger of blame and abusing those around me. I certainly don’t phone people up in the middle of the night and tell them that they “look fucking shit“.

    You want to know what looks fucking shit?

    My leg

    Yeah, that’s right. The injury you did to me looks fucking shit. I have to look at this scar every day, and it looks fucking shit. Maybe this is what you’re referring to? You’re right. It does look fucking shit. It’s fucking shit that parents would injure their child like this. It’s fucking shit.

    You did this injury to me, because you’re abusive parents, rather than people who treat their children with the respect that they deserve. Rather than treat another human being with the respect that they deserve. That’s fucking shit.

    So, like a cancer, I have cut my parents out of my life. I have blocked their phone numbers. I have set their emails to go directly to the trash can. I have unfriended them on social media. It’s goodbye and good riddance.

    I’ve tried for long enough to be the peacemaker and leave the door open, but if this “you look fucking shit” abuse is the result, then it’s over.

    It may sound harsh, but I think it’s more than fair.

     

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  • Overdose

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

    Autocorrect

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

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

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

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

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

    Hassle Harassment Letter

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    View from the Royal Free Hospital

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

     

     

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  • An Ode to the Nurses

    This is a story of the people who see you at your most tired, afraid, and in the most pain and discomfort…

    Ooops

    I owe the hard-working, caring and dedicated nurses of the National Health Service my life, along with the Radiographers, Cardiologists, Phlebotomists, Psychiatrists, Social Workers, Psychologists, Nutritionists, Physiotherapists, Pathologists, Porters, Caterers, Cleaners and of course the Doctors, Consultants, Surgeons and Anaesthetists. It would be ridiculously selfish of me to not continue living after all the hard work that a huge team of people made in putting Humpty Dumpty back together again.

    I always seem to expect that things will heal overnight, and indeed I rushed everything after a fairly major leg injury. After the accident, which luckily seemed to avoid any major blood vessels, despite severing a load of muscle, tendon and nerve. I hastily cobbled together a ‘field dressing’ with sanitary towels and a dressing gown cord, and wanted to make my own way home, but paramedics insisted on checking me out. It was them who discovered I couldn’t actually raise my foot anymore, due to a severed tendon, and had lost feeling on the top of it, due to a severed nerve.

    The operation took a long time and must have cost a lot of money. I have paid a lot of tax and National Insurance during my career, but that does not make me entitled. I need to repay my debt to society somehow. I haven’t thought how I’m going to do that just yet, but I do think about it. I do have a list I’m working through, although I’m obviously never that mindful of the “one step at a time” mantra… I tend to sprint everywhere.

    Running before I can walk, running with scissors (not how it happened, just a metaphor) and all the other things my Mum warned me not to do never ended in tears because I was always told to MTFU (Man The F**k  Up). A kind friend told me the other day that excess mucous and swollen mucous membrane might indicate a backlog of tears. I guess my tear ducts are fairly full.

    But let’s keep this about those in the caring professions. These people have to mop up your blood, pooh, pus, vomit and mucus, while you wince and generally try and hide your discomfort and be as polite and courteous as you can under the circumstances.

    We should pay people in the caring professions a living wage, and more to reflect the important role they have in society.

    I, for my part, am going to ensure that I pay full income taxes on my earnings when I am inside IR35, which is anytime that I have a regular place of work and commute to the same office on a regular basis… like now.

    Coming from a startup and small business culture, I have always re-invested any profits into Research & Development projects in my time between contracts, but I think I need to just get a regular hobby… probably a safe one, given my accident prone nature!

    I also think that a socially responsible proportion of my disposable income that I have should go as Gift Aid to Macmillan Cancer Support, because Cancer is a disease which blights all our lives, and the nurses in Palliative Geriatric care are really doing an extremely tough job and should receive all the support that we can possibly give them, as highly qualified professionals in a job that demands them to be kind and caring, loving and supportive, dealing with the inevitable painful loss of loved family members.

    This by no means absolves me of my social conscience, but it’s a public declaration of starting as I mean to go on. Some might see this as pathetic hypocrisy. Fine. Send me a postcard with a better idea.

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