This is a story about affordable care...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #NHS #hospital

This is a story about the precariat...

Here I am, in psychiatric hospital with underpants on my head and pencils up my nose. I think you will agree that this makes me perfectly qualified to run the country.

Having a manifesto is something that we associate with nutters who commit mass murder. The end justifies the means, in the minds of people consumed by their political ideologies.

Admitting to having political ambitions is laughable for an ordinary British citizen. The route into politics is through namedropping, brown-nosing and suffering the bullying & infighting of the dominant political parties, as you rise through the ranks. Going into politics is not about campaigning on a manifesto which comprises your deeply held political beliefs. Going into politics is not about a commoner being elected to the House of Commons. There's no room for the riff raff in politics and you're going to need wealthy donors to back you. You'd have to be stark raving mad to think you could get into politics as a representative of the constituents in your local area.

Politics is a career; it's not about improving the lives of your fellow citizens. There's no room for anybody who hasn't made politics their specialism. An interest in government is a fetish for three-line whips.

Political office is granted in recognition of a complete lack of empathy for the proles that a prospective MP has spent their whole life exploiting. Our ministers should be selected from a pool of wealthy elites, who have no concept of life without a trust fund and the advantages of nepotism. The benches of parliament should reflect the people who helped win those seats: the wealthy donors.

Pretending that political parties are given an equal campaigning platform, and that we don't have a two party system, is a hilarious prank that's being played on the electorate. Who could possibly compete with the big two parties, who hoover up so much political donation money? If you're looking to buy yourself a peerage, are you going to waste your hard-earned cash on a party that stands no chance of winning a majority? What a joke!

The top three manifesto promises of the Tories are: plutocracy, plutocracy and plutocracy. Crush the proles. Smash their unions. Keep them insecure and divided. Oh, what a glorious thing, to see the landed gentry literally lording it over the riff raff.

Posh little girls and posh little boys grow up dreaming about the day when they'll get to destroy the welfare state and lower the living standards of ordinary people. "On yer bike!" the jumped up little twits shouted when they were youngsters, and now they're ushering in the Britain they always wanted: where the only fucking job you can get is being a Deliveroo takeaway food bicycle delivery rider.

We don't want anybody getting into politics, who has any idea what life's like for the vast majority of British citizens. We need people who live and breathe the Westminster bubble, to think about real issues, like where they're going skiing this year with their barrister chums.

- ALTERNATIVELY -

I know what it's like to claim benefits, be homeless, suffer mental illness and have to navigate an under-funded National Health Service. I know how digital transformation will affect every aspect of the world around us, and I've worked in education, retail, defence, financial services, security, transport, housing & construction and a host of other sectors too. 

I've studied the dismal science - economics - as well as starting several profitable businesses. I have in-depth knowledge of almost every tax we have: from income tax to capital gains tax; from Value-Added Tax (VAT) to corporation tax; from import duties to stamp duty. I understand trade deficits, fractional reserve banking, financial instruments and the national debt.

With a background in science and technology, I have a big-picture view that broadly encompasses every aspect of modern life. This is not stuff I've read about and only understand theoretically: I'm a practitioner and I have real-world hands-on experience. I have a worldview that starts in the subatomic realm of particle physics and finishes in the intergalactic universe of cosmology, with a geopolitical overview of terrestrial matters somewhere in-between those two extremes.

I'm not a specialist. I have no desire to study the minutiae of anything, like a stamp collector or a train spotter would, but instead I've gathered knowledge of how all the different component parts fit together. It's no co-incidence that I've been able to write game of life type software simulations: computer models.

Anybody involved in politics would benefit from being a generalist not a specialist. When all you've got is a hammer, everything looks like a nail. It's impossible to reconcile the competing views of thousands of specialists, because they all have a very narrow worldview. It's all very well being an expert in your field, but where's the balance?

If I was going to pick a bunch of people to run the country, they would be the fiction writers and the computer game designers. Without an enticing vision of the future, reactionary forces will drag us back into the dark ages. Without a working virtual world, how are you ever going to test your ideas, without your mistakes inflicting untold misery on real people?

As a prerequisite for becoming a minister, you should be able to build a thriving happy metropolis in Sim City and complete a game of Civilization through cultural influence, not war. If you're a failure in those virtual worlds how can you think you're even remotely qualified to wreak havoc on the lives of the electorate? We wouldn't turn you loose on the roads without a driving license.

All minsters and their children should attend state school and be treated by the National Health Service: you've gotta eat your own dog food. There should be a means test, that excludes wealthy families, trust fund babies and any nepotism: only a single generation of any family may enter into politics.

In fact, some of those who govern should be selected randomly, like jury service. Wanting to exercise any kind of power over your peers should be an automatic disqualification. The House of Commons should be balanced out with ordinary people, who have no interest in politics per se: it's the civic duty of every British citizen to muzzle the dangerous megalomaniacs.

Housing, transport, education, healthcare and a host of other essential services, are public services and as such, they should never be profitable. The state should have a monopoly on the things our citizens need. To allow a private firm to profit from our population's needs is a crime. The private sector is welcome to compete in the world of wants, but not needs. Simple economic theory will tell you that prices have upwardly inflationary pressure on things that you have to have: are you going to skip getting cured of that deadly disease, because it's too expensive?

Do you want to live in a world of zero-hours contract McJobs, insane house prices, stress, long hours, insecurity and indentured servitude, for the benefit of big business? That's what you're getting when you allow the country to be run by commercial interests.

We need to smash the plutocracy. We need to have dignity in labour. We need to be united, not divided by those who tell us that we're easily replaced and make us crawl over broken glass for a few mouldy crumbs. Inequality and the arrogance of the elites has reached unsustainable levels. We can't afford the rich any more.

If you think these are just the immature words of a bleeding-heart liberal who never grew up, and I don't understand the complexities of the world, I think you're being a mouthpiece of the elites when you say that it's not as simple as just dividing the wealth. It's easy to be an intellectual snob, because you believe you're destined for greatness. Just because it's not you, going with your cap in your hand to the mill owner to ask for a bowl of gruel, you could easily fall from grace at any moment. Just because you can't imagine what it's like to be poor and struggling, doesn't mean that it couldn't happen to the likes of you. Your fancy education and your expertise won't save you, when the working classes rise in anger and strike down the bourgeois rentier parasite class.

The irony of me writing this, while sipping champagne and looking out over the River Thames and the London skyline, from the balcony of my luxurious home, is not lost on me. The working-class heroes and self-made millionaires can be some of the most awful people. There's absolutely nothing humbling about rising up through the ranks and being successful; quite the opposite in fact.

I write as somebody who's been incredibly fortunate - getting propelled into a life of privilege and wealth - only to lose it all and have to rebuild from scratch. I write as somebody who knows that there's a fast track, as well as how hard it is to overcome prejudice and adversity. I write as somebody who can have delusions of grandeur as much as a sense of worthlessness. I know I'm flawed and I know I can fail, as much as I know how to succeed.

Worshipping power and status has led to layers of sycophantic courtiers, each one existing only to polish the egos of old men. Do you really want your whole country run, just so some exploitative megalomaniacs can be called Sir or Lord? Do you really think anybody deserves your respect, when they preside over the destruction of living standards in an epidemic of mental health issues, caused by the stressful modern life they created?

A central tenet of my desire for political influence, is my first-hand experience of depression, misery, exhaustion, stress and anxiety, which is an intolerable situation, created unnecessarily by unrestricted free-market capitalism. Are these the pillars that you want our working world built on? Should British citizens suffer as much as they do, just to have a crust of bread, a roof over their head and the hope of one day being able to pass on the suffering to the next generation? My answer is: no.

I don't necessarily believe that the state should own the means of production, but the workers should benefit most from the fruits of their labour. Wealth needs to be distributed, not concentrated in a few idle hands. Trickle down economics is a terrible lie.

I think that without social reform, eventually people will put down their tools and violently protest at their exploitation.

Obviously, I'm just a maniac up on my soapbox, shouting absolute nonsense, but who do you believe more: the wealthy elitist who tells you that everything's fine, or the person who's suffering at the hands of those elites?

Tags: #politics

This is a story about fragile male egos...

Insecurity. Wrenching away my self-confidence, my self-esteem, my sense of value. Insecurity is degrading and causes me to say things through fear and pain, further undermining my decaying self respect. Those sensitive subjects; the nerves; the over-reaction. What am I even arguing about? I can't admit it, because it's too shameful and it leaves me even more exposed. I feel so vulnerable. I can't tell anybody what my weaknesses are.

"Pervert!"

She never said it, but she could. It's not normal to like sex. I'm a freak; a weirdo. I'm a dirty old man for wanting sex. I'm too much of an easy target. It's too much fun, to knock somebody back when they're vulnerable. What power! What fun!

I haven't worked since September and I'm rapidly running out of runway. I feel pretty useless. I can't risk spending money on holidays and eating out. I don't feel like a provider. I don't feel very manly.

Without work or hobbies, I don't have any projects to feel proud of. I have this blog, but it's easily dismissed as a ranty diary, with no real substance behind anything I write. Anybody can voice their unqualified opinions on the Internet, can't they? Just another ignorant stupid voice. Nobody cares what I've got to say, because I'm not speaking in a professional or academic capacity.

The antidote to the fear that my chequered history might be discovered, is to write candidly about it. However, I'm no more than a couple of months away from being bankrupt and evicted onto the streets. I'm no more than a few clicks of the mouse away from relapsing into drug addiction. I'm months - if not years - away from financial security, luxury holidays, fine dining and the rest of the trimmings of wealthy urban lifestyle.

It's been so long since I had all the pieces of the puzzle: the job where I'm an expert, the income that exceeds my expenditure, the savings that give me a safety net, the comfortable and secure place to live, the friends who give me a social life, the hobby that I'm good at, and the girl to share the good times with. Who wants to share in my misery, depression and the unravelling of my life?

Every insecurity - am I fat, ugly, stupid, worthless? - becomes amplified the longer I languish in obscurity. I'm a hermit, writing in my bedroom and pushing my words out into the ether. Who even knows that I exist? Who am I? Why was I even born?

My entire existence is fixated on financial income. Without money, I'm nobody. Every failed interview is a disaster and depression threatens to consume me. I drink copiously to cope with the stress and anxiety, but it's a flawed solution. I know I could take a low-paid job that I could do with my eyes closed, but it would pain me to be so undervalued; under-appreciated; unchallenged.

On Saturday night we meet some people; I'm drunk. Making polite conversation, I'm asked what I do. Nervously, I say that I'm an IT consultant, but it feels like a lie. I work for less than half the year and it makes me unwell; I hate it. My debut novel is mentioned and a dam is broken; I'm gushing forth with rabid enthusiasm about my writing. I can sense that my eyes are wide open and there's an intensity to the way that I'm speaking. My speech is almost pressured; rushed. Then, I think that I've become horribly egocentric. I regret talking expansively about myself, in response to polite middle-class smalltalk. I'm embarrassed about how narcissistic I am.

She tries to reassure me, but I struggle to believe what she says. She's a famous bird off the telly and she even passed her O-levels without cheating or nuffink, so what does she see in me? Surely she's dumbing herself down, so that I don't feel as intimidated?

Gender roles are reversed. She takes me out for dinner. She says she'll protect me. I could easily become her cheerleader; idolise her; put her on a pedestal.

I dig into my archives, looking for things that I'm proud of. The problem is that most of it was years ago. What am I doing at the moment that I'm proud of? I haven't yet managed to find a publisher for my novel, let alone a new IT contract. What opportunity do I have to strut my stuff?

A game of Monopoly: now's my chance to demonstrate my entrepreneurial business talents!

But, there's too much pressure on this rare opportunity and it's a game of chance. Luck doesn't go my way and I'm losing, despite playing a winning strategy. The board gets flipped over and the pieces go everywhere. What a bad loser!

What can I do? I'm damned if I do and I'm damned if I don't.

Tags: #sex #relationships

This is a story about being well presented...

It was gone two o'clock in the afternoon and I was woken up by my phone ringing.

"You've forgotten haven't you?"

It transpired I had an interview in the tower of broken dreams for a contract with Megabank Plc. I was late and I had to get from Camden to Canary Wharf. A journey that would take at least 40 minutes.

"Get going and I'll make an excuse for you."

There was no way I was going to be able to get showered, put on my suit and get across London in an acceptable amount of time. There's only so long that a recruitment agent can stall for. There's late and there's ridiculously late. I went back to sleep.

The phone rang again.

"OK, they're going to wait for you. Are you on your way?"

I lied, saying that I was. I collapsed back on my bunk. How had I managed to keep my suit pristine? How had I managed to have a neat line pressed into my trousers? How had I managed to keep a shirt freshly laundered and uncreased? How had I managed to keep a pair of leather shoes so shiny? My interview outfit was hanging on the bunk bed in the hostel dormitory, ready to go. Reluctantly, I hauled myself off to the communal shower, shared with 13 other people. It was the middle of the day, so at least I didn't have to wait.

How long have I been doing this for?

Surviving by the skin of my teeth.

When you get ejected from the system, it doesn't know how to cope with you. There are valves, barriers, gatekeepers. It's a one way street. You can fall from grace, but there's no way back. Entrepreneurs brag about their bankruptcies. Startup founders brag about the mistakes they made. The world of career, reputation, CVs, references, credit checks, proof of address and security clearance doesn't have any way of coping with somebody who's going through hell. You're doomed to slide all the way down the greasy pole to the bottom, and stay there.

You literally have no idea how hard it is to get yourself off the streets and back into the system.

I've papered over the cracks pretty well. It's remarkable how beneficial it is having a place to live, but it still takes a huge amount of time to restabilise. You might take it for granted that you've got all your Direct Debits set up, your stuff all in one place and unpacked, and your life running fairly smoothly, but my life was smeared all over London's streets. I moved around so many times. So many things were lost or damaged.

Just renting an apartment was exhausting and destabilising. Living out of a suitcase and working on an incredibly stressful project, I was skating on thin ice. The added stress of the London rental market and dealing with a letting agent tipped me over the edge. I had a place to call home, but it cost me my health and my job.

Anyway, this isn't a sob story.

The point is, that when I pulled my overcoat out of the wardrobe for an interview, I could see very visually just how worn down I am: I'm in need of replacement parts. There are scars and war-wounds. The evidence of a very shit few years is still there, if anybody examines my life with any close scrutiny.

I'm wondering, just how obvious is it that I'm out of place? I'm not supposed to come back from the dead. People who've gone through what I've been through are not supposed to dust themselves down and resume their careers.

My suit -- that I proudly wore on Demo Day at the end of the Springboard technology accelerator program in Cambridge -- is now so threadbare that the dry cleaner told me they couldn't wash it more than a couple more times. I need a new pair of black shoes. I need a new overcoat. I need some new shirts.

I'm banking on the fact that scruffy engineers usually have their mind on the job rather than their appearance. I'm banking on my skills and experience carrying the day. I'm banking on people not looking too closely, and seeing that I'm looking a little worn out.

My fatigued business attire is a metaphor for me: past it; has-been; burnt out wreck; failure; loser.

Obviously, I don't believe that. It's nothing that a shopping trip couldn't solve, but if I'm doomed to failure, splashing cash on fancy clothes and shoes would be a waste of money. I can't quite bring myself to have the double-whammy of having the office doors slammed in my face, and having to look at a lovely new suit and overcoat gathering dust in the wardrobe.

I managed to get a good contract earlier in the year, despite my shitty business attire. I considered covering up the semicolon tattoo behind my ear with a sticking plaster, but I risked it. Nobody ever commented on my tattoo for that whole project. Perhaps we only see what we want to see. The superficiality making smalltalk and pretending to get along with our work colleagues: we barely take in what we're seeing.

Why on earth would anybody suspect that I have some secrets? Why would they think I have a dark past? What reason would they have to believe that the man in a suit and a 19+ year career in IT might have had a troubled period?

"So, tell me about mental illness, divorce, drug addiction, homelessness, near-bankruptcy, the loss or destruction of nearly everything you own and the other shit that doesn't seem to have made it onto your CV."

That just hasn't come up... yet.

Tags: #career

This is a story about rambling...

I'm self-censoring. I've written entirely without a filter for well over a year, but now I'm holding back. I'm watching my words. As a wise friend advised me, I'm writing as if my girlfriend's mother was reading this... almost. I'm certainly writing with a certain amount of self-consciousness that I haven't had for the best part of a year.

When I wrote my book, it was easy. I was in the land of fiction, so I could therefore always say "I made that up" if something didn't go down too well. However, my blog has always been a mad blend of 'stream of consciousness' stuff, unflinchingly honest biographical accounts of mental illness, homelessness, addiction, sex, masturbation and all the other gory details that we repress as deeply as we can possibly can. I'm struggling to switch modes.

I'm starting to build up a list of things that I want to write about again, but I'm a bit bored of it to be honest. I've wound myself up and stressed myself out. I've wailed at the moon and yelled at the top of my lungs... and then the world fractured anyway. The bleeding-heart liberals -- who care about social justice, equality, fairness and preventing the regression of the human species into some kind of disgusting bestial form -- have been beaten by the populists, the racists, the bigots, the xenophobes, the sexists, the chauvinists. Basically, the hand-wringing appeals to human decency have reached a cul-de-sac. I'm bored of being reasonable, rational, measured, fair and even-handed.

The other thing that's fun to write about is the stuff that challenges assumptions and prejudice. I like being polite, well-mannered and well spoken enough to lull people into a false sense of security. "It's OK, he's one of us" they say, and then I unleash the punchline: "Ha! Ha! I'm actually a mentally ill homeless bum benefits-scrounger junkie addict unemployed loser". To be honest, it's the kind of joke you can only do once, and then it's not funny anymore.

I know what I've written to date has been horrifically repetitive. I've laboured some of the same points over and over again. I had open wounds. I was hurting. My self esteem, confidence, self-worth: they were all destroyed. I was caught up with ethical conflicts and I wanted to burn bridges that led back to anywhere I shouldn't go. I was bitter and angry. I found a platform to vocalise my side of the story, and put some balance back into the world. I was like a little yapping dog, barking "don't tread on me" as people who sat in idle comfort and security ganged up on me when I was sick and vulnerable. Writing was my megaphone, to shout down a mob of bullies.

I've ended up with a few things worth preserving, by good luck or good judgement. Most of the former rather than the latter, I think. I don't want to screw up a relationship that's going really well. I've started to reconnect with friends and have some stability. I've got a lovely apartment and I've managed to offload a third scrounger twat who thought they were going to live on my dime, not paying rent and bills. I'm well positioned to be able to get another couple of contracts that should bring me the financial security that I deserve.

Deserve??!? So entitled!

Where do you want to draw the line? Am I entitled to oxygen, water, food? What about shelter, warmth? If you think that kids should be grateful to their parents for having sex, you're a special kind of stupid, aren't you?

Oh God, I've really taken this "rambling" thing to heart, haven't I?

I think I understand why people write fiction now. Having a fictional outlet allowed me to deal with a load of shit that was bothering me, while also demanding that I fit it to a narrative. I was able to write with structure and express concepts that I'd written about at length, but it was much more cohesive and coherent than trying to write these [supposedly] single-topic blog posts that often go off-piste.

Anyway, I don't know why I'm yapping on. My writing serves me well as a kind of heartbeat to let my friends know I'm still alive and kicking, but I need to think about why else I'm writing. Am I a social justice crusader? Am I lifting the lid on mental health and addiction treatment? Am I campaigning for housing reform? Am I a fiction writer?

I guess if I get another job I'll be writing because I'm bored as fuck.

Tags: #writing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

28. Anonymity

When Neil's work, the crisis team, the police and Colin first called Lara, she was shocked and worried. As time wore on, she became exhausted by the ups and downs of Neil's mental health. When Neil had disappeared, she compulsively checked her phone for any missed calls or messages, desperate for any news. Months later, the nervous energy dissipated and she became emotionally distant and withdrawn; numbed.

Lara had a voicemail and few missed calls on her mobile phone when she finished her shift. It was Neil's parents' home number. She listened to the message.

"Hi Lara, it's Colin here. I appreciate you're probably at work but phone me when you get a chance. Also, see if you can take the weekend off. You might want to come away on a trip."

Spying Anne going to her locker, Lara walked over to her.

"Can we swap shifts this weekend?" she asked, in a hushed tone.

"What the hell, Lara? You were supposed to be coming out with us on Saturday night."

"I know, but it sounds like something important's come up."

"Important how? Is this about Neil? You know how upset you were last time you got mixed up in trying to find him. You only had the memorial service a few weeks ago. Try to take your mind off everything for a while."

"It's not like that, Anne. Neil's dad sounded... different this time. I think he's made a big breakthrough."

"Well find out and let me know. It's going to take a lot to convince me though. I think it's a bad idea."

Sat in her car in the hospital car park, Lara phoned Neil's parents' house. His mum answered.

"Oh hello, dear. I expect you want to speak to Colin, don't you?"

"Yes. I'm returning his call. He left a message."

"The phone has been going crazy this week. Since the service, quite a few of Neil's old friends have been in contact. We met some of them at the service, but it seems there was something in the news and... well, I'll let Colin explain. Here he is."

"Hi, Lara?"

"Yes, Hi Colin."

"Great. Did you meet Neil's friend Anthony at the memorial service?"

"No, I don't remember meeting him, but there were a lot of people there."

"Well, he phoned us up a week later and said he'd seen something in a local newspaper. Said he didn't want to mention it because it was probably nothing."

"Umm, OK."

"Well, he posted us a newspaper clipping. It's a grainy black and white photograph of a man in a hospital bed, but I'll be damned if it isn't a dead ringer for Neil."

"But it isn't Neil?"

"Well, the newspaper says it's an Eastern European man who's lost his memory. He seems to have forgotten how to speak."

"How do they know he's from Eastern Europe?" Lara asked.

"He had an ID card in his wallet. He's from Estonia and he's called Romet Kukk. Did you speak to Matthew at the service?" Colin asked.

"No, why?"

"Well, Matthew knows Anthony. They were all at school together. Matthew phoned up and asked about Neil's disappearance. He reckons he knows somewhere Neil might have been staying."

"Staying?"

"Yeah, like a secret den from when they were kids."

"Where's this?"

"Well, the hospital is in Exeter in Devon. The den is in the same county."

"Sounds like we'd better go down there and see what we can find out."

"Good. That's exactly what I was thinking."

The memorial service had stirred up a lot of emotions and it had been very upsetting to finally let go of Neil. Friends, colleagues and family members had spoken about his life, which was moving. However, Lara had already been to the funeral of an ex-boyfriend. She was tough and she had emotionally shielded herself to some extent. Lara's parents and brothers had helped her move out when Neil was getting seriously unwell and she'd kept things at arms length as best as she could. She couldn't possibly imagine that this doppelganger would be her missing financée. She had no idea what use it would be, going to a place that Neil and Matthew used to visit years ago. It all seemed too co-incidental.

Leaving messages with the local newspaper and the hospital, nobody had been able to answer any of their queries. Lara left early on Saturday morning to pick Colin up, then the pair continued to Bristol to pick Matthew up. They drove straight to the hospital.

"Hi, we're here to see Romet Kukk. Can you tell us which ward he's on, please?" Lara asked.

"Friends or family?" the receptionist asked.

"We're family."

"Are you listed as next of kin."

"I don't think so."

"Does the patient know you're coming? Are they expecting a visit?"

"No."

The receptionist's expression was icy cold. Lara casually flashed her NHS security pass, pretending to rummage for something in her handbag.

"Let me just check where they are. Kukk was it? Mister or missus?"

"Mister." said Lara, relieved that the receptionist was going to help them.

"Oh. It says here they're not at the hospital anymore."

"Discharged? Transferred?"

"The system doesn't say."

"Which ward was he staying on?"

"The system doesn't say. I'm not allowed to see information like that. I'm sorry, that's all I know."

"That's alright. You've been really helpful, thanks." said Lara.

Spying an unmanned reception desk, Lara could see a phone number for the hospital's main switchboard on a piece of paper. She punched the number into her mobile phone but didn't dial it. Grabbing Colin, who was lingering nearby, they went back into the car park where Matthew was waiting with the car. Lara got inside and phoned the switchboard.

"Hi, can you page the bleep holder for psychiatric liaison, please?"

"Sure, no problem" the operator said.

After a few minutes wait, the operator came back.

"Connecting you now."

There was a click on the phone line.

"Psych liaison" a different voice said.

"Hi, my name's Doctor Sutton from UCLH. I was trying to find out who'd been dealing with a patient of ours at your hospital. Name of Romet Kukk" said Lara, lying.

"Yep, I was handling the case with a couple of my colleagues. Piers Cowley. How can I help?"

"Well, to be honest, we were wondering where he was. He doesn't seem to have been referred back to us."

"Yes, that's right. He wasn't discharged. He just disappeared."

"Disappeared? When?"

"About a week ago. Look, can I phone you back in about half an hour. What's your extension at the hospital?"

"Can I give you my mobile number?"

"I'd really rather phone you back on your extension if we're going to discuss the case notes in more detail. What was the number?"

"I'm in a bad signal area, we might get cut off. It's 1-3-5..." Lara hung up. "Shit."

"What's wrong?" Colin asked.

"I think he just rumbled me."

"Did you find anything out?"

"That patient isn't at the hospital anymore. Romet Kukk disappeared."

"OK, Matthew. You'd better show us where this den of yours is" Colin said.

"It's about an hour's drive from here" said Matthew.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

12. Enough Rope

"We could lose the house."

"You're getting hysterical. Calm down."

"You're jeopardising everything. Don't tell me to calm down. It's so patronising."

"I'm not well."

"Well, why don't you go back to the doctor and get another sick note then?"

"Now who's telling who what to do? Now who's being patronising?"

"Don't be so ridiculous. I've been so supportive of you while you've been unwell."

"Yes, and now you're acting like I'm doing it on purpose. Like it was deliberate."

"I know you didn't mean to get sick. I am sorry. I am sympathetic. But you have to be responsible too."

"I can't face it. I can't do it."

"You don't have to go back to work yet if you don't feel up to it, but at least see the doctor."

"What am I going to say? I feel the same as I did a couple of weeks ago."

"Say that. You need a sick note if you're going to keep your job."

"It's such utter bullshit."

"What is?"

"Everything. That job. This fucking treadmill. Our whole pointless existence. Working until we die."

"You know I can't pay the mortgage on my salary alone. How are we going to avoid reposession? How are we going to pay the bills?"

"I can't think about that stuff at the moment. I can't deal with it."

"All you need to do is go and get signed off work for another couple of weeks."

"I can't do it anymore. When's it going to end?"

"We can't do anything if you don't play by the rules. You'll get fired and you won't even be able to claim benefits."

"I don't want to be on benefits."

"I know, but how are we going to pay the bills if you're not working?"

"I don't know. Don't you think I worry about this stuff too?"

"It doesn't seem like it if you can't be bothered to go and see the doctor."

"It's not that I can't be bothered. I just can't face it. I can't face anything at the moment."

"Look, I'm sorry you're sick, but you're going to have to man up over this. It's already been two days since your sick note ran out and they're expecting you back at work."

"They shouldn't expect me back. I'm not well. I feel terrible."

"Well go and tell that to the doctor."

"How ridiculous. Expecting me to have to go to the doctor when I'm not well, to get these stupid pieces of paper to send to work. How can you expect that of a sick person?"

"That's the way the system works. Deal with it."

"I dealt with it for years. I kept this roof over our heads while you went off to university. I've been responsible. Now I'm sick. Somebody else needs to be the responsible one."

"I phoned in sick for you didn't I? I've had to answer all the questions your boss and your work colleagues keep firing at me. I'm sticking up for you. You just need to do this one thing."

"I can't do it."

"Fine" said Lara, storming out of the snug and up the stairs to the bedroom.

Neil slumped back down onto the sofa. They had both risen to their feet in the heated exchange. Neil thought about switching on the TV, but instead he just sat slowly stroking his eyebrows and staring blankly into space. His mind was locked on a single thought: "I can't".

Everything had ground to a halt at home. Neil barely washed, he never cooked, he never cleaned, he never left the house, he had switched his phone off and avoided all social contact. Lara didn't resent having to do everything on her own, because Neil was quite neat and tidy, but she couldn't understand why he wouldn't go and get another sick note from the doctor.

"He's driving me mad, mum" Neil overheard Lara say loudly from the bedroom above the snug.

"He's not well my love" Lara's mum said at the other end of the phone.

"I know, mum, but he's going to lose his job pretty soon" said Lara.

"Try to be supportive. It must be hard for him."

Lara made a noise of annoyance.

"I have been SO supportive" Lara replied through gritted teeth.

"Look dear, it's late. Let's speak another time" said Lara's mum, sensing that the conversation would soon descend into an unpleasant argument.

"OK mum. Bye."

Lara hung up her mobile phone and let her arm flop down to her side on the bed next to her. Her grip relaxed and the phone slipped from her hand and dropped onto the bedroom floor. Lara's eyes remained glazed and impassive, fixed on the ceiling with an unfocussed stare. She exhaled very slowly, letting the air noisily blow through her lips as if she was deflating.

It would be impossible to force Neil to do anything, but why would she have to? It was obvious what he had to do. The rational course of action was indisputable. The negative consequences of inaction were inevitable.

He hadn't come to bed by the time she fell asleep but when she woke up in the morning, he lay next to her fully clothed, asleep. She wanted to wake him up and resume the discussion but she couldn't; she had to get up and get ready for work.

Before she left, she looked back into the bedroom at his face. At that moment he seemed so untroubled, calm, relaxed. It was infuriating, enraging even, that he appeared unperturbed by a threat to their financial security, that he could easily solve.

What did he even do all day, when she was at work?

Next chapter...

This is a story about unhealthy coping mechanisms...

I've been surviving on a combination of barely concealed loathing and contempt for my job, copious amounts of alcohol, occasional use of tranquillisers and a lot of passive-aggressive blogging. It seems to have worked, according to my bank balance and my CV.

In four months, I had one day off sick and a one-week holiday. That's not bad. Just 6 working days that I was unproductive. 1 out 82 working days unwell is only 1.2%.

It's been killing me in unusual ways though.

I've been comfort eating a lot. When I first started my contract, I was munching my way through loads of sweets and nuts at my desk. I was having a great big lunch. I was having cakes and pasties. I was having super-size meals at McDonalds. I was coming home and stuffing my face with crisps, ice cream and unhealthy meals.

I've been drinking far too much. To begin with, I was picking up a bottle of wine on my way home, every single day. I switched to beer because I could drink more of it, but there would be less alcohol in it. There's 94ml of alcohol in your average bottle of white wine. There's 75ml of alcohol in 3 cans of lager, even though the beer is double the volume. Then, things got out of control briefly. I was having two bottles of wine, or 6 cans of beer. The alcohol was a real problem, but then so was the job. Sobering up at my desk was a way of getting through the day.

Early on in my contract, I decided that I wasn't going to blog at work. I wanted to do my best to look busy. I didn't even want to surf the web and read the news websites that I like. I certainly didn't want to be looking at Facebook on my phone all day long. However, that just made things worse. Getting through the empty boring days was excruciating agony. By the time I got home, I was so relieved, but so stressed out, that I felt I needed alcohol to relax and face the next day.

Then, I started to read the news. I found myself constantly clicking refresh, willing something to happen. The summer months are fairly dreadful anyway. The politicians have gone off on holiday, the markets are quiet. Not a lot was going on. Brexit provided a very unhealthy obsession for a while, and I took great delight in trolling the closet racists and xenophobes. Post-Brexit was quite anti-climactic, and just tragic.

I decided that the only way that I was going to stay sane was to write 3 times a day. I was briefly mailing short stories that I was writing to a couple of friends. They helped to keep me sane by being the willing recipients of my bleak allegorical tales of wage slavery: read Alan the Alcoholic if you want to know what I mean.

Finally, I decided I would allow myself to blog at work. I had the additional problem of being told I could no longer use my personal MacBook and I would have to have some piece of shit PC "because data security" or whatever. Anyway, I then didn't have access to my photo library - I try to use images that I own the copyright for - and I didn't have Photoshop to be able to make high quality edits. There's also a slight worry about what kind of corporate spyware is watching what I'm doing.

Somehow, I've nearly limped through to the end of my contract, and I even managed to work my notice period, which is something I haven't done for 6 or 7 years. I'm even getting a couple of leaving dos, as opposed to being escorted off the premises by security (that's never actually happened, but things haven't been wrapped up 'neatly' in recent years).

Obviously, I'm on really dodgy ground, because I'm going to be looking for a new contract in a fortnight or so, and I suppose prospective new employers could stumble on my Twitter profile, Facebook page or this blog. So, to be sensible, I probably have to blog "nicey nicey" for a couple of weeks, so that all the juicy gossip is buried deeper than most miserable corporate drones would ever dig.

I'm not sure what the magic formula is for recovery from clinical depression / major depressive disorder, bipolar disorder, substance abuse (dual diagnosis), borderline personality disorder, functional alcoholism and all the other labels that get bandied around. However, I'm pretty sure that it looks like this:

• An absolute imperial fucktonne of cash. I mean LOADS.
• Rest & recuperation. I don't just mean a couple of weeks. We're talking months or years
• Surround yourself with addicts and people with mental health problems. Nobody else 'gets' it
• Cut horrible toxic people out of your life
• No compromise
• Force yourself to do things you don't like very much
• Do something that requires discipline and routine, and stick with it for months, if not years
• Set yourself some achievable goals, where you're in control

That last one is probably the most important. I absolutely love the fact that I've been blogging for over a year, and I'm on track to write 365 blog posts and 450,000 words in less than 13 months. I've blogged from psychiatric hospital. I've blogged from San Francisco. I've blogged from a desert island off the coast of North Africa. I've blogged through a couple of projects from hell. I've blogged through depression. I've blogged through addiction. I've blogged through isolation. I've blogged through loneliness. I've blogged through suicidal thoughts and self harm.

The only thing I haven't quite done yet is to blog through happiness and contentment, but either that's coming or blogging is keeping me trapped in a certain mindset and stopping me moving on with my life.

I don't think writing like this is keeping me stuck in a rut. I can't imagine my life without writing now. Writing has become such a part of me. I'm more a writer than anything else. There's nothing else I live for, as much as writing. There's nothing else that I put as much passion and energy into. There's nothing else I'm as enthusiastic about.

I guess for many people, work is what defines them. "What do you do?" is the classic middle-class party icebreaker question, when meeting new people. What do you even say if you hate what you do, or you're flailing around to find something new? What should I say, on Thursday, when I'm out of a job again?

If I tell people I'm an IT consultant, that's slightly misleading, because that's a thing that I do just to get money when I'm desperate, and I won't even be consulting for any clients on Thursday, or for at least a fortnight or so after that.

However, I'm not going to stop writing when I finish my contract. I can't see me ever stopping writing, now I've started. What would I do with myself? How would I structure my day, without writing?

Obviously, writing is not a panacea, and it's a dangerous strategy to turn yourself into an open book. So many people will gleefully abuse your honesty, in order to gain a competitive advantage over you, put you down. So many people are looking for an excuse not to hire you, or to sack you. I'm giving my enemies all the ammunition they could possibly want.

However, isn't there something poetically wonderful about loading the gun, handing it to your enemy and turning your back on them? If they choose to shoot you in the back, with the bullet that you loaded in the weapon that you gave to them, isn't that going to eat away at them for the rest of their life?

Isn't there something exciting about deciding to say things that you're not allowed to say because of the conspiracy of silence? People are so afraid about becoming unemployable, and tainting their professional reputations. I almost want to start linking to this blog from my LinkedIn. Of course, every time I write the word "LinkedIn" the higher up the Google search index I will climb when somebody types "nick grant linkedin" into the little search box.

I'm not sure how much the 9 to 5, Monday to Friday routine has given my life some useful structure. I think, on balance, it's been more damaging to my mental and physical health to have a shitty project and an offshore team, than any benefit that I have gained by forcing myself to get out of bed every morning. I have no difficulty getting up and getting on with being productive, when I'm working on something that isn't mind-numbingly boring and depressing anyway.

The suffering has been worth it, financially, and with money comes opportunity: the opportunity to find something better to do with my limited time on the planet. Life is short: too short to be working a job that's like death itself.

Who knows how I'm going to feel when I wake up on Thursday. Will I feel elated, depressed, motivated, anxious?

I'm not exactly in a rush to get my CV out into the marketplace and find myself in another shitty contract. I want some time out, and I want to be more picky about the project I choose next time, even if I am still in a precarious financial situation. It's unwise to become complacent about your employability. Catastrophic market events can happen at any moment, and work can dry up overnight.

Will I be able to cut down my drinking, eat less, exercise more, or will the task of job hunting loom large and make me unbearably anxious? I certainly lost a lot of sleep during the week that my contract was terminated early and my flatmate revealed that he didn't have any money to pay his rent & bills for the 4th month running. Life's never straightforward, is it?

Health vs. wealth. That seems to be the battle that is being fought. Is it possible to have it all? Watch this space.

Tags: #career #mentalhealth #addiction #depression #bipolar #alcohol

This is a story about IT projects...

I'm sorry steady eddies, but if you want to get anywhere with a big complicated project, you're going to need somebody who's a little bit of a madman. There's this idea that building a piece of software is a bit like building an aeroplane. Plan the work, work the plan. The idea is that the software architects will come up with a brilliant design specification, and then programmers can just come along and build it. Wrong.

Firstly, you have to plug together all the bits of tech, and make them work with each other. From the front end to the back end, you have the "full stack" and it takes a special kind of masochist to declare themselves to be a "full stack" developer, because you're liable to be asked to change the buttons to a slightly different shade of green far more often than you're likely to be asked to make a working piece of software.

For me, I'll start with a database design - a schema. I will model the data. Most applications have a CRUD element: create, read, update and delete data. If you think about the classic example of a database that holds all the data on your customers, most of it will be performing CRUD operations to keep the data up to date.

Then the next thing is the data abstraction layer. How is your software going to store and retrieve the data from the database? Software talks one language, databases talk another. Interfacing between them is easiest when you use a bit of software that does the 'translation' for you.

Then you're going to need a bunch of business logic. Sure, you have all this data stored, but you're going to want to do something interesting with it. Maybe you want a piece of code that tells you who all the customers who you need to contact today are. That's a bit of business logic, and you wrap it up in a service.

Then you're going to need APIs. APIs are Application Programming Interfaces. APIs let one bit of software talk to another bit of software, which can be done over the Internet. You need an API so that your website running in your Internet browser, can talk to the server to call the services that get the data to display, and call the services that have the business logic in them. When you click a button on a website, a request goes off to another computer somewhere in the world, which is processed, and then the response comes back. The API describes how this can happen: it's a contract.

Once you've built your APIs, you can build the user interface. The user interface is the pretty bit you see when you download an app from the App Store, or when you visit a website. When you visit a website, the user interface is actually downloaded and it runs on your computer, in your Internet browser.

With a website, the user interface will be built in code that's very different to the code that runs elsewhere. Because web servers execute millions of requests, their code is highly optimised. Because your Internet browser needs to support millions of different websites, developed by millions of different developers, the code is designed to run on almost any computer.

Then, when you've written all this code, you need to set up your infrastructure. You need a server, you need to connect it to the Internet, you'll need to connect your domain name to your server, you'll need to configure the server with website hosting software and the database, you'll need to protect your server against hackers, you'll need to deploy your code onto your server. Then, people can visit your domain by typing www.yourdomain.com and the user interface code will be downloaded to their computer's Internet browser, and then the API on your server will be called to get the data it needs. Bingo! Your software is live.

Just getting a basic website running requires you to be:

• A system administrator (a.k.a. "sysadmin") so you can configure the server
• A security specialist (a.k.a. "pentester") so you can protect yourself from hackers
• A networking specialist, so you can configure your domain name, load balancing, traffic routing
• A database administrator (a.k.a. "DBA") so you can configure the database
• A serverside developer (a.k.a. "backend dev") so you can write the service code
• An API designer, so you can define the interface contract between backend and user interface
• A web designer, so you can make the website look all pretty
• A front-end developer (a.k.a. "UI dev") so you can write the scripts that control the user interface
• A mobile developer so you can make an iPhone or Android app that does what the website does
• A QA engineer (a.k.a. "tester") so you can make sure the damn software works
• A release manager, so you can package up your software and deploy it
• An operational support engineer, so you can diagnose and fix problems when they occur

That's 12 different roles, or "hats" that you have to wear. Also, bear in mind that all your users care about is what colour the buttons are.

If you're a "full stack" developer, you're highly in demand, because you can take a piece of software from an idea, to something that actually works and can be used by people anywhere in the world, via the gift of the Internet.

Do you notice that none of those roles are "programmer". There is no such job as programmer anymore.

Back in the 1970s, you used to ring IBM up and they would wheel a dirty great big cabinet into your basement, and then a zillion wires would connect every "dumb" terminal in the building to it. The dumb terminals would just display on their screens what the mainframe would tell them. Essentially, it was just one computer that had hundreds of monitors, and hundreds of keyboards.

Programmers in the 1980s had everything they needed all in one box. User interfaces were just green text on a black screen. There weren't buttons to click on, that could be different colours, so nobody had to waste their time changing the colour of the buttons. There weren't pretty graphics for people to argue over. There was just green text on a black screen.

Because everything was on one box, everything was the same computer code. The data and the code and the different parts of the system were seamlessly interconnected. There wasn't computer code flying around over the Internet, being executed in billions of different Internet browsers all around the world. There was just one blob of code, running on one computer, with hundreds of users. That was programming: writing programs to run on one computer, not billions.

Programming's not even that hard: if this, then that. That's about the gist of it. If you know what the words AND, OR and NOT mean, you're well on your way to being a programmer. If you can write a list of instructions for another person to follow... that's how you become a good programmer. You just get really good at righting really good instructions for a really stupid person to follow.

IF you see some gold THEN go and pick up the gold

Looks pretty easy, right? Well, then you find that your program doesn't work very well when the gold is on the other side of a Plexiglas window. The automatons following your instructions are going to get stuck on the "go" part, and will find themselves just walking on the spot, with their nose pressed against the glass, trying to get to the gold that they can see.

Fast forward to the present day, and you might have the situation where your website looks absolutely awful because granny is still using Internet Explorer, but you only tested your code in Google Chrome. We have the situation where your website works perfectly fine when one person is using it at a time, but when millions of visitors are trying to access it at the same time, they're all treading on each other's feet and the whole thing falls in a heap.

A lot of techies want to be programmers, but programming is such a tiny part of anybody's job. If you hire a bunch of programmers, and they all insist that they only want to do programming, you're never going to have a website.

If you hire a bunch of web designers to build you a website, you'll have a very pretty looking thing, but it won't work very well. It'll be fake. It'll be window dressing. It'll be a film set, where the buildings don't actually have anything behind them: they're flat fronts, propped up from behind.

If you hire a bunch of back-end developers to build you an application, you'll have a beautiful set of services and APIs, but you won't have anybody to tell to change the colour of the buttons. If you tell the serverside developers how important it is that the button colour gets changed for the millionth time, they'll just say "yeah, yeah, yeah... I'm writing down on my invisible TODO list".

So, you hire a full-stack developer, because they can do everything. Trouble is, they're all a bit mental.

If you can do everything all on your own - you can wear 12 different hats and context-switch between them - then you're going to be driven mad if you have to work for somebody else.

Even though I can do everything, it's not like I should do everything. It's not healthy, to have constant interruptions, and to be pulled from one thing to another all the time. In fact, it's distinctly unhealthy.

The only way that a full-stack developer can make any progress is to work really, really quickly.

If you throw together a fully working application in the blink of an eye, you can get it done before anybody asks you to change the colour of the damn buttons. These herculean efforts are incredibly draining. Holding so many different competing tasks, and also the big picture, in your head, while working as fast as you can... that's exhausting.

Most software ends up in the bin anyway, so you might as well throw together these hastily built applications, that at least prove that things can be done, technically. There's already too much useless vapourware crap out there that doesn't actually do what it purports to be able to.

And so, I end up working on project after project that's clearly going wrong. I hastily cobble something together. I get something working end-to-end. Then, I'm burnt out and I have to take the money I've earned and go have a lie down in a darkened room.

I actually don't think software can be built without some nutter who's actually going to fill in all the blanks and prove out the concepts. Every important computer system that I've ever worked on has had one madman who's single-mindedly taken the project to the point of MVP - Minimum Viable Product.

It's unhealthy for your moods, to be expected to sprint as fast as you can, and then reap the rewards but be burnt out, but it's certainly lucrative and a good career strategy. The financial incentives can't be ignored. Also, if you're a complete-finisher personality type, it's the only way you're ever going to see a successful IT project, because so many people are happy to bumble along until the project eventually goes so far over budget and has spectacularly missed its deadlines, that it gets cancelled.

My current project - which is getting cancelled because it's over budget and late - has been slightly better for me than other projects have been in the past, because I just concentrated on making sure my team was on time and on budget, instead of thinking about the overall project. Net result, I'm out of a job again, but at least I've got a happy customer and a good reference, plus I'm not totally burnt out. It's a damnsight easier to only think about my 1/8th of the project, rather than feel responsible for the whole thing.

God knows how I'm going to reconcile my personality - a completer-finisher - with IT's staggeringly bad track record of ever successfully delivering projects on time and on budget. My health is suffering as I've tried to single-handedly get projects back on track, and I never get any thanks when I do that. I'm not saying I'm a hero. I'm just saying that I don't like to bumble along and fail.

Although I can do full-stack development, I don't think I should because it's just too much stress, being spread across 12 different roles. I reckon I'm going to look for some kind of development manager job, where I can have more management input into the way things are run.

It'd be interesting to know what my mental health would be like without the kind of external pressure to rush, rush, rush. It'd be nice to work on a project where I could take my time, take pride in my work, do the things I'm good at. Do those projects even exist?

I think it's the engineer's curse. "Can you do this?" is always answered honestly. Yes, I can probably fix your damn car, but should I really be doing that if my skill is as a software developer? "Yes I could, but I'm not sure I should" is the correct answer, but engineers aim to please. So few managers understand that it's a dumb idea to ask their capable engineers to do everything and anything, and expect them to spread themselves so thinly.

Even though management doesn't agree with me - too frustrating and boring - at least it gives me the opportunity to throw a bubble around my development team and protect them from bad managers. At least I can create the kind of culture that I'd like to have, as a developer, for my team.

It's hard to know how to balance your skills, your needs, your values, and the fact that life's a lot easier if you're paid a lot of cold hard cash.

Anyway, it's all rather academic until I've dug myself out of the debt hole.

Tags: #career #agile #computing #bipolar