The Fear of Loneliness

Where to begin, where do these words go as I fling them out into the great unknown. Where am I coming from; my anxiety has now veered close to the territory of a fully fledged reactive depression. Don’t get me wrong, I’m not fully swamped by the dreary bland emptiness of depression, nor have I fully entered into despair,  more an air of despondency, accompanied by the return of random tear flow (my posts ‘A FruitfulMisery’  and the penultimate paragraph of ‘An Overshadowing of Events’ will put this into context).

I am so fortunate in having such a large number of DVDs and CDs to watch and listen to, as well as a modest vinyl album collection, to enjoy or be distracted by. I am also blessed with a large selection of books to browse (my stamina levels only allow for a quite limited period of serious reading) to inform and/or entertain myself but, unfortunately these compensate very little for the amount of time I spend overwhelmed by a sense of ‘aloneness’ -  loneliness not solitude.

My beloved OH, has had her operation (last Wednesday) and seems to be making good progress, according to reports from my step-daughters who have been visiting her at the LGI. It seems she will shortly be discharged from the hospital, but then the long recuperation means she will be spending the first part of this process with her elder daughter in a more appropriate environment than home with me. That’s where my sense of uselessness and failure kicks in.

A Walking Talking Aching Conundrum

Confusion mounts but, is it the result of tiredness or of excruciating pain, does it stem from extreme exhaustion or intense nauseating discomfort. The evidence is difficult to decipher, in fact the evidence posits itself as the dilemma! Quite frequently the sundry pain and discomforts, especially those in the limbs, seemed to attack just at the point when a temporary exhaustion sets in but, on closer observation I have realised that the exhaustion, or a sudden loss of stamina, follows from my struggling with both aching discomfort as well as more acute pain.

There seems to be an obvious correlation between pain and tiredness but, it also tends to be a classic chicken or egg type dilemma. Recently, what I seem to have been experiencing is an excruciating (pain of) tiredness which may precede or follow bouts of the following kind. The experience, rather than pain, is as if, feet, legs, arms don’t belong to the torso but produce a kind of nauseating discomfort/dis-ease! For longer than I care to remember, my reaction to a randomly occurring hollow ache in the armpits has been one of nausea.

The armpit discomfort, at times, seemed to ease when I discarded my fleece or cardigan, donning a poncho in their place. At other times, an almost contradictory process brought temporary alleviation of the symptoms, namely donning a shoulder support which seated itself firmly in the armpit. So, a freeing up of pressure or applying additional pressure to the aching area, at different times provided relief from the same symptom.

A sudden onset acute pain, in feet, knees, wrists and/or elbows may occur during the day, immediately diminishing my concentration on whatever minor task I’ve been involved in. These symptoms may also occur as I lie in bed at night although, at those times restless legs become the major problem. A combination of low dose amitriptyline (30mg) with 50 or 100 mg of tramadol seems to prevent the restless legs kicking in but, I have no desire to become reliant on the tramadol dosage. In the case of joint pain, a combination of applying elastic supports to the affected points preceded by a generous smearing with ibuprofen gel, gradually diminishes the more acute discomfort.

By this point, you may well think that I’m a physical wreck and, I’d be tempted to agree with you. I still feel blessed that I have access to lots of good music on vinyl, CDs, and airwaves, and movies on DVD, which enable me to enjoy life, pushing the chronic aches and pains away from their dominance of my mindset. It’s strange how a sudden sharp sound, a pan lid falling, a door slammed shut etc. can produce a chest crushing bodily response, I am still able to take musical climaxes in my stride.

An Overshadowing of Events

I’ve never really been one for planning; taking things as they come, with opportunities galore for spontaneity and improvisation, is more my favoured route. Sadly, things in the real world seem to be in conflict with my ideal and, planning becomes necessary when it comes to grocery provisions, especially so for festive celebrations. It is my good fortune that ma belle OH is the grocery shopper, especially so since I’ve found it difficult to cope with the sensory overload from any store other than the, now almost extinct species, corner shop.

As Christmas Day approached I got into the, unfavoured but necessary, routine of pre-preparing certain food items before the big day itself. I enjoy cooking the main meals but, tend to get a little stressed by these special occasions. At least there were no great numbers to prepare for, our elder daughter staying with us through Christmas Eve evening until Boxing Day late afternoon whilst the younger sibling was coming over at about 2.00pm, on the day itself, together with our grandson, following his mid-day nap.

The evening before Christmas Eve day I started experiencing very dramatic floaters in my right eye and, found myself stretching out to remove a soot covered cobweb from a corner of the loo. Of course neither the soot covering, nor the web itself, existed out there in the room but were rather hyper 3D-ised visions stemming from false retina readings. Shortly afterwards I started to have rather strident flashes of light appearing beside my right eye which I found quite disturbing. Christmas Eve morning, ma belle contacted my GPs surgery which arranged a call back from one of the doctors on duty that day.

A short while later, the ‘phone rang and ma belle OH passed the handset to me, at which point I was told about arrangements for the operation, with the sudden realization that this call was for my beloved. After months of waiting, they were now informing us that, all things going well, her aortic valve replacement would be taking place on 15 January. This news cast rather a shadow over subsequent proceedings as I am, to quite an extent, dependent upon Helen as my primary carer. At the same time, I gratefully acknowledge that the operation can give her a whole new quality of life, after several months recuperation from the cardiac surgery.

The next time the phone rang; a doctor from my local practice spoke to me and arranged for an appointment that afternoon. The doctor I saw gave my eyes a thorough examination and she put through a referral to the eye clinic at the District Hospital. A short while after arriving home, the phone rang once again; this time, the message was to inform me that an appointment with a doctor at the eye-clinic had been arranged for 10.00AM on Christmas Day. This was turning out to be an unusual Christmas Eve and Day, but having undergone a thorough examination at the hospital, I was back home in time to continue preparations for Christmas Dinner.

Ever since my wife’s cardiac surgery seemed quite imminent, last summer, I have once again succumbed to anxiety and depressive episodes, randomly tearful and unduly angry with people and events. When I saw a doctor about this experience in August, all she would suggest was CBT as she wanted me off all my medications, not adding something else. My anxiety intensified after that visit as the medications I am taking are for the heart, following a minor stroke, for long-term abdominal problems and for pain and restless leg control. As the operation date, for my beloved, is once again imminent, the anxieties have intensified so, yesterday afternoon, I saw a different doctor who is consulting with a pharmacist and the mental health team to see if there may be a suitable course of medication etc.

This afternoon I attended the opticians, for an overdue eye test, and have been referred to the cataract clinic with regard to my right eye. So, things are moving and I’m struggling on…