ME
Monday, April 13, 2015
just so story - zambalouked
Tuesday, October 07, 2014
living moderately
Monday, June 06, 2011
The moderately infirm nursing the infectiously incapacitated
Sunday, March 06, 2011
Of LIMITATIONS and ENJOYMENT
A Nation’s Addiction?
Friday, March 04, 2011
Mal's M E jottings on New L4S
Saturday, January 15, 2011
EMERGING
Monday, May 25, 2009
Mal's Remarkable Murmurings
Thursday, April 30, 2009
Seasons In The Sun
Experience has taught me the importance of retaining some energy, rather than go flat out to tackle the job in hand but, the temptation’s always there to do a little bit more. Surely one can manage that extra little exertion? Nine times out of ten I could; problem is, that extra little exertion is the proverbial straw that flattens the hump.
Five minutes more effort can mean several days painfully laid low, aching and feeling tortuously bruised in places one can’t imagine anyone having a name for; in fact, one has temporarily lost the ability to name even the familiar places. At these times, one wishes the world would end and, stamina permitting, one screams out the words that many hangover sufferer may utter the morning after, “Never again!”
Of course, at the weekend my beloved is around to keep an eye on me; she certainly doesn’t want to deal with the aftermath and, at times seems more aware of my limitations than I, in my better days, am capable of acknowledging.
Come Monday, the rains had arrived, drastically curtailing any desire to do a little more pottering about in the garden – guilt free, I’m able to take things easier! Wednesday afternoon, the sun breaks through in glorious splendour and the impulse to go forth and till the fields grows strong.
I settle for something a little strenuous and, transplant a few tomato seedlings, from the windowsill propagator into pots ready for placement in the greenhouse. Although not excessively hot, a little time in the sunshine coupled with a moderate exertion proves overpowering. The glow of satisfaction, at another little task completed, is counterbalanced by a tediously frustrating shattered-ness. In this instance the weather proved both friend and foe.
I can only give thanks for all the things I can manage and, a new preparedness to listen to my body.
Tuesday, April 21, 2009
tempus fugit - carpe diem
There was a song, “Who Knows Where The Time Goes”, to which I always wanted to respond, “don’t ask me; it’s one of life’s little mysteries!” Mind you, there have been occasions when time seemed to hang like a leaden pendulum, especially when working as an accounts manager and we suddenly changed from old fashioned double entry book-keeping to a purpose built computerized system. Whereas on the one hand it was a much quicker process, much time was spent twiddling the thumbs, whilst we awaited the snail-mail delivery of our weekly printouts from the mainframe situated some ninety miles away.
Where once a simple glance at the ledger would show where any discrepancy had occurred, thanks to new technology, we now had to trawl through sheaths of lined paper filled with endless repetitions. Don’t get me wrong, accounts work was never mine by choice but rather a means of sustaining me whilst I got on with the important things in life. In those days, the only time that flew by was those hours outside of the office ones!
Later employment, working for the museums and art gallery service, both front and back of house, proved much more rewarding (even if somewhat less lucrative). Once the opportunity arose, not infrequently, to get on ones hobby-horse, time passed as if it had a rocket assisted launch. Even my last paid employment as a caretaker/steward at a thriving parish church, where I frequently toiled well beyond the appointed hours, saw the hours float away!
Nothing to do? I’ve been thinking about that, as my digits stray across the keyboard on auto-pilot: there’s always too much to do, especially the tasks for which I possess neither the necessary physical or emotional stamina! Stamina and intermittent brain-fog permitting, I can get on with my writing, watercolour painting, amateur website building etc, tending to the aquarium and pond inhabitants needs (sometimes not as frequently as I ought to – a missed filter clean/change here and there seems to occur due to lack of time and focus) and general pottering around in the garden.
I even manage to fit in the occasional socializing visit to ‘Open Church’ or ‘Café Culture’, events which health reasons had deprived me of for a rather prolonged period of time. One of these days, I may regain sufficient stamina to go to a gig or concert which was at one time a fairly regular part of my life.
I am extremely grateful for all that I can manage although still succumbing to bouts of frustration regarding the many things that I can no longer manage. Fortunately, “pacing” imposes itself on me when otherwise I would be tempted to return to the old boom and bust cycle. It’s almost as if my self-discipline now disciplines me.
Who knows where the time goes? I don’t really care, we only have one life and we’d better make the most of it!
Wednesday, March 25, 2009
Dichotomy - IAIYH
My head keeps telling me that I ought to be able to do things (after all six or seven years ago it was no problem!). Of course, my body tells me in a most excruciating manner that I'm not able to do those things. The head starts grieving for the limitations of the body, the restrictions on any socializing that I used to enjoy etc.; so I try to exert myself a little more, the effects a couple of days later are devastating.
There must be something wrong with my head, it has the false belief that I ought to be able to manage these things!
Suddenly the remembrance, from long ago days when I studied philosophy, you can't derive an "ought" from an "is". Then I knew that my head was wrong, it's just a bad philosopher. I may still have ME but, I'm not going to let my head make me feel guilty about it!
Sunday, March 08, 2009
ME/CFS - Challenges of daily living
Your arms and legs feel like lead, your brain seems stuffed with cotton wool.
You console yourself with the thought that by this time next week you'll feel better.
Except you don't. No medication makes any difference to the way you feel, and over the coming weeks and months various doctors and well-meaning friends encourage you to "just do a bit more each day", even though you have as little energy and as much pain as you did that first day."
This is the beginning of an excellent article on living with ME/CFS - the full article can be found in the Yorkshire Post of 04 March 2009 ... Learning to live with challenges of chronic fatigue one day at at a time
Friday, February 20, 2009
Through the night ....
Some days, the body just doesn’t belong to the skin which encapsulates it. No matter what the elasticity may be, there’s quite simply too much flesh to quietly co-exist within these restraints. To be honest, in my case, this experience of existential (and probably somatoform) disease and despair is more likely to occur at night time, when total exhaustion overwhelms the necessity of sleep.
Last night was a case in point; having already been shattered earlier in the day, my recumbent body alternating between disparagingly cold shivers and shudders and clammy overheated perspiration. More about the, most enjoyable, day’s preceding events later**; suffice it to say, some couple of hours before the witching one, I was already in a sufficiently somnolent state to anticipate a solid night’s sleep. Unfortunately, my whole psychosomatic being chose to rebel against nature’s course.
Everything was fine as my beloved snuggled up but, inevitably, there came a time to turn over and, this led to the discomfort switch flicking itself to the ‘on’ position. Left side, right-side, back-side, front-side; none of these postures bore any resemblance to comfort in any manner. Hands under the pillow, between pillows, pillows propped up; none of these proved the necessary perquisite for slumber. But the searing aches were worst of all; starting from shoulders, hips and ankles, these debilitating arrows swiftly became all pervasive.
Each slight movement led to a nauseating tearing of the armpits and the groin; disrobing was definitely the order of the night, pyjama tops and bottoms were swiftly discarded but, it still felt as if, at each susceptible body juncture, these discarded robes were tearing into the flesh. The accompanying sense of nausea, caused in no small part by the post-nasal drip, my all too persistent companion did little to alleviate my overall sense of distress. It was quite impossible to hold back the gut-wrenching screams emanating from somewhere deep within my psyche.
Visits to the bathroom, and occasional dressing gown bedecked ambling saunters around the room, served little purpose other than to relieve the bruising monotony of simply lying there in the hope that sleep would soon befall.
A few years back, similar nocturnal discomforts were par for the course; it’s strange the alarm that their excruciating return causes. Come morning, the longed for sleep (and relaxation) arrived and I’ve just managed to raise myself from the duvet lair at 1.15PM. And I’m here to tell the tale.
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**PS (21/02/09 - 8.28PM) unfortunately I've been lacking the necessary stamina or resolve to fulfil this prediction: a very worthy report can be found on my beloved's blog 'Bright Light' - "Our Wedding Anniversary - Part One" and "Our Wedding Anniversary - Aftermath"
Wednesday, February 11, 2009
Slow Running
I doubt that it’s possible to resist this inbred protestant work ethic, and its consequent guilt trip. I’m the guy who, for many observers, seemed so laid back that, even when standing upright, my spine must have been around 45 degrees from the horizontal and yet, this gnawing guilt persistently upsets me.
For the past few years, for health reasons, I’ve been unable to undertake any employment paid or voluntary, each day being so unpredictable, presenting the unexpected obstacle or fresh hope; physical and emotional stamina rarely coincide even on the best of days. A major regret is that, when I was enjoying better health, I pushed myself that bit too far; my current ability to pace myself, to subsist on a lower altitude plateau, does not come easily.
A very good day for me, these days, means running at as high as 35% of what would have been a quite sluggish activity level for me a few short years ago, and yet, I’m still plagued by guilt. I ought to be doing more; forget the fact that taking a shower is frequently a daily task too far, cleaning my teeth an effort too much when exhaustion suddenly overtakes me, I should be doing more; I should be out there earning an honest living.
Of course the media, and politicians of all persuasions, almost daily attack anyone living on disability or incapacity benefits as degenerate scroungers. If only some of that vitriol could have been spared to attack the greed driven recklessness of the banking fraternity, or the many hours wasted (and billions of pounds lost to treasury) by those working out ever more devious tax-avoidance schemes for those who already have more income annually than most of us can expect to earn in a lifetime, our economy might now be in a far healthier state.
Perhaps in a few months time, when I chronologically comply with / qualify for the Old Age Pension, the “guilt” will flee from me. Somehow that could be the time for freeing up; it’s currently difficult to admit that I’m enjoying being a gentleman of leisure, whilst I so wish for the energy to be running in a far less leisurely mode.
Tuesday, February 03, 2009
plumbing the heights and scaling the depths
A dull, numb, lightly throbbing pressure behind the eyeballs; a leaden ache above the eyebrows; a general sense of hollowness within the skull and torso – the kind of discomfort that it is so difficult to express. Today, this has taken pole position against the competing sharper, sometimes excruciating, pains and discomfort emanating from the sciatic nerve.
It’s extremely difficult to formulate a table of aches, pains and discomfort; how does a constant low key gnawing, of a bruising kind, compare to an experience of an acute electric shock? Can numbness in any way be correlated with a more instantly sharply stinging sensation?
What does one express on a visit to the GP?
In my case it’s always the (perhaps transient) currently preoccupying dis-ease that is foremost in the more general catalogue of sensations; the ongoing symptoms of a chronic condition are rarely raised. These (permanent) discomforts are always least apparent when one has the physical and emotional stamina required to make, or permit my beloved to make, the appointment in the first place. I am fortunate with my GP’s, that they generally give me the time necessary to make the point but, even so, there are always the omnipresent discomforts that I don’t want to bother them with.
I suppose that the recent disabling excruciating pain, caused by a herniated disc, so overshadowed my regular discomforting companions that, had I been able to overlook the surface anguish, I could have imagined myself as being in the best of health.
The snow, outside of course, reflects the sunshine’s dazzling glare around the sitting room; my eyes ache from this glorious assault. The gas fire is turned up high but, the cold shudders, which I’m experiencing, strive to deny the fact.
Wednesday, December 31, 2008
Returning Home from Being There
An endless numbness, a dull sullen hanging sense of nausea and, barely the energy to read a single word, listen to a note of music; if only I had the stamina to put a thought together it would probably turn into a single-syllabled question. The querulous word would, I suspect, be more on the lines of “What” rather than “Why”.
I’ve long since given up on the existential / metaphysical why; more an exercise in futility rather than to proffer any result. “What” keeps the world alive, “why” seems more like an evasion.
Well, that’s yesterday dealt with; today I have returned to me. The preceding days, and nights, had been dominated by intensely excruciating pain, ranging from the numbing tourniquet, to the slightly blunted arrow; the bone and muscle crumbling ache in combat with those swiftly-fleeting nerve-tingling darts that seem to take one’s breath away; a kind of Topsy-Turvy Terpsichore:
Dance rules over all – it prevails against reason, common-sense and substantial portions of ritual belief. Trouble is that, we are never in control; I am currently in thrall to a kind of voodoo dance –nature’s response to a crushing debilitating pain scenario.
When all else fails, randomly fling limbs in whatsoever direction they feel like; if it causes further discomfort then that adds a whole new terpsichorean overlay, disclosing hitherto undreamt of fraught sequences of space displacement.
On Monday my pain-killing medication was changed, to a 3 day slow release opiate patch. Having applied the patch, late afternoon, my familiar discomforted restless night was in attendance, so nothing different then but the following morn was quite a different proposition. A total inability to concentrate, a generalized dull ache underlining the spasmodically erupting specific sharp pains; all was eventually blanketed under a heavily nausea spiced airless cloud of unbeing, crushing a body wracked in turn between hot and cold shivering sweats.
Needless to say, all the remaining patches have been returned to the pharmacy and, my routine has been switched back to Tramadol, this time of a non-modified release type, to enable me to remain in control, modifying the dosage as necessary. Meanwhile, I’ve once again been referred to the hospital for further investigative work.
The 18 hours respite, including some ‘real’ bed rest, between removing the patch and taking a further pain-killer, has served to enhance my appreciation of the home environment. For the first-time this season, I was aware of the seasonally decorated dining table, and the various Christmas ornaments and tinsel sundrily scattered around our abode. This awareness of one’s habitation, the taste of food, the sound of music and always one’s loving companion is a gift to be truly celebrated. The return from a pain-riddled drug addled stupor makes me feel like the fabled Prodigal Son; although at heart I am always aware of the love that surrounds me, it’s good to receive a whole-hearted reminder, for one’s abode to find it’s rightful status as Home.
Sunday, December 21, 2008
A Slow Deliberate Dance
You put your right leg in,
Then you scream and shout,
hang the limb over the edge,
let it all hang out …
Once again my old-time bed dance routine has been resurrected; the agonizing back and lower limb pain has returned with a vengeance; a painfully laboured tossing and turning is the only response I’m capable of, in my attempt to overcome the two pronged attack of sundry sharp shooting pains and excruciating dull bruised aching numbness. It’s uncomfortable to sit, whether on an upright dining chair, a firm supporting comfortable chair, or even on the edge of the bed. After struggling to attain an upright position, hindered by locking of knee, ankle and back, (slyly preceding a crude collapse back onto the surface from which one was attempting to elevate oneself), the relief felt, albeit very temporary, must be tangible to anyone within a few miles radius. A few steps, assisted by a couple of walking sticks, managed to tease out a sigh of release from every screaming muscle, joint, or nerve-ending.
Then follows a real brain teaser; does one attempt to sit down again when body and spirit together urge one to have a lie down? The problem is that any recumbent posture soon becomes a source of discomfort.
Earlier in the day, I’d taken a slow deliberate walk around the block with my beloved in the misguided belief that this little stretching exercise would prove beneficial! It turned out that I was locking up even more after this little outing. Things got so bad that my beloved actually managed to persuade me to talk (telephonically) to an “out of hours” doctor, who then arranged that ma belle chauffeuse would take me down to the “out of hours” practice at the
After a tediously painful one and a half hours waiting time, the duty doctor was really good and, managed to sort out which of my sundry medications could be safely (and effectively) taken in combination, and wrote me a prescription for a further supply of Tramadol SR 100mg which she has doubled up to two to be taken twice a day. It’s also safe to continue with the Meloxicam (anti-inflammatory) although my daily dose of Lanzsoprazole (a ppi) has to be increased whenever I take anti-inflammatories. Other medication continues as normal.
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Contrary to appearances, I don’t like resorting to pain-killers and, it is only with the greatest reluctance that I visit the GP. The sole reason that recent postings have centred on health is the intensity of my current dis-ease, precluding the possibility of resorting to my beloved distractions.
Saturday, December 13, 2008
collapse of the stoical front
I’ve always suspected that it’s much harder to witness and share the suffering of a loved one than it is to suffer oneself but, when one does suffer from any ailment, or dis-ease, the awareness that those who care for, and about you, somehow share your pain, intensifies the sense of spiritual suffering. The sufferer also feels guilty at imposing, on the one who loves and cares for them, some of the restrictions (on the socializing front) implicit in one’s own condition. I frequently find myself apologizing to my beloved for my, all too familiar, achingly fatigued condition, and the consequent wearyingly low stamina levels; it’s not that I blame myself for being ill but, to be honest, I’d prefer to be an enabler rather than a burden.
This posting is also on Mal's Murmurings.
Sunday, November 23, 2008
A Nudge and a Wink
Night-time trips between bed and bath rooms are fraught with a sense of adventure; my faith in the stability of bed end, stair rail and wall, has not been undermined so far. As long as the muscular and joint pains remain discomfortingly persistent, I remain on guard for the possibility of a random stumbling collapse; at least, in this one respect, the rest and sleep destroying acute discomfort seems to serve a useful purpose!
Somehow “collapsing” sounds far more dynamic than “creaking”, at least the results are far more spectacular when, knee, ankle, or hip joint, suddenly give way. The competition between “creaking” and “collapsing” into action becomes increasingly intense. The sheer unpredictability of which joint takes priority ensures that my enforced sedentary lifestyle never becomes boring.
What I’m missing most of all is a decent night’s sleep; no matter how exhausted / positively shattered I may feel on retiring au lit, by the time I’ve struggled out of daytime attire, donned pyjamas and, performed the appropriate ablutions I’m far too fatigued to sleep.
I can usually guarantee that I’m going to be alerted into wakefulness at least once or twice in every hour by some chronic jarring discomfort emanating from anywhere between small of back and ankles. I still fail to understand the logistics that require the shifting (and adjustment) of the whole of my body, in order to achieve a minor adjustment in the alignment of the right lower limb; we’re talking microns here!
Somewhere between 3.00 and 4.00 am, I usually seem to achieve a state of full alertness although this effect has usually been squandered some time before my beloved stirs in anticipation of preparing herself for work.
All being well, I manage to remove myself from the duvets hypnotic allure by 11.00 am, only to fall asleep again mid-afternoon, my wife not uncommonly returning from work to find me in a dazed stupor.
Tuesday, November 11, 2008
An Aching Drift
Perhaps it’s quite simply a case of living in hope, although it could just as easily be misconstrued as a fatalism of self-pity. Each day, I’ve been putting off any attempt at blogging, not for lack of ideas or, my lack of stamina (a sufficiently persuasive excuse) but rather, in the belief that I’ll soon be feeling better and hence, the possibility of having some actual events/activities to report on.
Pain, discomfort, fatigue and bruising exhaustion, constantly struggle to be at the forefront of my attention; for the time being any pain control medication (the primary current one being ‘Tramadol’) seems to lack efficacy! In some ways, it’s as if I’ve not been able to recover from my little jaunt to the South coast at the beginning of September. Even the most modest journeying insists on extracting a disproportionate toll from yours truly.
If I can’t be positive, there seems little point in bringing others down but, a good humoured resilience in the face of ill-health gets a bit tedious at times. Must admit that I’m just as worried about my health as is my good lady but, I tend not to wear my anxieties on my sleeve!
Sunday, October 26, 2008
RESTORED to ME
If one lives in a state of perpetual “not-wellness”, how is it possible to detect when they are ill? I refer to those kinds of chronic condition, which one learns to accept as normative, the regularly attendant symptoms of which would be construed as a real crisis condition in anyone blessed with more normal health.
In seeking equilibrium, I would never be so foolish as to anticipate more than 100% recovery from any aberrant additional infliction that comes my way, although the chance would be a fine thing; the real problem is being able to recognize when one’s health has been restored to its most recent pre-viral attack condition. Are the sore throat, earache, glandular tenderness, and muscular pains in the lower limbs and joints a further manifestation of the recent gastric knockout infection or, do they quite simply represent a return to my normative ME/CFS state?
Is there something wrong or, am I quite simply being restored to me?