A Fruitful Misery

Seems like I have a permanent ticket for a roller-coaster ride, not that I particularly requested or enjoy the experience! The journey involves states of physical and emotional health, by which I mean health shortcomings.Just as I’m getting used to feeling a dose of well-being, random pains and discomfort have a habit of leaping out to chastise me; whatever task I’m managing at that particular time, a throbbing burning pain in wrists, a sharper pain in elbows or, the nagging hollow bruised, nausea inducing, discomfort in the armpits strikes, calling an immediate halt to whatever activity is in process. (By activity I mean something akin to reading a newspaper or magazine, or maybe surfing the web on tablet or laptop: it is indeed only on very rare occasions that any of these activities are permitted as prolonged a period as thirty-minutes!). An added joy is the Damoclean sword of permanently imminent, frequently occurring, gullet, stomach and colon flare-ups.

More recently, the familiar neurological ailments have been partnered with an unrelated depressive anxiety. Some days I find myself in sudden floods of tears, concerning love, beauty and transience, fearing being alone and upset at the brevity of human life, especially as I’m now in my mid-seventies and, have become increasingly in awe at the amazing interdependence of everything in the whole cycle of life and, that nothing is wasted in nature’s economy. The primary cause of my current bout of anxiety is related to concern about my beloved OH’s impending aortic heart valve replacement operation. The operation will be of four hours duration, followed by a couple of days in cardiac intensive care then, four or five more days in the hospital.

This will be the longest period that we have been apart since our wedding over nineteen years ago. Apart from being my wife, lover, companion, confidant and chauffeur, she has increasingly become my carer. Whilst she’s in the hospital I won’t be able to visit her, owing to travelling involved. Since the onset of my chronic illness (moderate Myalgic Encephalomyelitis) even the, less than two mile, trip into town can prove emotionally and physically overwhelming, but ma belle will be in a neighbouring city some eighteen miles away. My (step-)daughters have offered to take me but, the prospect of such a journey makes me realize that I’d be in no fit state to be a bedside visitor (as I’d have to anticipate the ordeal of the return run).

A sizeable bleeding rodent ulcer (presumed basal cell carcinoma) has in recent weeks become an additional irritant and, I will shortly be attending an appointment in the dermatology dept of the District Hospital. Oh, what joys we are all heir too!

ill at ease and strange release

Strange as it may seem to some, my best, most refreshing, sleep frequently occurs after the returning daylight hours have become established. No matter how restless, torturous, or even relaxed the preceding bed-rest hours have been, any sleep attained after say 08.00hrs always seems to be the soundest. As for night’s, and when applicable daytime’s snatched sleep or rest, I have to admit that I feel truly blessed whenever I manage to emerge from the experience feeling properly ‘refreshed’, an event that may occur as often as one occasion in the week. How blissful it is to have temporarily overcome the phenomenon of ‘unrefreshing’ sleep.

After that rambling prologue, I now move on to today’s difference. Having retired to the duvet lair at 23.00hrs, last evening, I managed to snatch my first spell of sleep after 02.20hrs. By 04.10hrs I briefly attained a state of semi-alertness which was followed by intermittent bouts of sleep and waking alertness. At around 9.00am, my beloved took Piper out for his morning walk having first assured me that she would be back before 10.00am, a little earlier than my usual emergence from the bed’s hold over me. The reason for this assurance was the impending arrival of workmen at 10.00hrs to start work on re-vamping our downstairs loo.

I drifted back into the realm of sleep only to be startled back to the awoken world, by a stridently ringing doorbell, at around 09.30hrs; I hastily crawled out of bed, donned dressing gown, stumbled down the stairs and swayed giddily as I opened the front door. The workmen had arrived early, much to my beloved’s surprise, when she arrived back at 09.53, and very much to my weary annoyance. I returned very briefly to the duvet realm, before arising to a host of painful ailments affecting head, torso, upper and lower limbs. My mood, most definitely, was not of a very beneficial nature as I contemplated the prospect of minor additional exertion required to ascend, and subsequently descend, the staircase each time I required the loo during the next few days. Spastic colon and erratic bladder function conspire to ensure that the additional effort will be required on multiple occasions per diem.

As the stress of the situation took hold, simple misunderstandings rapidly amplified themselves into major crises; it didn’t take long before I found myself unloading a plenitude of expletives towards all other occupants, resident and temporary, of my immediate lebensraum.

Anticipating the Unexpected!?

Today, just sitting, no laptop, no tablet, no newssheet in my hands, none of the usual suspects for me to blame; just sat, watching a movie on TV when, suddenly, tiredness, acute throbbing pain in elbows and wrists overwhelmed me. The by now familiar, yet almost indescribable, hollow aching, disconcerting, nausea inducing, discomforting pain in the armpits rapidly produced a counterpoint to the more acute staccato rhythm playing in and through the wrist and elbows.

A further sensation, as if I felt the blood falling and draining from my face and head formed an accompaniment to the sudden pallor, acknowledged by my beloved OH almost immediately after the events’ dawn.  Come to think of it, I should have been more prepared for these events onset; on emerging from the duvet lair, and venturing towards the bathroom, my lower limbs felt hollow and feeling as if the knees  were attempting to bend the opposite way to the joints natural construction. By now, I should be prepared to anticipate the unexpected, yet again!

All Strapped Up and Still it Won’t Go

Some days, when everything’s apparently going smoothly, a familiar recurring symptom comes almost as a surprise. Quite what causes the symptom is a bit of a puzzle but, that doesn’t make it any less real or disconcerting. What I’m really talking about is a cluster of inter-related aches, pains and intense discomfort.

After using a tablet PC, laptop, or even holding a newspaper whilst I surf / read for just a few minutes, a nagging hollow-ache or tenderness in the armpits develops. That discomfort in itself induces a sensation of nausea. Sometimes applying elasticated supports to my elbows alleviates the immediate nausea but, far too frequently, the armpit ache is followed by pains in the wrist which may respond to the application of wrist supports. Normal, over the counter, analgesics don’t touch the pain or acute discomfort and, I often rely on a discomforted time of rest with upper-arms clamped tightly to the torso whilst forearms are stretched behind my back. Other times a 100mg dose of tramadol has proved efficacious.

                          shoulders, wrists & elbows all strapped up but still it won't go 

I only wish I could find a way to pre-empt this acute discomfort but, the only way to play it safe would be to never attempt to hold a book, paper, tablet, use a laptop, or write anything down on paper. That I will not yield to!

The Eye of the Storm – of health & non-well-being

The general state of my joints, muscles and general viscera this morning (Tuesday) could best be described as disconcertingly enervated. At least last night granted me a little more sleep, albeit rather unrefreshing, than was the case on Sunday night. On the latter hangs a story.

****

The story continues from my previous post.

Thursday morning I duly attended my appointment with a locum doctor at my usual GPs practice. The symptoms of either-or/ both-and gall bladder and diverticular infection weighed heavily on body, mind and spirit; either cause being an additional concern on top of my familiar chronic illness symptoms.

The doctor had me lay down as he proddd and poked my abdominal region, frustrated by my inability to either be or feel relaxed. When I started to sit up, post-examination, I was overwhelmed by an extremely acute vertigo type attack. Either the room, or the top of my head, spun violently around and a sensation of either falling to the bottom of a vortex, or that base/floor rushing up towards me, made me feel quite faint and nauseous. The GP advised me to lie back down for a few minutes before attempting to sit-up again. Next attempt at sitting upright produced the same sense of disequilibrium as I felt forced to throw my torso back down. A few more minutes rest were required as my heart rate was greatly elevated.

Once a degree of stability was restored the physician seemed to then ignore these vertiginous episodes as he prescribed a course of antibiotics for suspected diverticulitis. He added that I had no immediate need to obtain the prescribed medication unless the smptoms intensified. By Saturday lunchtime the diverticular symptoms receurred with a vengeance, so my beloved headed across town to an open pharmacy to obtain the medication and I duly started the prescribed course.

On Sunday lunchtime, my beloved having returned from taking the service at Trinity, I had dinner peparations well underway; as I stood up again to check on the cooking progress, a violent vertigo sensation once again overwhelmed me and, my natural panic response brought on a sense of tightness across the chest.

As the episode gradually subsided, Helen drove me across to A&E at the District Hospital, thinking that it was perhaps a recurrence of the labyrinthitis, to which I had previously succumbed some 15 years ago, and on that occasion succesfully treated/controlled with medication. We arrived at A&E, where probable waiting time was estimated at 4 hours, shortly after 14.00hrs. Not long after arrival my blood pressure, heart rate and temperature were checked by a triage nurse before returning to the waiting area.

When I eventually got into a cubicle, to be seen by a doctor, a nurse took some blood samples, rechecked blood pressure and wired me up for an ECG. The A&E doctor had me lay down whilst examining my abdomen listening to my chest as I took deep breaths in and out the, after a few minuteswhen he asked me to sit up slowly the vertigo recurred. Even after resting a little longer the same thing happened again. He also noted that my heart rate was considerably elevated and, was reluctant to let me go home. The doctor then went to consult with more senior staff.

By 18.20, I was transferred to CAT ward and, within a couple of  a hours moved to a bay in Acute Medical where the environment was somewhat more settled. I’ve often felt that Hospitals are those paradoxical places which are both the worst and the best place to be confined when you’re feeling unwell!

At 01.50 on Monday morning, a duty doctor came to examine me and, by this stage things had settled down a bit as I’d rested. A senior doctor came to check me over at about 11.30 and felt tht I had stabilized sufficiently to be discharged, and duly prepared notes for my GP practice for follow up, confirming that vertigo/labyrinthitis (middle ear infections) were the primary suspect and suggested that they may consider repositioning manoeuvres for BPPV. No new medicines were prescribed.

Ma Belle chauffeuse, aka Helen, my beloved and my OH, came to collect me and, it was wonderful to be enthusiastically greeted by our gorgeous hound Piper as we went to the car. We were back on home territory shortly after 13.00 and much rest was needed. It was really good to both listen and relax to the music on Radio 3 (classical) an option not available on the over bed radio in the hospital.

and suddenly they flow

and suddenly they flow

“pains come and go

and tears flow

a creeping fermentation

of an odious decay … “ - Malcolm Evison 060818

Today has not been the best of days, nor yet the worst; it has been one helluva roller-coaster ride of both sudden and slow onset aches and pains, a turbulent discharge from both physical and emotional reserves of stamina. Tears have flowed abundantly on a few occasions as I’ve attempted to explain the frustration of living with a chronic illness, along with several subsidiary ailments, each randomly producing varying degrees of aches and discomfort, ranging from reluctantly accepted background throbbing, rumbling aches, to sudden sharply acute attacks of pain.

As I’m also in my mid-70s (age wise) thoughts of mortality are all too rarely far away, but come to the fore with each new acute onset of pain and discomfort.

Over the past weekend I’ve experienced symptoms quite akin to a flare-up of both gall-bladder (cholecystitis) and diverticular disease in relatively acute form, neither of which do much for one’s morale! At times I had to wonder if my alto and tenor burps could present a non-dissonant counterpoint to the bass line of flatulent release.

An underlying throbbing ache and discomfort in the abdominal region is interspersed with a sharper more stabbing intermittent pain. I’m still struggling to come to terms with a sharp stabbing pain which intermittently occurs at a point apparently just behind the bottom left hand side of the ribcage. Erratic bowel behaviour has long been a problem, swiftly putting paid to any notion of getting away for a break, but in any case the sensory overload of a short car trip into town can frequently prove overwhelming.

An attempt on Monday to hold and read a rather slim paperback book led to a need to don wrist & palm supports, elbow supports, as well as having to stretch my arms across my back, in an attempt to overcome a nausea inducing hollow ache emanating from my armpits. These are not at all uncommon symptoms as they tend to occur when holding a newspaper, using a laptop or tablet PC, just one of the little joys of being.

Attempting to explain the frustration I felt, bordering on despair at times, to my beloved OH just led to an overwhelming flood of tears from yours truly and, quite understandably caused upset to her.

***

This morning, Tuesday 070818, ma belle called the GP practice to see if I could get an appointment, as whenever I check up online they never seem to have any appointments available during the next couple of weeks, and thought they would maybe prescribe some antibiotics. (Regular readers may remember my report of a previous gall-bladder flare-up being recognized and successfully treated with antibiotics by my own GP, and the following arrangements for  a cholestectomy –  an operation which had to be cancelled as, in the meantime I succumbed to a minor stroke - http://sinnaluvva.blogspot.com/2017/06/on-mend-and-back-again.html and http://sinnaluvva.blogspot.com/2017/10/on-opening-and-closing-of-doors.html

are the posts that refer).

I duly received a call back from a nurse practitioner who decided that as I wasn’t at that moment in discomfort, I was still abed and not yet having breakfasted, an appointment with a locum for Thursday morning was made. As I explained that I hadn’t attempted to eat anything this morning still being in the duvet realm, she commented that still being in bed at shortly after 9.00am was a wonderful luxury for the retired. Fortunately I refrained from cussing as I explained to her that no, it isn’t a luxury as for the past 14 years I’ve required a bed rest of  around12 hours per day, sometimes more, (non-refreshing sleep being a component of, and exacerbating the distressing symptoms of ME).

Well, I’ve managed to get thus far without any tears but am now desperately in need of a rest; well it is 11.30am … time for wrist and elbow supports once again, the armpits … etcetera, etcetera …

And on it goes but, at least for now, I’ve staunched the flow.

Of Resting and Sleeplessness – postlude to Stress of the Normal

Come early evening and tiredness verging on exhaustion takes passing hold of me but, as a notoriously bad sleeper, I hoped not to drift off at such an early hour. Of course resting / relaxation, in the form of a movie, was the order of the evening; my usual evening entails the playing of CDs and / or DVDs at some point, rarely anything too taxing on my limited resource of stamina. Admission time; I did sleep through some of the movie but, come the time when my beloved was ready for bed I was feeling wide awake. I wonder if my readers will understand the sensation of being simultaneously wide-awake and yet 95% drained of energy both physically and emotionally.

You will have noted that as I headed to the bedroom, to join my beloved, the signs were not exactly propitious. Those forebodings were proved correct! As I prepared for bed a generalised sense of discomfort / dis-ease overwhelmed me and, the night turned out to be one of tears, screams and bellowed expletives.

Restless legs took control after an initial burning sensation of sore tenderness took control of my toes, and that alongside of a tortuous throbbing ache in both knees and hips. Within a short time, a tenderness of the armpits lymph nodes began to rage alongside screaming aches in elbows and wrists. My mind seemed to be preoccupied with a relentless darkness as I sought for comfort and rest.

The darkness of the room created an overwhelming sense of isolation, in spite of the fact that my beloved was soundly sleeping beside me, almost oblivious to my cries to and against the Almighty as I tossed, turned and struggled to find a state of composure. The blessed, albeit temporary, release of sleep took many hours to attend to my needs.

Another day of rest is desperately sought and, I little care whether it’s opioid, prayer, or straightforward Mother Nature assisted.

The Stress of the Normal

So, five days after my birthday I was going to get around to spending /exchanging a couple of gift vouchers. My visits in to town are exceedingly rare, albeit just a few minutes drive (courtesy of ma belle chauffeuse) and scarcely longer via the regular bus service but, today, I had to be in town for an eye test in the early afternoon.

We quickly found a suitable free parking space and headed to the HMV shop, upstairs in the shopping mall. The layout of the store seemed rather random, to put it kindly, and the temperature in there felt more like a sauna and equally airless. Admittedly I was already freaked by the movement of people and traffic, albeit on a reasonably quiet afternoon for a town centre, and the rather bright lighting did little to alleviate my sensory overload.

I managed to find a CD that I’d noted down a few weeks ago, Joshua Redman “Still Dreaming” and also picked up a John Scofield / Pat Metheny album that complemented other CDs & vinyl in my jazz collection. In this same small section of the store I also picked up a cheap CD of Miles Davis ‘In a Silent Way’, my 1969 vinyl copy having been overlaid with a crackling surface after being overplayed on various turntables. Another album, Miles Davis ‘Bitches Brew Live’ performances from Newport Jazz Festival 1969 & Isle of Wight 1970 came at a very low price and was added to my basket. I couldn’t face up to any further searching around and felt an immense sense of relief to get out into the air.

A short amble through M & S demonstrated that it was possible to have a tolerably cool and airy sensation in a store, nor were their lights over bright. There followed a short walk down to the opticians in Boot’s store, where optician and optometrists promptly carried out the necessary tests. Last year the change in my vision was so slight it wasn’t worth replacing the current spectacles; on this occasion my right eye had become marginally more short-sighted and, there were early signs of cataracts developing in both eyes.

In retrospect, I realize that I shoudn’t have attempted to tackle more than one task during a visit to town; having spent much of my working life in or close to a town city centre, since 2003 I have rarely been into town more than a couple of times in any year. Any future purchases of CD, vinyl or DVDs will be done online.

memo to myself and others re chronic illness

I've just been reminded, once again, by a friend's misunderstanding whilst communicating via Messenger, of how much one loses when living with a chronic illness - in my case moderate ME (myalgic encephalomyelitis). 

What they had failed to understand is how impossible it proves / has proved to plan any events ahead. Even a meal out locally, with my beloved, can only be cofirmed at last minute and, even so, is an extremely rare occurrence. I have lost contact with most of those I had considered "friends" prior to succumbing to this illness, almost 15 years ago, and have had to rely, to a large extent on the proverbial mountain coming to me.

just in passing - albeit taking time

Adorned in loose fitting garments, shirt and unzipped fleece; of a sudden it felt like my armpit lymph nodes  were being strangled by a tourniquet. Strangely, although all garments felt oppressive, the only way to alleviate the nausea inducing discomfort (emanating from the armpits) is to tightly squeeze my upper arms against the sides of my torso whilst tightly clasping my hands behind my back. Admittedly, as so often with these sudden onset ailments, the armpit tenderness appeared almost simultaneously with excruciating aches in both wrists and elbows: the application of strong elasticated supports on wrists and elbows tend to alleviate the more extreme pain.

There follows a discomforted waiting game, whilst I curl myself up, or flail my limbs, into a position that distracts me from the nausea. Next, the debate with myself on whether to take some tramadol, or hope that the pain will dissipate itself!

Whatever activity I’m engaged in, albeit browsing a newspaper, or using a laptop, is of necessity terminated the instant any of these discomforts attack. 

The EPSON saga continues .....

additional DMs from Epson & my response: 11.16hrs 20/12/17

Hi Malcom, In order to assist you can you please confirm where in the setup process the connection fails? do you have a WPS buttton on your router?

 this message sent 13 minutes ago from Epson UK

17m 13 minutes ago

 Epson UK

 I am sorry, the consmer pritners do not come with a USB included. Please see the following article regarding the USB cable: http://kb.epson.eu/article.aspx?article=1034&p=7 …

 this message sent 12 minutes ago from Epson UK

15m 12 minutes ago

 Malcolm Evison (my response)

 Yes, the hub has a WPS button - but tried that last night - same negative result! Just having emerged from bed (my active hours limited by chronic illness) will look at article about USB cable later on.

Malcolm Evison (my next response)

Yes, I did try using the A-B USB cable (much less than the 1.8 metre length) when initially struggling to set-up the tetchy machine for wireless use. Something odd is going on!

Malcolm Evison (my extra response)

Incidentally, don't your keyboards allow you to use the second L in the word Malcolm. Maybe your keyboards aren't up to scratch

******************************

P.S: this evening tried to print 1 15x10cm photo you maybe won't want to believe what happened next!

Malcolm Evison (DMd & tweeted @EpsonUK at 20.50hrs)

First time I've tried to print since all the faffing about - won't print as it can't find the printer (ethernet connected) - tried all pop-up suggestions but still failing to find the printer. All other items have and always do work with this hub! Won't connect wireless & lost existing connection.

Malcolm Evison‏ @sinnaluvva 18m18 minutes ago

@EpsonUK First time I've tried to print since all the faffing about - won't print as it can't find the printer (ethernet connected) - tried all pop-up suggestions but still failing to find the printer. All other items have and always do work with this hub! Won't connect wireless

Approx 15 minutes later via Epson diagnosis gadget finally told that there was a printer and it was ready to print - Epson machines seem to hate consumers!

At 22.40 hrs I have just sent the following DM to Epson UK - I do hope that they will not keep upsetting me with their temperamental machine. I have never before been fazed by the installation of any consumer electronics gizmo!

"after further faffing about - and many exhausting climbs upstairs - your diagnostic gizmo finally told me printer was connected and ready to print. Not sure whether it re-discovered the ethernet connection (it had lost) or has it found wireless (of which I'm doubtful) - you have aged an elderly person enormously!"

When Purgatory Beckons

I’ve always heard about the road to hell being paved with good intentions and, have more recently discovered that another’s good intention can bring severe dis-ease to the one being benefited by their deed. The past few weeks have not been easy for me to cope with, the aftermath of my minor stroke and that of my step-daughter’s accident, the latter needing my beloved’s assistance to dress and shower herself.

Over many years I learned to live both in communal houses and alone, much of the time at peace with myself. In more recent years I have lived in relative peace and harmony solely alongside my beloved OH. As I’ve mentioned before, since the onset of my chronic illness I have become increasingly tetchy, even over apparently trivial matters.

This morning my semi-invalided step-daughter suggested that the dust in our (that of mine and my OH) bedroom  was rather un-healthy and, decided with her one (currently) usable arm to take the vacuum cleaner upstairs to do the cleaning. You can only imagine, or maybe not, my dismay at being told, by a young lady who has four cats romping about in and out of all rooms, that our bedroom was unhealthy! I had already been made to feel guilty at my relative inactivity when a person with one arm immobilised, and purportedly in intense pain, could manage domestic duties of a kind which my physical and emotional stamina levels require that I ration.

The final hump-breaking straw was her decision to mop the floor using a pot pourri scented thick disinfectant, as a result of which I later had to struggle to regain my balance as I took a slipper shod slide across part of the bedroom floor! Fortunately that struggle ended successfully but, it was yet a further warning that a good deed, if ill considered, is certainly a step into purgatory.

On the Opening and Closing of Doors

ON THE OPENING & CLOSING OF DOORS

Well, life has certainly been eventful, and frustrating, since my fall (http://sinnaluvva.blogspot.co.uk/2017/09/a-fall-becomes-set-back-and-shaggy-dog.html & http://sinnaluvva.blogspot.co.uk/2017/09/gratitude-for-nhs.html) but, nothing really much in any way I could regard as positive. Because my PPI (omeprazole) was not compatible with the clopidogrel, the GP switched my prescription back to lansoprazole; I had taken lansoprazole for a number of years and had discovered the most effective dosage was 30mg twice per day, morning and evening. It, therefore, came as something of a surprise to find that I had only been prescribed 15mg once per day.

The new medication regime began on the 19^th September but, so painful and discomforting had my GORD and IBS symptoms become, that by the 27^th September it became essential for me to have an emergency appointment at my GP surgery. The appointment was with a nurse practitioner who duly increased my dosage to 30mg once per day.  Even with this dosage, I still had to resort to a strong antacid each evening.

Meanwhile, I was twice proffered an earlier appointment (in a saga which began a few months back) with the surgeon to discuss removal of my gall bladder but, I automatically declined as I now needed to get into a pattern with the amlodipine & clopidogrel and, I realized that if an operation was to take place I would need to be off the clopidogrel for around one week.

By way of diversion, we have an additional resident chez nous. Beth, the eldest of my two step-daughters, was discharged from hospital in York on 10^th October following a bicycle accident on the 3^rd. She has a fracture in the neck of her humerus, necessitating immobilizing of her right arm and plates in her jaw at the sites of two of her three jaw fractures. This latter condition means that she is only able to manage soft / pureed food. My beloved OH has to help her both to dress and to bathe / shower.

Eventually the pre-arranged appointment, on the 23^rd October arrived and ma belle chauffeuse accompanied me to the clinic at the District Hospital. The doctor soon explained to me that as I had recently had a stroke, albeit a minor one, she would be unable to carry out the operation as the anaesthetic required could trigger a further more severe stroke and, although I could apply for referral after six months of reasonably good health, she personally didn’t seem much in favour of this, as she felt there would still be the risk of a more major stroke. When my beloved asked the surgeon what should happen if I had a further infection of the gall bladder, she suggested that antibiotics, albeit with the possibility of increased antibiotic resistance, were much preferable to a risk of paralysis. She was of course aware of my family history [my mother suffered a major stroke within seven days of experiencing a TIA – spending her remaining years with total paralysis of one side of her body – when she was of an age only marginally advanced from my current state of being].

Whilst I was somewhat relieved that the doctor hadn’t pussyfooted about the rather stark options, it did seem to emphasize the whole mortality issue as, later in the day, I began to feel a sense of desolation regarding an apparent futility of existence. I wondered, for a while, if I was reverting to a state of depression! In the clear light of a new day, chronic illness notwithstanding, I was so blessed with a loving wife and family, a catholic taste and enjoyment of various musical genres, literature, fine arts, and a faith that never lets go of me even when belief has evaporated.

Of Conversation and Being Wallopped

Another shattered day, or should that be another day of shattered tiredness; perhaps a tired shattered-ness will suffice. Drained, wrung-out, exhausted; none of these quite hit the mark, although I feel quite walloped out by all of them.

Just working out the cost of spending time arguing, discussing, with an old acquaintance! Today is the 13^th August and, the incident to which I refer occurred somewhere in the hours between 11.00 on 1^st August and 15.50 the following day.

It was something of a shock to discover how Neanderthal the political thinking / imagining of my old friend had become, since he fell under the spell of the Daily Fail. Once he had a mind but, now, I began to wonder if that was a false memory. Only when the conversation turned to matters philosophical, theological, and even metaphysical, did the verbal exchanges become rewarding.

Once upon a time my mind and spirit revelled in such conversations, with friends and acquaintances, not infrequently running through from late evening to dawn. In those days, the conversation could be accompanied by a bottle or three of vino, and a few mugs of tea to prevent dehydration. Nowadays, a mere few hours of chatter and discussion, even in the absence of alcoholic refreshment, seems to overwhelm my physical and emotional resources. Two days after our late evening chat a painful exhaustion,  from which I’m still recuperating, hit me.

For a couple of weeks before the visitor arrived, I’d been having to resort to wrist, palm, and elbow supports, attempting to alleviate the nauseating discomfort, which frequently seems to emanate from the armpit lymph nodes. At its most discomforting phase, as I curl up, clasping my upper arms tightly to my torso, foul expletives emanate from my vocal organs as if seeking a magical miracle of healing, before the flow of tears erupts. So, perhaps, extended conversation is not the sole cause of my current exhaustion.

Not Praying but Hoping

It’s just been another of those days that a sudden flare of aches, pains and discomfort caught me unawares; why it should be unawares is I suppose a reflection of that hope that today, or any day, is going to be one where I can evade the promised threat of intense discomfort.

I often find myself blaming the aches and pains on my own trivial actions. Maybe I shouldn’t have held the newspaper for half an hour as I skimmed through it’s pages; perhaps surfing the web put too much strain on my fingers, wrist and/or hands! One can’t spend their time expecting the sudden onset of nausea producing aches and pains, even though I can’t remember the last time when I had a day free of these sudden onset, usually temporary (thank God), debilitating occurrences.

I’m increasingly resorting to the application of supports for wrists, shoulders, elbows, back etc; rather than succumbing too regularly to opioid relief: sadly it’s more common that I have to resort to physical supports and opioids in tandem!

Sometimes I’ve found that when the aching tenderness in the armpits (axillary lymph nodes) begins, the application of tubular bandages over the elbows can alleviate the nausea-inducing aspect of the discomfort. Maybe it’s some kind of lymphatic massage, I don’t pretend to understand it! Whatever the cause I invariably find that the most comfortable position I can find is to press my upper arms as tightly as possible to the torso, and strapping up my wrists. It also helps, when I’m not having to stretch my forearms behind my back for relief, to tightly clasp my hands.

No, I’m not praying, even though it is something that I do subscribe to: in this instance I’m quite simply hoping.

Of HEALTH and TAINTED VIRGINS

I’m currently re-discovering how an element of anxiety exacerbates, to a considerable extent, the symptoms of a chronic illness. On this occasion the anxiety is caused by the inept and dilatory response of Virgin Media to a known issue which is preventing us from receiving incoming ‘phone calls on our landline; the telephone is not only a lifeline for me but, there are several vulnerable elderly people who depend on my beloved OH for lifts. These vulnerable people only have our landline number as they are not mobile phone users. As for myself, the mobile phone is scarcely ever used, as I’m rarely away from my own house and garden and, therefore have little cause to switch it on.

We are still able to make outbound calls and, it was only by accident we discovered that friends and acquaintances had been unable to contact us. Other ‘phone users are also affected by, and may still be unaware of, this glitch.

The VM website online phone-tester reported no problems with our ‘phone, and we were also informed the line was engaged. I spent considerable frustrating multitudes of minutes on their help-line and, even there they suggested no real problem. Eventually an admission was made that someone else on the same exchange had reported the same problem, namely that callers only heard a continuous, high pitched whining drone when they dialled our number.

During the first phone call, I was frequently put on hold whilst my ear-drums were blasted with an execrable noise (which they maybe call music) for what seemed a like a multiplicity of eternities. Eventually, I was assured that the engineers would have the problem sorted by the end of the day. Of course this didn’t happen so I contacted them via social media with my complaint in reply to which I was informed that they had assisted me: the assistance I seemed to be proffered was to be told that there was nothing they could do via social media.

Later that day I had a webchat with VM, the outcome of which seemed positive. The positivity was short lived; the time in the afternoon, by which I was assured the problem would be resolved, swiftly passed with no action having been taken.

By the evening it was back to the 150 phone-line to enquire what was happening. At first having tapped in sundry digits in response to the robotic voice I was on hold for at least 20 minutes, my eardrums once again assaulted by shouted words & excremental instrumental accompaniment. When I got through to tech department I was at least able to quote a reference number for the issue but, was told that he couldn’t find any evidence of there being an issue so, he would put me through to network problems. Once again my eardrums were assaulted by a demonic cacophony whilst I awaited the transfer department.

Maybe I was getting somewhere. I was informed that it was a known issue, something to do with ported numbers (i.e. numbers which were originally BT numbers) but for decdes our line had been via Cable & Wireless which became NTL which became part of Virgin Media. Although they knew exactly what the issue was/is they are unable to say when it will be dealt with. To put it simply – THEY DON’T KNOW WHAT THEY ARE DOING.

As I said, at the beginning, these events & frustrations have certainly had a deleterious effect on my already shot nervous system. Not only did I undergo more sustained, sleep depriving, pain last night but it also does few favours to my emotional well-being. A tainted Virgin and a chronic illness / chronic pain partnership could so easily become lethal.

and ache becomes pain - literal & metaphorical

and ache becomes pain – literal & metaphorical

I wrote, quite recently, about the difficulty of defining / distinguishing an ache from a pain. This morning, sundry expressions of the former were, rather rapidly, transformed into examples of the latter.

Sudden onset nauseating aches in fingers, wrists, elbows, knees and armpits soon had me curling up on the sofa, upper arms clamped firmly to my side, fingers tightly intertwined and the heels of my hands clasped firmly together.

At the same time, the heels of my feet were drawn up close to the buttocks and, my forehead pressed onto my clasped hands; the initial ache was temporarily subdued by my adopting this unusual posture but, within a further ten minutes, the aches transmogrified into acute sharp searing pain which manipulated lacrimal, salivary and mucous glands into overdrive.

A sore grating feel to the throat, such as may signify the onset of a cold, provided a counterpoint to those other aches which by now had become a real pain!

Lost for Words

It’s one of those times when language seems to be somewhat limited, lacking in pertinent words to describe a particular mode of being. What I have been experiencing, earlier today, is an intense discomfort that not only induces nausea but, also brings me down into a tearful state. This sensation, however, feels to me totally distinct from anything that I would normally describe as pain; more like a dis-ease with the way my flesh and bones fit into their enveloping skin.

Quite out of the blue, whilst doing a bit of catching up (on e-mails, twitter feed etc.) on the laptop, my elbows suddenly began to throbbingly ache in response to simple tapping on the touch-pad, a sensation of tenderness in the axillary lymph nodes followed with only a minimal delay; the nausea induced by these events meant I had to immediately desist from any laptop activity. In response to this sensation I swiftly donned my elasticated elbow supports to help alleviate the discomfort.

As I attempted to relax / recline on the sofa, I suddenly became aware of a discomforting ache in both knees. Next step was to don my elasticated knee supports. At this stage, I would still describe what I was experiencing / undergoing as an intense discomfort rather than pain; perhaps what I would describe as pain is more the experience of a sustained sharply stabbing irritation rather than the initial chronic dull throbbing ache of discomfort and dis-ease.

There are times that the simple donning of supports eases the nauseating discomfort but, on other occasions they prove less efficacious. As the discomfort moved more towards my pain zone, time seemed appropriate to resort to pain-killers (100mg of tramadol); within half-an-hour the discomfort and impending pain began to dissipate.

I’ve got to admit that the moment when discomfort (chronic discomfort) and pain (acute pain) merge or transpose is extremely hard to define, or even recognize. Sometimes, words quite simply fail me and, the cussin’ swiftly takes over.

A CRY of SELF-PITY – an ATTEMPT to EXORCISE the PAIN

Although I’m, by now, well used to unrefreshing sleep, the past couple of weeks have found me experiencing the most erratically intermittent bouts of night time rest, haphazardly interlaced by an alarming array of discomforting, nausea inducing, peripatetic tingling and throbbing parcels of pain.

A spasmodic, sudden onset, sensation of the knees being crushed and clamped from either side, by surreptitious g-force avengers, is the most recent addition to my more familiar catalogue of aches and pains. Sometimes the pain is partially alleviated by the donning of sports knee supports; at other times the supports simply add another layer of throbbing discomfort. On other occasions my only recourse is to an extra dose of tramadol, even though its efficacy is slow to be realized.  

Wrists and/or elbows frequently ache and throb, for no apparent reason, but application of elasticated supports soon alleviates the worst excesses of the discomfort. For a considerable time now  I have avoided donning any nightwear on the torso, as PJ jackets seemed to exacerbate the nausea inducing discomfort emanating from axillary lymph nodes. More recently I’ve had to don jacket or vest, at times, to alleviate a disconcertingly abstract discomfort around the shoulders and armpits.

The most infuriating of the many nocturnal disturbances / sleep preventatives is a sudden tingling rasping sensation on the tops of my toes, sometimes almost feeling as if it emanates from a felt, but non-existent, elevated ridge, on top of the foot, just behind the toes. This frustrating event usually occurs just as my body and mind feel sufficiently sedated to visit the land of nod. Its onset is frequently marked by an almost uncontrollable flailing of the lower limbs and, an angry muted scream of profanities emanating from the mouth of yours truly. The touch of the sheet, against the suddenly over-sensitive toes, can seem to be an overwhelming tortuous  burden.

No matter how tired, or even exhausted, I may feel as I prepare for my bed-rest, these sundry ailments and irritations ensure that I rarely achieve more than occasional brief cat-naps for many of the nocturnal hours.  In terms of sleep, my requirement / need rarely seems to be fulfilled.

A large bag full of supports for shoulder, wrist, elbow, back etc. now accompanies me on the daily transition from sitting room to bed room, from day into night.

A CRY of SELF-PITY – an ATTEMPT to EXORCISE the PAIN


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PS 22/09/16 see also:

Restless - Illustrated Poem

on 'Mal's Factory' which reflects a similar theme!

Flummoxed by Circumstance

The heat and humidity of the past week have certainly, but unsurprisingly, had a detrimental effect on my relative state of well-being. Even before the hottest day arrived, I was already suffering payback, for over-exertion, in my desire to optimize the length of time & distance spent walking our gorgeous dog Piper.

Already impaired by that payback I'm somewhat flummoxed when trying to determine how much of my current ailments, tenderness of lymph nodes (both axillary and cervical), aching bones feeling somewhat as if they've been hollowed out and lined with lead and undergoing extreme gravitational tugs of war, are a continuation of the earlier payback and how much solely a response to climatic conditions.

I've reluctantly had to resort to supports applied to wrist, elbow, knee, ankle, and even tubular bandages covering most of my arm. I don't know whether this use of tubular bandage serves as some kind of lymphatic massage but, it certainly helps. Unfortunately, alongside the physical ailments, a re-active depression has had a deleterious effect on my ability to respond rationally to any minor physical or emotional setback.

Yesterday morning as I lay on my bed, chokingly sobbing, Piper ran up the stairs, placed his head beside mine and lay with me for a few minutes; that in itself demonstrated that his presence in our life proves therapeutic. I have actually managed a couple of shorter walks with the boy in the cooler parts of the evening.

Piper is certainly becoming more confident since joining our family, barking a confident disapproval of large darkly coloured dogs encountered on his walks, yet offering friendly sniff-based greeting to many other canines that he had at first cowered away from. Judging by this behaviour, I suspect that the scattering of scars on head and torso, received whilst in the pound, were caused by a really large dark coloured canine. He has certainly gained a good knowledge of our nearby footpaths and bridleways and seems to let his walker know when he's ready to head back home.

his mistress's scent

Piper

Piper

Although I spend much more time with the dog at home, than my beloved OH manages (owing to other commitments), she is definitely his dominant other. Fortunately, he now spends less time dolorously searching for his mistress when her other duties call and, this weekend he has been left solely in my charge, as his chosen other ventured down to the south of the country for a couple of days and nights. Now, after 10 hours of Helen's absence he has just been casting a few longing glances at the door of the lounge but, then goes trotting around the garden, looking for possible sources of mischief. On returning to the house he welcomes my attention before checking out the door once more, anxiously awaiting his mistresses return.

These days I hate, almost fear, spending evenings and nights alone in the house, feeling rather vulnerable, due no doubt, at least in part to my sundry physical (and reactive emotional) ailments but, I'm sure that Piper's companionship will help.