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.

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.

A Quick And Yet

Painfully restless nights have been showering me in abundance of late; how I yearn for those times when bed-rest actually proved restful and, one had the joy of waking refreshed to the new morn, albeit assisted by a strong caffeinated beverage.

My beloved OH generally manages to sleep soundly, unperturbed by the thrashing of my restless legs or the wildly uttered expletives, emanating uncensored from my brain out through my mouth, as the aches and pains attempt to take total control of limbs and torso.

A supply of wrist, elbow, shoulder and knee supports remain in attendance by both bed and armchair side, never quite sure when they will be summoned into action! Much the same applies to the omnipresent box of medications. And yet …

Oh yes, there is fortunately an “and yet” addendum to the above summation of dis-ease. Enjoyment, revelling in the music I listen to via vinyl, cd and the airwaves; movies we watch both broadcast and via dvd and even, dare I utter, VHS tape. Piper, our wonderful hybrid hound, some part beagle, some part podenco (and whatever else) went into this wonderful creation that provides entertainment, love, frustration, and simple amusement. I am fortunate that at present I am able to manage an evening walk with the boy (canine variety) as we let him run freely down squirrel alley, through the wild verges of the local playing field and the adjacent grass tussocked, cow parsley, tree and sapling sprinkled, hound scented haven.

This year the birds have returned to our garden feeding stations, nothing exotic but a rewarding mix of blue tit, coal tit, great tit, house sparrows, goldfinch, starlings, collared doves and also wood pigeons, jackdaws, and bullying magpies. It has, once again, been a delight to watch the always hungry, newly fledged starlings being fed by their elders.

There’s just so much to enjoy in the world around us, just wish the sundry bodily ailments would take a vacation!

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!

The Old Familiars Return

And suddenly the old familiars return; I can’t say that they’re particularly welcome but, they do offer a distraction from more recent discomforting visitors. Just as I’d started to relax, after a few hours (as part of the last few days recurrence) suffering from problems with digestive system, gall-bladder, reflux and diverticular disease related problems, the old griping lymph nodes in the armpits, pains in wrists and elbows, returned to the fore. Having strapped up wrists and elbows, upper arms were held tightly against the torso, forearms behind the back with hands tightly clasped, in a partially successful attempt to alleviate the nausea inducing armpit discomfort.

Indigestion pains had become more disturbing as they induced sharp pains in the left hand side of the chest, evidently emanating from a renewed bout of costochondritis; frequent applications of ibuprofen gel to the rib cage seem to be alleviating that condition. In an attempt to alleviate the abdominal discomfort the doctor has switched me from lansoprazole to ranitidine 150mg twice per day. No doubt it will take a little while before any results are noticeable.

On top of these frustrations, my right knee (from which pain was alleviated as a result of an arthroscopy a couple of years back) has started grating again as I walk.  To be honest though, the recent, and current cold spell does tend to exacerbate any rheumatic / arthritic symptoms.

One could say that it’s all happening, at the moment, within my bodily being; even the dreaded post-nasal drip has returned and isn’t responding to the nasal spray. Oh the joys of living and the pleasures of old age. I’m afraid that those closest to me, primarily my beloved OH, are always on the receiving end of my tetchiness induced anger. On top of this my beloved is getting more tired as she awaits a heart valve replacement op. I realize that it has become pretty well a routine procedure these days but, I still can’t help feeling a little anxiety about the whole situation.

I do realize this post makes me seem like a real moaning Minnie but it will have to suffice until I receive, if ever, ample stamina to get back into a more regular blogging routine. Much of the time I’m able to enjoy a wide range of music listening (via CD, radio and online) and quite a lot of movie watching (via DVD and TV broadcast/ catch-up services) so, perhaps I should express a more positive message. I’m even able to take the dog for his short evening walk, with only a few health-imposed abstentions.

I don’t suppose getting older helps my general condition, albeit I’m only well into my 75^th year on planet Earth, but my emotional responses and attitudes seem to always be at odds with my chronological age, It seems like my intellectual and emotional life are still quite youthful; well, perhaps still back in my early thirties. If only my physical frame could take that leap back!

PS the use of the term familiars at the head of this post has just made me think of the witches black cat etc; if only I could cast a spell. Meanwhile the prayers of others will have to suffice.

and so it goes ...

For the past few weeks my health, and emotions, have been on something of a roller-coaster ride; it’s difficult enough living with chronic-illness / chronic pain but, when more mundane bugs (doing the rounds) place an additional burden on one’s already low stamina reserves, an unwelcome veneer of despair enters the frame. Fortunately, these more mundane viral attacks tend to dissipate after a couple of weeks, but never before time.

Exhaustion still seems to hold control of the reigns, even when one is experiencing an apparently more alert and energized spell. As agonizing pain & exhaustion takes control so one’s temper frays and, against one’s better judgement, expletives tend to fill the air.

This evening the pain in upper limbs, joints and lymph nodes, has defied the efficacy of 100mg of tramadol. Malcolm is not a happy bunny but, still manages to put on a brave smiling face in an attempt to deceive himself. More happily, I am still fortunate enough to be capable of deriving tremendous enjoyment from a catholicity of music, DVDs, poetry and paintings.

random onset - chronic & acute

This happens far too regularly and yet, it still catches me unawares, a total surprise. This afternoon, just relaxing with my faithful pooch laying beside me on the sofa,, when a sudden griping, annoyingly discomforting, ache in the armpits, brings back the feelings of nausea. Shortly after this griping ache a throbbing pain takes over my elbows, whilst wrists ache in a manner similar to carpal tunnel syndrome.

Sometimes the application of elbow and/or wrist supports serve to alleviate the nausea sensation and, the throbbing aches gradually subside; on other occasions even opioid painkillers fail to dispel the more severe discomforting pain. Quite frequently the armpit pain occurs when I’ve been holding a tabloid size newspaper or a tablet PC for more than a few minutes; when this occurs I have to discard my cardigan as the armpit seems overly constricted but application of a shoulder support, which settles more tightly in the armpits, can sometimes alleviate the discomforting pain.

                                             ******

The first two paragraphs were written on two separate days, the usual problems, as described above, prevented me from spending sufficient time on the laptop to rediscover the document so far. I’m managing to keep posting to my twitter feed and almost keeping up with facebook posts, primarily via tablet, but concentration tends to dissipate as soon as the aches and pains begin.

Today the armpit pain came on more acutely, even though I wasn’t holding either newspaper or tablet. Donning of a shoulder support which fitted quite tightly in the armpit did distract me from the initial acute pain but, within a minute it was necessary to don wrist and palm supports to alleviate an intense, tear inducing, discomforting pain in my wrists. It was necessary, today, to resort to a couple of 50mg Tramadol.

I realize this may be much ado about nothing but, it may help to explain the paucity of posts from yours truly.

A Long Night's Journey Into Daze

By last evening, the efficacious application of sundry supports, and a small opioid dose, had brought me back into a more at ease body to contain my soul and mind. So far all was going well and an hour before my proposed bedtime I took 30mg amitriptyline along with 50mg tramadol to, hopefully, pre-empt a bout of restless legs, throbbing knees, and ultra-sensitivity in my toes.

Well, shall I let you in to a little secret; the pre-emptive strike was a dismal failure on this occasion. Within half-an-hour, of laying under the duvet, my knees were attacked by a sharp throbbing ache which, apparently, demanded of my unconscious that they should be flung out from the side of the bed in a way that switched between an unsupported taut outward stretch and, a limp folding at the knees, as calves crashed against the divan base drawers with toes trailing on the floor.

I frequently attempted to change my sleep preparation posture, laying first on one side then the other, laying on my back, on my front, and sundry intermediate stages. Suddenly, the ultra-sensitivity of my toes added to the problem; regardless of whether top, bottom or side of my toes made contact with the bedding a chinese-burn sensation caused an unpremeditated jolt of my lower limbs. After two-and-a-half hours of variable intensities of discomfort there was little chance of an imminent visit to the land-of-nod, so I picked up my tablet pc, plugged in headphones, and caught up with a couple of TV programmes. Six hours after succumbing to the lure of the duvet realm a couple of hours of light sleep took over.

A mid-morning entry into the clothed arena didn’t seem to offer much improvement. After ten minutes browsing a magazine my wrists began to ache, swiftly followed by the hollow ache emanating from the armpits. Wrist, elbow and shoulder supports were gradually donned with little sign of the discomfort easing. A dose of tramadol seemed to take for ever to kick in; a generalised discomfort hadn’t settled until some time after my beloved had returned from her preaching appointment but, unlike the previous Sunday I was able to finish dinner preparations and really enjoyed the fruits of my labours.

mutual aid society - Malcolm & Piper

Throughout the morning’s persistent discomfort, and distress, our devoted hound, Piper, never strayed far from my side, snuggling up alongside me in a truly therapeutic manner; without him my screams of frustration would have been considerably louder.

Fermentation and Percolation - Abdominal Joys

Wearied by humid heat, each minor task seems Herculean, even more so when it involves a trip into town. For many years now I’ve been unable to face travelling any distance but, it has become increasingly difficult to steel myself sufficiently for the very short journey into the town centre. Chauffeured by ma belle Helen it’s only a matter of 5 to 10 minutes in the car, but even that becomes quite arduous when the stifling heat seems to amplify the sensory overload of passing traffic and scurrying pedestrians both whilst journeying and on arrival at one’s goal.

Earlier this week I had to travel into town to collect my new glasses, of the spectacles not the drinking vessel kind; a short trip on a day when the heat proved overpowering to me. An additional problem, on this occasion, was a diarrhoeal flare up of my IBS. A quick visit to the toilets at the shopping mall found all cubicles temporarily “out of order”; the subsequent scurrying to a large store, and ride up the escalator, proved somewhat disconcerting as the whole abdominal area felt as if an excruciating fermentation or percolating  process was occurring.

Having reached the necessary facilities in the store both cubicles were occupied as I waited cross-legged and anxious for a unit to become available. As I’ve said before, visits into town are always a discomforting experience for yours truly but, this time, the humidity of the day alongside my turbulent abdominal spasms caused additional distress, on top of a familiar state of sensory overload.

It was really touch and go as to whether I managed to keep the appointment to try on and collect my new prescription eyewear. On the verge of a panic attack, I did manage to collect the optical item although I was more interested in getting back home than giving myself sufficient time to fully check that they were OK. Whether or not they proved satisfactory was of far less importance than the rest and facilities waiting for me at home.

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 the start of another normal day

Where to start; how to define; what words can be used to describe another normal day. I wish to God I understood what is a normal day? Even my days, curbed by health restraints, proffer plenty of variety in terms of food ate, music listened to, DVD’s  viewed, even times of dining may vary, yet somehow they seem to belong to what could be considered a normal day.

This morning I arose from the duvet realm shortly after 10.00hrs, earlier than some but not much later than most days. Even before I left the bed, a throbbing ache in the sides of both knees caused a little discomfort which, strangely, felt like a painful hollowness between upper and lower components of the lower limbs. Nothing unusual there, apart from the degree of ache and discomfort, for this time of day; a mug of coffee and a bowl of cereal were definitely needed. Of course Piper, our beloved hound, greeted me with tail and rear portions wag and sway as he carefully directed me towards his doggy treat store.

So far so good, it’s just another normal day. Having breakfasted I settle down to read the tabloid-sized i-newspaper for fifteen minutes or so before acing wrists cried enough. After a little doing-nothing break, switched on my android tablet, for a cursory visit to twitter-land and newspaper summaries, surfing for about twenty minutes. Another caffeine intake required to keep me awake, followed by a further few minutes with the i-newspaper, only to have a discomforting sensation, tenderness of the lymph nodes, in the armpits. Time to move to the larger sofa, put my legs up and allow the music from radio 3 to wash over me; Piper swiftly leapt over my lower limbs to snuggle beside me.

Not many restful minutes passed before a throbbing discomfort in my toes demanded I put  some pressure on the soles and arches of my feet to somehow eliminate the toe-tingling sensation. Next, almost as a matter of routine, pains from the armpit had extended a nauseating discomfort to whole of upper limbs.

Yeah, I suppose it is just another normal day; shortly after 13.00hrs my first resort to painkillers (tramadol 2x 50 mg) since late yesterday evening (on that occasion alongside amitriptyline) as I prepared for my return to the bed zone. Of course by this time I have recourse to my usual pre-meal medication as I anticipate a little lunch-time bite to eat.

Amazing how hard one has to work in order to be busy doing nothing; for now I revel in the music zone, forget my minor worldly woes. For music, love and life, I give thanks. Just the start of another normal day!

ACHES and GAINS

Just when you think you’ve recovered from the roller-coaster ride, a sudden smack of reality makes you realize that you’ve stepped onto the ferris wheel and this time it’s supercharged. Stomach and oesophagus have never felt so close, a moderate underlying nausea takes on a more prominent role. The head feels giddy as if too much time has been spent on the ‘waltzer’, and knees, ankles and elbows throb as if stray balls from the coconut shy have found fresh targets.

You’ve maybe guessed it, I’m talking payback; a reasonable period of (partial) remission had almost persuaded me that life had been restored to normality. As I’m now into the fifteenth year since my collapse, succumbing to ME (myalgic encephalomyelitis), one would think I’d know better than to miscalculate my reserves of stamina. I’m not talking of any undue exertion, just twenty minutes of mowing the lawn with an electric powered mower seems to have knocked me back. Mind you, this additional exertion came at a time when I’m just coming to the end of a course of antibiotics and antimicrobials.

These additional medications had been prescribed as a result of a visit to A&E at the district hospital last Thursday evening, following a flare-up of diverticulitis (and probably gall bladder as well). There have been many occasions recently when I’ve felt as if my moderate ME had turned to a milder form but then, brainfog, alongside excruciating discomfort in upper and lower limbs, and nagging pains variably dispersed around the torso, randomly exert their authority.

Putting those ailments aside, I am fortunate that I am still able to enjoy listening to a wide range of music (via CD, radio and vinyl sources) and am generally able to accompany Piper (our beagle – podenco  rescue dog) and my beloved OH Helen on short evening walks. A few years ago there were occasions when it seemed / felt like an effort too far]just to walk the few yards to the corner of our road. I really miss it when I’m not able to manage these short walks but the love and attention, received and given, by Piper compensates more than a little, and I’m still amazed at the therapeutic value of this charismatic canine.

An additional source of joy is provided by not infrequent visits from our grandson Alexander, now in his ninth month of bringing and receiving an abundance of smiles to the house. Piper is intrigued by Alexander, even though he’s never sure of how to take the infant’s reciprocal interest; the boy stretches out to feel / stroke Piper but has already managed to grab his tail on one occasion as well as being drawn to his ears (always a sensitive part of the pooch’s anatomy).

Night and Day and ... on and on

A night, plagued by both restless legs and a kind of strangulated tenderness emanating from the axillary lymph nodes, found me more exhausted on arising from the duvet realm, shortly after 10.00am, than I had been when I got myself into the bed 11 hours earlier. This did not bode well for the ensuing cold and damp morning and afternoon; that sense of foreboding proved quite apt.

Aches in wrists and elbows forced me to lay both laptop and tablet pc’s aside as a nausea inducing hollow ache in the armpits took control. I removed my outer garments and applied elbow and wrist supports in an attempt to alleviate the symptoms. The discomfort intensified ….

Anyway, the following poem resulted from this experience.

Poem and illustration both by yours truly

For These Small Mercies

For These Small Mercies (we proffer thanks)

Today, so far at least,

is one of gentle shattered-ness;

welcome relief

from yesterday’s griping

pain and aches.

An ever present undertow,

of generalized discomfort,

still leaves the space

for a richly varied range

of sensory attacks.

Will it be muscles,

joints, gastritis, or other

less easily defined

components of

the neurological kind.

Today at least

I have enjoyed a time

of gentle relaxation,

an ease of body

and a calmer mind.

                                          Malcolm Evison

                               20 July 2017

this post also appears on my poetry blog

Mal's Factory

a REAL Pain in the .... just another day

Why don’t they come and release the clamps … why don’t they come and RELEASE THE CLAMPS? Stupid thing is there aren’t any clamps and, even if there were, there’s no-one around to free me from them. I’m just slowly recovering from one of those all too familiar attacks where throbbing aches and pains in upper arms, wrists, elbows, knees and ankles arrive in an apparently choreographed simultaneity.

It’s not that I’d been doing too much either; I arose from my un-refreshing sleep at around 10.15am, had a small breakfast and browsed a newspaper (online) for about fifteen minutes and then just sat, stroked the dog and made a little fuss of him, before venturing out into the big wide-world. At around 1.15pm I was chauffeured into town, by ma belle Helen, to browse and purchase one or two DVDs for my birthday, utilizing a voucher received (on my birthday) a few weeks ago.

The purchasing venture proved successful and, we were back at home within an hour from stepping out. Judging by the greeting received from Piper, our delightful canine boy, you’d have thought we had been away for days; frantic tail wags, barks of delight and excited bodily contortions were all part of his display menu.

Shortly after our return home I prepared dinner for Helen and myself, one of my own recipes, a Kedgeree cum Byriani. The meal proved most satisfactory, after which I relaxed a while, listening to Bruckner’s 7^th Symphony (compliments of Radio 3). After this relaxation interlude, I began to feel uncomfortably exhausted and, hints of the painful bodily niggles were already apparent. I went to recline on the larger sofa, with the intention of watching a DVD but, by now, the niggles were intensifying and a dose of tramadol was in order.

Next thing, I was having to curl up, arms stretched between my legs, legs randomly (and arbitrarily) thrown over the back of the sofa and, of necessity my upper arms clamped tightly to my torso. By this time, the discomfort in my toes, feeling as if my socks were applying an excruciating pressure to the knuckles of these digits, had also kicked in. I think I managed to view the first twenty minutes of the DVD before having to clamp my face tightly against the sofa back.

Elements of these nausea inducing, expletive demanding, symptoms are almost a daily occurrence at present although, I must admit, were of a slightly more disconcerting intensity this afternoon. Spending more than a quite limited time using a laptop, or holding a newspaper or book, regularly induces a squirm inducing discomfort in armpits, elbow and wrists but, although I enjoy playing and wrestling with words, I find it virtually impossible to describe the nature of these swift onset aches pains and nauseating discomforts. These invisible disabilities / infirmities are a real pain in the … (fundament?)!

on the mend and back again

Well, I’ve got to admit that my recovery after the arthroscopy was much quicker than I’d anticipated and, within three weeks I was back to being able to walk the dog on pavement, footpath and fields almost as before the operation. I have to use the assistance of a walking stick at present, but that was the norm until a year ago, but I’ve not had to don my knee supports. Yesterday afternoon, I had a follow-up appointment at the Orthopaedic & Fracture Clinic at the District Hospital and was discharged back to my GP.

During the op they had discovered some degree of arthritis (which hadn’t shown up on the X-Ray), considerable wear and tear of the cartilage and some bare bone into which they drilled two small holes. Incredible what can be achieved through keyhole surgery and, I’m just grateful for our wonderful NHS which the Tories are still intent on destroying.

The only difficulty, if I can call it that, whilst at the hospital was a need to rush to the loo whilst waiting for the appointment; sods law timing of a side-effect from the antibiotics that had been prescribed, the previous morning, for a non-related ailment. It all adds a little (off-)colour to life’s already abundant tapestry.

Now, the back story to the antibiotics: Late on Tuesday afternoon I started to get pains in the upper abdomen, right under and along the rib-cage. At first this felt more like a dull bruise but gradually intensified to a more searing pitch but, I’d had a similar, not quite so acute, sensation a couple of months back which was resolved by a prescribed doubling up of my omeprazole. I’ve long been plagued by digestive and sundry bowel and abdominal problems so, I’ve become accustomed to spasmodic disconcerting abdominal pain and discomfort, alongside other chronic pain symptoms. During the evening this more intense pain seemed to spread into the right-hand side of my back, from just below the shoulder blade into the small of the back. The discomfort & pain reached such a degree, untouched by my usual painkillers, that I had to keep changing chairs, sofas, posture etcetera,  throughout the evening, in an attempt to alleviate each recurring moment of increased intensity.

On Wednesday morning, following a telephonic triage by a practice nurse, I was granted an emergency appointment with a GP. I was amazed, and relieved, that the doctor gave me such a thorough examination of over twenty minutes duration and, judging by my reactions to the examination, he suspected an infection of the gall bladder. The doctor also arranged for a nurse to take some blood samples whilst I was at the surgery and, prescribed a course of Co-amoxiclav. He also asked why I hadn’t gone to A&E the night before, although my beloved OH had suggested that. I explained that I felt A&E were already overburdened and I didn’t want to add to it. The docs response was “but you are really ill!” and, if I experience similar pains again I shouldn’t hesitate in getting down to the hospital.

Early on Thursday morning the GP phoned me to check up how I was feeling and informed me that the blood inflammation flags were rather high and, felt that we were on the right course of treatment. I have to arrange for another blood test in a couple of weeks. Once again, my thanks are due to, and gratefully proffered for, the NHS!

the guilt trip of an involuntary social inactivist

As a life-long socialist*, I first joined the Labour Party in 1960 and, involvement in various campaigning groups on the internationalist/ social justice/ socialist spectrum swiftly followed. Unfortunately, health problems have, for more years than I care to remember, prevented me from participating in most party activities such as leafleting, canvassing, phone-bank duties. It has been only on very rare occasions that I’ve felt able to attend local branch meetings.

The reason for my non-participation is that I never know how my stamina reserves will play out on any particular day, part of the day, or even at times hour by hour. Although my general health has recently been better than it was in the first few years after collapsing and succumbing to ME, in 2003, I have to be very careful with my pacing.

I still find it difficult to cope with visits into the town centre, a mere 10 minute car or bus ride, and I have not managed to regain sufficient physical and emotional stamina to cope with the sensory assault of cinema, theatre, church, or concert-going. Indeed, I’ve rarely felt able to visit any art exhibitions, around which, for several decades much of my life seemed to revolve.

What prompted me to write this post is the intense guilt, and even anger, I feel when I receive e-mails enquiring whether I’m able to help out in the run-up to the general election. There are so many organizations whose aims I support but, I’m never able to commit to attending meetings, seminars and sundry proffered events; on a bad day it’s even difficult to respond to online surveys re campaigning on various issues.

The internet has proved a real life-line for me and, I love to know what issues are being campaigned on but, at present I’m contemplating unsubscribing form many of these mailing lists because of my recurring guilt at not being able to proffer my physical presence in support of these causes.

* I’m not kidding myself that the Labour Party is a socialist party, even though there are avowed socialists amongst its membership. I acknowledge that even under Jeremy Corbyn’s leadership it remains essentially a left of centre social democratic party with a modest glimmer of democratic socialism.

one helluva night - with tears to follow

Well that was one helluva night! No, I don’t mean it was brilliant or enjoyable, indeed the opposite would seem to apply. For a large section of the night, which should have been spent either at rest or asleep, excruciatingly discomforted aches, pains and jarring niggles, exceeded there usually capacity to catch me by surprise.

What started as the all too familiar ultra-sensitivity of my toes, swiftly became an all-consuming ache of limbs and torso. Throbbing knees and aching hips, joined aching wrists and elbows in some kind of exotic fandango. Between the familiar aching pains, sudden jolts, as if an electric charge had been applied, seemed to run through torso and limbs before resolving to a generalized heavy ache with only occasional jarring painful explosions.

Supports applied to wrists and elbows seemed, at first, to alleviate the intensity of the discomfort but it only took a short while before the discomfort intensified once more. Similarly, lavishing my toes with moisturizing cream proffered temporary relief. After about 1½  hours, which seemed like an eternity, I was able to settle down with a vague hope that sleep would soon overwhelm me.

Come morning, I was pretty much my usual sleep-deprived self but, I managed to doze off for a few daylight hours. At first I didn’t seem any worse for the extremely disturbed rest and sleep pattern of the preceding night but, later, became quite weepy and tearful, to the extent that I developed an intense fear regarding the procedure (arthroscopy) to be carried out on my right knee on Saturday. My thoughts ran wild in anticipation of worse than usual debilitating pains to further detract from my quality of life.

At heart I’m a total wimp, I only cope with quite regular pain, discomfort and, occasional bouts of brain fog, because I’ve not been granted an opt out clause. My sense of ill emotional ease intensified as the morning went on; both my beloved and Piper attempted to console me even though I strived to reject their consolation.