Monday, March 23, 2020

Isolation (then and now)

Today marks 8 years since I entered St James hospital (in Leeds) for the stem cell transplant I had to undergo in order to get rid of the cancer that had returned to my chest area back in November 2011. I had already completed 3 gruelling rounds of high-dose chemotherapy and was keen to get this next, most intimidating part of treatment out of the way. A Stem Cell Transplant requires being kept isolated for 4 weeks as the immune system is completely destroyed by the strongest doses of chemotherapy and is then rebuilt again from scratch using stem cells harvested beforehand (either from the patient or a donor).

I remember keenly the strong feelings of apprehension balanced by a deep confidence that I would be okay, and was strong enough to face whatever was coming my way. Spring had officially sprung and sunny, light-filled days were beginning to prevail. A couple of days previously, on March 21st, my (then) boyfriend and I had managed to get away for a day to celebrate his birthday. We went to Hull Aquarium! As he's from near there, and afterwards went to see his Mum. It was a really joyful, sunshiney day, made even more special by the knowledge that it could be my last day "on the outside" before being confined to a hospital room, experiencing intense physical and mental trials.

I remember the strategy I used then, to steel my nerves and enable me to stay on board with the plan:

  • Don't think about the length of time;
  • Focus on immediate tasks and goals;
  • Determine to achieve small victories, each moment, each day;
  • Stay focused on the long-term outcome - for me, then, being cancer-free and able to live a full life.

If I stopped to dwell on the reality facing me and the guaranteed suffering, boredom, and potential loss of my life ahead then panic would engulf me; I would become completely paralysed and unable to breathe.
I remember friends, family and other patients reacting most strongly to the isolation aspect of the Stem Cell Transplant. I would often be asked "how will you cope with the boredom?" and I always answered in the same way: "I'm not worried about that, I imagine I will be too poorly for boredom!" The unspoken part of my response was that I was that I was concerned more about coming out of it alive than of how to pass the time, alone and confined to a small, nondescript room. I should clarify here, that I wasn't in complete isolation - I was allowed visitors and of course doctors and nurses and cleaning staff etc were allowed to come in, as long as they had washed their hands thoroughly, donned mask, apron and gloves in the antechamber and were feeling well. I didn't get lonely, even when I was alone. I actually often found that I couldn't handle being around anyone. Listening to music got me through (I even took my radio in so I could listen to 6 music and Women's Hour in the mornings), reading books, and being creative - drawing, crochet projects, playing guitar and singing (before I got too weak), and of course my buddhist practice which I maintained as consistently as possible.

It's not a time I like to look back on as it's still very painful to relive. I am so incredibly grateful to have come through it and to have completed the treatment when others I knew didn't make it that far, and to be approaching eight years in remission is a dream come true. What I'm saying is, horrible as that experience was, it was worth it.

As you can imagine, the past few days have been triggering unpleasant memories and the "fight or flight" feelings have been coming up again. Having choice taken away is unpleasant at the best of times, but facing an indefinite period of isolation is fucking horrible - for anyone. You would think I'd be feeling cool, calm and collected having faced what I did back then. But no, the familiar panic and strong urge to run away (to where I don't know?!) are rising up in my belly every day. So, in order to gain a sense of control and to try and make some sense of the situation I decided to write this. Partly to convey a message of hope - this is doable and most of us have a whole flat or house (and hopefully some outdoor space) to roam around in; we have familiar creature comforts around us (lucky ones have real life furry creature friends to boot). And, the whole point of this trial facing us is to preserve life - the one objective that makes this worth getting through. Staying focused on this most important outcome keeps me sane. I don't want to waste all of the treatment I had back then getting sick and dying now. I want to stick around on this planet to see what I am able individually / what we are able collectively to achieve through and beyond this.

EXCITING!



Monday, March 2, 2020

Hangover

Today I have a hangover. A rare occurrence for me these days as I tend to avoid going out in the evenings at all let alone places that serve alcohol! I woke up this morning, after a restless night (despite taking a sleeping pill) feeling awful - so nauseous and just remorseful. I had to get up as I had an appointment to get to and anyway, lying in bed willing my mind to shut up and praying for more sleep just wasn't working out. It's a good job I did get up as it enabled me to chant solidly for 45 minutes (after forcing breakfast down and making a cup of tea). Chanting on a hangover is not an appealing activity, and inevitably causes the nausea and exhaustion to intensify - at first. But I pushed through and after a while began to feel the joy creeping back in to my life, and caught a glimpse of how I might be able to create value through this experience...

Cut to the late afternoon and despite 2 naps, food, tea, and all the supplements as well as endless refills of hot ginger and I'm still feeling horrendous. Trying to read or concentrate on anything at all made me so nauseous - I had to just stare out of the open window whilst gulping fresh air and giving myself pep talks. Even when I used to drink properly (i.e. more than two beers whilst catching up with an old friend) I never used to feel this bad the next day. Of course my mind kept veering towards the inevitable regret/self-loathing/hopelessness (repeat) washing machine cycle. So, I took immediate remedial action by sticking on a lecture by Richard Causton (the first UK general director of this Buddhist movement) and just letting it wash over me. I'd listened to it before so I wasn't worried about catching every word or straining to grasp every concept.

Somehow I ended up being able to chant again, and really decided to push through the yuckiness  and to demand that I feel better - not just today in terms of the hangover, but every day. It felt very uncomfortable and strange to chant in this way; my default self-punishment mode kept crying out to be resumed. So I just chanted louder and more strongly to drown her out. I realised, possibly for the first time, that this long-held belief: that I deserve to suffer physically after enjoying a drink or two, actually extends to how I feel about my everyday existence. It dawned on me that I actually never chant to simply feel better, because that would mean letting go of the misconception that I should be in pain, and exhausted and suffering with depression/anxiety/insomnia day after day because, because, OF COURSE! It is/was such an ingrained modus operandi, to feel somehow deserving of this dysfunctional life of chronic pain and fatigue, that I'd never truly recognised that's how I think. All of a sudden, the remorse and mental anguish disappeared and I was left with just the physical expressions of a hangover. And it's so much easier to deal with physical discomfort when you're not torturing yourself mentally at the same time!! By the end of the hour-long chanting session I felt positively grateful for having recklessly pushed my limits the night before as it had led to this deeply transformative awakening - to myself and the profound lack of compassion for my own life.

Tired as I am, and still feeling sick!, I just had to get this post written and published before going to bed. If it inspires even one person to forgive themselves and to let go of bullshit self-punishment thinking, then I'm happy. I'm happy.