Twenty Ten (Part One): Hard Cheese

Abstract: Thankfully, there is no Part Two.

Tags: snowcock, nanowrimo, manflu, cheese, depression

Note: probably none of the links work now.

I began 2010 by wishing everyone (except fascists) a Happy New Year and a promise to blog my reflections on the naughty decade in due course.

Well, that will have to wait for another time, but here - thanks to my identi.ca memory aid - are my reflections on 2010.

After recovering from hiccups, speaking in tongues, a hangover the size of every Xmas and New Year and forced communication with O2’s customer service drones, I went back to work and set about the urgent task of building a snowwoman in the front garden.

This was my equal opportunities response the the much celebrated #SnowCock (replete with massive snowballs) of Glossop erected by Tim Dobson and friends.

The Glossop Snowcock

Heaven snows he’s miserable now

Snowwoman somehow ended up transgendering into #SnowMorrissey until he inevitably lost his head, prompting a lyrical tribute from the similarly all-white and undead Andy C.

Just as life imitates art, ‘real’ life inevitably imitates life online. Perceptively and spookily - leaving aside the evidence of my maniacal online rantings - Andy C was concerned for my mental health.

If I’m honest, my most recent mental breakdown occurred somewhat earlier. Without wishing to go into too much detail and bore anyone with my personal troubles, I had been speaking with a psychotherapist since September 2009. After a few sessions, she expressed her concern that I might be ‘bipolar II’ and asked me to see my GP in order to get a referral to a psychiatrist for an assessment. I felt pretty shocked to hear this as I’d never considered that I might have had any hypomanic episodes (let alone needed to see a shrink) even though that might have explained some of my problems.

In tears, I told my GP what my psychotherapist had said, and thus I began my own pharmaceutical research into the effectiveness of anti-depressant medications to give me some respite (my GP’s word) from my heightened and unstable emotional state. My GP also referred me for a psychiatric assessment.

Mightily relieved finally to have spoken to someone about my difficulties and for allowing myself to ask for help, I felt as high as Jesus on the mountain for forty days and nights. Looking back now, it’s perhaps significant that my identi.ca output during this time was the highest it’s ever been (according to Michele’s Denticator - unfortunately it only shows the last 12 months, so you will have to take my word on that). Interestingly, my output last month, since I’ve been feeling better and like my ‘normal’ self was just as high if not higher:

I also increased my long-form blogging output, with a serious intent to try to write more regularly and have some fun in doing so. Perhaps significantly, my first post during this high period was about mental health. I wrote eight proper blog posts in those forty days and nights including:

A rant on authority and the War of Terror

A tribute to Manchester United and my Mum and Dad

A reminiscence piece I originally wrote in 1989 about my time stuck in a blizzard on Longs Peak, Colorado

An Ubuntu fanboi article

Another reminiscence piece, this time about a childhood incident

And a frankly bizarre post about a blue tit

It had taken me nine months to write my previous eight proper blog posts and almost five months to write the next eight. I wrote only one in the two months reviewed in this post while I was feeling so physically and mentally ill. Between May and December 2010 I wrote another fourteen.

I crashed down to earth only three days and six thousand unpublished words after my spur-of-the-moment decision to write a fifty-thousand word NaNoWriMo ‘novel’ in thirty days. Like all the other novels I’ve started, this one remains unfinished, although I did get past page four on this occasion. All of this was while I was working full-time. Mild insomnia helped.

Man flu

Just like in 1994, 1999 and 2004, I felt myself slowly burn out as Xmas approached and by the time #SnowMorrissey had melted I was feeling too depressed to work or do anything else other than go to the doctor’s surgery. My GP doubled my anti-depressant dose and I later self-diagnosed the new but familiar sharp stabbing pain in my lower right side under my ribs as pleurisy for which I prescribed myself Lemsip Max. The previous year I’d had a similar but worse pain with frightening shortness of breath, which only cleared up after a month or so using an inhaler.

Less perceptively and spookily - and admittedly without the benefit of a stethoscope, cheeseometer or any medical training - Andy C was less concerned about my physical health. Less is more.

Six days later, after a brief investigation with her stethoscope, my GP confirmed my pleuritic self-diagnosis, signed me off work and prescribed my some antibiotics for a chest infection, too. Unfortunately, she didn’t have a cheeseometer either. I started to feel a bit better, but a cold winter’s night a week or so on and the pain returned. Perhaps understandably, I was generally feeling more and more miserable, too.

At least everything was running smoothly at work during my two weeks absence.

It’s just a slice of cheese

I went back to work on 1 February feeling much better after United had made City wait another year at least for their first trophy since 1976 and after setting in motion Arsenal’s annual implosion.

Seventeen days and an x-ray later, however, I was in Accident and Emergency with a suspected collapsed right lung. After a blood test to make sure I wasn’t suffering from a heart problems I went home the same evening. The following day I developed a strong desire to punch Nicholas Winterton in the face. Repeatedly. And regularly. Say every ten minutes. Coincidence?

Pull yourself together

By now, I’d lost touch with Reality, defending homeopathy. I’d lost hope, despairing at James Robertson’s inevitably futile struggles to print and use his own postage using only Free and open source software. I’d lost my humanity, calling Basil Brush impersonator Richard Cutts a demented glove puppet for agreeing with me about Nicholas Winterton.

Three weeks before my x-ray, I’d phoned the local mental health trust to find out what had happened to the referral letter my GP had sent them back in September 2009, four months earlier. They helpfully told me that I wasn’t a priority for treatment because I was working and, therefore, apparently OK. I asked them what did I have to do in order to become a priority? Try to kill myself? They offered me an appointment the same afternoon.

Naively, I assumed that this would be an appointment with a psychiatrist. After waiting for an hour behind the locked doors and shatter-proof glass partitions of the Community Mental Health Team building that kept the professional healers and helpers apart from me and rest of the presumably perceived as dangerous local community it serves, it turned out to be an appointment with a nurse who scribbled a few notes on a scrap of paper. He then produced a copy of a letter dated the same day that he claimed had been posted to me the day before inviting me to a meeting with a psychiatrist in two weeks.

Three days before my x-ray, I met the psychiatrist. I made an extra effort to wash my hair, shave and put on clean clothes to make myself look less like Jim Ignatowski.

He sat in front of me reading my notes as if for the first time. After a couple of uncomfortably silent minutes he said ‘You’re not Stephen Fry bipolar.’

I suppose I should have been relieved about that, but my immediate reaction was confusion - how could he possibly know? All he had asked me was ‘Would you like a coffee?’ He didn’t even ask if I wanted decaf, sugar or milk and yet he was magically able to undiagnose me without conducting any blood tests, x-rays, scans or other measurements of the balance of chemicals sloshing around in my brain, which is the current unproven theory of choice among the medically inclined.

We had a bit of a chat. I asked for psychotherapy on the NHS as I could no longer afford to pay privately. He recommended that I keep taking the medication even though I complained to him that I felt worse than ever after four months on them. I was finding sleep difficult, yet felt tired all the time, couldn’t concentrate properly, had a dry mouth and sometimes felt my mood change from OK, to tearful, to agitated, to angry and even to suicidal in the space of a few hours.

I told him I’d washed and dressed specially for him. He laughed and said that was good, because otherwise he’d have had to section me under the Mental Health Act (have me forcibly detained in the mental health unit of the hospital). He rounded off our meeting by suggesting that I should pull myself together and get a life (not his exact words, but my honest interpretation and not far off). As I bid him goodbye and was closing the door to leave he asked me if I had any plans to kill myself.

I decided to stop taking my medication. Within ten days I successfully predicted England’s abysmal failure in the South African World Cup.

Look out for more cheesy Twenty Ten goodness next week as I march on into March and explain the cheesy references….