213. Little white lies.

I couldn’t sleep, that part was true. I’m totally dependant on pills now. Audio books and zopiclone are the perfect combination, but without the zopiclone (or a prescribed alternatuve) my eyes remain open and my thoughts attack me.

“Did you do anything?” asked a caring NHS voice this morning. “No” I replied but in truth yesterday I was a little self destructive. I once again put straightening irons against my skin, until the flesh was white and leathery. The edges blistered immediately and now I’m dealing with the aftermath. I don’t really know why I did it.

In the evening myself and OH treated ourselves to a “Subway”; the chicken teriyaki on Italian herb and cheeses went down easily. Then the guilt took hold and I followed the ritual of drinking tea (to fill my gut with liquid), sneaking off to the bathroom, expelling some of the guilt, and washing my hands and around my mouth thoroughly with soap.

I don’t know why I lied this morning. I guess I felt like the truth would let him down. The truth would label me attention seeking. The truth would prove that I’m pathetic.

Loopy x.

212. A post from my work desk.

Today was huge!!!! gut wrenching, nausea inducing huge. After 6 months of absence, I made a lunch, adorned my lanyard, swallowed some PRN (lirazepam) and went back to work.

I’m currently sitting in my old office, albeit slightly rearranged. I asked my boss if I could have it back; and he said he’d think about it, but within 20 minutes following our meeting I was informed that its current occupant has been turfed out, giving me my space back. My office space is something that is important to me. I’m on the 3rd floor of the building which means that I’m not subjected to same levels of student traffic as the main teaching rooms are on the floors below. Being “hidden away ” in this manner means less ad hoc student drop ins, less ad hoc concerns, complaints or general chat, which can quickly eat away at time preserved for tasks. I’ll still get the occasional knock but with less frequency than staff on the lower floors.

Coming back to work has been very emotional for me and I’m still feeling a little shaky and overwhelmed. Colleagues have been lovely, with hugs and offers of coffee and no prying questions. I’ve just eaten lunch with a few but i really didn’t participate much in the conversion. I’ve lost that side off myself, lost all my confidence but it will hopefully come back.

A nice little work related task just appeared in my inbox this morning, not from my manager but from one of my previous students, who is applying for PhD’s. I was his undergraduate project supervisor and he wishes to use me as a reference. I am delighted to do that for him, and even more so because his email helped to ground me this morning. His email was my first interaction with any students albeit electronically., but it also provided me with an icebreaker manageable task to get my fingers typing and my mindset back to work. It was exactly what I needed. It also helps that he was a great student, and his reference will reflect that.

I’m now emotionally and physically drained, and really just need to go home. I shall leave soon.

Loopy x.

211. The fear!!!

I’m literally shaking, my stomach is in knots and I can’t control my worrying. How on earth am I going to endure work tomorrow?

On top of that I’m emotionally exhausted following today’s psychotherapy assessment, and CPN chat. I’m also not exactly happy that I’ve finally been allocated to someone new, but she’s off for the next two weeks.

On top of that I’ve walked a total of 12 km7 today, just to attend the appointments and swing by my village pharmacy to pick up my meds on the way home. God I wish I could drive!!

I also bumped into a familiar face today, from my old ward. I was supposed to give her a shout after my assessment, but when I went to reception her name escaped me. I left a half baked message with the wrong name and was a little frazzled anyway as I had to rush off to meet my new CPN straight after. I would have loved to chat to her today though, and I’m gutted that I missed my chance.

This evening I wish I could call my previous CPN, no one else. L would know what to say, L would reassure me. I need L!!! I’m kind of freaking out!!!

Loopy x.

209. All a bit much.

This week is proving rather stressful. I’m trying to stay level headed and rational but it’s difficult. Everything always seems to pile up on me, at once;

I’m going back to work on Thursday which is momentous in itself, but then throw in a psychotherapy assessment on Wednesday morning followed by an introduction to the lady who’s taking over as my CPN in the afternoon. Also I recieved an email this morning asking me to complete a work stress assessment form from my manager.

There’s too much to think about, too many worries to juggle and I’m not in the form today for any off it. Little man’s at home with me and I’m struggling.

I need to order my meds again and I can already see that the doses are wrong on the GP’s system AGAIN!!! They screw it up EVERY TIME My surgery are totally incompetent!

I don’t have the energy to sort it out today.

Loopy x.

208. Wound management.

I really should know better. I’ve been doing this long enough!

Dressing brands make promises of longevity, absorbancies and water proofness. When you’re dealing with burns (often full thuckness) as I do, it requires the Rolls Royce of wound care management tools.

Burns result in exudate (the cells and fluid released during inflammation); copiuos amounts in fact, that can rapidly seep through sleeves and garments.

Burns are extremely prone to infection. The skin is our largest protective organ and our first line off deffence against invading pathogens. Furthermore as tissue dies it provides an all you can eat buffet for staphylococcus and his other microbial buddies.

To reduce scarring and achieve improved pain management the healing environment should be moist, and sealed from the elements.

I use Meplilex border Ag when I can. A foam dressing, with a gentle silicone adhesive boeder that can deal with the exudate, combat bacteria with its silver impregnated layers, and provide optimism healing conditions; or so they claim. It’s also thick enough to reduce the odour that accompanies burn healing. Think of your food waste bin, full of meat, during hot summer months in the run up to collection day.

I’d asked my GP for a prescription of said dressings, but my stock is now low. The reality is that these things bend and flex with the contours off your skin. Inflammation induced itchiness forces you to claw and scratch at them. Burning over,or near to old wounds where kelloid scars have formed creates airpockets and channels in the adhesive. All off these factors render them useless within a day or two or immediately following a shower. When my stock is low I try use them sparingly; if at all. They’re incredibly expensive to buy with regularity.

Today’s decision to ration their use created quite the conundrum for me this afternoon. I was going to the gym and knew I’d be showering after. The previous dressing had fallen apart for all the reasons mentioned above and it stunk, so had to be removed. A new one before the gym would waste it, so I left my arms unprotected, covered only by my rash guard. The wounds continued to weep, and a couple of hours later the fabric of my sleeve had congealed with the wound site. IT WAS STUCK!!!

Many of my burns heal with hypergranulation; essentially a process whereby tissue and tiny blood vessels grow back exuberantly above and beyond the original site, creating little delicate flesh mounds. It was one of these that was stuck!!

I soaked my sleeve with water, to no avail. I was forced to “tug!!!” All I can say is Ouch!!! Newly formed nerve endings were severed, blood vessels burst and flesh ripped.

In the context of lecturing I’m used to creating sessions and activities that have “learning outcomes” This was a perfect experience to teach someone not to burn again, but that’s not what I’ve taken away from it.

Despite the trauma, the pain, the odours, the recovery proccesses and the sheer difficulties associated with exudent wound management, and hiding it all from everyone else; I crave it. I need it! It’s my valium, my reality checker, my grounding strategy and my fucked up comforter. It’s my one controllable constant.

I will hoever, be more careful with my wounds.

Loopy x

207. Parenting win.

Father Christmas had a lot on his plate this year. He’s been around for centuries, so the poor fella is bound to be going a little senile. With millions of children and gifts to sort; its not surprising really that items could end up lost or forgotten.

From what I’ve heard, he was fairly heavily medicated this year; and so I can only assume that his often drug induced defuddled state; is accountable for the art easel I uncovered today in our bedroom wardrobe.

I wonder if he’s forgotten anything else?

Loopy x

205. No endorphin boost.

I went to the gym again last night. I didn’t go because I wanted to. I went because there was a strong compulsion to go, a compulsion driven by the fish supper I’d eaten earlier as comfort, but couldn’t expel as OH was loitering around me.

I also went because I was disgusted with myself, and I was craving the intensity, followed by calm that burning would usually provide.

My chest is in agony from a pulled muscle but I attacked the cross trainer with gusto! It did not lift my angst, or ease the self loathing that persisted to penetrate through my blasting headphones. I could barely breathe as I struggled to hold myself together, wheezy chested and tears tricking down my face camoflauged with sweat under a peaked cap.

I attacked the spinning bike before I left until my body couldn’t muster anymore effort, and my limbs were truely exhausted.

It was not a healthy gym session. It served it’s calorie burning purpose but there was no endorphin rush, just sheer exhaustion.

I came home soaked in sweat, showered and in place of the burning I still desperately craved I swallowed 3 sleeping pills.

Still sleep eluded me. Tonight I’ll swallow 4.

Loopy x