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.

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

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

194. The 3 B’s

Today my downward spiral continues. It’s a day that needs to end. I’ve binged, I’ve biked and I’ve burned.

I slept in, slightly comatosed from last night’s sleep aid. I rushed little man out the door to nursery, and when I arrived home, I made a cuppa and sat with my thoughts.

I wanted to leave little man at nursery indefinitely, and actually dreaded picking him up this evening. I’m no good for him, and sometimes, I think I hate him, or is it the life I now lead since his arrival?

I’ve shoved chocolate bars, cereal bars, real butter smothered scones, bananas, crisps, yogurts, sweets, and anything else edible in my possession, into my face; as if preparing for a winter hibernation.

I off course felt grotesque, and this feeling forced me to go and pump some pedals. Upon returning home I binged some more, fueling further disgust.

Two fingers down my throat expelled some off this disgust, and straightening irons held firmly against my arm expelled some more, and brought me temporary calm.

Now though, with some hours remaining before bedtime, my arm is in agony, my jaws are crying out for more junk food and my legs, (already fatigued from overdoing things lately) are jittery as my head is telling me, I need to pedal some more.

Loopy x

184. Little man is stressed.

Being at home has reignited my fears for little man. It’s hard to watch him getting stressed whilst my niece and nephews fuss and flock around him.

He is only 2, but everyone agrees that he cries more than an average toddler. He cries for no apparent reason. He cries when there’s noise and when he transitions from one activity to another. He’s still walking on his toes, although not all the time.

He has come on a lot this past few months in many ways. He shows me affection and plays with me and OH but there is just something about him that niggles at me, and makes me fear for his future.

My family are ncredibly loud though and actually they stress me out too.

I’ve had enough of being at home now, but I’ve got a week to go yet. I need to burn.

Loopy x.

180. Too many pills.

I need them, (to see me through the Christmas period) but now I find myself with too many pills. I’m googling OD effects, LD50’s and suicide successes. I’m thinking, now’s the time to consume them all!!!!

My thoughts are swaying to and fro; life or death. A shit life, or decades of decay in cold moist soil. A shit life, or broken families and a damaged child.

But then I’m damaging him. If I stay I’ll break him. If I go I’ll break him.

Can someone please fix me.

Loopy x

178. A deep one.

I’m not totally sure why I did it. I’d been fantasizing about it all day, and just now after a bike ride and a shower I’ve burned. It’s a good one.

My head has been fried lately trying to sort out my prescriptions with my GP and despite numerous faxes from my CPN, they continued to mess it up. 2 more phone calls today and I eventually made progress. But it was really stressing me out.

I’m still on only 7 days worth at a time, and to cover my Christmas hols I’ll need 2 weeks worth. I can predict hurdles!

Why is nothing ever simple????

Loopy x