My laptop claims to have at least 8 films on it but for some strange reason, on a train from Birmingham to London, it agreed to play just one, called, ‘The Help’. It’s about the writing of a book compiling the stories of African American maids working in white households in Jackson, Mississippi in the early 1960s. A book about an open ugly secret. About the courage of a few to start talking about it as a mark of protest. About the collective impact of small actions in bringing about big changes.
Yesterday was World Mental Health day and the UK became the first country in the world to announce a minister for Suicide Prevention. The day before yesterday, I learnt that Health Education England are very keen to put measures in place to prevent suicides within medical practitioners. Having been a part of the Suicide Prevention Community for the last 4 years, the one profession that is most conspicuous by its absence is Psychiatrists.
At 2 different meetings, I happened to meet 2 different Consultant Psychiatrists. On hearing Saagar’s story, one of them said he was very sorry but ‘this has been happening for 30 years’. I went blank. I just looked at him. I wonder what the public’s reaction would be if a surgeon would publicly admit that his surgical team has been making the same errors, that have been costing people their lives for 30 years. Yes. These are systemic errors. They are difficult to tackle. But, even today, youngsters like Saagar are dying because of lack of leadership within the specialty of Psychiatry, like they have been for the past 30 years.
The other, extremely prominent and respected Consultant Psychiatrist completely rubbished Mindfulness, Yoga and Meditation, without having tried any of them. He said that all these interventions have side effects. He believed that a Psychiatrist is only meant to attend to the most extreme cases. Their role comes into play only after these 5 have been called upon – parents, schools, GPs, CAMHS and Talking therapies. I am sure he knows that many youngsters die while on the waiting list, without ever getting to see a proper Psychiatrist, once. I am also sure he knows the side effects of psychiatric medications that are offered generously to all and sundry by non-psychiatrists. Lastly, I am sure he also knows how unsupported the GPs feel when faced with patients who are severely mentally unwell due to slow and inefficient response from the secondary services. And, I am sure it’s all down to poor funding. The same excuse that we’ve had for decades gone by and will have for decades to come. How about some imaginative leadership?
As parents, let’s start by saying to our kids in words and actions –
‘You is kind. You is smart. You is important.’
To me, I say – ‘I is kind. I is smart. I is important.’
You could too.
These worlds, like multi-coloured balls in a kid’s play pen in Ikea overlap, intersect, collide, clash and merge constantly. They clang as if at VT station, Mumbai at 8 am on a Monday morning.
At the core of these spheres is a mush of thoughts, words, impressions and feelings, ground into a thick viscous treacle. At their margins are bright green woods.
I live in the shifting woods that border these globes. These borderlands are safe. Nothing can be taken away from me here. If one world vanishes, I jump onto another. All of them are home. They tumble along and slosh about merrily in a pool of love, inside and outside of me.
Sanity & Insanity
Life & Death
Reality & Illusion
I have six homes.
A 4 minute conversation, Si and I : The Listening Project on BBC Radio 4 (19th Sept 2018)
I-Player (only available in the UK)https://www.bbc.co.uk/radio/play/b0bk1fc0
The bridge rumbles, shakes and shudders
as trains thunder over it.
I sit under the bridge and everything around me
rumbles, shakes and shudders.
The verticals, horizontals and things in between
Outside and inside of me
I live under this bridge. It threatens to snap and bury me in rubble
Some trains are overloaded.
They crawl on top of my chest.
Crushing me to pulp.
Others come galloping,
Turning me to fine flying dust.
Thousands of us huddle under this bridge.
Wondering why our love wasn’t enough
Why no one said anything
Why it keeps happening at a maddening pace
Why we were blind
Why we didn’t know what to do
Why the Earth keeps spinning
Why the breath keeps oscillating
Why the heart keeps drumming.
4 years ago, it was all happening in September.
He didn’t know he was so close to the end.
I didn’t know I was so close to his end.
Now, I know.
Was I deaf or is it much too late?
She was 29. She had suffered with severe anxiety and depression since the age of 12. She was diagnosed with Borderline Personality Disorder and other things. “I have never been happy – I don’t know the concept of happiness”, said she. Aurelia had spent a couple of years in a Psychiatric unit and a couple in a prison. She wanted to be freed from her body. Doctors in the Netherlands agreed to assist her to end her life. On the 26th of Jan 2018, she drank the poisonous mix of drugs (supplied by medics), cosy in her bed, in the presence of her pals and 2 doctors, clutching her soft, pink, toy dinosaur and peacefully slipped away.
This is the beginning of the death of hope. I have full sympathy with Aurelia’s suffering. The question is:
Had every other option been fully explored and found useless?
Had she read Buddhist teachings or volunteered to help conserve a local park or anything else?
Had she tried travelling to a different country with a different vibe?
Had she tried Homeopathy, Ayurveda or Chinese traditional medicine?
Reflexology, Aromatherapy or Kinesiology? Music, theatre or art therapy?
The range of options explored are limited by the limitations of the imagination of ‘the system’. A purely medical approach is useless without attention to social factors. Many social issues cannot be fixed but they can be understood and imaginative alternatives offered.
Her death wish was most likely a symptom of her illness. No?
Does this euthanasia make it easier for many others to give up?
Can we be a 100% sure that she had considered all her options?
Had she received appropriate bereavement support when her mother had passed away?
My deepest condolences to her friends and her Dad.
RIP Aurelia. I am sorry you couldn’t find a reason to live.
Once again, I found myself in Swansea. The meeting was planned weeks in advance and I had travelled 4 hours to be there. I, a practising doctor, once again, seeking light in the realm of the unexplained. Why was I there? Because I wanted to write a book and I wanted to know what Saagar thought. Does that make sense? Like hell it does. That’s why I had trudged all the way there and would be changing trains for the rest of the day to get back home.
One whole wall in the waiting room was teaming with thank-you cards, mostly from women who believed they had had babies as a result of Acupuncture or other therapies received at the centre. It was a modest space with a tired fawn carpet and upright wooden chairs with plastic, foam maroon coverings. Like all waiting-room-chairs all over the country.
Her big smile snatched my gaze away from the wall and welcomed me into her space. She guided me up the stairs into the same consultation room where we had met more than a year ago. The familiar potted palm, the large window and the same arrangement of the 2 comfy sofas by the fire-place, facing each other with a small wooden table placed in between. Déjà vu, all over again.
I sat facing her and the window. She sat facing me and the door. We started with a brief catch-up and then she connected with Saagar. She said he’s happy. He’s growing his hair and following the cricket. She thinks she can hear him speak French. Is he saying something about Guy’s hospital? He says he enjoyed his time and friendships at Dulwich. He mentioned a particularly close ‘black’ friend. I am sure he means the one coming home to lunch tomorrow. He says he loved the large window by his bed with the great view of the London cityscape.
He felt there was a place for him at the wedding. It was fun, especially the bit by the river in the early morning hours. He must have meant the photo-shoot of Si and I in our normal clothes. It shows us in our ‘natural habitat’. The camera loved the early morning sun. So, we complied. ‘Natural’ and ‘photos’ don’t belong in the same sentence. We tried our damnedest best, seeking inspiration from Hollywood and Bollywood combined, getting confused and dramatic and giving rise to some cracking moments. He was there.
He offers me a Green Tara through her. A Buddhist manifestation of active compassion, Tara is the saviouress, the one who reaches out and responds freely to all who suffer. She is fearless and boundless. He wants me to have a jade statue of Tara. He knows my heart and mind. We walk in the same light.
She says the book will happen. A book of beauty and joy that was him. Of his continued presence. Of hope.
( A 20 minute video of an awareness raising presentation for trainee anaesthetists at a national conference in Glasgow from earlier this month: Being Human)
[E-mail address for Moya O’Dwyer, the medium: firstname.lastname@example.org]
Lawleys and Hendersons – 2 ordinary families till 1968.
Both lost their 9 year old boys around the same time, in the same hospital, under the care of the same parish. One young lad lost to cancer and the other to head injuries from a road traffic accident. The families were strangers once but got to know each other during their time at the hospital. One sent a bunch of flowers to the other and invited them for a cup of tea. They understood and comforted each other in ways no one else could. They shared the same scar. They both knew how it felt, what it meant. Together they started reaching out to more and more bereaved families and over the following years, their compassion enveloped the globe. They became ‘The Compassionate friends”.
They had a gift. They shared it and enabled others to do the same. A priceless gift that I now have. I used that gift this weekend and felt its power and grace. Never thought I would ever say this but I am blessed. Every broken bit of me.
‘The Gift’ by Joe Lawley.
I have a gift.
I did not want this gift, it meant suffering and pain.
The pain came because of love.
A love which had manifested itself in a child.
The child brought its love to me and asked for my love.
Sometimes I did not understand this.
Sometimes I did not appreciate it.
Sometimes I was too busy to listen quietly to this love.
But the love persisted; it was always there.
One day the child died.
But the love remained.
This time the love came in other forms.
This time there were memories; there was sadness and anguish.
And unbeleivable pain.
One day a stranger came and stood with me.
The stranger listened and occasionally spoke.
The stranger said “I understand”, and did.
You see the stranger had also been this way.
We talked and cried together.
The stranger touched me to comfort.
The stranger became my friend as no other had.
My friend said “I am always here”, and was.
One day I lifted my head.
I noticed another grieving, grey and drawn with pain.
I approached and spoke.
I touched and comforted.
I said, “I will walk with you”, and did.
At the age of 51, he was finally consumed by the very thing he loved to consume. He died peacefully in his sleep. Pat, his wife was sad but knew it was inevitable. She carried on.
9 months later her son Kevin went on a Summer camp. He was 15. The camp site had been shut all winter. 2 days before the start date, the camp site had been checked by officials and declared safe. The lads arrived with great memories of the previous year and masses of energy and excitement. They started with a race. With a big smile on his face, Mark flew to the finish line ahead of everyone else and was instantly charred.
Pat’s family wanted to take care of her. They moved her from her family home in Surrey, to a house closer to her brother’s, in Essex. Pat went quiet. She silently and diligently pulled the shafts of her hair out from their roots one by one till she created white little clearings on her scalp. She scratched those clearings with such vigour that they turned into raw, red, weeping craters. She would empty the kettle before plugging it into the mains. She wore her clothes back to front, inside-out. She stood by the window for hours, waiting. She drove down the motorway in the opposite direction. Her family couldn’t help her. They thought she needed to be moved to an Institution for the insane.
A doctor in the Isle of Mann was well-known for his abilities in this field. Pat’s sister-in-law asked him if he would make an exception and help Pat even though she did not live on the Isle. He kindly agreed. He saw her. He unpicked her heart. He unwrapped the wounds in it. It was an excruciating process. She felt he was cruel, forcing her into the darkness of her soul with a torch, untangling the tight knots in her mind, wading through whirlpools of turbulence within.
After 5 weeks he invited her to live in his family home. He encouraged her to walk down the street. The first few times he went with her. Thereafter she walked alone, with her eyes fixated on her shoes. He suggested she try looking up and tell him what she saw. “Blossoms on trees, the church spire, white fluffy clouds, birds, light…”
By the time the hair-dresser had finished with her, she was ready to go home.