Shiny-new-object Syndrome

If you’d ask me, what’s the one thing I want to do before I die, I’d say – write my book.

I have been working on it for years but it fails to materialise because there is work, home, travel, putting away summer clothes, family, packing, births, films, reports, reading, e-mails, deaths, Diwali, slumber, too-hot, too-cold, Christmas, don’t-feel-like-it, may-be-later, not-inspired, not-now and the list goes on to fill five pages.

This blog is a friend, a punch-bag, a vent, a discovery, an exploration, a path and a ready distraction. It is my creative play-ground, seemingly under my control and gives me instant gratification – writing a few hundred words within an hour or two and hitting ‘Publish’. Done.

It takes tonnes of time, sweat, blood and gut-wrenching angst to get the first draft of a book done. Things to think about – the setting, characters, voice, pace, first-person or not, genre, authenticity, shouldn’t sound preachy, shouldn’t be too emotional, shouldn’t be too short or too long, chapter-isation, privacy, audience and mountains more. It needs reworked, edited and rewritten many times over till it’s polished and ready. It needs to pass through expert scrutiny before it gets anywhere near ‘Publish’. It needs my full attention.

I’ve spent the last three days at a little village called Satkhol taking part in a Creative Writing Course at The Himalayan Writing Retreat. It’s been an exercise and a luxury. The air is pristine, the hospitality impeccable, the space serene, the teaching clear and the long range of snow-capped Himalayas in the near distance, stunning. This environment elevates me and brings me home to my truth. So, distractions will have to go. For now, I shall take a break from blogging to focus on the book. Stay in touch. I will resume when I have made a submission to a literary agent. Thank you for being here with me. I have felt your warmth. It has sustained, inspired and encouraged me for as long as I have been with you. Thank you. This is no more than a pause.

May each new day and the coming New Year bring you clarity and unveil the joys that lie within your heart.

“Doesn’t everything die at last and too soon?

Tell me, what is it you plan to do

With your one wild and precious life?”

                                    -an excerpt from The Summer Day by Mary Oliver.

Walking home.

Every time we visited him in the Intensive Care Unit, he mouthed the line “Just take me home.”

We wanted the same. It was our prayer in every moment that we would be able to take him home. But how would we transport the things that were attached to him? The things on which his life depended – monitors, strong medications being infused through syringe pumps and the beeping robot that was supporting his lungs? Even if we transported those, who would man these gadgets and modulate them as required? The first step was to get him to breathe by himself. It was happening in bursts. Some days he looked so bright that it was easy to believe that it wouldn’t be too long before we could. Other times he seemed tired, simply from the effort of breathing. Of course, they were trying to help him come off the ventilator but sometimes it was too much for him. Despite their good intentions and gentle demeanour, it was too much for him.

One of the young residents encouragingly said, “Sir, we want to send you home soon. That’s why we’re making you work hard.” He pointed skywards with a wry smile, “That way?”

In the end, it was a long, slow goodbye.

“We’re all walking each other home.”

Ram Dass.

Long shadows

A few months after Day 0, at a SOBS (Survivors of Bereavement by Suicide) meeting at the All Saints near Euston, I met a father who said, “Eight years” when I asked him how long it had been since his son died. I looked at his face as if he was the most spectacular and wondrous impossibility of the world. Is it possible to live as long as that after the death of a child? He was proof. It was. I had never seen anyone who had been bereaved that long, standing and smiling and speaking sense.

Last Monday I joined the 3 dads on the last leg of their long walk to Westminster alongside many people who want the government to add suicide awareness and helpful resources to the school curriculum. We walked and talked in the rain. I said ‘Nearly eight years’ in response to how long has it been since my son passed. I got the same look from a young mum recently bereaved. She stopped and looked into my eyes through the thick rain drops. Past and future, face to face. “Gosh! Does it get any easier?” she asked. It does, I replied, holding her hands.

All these years I have tried to keep Saagar alive in every way I could – writing, public speaking, teaching Youth Mental Health First Aid courses, advocating for young people, working with various people, charities, NHS, Churchill Trust and other organisations, making films and so on.

I have read other people’s accounts of loss, hoping to lessen my pain and deepen my understanding. The latest book I read was ‘The Year of Magical Thinking’ by Joan Didion. She says:

I know why we try to keep the dead alive: we try to keep them alive in order to keep them with us.

I also know that if we are to live ourselves there comes a point at which we must relinquish the dead, let them go, keep them dead.

Let them become the photograph on the table.

Let them become the name on the Trust accounts.

Let go of them in the water.

Knowing this does not make it easier to let go of him in the water.”

Eight years! No time at all.

Time is the school in which we learn.

Time is the fire in which we burn.”

  • Delmore Schwartz.

Random stuff

After many years, things are being taken out of cup-boards and off shelves, turned inside out and properly looked at. Dusty books, clothes, folders, boxes and sachets. Some familiar fragrances are escaping and some old scenes are playing out on the screen of the mind. Bits of stuff slipping out of other stuff and falling to the ground with a clink. Some stuff that was believed to be misplaced is being placed. Some that was believed to be forgotten is being revisited.

Sample 1

A nappy pin. Special feature – A white safety cap to prevent accidental opening up while the baby has his cloth nappy on. Commonly used in India and other developing countries. Original owner: Baby Saagar.

Sample 2

A business card. Special feature – Simplicity. An invitation to music and joy. Original owner: Saagar.

Sample 3

A Crisis Plan. Special features – Not worth two pennies. Highly ineffective. Not accompanied by a conversation. No detail. Not individualised. Not created in partnership with the patient. Not an alive document. Does not mention anything more than ‘self-harm’. Doesn’t tell us what ‘Crisis’ looks like. Doesn’t identify any helpful distractions, activities, friends or family. Doesn’t appear to know the patient, for example, a key fact – does this person have a key worker? Does not express any understanding or compassion.

Commonly used in developed countries.

Oops! The name of the GP surgery is visible. It doesn’t matter. It closed down years ago. We were it’s last few unlucky patients. Owner: Saagar Naresh (1994-2014).

(Resource: Safety Planning is essential to safety: https://stayingsafe.net/home)

Thank you for noticing.

She was listed for a minor surgical procedure on my list. I called out her name in the waiting area and escorted this pleasant, middle aged lady into a cubicle for her pre-anaesthetic check-up. We both sat down at right angles to each other. She had an unmissable racoon’s eye on the right side of her face. I looked again. Just to be sure. It was there in its fading pinky-blueness. She was in hospital for a totally unrelated reason but I ventured into asking, “What happened here?” pointing to the eye.

‘Oh. I had a run-in. Couple of weeks ago.’

“A run-in with what?”

‘You know … It’s okay. I don’t want to talk about it.’

“Have you spoken to anyone about it?”

‘Yes. I am okay. I really don’t wish to speak about it.’

“That’s fine. How are you doing today?”

We went ahead, staying focused on preparing her for the upcoming procedure.

I took a moment to call the Safeguarding department of the hospital. They said that it was normal for people suffering abuse, to not talk about it for a long time. They advised us to signpost her verbally. A written set of resources might make her more vulnerable, if discovered by the wrong set of hands.

Two women are killed by a partner or former partner every week in England and Wales.

One in five people suffering domestic violence will plan or attempt to take their own lives.

One in eight of all female suicides and attempts in the UK are due to domestic violence and abuse. This equates to 200 women taking their own lives and 10,000 attempting to do so due to domestic abuse every year in the UK. That’s nearly 30 women attempting to complete suicide every single day. 

Men endure domestic abuse too. This can include physical violence, as well as emotional and psychological bullying, sexual violence or financial control and abuse. 

It is living hell. An invisible prison. Isolating, with no one to confide in.

It takes great courage to speak. It’s often ignored. Many suffer in silence.

Survivors do come in contact with health and social services but disclosure is difficult.

If done right, it is life changing. Appropriate response is invaluable.

Front-line staff must recognise signs and highlight issues.

It is important to ask and act.

After her procedure, I went to see her in the Recovery room.

“Have a nice evening.” She said. “Thank you for noticing.”

Resources:

https://www.rcn.org.uk/clinical-topics/domestic-violence-and-abuse/general-resources-and-support

What do I do with this thing?

It churns inside me all the time. This thing does not settle. It does not sit still. It burns my tummy, wets my thirsty eyes, parches my tongue and pokes its elbow into the longing in my heart. It doesn’t rest and doesn’t allow me to rest. It kisses my forehead, only to kill me with its kindness. It stays with me, no matter where I go – to the park, to work, on a bike-ride, at my desk, in the kitchen. It seeps into my words. Into the movements of my hands. Into the mirror. Into the songs, I choose. Into tea and toast. There is no getting away from it. It pervades my silences and my sleep.

I wish it had never appeared but it has. It wish it wasn’t mine but it is. The problem is, it won’t leave me alone. Not for the briefest of moments. In a Stockholm Syndrome way, I hold on to it and defend it. How I wish it wouldn’t tear me up so mercilessly.

What do I do with this thing?

Once I heard a Therapeutic Writing Coach say: Name it. Claim it. Tame it. Re-frame it. Proclaim it.

‘Re-frame it’ stayed with me. It does not mean I tell myself false pacifying stories but encourages me to see it for what it is, beyond the drama. Grief, as love that has no place to go. Longing, as the other side of the coin of love.

If I don’t transform it, I will keep transmitting it and I don’t want to do that.

(Resource: Therapist and Writing for Well-being Coach

Nigel Gibbons : http://www.nigelgibbons.co.uk/About-Me.htm)

Meeting old friends for the first time.

Meeting old friends for the first time. In at least three dimensions. Sharing a physical space together, not just a bland rectangular screen. Actually holding hands.

“Gosh! You’re for real!”

The sparkling smiles of recognition mixed with disbelief. The hugs offering heart to heart resuscitation and healing. Sitting down side by side on the sofa, sharing stories, tea and cake.

A year ago, this could have been fiction but last weekend it was fact. While volunteering at a retreat for Bereaved parents hosted by The Compassionate Friends, we finally met people we’ve only ever seen on Zoom. It was held at the simple and serene Woodbrooke Centre, a Georgian manor house in Selly Oak, Birmingham with tall trees, beautiful flower beds and a family of geese perambulating the grounds, intermittently honking. It is a Quaker centre and has a poster in the main foyer which reads “Nameless helping the Nameless”.

The garden in front of the main house has a labyrinth mowed into it. Early on Saturday morning, birds were singing and the light was inviting me into the open. I decided to walk bare feet into the center of the labyrinth. I took my shoes and socks off at the edge of the circle. As soon as I started walking, it turned into an extremely mindful experience as the ground was littered with geese droppings.

The silence in that place was sweet and the views a treat. We talked about the importance of finding meaning. We shared the joys and challenges of taking the inward road. We watched a film and sang together. We wrote from our hearts and created pretty little candle holders for our kids from jam jars at the crafts table. We cried and laughed, reassured that in this company, it was completely acceptable to do both, sometimes simultaneously.

A pleasant exchange. Giving and receiving with compassion. Understanding. Belonging. Learning. Holding the utter magnificence of life in one hand and the absolute devastation in another. That’s what this game is all about, I guess.

Who is telling me not to do this?

“You want to write a book? Who do you think you are? Why would anyone spend any time or the money on it? Who’s interested in reading your stuff? You will expose your inner life unnecessarily. You are not a writer. Don’t pretend to be one. Your book will simply prove your mediocrity to everyone. Even if you manage to write it, who will publish it? I think you will have to go the self-publishing route.” Oh no! This voice in my head. In any case, I don’t have time. Nor the talent or the imagination. I don’t feel inspired. I am not in the right frame of mind. There’s too much else going on. I am struggling with ‘structure’. It’s serious and solitary hard work. As the story is still unfolding, we haven’t reached the end yet. So, how can it be finished? When I sit at my desk staring at a blank page, I freeze. I don’t know what to write about. It’s too big a job and the hospital is keeping me so busy. On top of that, there are unending chores that need done. The summer has finally arrived and I should take the time to enjoy that. The list of excuses goes on and on. There is so much I don’t remember accurately anymore. How do I put that in words? I am up against this project when I want to flow with it. The book wants to come from a place of love. Not angst. I need to take it easy. Breathe. Gently ask my inner critic to come back later, when I am on the second draft. For now, leave me alone with these blank pages. Let me see them as friends who want to help me be fully expressed. I need to learn to connect with my anxious heart, soothe it and be fully present here at my desk. Right now. And start, regardless. Go to the kitchen. Make a cup of coffee. Water the money-plant. Return to the study. Look at the man in a blue and white base-ball cap walking with his tan Labrador in the park across the road. The round green trees and the clear blue sky. I put on the soundtrack of Human’s music on Youtube – a spectacular film by Yann Arthus-Bertrand, music composed by Armand Amar. (https://www.youtube.com/watch?v=uog4eCZTUX4) I am but a dot on this enormous picture inside which I live. Connected with everything. Not separate. In my heart, can I trust myself to be a tiny part of a greater process? Trust myself. Show up every day and work with the mystery. Trust myself.

What are the chances . .?

It was Tuesday, not my usual day to be working at St Thomas’ Hospital.
It was lunch-time and there was time enough for a proper break, which was extremely rare.
I was able to physically leave the Theatre complex for fifteen minutes, which was usually impossible.
I wanted to clear my head, so I went to the cafe, looking for a seat by a window. I was in my raspberry scrubs, wearing my most expensive necklace which is a green lanyard with my ID batch. The round table by the french doors had three chairs, of which one was occupied. I asked the older gentleman if I could share his table and he didn’t mind. As I sat down I noticed that his left arm was heavily bandaged. My curiosity got the better of me and I asked, ‘What brings you here?’
He looked straight at me and replied, “I tried to die.”
‘I am sorry you found yourself in that impossible place. Must have been terrible. Are you getting the support you need?’
“Yes. They’ve been very good here.”
‘I am glad.’ I paused to wonder if I should tell him but the words left without my permission.
‘You know, I lost my son to suicide a few years ago.’
His gaze connected with mine like a laser beam and his eyes moistened.
Softly, almost apologetically, he stated “When you are in that place, you can’t think about other people.”

Pause.

“Here comes my wife.”
Holding two paper-glasses and a brown paper bag, she joined us and placed one of the glasses in front of him. She took out a Jubilee cupcake from the bag to share.
“Have you traveled a long way today? I asked, shifting gear.
‘Sussex. Straight train. Not too bad.’
“Beautiful part of the world!”
‘Yes. But we lived in Australia for eighteen years which was really pretty. We came back to be with the children.’
“Nice. I wish you all the very best. I must get going now.”

‘Us too. Our appointment is in fifteen minutes.’ she said.
‘You take care’. He said, making that eye-connection with me again.
“You too.” I looked straight at him, nodded, smiled a polite smile and walked away.

(Resources for attempt survivors, their families and friends:

https://www.sprc.org/livedexperience/tool/resources-suicide-attempt-survivors-their-families-friends)

God bless America.

Following the Sandy Hook school shootings in 2012, the Conservative commentator Anne Coulter provocatively proclaimed that “Guns don’t kill people. The mentally ill do.”

“The United States sees an average of 32 000 handgun-related deaths per year (as per this paper published in 2015), and firearms are involved in 68% of homicides, 52% of suicides, 43% of robberies, and 21% of aggravated assaults. Far from the national glare, this everyday violence has a disproportionate impact on lower-income areas and communities of color, and is widely held to be the cause of widespread anxiety disorders and traumatic stress symptoms”… the stigma linked to guns and mental illness is complex, multifaceted, and itself politicized, in as much as the decisions about which crimes US culture diagnoses as “crazy” and which it deems “sane” are driven as much by the politics and racial anxieties of particular cultural moments as by the workings of individual disturbed brains. Beneath seemingly straightforward questions of whether particular assailants meet criteria for particular mental illnesses lay ever-changing categories of race, gender, violence, and, indeed, of diagnosis itself.”

“Persons in the United States live in an era that has seen an unprecedented proliferation of gun rights and gun crimes, and the data we cite show that many gun victims are exposed to violence in ways that are accidental, incidental, relational, or environmental. Yet this expansion has gone hand in hand with a narrowing of the rhetoric through which US culture talks about the role of guns and shootings. Insanity becomes the only politically sane place to discuss gun control. Meanwhile, a host of other narratives, such as displaced male anxiety about demographic change, the mass psychology of needing so many guns in the first place, or the symptoms created by being surrounded by them, remain unspoken.”

“Mass shootings represent national awakenings and moments when seeming political or social adversaries might come together to find common ground, whether guns are allowed, regulated, or banned. Doing so, however, means recognizing that gun crimes, mental illnesses, social networks, and gun access issues are complexly interrelated, and not reducible to simple cause and effect. Ultimately, the ways our society frames these connections reveal as much about our particular cultural politics, biases, and blind spots as it does about the acts of lone, and obviously troubled, individuals.”

Ref: American Journal of Public Health. 2015 February; 105(2): 240-49.

Mental Illness, Mass Shotings and the Politics of American Firearms by Jonathan M. Metzl, MD, PhD and Kenneth T. MacLeish, PhD

PMCID: PMC4318286

PMID: 25496006

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318286/