Day 681

About 5 months after Saagar’s passing, one of my close friends sent me a subtle message suggesting that I should be careful about what I write in my blog as a few of my work colleagues read it regularly and if I appear to be too fragile or vulnerable, it might have a negative impact on my professional life. I understood her concern. The medical profession is not known for its understanding and compassion for mental frailty in colleagues.

Dr Wendy Potts was a GP in Derbyshire who blogged about living with Bipolar Disorder on a regular basis. One of her patients read the blog and complained to her Practise. The doctor was suspended. A few weeks later she ended her own life.

Firstly, I don’t understand the basis of the complaint. Would patients complain if their GP had diabetes or cancer?

Secondly, I don’t understand the basis for suspension from work. If the doctor’s performance was not questionable, then there is no ground for that.

Ref : https://www.theguardian.com/uk-news/2016/aug/26/gp-found-dead-after-being-suspended-over-bipolar-disorder-blog?cmp=oth_b-aplnews_d-2

This is one of many examples of poor treatment of medical colleagues with mental health issues. I think we are a long way from seeing parity between physical and mental illnesses as the ones who are supposed to put that into practise are themselves caught in the stigma associated with mental illness.

(PS: apologies for not being able to insert the link to the article in a better way. The ‘link’ icon on my page doesn’t seem to work anymore. Any ideas? )

 

Day 680

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“In a dream you saw a way to survive and you were full of joy.” This is the title of an exhibition inspired by the power of the horizontal. It also reflects the current of thoughts and wishes that flows through my head at all times, not just while dreaming but also when wide awake, living a ‘normal’ life.

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Yes. I have felt that power – sleeping, working, mourning. I have surrendered to gravity without much resistance lately. In fact sometimes I am completely unable to overcome it. Of late the desire for the horizontal state has been rather overpowering. Getting my head off the pillow in the mornings is challenging even though lying awake in bed can be worse. On occasions I have taken refuge of the duvet for many more hours than required and found it to be The Great Escape, slipping in and out of slumber, completely giving in to inertia.

Death by duvet. I am so entitled to it.

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(Ref: http://www.whitworth.manchester.ac.uk/whats-on/exhibitions/upcomingexhibitions/elizabethpricecurates/)

 

Day 679

This morning I made a presentation titled ‘Understanding Resilience’ for a bunch of young doctors. While going over my slides for the last time just before leaving home, I made a few minor changes.

The very first slide had my name on it with the prefix ‘Dr’. I deleted that. It wasn’t important. I was going to speak to them as a fellow human being about being human. I remember the time when it meant the world to me to have that title. I completely identified with it. Now, it doesn’t matter.

After I put Saagar’s picture on a slide I went on to add his date of birth and date of death. Between the two dates, I inserted a dash. In that moment I realised – this is where life happens. In that little dash.

That’s it.

Updated with the help of a friend within minutes of posting the above:

The Dash
by Linda Ellis copyright 1996

I read of a man who stood to speak
at the funeral of a friend.
He referred to the dates on the tombstone
from the beginning…to the end.

He noted that first came the date of birth
and spoke the following date with tears,
but he said what mattered most of all
was the dash between those years.

For that dash represents all the time
that they spent alive on earth.
And now only those who loved them
know what that little line is worth.

For it matters not, how much we own,
the cars…the house…the cash.
What matters is how we live and love
and how we spend our dash.

So, think about this long and hard.
Are there things you’d like to change?
For you never know how much time is left
that can still be rearranged.

If we could just slow down enough
to consider what’s true and real
and always try to understand
the way other people feel.

And be less quick to anger
and show appreciation more
and love the people in our lives
like we’ve never loved before. 

If we treat each other with respect
and more often wear a smile,
remembering that this special dash
might only last a little while.

So, when your eulogy is being read,
with your life’s actions to rehash…
would you be proud of the things they say
about how you spent YOUR dash?

 

Day 678

Depression is a disease not just of the brain but of the whole body. This revolutionary idea has been researched for more than 20 years and some definitive answers are starting to emerge.

Normally our immune system is our friend and protector. It recognizes foreign bugs and injury and mounts an inflammatory response in order to preserve us. However, sometimes it misreads signals and attacks it’s own tissues. In this case, the NMDA receptors which play a key role in brain function.

Prof Ed Bullmore, Head of Psychiatry at University of Cambridge says, “Depression and inflammation often go hand in hand, if you have flu, the immune system reacts to that, you become inflamed and very often people find that their mood changes too.”

There is now a fair body of evidence to suggest that depression is not just associated with inflammation but could be caused by it.

A senior Rheumatologist draws a parallel between a well-established auto-immune disease, Rheumatoid Arthritis and Depression. He comments, “We scanned the brains of people with rheumatoid arthritis, we then gave them a very specific immune targeted therapy and then we imaged them again afterwards. What we are starting to see when we give anti-inflammatory medicines is quite remarkable changes in the neuro-chemical circuitry in the brain. The brain pathways involved in mediating depression were favourably changed in people who were given immune interventions.”

This innovation could mean that some day soon we will be able to order a blood test to help with the diagnosis of depression and offer appropriate treatment. The use of the phrase ‘pull yourself together’ will not be used as often as it is today.

Ref: http://www.bbc.co.uk/news/health-37166293

Day 677

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Dirge

Death alone
has sympathy for weariness:
understanding
of the ways
of mathematics:
of the struggle
against giving up what was given:
the plus one minus one
of nitrogen for oxygen:
and the unequal odds,
you a cell
against the universe,
a breath or two
against all time:
Death alone
takes what is left
without protest, criticism
or a demand for more
than one can give
who can give
no more than was given:
doesn’t even ask,
but accepts it as it is,
without examination,
valuation,
or comparison.

-By Alfred Kreymborg