Day 876

The second year I thought was harder than the first. Now, I think this year is harder than the second. As time goes by, the finality of death slaps me harder in the face. It becomes clearer that this is it. “Deal with it. Despite all the help and love in the world, you have to do this on your own for the rest of your life” says the merciless voice in my head, “You will never see him again. Get used to it.”

Each breath strings up a bunch of moments together and one by one they slip and slide away. On some days the seemingly humungous task of getting from the front door of the house to the car takes forever. At other times, hours fly by like weightless nebulous clouds on wings. Seconds linger like sumo wrestlers battling with sleep, yet a week can be gone in a flash.

Red-hot intensity of grief starts to tire and turns to ashes of resignation. Questions know they are unanswerable and yet they incessantly repeat their customary laps round and round the velodrome of headspace. Like a stubborn arrogant squatter, guilt refuses to pack its bags and evict this cold, dilapidated building.

What is better? What is worse?
What is the truth?
Who makes that judgement?
The witness?
Or the witness of the witness?

Day 875

Why is the length of my mental to-do list directly proportional to my inability to get through it?
Because it encroaches on the functional capacity of my brain.
Our cognitive bandwidth is limited, like our current account. Constantly dipping into it reduces its ability to deal with the jobs at hand.

In Psychology, Zeigarnik effect states that people remember uncompleted or interrupted tasks better than completed tasks. This is a human phenomenon that is becoming more apparent in the present times of perpetual clock chasing.

In a recent article in the British Medical Journal, Tom Nolan, a GP says,
“As I run later and later, rather than completing the task straight away, I add it to my list —my brain’s equivalent of opening up a new tab. The later I run, the more frazzled I get, and the more opening up a new tab becomes the answer to people’s problems. Mrs Jones’s headache becomes a neurology referral instead of finding out what’s really going on in her life. Mr Jones’s headache also becomes a neurology referral. With a few more questions and a bit more headspace, I might have realised that the Jones’s have left their gas on.

The more tabs I open, the greater my sense of impending administrative doom. My system runs slower and slower… The longer they’re open, the less important they seem. That’s when it becomes a real problem and the errors and complaints start piling up.”

He feels that if each of his appointments were 15 minutes long, he could do justice to his patients and the paper work, thus reducing errors and complaints.

Ref:

Freeing up some cognitive bandwidth in General Practice: http://blogs.bmj.com/bmj/2017/02/17/tom-nolan-freeing-up-some-cognitive-bandwidth-in-general-practice/

Mental Bandwidth:
http://blog.handy.com/whats-all-this-about-mental-bandwidth/

15 minute appointments:
https://www.theguardian.com/society/2016/aug/28/doctor-appointments-15-minutes-bma-overweight-population

Day 872

Alone with Everybody  – by Charles Bukowski

the flesh covers the bone
and they put a mind
in there and
sometimes a soul,
and the women break
vases against the walls
and the men drink too
much
and nobody finds the
one
but keep
looking
crawling in and out
of beds.
flesh covers
the bone and the
flesh searches
for more than
flesh.

there’s no chance
at all:
we are all trapped
by a singular
fate.

nobody ever finds
the one.

the city dumps fill
the junkyards fill
the madhouses fill
the hospitals fill
the graveyards fill

nothing else
fills.

(Ref: https://www.poemhunter.com/charles-bukowski/)

Day 871

“I have opened a door that can never be shut. How will I ever get her to trust me again?”

19 out of 20 people who attempt to end their lives will fail.

These survivors will be at a 37% higher risk of suicide.

Anger, shame, guilt, fear, minimization and avoidance are few of the reactions they evoke.

The taboo associated with the act might make them feel even more isolated. Their families may not know how and where to access support for themselves and their loved one. The ones closest to them may feel drained, stressed, exhausted and let down. The trust between the two might be deeply damaged.

Their relationship might reach an all time low, just when it needs to be solid.

Both need to take responsibility for their own well-being and  that of each other.

Here are a few useful resources.

Ref:

Supporting someone after a suicide attempt:
https://www.suicideline.org.au/media/1114/supporting_someone_after_a_suicide_attempt.pdf

Advice for those who survived:
http://blog.ted.com/real-advice-for-those-whove-attempted-suicide/

TED:

Day 869

images

Once upon a time her life revolved around music. Her days and nights were spent either listening or humming or singing or watching thinking about songs. All her time was infused with music. Her friends would sometimes have to shut her up. She was addicted. Music was her friend in good times and bad. It was a constant and reliable companion. It never let her down. They had a steady relationship.

One day her world turned upside down, inside out and back to front. She couldn’t make any sense of anything anymore. Music didn’t help. It fell by the wayside. Their friendship disappeared. She couldn’t cope with rhythms, notes or lyrics. Melodies brought forth floods of tears. Harmonies took her to painful places. She stayed away. She fiercely guarded her heart strings from melting. She preferred silence. Deep, dense, safe silence.

Serendipity stepped in. A musical friend who knew of her old connection invited her along for an evening of informal singing in a friendly group. She reluctantly agreed. The thought of revisiting Music had fleetingly crossed her mind on New Year’s eve. Her parents and friends had been gently pointing her in that direction. Her love of music was alive but its expression immediately exposed her fragility. Could she risk it?

She decided to go along even though she was filled with self doubt. Would she be able to hold a tune? Would she get the timing right? Would she run out of breath before the end of a line? Would her voice sound okay? After a long estrangement, would Music be her friend again?

On the morning, she meditated, prepared herself physically and mentally, determined to face Music and re-establish their friendship.
She did it.
It wasn’t as difficult as she thought it would be. She went with the flow. Her throat welled up a few times. Her eyes got heavy with moisture. Every now and then she completely lost herself, disappeared. She came away smiling, feeling lighter. She reinstated a new, joyful connection with her old friend, who had been waiting for her all this while.

“Without music, life would be a mistake.” – Friedrich Nietzsche

Ref: Neuroscience of singing: http://upliftconnect.com/neuroscience-of-singing/