Wednesday, November 21, 2007

Loneliness of a Long Distance Runner (Shuffler)

I defer and apologise to Alan Sillitoe for borrowing the wonderfully dramatic title of his novel published in 1953 to incorporate its force to the experience of my long term illness. I suffer from Chronic Fatigue Syndrome which in itself is not a diagnosis but a short phrase to indicate a collection of symptoms.

This Blog is therefore a harrowing recounting of long term illness. It is not for the faint hearted who hate hearing bad news, and avoid sick people, even if they are close friends or relatives.

I am running a race against time and I am not likely to win it. I have therefore decided to chronicle the progress of my long term illness provisionally called Chronic Fatigue Syndrome (CFS). One calls it an idiopathic illness, i.e. cause or origin unknown. One day you are walking down the street, humming Beethoven’s 9th in an ascending mood, in a body not too stressed, and the next day or week you begin to feel peeved at what appears like a hangover, a bad night of sleep, aching muscles, and foggy head, some lack of balance, burning skin, and unexpected shutdown of libido. You say to yourself – an early night would resolve all this. But the foe has come to stay and invade your body bit by bit. Soon you are exhausted all the time, you cannot fall asleep or stay asleep. You begin to realise with gathering terror that you are caught in a downward spiral. Lack of sleep makes automatic body healing impossible which in turn amplifies the force of symptoms and precipitates some more.

Someone asked me once, disbelieving the floridly symptomatic expression of my illness, what it felt like to be so “profoundly ill”, with no sense of balance, head in a brain fog, muscles in constant spasms, legs blasted in an electric sand storm, Being a prisoner is one’s own uncomfortable body is familiar to most of us but for short periods. This sets me thinking in an epigrammatic trawl for suitable metaphors. How indeed does it feel to be long term ill?

I can extrapolate my answers from my weekly one hour one to one counselling session with my counsellor who is a kindly American lady. I tell her that it feels like being locked up in a lift at the bottom of a coal mine, with finite amount of air and precious little oxygen and forgotten by everyone. It also feels like being locked inside a safe, confronted by a door without a handle, one’s only means of exit. We do a verbal dance around a chiaroscuro of scintillating metaphors to see if I could disentangle myself from these fearful images and return to a proportionate world of reason, an acceptance, a bit of Buddhist let go. I also feel like a character in a Samuel Becket play on stage but alone and waiting for Godot or would it be an unmasked God in all his unreason showing his cruel and terrible face?

Having a mate and partner, a spouse to share your retirement is a profoundly reassuring experience for most. My partner, carer, wife has the public profile of a widow. She loves walking along the wild and beautiful North Kent coastline facing the formidable and moody North Sea, but she walks alone. All the dog walkers of the rugged bay must be familiar with this handsome 60 something with her birdwatchers binoculars and a small silver slab of a digital camera, a school girl mini ruck sack, walking alone each day scanning the sky for a sighting of some rare bird. She finishes her hour long walk at the local village coffee shop with her daily Guardian, alone in a corner doing her obligatory easy cross word. This along with scrabble she believes keeps Alzheimer’s and dementia at bay. I am at home anxiously craning my neck for her reappearance each day often fearing the worst. What sustains me and keeps me alive is the dogged belief that someday I would be able to walk beside her, holding hands and sharing a joke, sharing the silence of the sea that keeps reappearing through a block of trees and traditional hedges that discreetly hide sumptuous English farms. The French do not screen their undulating landscapes with hedgerows, but allow the pacific majesty of their countryside impact on you senses in the fullness of their sweep like an Impressionist painting. The North Sea stretches as far as you could see.

Last year I had a unique experience in Northern France where they grow corn and wheat on vertiginously sloping hillsides. On harvesting, golden stubble forms a sea of its own with a giant wave of yellow seeming the rush towards you like an imminent awesome Tsunami. The world is about to do a giant tumble over you as you drive on the rim of these vast gold stubble fields. Once whilst being driven in a car past such a tilting landscape near Blanc Nez with freshly cut golden straw compressed in large rollers visually rolling towards you, I freaked out and closed my eyes and screamed in silent terror. I was looking at the terrible face of beauty, as Milton who was blind might have said in Paradise Lost.

I digress from chronicling my experience of dealing with CFS. After 3 unforgiving and relentless years of suffering, worse was yet to come. My neurologist was the messenger who brought me the terrible news from God himself. CFS was a mere teaser. Does God rub his hands in glee when announcing terrifying news? My Consultant Neurologist certainly appeared to……..

5 comments:

ER Ramachandran said...

It is amazing one could write about one's illness with so much of candour and honesty.That needs more guts than what most of us could ever bring forth.

I do not understand your illness completely and for that you must excuse me. What I want to tell you is: Please try Praanayama.My friend and neighbour who had difficulty in breathing after a botched up opeartion has improved tremendously.He came out of ICU last year and ever since has been doing Pranayama regularly. His Doctors are surprised at the improvement. I myself practice asanas for an hour regularly over the two last years.I could withstand the cold and vigours of moving around the Alps last year - generally not easy for a diabetic and 64+. But asanas and Pranayama will help over a period of time.
I am really nobody to write to you, but somehow I felt strongly , to tell you to try Yoga, day after day, everyday. It also calms the mind.

Narendra shenoy said...

Ken, that is beautifully written! I'm looking forward to regular posts. I disagree with your friend who previewed it and found it too long. It is neither long nor tedious. Just right. Not a word more or less than required.

Your own private hell can never be shared, I guess. No one else can really feel what you're feeling or contribute in any way in directly ameliorating it. You'll probably get a lot of well meaning advice which you already know to be unhelpful. But for people like me, your posts are very enriching. So keep at it for our sake. On my part I will pray that the medical miracle cure that is surely up some researcher's sleeve sees the light of day in time for you.

Cheers!

Dr YNI Anand said...

I can only say that God has been kind enough to give you a disease like this rather than something like cancer that has spread to other organs or a debilitating disease like Cerebro Vascular Accident with dependence on others for day to day functioning. While I agree (that too being a doctor) that it is easier to give sermons than to face the problems, it would still be better for the sufferer to take his/her problems in a more acceptable way than getting it too much into one's mind. That way he/she will have two problems, the latter one being the psychological related problem (worry) resulting in depression.

Whenever I face problems in life, I remember the great teachings of Lord Krishna in the Srimad Bhagavad Gita that I read almost everyday. Reading the great epic over the last 15 years has given me great strength to sustain insults, ill health & injuries to self & others. I am NOT posing to be a religious teacher but can certainly recommend the same to others.

Remember, to be effective, one has to read at least one chapter everyday and try to assimilate the teachings of the Lord.

Narendra shenoy said...

Revisiting your blog after quite a while. Hope you're better.

Bombay's been freezing this winter, with temperatures going down to 10 Celsius. We took a weekend break a few days ago to a nearby beach resort named Bordi and spent the entire time huddled in our room, eating fried stuff, drinking rum (that was me, in the teeth of opposition from the missus) and playing dumb charades with the kids. Fun, but location independent, as the MBAs like to put it. We could have done that right here in Malad West.

I'm off to Ethiopia and Uganda on work mid February (apparently there's a lot of demand for manufactured goods there, which is what I do for a living). Hopefully, I should reap decent amounts of bloggable material.

Cheers

Mags said...

Your writing is exquisite. Reading your words I can feel the same pain of the absolute beauty of the vistas you can no longer walk into and through.

The mind's eye is a marvelous thing but it struggles as it tries to take the place of being able to feel the air caress you as you make your journey through the scents of the water, the earth and the grasses and crops. To hear the sea and the wind, the birds and the trot of the dog, to hear the silence of just being there.

We drive to a park where a small river trickles through an old gorge, a reminder of stronger currents and higher waters. I get the dogs dressed in their walking collars and leashes while my husband gets his camera and prepares to walk the short distance to the picnic area where he can contemplate the high gorge on the other side of the river, see the trees which grow out of its rocky crags and wait for us to return from our walk of discovery.

We begin leisurly up the sidewalk to just past Saturn where we turn onto the dirt path through the woods and along the high river bank. The dogs stop and dart many times for the scents of chipmunks and other creatures that we do not see. We hop over tree roots in the path and scurry down sudden now-expected drops and I am sorry that it is not safe for him to share this walk. We listen to the mini roar of small waterfalls over the shale and return to the picnic area where he is taking photos of the solar panels or simply waiting.

Thank you for sharing your journey with us.

He was a cross country runner in his much younger days. Now he runs the distance of the world and back at his computer to learn all he can about Parkinson's Disease.

I, of course, regret that I wasn't more insistent that he take CoQ10 many years before he was diagnosed. That I wasn't able to get him to take vitamins and supplements in their individual forms. That I didn't do more to find alternative methods of exterminating for ants, a plague upon both our houses. But he had already gone through years of DDT exposure and so many symptoms were already present but not recognized. These diseases are so insidious.

Although we are closer now than we have even been, I know that around some corner PD is waiting to snatch him away.

Thank you for sharing your journey with us. The nobility transcends the horror of CFS.