Have you ever been so low that euthanasia started to sound reasonable? I got there this week, and I had never been there before.
This is raw and I am leaving it raw. Autonomic dysreflexia sends my blood pressure to around 250 over 150 because my body cannot get a message past the break in my neck. It feels like a hundred needles going in wherever you touch me. I was put on the bed and back in the chair over and over until quarter past twelve, head pounding, sweating, freezing. Afterwards I watched ten minutes of Homes Under the Hammer because I could not bear to move. In a couple of hours it gets better. In a few days it gets worse again.
One thing to try: Stop chopping the ends off the stick. Cut the bad end and the good end goes with it.
In this episode
(3:00) What autonomic dysreflexia actually is
(5:23) The signal that cannot get past a broken neck
(6:23) 250 over 150, and a hundred needles
(7:40) Quarter past twelve, and the worst of it
(9:09) Ten minutes of daytime telly because I could not move
(11:27) What I do while I am lying there
(12:47) In a couple of hours it will be better
(13:45) Chop off the bad end and you lose the good one
(16:17) Deny one feeling and you deny its opposite
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Thank you for listening.
Steven
The story behind this one
This is an unscheduled episode and I have left it raw. I say in the first minute that I am probably sharing too much, and I meant it, and I put it out anyway.
You may notice my voice is flatter than usual. I was exhausted.
The condition is autonomic dysreflexia, and most people with a spinal injury at my level have it. If something goes wrong below the break, the nerves send a signal to my brain and it never arrives. So the body panics in a loop, like sound feeding back through a microphone, and it throws the blood pressure up to something like two hundred and fifty over a hundred and fifty.
That is not a headache. Touch my skin anywhere and it feels like a hundred needles going in. Pins in my eyes. Something punching the inside of my head with every heartbeat. It can end in a stroke, and it can do it inside half an hour.
It happened Tuesday night, Wednesday morning, Wednesday lunchtime, and again on Thursday. Every time it was the same cause and every time I had to be put on the bed, cleaned up, and hoisted back into the chair.
By quarter past twelve on the Wednesday my head was pounding, I was sweating and freezing at once, and no painkiller touches it. And I said something to my carer that I have never said in forty nine years. If that three hours was all my life was, I would understand why somebody would choose euthanasia.
I want to be clear, because I was clear in the episode. I was not considering it, I am not advocating it, and my life is good. What happened was that I understood something I had only ever heard about.
Then I watched ten minutes of Homes Under the Hammer, because I could not bear to move.
What it taught me
What gets me off that bed is not courage. It is remembering that this is not all of it.
In a couple of hours it will be better. And in a few days it will probably be worse again.
Both halves of that are the point. On one hand I am Mayor of Truro, living something I never expected. On the other I have soiled my trousers and need cleaning up. Those two are usually about twenty minutes apart.
Which brings me to the stick, and I keep coming back to this one. Imagine a stick with the best things you will ever feel at one end and the worst at the other. We all want to saw off the bad end. But you cannot cut one end off a stick. You just get a shorter stick with both ends closer together, until nothing is far enough apart to tell apart, and the whole thing goes to mush.
There is a thing my daughter did that says it better than I can. We watched a film when she was five where the dog died. Emma and I both had tears, and Kemba laughed at us, because it was a film and none of it was real. Two or three years later she came out of that room unable to catch her breath. Same film, same dog.
Nothing about the film had changed. She had.
Questions people ask
Is this episode too much?
It is the most detail I have gone into about the day to day of a spinal injury, and I say so at the start. If you want the teaching without the medical part, take the stick and skip the middle.
Are you all right?
Yes. That week was hell and it passed, the way they do. I do not put these out from the far side of anything. I put them out because pretending it is all sunshine would be no use to anybody.
Is there anything wrong with medication or a drink to get through it?
Not for a stretch. I took antidepressants for a year after the business went under and they helped, and I used drink to get to sleep for a while. It becomes a problem when six months on you still cannot face anything at all, because by then you are not dampening the pain, you are dampening the lot.
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The transcript
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