Moolies

My experience with a basic 5/2 'diet'

After a long absence, I'm writing this down because (whisper it), this seems to be working, seems to be workable, and is a fairly interesting experience, where it feels like a degree of permanence could be achievable.  So hopefully this might be useful to someone who is thinking about dieting in as low an impact way as possible.

 

Time for Basil Exposition:

I hate diets. The diet industry is a scummy, appalling disgrace founded on making women hate themselves if they eat: pushing people away from healthy calories and in to the arms of gross, guilt ridden crap that is always helpfully held close to the tills in food shops. "Dieting" is full of tales of failure, paranoia and a sad attempt to replace deeply unhealthy sugary crap food with ersatz 'sweetener' versions, held together by guar gum infested gloop, desperately trying to persuade you that the content has the same mouthfeel as fatty cream, thus keeping you in a terrible cycle of craving sugary crap... Fat *is* a feminist issue and vested interests will keep you buying diet powders, and pills, because they *know* you will fail. You will go back to eating the crap, feel shame and guilt for doing so and neck back more of their unholy shite. It's how they make their money. Fuck them.

...and so on. I really, really don't like diets. I did a starvation diet once, when I was 16, and wanted to fit in to a size 12 dress. I had come down from size 16 a couple of depression weighted years before, and wanted people to look at my body, rather than a deformity I had at the time. It worked! I felt like shit for weeks beforehand! I ate nothing but a baked potato a day for about 3 weeks, and did no exercise, naturally. 

That was the last time I dieted. While I was a student, I was pretty slim, basically through being young and being too poor to eat. Then I discovered exercise - not team based, competitive school PE misery but competing against yourself: feeling your leg muscles pulling and stretching in delicious agony - I discovered cycling, and it felt so good, I also did 100 leg lifts every evening, and lifted cheap weights from Argos. I was in my twenties, pretty skint, not eating much and fit as a fucking fiddle. I loved it.

Then I got a full on desk job on t'internet, and over time, despite cycling, the thickening did start. I didn't really mind because I was fit, had a beloved and everything felt good. When I had the kids, I didn't cycle, (for I do think relatively reasonable reasons of not wanting to crash whilst they were gestating) and it took the weight to start hefting on in spades for me to get back to biking. 20 miles a day; starting to do charity long runs - deliciously fit. Thighs like tree trunks. Ate whatever I liked given that frankly, I needed the carbs.

Then I was dragged under a lorry. 

 

I haven't really been able to do sustained exercise with the exception of walking in the last three years. I do press ups against a wall, and I did, last year, try to go for doing lots of core muscle conditioning on the soft surface of the bed but too many residual problems made that impossible. I am not happy. And I was until mid-January rather large. So, mid-January, I had my weight taken for hospital type reasons, and realised that just about the only thing I had any control over in order to reduce my current level of pain was to lose weight. Without extensive exercise. Bollocks.

So here we are. It is now the end of February. I have been 5/2'ing for 6 weeks. 

 

Why did I choose to 5/2 over and above any other diet?

As I've said, I don't like diets. I also actually eat rather healthily and have done for a long time: I'm a fish eating vegetarian, who has a zero sugar breakfast with a mix of shredded wheat, oats and seeds/nuts with skimmed goats milk and sheep's yogurt (because I'm a middle class ponce, obviously) every day. For lunch every day, because it's easier than having to think about it, I have a leaf heavy salad with sprouted seeds, about half a carrot, 3 small tomatoes, chunks of cucumber and radish, spring onion, a tiny drizzle of olive oil & balsamic, just to get a bit of taste, and a hunk of protein. No bread or noodles, I find I don't need them. 

So why on earth would I change that? The answer is that I wouldn't. Shouldn't. It's hardly worth counting up the calories, frankly. My evening meals are very veg and pulse heavy. In some senses, I was left pondering how on earth I was putting on so much weight. I mean sure, I like a bit of dark chocolate, and I do drink wine but... well, ok, I do eat chocolate and I do drink wine. A bit. But, the basic problem I have is that I am not in my twenties. Without regular exercise, and I do not mean walking down the road for a while, my metabolic rate has hit the floor. If one can think of the 'body fitness' as a balance: with a low metabolic rate, one's calorie input must by necessity, reduce. Do anaerobic exercise: metabolic rate goes up. That's it. It's very simple. Right now, I'm looking at a metabolic rate that appears to resemble a collection of half-dead slime moulds. And there's no real forseeable time in the next 6 months when I'll be able to suddenly snap back to the equivalent of 20 miles of cycling a day. As for running... heartbreakingly, I think that's out for good. It's hateful.

The only possible answer then is to eat less. Global evidence of paranoid and obsessive calorie counting is not great, and eating some kind of pathetic mess of a meal whilst my family eat something delicious and healthy but over the predefined number of calories was definitely not an option. Setting unrealistic expectations in terms of how much one is going to lose, over which timeframe has never worked for me, and I suspect, many millions of other failed, frustrated people. Is it better to attempt something which is more of a lifestyle change - in the true sense of the word 'diet', than a Diet?

I chose the 5/2 after an extensive search on t'internet for negatives. I didn't want to know the positives. I wanted to know whether you end up with bad breath, no energy, fainting, muscle cramps, vitamin deficiency... and the answer is that whilst the jury is out, part of the reason it is is that they can't really find anything bad to say about it. Huh. A friend of mine has been doing it, quite assiduously, whilst also going from being a non-runner to a half-marathoner. She's doing really well, over the course of the last year and a half, has two kids and a family life. I'm not really seeing any down sides here...It also works for vegetarian types, unlike the more extreme zero carb options.

 

Run down on how I've been doing it

1) No calorie counting. None. 

2) No weighing. Only going by which clothes I'm fitting in to.

3) No goals. This was started as an experiment, with the idea of a permanent lifestyle change for the sake of my broken physiology. A goal for the wrong reasons means the possibility of slippage.

Those are the basic premises. Now here is the functional implementation:

Fast Days: Monday and Thursday. By my reckoning, Monday's already a crap day. Me making it marginally more frustrating won't actually make it feel any worse! There may be something wrong with that logic. Thursday was chosen such that I didn't have to do any fasting over the weekend and therefore disrupt family meals, and also, yay! Curries on Fridays! There's no way you're going to take my legume based curry away from me. Not. A. Chance. Or my end-of-the-week glass/es of wine.

Eating on Fast Days: 

1. Breakfast - unchanged. 
2. Lunch: content unchanged, pushed to as late as possible (2pm-ish)
3. Zero snacks.
4. Lots of Green tea (the tea happens every day anyway so no big change there)
5. No tea / supper 

Er, that's it really. Nothing too complicated. You can remind yourself of my quite healthy breakfast and lunch by reading higher up.

 

So how's it been going?

Well, cautiously, I think it's going ok. I'm doing a mindfulness meditation course at the moment so I find the periods of actually feeling hungry quite interesting, rather than horrible. Frankly, going in to 'normal' days, I do feel hungry. That is where the discipline really needs to kick in. Not hoovering snacks to make up for that slight gnaw in the belly. However, the other knock on effect is that I think, though I have no evidence for this, that my stomach has shrunk a bit. I don't seem to want to eat as much food. Even on normal days. The desire not to undo all the hard work has also meant I am cutting down a little on those avoidable but delicious carbs. Yes, I am still having dark chocolate but the frequency seems to have slipped to 'occasionally'. I even didn't have my usual Wednesday night few glasses of rosé last week and I don't think I will tonight. But, if I do, I'm not going to beat myself up about it.

Here's the other thing too. I think this can be a permanent change. I can't see any reason why I would want to go back to the other system (ie: eating whatever I want, when I want). Even if I can eventually get to go to a gym, it is useful, philosophically, to feel hungry. Feel what it is to not have eaten. It certainly makes things cheaper, and I would hope, once we're out of a currently skint phase, I will be able to give some money monthly to the local Food Bank and homeless hostel. It feels like a good quid pro quo. 

I can't pretend that I do not have in the back of my mind the general evidence around fasting and better body function over a longer lifespan, but in my particular instance, if I can take the weight load off my back and hip, that will make my enjoyment of what life there is immeasurably better than it is right now. Add in the gym (I'm told Tai Chi is the way to go for my particular disfunctional self) and... who knows. 

How much have I lost? Well, given that I have not weighed myself I don't know, but this week I got in to a pair of trousers I haven't been able to wear for about 2 years. Trousers I bought from Marks at xmas which were a bit tight are now a bit too loose around the waist. They don't fall down, not quite yet. My new-old tighter trousers are a little tight right now but I will enjoy the sensation of them getting looser. Over time. There is no pressure here. 

Just for you, I will weigh myself at some point. Easter? I would like there to be a nice change. The kind of change that makes me say "Really? Blimey!". It makes me annoyed that one celebrates losing weight as if in and of itself it is good, and better, where for me, being super-fit, enjoying my body and eating a healthy diet but-and-also-cake-thank-you was my happy place. But you know - realism strikes. That balance has to be achieved. No exercise = low to dead metabolism. When you have no choice, you eat less. That's it.

 

Update some 2 and a bit years later: Do you know, I am still doing it? It's an amazing discipline. I'd forgotten that I've got a really wide rib cage and hips, meaning that my clothes size is settling, and can't go any lower despite a generalised slimness. I've found that the hard far accumulated in the belly region is taking a long time to shift. A looong time. Partly because I refuse to go on a nuts diet (that's not the point) and partly simply because it took years of hard eating to get there! I have a nice 'pouch' of skin left over from my pregnancy collagen stretching but that doesn't worry me, and I go to the gym too now. I enjoy some delicious dark chocolate occasionally on my normal days; I've cut down the amount I drink which has also had a large effect. The point is: I'm very healthy, I haven't starved and have continued to up-health my life and downsize my body calmly and gently whilst not doing myself any harm. I cannot forsee a time when I stop doing 5/2, and can only keep recommending doing a calorie-free, stress-free version, as described above. Good luck! I tell you what else too - it really helps my digestion. I think the body seems to thrive on having breaks from eating. I have no medical, only personal evidence but it certainly feels that way.

Being part the second of the full account of the injuries of Ms C Hurley

Slightly long interruption there. Where were we...

I'm going to cover the bits that aren't my lower left leg, given that... well, it's the big finale but apart from that, if I talk about the 'blue' bits, it will help to explain the remedies that helped me to, vor example, not lose my left foot. 

Top right thigh:

What this represents is three different plastic surgeon induced post-injury er... injuries? Not really injuries but not that my body would notice the difference. Collatoral damage. The two horizontal sections are skin graft sites. The one on the top of my thigh is still very sore all over (remember we're now nearly three months after the crash); the one on the side of my thigh over on my right hand side is still sore at the top.

Both of these were covered after the 'big' operation with large sized 'Mefix' which is kind of like the material you get around the edge of sensitive skin plasters (except it reacted with my skin, which was nice). After ten days (eleven, in my case) the mefix could be lifted off, given that the new skin should have grown underneath. Which is did. Mostly. Ask me if it hurts seeing chunks of your very tentative skin growth being ripped off on a massive plaster. Go on.

One of the oddest things about these assaults on my body was how much they "gunged out", as I put it at the time. The lack of skin produced an onslaught of lymph and goo (not blood), pouring from the open wounds in hospital, leading to my poor, numb and bruised thigh being wrapped in dressings designed to soak up 'exudate' (ie: gunge), yet still waking every morning to find the right side of the bed soaked through. To sum up the short-term situation: yeeeeuch. So these, each are about 2.5 inches across, and five or 6 inches long.

What do you mean, what's that long blue line? Ah well, you see. This is the bit that has continued to be numb for three months (and counting). This is the bit where they took out a 'working blood vessel'. This is the bit where they took a patch of skin and sewed in to my other leg... not to mention a large chunk of flesh. The line of rounded off by a perfectly round punctuation mark. A full stop, just above the knee, where a tube sucked gunge from underneath the scar, where it couldn't, presumably, 'exude'.

Bottom right calf:

Lower down, below the knee on the right leg there were a bunch of bruises which, in retrospect help to put bruises in to perspective. Extremely colourful and vivid, nevertheless these dispersed within a couple of days, it seems to me now. It just goes to show you. It's the deep, nasty invisible bruises you've got to worry about. Not these surface rainbow coloured affairs.

Bottom left calf:

Ok! What we have here is in three distinct sections:

1) Straight graft

2) The beach

3) The flap

4) The long side

There are some sub areas, such as 'the pit', but we may come to those. I'm going to talk you down the leg from the knee. You will remember that I have a hematoma on the inside right of my left thigh. Well it's not just that - the knee is entirely numb on the right hand side too, and has hidden, odd swelling that makes everything feel tight and stiff. In essence, the lorry when it clipped me off the bike, took my left leg and as it hit the breaks, dragged it along the road, before coming to a stop on top of it. The bruising and damage extended up to almost the very top of the left thigh on the inside but up at that level there were merely huge yellow and dark red bruises. As discussed above, these disappeared fairly quickly, leaving swelling, the skin laceration above the knee, the hematoma, the swollen knee and as we go below the knee, we reach I presume the skin and flesh the lorry lay on top of. 

Part 1 - The straight graft starts as the knee stops, punctuated with a small red comma of lost skin just above it, as if an orbiting moon of the 50p sized scar above the knee. As you can see from the image, the missing skin (and onward) is pretty much the covering to the Gastrocnemius muscle. the very top of the calf, where the skin covers the bone, escaped the de-frocking of the surgeon's knife. So, first: a section about 2.5 cm's wide and maybe 3, and 3-and-a-bit, leading to 4 inches in height has a skin graft on. Only the skin was lost here - no flesh. The recovery of this area is amazing -you would not know it was a graft. The only difference is that it looks like an area that has been very bruised. 

Part 2. The beach. There is a thick curve around the edge of the first graft area, after which a section of comparable size looks like nothing less than a light purple lunar landscape. Graft, placed in top of bare muscle. I lost all my flesh on the side of the leg from this point on. I have a fairly big problem with this area. Well. I have a practical problem with this, which is that when I moisturise the skin (which I do, daily), some of the lotion gathers in the deep crevasses, and it is impossible to get it out, or moisurise it in. My second poblem is... fuck, it looks ugly. I mean really damn strange. It's not like this stuff is unobtrusive, either. 

Why is it called 'the Beach', you ask? The skin growth granulated strongly, in to many nobule things called 'Fibroplasts'. these are basically overgrowth of collagen, amongst other lesser bits of your (basically) 'underskin'. The bit that needs to be there so that your thin and wispy but super important epidermis can grow on top.  Consequently, there are many, many nobbly bits.

Part 3. The flap. Now, do you remember the long blue line? What you have to remember is, the skin and flesh is missing along the inner side of my left leg from about two thirds of the way up. Graft covers the muscle initially but as the leg moves dow toward the ankle, things get a little more hairy. It's not just the flesh that's gone. The vein that goes from the foot back up the leg is damaged and failing. If that fails, the foot fails. not only that but as my poor husband will attest, the bones in my ankle are exposed to the air. Bones don't tend to like that sort of thing.

So what they did was this. First of all, a lozenge shaped piece of my right thigh skin is cut out. It's really huge! They also stretched it a bit on the leg before sewing it on but basically we're talking about a piece 2.5 inches wide and 6 inches on one side, 5 on the other, sew on... well, three sides sewn on... well, two and a half sides sewn on (you can only stretch skin so far) to my leg above my ankle. What does it look like? Somewhat like a home-mended soft toy. I am left with a permanent reminder of Woody and his home sewn arm in Toy Story 2. the half a side that wasn't sewn was left to its own devices, and the triangular portionn that was missing (basically) gradually skinned over. I called that 'The archipelago'. The archipelago really didn't want to heal, for ages. 

Moving around from the archipelago was 'The Cliff'. this was the fourth side of the flap. The bit they didn't sew. The bit, in short, which consisted of a large, raw section of my thigh, with no skin on, a fair approxumation of which is drawn above. I could actually see the layer of subcutaneous fat underneath the skin (reassuringly thin ;) before the flesh started. It looked like a fresh chopped roast, wrapped in its own skin, ready for the oven. It was awful. Fascinating, but beyond imagining. I will not be able to describe the taboo nature of this well enough. You are looking at the inside of your leg. On the outside. Everything in your body screams that it is wrong. I have been thinking about that, in conjunction with thoughts about 'Crash' by JG Ballard and want to write a muse in a few days.

The last nicknamed piece is 'The pit'. This is at the bottom of the right hand side of the cliff (from my position). It is a tip-of-the-thumb sized dip, which whilst it was raw I wouldn't have dared touch, but now, I can stick my little finger in to moisturise it. Its where all the gunge and 'exudate' would collect. As well as blood. Even though I was standing up sometimes at least, nevertheless I would find it full. Also full of piles of cheesy dead skin cells. A delight!

Referring to the image above, what's the story with the chopped bit then? That's... er... kind of. Chopped? When it was all entirely raw, it looked as if someone had taken a machete to my leg. In reality, the difference was hugely exaggerated due to the flap at the bottom sticking out so far, but it still looks depressingly weird. How could it not.

Lastly, the bottom section in fact runs along the length of the injury from the flap upward. It received no grafts and the difference is clear. It is still dark red and blotchy; it has areas of thickened skin which feels tight. It's a little odd, but there's no indication it won't gradually get paler over time.

More granular detail to come, plus, nearly time for an actual photograph! I would have had it a week or so ago, but an annoying blistery bit came up on the beach which then burst. Lovely. Nothing nasty, just a red and open bit. As soon as it heals we can contemplate going swimming! just how much of an ordeal will that be? God knows. 

 

 

Being a full account of the injuries of Ms C Hurley

Somehow it has taken me six weeks to get back to the writing of this post. I think perhaps that might be indicative of something psychological, don't you? What on earth could possibly be problematic about explaining the injuries that have left me permanently scarred, with a fucked up leg and at present, deep, nasty pains which won't go for months, if not years? 

Here's the executive summary:

1. Deep laceration to left buttock
2. Bruising, hematoma and raw (no skin) patch above the left knee / around the knee
3. The biggie part 1) 'degloving' as it is politely termed, below the knee. Skin loss, flesh loss - the works
4. ... leading to part 2, the rebuilt ankle
5. Right leg from the top! 2 graft sites on the thigh
6. ...and a whopping great scar where I had a skin patch, 'flesh' and what is euphemistically known as a 'working blood vessel' removed in order to rebuild the ankle.
7. Below the knee, I'd forgotten now, a bunch of bruises on the outside. 

Would you like detail? Why certainly. 

1. Left buttock

How awkward, to have to wrote the word 'buttock'. While I was on the floor under the lorry, the lovely woman who looked after me said "I have to tell you, I can see some of your fat cells on your bum", at which I asked her not to tell me anything else. I cannot begin to imagine how this happened, but this injury was a deep cut, which was relatively small on the surface. How deep? An inch or two, maybe? I don't know but what I do know is that it caused a lot of hard scar tissue (known as hematoma) which is still there, three months later. It was the injury that everyone forgot about. After all, comparatively boring compared to the groovy plastics challenge of saving my foot. But I would not be lying if I said it's one of my most irritating injuries. It gave me dreadful stitch when I first started walking; if I sit too long in one position, deep bruised hurt flares up. 

2. I need to break the above the knee injuries down a little bit. 

The red portion shows the deep bruising that's all over the area - as the rest of my leg has become less swollen, it has left a large amount of 'numb' with sort of deep swelling that won't go away (I assume for an absolute age), which surrounds my knee. There's actually a swelling on the outside of the knee, just below, which when it really swells, looks somewhat egg-like. 

The grey portion shows the hematoma. Which is horrible, to be frank. It swells out way further than the natural shape of my thigh, it's numb and feels like clay. Heavy. As if someone had inserted a sugar bag sized lump of clay on the inside. Toward the end of the day, gravity starts to pull it down. Hurty, obviously but more than that. Extremely uncomfortable. And it's not going away any time soon.

The 'raw' patch was a skin laceration which was rather odd, in that when I first saw it, it was very heavily bruised skin. Utterly nasty to look at - deep, rich, dark purple blood had inundated the skin. It didn't look much like skin, frankly but that's what I was told. Later, I was told that it was an open patch, which made more sense looking at the visual evidence. It was (and still is) completely numb so it hurt no more or less either way. It did heal, and grow more skin fantastically well over a couple of months and now has a thick scar which is a patch a little bigger than a 50p piece. Like all scars, it will take some years to resolve itself in to its long-term 'look and feel'. At present it looks shiny, lumpy and dark red. Just the way the boys like it.

...part 2 coming tomorrow: the feature presentation. Looking forward to that, I'm sure.

Eight hour operation at St Thomas'

...and I used to think five hours was pretty long!

I felt sick the night before. I felt sick in the morning. I had felt sick in the patient transport driving between the two hospitals which makes some sense being weak but travel sickness? For 12 hours? In reality, I was petrified. 

Eight long hours of poison being pumped in to my system. I knew all about long ops, and anaesthetics made me puke, endlessly, for 24 hrs afterwards as a child. That alongside a feeling of ugly brain fug which would only lose its grip the next day. Awful. The truth of the matter is, my having had many anaesthetics has made me hate them ever more vehemently, not inured me against them. 

Just before going down in the morning, the plastics team came up to say hello. I have to say they were a formidable bunch. Looking at these sharp faces around the bed, I was struck with the realisation that they were probably together, the best in the country. I felt happy about the op in terms of outcomes. Just the physical action of the anaesthetic made me feel a bit panicky. Somehow, the two debridement ops earlier in the week did not bother me at all. I knew they were short (comparitively), so could not have the heavy, appalling poisoning effects that four or five (or eight) hours would. 

The anaesthetist had already introduced himself upstairs. Now we went through the usual rituals of drug taking: confirming name and date of birth. He listened attentively when I explained my reactions and told me that he was going to administer anti-emetics and was also going to make liberal use of a form of nerve numbing using ultrasound. Given that my last heavy ops had completed twenty years before, this was all new to me. From what I can gather, the effect is somewhat epidural-esque. All very interesting but then the anaesthetist told me he was administering a pre-med through one of my cannulas (that's intravenous needle palced in a semi-permanent position in a vein so that drugs and fluids can be administered quickly). I was horrified, "But pre-meds make me si..." before I'd even got to the end of the sentence I knew I had seconds. Luckily they got a bag, and those tiny sips of illicit water came right back up and 'pleasantly' out of the way before being knocked out. He looked slightly bemused but also a little more "Ok, I believe you". Then... knocked out.

...awake. I will never get used to that instantaneous zonked/wake thing. For those who don't know, you don't feel yourself falling to sleep when they drug you, and you wake up apparently super quick thinking "When's the op going to start?"

There I was AWAKE. Feeling like Me, not some half zombie drug addict. My God. Hello? Clear as a bell. Here came a lovely specialist recovery nurse, Louise. How was I feeling? Well... er... fine, to tell you the truth? Obviously on Morphine but... but head completely clear. Amazing. Eight hours... how the hell did they do it? The anaesthetist came to see how I was after a while. I shook his hand and thanked him. He did an *amazing* job. 

I couldn't go up to the ward because they needed a specialist nurse who wasn't on until 7.30. So I talked to Louise about the subjects that fascinate me (ie: mostly asking her questions as to why she was a nurse, why she specialised in recovery nursing and then moved on to Life, the Universe and Everything). I knew that wonderful McK was waiting, exhausted and anxious upstairs but still we couldn't go up. Eventually at half past eight, we left. To a bed with all manner of specialist equipment keeping my newly operated on leg warm and my right leg moving, to prevent blood clots. 'Woken' every half an hour for the ward nurse to perform a doppler test to see if my newly reconstructed ankle with its brand new vein, pretending to be an artery from now on (cut out of my right thigh, where presumably I wasn't using it - er, heh) was still doing the blood pumping throb. And It did. All night. And the next day. And the day after.

And so it would seem appropriate to tell you what they actually *did*.

What happened next: a stay at King's College Hospital

So.

Saturday morning. Straight in to theatre for a good dig around to try and work out what the hell to do, and what was wrong, and right. I am very vague about times except to say that I was back in the ward in the afternoon. Cutting through a ew days and non-essential events, I phoned my boss and friend, Mikey on Saturday afternoon and after I had told him I had gone under a lorry, then laughed down the phone, he said "Are you on morphine?" Mike was the only person who said to mr "Be careful, you'll come down with a crash". Yeah yeah yeah, says I. Aha. He spoke truths.

Another op on Tuesday, and in between, lovely friends to visit. How wonderful that I was able to email my friends and tell them what had happened. Next thing, there's a visiting schedule starting up and I'm just sitting in bed following everything on email and Twitter. For the social media specialists amongst you (and don't you tell me there aren't) it might interest you to know that it didn't even occur to me to jump on to Facebook and announce the crash to an un-edited audience -though I did eventually, once I'd got home.

The Tuesday op was a full on 'debridement'. Let's see what that word might mean, shall we? Extraordinarily gendered, isn't it. It means scraping away all the necrotising skin and flesh. Isn't that nice. And just in case you weren't sure about the word 'necrotising', in short it's the bits that are dead. Going off. Beginning to smell (alright, alright...).

So by now I had met my Plastics consultant, a very nice bloke from St Thomas' called Naveen, who was trying to get me in to have my long operation at St Thomas', where the Plastics ward and specialisation is. He couldn't do Thursday, but there was a possibility of Friday.

The wards at King's were an odd mix of completely new, where the Gynae unit was and I had an utterly splendid room to myself, with a window that opened (unheard of in any hospital) and an aspect that bathed the room in golden hour light in the mornings. From there, I was shuting in to general Obs , which had low ceilings and tiny unopenable windows. The difference in wellbeing was huge. People coming in an preaching with patients, comodes behind flimsy curtains.... agh. There is no room for humility or indeed, personal space, on the ward.

THe people at Kings were fabulous, but tere I was, leaving that tiny hut like ward on Thursday 23rd Jan, on my way to St Thomas' for the longest operation of my life. Operation 'Save the leg'.

Let's bring Today in to the picture for a moment

I will bring you up to date with the whole story, I promise, but using the blog in a 'diary' function (how novel), I just want to jot down a few "How are you feeling?" notes. None of this will make much sense because I haven't explained the inuries yet, but I mostly started writing this up to give myself an outlet for *moaning like a grumbly old bastard* to be frank. Because there's only so much Twitter-moaning one feels one can subject one's friends to on a daily basis. Not to mention email lists and other friendly outlets.

So. How am I feeling?

Well for the last two days the rebuilt 'flap' ankle has ben hurting like a viper. Why? I have several theories, one of which may be true.

1. Healing means nerve endings that were numb a week ago are no longer numb
2. I have an infection
3. I'm overdoing it and it's complaining
4. I've had codeine at a 30mg level for nearly three weeks and I've got too used to it

What is it? God knows, but the official dose for Codeine is 30-60mg 'if needed'. Before now, 60 in one go made me go verrrry doolally. So, I thought well, how about taking 30 every couple of hours as opposed to taking a massive dose every 4? I've been suffering slightly from the peaks and troughs of pain relief cycles so, a more constant stream of the lower dose? Seems to make a difference. A bit. 

Shattered though. An afternoon of pain. Still. The District Nurses came earlier on and I noticed when the main nurse was wiping down a particular bit of 'the injury', the feeling of numbness was very slightly reduced. I've been in the position of feeling nothing on the open surface, but I could feel pressure from about a centimetre and a half in. Really odd. That sensation was far closer to the surface. So. potentially good news. Who can tell. About the only thing I can tell is that this is going to take a long, long time.

Feb 17th: A&E becomes slightly surreal

The paramedics had been on the scene for... well, an amount of time which was not short. It's very difficult to have a full grip on reality when you're experiencing the 'now' through several filters. Extreme pain and morphine, not to mention varying degrees of raging hormones.

I'd fogotten, yesterday that there was a point, after the paramedics arrived when I talked about my kids - they were keeping me talking, for obvious reasons. And for the first time, I cried. I cried because of the effect this would have on them. That I wasn't going to be putting them to bed and snuggling up for a night time kiss, and what it would have meant to them if I was dead right now. And, my 'watching this all from above' objective self told me that the adrenalin might be wearing off a bit, leaving a giant emotional hole in its wake, waiting to be filled with tears.

...but no time for weeping and wailing. Off I went to hospital and was deposited straight in to their 'most urgent' setting, at Kings College Hospital in Camberwell. I had time to look at the Paramedic who had been looking after me and told her "You were awesome". Because I'm an internet citizen, of course, the A word must be used. And she was, she really was. I have a mind to drop off some Christmas chocolates to the Paramedics at Kings every year from now on. 

The Docs took the neck brace off thank god and then a most peculiar and eyebrow raising event occurred. A lady leaned over me to talk:

"Hello, Cait? Channel 4 are filming the A&E at the moment and I just wanted to know if it's alright if they film you"

"Uh? What? Er... yeah, whatever". Remember, this is morphine talking.

So this is what was happening. Channel 4 at present produce a show called "24 Hrs in A&E" which is filmed at Kings. They are  - or were, in February, filming the new series. After the Doc who had asked my permission left, I noticed that there were cameras embedded in the ceiling, on the sides, you name it. Shortly afterwards, a bloke appeared, looking like 'practical I work in media' (ie: cameraman type) and put a variant of a tie-mic on the cabinet next to my pillow! It was Insane. I was told I could withdraw my permission afterwards and the TV people shrank in to the background. 

I've been on TV, just by way of context for this bizarre occurrence, *far too much* for someone who does not have a career in television (or want one). Quiz shows as a kid, Top of the Pops when my Dad worked there, Sky News Internet Expert (woohoo) back in the days when I had blonde hair and was a size 12. I even appeared on ITV News at 10 reading out the court judgement which had arrived by internet on whether Louise Woodward was inocent or guilty. Not by choice, I might add. So, I tend to walk in the other direction when I see cameras. They have a nasty habit of picking me out in crowds. And here we are, with the inside of my body being revealed to the Ch4 audience. Bizarre, but also in my case, one of those 'fate' like coincidences that happens a little bit too often.

And Mackay! Mackay came. He was there. My God I needed him. Well, actually, by then I was so doped out of my mind I was chatting away merrily to anyone who would listen. But him being there meant things felt more solid. I heard the Policeman on the phone saying precious words: "Non-life-threatening, Non-life-transforming" to the station, or local press, or... someone. Meanwhile, the A&E guys had a quick look at my leg to try and tart it up a bit. I had not looked and would not look. Poor Mackay had to look because it was... there, really. At a point, they lifted a paperish dressing thingy off my ankle and I saw Mackay go green and utter tranditional minor swear words at whatever lay undereneath. I was slightly more concerned by the point that it HURT LIKE A BUGGER to even lift a tiny piece of paper off my leg. I asked him to take a photograph, because I thought, in six months time I might be able to look at it, through my fingers.

At various points, McK and I were left alone for a few moments and we talked. I have a feeling that I sounded fairly normal, because the morphine was so hefty but of course, I have yet to see the Ch4 footage. I may be laughing my head off half the time. Who knows. I will give an update to this section when the programme is on. They told me they'd send me all the footage on DVD beforehand. I'll believe it when it happens.

They put a temporary plaster of paris cast on the leg with some sort of splint type bit at the bottom, holding my foot in place because as it turned out, there was a hole by my ankle that was deep, and apparently made my bones visible. Hence Mackay went green.

Operation in the morning so they could assess what the hell was salvageable, meanwhile I was packed off to a spare bed - Women's Gynae, would you believe. Mackay left (and it turned out, took several hours to get home because the doors to the hospital were locked) and I crashed in to sleep.

February 17th, 2012. 2 seconds later

So there I am, lying under a lorry, with my leg having been dragged along the road by a braking tyre, with said tyre on top of said leg. And I'm not dead. And My God, it hurts. I've never felt anything like this in my life. I've had two kids, braying like a donkey in agony and I've never felt pain like this. And I'm awake. 

"HELP ME! HELP ME!" I'm screaming out. Pretty pointlessly really, obviously but partially I think I was thinking that I need to let them know I'm not dead. People's legs start appearing. I don't move because hey, I've watched Casualty and ER. Best thing to do is not to move, right? A woman appears to be crying somewhere to the right. Thank you for that but good god get that lorry OFF MY LEG. I can't quite describe what the pain was like. Three different elements going on. 1) My leg is injured at multiple points 2) My body has decided to release VAST tranches of adrenalin, which presently are causing my whole leg to go in to cramp. Thank you so much, body! Stop this now! And third. The lorry. My God. Sorry, I keep envoking a non-existent deity here but it's a traditional way to express the inexpressible. I mean it's not the whole weight of the lorry, just the amount that's channeled through one set of its wheels. 

That's a lot of weight.

"GET IT OFF MY LEG!" I'm screaming. I don't really scream very often. I apparently scream pretty loudly. After an amount of time (I have no idea) the lorry driver reversed, pretty slowly ie: carefully, off my leg. Please note, I am merely stating what happened here, I make no comment positively or negatively. Christ, that felt better. In fact, that was pretty stupid of me, medically speaking. All kinds of crap could have happened as a result of releasing the pressure on the leg, so, if you're ever in that position, please don't remember what happened to me and imagine it's a good idea. But it felt better. BETTER.

I couldn't feel my leg to move it. I thought it was gone, frankly. There was a really odd pain on my knee which was like it had been mashed up, and weirdly, squished in to the floor like someone was standing on top of it. I could sense blood all over the place. I don't really know if it was. Oh yes, Mr Adrenalin bloody gland. I thought the general idea was that you were supposed to be pumping me with so much adrenalin that I felt no pain? LIAR!

Then a woman came along and looked after me. She was called Denise and I LOVE THAT WOMAN. Thank you, Denise, you are beautiful. You deserve every good thing. Seriously, I send you flowers from my heart on a daily basis and if I could give you a luxury break in Italy I would. All women (or men) who do what Denise did need huge rewards. I'll tell you what she did. She dropped everything, she held my hand and she told me what was going on. She gently took the piss out of me being so shouty to keep me talking. She started explaining what injuries she could see ("I can see some fat cells on your bum I'm afraid" Me: "Don't want to know! Don't want to know anything you can see".)

I'm going ahead of myself slightly. Denise arrived as I was doing the following. Yelling my family's home phone number out over and over because I feared I was going to lose consciousness and my lovely husband wouldn't know what the hell was going on. It was Denise who rang the number. Unfortunately, it was at the time of night when, if I'm going to be late home, I phone to say godnight and I'll see you when you're in bed, to the kids. So Nora answered the phone. 

"Is your Daddy there?" I almost thought it was funny. In an "Oh no" kind of way. I attempted to shut my trap and not be yelling in pain in the background. Then I could hear that McK was on the phone. The "She's ok" phrase was envoked. Apparently he could hear me in the background. What was I doing? Moaning? Shouting? God knows.

Then after an unknown amount of time, the paramedics arrived. Halleluyah. "Give me morphine, please" were the first words that came from my mouth to the BRILLIANT paramedic who took over from Denise in the handholding stakes. they couldn't give it to me straight away for some reason so I had to have gas and air! Which made me inwardly amused, in a way. I bit the mouthpiece as if I was going to bite through the damn thing and sucked that horrible crap in to my lungs. To be honest, it didn't make a lot of difference. The other paramedics started cutting off my grey trackie bottoms. I don't think they were grey anymore. 

"Here, look, I can move the other leg" I said, waggling my right leg around. And then, astonishingly, I found that I could move my big toe on my left leg. Oh Wow. They had cut through the laces, taken off my shoes and cut off the socks (sorry I was wearing two pairs. They were thin). There was my toe, on my apparently 'gone' leg - moving! The morphine arrived, in injection form. First lot made no difference that I could feel. So I had some more. the max amount I could have. To tell you the truth, it still hurt, a hell of alot. 

We were going to be on the move. I suddenly had that addict's need to know that my phone was alright. I could see my bike, which looked... bizarrely still bike-ish and not a mangled wreck. "My phone! It's in the back pocket, behind the saddle". Someone, bless them, grabbed my helmet and shoved the (still working!) phone, my keys and the oyster card holder from my bike's bum-bag in to the shell of it. The Police must have taken it with them in the ambulance. I can't remember what I said about the panniers but of course, I was worried about my Air, I mean f'gad's sake! Priorities!

"Cait, we're going to have to put this collar on"

"There's nothing wrong with my neck" I explained. But it's protocol, just in case. And let me tell you, those neck braces are extremely uncomfortable. They had to get me on a stretcher. I knew it would be bad. It was. The paramedics put some kind of covering over part of my leg. I nearly hit the roof. And then, bang, we're in the Ambulance.

The only thing I remember about the ambulance was the coppers. Two lovely guys. They asked me basic questions and they talked to McK on the phone to let him know where we were going. By this point, the morphine had made me alot more comfortable. It's odd stuff. I could still feel the pain, but I could rise above it. Felt reasonably happy. I thought about how lovely the two Policemen were being. Sincerely decent, and the brilliant, clear, supportive wonder of the paramedics. This wasn't morphine talking. This was the truth. We are so lucky to be paying for people who don't just do the job, get their training and get paid. These folk were decent, lovely people. I had a little moment of being proud to be paying taxes. 

Then I was in A&E. No waiting for triage for me!

 

February 17th, 2012. The crash

I'm not quite sure what I should say about the crash, and the circumstances of it, because we have engaged with solicitors and I am VERY VERY ANGRY and I HURT. A LOT. So here's a sort of 'sanitised' version, I suppose.

The location was just past the railway bridge cycling in to South London along the blue cycle highway on Southwark Bridge Road. It involved a lorry, and I was cycling in the...er... blue cycle superhighway. So. that's it for detail. 

It hurt. A lot. Next up, what happened next!

 

 

So guess what happened: I was nearly killed!

Hello! I'm waving wildly because I'm about to embark on the most activity this blog has seen in *donkeys*. And I'm soooo pleased to announce it was because I was nearly killed. On Feb 17th, coming home from work. 

THere's a hell of alot in this to write about, obviously. The most important thing to say to you is that I wasn't, of course. And that in the long term, my injuries are so much more limited than they could be that, well it's easy for me to frame statements as if I'm downplaying them, whereas in fact of course, it's all pretty astonishingly nasty and very hurty. So, what I'm going to do is try to break it down in to lots of hopefully not too long entries. With diagrams! But no gore I'm afraid. If *I* am having problems looking at the internal workings of my left leg, I think that level of literal intrusion can stay private. When it's better, perhaps.

So, sit back, relax, and enjoy the somewhat Not Good story of the night I nearly died, and what is happening next....