Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Thursday, 24 August 2017

Taking the summer off ... it seems by Tracy Alexander


I was full of enthusiasm back in May, working on several writing projects and buzzing with ideas of what to do next. And then I found myself proof-reading a dissertation on raccoons solving puzzle boxes and a few days later the A-levels started in earnest so I made hot chocolate and attempted to decipher some integration questions to be helpful and my 92-year-old mother came to stay which reminded me that I hadn't visited my 97-year-old aunt in her care home and I worked in the polling station on general election day and my nieces were in a dance show and I did some training because I'd signed up for a charity cycle ride in Weston and I bought David Mitchell's The Bone Clocks and it's long and I wanted to read it all the time and I went to Talgarth for a few days and walked and ate lunch in Hay and boated down the river and the house was a mess when I got home so I bought Marie Kondo's The Life-Changing Magic of Tidying Up and attacked my cupboards and my middle son needing picking up from uni and he had a week before his internship started so we walked the dog and bought him some non-denim trousers and there was an arts trail in my neighbourhood on the same day as a nearly-new sale and I went to both with my friend and then it was graduation for my eldest and we stayed overnight with swanky London folk who have a pad in Cornwall and there was a leavers' dinner at school and so my daughter and I went shopping for frocks and when she went to Amsterdam I thought I might as well go to see my old friend who has dropped off the grid and embraced rural living and on the way back from Wales I got a text saying someone was getting rid of a hot tub and did I want it and I did but it took a couple of days to dig it out of its old home and now it's in the garage so that needs sorting out but there wasn't any time before the holiday with my mum, my only-90-year-old aunt, my sister, my cousin, my daughter, and my two nieces which was fun but fraught and left no gap between returning and setting off again for the World Championships to see Mo Farah's last track event and that amazing Men's 4 X 100m Relay and driving back the next day I detoured to see my very old aunt again and had a game of Scrabble and in Bristol it was the Balloon Fiesta so we cycled over to Ashton Court and when I was chatting in the supermarket the next Tuesday I heard about a job with the NHS that sounded great so I updated my CV and did some research and applied and my sister bought an Airedale Terrier puppy so I went to babysit because she had to work and when I got back home I found the hand-outs from our puppy training and sent them to her and the garden was a disgrace so I got my gloves on and pruned and weeded and bought a few new colourful things with unknown names and made the pots look good and it was hot so I swam in the lake two days running and my nieces wanted to go to one of those trampoline parks so we all went and no one broke anything and there was a party for a neighbour's birthday so I made a bacon and courgette quiche and I was invited for an interview for the NHS job so I started reading and everything I read referred to another interesting blog or article or paper and then it was the day of the interview and I walked the dog with my friend before setting off for the city centre and I was ten minutes early and I think it went well and now it's 24th August.



Tracy Alexander

Friday, 24 February 2017

Transition by Tracy Alexander

The National Childbirth Trust group I joined for my pre-natal education wasn’t made in heaven. The woman of Amazonian height carrying twins had no sense of humour (and hardly any bump because her babies didn’t need to curl up). The neat and tidy controlling one was disquieting. (She went on to start an inflexible routine as soon as her wee baby was born that meant we all had to listen to plaintive mewing until the clock struck the appropriate hour. Very stressful.) The couple that looked about seventeen, but were in fact thirty, were as unintelligible as The Clangers. The pair who looked like each other were dull, dull, dull. The horse vet and his perky wife we liked! The other two I’ve completely forgotten. (I am self aware enough to know the feelings were probably mutual.)
So, not a great hit rate. It didn’t matter. We were there to tick the box called Learning How To Have A First Baby. Job done. Except I came away less equipped for labour than when I’d started.
            There are lots of aspects to fixate on when you’re pregnant. Your vastness. Your poor sleep. Your joy. Your due date. Your birth plan. Your vagina. Your baby. Its gender. Your indigestion. And your labour, of course. How painful is painful? How long will it be? Will you cope? Episiotomy or tear?
But what obsessed me was transition. The hinterland between dilation and pushing. The NCT teacher made the phase sound like an ever-darker tunnel. Like being enveloped by an endless bleakness. It was the door-less cell. It was locked in the basement with the floodwater rising. It was obstetric dystopia.
Thanks to the vividness of her description, I read the chapter on transition in my birthing book again and again to make sure I would recognise when I was in it. In transition you can lose hope, feel like you can’t do it, give up. My imagination filled in the rest. The baby would get stuck . . . I would be paralysed by overwhelming helplessness . . . the baby wouldn’t be all right. 
The fear escalated.
I schooled my husband so that if I didn’t realise what was happening, he might. If I became despairing he knew to, parrot-like, tell me that it was a phase. The sign of the positive change from preparing to give birth, to actually doing it. But would he recognise, in the middle of the worst protracted pain ever, that I was lost?
When it came to writing my birth plan, it was simple: to not disappear into the abyss that was transition.

The transition described by the NCT guru didn't materialise. Whether it was the skill of the midwives or the drugs (yes, drugs) or being pre-warned, I didn’t experience a wave of petrifying doubt. I moved on to the next phase, which is essentially trying to poo in public, and was rewarded with a baby.

But . . . walking the dog against the ferocious winds this morning, the much-read chapter reappeared, unbeckoned. Twenty years on. Minds are funny.

I’ve recently finished the nth draft of a novel that has taken twice as long as usual. At the moment some of my friends are reading it because that’s how I work. I like a sense check, and all feedback is useful if only to confirm that I’m sticking to my guns. Knowing there is no point tinkering with the document at this time is lovely.
But lovely didn’t describe my demeanour a few weeks ago, still in the thick of the novel. As I typed the end of the first draft, instead of satisfaction that I could now improve the story, I felt incapable. The screen was a mess of indulgent waffle. The immensity of trying to smooth the journey, unkink the plot, deepen the drama, and give my heroine her freedom was beyond me. So I didn’t even try. I walked the dog, cycled to Portishead, made chocolate brownies à la Nigel Slater. (very good chocolate browniesThere was no point wasting any more time on it. I was not a writer. I should get a job like I used to have, with other people, where there are desks and canteens inside buildings, and PAYE.
Transition can be the most emotionally challenging part of labour, despite being the shortest, when women are at their most vulnerable and susceptible to suggestions of intervention. I was most definitely in the feared transition phase.

Thankfully phases are exactly that. It passed. One day I sat back in front of the computer, less demoralised, and began to chip and shave and bolster and slash. Solutions to awkward conversations piped up, clunky links got oiled, my heroine began to feel herself. Transition was over, it was time to push the manuscript out into the hands of my volunteer editors.

In a few days I’ll have all their feedback and it will be time for the final edit before it goes to my agent. I’m excited, not debilitated. It’s the end of the birthing process, the delivery.
And if I’m ever in transition again, I’ll know that it’s all part of the process. A process which is as individual as giving birth.


In case you’re interested, the NCT group met up regularly that first year, and maybe a couple of times after that. But we didn’t have NCT anniversaries. We didn’t bond over anything outside the common ages of our children. We don’t know any of them now. However, the friends I made at the NHS equivalent, Parentcraft, are still my pals. Just the luck of the draw.

Tracy Alexander

Wednesday, 19 December 2012

Truth, Lies and MRI Scans.


Anthony Burgess, on being told he had a brain tumour, and only a year to live, was jubilant. Great, he thought, a whole year in which I’m not going to get knocked over by a bus, or die in a car crash.  Worried that his premature death would leave his wife with nothing, he threw himself into writing.  The brain tumour disappeared, Anthony Burgess established himself as a major novelist.

This little story, which Burgess describes in his autobiography, may or may not be true.  I doubt that it is.  But regardless of its veracity, it’s been going round and round in my head for some time.

Like everyone else who writes and reads this blog, I am writing a book.  It’s a book I’ve been working on for five or six years.  It’s the one I’ve always wanted to write. I’m sure you all have one like it. But like plenty of novels writers write, I have struggled to finish it.

However, I had an Anthony Burgess moment.

In April this year I had an MRI scan that suggested the arteries in my head were unusually thickened, and I was at risk from a developing an aneurysm.  I’ve written about this in an earlier blog, so won’t go through all the gruesome details again. I’ll just mention that the specialist took five months to tell me, by which time, I thought, I’m lucky to still be here.

More recently I had a second ‘enhanced’ scan, using state of the art MRI that, if the first had something of the 1970s about it, this one was 2001.  I was sucked into the mouth of Hal.  Abandon hope all ye who enter here.

This second MRI machine was right next to a bank of monitors displaying my skull, brains and all that mazy Hampton Court stuff. How I longed to see a little homunculus sitting there in the middle, arms pulling the levers, sweat pouring down his little brow.

“Look!” I imagined yelling to the radiographer, “there, in the middle, a tiny man! And he’s gobbling chips!” The radiographer frowns.  “That’s very common,” she says.

Look, not all of this is true. The truth is not that exciting. I had the scan, I went home.  The radiographer didn’t say anything at all.  She smiled and nodded and I wondered, as I got my coat, whether she was looking at me that way because I had six months to live, or because she thinks I’m an idiot.

What if it was both?

But, when I got the report, it was reassuring.  Whatever was on the previous MRI scan, it was not on this one.  “No abnormalities in the brain, no lesions, the orbits, pituitary, corpus callosum, brain stem” and so on, all normal. Things are flowing as they should be.  The homunculus needs a new armchair, but otherwise, nothing.

What, I asked the specialist, has happened?  Why has thickening, or arteritis, or aneurysm, or infection disappeared?  I thought these things were either irreversible, or cured only by colossal amounts of steroids.

No answer.  A shrug. “An over enthusiastic radiographer,” he muttered.

“What?” I yelled, picking him up by the collar and holding him against the wall.  “Are you saying my illness was the product of someone’s imagination?”

“Please,” he said, “it’s not my fault!”

He reached out and pressed an alarm button, two orderlies charged in, and in seconds I was strapped up, restrained, and couldn’t move.

“I just want the truth, doc,” I said, struggling to free myself.

“Put it this way,” he said.  “Perhaps we in the NHS love to create fictions, too.  Why should all the imaginative stuff be left to writers?” 

For whether I was ill, and after a long rest, am cured, or whether there was nothing there in the first place, the fear that I had something eating away at my brains was the spur I needed.  It wasn’t that I was afraid I wouldn’t finish my book before I died, it was that writing kept the worry away.  As long as I wrote, I didn’t dwell.

I have nearly finished my book.  I’m proud of what I’ve written, but know that finding a publisher for it will not be easy.  It is, to say the least, very idiosyncratic.

But does that matter? I’m going to live.