Neurological Fatigue and Ice Cream

Hello again! I’m going to start this week’s post with an apology and with thanks. It’s been three weeks since my last post and I know that was unusual enough that Mary, who reads it regularly (and once sent me the wonderful Norge i Fest book) was worried enough to check on me. There have also been others looking out for me, both at and outside of work, and to them, thank you.

I’m not sure if it was Valerie who introduced me to the concept of neurological fatigue, but she works with patients within a physiotherapy and occupational therapy department in the NHS and she has spent some time working through a course to help me deal with it better. Those who read regularly will know I’ve been affected by some odd, undiagnosed neuro problems for eight or nine years.

Most of the time, it’s not visible to those around me, but it never completely goes away and sometimes, it returns with a vengeance and becomes highly visible as I twitch and stamp my way around. Because it means I struggle sometimes at work, occupational health want me to try and get a diagnosis, so I am now seven months into the year-long NHS waiting list.

I can see that, in my last blog, I mentioned the welfare case that has, most likely, been the biggest trigger in this episode. With the best will in the world, dealing with sad and difficult cases is always mentally exhausting. I finally got out there two weeks ago on Friday and on Saturday, the whole thing was preying on my mind so much that writing anything here was beyond me.

It’s weird, because my body went on functioning. I went out for afternoon tea for a friend’s birthday on Saturday afternoon, then down to Mum and Dad’s as Mum’s 82nd birthday was coming up. I did comment to Mum that, when I took Triar for his daily walks, I did worry that I would collapse at some point. Not sure what she made of that, not sure how much is wishful thinking (it would push me up that waiting list, at the very least), but I have, twice in the last year, had one of my legs simply give way when I tried to take a step, so I ended up sprawling on the pavement.

I should probably have taken time off work the week after that visit. Had I done so, I probably would be fine by now, but with the prospect of formal attendance meetings, and in the knowledge that I probably could function at work, at least, I pushed on through. I’d actually taken Monday off as a flexi day and normally would have enjoyed the shorter week, but I actually didn’t notice it was shorter. By then, I was on autopilot.

I feel I’m not describing this well. I think, up until a couple of days ago, I was managing to function at work, to the point where most people wouldn’t know anything was up. The noticeable changes were at home. I’ve been working on building good habits: eating more healthily, writing a bit each day, walking for half an hour. One by one, those stopped.

Other things stopped too. Wiping the kitchen surfaces and clearing away is something I normally do as I go along, but my kitchen was starting to resemble a student flat. I didn’t like seeing it, but couldn’t find the energy to do anything about it. It’s really difficult to describe, but work was simply taking everything I had and in between, I was barely existing.

At what point, in that scenario, do you take time off? Logically, and indeed in Norway, the right time to stop and rest was as soon as I became dysfunctional at home, but in the UK, the pressure to work until you literally can’t is quite high. That day came on Wednesday this week as I woke up and could barely drag myself out of bed.

Even on Thursday morning, having spent Wednesday mostly lying down, I was swithering as to whether I should try to work from home. Again with the comparison with Norway – there, if you are on sick leave and feel like doing a bit of work, it’s allowed. So on Thursday, I wrote up some details of what I was working on on Tuesday afternoon, in case someone else had to take over that case, and I replied to a couple of easy e-mails, because that was no hassle and would mean that coming back to work would be easier.

In the early hours of Friday morning, I was plagued with a blinking session. I have looked this up and found out what I was experiencing was called blepharospasm. I’ve had it a few times before, but it’s never been a significant symptom, but it’s disorienting and tiring and it kept me awake, so there was no chance of me working yesterday. That said, by yesterday afternoon, I found the energy to tidy the kitchen, which is honestly a load off my mind, every time I walk in there.

Slightly worrying is that blepharospasm has to be reported to the DVLA, so I guess I’m going to have to go to the doctor next week and ask about that. Just another complication to add to the list. It’s not an immediate suspension from driving, but the doctor will have to decide that one, I think.

My line manager, has been very supportive, thank goodness, though I imagine we are going to have to go through another formal attendance meeting. I’ve already asked him for another occupational health referral as I need to know how I can handle this situation. I want to work, but when I need to rest, I would like to do so without worrying I’m going to lose my job. Preemptive rest twice a year is better than crashing. I know some people abuse the system, but the system needs to work for me as well as them.

So where does the ice cream come in? I went to Valerie’s last weekend and rested there. Getting there was difficult. Even though I knew where I was heading, my mind was plagued with intrusive thoughts (another distressing symptom which I’m not going to describe – my Norwegian doctor told me a long time ago to ignore them as they are not dangerous) as I drove up the road.

It was worth it though, as Valerie and Charles offer me a wonderful haven where I feel surrounded by peace, not least when sitting in the hot tub with a mug of hot chocolate and Bailey’s! Saturday afternoon, the ice cream van drove round, playing his tinkling music, and Valerie suggested an ice cream. We were sitting in the garden at the time. Charles had lit the chiminea and we were listening to the birds and when Valerie heard the ice-cream van, she suggested buying one and I agreed. This is what she came back with! A lovely, whippy ice cream with a 99flake. I haven’t had one for years and it was delicious.

So, I hope that was all coherent and not too weird, but that’s where I am. Hopefully by Monday I will be back at work, though I will need to address some things, such as a doctor’s appointment. I can recommend afternoon tea at the Hetland Hall Hotel, though the bitter soup in a coffee cup was a step too far, that would probably have been better forgotten!

Have a good week all and thanks for reading.

5 thoughts on “Neurological Fatigue and Ice Cream

  1. 🙏♥️🙏 so sorry for your wellness challenges. I recommend ice cream for sure 🤗and perhaps look into regular intermittent fasting for overall health and detoxification. There may be other naturopathy approaches to help such as nano silver which I heard about recently and am looking into: https://canadananosilver.com/

  2. I tend to find that my biggest problem isn’t XYZ (the situation itself) but my panic response to it. The better I am at climbing back out of the panic, the better I’m able to deal with XYZ. (That, and ice cream…)

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