Tag Archives: fnd

Arctic Lights

I said at the end of last week’s blog that I was going to talk about the apps I currently use to manage my FND and I will, but first I should mention that I’m at Valerie’s for the weekend. Val’s daughter Stacey and son-in-law, Llewelyn, stayed here over the summer, while Stacey was having a baby. They went home a week and a half ago and, to my great joy last Sunday, Val invited me and Triar up for the weekend. It couldn’t have been more perfect for me. I’ve a few things booked in early October, so weekends are limited and I wasn’t expecting to come here so soon. But yesterday evening was spent on a sunset walk around Airth, listening to the amazing sound of the geese that are gathering in the fields, followed by gluhwein in the hot tub. As Valerie said, “Let Autumn begin.”

As regulars will know, I was recently diagnosed with Functional Neurological Disorder, or FND. While the diagnosis was recent, I’ve been having neurological oddities going on in my body for years. My life and job in Arctic Norway was sometimes physically tough, but for three years I was able to manage my symptoms. They occasionally came back, but then I would rest until they went away again.

The physical and mental stresses I’ve had since returning to the UK had destabilised the situation and I went through a period in the spring and summer of this year, when the symptoms had returned on what seemed like a semi-permanent basis. They weren’t awful. Some tics and body jerks, days of waking up exhausted and odd sensations, mostly like insects crawling on my feet, though the feeling of a knitting needle jabbing into the top of my right foot was sometimes quite unpleasant.

While getting enough rest is crucial, there are other things I’ve been doing which seem to help and they mostly revolve around apps on my phone. Sometimes I think constant access to the internet and to smart phones has brought some very negative things into the world, but there are some real positives as well. I try to ensure I get enough sleep, for example, and though partly that’s about putting down all my devices as bedtime approaches, I do monitor how much sleep I get, and the quality of that sleep in the Autosleep app, which is linked to my Apple watch. While it doesn’t directly help me sleep, it does remind me that I feel much better when I do sleep well and helps me monitor what works to get there.

As well as Autosleep, I have been using WalkFit. I’m not sure I would recommend it. It’s quite expensive for something that’s not quite as good as it should be, or at least that’s my opinion. It got me on board with false advertising, telling me I’d lose weight quickly, but then not giving me explicit guidance on how to do that. To be fair, I knew before I started that rapid weight loss from a walking app was unlikely, but it did tempt me in. Then the first three months cost £25 and I assumed that would be the ongoing price.

After the first three months was up, they charged me £66 for the next quarter, but by then, I was well into the program. I may not have lost much weight, but I am regularly doing a whole lot more exercise because of it, so while that is working, I shall continue. It suits me quite well as, on the mid-level activity program, the daily target is 7,500 steps. You can have two days off in any week without losing your streak. I’m now on 139 days and I don’t want to lose it. There’s also a set of exercises you can do inside, if you are struggling to get steps on wet days. I would do more of those if they were 20 minutes long. They used to be, but now they’re nearer half an hour and the music is a bit tedious. As I said before, I wouldn’t entirely recommend it. It would be better if there was more flexibility to choose the length of your exercise session, but for now, I’m sticking with it.

The final App I’ve been using is Headspace, which I get through work. I used to have Calm, which had some lovely Sleep Stories, which tended to send me off in minutes, but as work were offering to pay, I changed over to Headspace instead. What I hadn’t expected (and which now, has unfortunately changed, it set me up a day’s itinerary, with tasks that it ticked off as I did them. The day started of with five deep breaths, moved onto a two to five minute chat on how to handle the things life brings, then a ten minute meditation session. There was a very variable afternoon task, that was sometimes physical exercise, sometimes music and sometimes a short wildlife film, the to end the day, it recommended a sleep story, which it calls a sleepcast. I’d added in a mindful eating course, which it added on and marked off when done with the rest.

I’m glad I joined up while that itinerary was in place as it’s now changed. Those things are still there, but in a much busier screen with “Recents” at the top, then some of those previous “Daily Essentials” as a line underneath you have to scroll along. Some are missing though, so I’m now using it less, ironically. Pretty sure that wasn’t their aim. My mindful eating course is now in another line called, “Picked with you in mind.” Well you didn’t pick it, did you? I picked it! Anyway, I digress. I’m still using the app, but it’s now much more difficult for me to track whether I’ve done each element over the course of a day.

It’s taken me some time to find sleepcasts that I like. There are certainly plenty to choose from. The Calm ones that I liked best told a story, where you walked alone up a mountain, or along a beach, then lay down somewhere and did some meditative activities. The Headspace sleepcasts paint pictures, sometimes of quite busy places. Maybe some people find those helpful but I don’t. I have found some though, that describe scenes where you find a comfortable place and I am using those more often. Now and then, I try a new one and last week, I tried one called Arctic Lights.

I was looking forward to a scene, with the aurora overhead, and that was in there, but I must confess, most of the rest, I found unrelaxing for all the wrong reasons! There was something about a breeze and snow on the ground and the sounds of a waterfall in the distance and that had me bristling. I mean, I guess it’s possible, but in the Arctic where I was, all the streams and waterfalls froze quite early in the winter and often before the snow came. There were sometimes wind, but most of my memories of aurora were on utterly still nights, where the sky was clear and there was an ethereal silence as everything was solid ice. So instead of the lovely relaxing experience I’d hoped for, I was lying there in bed going, “Well! That’s not right!”

The last straw was when some deer passed by and went to drink by a lovely lake. Why deer, I thought, my mind in glorious outrage. I never once saw deer up there, other than reindeer and far more often, there were moose! I mean there were deer there! I inspected a carcase once that a hunter had shot, but only one in three years. Of course, if I hadn’t had all those ore-expectations, I probably would have found it lovely. Instead, I grumpily sat up and selected a different one. Ah well, I’ll just have to write my own Arctic stories instead!

Anyway, Valerie is now up and it’s time for me to go down and join her, so I’ll leave you there. Hope you have a good week and thanks for reading!

FND and Frustration

I’m a day late in writing this, mostly because I am experiencing what could probably be best described as lassitude: described in the online Oxford Dictionary as “a state of physical or mental weariness; lack of energy.”

Don’t get me wrong, I am still able to function, on the surface. Yesterday and Friday, I met friends and today, I will go to church and walk the dog, but my body feels tired. There is a feeling in my feet and lower legs, as well as in my fingers that is probably best described as if they are fizzing, like I should imagine a glass of cola would feel, if it was able to. If I try to move fast, my body reacts by jerking. That feels similar to the effect you get if you touch an electric fence: the movement comes and there is no control over it. It’s not painful, nor is it alarming these days. It’s just a bit of a bore and rather tiring.

I wondered, for a while, if the fizzing was an anxiety attack. The occupational health doctor told me it wasn’t, one day when I was speaking to her and I said I felt it now. I was speaking and breathing normally, she said; it’s not that.

Looking for patterns, I think this attack is the result of being woken at two in the morning, working a twelve hour day, then having a very hot, hour long walk on the beach, without having any real opportunity to rest afterwards.

Should I have cancelled the friends and going to church? I took Friday off (flexi time) to rest and I would probably feel better now if I had spent a long weekend resting in bed or in front of the TV, but I am reluctant to cancel the things in my life that lift me up, to preserve myself for work.

What didn’t help was that I also spent Friday morning composing a long letter to the neurologist I saw about a month ago. His promised letter reached me on Tuesday and I read through it to the end, including the final paragraph that left me metaphorically gasping.

To go back to the appointment itself, we spent a lot of time discussing history, which inevitably took a while. I was in Norway 15 years, so everything medical that happened there is missing from my files. That part of his letter was reasonable. He didn’t get it all right, but the discrepancies probably aren’t significant enough to be worth arguing about it. As an aside here I will add, that FND is seen by many doctors as akin to hysteria, so I am wary about being seen as fussing too much. If I say that being diagnosed with FND messes with your mind, I hope you can understand what I’m getting at.

He then did something of a physical exam. I’ve had a lot of neurological exams over the years, so I know that he missed a lot out. If I took a positive view, he was concentrating his examination on what our discussion had highlighted as likely areas for assessment. A more negative take would be that he was looking for what he hoped to see, having already decided it was probably FND and needing a positive sign upon which to hang a that diagnosis.

I suspect the latter is nearer to the truth, because as soon as he saw something (head shaking during various exercises where I had to close my eyes to assess balance) he announced the diagnosis and quickly drew the appointment to a close. There was only the briefest discussion on why I was there. I mentioned being sent by occupational health, the problems with having only six sick days before formal proceedings, and how I had been much better in Norway where that didn’t occur, but not really anything about what is actually happening at present, for example as I described above.

His last paragraph then, described what he had heard during that last brief discussion. To my shock, what he wrote was “the biggest problem she has found is that employers in the UK only give six weeks of leave and she had the pattern in Norway where she would work for three weeks, her jerks would start to aggravate and then she had a week off and the jerks settled.”

Having written my response on Friday, I decided to send it on Monday, partly because Friday afternoon is not the best time to send anyone a letter at work and partly to allow myself more reflection time, which has actually been useful.

The real situation is that, in Norway, those physical and mental stressors that trigger the exhaustion (which can eventually require complete rest and absence from work, if I push on too hard) just didn’t happen that often. The job was much more reasonable and we were not chronically understaffed. I took a week off work to rest perhaps four times in three years.

Here in the UK, those events are perhaps coming four times a year and because I haven’t dared to take proper time off to recover, I am probably more susceptible as well. In the last six months, I have probably felt relatively normal for fifty percent of the time. The rest, I experience this weariness. I can still function, but it’s not pleasant and I tend to forget things and make stupid errors, that sometimes I find later and feel glad that nothing serious happened because I couldn’t concentrate properly.

So although I am shocked by what the doctor said, working through what is happening and why has been a useful exercise. I suspect, with all the frustrations in my current job, it is not going to be compatible with my health to continue in the same role, long term. I would add that I know it isn’t me. Many others are circling the drain or (as the health and safety officer corrected me) approaching burnout.

What I am going to do about it remains undecided. I quite like my job and I’m good at it, but my body and mind are not fit enough to tackle it and the risk of staying is that my health could worsen. I am considering reducing my work hours to four days a week, perhaps as a trial. Other alternatives obviously include trying to find something else, either within the civil service or elsewhere. I briefly toyed with the idea of returning to Norway, but I returned to the UK for various reasons and those remain unchanged.

Anyway, enough of that heavy stuff and self analysis. We had another fun training session on Wednesday with Josephine. She sadly only has two months left in her temporary role and they’ve only just started to advertise for a permanent replacement, so it looks like I may be left again without a veterinary mentor/guide while the civil service procrastinates. However, for now, she is a breath of fresh air and great at building up the team.

The exercise involved toy animals again. She set up various scenes, where there were disease outbreaks and we had to look for information and describe how we would go about diagnosis and putting the information onto the inevitable forms.

At the top of the page is a scene where there is an outbreak of avian influenza. That was slightly complicated because of these guys:

I assume that group had to discuss what to do about local wildlife, but my group had to investigate and record a possible bluetongue sampling at this lovely farm:

I got extra brownie points for querying the assorted carrots and other vegetables in the yellow box. This farmer may be feeding kitchen scraps, which is illegal in the UK!

There has also been some amusement at work this week, because of some seagulls which have been nesting somewhere on or near the building where I work. Perhaps others have not been so amused as a couple of people have been dive bombed or poohed on, but a theory of mine was confirmed when we had a number of extra staff visiting on Wednesday for a meeting. These are sexist seagulls and while I have passed out of the door, watched over by a relatively benign beady eye, all the actual attacks have been on men. Clearly there are some advantages to being female!

I’m not going to finish without giving high praise to The Boathouse restaurant at Glencaple. Regular readers may recall a lovely Christmas meal Donna and I had there back in December. I suggested a revisit, having seen an advertisement on Facebook for afternoon tea. It would be an understatement to say that it did not disappoint! As with the Christmas dinner, I took home enough food to last me until the next day and it really did taste as good as it looks!

Anyway, I shall go now. Thanks for reading and have a good week!

Good Morning From Yorkshire

Isn’t it warm? It’s not yet seven thirty as I write this, but Triar and I have been out for our walk early. We stopped to have a chat with some heifers in a field (we stayed outside the gate) which is the high point of our day so far! Aren’t they gorgeous?

I came down yesterday as I had a dentist’s appointment to get a filling. I intended to come down on Thursday evening, but was unexpectedly offered a cancellation appointment to see a neurologist, so of course I jumped at the chance. As the occupational therapist at work wanted, he has given me a diagnosis – FND, which I’m guessing most people haven’t heard of. It’s described everywhere as being “like a software problem and not a hardware problem”. Basically they can’t see anything wrong on a battery of tests, but it fits certain criteria.

I’m still trying to process the ramifications. The tests I had were years ago and he hasn’t sent me for any new ones. With hindsight, I’m not sure we talked enough about what’s happening now and how it will be fixed. Back in Norway, I maintained fairly good health for three years, by resting properly when I needed to. He’s going to write me a letter to take to occupational health, so I will see what it says.

But overall, I think it’s good. On examination, he didn’t find anything new or particularly significant. He seemed certain there wasn’t a degenerative disorder. Having spent years looking up my own symptoms (don’t do this!) I had myself thought FND was the closest fit. Back in 2017 when this all began for me, I found almost nothing online about it. Now the internet is awash with information. It is, I feel the neurological disorder du jour! Hopefully I can find a way to manage it better than I am at the moment. I’m still working full time and doing a good job. I’d just like to have more energy to do things when work is over.

In other news, I’m getting through the paperwork mountain, though the dreaded Framework Agreement still needs some work. I’m giving training sessions next week, on Foot and Mouth disease, to some local authority inspectors on Tuesday and on the Disease Risk Form (investigation) during TB outbreaks to my fellow Senior Veterinary Inspectors. My boss, Dean, has a case lined up for me when those are done and there is some chicken work starting from July, so plenty to keep me going. I may be easily tired, but I also don’t like twiddling my thumbs, so it’s all going right at the moment.

I shall leave you with some more cow pictures and maybe some flowers too. Blackbird Lane is wonderfully overgrown and tangled at the moment, with wildflowers peeking out all over the place. And now it’s time to go make breakfast, so have a good week all, and thanks for reading.