ptsd

Things I can’t believe I have to say again… Part 1

~ somethinginthewayshemoves ~ 8 Comments

It may be a little over optimistic to say that summer is in the way, but I think I can at least say that winter is over. Whilst I can’t wait to enjoy more lazy days in the sun, hot days always give me a moments pause.

The reason for my second guessing is our old friend shame. As much as strive I to love my body there are still so many people who’d rather I didn’t. My body does not fit societal standards of beauty. Scrap that, I don’t even fit societal standards of normal. The fact that I refuse to hide my fat, scarred flesh rocks the normality boat even more vigorously.

It has taken me years to be able to celebrate my form. My ability to wear whatever I please & shed layers in the heat is a hard won victory. I won’t lie I often still have to steel myself to step outside in a vest. Not because I feel ashamed of my a scars or my past or flab or peely wally complexion, but because there are tonnes of folk who really, really want me to.

Staring is a given. Staring combined with nudging a mate & directing them to also have a gawk is also fairly frequent. Less common, but still occuring more than you would think is the person who thinks they should actually comment on my body. Oh & I give them so much to work with. Strangers just love to get angry, sad, concerned and curious about my body. Sometimes I can just shrug that off. Often I will snark back & think these strangers pathetic. However, there are times when for whatever reason, I’m just not up for the judgement of unknown members of the general public. Their stares, nudges & comments ruin my day. I do momentarily feel ashamed and scared and like I should never leave the house again. And this, my friends, is not ok.

So, here’s a little advice.

OTHER PEOPLE’S BODIES ARE NOT YOUR BUSINESS.

Your thoughts on other people’s appearance are not important. Strangers do not want to hear them. Your moral judgements are your problem, don’t make them anyone else’s. Likewise your hang ups.

STARING IS RUDE.

Always. There are no excuses. If you find yourself accidentally staring, stop. If you see someone you think looks weird, bad, crazy just remember plenty of people find your visuals unappetising too. Oh & don’t oggle them.

In short, don’t be that person. Don’t be the one who spoils someone’s lovely summer day. You do you & let the rest of world do them.

If you like what I do you can support me here or on Patreon.

Like the moon needs poetry…

Video ~ ~ somethinginthewayshemoves

I didn’t have time to mark World Poetry Day through the week, but it would make me sad to ignore it all together. I’ve been smitten with the art form for as long as I can remember. It has basically provided me with a literary landscape to wander around with my feelings. Thus, I must pay homage to some poetic masters & share a few lines of my own.

What better place to start than with Plath. I suspect Sylvia Plath is probably a favourite of every girl who’s had a brush with crazy. I actually read her prose before her poetry, but obviously fell hard immediately upon discovering her poetic genius. This is one of my favourites because it mixes prime fucked up Sylvia with some classic romantic imagery.

Melissa Lozada-Oliva is new discovery, but I can’t get enough of her. Her work covers feminism & race & more. She gets right to the nitty gritty of the female of colour experience with both clarity & humour. I love the structure of her poems & the words she chooses to place her emphasis on.

If I Got Paid For All My Emotional Labour.

Maya Angelou is another writer whose poetry came second to me. I read her autobiographies first & once I had begun reading her words I never wanted to stop. Every single line she ever put to paper is so utterly & completely Maya. A women who knows who she is & embodies herself in everything she does is the ultimate inspiration. Her poetry gives me life, which I believe is exactly what she intended it do.

Which just leaves me. I wrote a lot more poetry in my darker days. It seems my mind reaches peak poetic prowess when in despair. So, this one’s an oldie.

You’re clouding my mind…

~ somethinginthewayshemoves ~ 3 Comments

Nothing bad happened this week. No extra stressful event. No triggering sights or scents. In fact, it was quite nice. Easy weekend with my man. Luxuriously relaxing day with my sister. Words were flowing. I had nothing more taxing than baby shopping & light housework scheduled. All should have been well, but no one told my brain.

At some point on Monday night my head switched from calm to high alert. Try as I might I can not decipher why. I was one minute thinking about what colours to paint my nails & the next desperately trying to pinpoint my panic. It happens that fast. Like a storm cloud darkening the sky, my mood stiffens. Suddenly my only thought is why do I feel like something very, very bad is about to happen? All I can do is run through every aspect of my life & weigh up how likely disaster is. It doesn’t matter that my checks come up empty. That only makes the anxiety worse. Even If I can’t locate a likely impending crisis, I still feel on the verge of one. The disparity between my thought & feeling drives me crazy.

My body betrays me. It takes its queues from my beleaguered brain. Thus every gust of wind or car in the street sends my heart racing. I can’t relax. I can’t sit still. I can’t get anything done either. My head is too busy with the millions of terrible possibilities it has to discount. I can’t concentrate properly, so every task takes twice as long as it should. Or just doesn’t get done at all because you know, the post man came & I had to hide in my bedroom. What I was hiding from, I don’t know. I can’t think of a single scenario in which someone knocking on my door could realistically lead to a catastrophe. Nevertheless, I cower.

It’s exhausting and it is maddening. Free floating anxiety. I’m basically just fighting with my own stupid head. There is nothing to fear except fear itself. I think that phrase is supposed to comforting; not for me. Illogical, inexplicable fear itself is a formidable opponent. I’ll be ok. Can someone just please tell my brain.

You can’t change the way she feels, but you could put your arms around her…

~ somethinginthewayshemoves ~ 4 Comments

I dreamt about an old friend last night. A friend who is no longer living. It was a lovely dream that I was sad to wake from. As I tried to commit the dream to memory I realised that whilst I thought of her often, I hadn’t spoken out loud about my dear friend in a long time. Too long a time, which is something I need to rectify. I need to talk about her. Tell her story. Share how she changed me. And that is exactly what I am going to do.

Let’s start by saying I met J because we were both ill. I was in my early twenties & struggling to deal with undiagnosed PTSD. I was trying to hold together a life that was increasingly unsatisfying with a self harm habit that was spiralling out control. J was dealing with similarly unhappy circumstances and a self harm problem that becoming, frankly terrifying. We both found some comfort in a community of sick people who didn’t know where else to turn. We were people who couldn’t ask for help or had asked without receiving the sort of assistance the we needed. No one talked about self harm then. Except maybe in the odd film where it was usually portrayed as something a trouble teen might do or a suicide attempt. Even the mental health professionals treated us like shit (sadly, some still so). If our attempts to hide the problem had failed, our families & friends were frightened ( & in some cases cruel). We were dealing with real problems; rape, abusive relationships, miscarriage, escaping from cults, drug dealing parents & a multitude of other big, scary problems. We were of course also living with mental illness. Some of us had a laundry list of labels and others had not a single clue what the fuck was wrong. But there was absolutely something going very wrong for all of us. This is where I met J. Amongst this this group of desperate people I also found a salvation of sorts. These broken people offered each other a kind of support that we couldn’t find anywhere else. We dragged each other through the kind of darkness that most will never understand. And J was kind of our leader.
J was living with pain beyond what would be considered durable. Her mental anguish was compounded by the physical horror she was compelled to inflict upon herself. J was not ok. Every solitary moment of life was a battle hard fought. And, yet, she always had time for us. She had love and support and encouragement for her damaged flock. J lived in a different time zone, but she still called day & night to remind me to keep breathing. She wrote letters and sent care parcels. She compiled lists of all the things that just might offer one us a couple minutes respite from our own fucked up heads. She replied to every ‘ I can’t do this anymore’ with such kind & convincing entreaties to keep trying, that we did. Her words worked because we knew, that she knew. We were all able to help each other because we shared a world that most people didn’t know existed. For me, j was the ultimate inspiration. If she could do this with such grace, I owed it to her and all the others who loved me to at least not give up.

Kelvingrove park

It’s such a cliché, but this goodness expanded beyond our group. She was studying to be a nurse because she wanted to help people. Everyone in her life adored her. J was that person who offered succour, but she wasn’t a martyr or a goody goody. She was fun. Her sense of humour could be wicked. Most of all she was strong. J fought to live. She engaged with mental health services that let her down over and over and over. She was still working and studying at the peak of her illness. She endured the brutality of her self harm and the callousness of those supposed to treat them. She did it all with dignity. Life beat J black and blue. This world committed an almost constant vicious assault on her. She fought back hard. She battled with and blood and heart and care and tears and wonder. She did not win.
J succeeded in taking her own life in a sad and awful way that left no doubt that she meant it. I wish with everything in my being that I could have changed how her story ended. Both the circumstances & the prematurity of her passing, but I don’t blame her. I understand that life was no longer a viable prospect for J. I hate that, but I do not begrudge her some peace. I am still angry at the professionals who failed her and the people who’s actions caused her so much pain. I will never be angry at J. She gave life her very best shot. Her suicide was neither selfish nor weak. It was just the only option she had left. It kills me that someone so beautiful was left with a choice so ugly. I understand it, though. Whilst I know it may be an unpopular opinion I can accept it. I can respect that it was her decision to make.


So, why I am writing this? What am I left with? Actually what remains is so much more positive than I could have ever imagined. Losing J was soul destroying, but life does go on. I go on and so do those other sad people that she cared for. I don’t want to disrespect those wonderful people by not acknowledging that they too saved me. We all helped save each other. In hundreds of big and small ways. After J’s death we continued to care for each other. We laughed and cried and screamed and swore together. We stayed up nights and called ambulances. We sent Xmas cards and made hospital visits.
From that group I maintain friendships with some incredible people. Some of us are entirely recovered, some still walk the tight rope; we are all still alive. We have partners, careers, babies, hobbies & passions. We all do our bit for mental health awareness. Whether that’s through writing, organising, working in the field, donating to MH charities or just supporting loved ones with their difficulties. I will spend the rest of my life doing everything I can to prevent others falling through the cracks. I will fight for everyone to have more choices than J. I know I am not alone. That is her legacy. She lives on through the people she touched. We endured. We succeeded. We survived.
WE LIVE

1 in 4 adult in UK will experience mental illness at some point in their lives. It is incredibly likely that you or someone you love will have to fight this battle. You can help improve the lives of suffering in a number of ways. Please do what you can to make sure more people survive.

Add mental health education to the national curriculum

Donate to Samaritans

Donate to SAMH

You an also make a massive difference by writing to your elected representatives an telling them mental health is major issue for you. Let them know that how they vote on mental health related issues matters to you. You can find your representatives here.
Find my MP
Find my MSP

 

But I ask where is the poetry…

~ somethinginthewayshemoves ~ 4 Comments

I’ve had a rough couple weeks. Ill health (myself & others), unavoidable obligations & insomnia rearing  it’s ugly head have led to an incredibly stressed out ly. Alas, the blog has suffered. Normal service will be resumed soon. In the meantime I offer a small poetic interlude. 

I find poetry incredible cathartic. I often attempt to write away my troubles. You’d be surprised how often it helps. 

A day in the life…

~ somethinginthewayshemoves ~ 3 Comments

This morning I was rudely awakened at about 3am. The ill mannered culprit was pain. This time it was intense & centred in my stomach. So, i got up, took my stomach meds, some painkillers & hoped for relief.

Relief was not to come. I lay in the dark for half an hour waiting for the medication to work it’s magic. My body was having none of it, a wave of nausea washed over me & I knew I was going to be sick. I ‘rushed’ to the bathroom where I proceeded to vomit repeatedly. Each violent wretch sent pain shooting down my back. An hour later I’m sweating, dizzy, sore & unable to get off the bathroom floor.

All the throwing up had triggered some hefty heartburn & reflux, but meds weren’t  an option for fear of kicking off more vomiting. I slowly picked myself off the floor & retreated to the living room. Once situated on the sofa, I turned out the lights & put Joni Mitchell on low.  Over the next several hours,

I tried breathing exercises,

put on my tens, 

paced, 

drank mint tea,

curled into ball,

took more medication, 

vommed more medication 

watched the sun come up

& resigned myself to having a rough day. 

That’s exactly what happened. Today was a riot of pain. My stomach continued to be a nightmare. My back ache progressed into agony. I was intermittently sick throughout the day. Thus I had to cancel appointments. Most of the writing scheduled for today wasn’t even attempted. More housework piled up as I struggled to control my pain & rising panic. An acute flare like is this stressful because I never have any idea how long it might last. I could be in better shape tomorrow or I could be in hospital. I live alone & I work freelance; if I don’t do it, it doesn’t get done. I worry. A lot. I grow concerned about 

staying solvent, 

my professional reputation,

keeping my home presentable,

keeping myself presentable,

how I will keep important appointments,

letting my loved ones down, 

losing control of my mental health, 

Basically, I worry about everything, from the state of my kitchen floor to the state of my relationship. Of course all this stress is detrimental to my health. Especially with regards my to stomach problems, stress is the enemy. Likewise, stress is an anathema to sleep. Lack of sleep makes illness more difficult to cope with, but of course pain & illness also make it harder to sleep. If I can’t manage my anxiety it will spiral into panic attacks & depression. Any decline in my mental health reduces my productivity, my ability to leave the house & my chances at engaging with the world positively. Around & around I go. Symptoms exacerbate symptoms all adding up to an almost permanantly exhausted, scared, sick & sore me. 

And this is my life. This level of illness is not rare. My good days are not pain free. I don’t know when the bad times will hit. I wake up every morning with no idea if I’ll be able to get out of bed. Chronic illness is fucking nightmare. It forces you let people down, to miss huge chunks of your own life & to live that life always walking on broken glass.  

Go gentle…

~ somethinginthewayshemoves ~ 8 Comments

This year World Mental Health Day has intersected with Baby Loss Awareness week resulting in lots of media/online talk about both subjects. Obviously, this presses pretty much all of my buttons as my mental health has historically (& currently) been so interconnected with my losses.

I believe society’s discomfort of miscarriage increases the distress experienced by those who live it. Feeling that I could not talk about my loss certainly compounded the trauma of my first miscarriage. There is a massive crossover between mental illness & baby loss, I believe part of that is how we treat people who have to deal with either issue. I also believe that making really simple changes in attitudes would allieviate so much pain. Miscarriage & infant loss will always be horrific, but if we allow people to openly explore & process those losses long term mental illness can be avoided. Or at the very least recognised & treated. 


Miscarriage  & other types of baby loss affect many people. We can all help make their lives easier by following these straight forward suggestions.

1. Acknowledge the loss.

Many people feel so uncomfortable about this kind of loss that they simply don’t acknowledge it. I know that this often comes from a good place, one might fear upsetting a grieving parent or intruding on their privacy.  I get that, but trust me, the silence is worse. If you know that someone has miscarried a simple ‘I am sorry for your loss’ goes a long way. Having people recognise that you have suffered a loss is massive. Too often those of us who have experienced miscarriage are  left feeling that our child only existed for us. Having people in your life affirm that the life you carried was real & had worth is extremely valuable. 

2. Really listen. 

Asking someone how they are, sending love etc is a good gesture, but if you really want help, listen to their response. When I lost my first baby what I really needed was to talk about it. I desperately needed to express how I felt & what I was struggling with, but never felt it was ok to do so. Burying those emotions compounded my trauma & led to a complete breakdown. If someone needs to talk about their experiences, please let them. 

3. Respect the grief.

When you have a miscarriage you grieve. Your grief is not only for the baby you have lost, but also for the life you have been planning. Grief is a very personal thing, everyone does it in their own way & on their own timetable. Wether that involves a memorial service, commemorating an anniversary, a tattoo or even never speaking of it again, please respect that. Don’t judge or rush.  Be supportive of whatever your grieving friend needs . There are no right or wrong ways to heal, even if you feel uncomfortable with someone’s chosen expression of grief. Just be kind & remember it is not your journey.


4. Don’t hide baby news.

I understand the urge to shield loved ones from pain. Certainly be sensitive, but share & celebrate your baby news. I can guarantee that although it may sometimes be painful I never want to dampen anyone’s joy. Losing a baby is hard, but it does not prevent me from being thrilled for other people. Any tears I have to shed will be done in private & are only my concern. I want all good things for everyone that I love. I absolutely adore the beautiful little people my siblings & have friends have been blessed with. I have never met a person who had suffered a loss who felt any differently. 

There you have it. Four straightforward pieces of advice that may lighten the load of someone who is suffering. All you have to do is swallow your discomfort, listen & be respectful. Surely, that’s not too much to ask? 

If you like what I do you can support me here or on Patreon.

Try to comprehend that which you’ll never comprehend…

~ somethinginthewayshemoves ~ 4 Comments

In the midst of a wonderful weekend at the Edinburgh Fringe I had two really inspiring experiences. Both of which fuelled in me a desire to share some writing that hasn’t seen the light in quite some time. On Sunday I saw Neil Holborn perform his stunning poetry. He is very open about his struggles with mental illness & includes his own experiences in much of his work. The power of his honesty & the emotional response he received to some of his pieces really struck me. He reminded me of the power of sharing the dark reality of mental illness. Later that day I was introduced to a friend of my boyfriend who also talked openly about his past mental health struggles. This led to a discussion of how helpful it is to talk about these issues; how more often than not other people will then share their own experiences of mental illness. We talked a little about how that realisation that mental illness is actually really common relieved so much shame. It reminded me how important it is to talk frankly about my experiences, so that those in the depths of illness can see that they are not alone. Equally important is to reach those who have never been touched by mental health problems. Letting people see that this can happen to anyone, that the pain is intense, debilitating & uncontrollable lifts stigma. I really believe that the way to fight ignorance is information. Not just statistics, but brutal insights into conditions often misunderstood. It is so much harder to dismiss mental illness when you have been confronted with it’s reality. 

With this in mind I decided to review work I produced in my darker days. For those unaware I have battled with PTSD, depression & self harm for most of my adult life. Although my mental health is much improved from the time of this piece, it remains a daily struggle. One is never cured. The best I can do is learn to live with what I cannot change & fight for what makes my life beautiful. I am profoundly grateful to no longer be actively self harming. I am also aware that urges still exist. It takes work to maintain my current life. I make a daily decision to keep fighting & I am far from alone. 

I know these words may be disturbing to some, but I ask you to read them anyway. I share this because I passionately believe that a deeper understanding defeats stigma & grows compassion. 

i had another little crisis

despite a transfusion in late december,

my haemoglobin had again dropped to 6.6

causing doctor’s to get jumpy

&

prompting talk of another transfusion.

this fuelled  a panic in me

i do not like having blood transfusions

i feel incredible guilt.

other people are more deserving of this blood

someone selflessly gave of themselves.

i will waste it

i know it will feel horrendous inside me

i do not want it.

i don’t really have the option of

saying

no

they will call in a psych consult

which could lead down a road

i can’t

even

think about

my first stupid reaction

is

i must cut

whilst the dr’s decide

i will blood let

i know it doesn’t make sense

to most

but

there is method in the madness

my hb is already low

i may as well be hung for sheep as a lamb

i will hate myself less for shedding my own blood

if i lose enough blood

do enough damage

i may feel sated for a while

with this in mind i set to work

after two disappointing nights

of

slicing

&

producing inadequate wounds

i got angry.

on the third day,

the gp called to say they had decided to go with an iron infusion the following week.

i considered myself free

to

paint the town RED

i felt it couldn’t be that bad

if i didn’t need a transfusion

i had still better fit in as much damage

before treatment

&

truthfully

after two pitiful nights

i needed it

so,

feeling enraged with myself

i set to work

i chose a spot on my slightly less scarred right forearm

i cut vertically

downwards

towards my wrist

everytime i reached a depth i could live with

i elongated the cut

&

started to work down into it again

i got into the most dangerous mindset

where

i just can’t resist

a little

bit

more

i ploughed through the layers of my flesh

fascinated

with what lay beneath

i watched three distinct fountains of blood

flow into one

sticky

hot

pool

i pulled the wound apart to make the blood spurt higher

i sawed through

some

tough,unknown inner material

and

thrilled

as the spray soared out

and hit my face

when i was finished

i watched

for

i don’t know how long

long enough to become dazed

i had created a gaping trench

the entire length of my foream

that continuosly filled with blood

and

spilled over, flooding the floor.

i could not stop the blood

nor, could i think straight

i wrapped a towel around my arm

put a huge jumper on top

and

took the bus.

yes,

the bus

to a&e

i trailed blood into reception

& collapsed in the triage room

i was so ashamed

dreaded trying to explain myself

lay in a cubicle

crying

i had done this many times before

but somehow

i couldn’t control my fear or self loathing.

i received 21 stitches

a transfusion

and

was hospitlised again for three days the following week with chest pains & breathing difficulty 

requiring

another

two units

&

suffering from severe pain

i spent those 3 days in & out of a morphine

induced altered reality

Junior dr’s were too scared to take blood from my arms

apparently experience is required

to find a vein in this network of scar tissue

the consultant was overly kind

fellow patients

stared & whispered

i lay there in

shame

pain

fear

all of which added up to

another attempt

to stop.

11 days

and counting……

20/03/2012

Words are flowing…

~ somethinginthewayshemoves ~ 1 Comment

Words have always been my religion. Whether the beauty you can create with words or what I could say when I wrote made me a writer is my own personal chicken & egg. Regardless, the fact remains, I worship words. In that adoration lies a certain obsession; from worrying over a sentence for an hour to finding affinity in someone else’s perfect phrase. Which, is exactly what I want to tell you about. 

In the past week I’ve come across two such phrases that at different points in my life seemed made for me. Across the Universe is one of The Beatles songs I immersed myself in as a teen. I still love it, but the words have become so familiar that they often just wash over me. Well, on bus last week for some reason I was really listening. When I reached the chorus, one line flooded me with feeelings from times gone:

‘Nothing’s gonna change my world’ 

I vividly recalled being 15 & completely believing that nothing could shake me. I had at that point lived a charmed life. A life of love & safety & competence that had formed a girl confident she could take on the world. And win. 

I look back on that version of me with such mixed feelings. I’m proud of her; she was the weird girl that managed to be popular. The smart girl that partied. Even at 15 she knew her convictions mattered & those who felt threatened by that could fuck off. It takes a specfic kind of teenage courage to own that you are different & to celebrate it. Oh, the plans she had. It never once occurred to her that anything could knock her down. 

I’m welling up writing this because I know what happened next. It took years of therapy, but I can finally feel compassion for that cocksure girl that fucked it all up. Now, after years of blame, I want to protect her. A story of my history & evolution in 5 words. 

A few days later, in a fit of insomnia, I was flicking through tv channels & found Girl Interrupted. The first time I read this the description of suicidal thoughts clicked. 

‘Once you’ve posed that question, it won’t go away’

I hadn’t heard anyone else voice this cold fact before, but it was true. Once I had seriously considered suicide, it never really went away. Killing myself became the solution to every problem. So many of Susanna Kaysen’s words rang true. Hearing my terrifying feelings expresssed out loud somehow justified my pain. 

All I ever heard about suicide or self harm was don’t do it. People often talk in well meaning platitudes. They’ll tell you that suicide is a permanent solution to a temporary problem. Life will get better, they insist. It’s all meaningless. When you are in that hole, getting out doesn’t seem possible. More over, even if you believe that someday, you might be happier, it does nothing to assuage your current pain. Severe depression is torturous. There is a comfort in knowing an escape hatch exists. For a long time the knowledge that if I couldn’t take anymore of life I didn’t have to was the one thing that kept me alive. 

Watching that film again brought back those dark times. More than that, Kaysen’s words brought a sense of peace. In my suicidal days, having my daily struggle with those thoughts acknowledged was powerful. Now, realising that suicide is no longer my default trouble shooter is compelling. 

Sometimes it takes a glance at the past to see how far I’ve come. I know those feelings can return. Which is why these words still resonate. Another example of a handful of words spelling out the story of life. 

If you like what I do you can support me here or on Patreon.

No compassion…

~ somethinginthewayshemoves ~ 4 Comments

I’m 36yrs old, chronically ill and a size 22, I am no stranger to a bit medical fat shaming. Sadly, I have had to develop a thick skin when it comes to interacting with the medical profession. Drs & nurses will say things to me that no one else would dare to. I have had to learn to advocate for myself when necessary & brush off a whole bunch of bullshit along the way. To be honest I thought I was fairly untouchable. I am entirely comfortable with my size & though often tiring to hear the same fat phobic lectures, it doesn’t hurt me. Infuriate, yes, but I never felt unable to deal with it. Until recently. 

Earlier this year I had a miscarriage. It was not my first loss. My previous experiences of pregnancy & miscarriage were hugely traumatic and in fact played a major part in my mental health struggles. Losing another baby was horrendous. I had some complications and ended up having to spend a little time in hospital. The one small blessing was the support system I have in place and the kindness I was treated with whilst inpatient. Once home & physically recovered I visited my GP to discuss my general health & how to proceed fertility wise. That she wanted to talk about weight loss was not entirely unexpected. I know standard advice for anyone overweight talking about having a baby is lose weight. I know drs still hold rigidly to the BMI scale & that there is an upper limit for fertility treatment. I know fat women often have their pregnancies labelled high risk. What I wasn’t prepared for was this gp’s insinuation that my weight caused my miscarriage. So, unprepared was I that I convinced myself that I had misunderstood. I pushed it out of my mind & continued trying to process my grief. However, when I returned a week later and she still only wanted to talk about diet plans, what I ate, what I weighed now & how often she could weight me,I was more explicit. I explained my history of borderline eating disorders, of starvation diets & losing vast amounts of weight only to regain it. I told her I did not and would engage with rigid diets or weight loss programmes. Her response was given my multiple miscarriages, I might want to re think that. I enquired If she was saying I miscarried because I was fat & she confirmed that she thought it likely.

 

I walked out feeling a rage that quickly melted away to sadness. I was left wanting to crawl into bed and never get out again. I have struggled with PTSD for many years; my original trauma was an emotionally abusive relationship & my the circumstances surrounding my first miscarriage. It has taken me literally my entire adult life to get control of my shame and guilt. Years of self harm, debilitating depression, panic attacks, flash backs and nightmares all centred around how the loss of my child and subsequent illness was all my fault. One thoughtless dr had thrust back into that damaging thought cycle. On top of that I have fought to reclaim my body as acceptable. I have had to work to enjoy my life in this fat scarred body. My history is well documented in my medical records and I have personally discussed it with the dr. That truth is she wants me to be thin more than she wants to me be happy & healthy. Her complete disregard for my mental health was cruel. That she hadn’t even bothered to investigate my history before speaking is unacceptable. A cursory glance at my notes would have revealed that I was not over weight at the time of my other pregnancy losses. She would also have seen that I am currently taking a medication for PCOS that causes weight loss. The drug is harsh on my already inflamed digestive system meaning that I throw up daily. In addition one of it’s major side effects is appetite reduction. Hence, I have been slowly shedding pounds since I commenced this treatment. I also have diagnosed gynaecological issues, which are much more likely to play a part in my inability to carry to term. The conversation she forced upon me was not only insensitive, but entirely irrelevant. That said, it is never ok to blame a vulnerable women for the loss of her child.

I have chosen not to see that GP again. I attend a fairly large practise and as a freelancer have the freedom to wait for appointments with another dr. I have yet to confront the issue as it still feels so raw. However I feel a strange sense of duty; I feel I must tackle this to prevent it happening to someone else. I recognise that there were times in my past when this dr’s assertions would have entirely destroyed me. I hate that the responsibility to educate & challenge falls to people like me. I cannot understand why a profession who swear to ‘do no harm’ are so married to fat phobia. Why is care and compassion is so often disregarded purely because a patient is fat?