20/07/2019
Last Tuesday on my way to work, as I was approaching the DART station, I noticed a woman trying to get a ticket, and the DART was close to the station. I told her I would hold the door for her. My thinking was if I had one foot on the platform and one in the carriage, the door would not shut.
What happened instead was my foot totally missed the carriage and ended up going down the gap. Looking at the rail, I thought I was going to end up sitting on it, but with a bump, I landed on the edge of the platform sitting facing the train. There was a gasp from the train. "I must get up as I watched two young men get out of another carriage and wave to the driver at the top". I can remember giving a woman my Leap Card, and I must have been helped up because I was on the carriage and a kind young woman helped me my moving seats. I don't really like travelling backwards.
Are you ok the train driver came down to ask "Yes, just go, I'm ok, I was a nurse." At a conference in Canada, I had learnt when stress occurs to walk, talk and drink water. It is a way of coping with a difficult situation and regaining your holistic balance. At that moment I couldn't walk, I had a bottle of water in my bag and was able to talk, and I did.
Slowly I became aware of the tenderness in my upper thigh and my lower leg - looking at my trousers I could see on my shin broken skin. I knew that it had to be cleansed. My thoughts turned to where I could go to get the items I needed until I realised that Pearse Street Station would have a First Aid Kit. A member of staff very kindly helped me to the office and all the while I was chatting asking questions I had often wanted to ask. My thinking was quicker, but the most important thing was to cleanse my broken skin. "Help yourself," he said. Taking what I needed, I thanked him. Trying to work out what way I could leave the station.
I was becoming increasingly stiff and thought how lucky I was to be working as a therapist where I would sit and actively listen to my clients. Focusing on clients meant while my pain was there, the focus on my clients distracted me from this pain. Distraction is a useful tool when we are in pain. I had also recently discovered that physical and emotional pain was located in the same area of the brain. Relaxing music, mindfulness is also useful tools to help with anxiety as well as tears.
Fast forward, and the distraction was no longer working, my left ankle now swelled, I knew that I needed to seek medical assistance. I was sure that I did not have a broken leg, but something wasn't right and wasn't sure exactly what.
I am in the lucky position of being able to visit a private health clinic where I have access to medical and nursing staff and if necessary, an X-Ray and be treated in around an hour. This, in comparison to the public health system here and my overall experience in the NHS it is a handy resource to utilise. An injection, antibiotics and no confirmed broken bone and I was on my way. Told to rest and keep my leg elevated.
A few days later, despite having taken regular painkillers and keeping my leg elevated, the pain was becoming unbearable as pins and needles went up and down my legs. Luckily my next-door neighbour was around and able to take me to the local public Emergency Department. As you know, because it is an Emergency Department, there is a priority system meaning that those patients with the most acute medical needs are seen first. I knew I wasn't a top priority, but I also knew that I was not a routine appointment, which meant a wait of approximately four hours.
I hadn't brought a book with me, my concentration levels were low. I doubted if I would be able to read a sentence. Closing my eyes allowed me to focus on me, where was my pain, my lower leg just there nowhere else, so in the majority of my body, I had no pain. Breathe into the pain, it is only this tiny part of your body I repeatedly said to myself, and for a while, it helped. I looked at the clock one hour had passed, soon I said to myself I will be called by the doctor. The pain was increasing, and the focusing and breathing were no longer helping, my fear was growing, behind me, I could hear different people talking to the receptionist, "My wife is being brought in she had a heart operation early May, the accent familiar, County Down" I could hear being said, the hotel again familiar a place for recharging and slowing down for a couple of hours. A priority I'm down the list; still, the pain was increasing, a tear sprang to my eye.
Cry - no I thought at first, but then I thought tears - our body way of relaxing us and so they fell for just a few minutes, silently focusing on my breathing allowing my tears to fall. My pain eased. I tried to get someone attention. Finally, the triage nurse came over, "I'm sorry, I know you are busy", I said, She held my hand, the doctor has just ticked you I'm not looking after you, not too much longer he will see you up there". I moved to a more comfortable seat, closer" I could see through the double doors. Finally, the doctor was coming, would he call my name "Gráinne Clancy" I struggled and managed to get up, the pain had lessened somewhat.
James was a very kind doctor and brought me into an examination room. I told him that I had worked in nursing and social care for twenty-six years, approximately twenty had been in nursing. His care and gentleness in examining me gave me both reassurance and calmness. I left armed with extra painkillers.
It is in the darkness that we see the brightest stars, and that has undoubtedly been the case for me over the last week. Friends and family have been supportive while giving me the independence to do what I can and supporting what I cannot do.
All of us need help from others, even therapists. A friend said to me today - "Why didn't you phone me?" when I told her how I cried in the Emergency Department, but the truth was I didn't want to bother her. We often think that our friends are busy with their own lives, but when we are down and feeling vulnerable as I have many times over the last week, that is the time we need to be honest with ourselves and connect with those who are nearest and able to help.
I recently read about the fact that emotional and physical pain receptors are located in the same part of the brain. I have been heartbroken, but last week when I was in shock, that same feeling of vulnerability and aloneness was present. I pushed it away, distracting myself until the pain got too much. I was in physical pain, but I was also frightened that there was something more serious going on than badly bruised muscles. The doctor, with his kindness and gentleness, took away my fear and lessened by physical pain as a result.
All of us can have physical or emotional pain, and both types can have an impact on each other. We are social creatures, and when we are hurt is when we need to have more people around, whether that is a listening ear or how are you today? Do you need any shopping done?
My hairdresser asked me this morning "Do you think an ambulance should have been called?" My immediate response wasn't myself, it was others. I have always cared about people, but today, caring for others means it is even more critical for me to care for myself. I can't give to others if I do not care for myself. What do you think I would say?