Wednesday 27 September 2017

The death of another young man

There was a funeral today for a young man. Seventeen people attended, fourteen were professional support workers. He died from a heroin overdose but the naked truth is that he was close to dying from liver failure too. And he was close to dying by his own hand. And he was close to dying by being murdered by someone else. And he was close to dying from a blood clot caused by his reckless injecting technique. 
Even in the womb he was at a disadvantage- he came from a murky gene pool and had a high likelihood of inheriting many serious and life-threatening diseases. His young childhood was empty of parental love and, later on, empty of any parents at all. His teenage years were spent angry at the persistent rejection from everyone around him. He became addicted to alcohol at eight, cannabis, cocaine and other drugs by twelve, heroin by seventeen. There was still no love in his life except for that of nihilism. His life, all life, had no value. 
Then he developed bipolar disorder and spent many months deluded, paranoid, utterly secure in the knowledge that not only drug-dealers and the police but everyone else too wanted him dead. Through his twenties he dealt and abused legal and illegal drugs, he spent more time in prison, more time in hospital. His life was one of almost persistent detention. 
He never had the chance to develop a personality disorder or a psychopathic carapace to protect himself. He was always open. 
He never had a home of his own, never had the security of stability in any form. He lived wildly and was barely tamed by the institutions that surrounded him- he became institutionalised to the streets, trusting no-one, caring about no-one. He wore a sneer, on his face and in his heart. 

We all liked him. Everyone liked him. He was uncomfortably honest and upsettingly open about his life and his mind and his character. But he knew he had no chance and so did all the rest of us. We knew where he was from and how he lived. We all guessed correctly where he was going. 
Hundreds of professionals had contact with him over the years, me included, and we delude ourselves into believing we made minor differences here and there- I helped get a temporary roof over his head (until he attacked someone and had to leave), I gave him a few hours of my time as a listening ear (until he became abusive and rejected me). 
He died off the streets in a bed of his own. He hadn't taken his medication for weeks and had replaced it with vodka. He was twenty eight. 
What chances did he have? In 2017, in Nothern Europe, in a rich, major world city he had hundreds of chances. Some he took voluntarily, some were enforced, most he rejected. But the foundations were never set, his character waned and faltered and he slowly crumbled to death. 
We didn't save him we just cushioned his descent, the death of another young man. 







Sunday 17 September 2017

I wouldn't invite me to a party

Some months are extraordinarily difficult. It is September 2017 and am having one of the toughest periods since Ruby died. 
My mum, who died a few months ago, should have celebrating her birthday a fortnight ago. I am grieving her and her sister who died two weeks later. Ruby should have been celebrating her sixteenth birthday a few days ago. My sister nearly died recently from pneumonia and sepsis and she remains, five weeks later, in intensive care in a poor state (hundreds of miles away). My dad, in his seventies, has to cope with this too. I stopped my antidepressant medication two months ago and although the experience has been mostly positive I am always one intonation or one curt word away from tears. Always. 
Like many men I have a small number of friends and, like many men, I don't really know how close they are. Of course we discuss personal matters, how we feel, all those subjects thankfully now not out of bounds as they were only one generation before us. But other people's personal friends remember dates, seem concerned about their friend's relatives, know when their friends need loving most. I am not the best friend to have- I am terrible at keeping in touch, I go on about being a loner and about not needing other people- but I have been through some very difficult times and, although I am not demanding, need genuine support to keep myself well. 
I consider myself an optimist. Or as my Yorkshire mum would say, I am a "do-er", I get on with things, I try not to dwell. I consider myself a reflective person, looking into my grief, my depression, my life, embracing the potential for growth and for learning. But sometimes, thankfully very rarely, I just feel a bit shit and a bit lonely and I feel that other people around me can be a bit shit too. I know that my friends, professionals, even strangers will "be there" if asked but there are times when I don't want to ask and don't feel as if I should need to ask. 
I rarely wallow, I rarely feel sorry for myself. My job as a mental health nurse supporting homeless people with complex needs means that I meet and support the most vulnerable, most marginalised people in the country so I am therefore sensitively aware of my fortune and privilege. Although I have experienced most parents' vision of hell I have met hundreds of people who have been through much worse and continue to cope, to live, even to thrive. 
But today I am being selfish and indulgent and fragile and I am feeling sorry for myself. And I am thinking- what about me? What the fuck about me? Where's my random text? Where's my gift? Where's my invite? Where's my sympathy card? 
Sometimes I don't want someone to ask if I'm OK, sometimes I just want someone to say "I know you're feeling shit and that's normal". And then give me pizza and chocolate. 

Update: it's now the following day, I've given myself a kick up the arse and I'm feeling a little more grounded. I had been thinking of deleting this entire entry but decided not to for the simple reason that is it an honest and genuine expression of how I feel. Maybe it will ring true to someone and prove that even irrational nonsense, like feeling sorry for yourself, is perfectly normal once in a while.