Hope?

Hitting Critical.

So.

I've been found out.

Big time.

The unit I have been attending for treatment for the last four weeks demand regular ECGs and blood tests.

Although I have been complying with their re feeding stuff when I'm there, outside of the unit I have been over compensating to such a great extent that this week I weighed less than when I started.

I have been cheating their scales very well up until a spot weigh on Friday.

At about half past seven on Wednesday evening I missed a call from a doctor who left a message asking me to phone back to confirm that I was being followed up by the ED unit.

My most recent ECG showed that my pulse was under 40.

I know my weight has been under 5 stone for some time and has dropped significantly.

I have been informed that if my weight does not increase this weekend then more energy will be packed into me during the day and I may well face hospitalisation.

The terror of the situation has driven me to eat like I haven't eaten for a long time. And yes, the food is lovely but the torture and the panic and pain

of re-feeding is almost overwhelming.

The pain of the swelling in my hands woke me at five thirty this morning.

My feet are purple.

My body aches.

I am drained beyond belief.

Shattered.

Until now, I have managed to maintain such composure within the group.

They value my support but I have not been able to be truly honest with them or accept any real support from them.

The Woman suggests that this is all defence, denial even.

I know she is right.

I have never been so grateful for her.

Clocks go forward tonight and, one hour earlier, tomorrow

brings the fresh prospect of sunshine and an endless stream of food to make me feel more swollen, bloated and out of control.

I have been strapped into a rollercoaster which has jerked forward unsteadily and set off to a slow roll.

The screeching and grinding of the steel on the old metal tracks is drowning out my shouts as I try to tell them I want to get off.

Please.

Please.

Excuse me?

Can you stop it..? Please. I need to get off. I changed my mind I want to get off stop Please PLEASE LET ME OFF.

No Way Out

Call you up in the middle of the night
Like a firefly without a light
You were there like a blowtorch burning
I was a key that could use a little turning

So tired that I couldn't even sleep
So many secrets I couldn't keep
Promised myself I wouldn't weep
One more promise I couldn't keep

It seems no one can help me now
I'm in too deep there's no way out
This time I have really led myself astray

Runaway train, never going back
Wrong way on a one-way track
Seems like I should be getting somewhere
Somehow I'm neither here nor there

Can you help me remember how to smile?
Make it somehow all seem worthwhile
How on earth did I get so jaded?
Life's mystery seems so faded

I can go where no one else can go
I know what no one else knows
Here I am just a-drownin' in the rain
With a ticket for a runaway train

And everything seems cut and dried
Day and night, earth and sky
Somehow I just don't believe it

Runaway train, never going back
Wrong way on a one-way track
Seems like I should be getting somewhere
Somehow I'm neither here nor there

Bought a ticket for a runaway train
Like a madman laughing at the rain
A little out of touch, a little insane
It's just easier than dealing with the pain

Runaway train, never going back
Wrong way on a one-way track
Seems like I should be getting somewhere
Somehow I'm neither here nor there

Runaway train, never coming back
Runaway train, tearing up the track
Runaway train, burning in my veins

It's Official

The trembling walk across the flagstones.

I'm fashionably late.

I don't realise at the time, but the man in the thick designer glasses and the understated floral shirt, watches from somewhere within the brick hexagon and says to his (note scribbling) trainee, "Ah. Here comes a skinny person. This must be her".

This man, I've met him before. About sixteen years ago.
I almost want to gag at the memory of a tortured, teenage me; hunched, shaking in the back of dad's car after a one off meeting with this man, my sister's consultant, in the unit where she was incarcerated.

I remember he was kind to me.
Finally: someone who wanted to know how it was for a sibling.
Muscles held taut in my gut, I clamp my jaw; frightened his listening will force a desperate stream of projectile grief.

My mother, dressed in the small laughter of middle class embarrassment, rolled her eyes and clicked her tongue.
Stupid daughter... Doesn't know WHAT she's saying..! As if WE ever lived in denial..! As if WE would ever overlook such a thing! OF COURSE we knew what was happening! OF COURSE we knew ALL ALONG!

Choking on the words forced back down my throat, I shook all the way home.
Shook as dad glanced apologetically in the rearview mirror.
Shook as dad worriedly concurred that PERHAPS it WAS possible that I had known, long before them, the reality of my sister's terrible death wish.

I didn't recognise the man, even as I tried to remember something concrete about the session we had had all those years ago.

I would never have dreamed I would end up in front of him again. And certainly not for this reason.

*****
At the end of today's assessment: the words, "Anorexia Nervosa".

Every syllable ricocheted off the wall of my chest.

How can I know and yet not know?

"You believe me? You take me seriously?"

I am frightened and shocked and ashamed and relieved and disgusted.


The question is not, whether I believe you, he says. The question is whether you can believe yourself and take this illness seriously.

Again. Bullets.

I'm not well.

I knew that.

I need another assessment appointment. We haven't quite covered everything.

We haven't?
God.

Worst thing?

I double booked it for the woman's appointment next Monday.
THAT'S how screwed my mind was.

Now what?

Before I leave, he comments on the dryness of my hands. Says he noticed as we met and shook hands.
He noticed that? What kind of person IS this?
He suggests creams.
I admit I am frightened of absorbing calories through my skin.
"Not possible", he persuades.
I nod, gritting my teeth and flashing untrusting smile.

"Ok", I lie. "I'll start using cream on the splits".
(I have eczema)
Next he'll tell me vitamins can't make you put on weight, but they can. I read up on water soluble and fat soluble vitamins. I know my stuff.

"I'm seeing ..... (my sister's name...)... this afternoon..."
Something in me freezes over
"I won't tell her I've seen you of course... confidentiality and all that..." He tails off.

"I have no idea what she thinks or feels", I offer, lamely because I am at a loss.
He looks at me, studied, careful.
"I think she's been very worried about you". Somehow, his hand is stretched out to me.
"I think she's been very jealous of me", I sink my teeth into his hand and bite down hard. "Jealous that she's in hospital and I'm not"...

He laughs (uneasily?). Blood drips from my mouth...

"...That's the only reason she gives a toss".

I walk away, my throat and eyes stinging and swelling; the metallic taste on my bottom lip.

He hates me. he hates me. He hates me.
He loves her. He loves her. He loves her.

I want to wring my own neck as I get into the car.
Maybe her neck too.

It's eleven o'clock.

The sun shines bright and I need to do a number of very bad things to get through the despair of the day.

I do all of them but still, thirteen or so hours later, I am sinking.

Corm Before The Storm

Beautiful Cornwall.

The unexpected warmth of the late October sun; the flat, brilliantly clear light; the depth of blue... This is a place I'd really love to live someday.
My friends have been great. True friends. No terrible questions. Just simple observations and a couple of honest conversations, which in all fairness, is a lot more than I have had with most people in recent months.

I hadn't meant to eat or drink tonight, yet having succumbed to the call of alcohol, I've given in to both. I feel absolute despair right now.
I'm sure I must weigh so much.
I will never go away again without my scales.

Tomorrow I drive home and in some ways, I dread all that is waiting for me.
I wish I never needed anything but oxygen again.