Newspaper article highlighting inequalities of care for ME patients

 

I’m in my local paper this week (EDP), this time highlighting the lack of services for ME patients and inequalities of care.

I’m sure you are all aware how angry I am about Norfolk CCGs decision to reject an offer from internationally respected ME specialist, Dr Luis Nacul, to provide a biomedical consultant led care service in the Norfolk area for moderate and severe ME patients; Even though, a feasibility study carried out, determined that Dr Nacul’s service improvement was ‘cost neutral’.

I have sent a letter of complaint to Norwich CCG and contacted my local MP, but I also approached my local paper. I’m really pleased they are helping me highlight this issue.

If you live in Norfolk and would like to help me make a stand I have written a post about how to complain to your Norfolk CCG including a template letter.

Please click on the following link to read the article:

http://www.edp24.co.uk//news/health/postcode-lottery-me-1-5625734

 

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Could medical cannabis be a treatment option for chronic pain patients living in the UK?

I have suffered with chronic pain all my adult life. I am a fibromyalgia patient who has exhausted all conventional routes for treating my condition. I have been prescribed a multitude of different pain medications over the years, and they have all either been ineffective for my pain, or the side effects have been too severe for my body to tolerate. I currently take CBD (Cannabidiol) oil, which has been somewhat effective for treating my pain, but I still suffer severe pain when my symptoms ‘flare’. I have extensively researched cannabis as a source of pain relief and I see it as a viable option. If CBD is partially effective, it makes practical sense that a full spectrum cannabis product including THC (Tetrahydrocannabinol), would be an even more effective solution. But is medical cannabis even a legal option for me at the moment, as a chronic pain patient living in the UK?

How effective is cannabis for chronic pain conditions?

In a comprehensive, Harvard-led systematic review of 28 studies examining the efficacy of exo-cannabinoids (e.g. synthetic formulations or cannabinoids from the plant) to treat various pain and medical issues, the author concluded, “Use of marijuana for chronic pain, neuropathic pain, and spasticity due to multiple sclerosis is supported by high quality evidence.”

Of the studies reviewed, six out of six general chronic pain studies and five out of five neuropathic pain studies found a significant improvement in symptoms among patients.

The truth is, there is still a lot of research that needs to be done to determine the effectiveness of cannabis based medication for treating chronic pain, and the results from clinical trials are very limited. But cannabis is fast becoming a promising solution for the treatment of chronic pain, offering sufferers pain relief without the side effects associated with opioid use.

Recent developments in the UK.

If you have be keeping up-to-date with the recent news with regards to medical cannabis laws in the UK, you will know that the government has recently shifted it’s thinking towards the potential medical benefits of cannabis. The government’s stance was always that cannabis had no medicinal properties and this was the reasoning behind it’s schedule 1 classification.

Following a couple of high profile cases the government ordered a review on medical cannabis and set up a temporary panel to assess applications for licences on a case-by-case basis. The government also ordered a review into current evidence of the medicinal benefits of cannabis based products and the appropriateness of their place within Schedule 1 of the Misuse of Drugs Regulations 2001.

The Cannabis Scheduling Review carried out by Dame Sally Davies (CMO) stated:

“Schedule 1 drugs by definition have little or no therapeutic potential. As summarised in this review, there is now conclusive evidence of medicinal benefit of cannabis based products for certain medical conditions, and reasonable evidence of benefit for indications that they may be useful under restricted circumstances.

My recommendation is that cannabis based medicinal products are moved out of Schedule 1 of the Misuse of Drugs Regulations 2001. It may be pragmatic for them all to be moved to Schedule 2 pending a fuller review by ACMD that can differentiate different products into the appropriate different Schedules.”

This was further backed by the recent recommendations put forward by Advisory Council on the Misuse of Drugs (ACMD) to the Home Office about the scheduling of cannabis-derived medicinal products.

“The ACMD agrees with the Chief Medical Officer for England (CMO) that there is now evidence of medicinal benefit for some Cannabis-derived products in certain medical conditions for some patients.

The ACMD advises that clinicians in the UK should have the option to prescribe Cannabis-derived medicinal products that meet the requirements for medicinal standards to patients with certain medical conditions. It is therefore appropriate for these medications to not be subjected to the requirements of Schedule 1 of the Misuse of Drugs Regulations 2001, as amended (MDR)”

Therefore, we can conclude that cannabis is likely to be rescheduled to Schedule 2 from Schedule 1, allowing it to be prescribed where a GP or other health professional deems it applicable, however, the fact remains that there are still few studies into medicinal access and most medical professionals are still not educated enough to prescribe it.

So what does this mean for chronic pain patients who think they may benefit from cannabis based medication? In the future GPs may be in the position to prescribe cannabis but as things stand at the moment, the only option would be to submit an application through the temporary panel that has been set up. What is the likelihood that an application for a medical cannabis licence would be successful for these conditions?

To answer these questions we must first establish the criteria behind the application process, and the potential barriers that have been put in place for patients wanting to access medical cannabis.

Application process and requirements for eligibility.

Who is eligible to apply?

Anyone who feels that they will benefit from taking medical cannabis, has backing from their clinician and has exhausted all conventional medication, in principle, can apply for a medical cannabis licence; no medical conditions have been excluded from this process. But in reality, the conditions of eligibility place significant barriers that make the application process very daunting, and unrealistic for most patients.

The following conditions apply to all licence applications to the panel:

1. You cannot apply yourself.

Patients cannot apply themselves, their clinician must do this. This means that, not only must your clinician have knowledge about cannabis based medication, but they must also be willing to take the time, and risk, to back your application. This is a huge barrier considering the majority of UK doctors are ignorant with regards to cannabis-based medication, not through fault of their own – cannabis science and the endocannabinoid system are not taught in medical schools. You could carry out your own research and try to educate your doctor, but it is unlikely that any doctor would be willing to take on the responsibility of prescribing a substance they have not been trained to prescribe. The lack of evidence about the effectiveness and safety of cannabis based medication is also a barrier.

Sir Mike Penning (MP) stated that “the implication that any prescribing clinician will be taking on personal liabilities” would deter many doctors from agreeing.

2. Doctors will have to prove there is an “exceptional clinical need”.

Patients must have exhausted all other treatment options before receiving access to medical cannabis, which could delay receiving the medication that works for many months. Doctors will have to prove there is an “exceptional clinical need” and no other medicine would be suitable for their patient. If given approval, doctors will then be able to write a prescription.

3. Evidence must be provided.
There is also a requirement that if the medicine has not been tried (by travelling abroad) then it must have been through a clinical trial – which being illegal, most cannabis medicines have not been subjected to clinical trials.

Realistically, travelling abroad, is not possible for the majority of patients, therefore it is hoped evidence from clinical trials and experience from other patients with similar conditions will be sufficient. This highlights another barrier as there are very few, if any, double blind trial results to use as evidence.

4. Cost

The current cost is £3,665 per licence application. It isn’t 100% clear who would be liable to cover this cost but in England it’s likely to be your local CCG (Clinical Commissioning Group), and there is no guarantee that this fee will be authorised. This cost is likely to prohibit many patients from gaining access to medicinal cannabis, although this cost is under review.

What advice is available if you decide to apply?

If you do decide to put in an application, the advice given by Hannah Deacon, who has already gone through the process to access medical cannabis for her son Alfie Dingley is; Educate yourself. Research what options are available. Full spectrum cannabis products are very different to CBD products which are currently legally available in the UK. Don’t assume your doctor will know anything about cannabis – be prepared to educate them. Collect as much evidence as you can and contact the organisation ‘End our pain’, they are in the process of compiling a guide into the application process.

What is the likelihood an application would be successful?

The truth is; no one knows. This process is new to everyone involved so the outcome cannot be predicted. If you can meet the criteria stated, and you have the backing of your clinician, then it’s possible; no medical conditions have been excluded from this process. However, there are a lot of barriers that have been put in place which will prohibit the majority of patients from gaining access to medicinal cannabis. The biggest barrier being; the fact that there are still few studies into medicinal cannabis and the medical professionals are still not educated enough to prescribe it.

The licences granted so far have been for patients with epilepsy. Sativex (nabiximols) has been available to a limited number of MS patients for a while now, but to date no licences have been granted for chronic pain conditions like fibromyalgia. But this doesn’t mean it’s not possible, and it doesn’t mean you shouldn’t try.

The current application process is a temporary one and permanent definitive process will eventually be implemented. But no one knows whether ‘temporary’ means weeks, months or even a year.  Is it worth waiting until a permanent definitive process has been implemented? Is it worth waiting for the cost to be reviewed? Possibly, but we don’t yet know what medical conditions will be eligible once this permanent process has been implemented; will there be a strict limited set of conditions eligible or will anyone who’s doctor thinks they will benefit from medical cannabis be allowed to apply?

Personally, I’m going to have to wait and see what the next step is. I don’t have the backing of either my GP or Rheumatologist. Hopefully, once a permanent application process has been implemented, my options will look more promising. Until then, I will continue to treat my pain with CBD oil and and follow developments closely.

For more personal stories, reviews, news, inspirational quotes and in-depth discussion, please head over to my Facebook page.

WEGO Health Awards – vote now

I have been nominated for the WEGO Health Awards!

I’m honoured to say I have been nominated for the Wego Health Awards in the ‘Best in show: blog’ category. These awards seek to recognise Patient Leaders who are making an impact with their advocacy. I have no idea who nominated me, but thank you!

Can I ask a favour please? Could you click on the link and vote for me please. It’s really easy to do; just scroll down to ‘endorse Jo – A Journey Through the Fog’ (under my photo). Thank you.

https://awards.wegohealth.com/nominees/14246

The WEGO Health Awards were created to celebrate those patients who actively support the mission of WEGO Health: to empower the patient voice.

For more personal stories, reviews, news, inspirational quotes and in-depth discussion, please head over to my Facebook page.

11 Strategies to Combat Negative thoughts and Emotions.

 

This is a post I wrote especially for ProHealth’s Inspirational Corner and it first appeared there on the 3rd July 2018.

“Self compassion is simply giving the same kindness to ourselves that we would give to others”

We often talk about the physical symptoms we have to deal with when living with a chronic illness but we often shy away from discussing the negative, raw emotions that surface too. Anger, resentment, frustration, grief for your past life, self pity and desperation, are all emotions we face on a daily basis. But the hardest emotion I find is guilt. Guilt for having to constantly ask for help even when my husband is exhausted from working long hours, guilt for having to cancel plans at the last minute when I’m not well enough, guilt for not being strong enough to emotionally support my loved ones, guilt for not being able to cook for my husband, guilt for being emotionally needy, guilt for not having a smile on my face when I’m in pain, guilt for not being the life and soul of the party, guilt for all the things my husband is missing out on, guilt that I can’t be the woman he married. That’s a whole lot of guilt for one person to be carrying around.

I have always enjoyed looking after my husband, I know it might sound old fashioned but I always felt pride in cooking for him and keeping a nice house. I have always been in charge of the household finances and been emotionally strong and independent. Don’t get me wrong, I’m not the sort of person who spends hours each day cleaning and I’ve always had a full life, but I took pride in these things.

But that all changed 5 years ago when I became virtually bed bound due to severe ME/CFS and fibromyalgia. My physical and mental health had been deteriorating for years but rather than accept my limitations and rest, I did what many of us do and tried to push through. I hoped by ignoring the signs and fighting on, I could somehow beat the illness. I fought for years before I finally admitted I wasn’t coping and needed help.

So, the tables turned. Not only could I not look after my husband anymore, I couldn’t even look after myself. I couldn’t clean, I couldn’t be an emotional support for my husband, family and friends. I needed help with personal hygiene, I couldn’t even shower myself without my husband’s help. I hated having to ask for help. This was a huge shift for me and a big change like this brings a multitude of negative emotions – I often feel inadequate, selfish, a failure, pathetic and full of guilt.

Fortunately I’ve discovered lots of tools to challenge these difficult thoughts and emotions, they’re still a work in progress but I really want to share:

11 strategies for combating these negative thoughts and emotions.

1. Self compassion.

The biggest and most important strategy I’ve discovered is learning how to show myself compassion. Having compassion for oneself is really no different than having compassion for others. To have compassion for others you must notice that they are suffering. Having compassion also means that you offer understanding and kindness to others when they fail or make mistakes, rather than judging them harshly. And when you feel compassion for another, it means that you realise that suffering, failure, and imperfection is part of the shared human experience. We need to find a way to show ourselves the same compassion we show offers.

2. Prioritise your health and happiness.

It’s easy to get down on yourself and feel like you aren’t worthy of being the number one focus of your own life, but sometimes, you’ve just got to devote some time to your own needs, hobbies, and enjoyment. It helps you feel balanced and appreciated in the rest of your life, which can only be a good thing. I’ve spent so much time apologising and feeling bad about asking for help that I’ve often forgotten about my own needs and feelings. I also often forget that I didn’t ask for this either, it’s not my fault I’m ill.

3. Communication.

I hide a lot from my loved ones because I don’t want to worry or burden them, but this is often counterproductive. By bottling up our emotions they grow and become much bigger problems – we give them power by shutting them away. I’ve found that communication makes a huge difference. Talk to your loved ones about how you are feeling, they may be feeling negative emotions too, they may feel they don’t do enough, or feel frustrated that they can’t take away your pain. Talk to your support network, whether that’s friends online or in real life, about how you are feeling, we are often so self critical, a bit of perspective can achieve a lot.

4. What would a friend tell you?

One tip that has really helped me is asking myself what a friend would say. We spend so much of our lives talking negatively to ourselves. If a friend was experiencing these same problems and negative emotions, what would you say? Write a letter to yourself, but imagine you’re writing it to a friend. What would you tell them about what they’re doing? Would you say they weren’t good enough or that they’re not worthy? No, you wouldn’t. Chances are you would be supportive, encouraging and positive.

5. Positive affirmations.

When I pay attention to how much strength it takes just to survive, and I focus on how far I have come and what I’ve achieved, I find it easier to let go of my negativity.

You need to realise you are worthy, you are a good person and you have a lot to offer despite your poor health. On a day when you feel emotionally stronger, spend a few minutes writing a list of your strengths. If you don’t feel able to do this, ask a friend to do it for you.

Spend a few moments each day reading this list and thinking about what makes you unique, what you bring to your relationships, what makes you a good person and what makes you worthy of love and compassion.

6. Do things that make you happy.

When you live with a chronic illness the limited energy you have is normally used up carrying our practical tasks like washing, cleaning etc. We feel we ‘should’ prioritise what we perceive to be essential chores but this often does not leave us with the energy to do the things we enjoy. Having fun, smiling, laughing, spending time with friends and relaxing are essential for our wellbeing.

7. Rest and restore.

These negative emotions often arise when we are physically exhausted – fatigue makes everything harder to deal with. Concentrate on being kind to yourself – rest and find ways to heal yourself.

8. Acknowledge your life is tough.

I try my best to remain positive but sometimes life throws too much at me and I become overwhelmed and exhausted. It’s at times like this that guilt sets in – I feel weak, I feel like a failure, I feel like a burden. My emotions take over and my mental health deteriorates. But the truth is – I’m not weak and neither are you – we just have a lot to deal with.

9. Focus on your abilities, not your disabilities.

To alleviate the frustration that often accompanies a chronic illness I try to concentrate on what I can do rather than what I can’t do. Acknowledging my abilities rather than focusing on my disabilities has been very liberating and is an excellent tool for enhancing well being and self worth. It also helps to reduce negative emotions.

10. Acknowledge your feelings are valid.

Although these negative thoughts and emotions are exhausting and often represent a warped perception of reality, we need to acknowledge they are valid. It’s completely understandable, given the challenges of poor health, that you experience these frustrations. Please don’t beat yourself up about feeling this way.

It’s perfectly natural to spend time grieving the life you have lost, it’s a vital part of the healing process. We often forget the importance of acknowledging grief and when we don’t give ourselves this time to mourn, anger and guilt can take over.

11. Remove self blame.

This is a big one for me! It’s not our fault we are ill and it’s not our fault we need to ask for help! The limitations our poor health places on our lives need to be acknowledged. We need to accept them and encourage those around us to accept them too. Let’s commit to stop blaming ourselves for what is out of our control.

When these negatives emotions rear their ugly heads, the best thing we can do is cut ourselves some slack. Be kind to yourself – show yourself some compassion. Rather than beat yourself up, try to rest and find ways to heal yourself. By focusing your energy on self love and compassion you bring a calmer, more centred person into your relationships.

But please don’t forget; It’s ok to feel overwhelmed, it’s ok to feel sad or depressed, it’s ok to feel angry about your situation, it’s ok to cry, it’s ok to ask for help, it’s ok to admit you are not coping, it’s ok to have bad days – you are only human. Take care.

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40 things I wish I could tell my younger self.

One of the main reasons I started writing my blog was to reach out and help others.  When I write my posts I pretend I am speaking to my younger self; whether that’s the anxious child fearful of the world around her, or the depressed teenager desperate to fit in and be liked, or the broken adult suicidal from pain. This post is a collection of thoughts and realities that I wish I had known when I was younger, and some I am still trying hard to grasp as an adult.

1. Don’t be ashamed of your story and who you are. Don’t waste your time hiding the real you and trying your best to fit in. Embrace you quirks and flaws – they are what make you unique.

2. It’s ok to admit you are not coping it is not a sign of weakness. It’s ok to cry, it’s ok to ask for help, it’s ok to admit you are not coping, it’s ok to have bad days – you are only human.

3. Failure is not a negative thingit teaches us so much. I was a high achiever at school – I don’t remember failing any exams, but the longer I didn’t fail, the more fearful I became of failing, so much so that it prevented me from trying new things as I was scared that I wouldn’t be any good.

4. It’s ok not to be good at everythingIt’s ok to do something just because you enjoy it, not because you are good at it.

5. Perfection is not real. No one is perfect. Pushing to achieve perfection just leads to frustration and feelings of inadequacy.

6. Anxiety and depression are ‘Real’ medical conditions and you are not alone in how you feel. My teenage years were a scary time, I had no idea what my feelings meant – I thought I was a weirdo and alone in how I felt. I wish I could hug her and tell her it isn’t her fault too.

7. Self compassion is so importantYou are worthy of love and compassion. “Treat yourself as you would treat a good friend”. We all makes mistakes – forgive yourself and move on. I still really struggling with this one but I’m starting to learn how to show myself the same compassion I show others.

8. It’s ok to say no sometimes, and it’s vital to set boundaries.

9. Stop comparing yourself to other peopleYou are unique, celebrate your uniqueness. No one has it all figured out.

10. It’s not self indulgent to spend time congratulating yourself on your achievements. Pause and enjoy the moment before racing on to your next task or goal.

11. Celebrate your abilities, not your disabilities. Rather than criticising yourself for what you can’t do or who you are not, concentrate on what you can do and who you are.

12. Accepting your current situation does not mean you are giving up. Acceptance is liberating and vital for your well being.

13. You are not superwomanCut yourself some slack.

14. Don’t take yourself so seriously – it’s ok (and healthy) to laugh at yourself sometimes. I have always been quite serious and taken myself too seriously. This inability to laugh at myself has made me more susceptible to being hurt by others.

15. There are practical ways to manage your anxiety. I wish I could take my younger self aside and walk her through some strategies for coping with anxiety, like mindfulness. It’s taken me years to acquire these skills but for so long I struggled alone.

16. Grieving is an important part of the healing process. I wish I could tell my younger self how important it is to talk about and remember loved ones, no matter how painful it is. It’s part of the grieving process and memories are precious – celebrating their lives helps us heal. We often forget the importance of acknowledging grief and when we don’t give ourselves this time to mourn, anger and guilt can take over.

17. Your feelings are, and will always be, valid.

18. You don’t have to wear your pain like a badge of honour. I fought against taking painkillers and antidepressants for a long time because I saw it as a sign of weakness – I felt I needed to prove how tough I was.

19. Physical appearance has no bearing on happiness. Weight has no bearing on happiness – your self worth is not determined by a number on the scales. Everyone has a part of their physical appearance they don’t like – even the beautiful people.

20. Success is not measured by monetary wealth and possessions. Success is measured by health, happiness, love, balance, family and friends.

21. Things can change in a heartbeatfor good or bad. If you are going through a tough time, know it won’t last forever, and if things are good, make the most of every minute. But change isn’t something to be feared – embrace it.

22. Being popular isn’t the be-all-and-end-allHaving a few close and loyal friends is more important.

23. There are ways to cope with negative emotions without beating yourself up further. Anger, resentment, frustration, grief, self pity, guilt and desperation, are all emotions I have faced throughout my life. Self compassion, forgiveness, removing self blame and finding time to pause, reflect, rest and restore – I wish I had known about these when I was younger.

24. Take care of your body and mind – you are not invincible.  I have abused my body and mind far too much over the years. When I was younger I felt invincible and this was often reflected in my actions.

25. Nothing is as bad as it first seems. Take a step back; pause, reflect, rest and relax.

26. Rest, relaxation and reflection are vital for your mental and physical health. I have always (before becoming ill) lived life at 100mph not allowing myself to rest, mainly through fear of allowing my dark thoughts time to surface, but also because I wrongly thought by resting I was being lazy.

27. It’s important to be yourselfit’s the only way to be truly happy. Pretending to be someone else is admitting you are somehow ashamed of the real you. You don’t have to constantly try and prove yourself to others.

28. It’s ok to be a geek. Learning is cool, books are cool (although by saying cool I’m probably acting uncool and showing my age) You don’t have to hide your love of these things to try to fit in.

29. Everyone you meet has something to teach youEveryone has their own unique story. Take a moment to pause and listen.

30. Choose your battles. You don’t always need to be right – sometimes it’s best to let it drop and move on. Preserve your energy for more important things.

31. When someone compliments you; believe it, smile and say thank you – you are worthy.

32. You can’t control everything. Trying to control what is out of your control just leads to frustration and anger.

33. Find time to do what makes you happyThere’s a bit if a theme going on here. Have I made my point?; happiness is vital. You deserve happiness – right now.

34. It’s ok to spend time doing fun things There doesn’t always have to be a reason, purpose or goal for everything you do in life. You don’t always have to be ‘getting things done’.

35. It’s ok to show your weaknessesIt’s ok to let your guard down and ask for help- you don’t have to be strong all the time.

36. You can’t help everyone and not everyone wants your help. If I see someone is hurting, then I want to help heal them. But the truth is; I can’t help everyone, not everyone wants to be ‘saved’, and some people are not deserving of my love and energy.

37. Mental health is just as important as physical healthdon’t let anyone convince you otherwise.

38. Suffering from a mental illness does not make you a bad person. Neither is it a sign of weakness or something to be ashamed of.

39. Try to leave the past in the pastNo matter how much you worry about past mistakes, you cannot change them.

40. You can’t please everyone, all the time. There is always going to be someone who disapproves or disagrees with what you are doing. But that’s ok – you don’t need their approval or validation, just be true to yourself. And it’s ok if someone doesn’t like you – It’s not a reflection of your character or self worth, and it doesn’t mean you are a bad person. Do what makes you happy.

Writing this list has been a real eye opener for me and has made me question a lot about how I perceive myself, and the enormous amount of pressure I have put on myself over the years.

Where did I get this notion that I had to be tough and strong all the time? When did I first start believing that I had to take on the world to prove I was brave? When did I stop asking for help because I saw it as a sign of weakness? When did I decide everything I did in life needed a purpose and a goal – doing something just because it’s fun seemed frivolous and wasteful? When did my self worth become intertwined with my weight and physical appearance? – Did society teach me this? We are all the product of our genes and our environment – but how much of this negative perception of myself has been taught, and how much is due to the mental and physical illnesses I inherited? I hope by writing these thoughts of encouragement down I can cut myself some slack and give myself time to heal.

What words of encouragement would you give to your younger self?

For more personal stories, reviews, news, inspirational quotes and in-depth discussion, please head over to my Facebook page.

A Girl Behind Dark Glasses (Book) – A Review From a Fellow ME Sufferer.

Images courtesy of Jessica Taylor-Bearman

“I was an inventor, a researcher, a model, and I travelled the world through my imagination. At that time, it was my only saving grace. I existed in a place I called Limbo Land, hovering between the conscious and the unconscious. I could hear my family talking to me, see images of them, yet I couldn’t reply or make sense of what they talked about.” – Jessica Taylor-Bearman 

I have just finished reading ‘A Girl Behind Dark Glasses’ and I was so impressed I decided to write a review. A Girl Behind Dark Glasses is written by Jessica Taylor-Bearman and it’s an account of her life and struggles with a severe form of Myalgic Encephalomyelitis (ME).

For those of you that haven’t heard of Jessica; she is a courageous young woman who featured in Jennifer Brea’s powerful film Unrest. Jessica became acutely ill with ME at 15 years old, prior to this she had been a normal, active, energetic teenager. She spent many years in and out of hospital and spent a long time paralysed in a locked-in syndrome state, bedridden, unable to move, speak or eat.

She began to write in her mind, and when finally able to speak again, she began to write through her audio diary ‘Bug’.

“I loved the concept of creating lives and being able to tell precious stories, allowing others into my imagination so that my stories could become special to them too, simply by the words that I used. It is somewhat magical, don’t you think?” – Jessica Taylor-Bearman 

My thoughts about the book:

It’s very hard not to get angry as Jessica retells how she was treated by so-called ME specialists and by medical professionals in general. I know from personal experience how painful light and noise are, I know the agony caused by the simplest physical activity, I know the exhaustion caused by mental exertion and the frustration of not being believed. I can only imagine the damage caused by the inadequate and harmful treatments she was forced to endure, and how scary it must have been to lose her voice and her ability to defend herself.

But Jessica was failed on so many levels, not just in the treatment she received. The people trusted with her care failed to protect her and keep her safe from harm. There are some heartbreaking moments that had me in floods of tears; tears of sadness and tears of anger. She was mistreated, neglected and abused when she was at her most vulnerable – how could this be allowed to happen?

Vulnerable I may be but I was born a fighter, and this will only temporarily break me , I told myself firmly.” – Jessica Taylor-Bearman 

 

A Girl Behind Dark Glasses is NOT a sterile account of one person’s struggles living with ME – it’s far more than that. Jessica is an extremely talented storyteller and her style of writing was a pleasure to read. But don’t get me wrong, the ordeals she has suffered and documented don’t make for an easy read, and her words often brought me to tears because I could feel her pain like it was my own. Like any great writer Jessica draws you in with her imaginative narrative and keeps you engaged with every page – I found myself lost in her world. I am amazed by her strength; Jessica never gave up fighting, she never gave up hope and she never lost herself or her sense of humour.

I have followed Jessica’s story for quite some time now and her unwavering positivity, her sheer passion for life and utter fearlessness no matter what life throws at her, are infectious. Her personality jumps out from every page.

I would love to say Jessica’s story is unique but unfortunately it’s far more common than people realise. Medical professionals don’t understand this debilitating illness and many still refuse to believe it exits. We are frequently told it’s ‘all in our heads’ or given so-called therapies like graded exercise therapy (GET) and cognitive behavioural therapy (CBT) which are not just ineffective; they can be extremely dangerous and damaging. For this reason, A Girl Behind Dark Glasses is a vital narrative in raising awareness of ME. Please don’t underestimate the importance of this book: It is crucial that the neglect and the damage caused by outdated and harmful treatments, like GET are documented. One of the main symptom of ME is post-exertional malaise (PEM) which is characterised by a worsening of symptoms following activity. Exercise harms us!, it causes us pain and a severe deterioration in our health. You wouldn’t prescribe sugar for a patient with diabetes so why is exercise prescribed for ME patients? These kinds of treatment still go on today and many people with ME continue to suffer under the care of incompetent, uneducated and unsympathetic medical professionals.

I urge everyone to read “A Girl Behind Dark Glasses”, it’s not just a story about one person’s struggle with the ‘ME monster’ – it’s far more than that. It’s a story of love, family, friends; of hope, strength and courage.

I am in awe of Jessica’s determination and her enthusiasm for life. Although she has battled through unimaginable traumas, her story still remains a positive one, and her compassion towards others is remarkable. I am humbled by her courage and I look forward to following her story as she continues to progress in her journey through life. Jessica Taylor-Bearman is a name to watch in the literary world – I wait with excited anticipation for her next book.

Jessica’s aim has always been to raise awareness of this debilitating condition. Please help her achieve this by buying her book and spreading the word. Thanks for reading. Take care x

How to buy the book.

A Girl Behind Dark Glasses is available direct from Jessica’s website. There are a few options: Limited edition (signed) hardback, paperback and eBook (currently half price). Please click here for more information. 

You can also purchase the book from Amazon or from Book Depository where they are offering free worldwide delivery, please click here for more information.

For more personal stories, reviews, news, inspirational quotes and in-depth discussion, please head over to my Facebook page.

Product Review – Molytor Hemp Protein Powder

I have been taking CBD oil for nearly 2 years now and I find it very beneficial for my health. Recently I also added a new product to my daily routine – Full Spectrum Hemp protein powder with CBD and CBDa from #Molytor. I was drawn to the protein powder because it combines the therapeutic benefits of cannabinoids like CBD and CBDa, and the restoring properties of protein and essential nutrients found in hemp seeds.

When I crash (I have ME/CFS) I struggle to digest solid foods, even the act of chewing is exhausting. I also have a very restricted diet due to many food intolerances. My GP prescribed energy drinks (Ensure) but these are packed full of sugar which, apart from being very unhealthy, are also a trigger for my fibromyalgia pain and IBS. In the past I have struggled to find a healthy drink so I’m really pleased to have this hemp protein powder as an option.

I’m really impressed with this new product from Molytor. It’s easy to incorporate into my diet and I know I am getting a multitude of nutrients along with protein and the benefits of CBD and CBDa. It’s gluten free and contains no added sugar so it doesn’t upset my IBS or trigger my pain.

To get the extra calories I need for my daily intake I just add the hemp protein to smoothies or sprinkle it over food. I also add it to my porridge in the morning – one of the only foods I can digest when I crash. But the powder is so fine it can be added to any food or drink.

Those of you that struggle with the taste of CBD oils may find this product a good option. It has a pleasant nutty taste (slightly grassy) It’s perfect for those who don’t like CBD drops or vapes and it’s much healthier than other CBD edibles like gummies. It contains 3.3mg CBD and 1.3mg CBDA in each teaspoon.

I have already noticed I’m not so ‘stiff’ and my joints are less painful – I think that’s the Omega 3 & 6 working. Another bonus is my skin is less dry and irritated (I have eczema and very sensitive skin) It’s still early days but I’m already impressed with the results so far. It also means I need less CBD oil each day as I’m getting a good chunk of my daily CBD dose through this hemp protein powder.

If you want to find out more about this product please click here: http://www.molytor.co.uk/product-category/hemp-protein-powder/

Why choose hemp protein powder?

Hemp protein powder is made from hemp seeds. Hemp seed is considered by many to be the safest, most digestible, balanced, natural and complete source of protein, amino acids, and essential fats found anywhere in nature, containing all of the 20 amino acids, but also each of the nine essential amino acids that our bodies cannot produce.


Hemp seeds also have anti-inflammatory properties  – Hemp seed contains chlorophyll which gives protein powder its green colour.  Chlorophyll is the green pigment found in plants that provides your body with alkaline protection against inflammation. Hemp protein is also rich in potassium, which can help balance your electrolytes and aid in water balance. CBD and CBDA also has anti-inflammatory properties.

Further reading: https://draxe.com/7-hemp-seed-benefits-nutrition-profile/

Why take CBD and CBDa?

Cannabinoids like CBD and CBDa have many potential therapeutic properties. They work with the body’s native endocannabinoid system which regulates a wide array of the body’s functions like mood, appetite, sleep, hormone production, and even pain and immune system responses. The endocannabinoid system is regularly adjusting these functions in an effort to keep them in balance, Cannabinoids like CBD help to maintain this balance – homeostasis.

I have discussed CBD and CBDa many times on my blog so I won’t repeat myself by going into a lot of detail. If you want to find out more please head over to the CBD section on my website, there are lots of interesting articles. https://www.ajourneythroughthefog.co.uk/category/cbd/

Please note: I am not affiliated with this company, I just really like the product and I wanted to share it with you.

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8 Spoonie tips for getting the calories and nutrients we need on our ‘bad’ days.

Food and Nutrition Series – Part 1

I was asked by one of my followers to write a post about food and nutrition. As it’s a very broad subject I have broken it down into a few articles which I will post over the next few weeks. I wanted to start with a problem I know many people with chronic illnesses face – and that is getting enough calories and nutrients when we are too weak to cook or, some days, too weak to even eat solid foods.

8 Spoonie tips for getting the calories and nutrients we need on our ‘bad’ days.

When our energy levels are low we can find it hard, or sometimes impossible, to prepare or cook food. But it is at these times that we need nutritious, healthy, high calorie foods to help our bodies repair and to give us the energy to get through the day. I personally cannot stand long enough to cook, even on good days, but when I crash I struggle even to digest solid foods – the act of chewing is exhausting. My GP prescribed me ‘Ensure’ drinks but these are packed full of sugar which is a major trigger for my fibromyalgia pain and IBS.

There are steps we can take to prepare for these bad days so we can conserve our limited energy for other tasks.

1. Snacks

Firstly, make sure you have a good selection of snacks handy which you can grab on the days you are not well enough to prepare or cook food. I always have snacks by my bed for those really challenging days. Bananas are a great option – they are an excellent source of potassium and vitamin B6, fibre and carbohydrate, and supply some vitamin C. I eat rice cakes a lot, just add a topping of your choice. Cereal/protein bars are another easy way to consume calories but I haven’t yet found one that isn’t packed full of sugar. If you feel well enough on your good days you could make your own – they are simple to make and freeze well.

Simple granola bar recipe:

https://minimalistbaker.com/healthy-5-ingredient-granola-bars/

2. Healthy Protein Powder.

My next tip is to find a healthy protein powder. I need a gluten, dairy and sugar free option, and up until now I have struggled to find anything that meets my needs. Molytor (the company I buy my CBD oils from) have recently launched a hemp based protein powder that is not only packed full of nutrients but it also contains CBD and CBDa, I love this product. I have written about it in a separate post please click here to read it:

https://www.ajourneythroughthefog.co.uk/2018/06/764/

Protein powders can be added to smoothies, soups, sprinkled on any food and even added to drinks like hot chocolate. It’s an easy way to add extra ‘healthy’ calories, protein and nutrients. I add it to my porridge – one of the only foods I can digest when I crash.

3. Smoothies

Smoothies are a great option. They are easy to make and easy to digest. This is my favourite smoothie recipe:

https://www.onsuttonplace.com/banana-oatmeal-smoothie-recipe/

You can substitute the almond milk for hemp, coconut or rice milk and you don’t have to freeze the banana if you don’t want to.

Bananas and oats are very soothing on the body – they are gentle on my belly (my IBS always flares when I crash) and they help me relax. You can get someone else to prepare this in advance, it stores well in the fridge. I personally soak the oats in the milk for a couple of hours to soften them.

You could try adding energy boosting foods like chia seeds, bananas, quinoa, oats and almonds but avoid sugar if possible. Or try adding vitamin C rich fruits to boost your immune system.

Here is a link to more smoothie ideas.

https://www.prevention.com/food/20-super-healthy-smoothie-recipes

4. Batch cook food in advance and store in the freezer for emergencies.

On the days when you feel able, try batch cooking food for the week. Don’t be afraid to buy prepared vegetables and packet mixes – they save a lot of time and energy. Slow cookers are a great option for this – just throw everything in and turn it on. Ask your partner, friend or family member to help you prepare food for the week.

I eat pureed cooked chicken and carrots (we call it chickot) This is easy to digest and soothing, so unlikely to trigger my IBS symptoms. I have a few pots in the freezer at all times. It can be eaten as it is or added to rice, pasta, potatoes etc.

5. Soak food in water to soften.

Chewing can be exhausting when you have a chronic illness like ME/CFS. If you don’t have any pureed or soft foods to hand, why not try soaking the foods you have in water first – I do this with rice cakes. It might sound odd but it works – it softens the rice cakes and makes them easy to digest. I add my chickot (chicken and carrot paste) to the soaked rice cakes.

6. Porridge.

Porridge is my ‘go to’ food when I’m exhausted – it’s soothing, easy to digest and gives me a long lasting energy boost. I add sliced bananas and hemp protein or ground linseed to add protein, fats and other nutrients. You can buy instant porridge that’s quick and easy to make. If you are sensitive to gluten, you can buy gluten free versions.

7. Hydration

When I crash I often struggle to stay hydrated. I’m comatosed for long periods of time, too weak to move. But it’s vital we stay hydrated. I have a glass of water beside my bed at all times. If you struggle to sit up, a plastic bottle with a straw is a good option. Even on good days, I struggle to turn on our taps, so carers fill plastic cups with fresh cold water and place them on a table near my bed, at easy reach.

8. Supplements

You may want to consider taking vitamin and mineral supplements on your bad days. I take an iron rich supplement drink called Floradix, it also contains a selection of vitamins and other minerals. It is worth noting that with the aid of a balanced diet and if you have good health, then there should be no need to take supplements, but sometimes we need the extra boost.

Do you struggle preparing and eating food on your ‘bad days’? Do you have any tips you would like to add?

For more personal stories, reviews, news, inspirational quotes and in-depth discussion, please head over to my Facebook page.

 

When the isolation of illness causes the outside world to feel ‘alien’

When you have severe ME/CFS, or any illness that causes you to become housebound, you feel isolated. It’s very easy to feel forgotten. Your life is put on hold but the world goes on outside without you. How can an event that is so catastrophic for you not impact on world around you? How can life for others go on as normal? You are surrounded by a cocoon that protects you from harm but it also excludes you from life.

I have spent the majority of the last 5 years confined to one, darkened room. I also don’t watch TV because it’s so exhausting, so I miss out on a lot of developments in the world. Fashions change; When did Men’s clothing become so tight? The music scene changes; I haven’t got a clue about any current artists. Language adapts; slang words that I haven’t the foggiest what they mean. And what’s with this Monopoly money everyone is using? Trends, fads, media, films, TV programmes, politics, they all evolve.

This alienation also extends to friends and the social life you have relinquished. Your only social interaction is online but social media only shows us the edited highlights of someone’s life. Many friends who were once frequent visitors become like passing acquaintances or at worst, strangers. They continue to have fun and to experience adventures without you, their life continues as normal.

But this cocoon means so much more than isolation from developments in the outside world. The cocoon is also there to protect us from viruses, noise, stress, light, anything that could exhaust us, cause us pain or cause a deterioration in our health. For the sake of our health, we are shut off from the outside world, with only a vague understanding of what’s going on around us. We hear hushed conversations, doctors visit, family and friends make brief appearances, care workers come and go, but you feel detached, like you are observing someone else’s life. Loved ones try their best to help, but the cocoon creates a barrier. We are often too scared to break down the barrier for fear of getting hurt.

And anytime I have to leave my protective cocoon (for hospital appointments) I’m bombarded by a sensory overload. Everything is so loud and colours are so bright. I’m bewildered by how unfamiliar my once familiar neighbourhood is, and it’s actually quite scary.

My biggest fear is that I will never recover enough to leave my protective cocoon and rejoin the real world, but I also now fear that outside world, it’s a scary and unfamiliar place. The longer I spend in isolation, the more alien the outside world seems. How long will my isolation last? Will I ever get the chance to emerge from my cocoon, or will I forever be one of the forgotten ones, hidden away from the world? If I am ever well enough to leave the safety of my cocoon, will I even recognise the world that greets me? How will I adapt?

Does anyone else experience these fears?

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