None the Wiser

Not long back from a visit to Saint Hellier Jersey where I saw a consultant rheumatologist. They suggested that there is no extra immune-stuff active in my skeletal problems and that most of my “random” inflammation events are probably so-called gout.

There is a lot to unpack mentally and in terms of feelings. There is a question, “did I really live like that once upon a time? Really?”

In the space of a few weeks, the consultant was the second to note and comment upon my recently measured elevated haemoglobin levels. Which could be due to my prior smoking, my COPD, genetic causes or living at elevations during early adolescence. Others causes like blood cancer are very unlikely.

In nearly every medical situation the fab three are rolled out as the most likely cause. The trio of obesity, booze and fags are the go to default diagnosis. In the UK there is a bit of fetish about BMI. It is a well-used mantra. This trio may have a confirmation bias effect. I am / have been triply holy.

In the 1994-5 when the people at St Thomas’ London were looking into the haem thing it was put down to smoking. They bled me on a regular basis to try to drop my haemoglobin levels. It was a part of a whole host of “lab-rat” tests that I had done back then. I was a very cooperative rat, happy to be in anyone’s research programme. This probably rules out esoteric causes.

The most surprising thing with the consultant was their surprise that there was no bone density follow up after me falling and breaking the head / neck of my femur. I fell only from standing in the kitchen at the age of 55. The drop was well under one metre. The rationale was that this was a major break from only a small fall. There could have been something wrong with /weakening my bones. I am male and osteoporosis or osteopenia is uncommon at that age. They were surprised that it was not investigated. They may suggest some follow up tests in a letter.

They were also surprised at the severity of my hip osteoarthritis and the near complete lack of motion, sideways.

Here is something that I may have picked up. When people note or examine me, they perhaps transfer some imagining as to how it might feel / affect them if they were in the same condition. They may see a bleak future.  I have had a number of people talk about quality of life to me. Given my flexibility and pain, it might inhibit their current life-style in which they “do” stuff. There is a bit of a shudder. “What if that happened to me?” The advice is to have a bilateral operation so as to have “quality of life”. My serene quality of life far from the loud and maddening crowd may not appeal to them. Quality of life is very subjective.

So, does one cling and try to maintain an active quality of life according to the common view, feeling miserable every time life stops you from doing what you once did and feel you ought to do?

Or do you simply adjust to your new reality, to come to terms with your lot?

Philosophically I suspect that modern medicine is bad in a Darwinian sense for human evolution. The weak and the sick can live and breed. They can live to old age. People have children at a later age increasing the prevalence and propagation of birth defects and damaged genes. Humanity will live longer but it will be sicker and less healthy.

Sounds a bit eugenic…but we are seeing the “success” of modern medicine impinge of health services and economies.

If karma has caused me to have badly arthritic hips, is it wise to try to outsmart karma by having a modern operation?

Ok, I was born in a time where such things are possible but is that a temptation of our times, trying to have life on my own terms? Maybe I should simply settle my karmic debt and endure quietly without complaining?

I am speculating that maybe I need to stop taking any medication whatsoever. It is not making me happy this endless merry-go-round.

As I said, I am none the wiser…

Senior Tutor – Waifs & Strays – Great Compassion Dream 13-05-2025

Here is this morning’s dream. I have often thought of my stint as Senior Tutor as a karmic payback caused by my own days of depression and misery.

The dream starts on a dreary wet grey council estate multistorey housing facility. There are runway balconies connecting the apartments. This is grey and tatty. There is a smell of piss and there are graffiti tags. The feel, the air, is of decay and danger. It is in South London, the rough side of Brixton. I am approaching a red door. There is music and a whiff of skunk cannabis.

I knock on the door and ring the bell. There is some talk inside, someone goes to the net curtain and checks through the window. The music goes off and a young white American man answers the door. He has blonde skanky corn-row dreadlocks. He is both surprised to see me and not surprised at all.

I explain to him that I have come looking for him because he has been cutting classes and not turning up for lab work. I ask if I can come in. He is reticent to let me in. I explain that it is ultra-unlikely that I will be shocked by what I see. I have been to drug dens before, and I will not judge him for a few spliffs.

He lets me in, and we sit in a scruffy lounge area where there is “party” debris. He ushers to his flat mate to leave us alone. I ask him what the problem is. He says that he has some debts and has to earn a little money on the side. He is into some gang related problems. I say that if he wants, I can come to talk with his gang contact. He does not think I can hack it. I explain that I have talked with gang bangers before. They do not scare me.

I say that he needs to find some way of balancing his work at university and his gang activity. He needs to stay off the class A drugs. I suggest that he comes back to college and tapers off his involvement in selling drugs. Otherwise, I will come and talk to the gang. He realizes that I am serious.

The scene changes and I am in an office, my office. It is in a university hall of residence, and I am tutor / warden there. It is late in the evening. There is a knock on the door and a young woman is there. She has been crying. I let her in. She says that the American man from before has suggested that she talks with me. She is highly suspicious and on edge. I invite her in and have her sit in my living room. I say to here that it is my job to look after the lost and the wayward. I have seen most of it. There are few surprises. I deal with boy girl problems, coming out issues, parent problems, depression, hyperactivity. I can advise on finances, condom coming off type problems. I can refer to health services. I deal with handicap and disability. Sometimes I just listen for a while. I can change her tutors if they are being arseholes. As a Buddhist I am well placed to discuss faith from all perspectives and am non-judgemental and widely read. I can hear “confession” if there is something she wants off her chest. Try me I say. I will see if/how I can help. I pass her a box of tissues to dry her eyes. I say that I am not an ogre. She smiles.

A while later in the morning I have another knock on my door. It is a young man a dwarf with achondroplasia.  I let him in. Now I am wearing maroon monk’s robes with a yellow under vest. It is my job to “simply love them” to offer my great compassion. I usher him in, and he plops onto the soda. I ask him about his general health and how his dwarfism may be hindering his studies. He says that he has some thyroid problems which are handled medically and that from time to time the arthritis is his hips plays up. I say that if he runs out, he can have some of my hip arthritis pain killers. I joke that we should go dancing. He says that the girl from before, has by word of mouth, suggested that he talk with me. I ask him how I may help. He says that he needs to get some height aids and a reaching device for high shelves. I say that I will sort it. He has been in trouble with the warden for being drunk and disorderly. I remind him that because of his low body mass he should not try to drink pint for pint with the other students. I will tell the warden he has been to see me.  I say that my door is always open. He notices my rosary on my left hand which is made out of antique yellow-amber beads. I explain to him that I am not easily shocked and am not prone to judgement. He wishes me a good day and leaves.

Next, I am in the corridor outside my flat and another young male student approaches me. He taps me on the shoulder and asks if we can have a word. We go to sit in a coffee bar. He is agitated and keeps glancing over his shoulder. He says that he is in deep trouble. I ask in what way and what his name is. He is sat on a sofa, and I am sat cross legged on the carpet of the coffee shop. He says that he does not want to give me his real name. He gives me his passport name. The one he uses. He is Eastern European / Russian. I ask him to tell me is real name. Anayin, or something like that. He writes it in Cyrillic for me. I know this to be the name of an exiled Russian mafia boss. He is having problems with immigration and the Home Office. His father has a security services protected identity. He says that the officials are being shirty with him. I suggest that for his next meeting I come with him. I can show them my University Identity card and confirm that his application and attendance at university is all in order. He is doing well in his studies. I say that my manner of dress can have interesting effects on uppity officials. It wrong foots them. He agrees and we will keep his familial identity between us. He says that the girl who came to see me before is his girlfriend and that the morning after pill has worked according to her recent self-pregnancy test. I suggest that he needs to be more careful because the last thing that either of them needs right now is a baby. The studies are hard enough. I punch him playfully on the arm.

The dream ends…

Replacement Hip CAD – Prostate Exam Dream – 21-02-2025

Here is last night’s dream it has contextual relevance to life circumstance.

The dream starts with people discussing me behind my back. They are concerned about my health and longevity. They are trying to figure out if I can have a replacement hip fitted on the left hand side of my body. They are looking at X-rays and various, multiple, auto-CAD designs which may be possible without extracting the Titanium nail which is in it.

They are calling up various designs and the discussion continues without my involvement. They are unsure as to whether it is possible and suggest that if they are going to do a staged bilateral hip replacement it might be better to start with the difficult one first.

Finally, someone comes to talk with me about it. They are unaware that I have been privy to their discussions behind my back.

My principle concern is that if both hips have severe osteo-arthritis it seems unbalancing to do only one hip. If they fix one hip the other one will only get worse and the wear on the fixed hip will be accelerated.

I awake.

I drift back off.

I know that there are widespread concerns about my health and longevity. I am being taken for a “compulsory” prostate exam even though I have had one recently. They are doing a Bilan or full blown health screen.

I am dressed in a blue hospital gown laid on my back and a woman is between my legs about to do a sneak sudden prostate exam. I say that would be stupid. Let me know and I will relax. I say to her that this is unnecessary as I already know it to be gonflé enlarged. They have made detailed high resolution MRI measurements of it.

Nevertheless, they want to press ahead and do their own full health audit. I relax. She proceeds to do a prostate exam and concludes “enlarged”.

I say, “I told you so!

The dream ends.

Walking in Different Circles

Yesterday it was blustery and with Welsh mist in the air. We chose to go up to the coast. With only three official shopping days left to Christmas we reasoned that Christmas lunacy would be inflicting the town centres. We travelled during “witching hour” or French two hour lunch time. The roads were quiet and up at île Renote it was deserted. I joked that there had been a zombie apocalypse which we were not aware of. In all of our nearly six years it was the most deserted we have seen it. They are still clearing up the devastation visited by storm Ciaran in November last year. We did the circuit and maybe saw half a dozen people and a dog. We said “bonjour” a couple of times in passing. Now that it is off season the locals greet each other.

People have asked us what we are doing for Christmas. They don’t get it when we say, “nothing”. We have received one paper Christmas card and an ecard. We have sent one card. We will probably go for a walk fog permitting in the morning and I will cook a roast dinner later. There are no decorations, no tinsel, no Christmas jumpers and no obligatory work do. We are essentially, that is in essence, out of the Christmas loony loop, in a different circle.

What is important to any circle or peer group varies. Earlier this year on LinkedIn I was able to satisfy my curiosity about what had happened to my year class for Chemistry at UCL. I was slightly surprised at how many had retired at age 60-61. I was the baby of the year with an end of August birthday. Which meant I got my degree aged 20. Because I got one less mark than Sue, I did not qualify for the last SERC quota studentship and had to look further afield for my Ph.D. place. Many of them stayed put and did their Ph.D. at UCL. I lost touch with that peer group and moved for a while in a different circle. I found something I could do – research. I was never keen on exams and strict syllabuses. I did OK but attention to detail was not my forte. I can get bored easily. It turned out that I probably had the shortest career and the lowest life time earnings. {My estimate based on LinkedIn profiles.} I haven’t had a job since end of 2006 but I did work freelance a little and then as a private tutor. I have been retired for five years now. I am pretty sure that I could not fit back into the academic circles I once haunted. I could not hack all those people.

Some of my peers from London are big-ish cheeses in academia and industry. Me not. They have a different orbit to me, what is important to them, is not to me. I am not sure it ever was. We were talking about someone who has landed himself in controversy in that field. The taint of controversy in academia is difficult to shift. I have a joke that the collective noun for academics is a “gossip” of professors. I hope he is OK. It is another world.

Over the years I have met some weird people. One guy was fascinated by Aleister Crowley and belonged to a group of people so minded. I have read some of his correspondences and the I Ching. It is not all that. That group of people might be interested that I get Count Saint Germain in my dreams. He is an occult hero and was also a chemist of sorts. In the science circles he would be seen as fictional / made up.

We have two problems to solve. Because of my osteo arthritis the garden has become too large. This can be solved either by finding a small income stream to pay a gardener or to sell the house and buy another. The second problem is the cesspit which needs to be brought up to current standards. For the moment that is the boundary of problem. My working hypothesis is that part-time work for me is unlikely because a) my age, language skills and lack of employment and b) under French employment law creating posts is not straightforward. Realistically there is little besides editing of scientific English which I can do here. I could go back to doing online “A” level science tutoring for people in the UK. The pay rates in France are poor in comparison. We will have, hopefully, reliable fibre optic broadband next week.

It is strange for me to get dreams with famous politicians in. I have never met any of them nor am I ever likely too. They walk in very different circles to me.

Our daily routine has me empty the coffee grounds, feed the birds, turn off the electric fence to prevent nocturnal coypu eating our lotuses and iris shoots, collecting wood from the store. The coypu came during the afternoon yesterday when we were out so the fence is on 24/7 from now. We will play Hokey Cokey, in out, shake it all about with Bibi the indoor cat. Felix and Gandalf, the stray cats are already waiting for their 3pm feed. Tonight, we have lamb tagine, the lamb is marinading in the fridge. I will stick it in the oven for around 4:30 PM. Then as dusk starts to arrive we will close the shutters and light the log burner. The outside world will be outside. We are due gusts of wind to 90 Kmh this afternoon. We will have no face to face in person social engagement for the foreseeable future. We see the physiotherapist early January.

This is the circle that I walk in.