Monday, 11 June 2012

Earth Man: Genesis


Still Life, 1670, detail by
Jean Francoisde La Motte

Willow weeps her tears of sadness,
they bitter with the pain of parting
burn hot and deep driving her to lonely madness,
course, rage through her very vessels,
sear and burn her broken heart.

In yonder forest he earth emerges,
flesh made of mud,
cold heart rough hewn from stones,
precipitation is his lifeblood,
twigs and branches make up his bones.

Willow cannot cope with his rejection
and deeply wrought in her dejection
rips out his letter affixed to door by nail and band
and reads the words of her amour.

His heart is made of stone,
yet devoid of all emotion
he does not wish to be alone,
will seek out the lonely in their shadows,
needs to make their beating heart his own.

She reads his words in lonely anguish,
tears splash down and blur, stain his missive,
she yearns for his love, his smile, his kiss, if
only he would return again…

Trembled the stars
that devilish night the earth man sought her,
(he would steal her heart as he slyly court her);
fashioning his face to that of her amour,
he gently taps upon her door.

She sees him, heart dances to her head,
his lips brush hers (she tastes the strangeness)
as he lifts her up, takes her to her bed. 
(Uncertain of his new persona
she mentions not the change less
he again should leave her…)

Noticing her reserve he does deceive her,
bluffs his way into her heart,
says that his leaving let him grieving
and he knows they now should never part.

Her flesh did crawl as she let him love her
as in her heart she knew he was another –
but ‘twas too late as he now did own her…

Stepping into the night
lit bright by moon and its corona,
stars trembled as she walked cold beside him,
knowing that her heart did beat inside him,
fate sealed in that first earthy kiss,
evolving earth man genesis…

Anna :o]

With thanks to Tess at The Mag for the inspiration and also brenda w at The Sunday Whirl (wordle 60) for her inspiration too!

Wednesday, 6 June 2012

Old Age Cometh

Old Man, Cockroach
Catcher
It has come.

It has played with me,
led me to believe,
nay be certain
(that maybe through
some past good deed)
I had escaped its wrath.

It has come. 
Mapped me out,
history etched
in every line and furrow. 
It plays with me
still,
slows me down,
mocks me
with its laughter lines.

It has come. 
I will bear its tired skin,
its aching limbs,
its tired bones. 
I will relent,
give in graciously,
but beg it earnestly,
please, please, please,
please

leave my mind alone.

Anna :o]

(I wrote this after discovering the beginnings of crows feet on Saturday night...)

Entered at Open Link Night at dVerse Poets Pub – thanks dVerse!
Entered at The Poetry Pantry at Poets United - thanks Poets United

Image used with the kind permission of the Cockroach Catcher at flickr.  (The Cockroach Catcher Blog can be found here.)

Wednesday, 30 May 2012

Positive, Negative

He deep inhales
(passion rising),
runs hands through
lank greasy hair,
says
I want shower-sex with you.

Malodorous,
rank
with rancid sweat
and piss-dried jeans
he sits amongst
the squalor
of discarded takeaways
and beer cans;
fag ends flicked
from fingers
stained
with nicotine;
receives messages
from aliens
on dead mobile phones;
hears voices
in his head
torment
in condemning tones,
tell him
he is he is a f***ing
waste of space,
a f***ing pile of shit,
tell him to kill himself,
that he’d be better dead.

She doesn’t want to,
but wants to
for the good in her
knows that if any
poor damaged soul
needs love and shower-sex
its him,
but remembering her role
says Sorry No, 
reinforces
the (professional) need for
d i s t a n c e
before she goes.

Stripped down
to his boxer shorts,
hurt,
he watches her from the door,
the voices begin to ridicule,
tell him he’s a f***ing t**t
a f***ing fool to believe
that f***ing whore
would want sex with him –
a f***ing heap of shit.
He returns to his room,
lights up a spliff and sits -

just sits…

*************
 
The above words are an odd kind of tribute to someone, ‘Dave’ say, who I had the privilege to meet in my nursing student days.  (Believe me the bad language accurately depicts his experience and is perhaps even quite tame.)

My student days were those of enlightenment, actually talking to and also hugging patients was actively encouraged; patients had become ‘clients’ and their individual rights were paramount (oddly this only appeared to apply in acute settings) and wisely, we students upon meeting a patient for the first time, were advised only to familiarise ourselves with the presenting problem and not that of the full history, lest our judgement be coloured and our treatment of the patient thus become sullied.  (We should read the history later after developing a rapport.)

As a tactile sort of soul, hugging was fine by me and indeed patients welcomed this strange new closeness, this friendliness, the chatting and this new strange thing where students appeared actually interested in them as people and not as an illness.

I was on an acute ward placement when I met Dave, he, sectioned in his best interests, suffered with refractory schizophrenia, the onset of his schizophrenia presenting in his early-teens causing gross personality damage as the illness progressed, savagely took hold.  Despite this, he was happy with himself as he had no insight into how his illness had affected him and indeed how his illness and damaged personality impacted on others.  To himself he was a likeable fellow.

Dave became one of ‘my’ three patients whose care I had to focus on to meet the requirements and learning goals of my placement there.  I found him likeable – despite initial nervousness of his social and sexual disinhibitions.

He was treated abominably by qualified staff and indeed (in my humble opinion) by the docs as he was judged and thus treated on his presenting personality –the fact this damage was caused by his illness did not seem to enter into things.

Despite all his problems his one and only Care Plan was that of addressing his body odour and it was my task to tackle this sensitive issue with the intended goal that Dave will attend to his personal hygiene.  (Why is BO such a difficult thing for us to address – why can we talk with relative ease of so much more complex issues and not this?)  (More importantly – why was this his only care plan?)

Possibly because I was the only person – whether it be staff or fellow patients – that gave time to Dave, he fell in love with me.  This was my first encounter with transference/counter transference and I like to think I handled it well, professionally if you like and our rapport continued without this unwanted (to me) obstacle.  (It did strike me at the time that of all the patients in the hospital that desperately needed to be needed, needed a hug – it was Dave, but I could not do this as I knew he would misread it.)

After qualifying I met Dave again as he was an occasional visitor to one of our female residents (with whom he had fallen in love and who did not want his attentions) in the hostel where I worked.  It is a pity that we eventually had to bar him.

It was while working at this hostel I became involved as a ‘friend’ of the  Hearing Voices Network and through this I began to understand more about living with schizophrenia.  I learnt of the horrors of auditory hallucinations.

A colleague and I began to hold our own Hearing Voices Experience Workshops for our colleagues throughout the hostels/organisation country wide.  At this time I also mentored SW and nursing students who were placed in our hostel and they too attended these workshops and learnt from it.

Our approach was quite simple in that my colleague and I sat at each side of our victim and began to insult a running conversation into their ears – the remarks for the most part being abusive, negative, foul and derogatory – for this is often the everyday experience for some/many of those with schizophrenia.

I can recall one male social work student being reduced to tears for some of the comments we made had per chance hit home in that they echoed his own self-doubts.  However he was grateful for the experience as he felt it left him more equipped to work with those he would come across when qualified, as he now knew, understood.

For any docs and nurses out there who might read this – I recommend, even urge you have a Hearing Voices Experience amongst yourselves and then you too will know will understand your patient more. 

Later I met Dave again – I had commenced working at a drop-in centre which I then discovered he attended.  My new manager had remarked “Oh you’re Anna; Dave talked about you when he came out of hospital as you were kind to him.”  I must admit that this made me feel good as making a difference was the given remit for RMNs when I did my training.

Unfortunately Dave misread my reasons for working there in that he thought I was there as I realised that indeed I did love him after all.  This delusion was quite fixed and after a few months I left – for to me moving to another job was less damaging than the possibility that Dave might be barred (for his unwanted attention) from a place in which he found solace and so much needed.

A few years later I learned that Dave had become much more damaged, was sectioned often as his illness aggressively progressed to the point where even he couldn’t cope with it.  He had commited suicide.

Dave is not the only patient I remember from my student days.  I might write about why I remember them someday.  I never did work in a hospital after qualifying as some aspects of ‘patient care’ left me feeling dirty…

Anna :o] 

Entered at Open Link Night at dVerse Poets Pub – thanks dVerse!

Friday, 25 May 2012

Blue

It is months since I thought
of decorating the hall
and I guess the stairs
and the landing too,
but when I attempt
to picture the finished wall
I always picture you instead
lain nestled in that empty bed.

The bed an empty tribute
(of a kind) to you,
the room a shrine,
your Rhapsody in Blue,
I never liked that you know,
you knew. 

Glissando  or portamento
I never really gave a fig –
that I ate today (well four)
with Weetabix, milk
and fromage frais,
But it’s important!,
you would say
as if it mattered
in the great big scale of things.   

I got weighed today
and knew I
would not want to know,
why is it that
my mind gets smaller
while my body grows? 
Middle aged spread
she kindly said
as I slipped back on
my cool alligator shoes
(that I wore when we danced
and you sang the blues).

I have the wallpaper
that will cover the cracks –
God I love you so
and I  want you back   
Tomorrow
 I will paste it, lay it
and paint it blue
(the colour I feel
when I think of you).

Anna :o]

Written for dVerse, the challenge being to write a Stream-of-Consciousness poem thus:

Choose a topic. You might think of a person, and activity or even a dream. Take a walk, go someplace public, and let your thoughts take flight.
Write with pen or pencil on paper. Draw pictures. You may even choose to use your writing journal to jot down your own little (schizophrenic) episodes.
When you write in your journal, be different. Write with your non-dominant hand, write all over the page, not just in lines, write from bottom to top. Write in spirals or shapes. Forget grammar and syntax.
Review your writing for any connection you can discover between words and phrases and see where your poem will take you.
Put your work aside for a while before returning to it.

Cheers dVerse!

Monday, 21 May 2012

Fool


The Circus With the Yellow Clown,
1967, Marc Chagall

See you;
heart goes into overdrive,
somersaults,
thump, thump, thumps,
wants to get out.

I gave it to you,
it beats for you,
gave you all of me,
I exist for you.

You took it,
took all of me,
messed me up,
made a fool of me.

Carnivalesque;

grotesque fool
now wise,
hell now heaven,
now it's me, me, me,

want your heart,
will cut it out.

Who knows what lies behind the clowns’ happy/sad face?  We all wear our masks and do not need to apply face paint to become a fool or indeed anything else…

With thanks to Tess at Magpie Tales for the inspiration.

Anna :o]

Friday, 18 May 2012

Wednesday, 9 May 2012

Male Elderly Long Stay

Use it or lose it
has no place here. 
What better than
to restrain (by indifference)
in chairs upholstered
in the ghosts of those long dead. 

There is no stimulation here;
they sit in regimental rows,
row on row on row,
like some old soldiers
waiting for their final orders,
or some waiting room,
waiting for a doctor
who never shows.

This reinforced apathy
brings atrophy, weakens limbs. 
A fleeting insight
brings panic,
he rises, knees buckle;
he free falls, hits terra firma
with an almighty thud.

This morning
there is only two of us,
short staffing brings many risks. 
Who knows how many
signs and symptoms missed
as we hurriedly stuff thirty men
into waiting clothes,
stack them in the waiting rows,
stuff them full of
cereals and toast. 
(Well as many as we can,
for at 8.30 – finished or not
the breakfast trolley goes.)

They need time,
there is no place for it here. 

There are the wanderers of course
who will not conform;
who wander on their eternal journey
to God knows where.

There is a new admission;
he still has fight in him.
It will not last. 
Soon he will become like them,
his remaining memories
will leach into the chairs.

They need compassion,
there is no place for it here.

As a student nurse, my first ward placement was on female elderly long stay.  I must admit I was naïve – I had this silly notion that my days would be spent sharing tea and sticky buns with confused little old ladies, enjoying their muddled conversations and listening as they reminisced about the good old days.  How wrong I was.

My first shift was that of a morning, there were two qualified staff, a care assistant and two students (including me and we supposedly supernumery) and we had forty patients to assist to rise – that is eight patients each.  We students had no idea who could weightbear, who was mobile, who was aggressive and so on, but this seemed to only bother us and we had to get on with it.

It took me well over an hour to wash and dress and seat my little ladies in their chairs – in fact they did not have their chairs – anyone was good enough.   I was totally exhausted and perspiration was dripping off my forehead.  I remember thinking ‘What the hell am I doing here?  Is this really what I want to do?’ as I realised my silly notion was indeed that – silly.

The majority of the ladies had dementia and were either admitted from the great outside or were ‘long stay’ patients who had spent much of their life in the hospital and had succumbed to dementia as they aged.  A couple were long stay patients who had not demented but reached the ripe old age of sixty and had been transferred as that is how things worked.  They were floor pacers – like caged lions bored out of their minds – both with ‘acquired’ OCD – their rituals their only means of escape from the eternal ennui of ward life.

All the ladies – bar the two floor pacers - were sat row on row on row, there was no stimulation whatsoever – no radio, no record player, no television, not a thing.  Any new admission that rose from her seat was told to sit down and soon learnt that that was her lot and after a few days did just that – sat (and died inside).

My fellow student and me attempted to converse with our patients – but lack of stimulation had had devastating effects – rarely were words spilt from their mouths – they existed in body only.

Male elderly long stay was my fifth placement and it was very much the same bar a few wanderers - not pacers, most of whom were demented and had held onto remnants of their personality.

I saw an awful thing there – it was not direct abuse but that of sheer and utter thoughtlessness, a manifestation of the warder-inmate mentality that still very much prevailed there, and it reinforced my vow to myself that once qualified I would never work in a psychiatric hospital – this vow I had made on female elderly and it is a vow I kept.

Anna :o]

Entered at Open Link Night at dVerse Poets Pub – thanks dVerse!

Sunday, 15 April 2012

Infidelity

Red Roofs, Marc Chagall, 1954
I cannot make myself thin,
no sin-eater I,
I cannot devour
past transgressions,
cannot lay
the feast of me
on naked breast -
grist to the mill
for those who chatter. 
No matter,
(for now)
I will bear this load,
add fat to my lean.

Occasionally,
conscience pricked,
I peck at me like
some mean eyed gull,
let hot blood run red,
try to pick clean my guilt
of loving you - but fail,
cannot let you go,
remain hungry
for the love of you,
want to eat you up,
get fat on you.

Anna :o]

With thanks to Tess at The Mag for the inspiration.  Also entered at The Poetry Pantry at Poets United – thanks Poets United

Monday, 9 April 2012

Wistfulness

Wistfulness: the cockroach catcher
Grey day inks
into the blackest night,
sleep elusive,
I think of you,
remember,
and heady
with the scent of you,
I search beneath the sheets,
find emptiness.

I have tried so hard
to erase you from my mind,
suppress
the pain of longing,
but find
I’m saying “Yes” again
as I long for your caress again,
as I live within
the ghost of you.

I do sleep a while,
world weary, unrefreshed
I rise,
press feet
into waiting slippers,
try to warm the chill,
heat coffee pot. 
I want to smile again,
see sunny skies again,
be glad again.

Blue skies elude me,
all I see is grey,
I think of you
and all I can be
is sad again.
I try to rouse my spirits,
wonder how
my mind can be so empty
when it’s so full of you,
I fear every lonely moment
but most of all fear myself
as I sink deeper in this gloom.

The ghost of you
infiltrates my very being,
roots out, stirs each emotion.
I have this notion
that if I could rid myself
of you,
extinguish memories,
snuff out your flame,
I could be whole again.

But fear is real,
for without you
I have nothing 
and I shed tears again
as I softly
call out your name.

With thanks to JP at Olive Gardens (Poetry Picnic Week 30: Doubts, Fears, Inhibitions and Hesitations) and also posted at The Poetry Pantry at Poets United – thanks Poets United!

Image: used with the kind permission of the cockroach catcher at flickr. (The Cockroach Catcher Blog can be found here!

Anna :o]

Tuesday, 3 April 2012

Denormalisation

They come;
those harbingers of death,
the underclass
who fouled
with the most
malodorous breath
infiltrate the very core
of the sweet,
the innocent, the pure.

Particulates expelled
with every demon puff,
mainstream and drift smoke
pollute the very souls
of those so pure,
so clean, so whole,
and were that not enough,
the smokers
cry of their rights
when isolated
in their leper groups
outside of office doors,
or smoking booths
outside pubs and inns
as if they should be
absolved from their sins,
their sins of selfishness
as they spread disease
with every dirty stinking
exhaled breath.

They come,
those harbingers of death,
those much maligned,
much stigmatised,
denormalised
to seek their fix,
their filthy weed,
their cancer sticks
to find their demon
now behind shuttered doors,
for it decreed that no more
should they be on view
for we all know
of the harm they do,
they bring disease
and kill our kids
and it is right
that society rids
itself of these evil folk
who insist upon their
right to smoke.

I wrote this as a reaction to finding that when purchasing my weekly supply of the disgusting weed that my fix was  shuttered behind black sliding doors – and I was aware this was coming – and was surprised how dirty I felt, something akin to buying dirty postcards, hard core porn videos from ‘under the counter’ (okay my secret’s out! :o])and I felt more stigmatised than I normally do, a non-human,  denormalised.

If you are a non-smoker – and I mean a normal human and not the rabid anti-smoker zealot – and you feel it is your right to socialise in restaurant or inn free from my smoke – then I am a 100% in agreement with you (for despite being a smoker I consider myself a fair normal human being) but would ask do I not have rights too?  It would not be a problem for me (and you I am sure) if there were smoking and non-smoking establishments and we could both exercise freedom of choice.

I do not have a problem with smoking bans on public transport, in the workplace and other sensible legislation – but I do resent that I am being denormalised.

My current reading is The Death of Humane Medicine and the Rise of Coercive Healthism (Petr Skrabanek) and will admit that (for the purpose of this post) I had to jump ahead for his views on ‘Lifestylism’  and “Damned tobacco” as I had not yet read that far. 

Quotes from Damned tobacco:

“Smoking together with drinking and fornication, has always been a mote in the eye of the virtuous.”     

“In recent American health propaganda, smoking was described as ‘second only to nuclear annihilation …”

“Smoking is a complex behaviour, with little understood neurophysiological and psychological mechanisms.  A smoker of 20 cigarettes a day for 50 years will smoke 365,000 cigarettes, which, if laid end to end, would stretch 30 kilometres.  Assuming an average of 15 puffs per cigarette, the smoker inhales five million puffs.  With the alleged 5,000 poisonous substances in smoke, he receives 25 billion doses.  What is surprising is that many smokers survive this chronic poisoning relatively unscathed.”

(I will have received 15 billion doses of alleged poisons and yet I remain healthy, my children grew up in a two smoker household (I did give up when pregnant) and now smoke themselves and are healthy.  (This is not a blind denial that smoking causes disease – for I have no doubt it does – but there is much manipulation by selection or omission in research to achieve required aims)).

You may have no problem with coercive healthism, you may want to live for ever – but you won’t – and if you do away with “… every eatable, drinkable and smokeable which has in anyway acquired a shady reputation.” (Mark Twain) you might, but probably won’t, be so bloody healthy you will have to be shot when you have outlived your usefulness – but I doubt whether you will be happy.  You may want to pop whatever pill is prescribed to you under the guise of preventative medicine – see here at The NNT re statins – but what of their chemical composition, what of their adverse side effects?  (I would like to give personal opinions and observations on this (relatively) new opium of the masses – but wont, not yet.) 

However – believe it or not – this post is not the stance of a rabid, selfish smoker but that of a person who is afraid, so very afraid of the rise and rise of coercive healthism and the deliberate denormalisation of sections of society deemed irresponsible by those who deem themselves superior and would direct our very lives.

This is a post of a person who is so afraid of bias in and deliberate selection or omission presented in research as a means to give credence to a prevailing point of view.  Alcohol and obesity are already on the agenda for denormalisation.

This is a person who is so very afraid how most of us allow (for we have nothing to hide) our government (of whatever colour) to make inroads into our right of privacy in the name of security – CCTVs and data collection (phone and web surveillance) immediately spring to mind.

This is a person who thinks of book burning in Nazi Germany and eugenics and the destruction of those considered imperfect and wonder why we do not see parallels here expressed in our present society.

This is a person who decades ago thought her husband bonkers when he talked of the ‘thought police.’  He was not bonkers; I was, for I did not see the insidious creep of control of our very thoughts and lives.

What say you?

Anna :o]   (The paranoid one?)