Saturday 26 March 2011

May I borrow your wall, please?

My best mate at university was a highly suspicious lady.  Her father worked in intelligence.  She had achieved a very creditable fluency in Russian.  She was (anathema!) a practicing Christian.  She was acting as nanny for the family of an influential diplomat in the US embassy in Moscow.  As such she merited a greater degree of attention from the Russian intelligence service than your average nanny. Such attention, though flattering, had its drawbacks, one of which was that items of personal property at times went "missing".

During her stay her address book went "missing" in this way. She never misplaced items.  If it wasn't where she expected it to be, it had been moved.  There was a well-known method of recovering such items.  You lamented aloud the loss: "I need my address book. It will be my Godmother's birthday in three weeks, I must write her a card; she will be terribly hurt if her birthday comes and I appear to have forgotten it. You see, she has no child of her own.."

Then you waited. At times this did not work, particularly if you were only a nanny, even a rather Interesting nanny.  But no cause for despair.  The next step was to borrow a more influential wall.  Thus she approacher her employer,  "Please sir, may I borrow your wall?", and repeated her lament.

The address book returned.

Please sir, may I borrow your wall?

I wonder at times whether my Parkinson's is a late addition to ongoing struggles to keep in motion.  I allow for the possibility that Parkinson's is the newcomer in an already complicated plot.  But even allowing for that, even if there were only the ghost of a chance that PD is the culprit, I think people should be studying me, because the quality of my life has been going up rather than down for the last nine years.  I think that those who are trying to help people with Parkinson's should listen.  I have a lot to say on the subject. There may be something to be learned from my experiences which could help others.  

I have a very diligent guardian angel. It nudged me in helpful directions long before I got any diagnosis.  In my opinion, my guardian angel is nothing short of inspired.  In these ways it guided me, make of it what you will. 

For a start, two people I respected suggested I cut wheat and dairy out of my life.  I was desperate enough to try it.  Two weeks later I walked.  Without sticks.  For the first time in 18 months.

Second, once walking, there was the obsession about running.  It had to be an obsession; no rational motivation could have generated the will to keep focussed on running through the frustrating years when three days of running would be followed by a week back on sticks. 

Third, there was the happenstance of a bad case of plantar fasciitis coinciding with a time when the illness was obviously active.  My lovely running GP prescribed celebrex for the pf, and, simultaneous with improvement of the pf, the fog, the twitchiness, the headache dissolved.  A useful lesson learnt.

Fourth, I can't quite remember how I got involved with Pilates, but I did.  My lovely Pilates teacher (also a runner) was very much into the Franklin method, and the role of the much underrated psoas muscles. She taught us their function in our lives and how to access them deliberately, how to stretch and strengthen them. (What muscles do you think are contracted to produce the characteristic PD stance? Given contracted psoas, is any form of ambulation other than the parkinsonian shuffle even possible?)   I began to think analytically about running, about moving, and to consider which muscles needed more strength, more flexibility, and how to achieve it.  I'm still learning.  Lots.  There seems to be a whole chain of "anti-Parkinson's" muscles.  Twitch one, they all respond to counter the stoop.

Fifth there is the matter of sports massage.  No feel good stuff this.  I am not sure I am going to call my massage practitioner lovely.  He isn't a runner, although he is a champion race-walker.  I will at some point tell you how I got into this, because it is an entertaining tale.  Particularly when preparing for a running event, I see him on a regular basis.  I scream. I shout. I swear. Tears start in my eyes, I bite my lip, I sweat all over.  But I stand tall and run freely.

Sixth, I suppose there is also the matter of the viola and the work.  I will never know how much worse cognitive function would be if I didn't play, if I didn't struggle on a daily basis to impose discipline on the chaos of ideas that bounce around my brain.

Even if mine is an isolated and idiosyncratic case, and others will not get similar benefit, people need to hear this.  There are things to try. People who get the diagnosis and get the pills should also get the advice, the training, the massage, the education, and the viola lessons, if it takes their fancy.  It takes time I suppose, and time is money, and money there is none.  But honest, during my time on sticks I would have sold my ears for the pleasure of running. If money could have bought it, I'd have paid.  If the lovely NHS can no longer provide such costly measures as advice, education and training, then at a minimum we need to find some way to get the message across that there are things that could be tried.   It might cost effort, it might cost money, but we don't have to sit back and wait for pills and immobility and a cure that might come too late for us.  It might not "work" but I'd far rather try all sorts of things than wait patiently (ha ha, get the pun) for the men in white to fix it please. Maybe others would too.

I got a lot of questions too, but one rant at a time.  I will wait, and see what ears this wall might have.



Exercise? Pah!

Exercise? Pah.  I don't Do exercise. "Do you take exercise?" suggests a medical prescription, a pill of bitter taste and evil side effects. Exercise, the word itself conjures a slideshow of unpleasant recollections.  I am thirteen, standing at one point of a lattice while my classmates in identical jaundice yellow gym tunics  stand at others and fail to do star jumps or windmills or whatever other penance on the instruction of our mousy haired gym mistress.  I am eighteen, flute in hand, hands shaking, eyes watering, trying to keep blowing, playing finger twisting exercises out of an evil book labelled Ejercios diarios (it doesn't sound any better in Spanish), the flute teacher looking out the window, not troubling to disguise her contempt. I am 28, and the sergeant major i/c  frightening pregnant women at the maternity hospital has us all on the floor doing something or other which was supposed to be useful, but I can't remember why or what.  I don't do exercise because I don't like exercise.

Sport, now, I have time for sport.  As a kid I wished I was a boy so I could play football.  Girls didn't play football in those days. At school I played field hockey in a spirit of vengeance, a stick being an expressive tool in the hands of an angry teenager.  Mostly I hit the ball.  Not perhaps tennis - we played on clay courts; I spent too much time picking gravel out of my knees to enjoy the game.  Sport can still stir my spirit.  I can watch rugby with admiring horror.  The sight of eight strong men in a boat can bring tears to my eyes. These days, my place in most sport is on the sidelines.

But running, now that's the stuff.  Exercise is to running what Complan is to the finest of high table dining.  Running has infinite variety.  It has low cloudy days, when you have the fen to yourself and the gulls because no one else is daft enough to be out there.  By the river in the morning the eights are sweating, reminding me that I could probably try a little harder.  Or there is the changing life of the kingfisher stream - the curious purple flowers in May, the grasses that grow tall in summer and seed as the days grow shorter again.  Autumn turns summer's canopy of green to a tea-scented carpet of browns and yellows.  On winter days I scan the framework of empty branches for the low-flying streak of luminous blue. Mostly it is only there in my memory, but one day I will see it again.  It is quite true, I never run by the same stream twice.  I never know what I'm going to see.  

And that's just the entertainment laid on.  Then there's the running itself.  Long slow run?  How far?  What direction?  Run/walk? If so, what run/walk ratio? Intervals? How long?  How long a recovery? How many repetitions? Concentrate on core. Concentrate on not tensing muscles that don't need tensing.  Concentrate on glute media.  Let psoas stretch.  A bad run is the motivation for a more carefully planned and executed outing the next time.  A good run is gold.

A good run is so much more than gold. I will shortly be shedding the clothes of respectability and heading west from work to run to the hill that overlooks half of Cambridgeshire, to watch the sun sink beyond the land. I can see it now, already in my mind's eye, as I have run that way many times before.  From the top of the hill, with the American Cemetery quiet behind me, the roar of the motorway, the day's frustrations and aggravations alike muffled in the evening mist and faded in the dimming light.  A separate peace, accessible only through the effort of the climb, visible only through salt-crusted eyelashes in the fading light, durable enough to guard the spirit through the day to come.

Running is the motive as well as the means, the goal as well as the discipline to achieve it.  It is a belief, a healing force that has given me back the ability to walk, to work, to live as fully as any other.  Exercise - the word shouldn't even share the page with running.  

Have fun out there.