This is a story about sick leave...

On my very first week at my very first full-time proper job after college - working for British Aerospace - my friends talked me into pulling a sickie so that we could go to Alton Towers for the day. This was 1997 and I didn't yet have a mobile phone. I had to call my boss from a payphone in the car park of Alton Towers. You could hear people screaming with terror, as a rollercoaster thundered by, not far away from where I was making this tense phonecall.

I didn't make a habit of throwing a sickie. I moved to the town where I worked, so I could wake up late and walk to work. My boss was quite relaxed about me turning up late, as long as the work was getting done.

No sooner had I moved to Dorchester, then BAe decided to send me off to the Defence Evaluation and Research Agency (DERA) on Portsdown Hill, near Portsmouth. A friend and colleague, who became my boss for this project, would come into my maisonette every morning and coax me out of bed. The early morning starts were agonising, especially if I had spent the weekend clubbing in London and was recovering from drug-fuelled all-night dancing. My body clock was sent haywire, but because I was only 18, I suppose I could just about cope.

I didn't have another sick day with BAe or DERA, or with the next company I moved to Winchester to work for. When I worked for Research Machines near Oxford, I even managed to get to work during the petrol crisis. I was allowed a day off when snow pretty much paralysed the country, and I went sledging in Haslemere, Surrey.

As an IT contractor by now, I realised I could use the time off between contracts to do cool stuff. I went on a week-long RYA Day Skipper course, to learn how to sail cruising yachts. I spent time with family in Devon, and did my interviews over the phone.

The dot com crash and 9/11 were rather unsettling events, so I decided to take a permanent job with HSBC, who are one of the more conservative banks. The interview process was exhaustive, testing my literacy, numeracy, reasoning and a bunch of other aptitude tests, and a grilling from various managers. "Why do you want a permanent job when you're earning good money contracting?" they asked. "Why do you want to work in banking, now that the bonuses aren't so good?" they puzzled.

HSBC Asset Management had a very familial feel to it. They had a policy of hiring a lot of former London Irish rugby players, and Surrey and Middlesex cricketers. If you were accepted, they would look after you. There was camaraderie. There was true team spirit. There was also copious amounts of drinking.

Somehow I got through some 4+ years at HSBC without pulling a fake sickie. One weekend, I ate far too many magic mushrooms, and then a team in Hong Kong phoned me up to ask why millions of pounds worth of equities settlement messages were stuck in a queue and were not being processed. The backs of my hands looked like playing cards, the walls were throbbing and swaying and everything was bathed in bright green light. I made my excuses and quickly phoned a trusted colleague, begging him to handle the support call for me, because I had accidentally gotten a bit too pissed. He laughed and I got away with it.

I had a persistent tickly cough that was annoying me. I had read somewhere that dextromethorphan - the cough suppressant - could make you have a psychedelic trip if you took enough, so I rang my boss, and said that my cough was so bad I couldn't come to work. I then downed 3 bottles of cough syrup, containing DXM. I got precisely zero thrills out of that particular mad caper.

Moving to JPMorgan, I had the perfect job. I used to work mornings and evenings, and go kitesurfing during the day. I say 'work' but what I really mean is that I used to turn the volume up really loud on my laptop, so if somebody sent me a message or an email, it would wake me up and I could see whether I needed to deal with it. JPMorgan were really cool with people working from home, especially if you were supporting their live systems, which was mainly my job at first.

I loved that job at JPMorgan, and never pulled any sickies. In fact, I would often work weekends and late nights. I was pissed a lot of the time, and there were plenty of Friday afternoons in the pub where we never went back to the office except to get our coats and laptops on our way home, but that was the culture. Work hard, play hard.

Switching to New Look - the high-street fast fashion clothing retailer - I had a long commute to Weymouth every day and they didn't really know what they wanted me to do. I spent a day working in a store, which was interesting. I spent a couple of days at their distribution centre, watching the boxes of clothes arrive from the sweatshops, and the stock being sent out to the stores. I spent some time trying to understand what the hell they wanted to do as a business, and what the hell I was supposed to do about enabling it. Eventually, I broke down and decided I couldn't face the commute. I couldn't face the job. I couldn't face anything.

Three days off... no problem... just fill in a self-certification of sickness absence form when you get back to the office.

Four or more days off... got to go to the doctor and get signed off: get a sick note.

It started with two weeks off. Then a couple more. Then I couldn't even face going to see the doctor any more.

I found out what happens if you just stop turning up for work, sending in your sick notes, answering your phone... anything. I just disappeared. The company gets scared that they're going to get taken to some tribunal and found guilty of making somebody so stressed and unwell that they can no longer work. The company is scared it's going to cost loads of money and be hard to get rid of you, so they offer you a cash payment to fuck off quietly, promising you a good reference if you just resign.

With my JPMorgan bonus, my payoff from New Look and my iPhone App income, I was having a pretty bloody good year financially, despite being laid low with depression for a couple of months. I would have continued to take time off, but my phone rang and it was an agent with a contract in Poole: about a 20 minute drive from my house. I interviewed and got the job. I was the highest paid contractor in the company, which was a joke because the company mainly did Microsoft work, and I'd specialised in completely different technology. I actually bumped into another contractor I knew - Bob - and I felt bad that I was earning more than he was, because he taught me so much and he was so much older and more experienced. Oh well, the arrogance of youth, eh?

Anyway, my boss was this cool French guy who liked the fact I could speak colloquial French quite well, so he used to send me over to their main office in Besançon very often. It was great in the winter, because I could go snowboarding in a little place just outside Geneva, before flying home. Me and a friend bought a boat and used to go wakeboarding during our lunch hour. I took my boss out on my boat. I took one of my colleagues out sea fishing. Life was pretty sweet. However, I got bored and started claiming I had illnesses like swine flu, so I could take some time off work. I took so much time off sick, that my boss asked if I really wanted the contract anymore. I admitted that I didn't, so we parted company amicably. I partly needed to get away from an annoying guy with a ginger beard who I had to work with, who irritated the shit out of me.

I then became a full-time electrician. At first, I let the customers choose when I would do the work, and filled my diary up with lots of random jobs. Then, I learned that I could block time out, to give myself a break whenever I wanted. I could tell customers that I was booked up in the mornings, so I didn't have to get up early. It should have been a dream job, which allowed me to go kitesurfing whenever I wanted, but by this stage my relationship was on the rocks and I was depressed and stressed as hell. I didn't do much of anything. I sold my share of the boat. I started to get out of my depth with the work that I was taking on.

After becoming too sick to work, I had a couple of months doing nothing, and then a tiny bit of holiday cover work for a friend turned into some iPhone development work, which then exploded into my idea for a startup: Roam Solutions. I decided to create a software house specialising in mobile apps for enterprise. I threw together a hunk of junk proof of concept and we exhibited at the Learning Technologies conference, at Olympia. Somehow, in the space of a couple of months, there was a working app on iPhone and Blackberry, a fancy website and some glossy brochures. A whole exhibition stand had to be designed and built, allowing people to play with the phones but not steal them. There was so much branding to do. So much design.

I wasn't actually that passionate about what Roam Solutions did, which turned out to be mostly digital agency work. Rebranding as mePublish, then Hubflow; rewriting all the software and creating an Android version - those were momentary distractions. Sales meetings were stressful. Supporting your software 24x7 with just you and a mate is stressful. Getting any money out of our customers was like getting blood out of a fucking stone.

We managed to get about £16k out of a couple of customers and raised another £10k by selling a few percent of the company's shares. In return, me and my mate got to go on a 13-week 'accelerator' program. The program was fantastic fun, but exhausting. By the end, I didn't turn up for a couple of days because I was 'sick'. The truth was, I was burnt out.

I should have swapped roles with my business partner. He made a great CEO in the end, when I stepped down. Anyway, I just disappeared for months, and my friend helped to tidy up the mess and calm the shareholders down. I was almost out of cash. I needed a job.

I went to work for a company that helped people who'd got into debt problems. Not one of those debt consolidation places - we actually wrote to the creditors and negotiated debt-write offs, freezing the interest and lower repayments. We helped people avoid bankruptcy or IVAs. It was a cool company, but they wanted me to be IT director without actually vesting me in or letting me sit on the board. I wrote them a brilliant IT roadmap. They ignored it. I had an argument with the CEO. I went off on a sickie. The private equity firm that owned the company liked me and sacked the CEO. But then I got paid off because I couldn't face going back. The following year, I was at a conference, and there was the bloody CEO of the parent company, who'd followed my fucking IT roadmap to the letter, telling the delegates how well it worked. I felt proud, vindicated, but also I know deep down that it would have taken a lot of hard work to implement, and I was no part of that, so I can't really claim credit.

After the London Olympics, I went back to JPMorgan. I was not a well man. I was limping along.

I managed to fix one of JPMorgan's major issues that was threatening to cause a major catastrophe - front page of the Financial Times stuff - and then I disappeared, never to be seen again. I got a phonecall from my boss, saying I'd received an extra bonus in recognition of the important work that I'd done. I felt like a fraud, thanking him for that, but knowing that I was so sick that I wouldn't be able to go back to work.

My GP signed me off for 5 weeks, and my first thought was literally this: "I can get fucked up on drugs for 4 weeks and have 1 week to recover enough to go back to work."

There was The Priory. There was the separation from my wife. There was the realisation that the rumours of my mental health and drug problems were well known to everybody I knew in Bournemouth and Poole. It's a small place. I used to ride a tiny folding bicycle invented by Sir Clive Sinclair, for the 10 minute trip to work, but yet this had not escaped the notice of all kinds of people whose path I crossed. I was becoming known as a rather odd and eccentric character - a nutty professor; a madman; a drunk; a junkie. It was time to go somewhere so big that those kind of labels couldn't follow me around: London.

I put my back out picking up my niece to put her on the swings at the playground, so I had a week working flat on my back at home, while I was working for Barclays. I started to slowly relapse into taking legal highs, and ended up taking another week off, where I rewrote the entire software system we were working on in a nonstop hackathon without sleep. It rather made a mockery of the whole project, as well as terrifying the hell out of the architects.

At HSBC, I had a full on meltdown after my first week, realising that it was impossible to work a demanding contract while living in a hostel. Somehow, I managed to get away with a week off work, thanks to my sister ringing my boss and making excuses for me. I did also have half a day off because I was so dreadfully hung over once. I wasn't going to bother at all, but my boss persistently phoned me. I reeked of booze, as I turned up at my desk at 2:30pm.

At a well-known leading consultancy, working for the world's biggest security firm, I didn't take any time off at all. I was a little late on a couple of occasions, and had to ask one of my team to run my morning meeting on my behalf, but I was mostly a reliable little worker bee. It helped that I had a whole week-long holiday: my first relaxing week-long break for over 3 years.

I was all set to start a new contract with a well known high-street bank, who I once worked for when I was 20 years old and Canary Wharf was mostly just a building site. However, I knackered my leg, which caused my foot to swell up and my kidneys to fail. I had to pull a sickie on the very first day. Thankfully, they've waited two weeks for me to get better; most of which I've spent on a high-dependency hospital ward, having dialysis. My leg is still fucked.

And so, I go back to work tomorrow, limping along with my robocop ankle brace and doped up on tramadol. I've got one reliable reference from the last couple of years. HSBC hate my guts. Most people at Barclays were shocked and appalled that my contract was terminated early, and my boss lost his job over his decision to fire me, but do you think I can get a good reference? Who knows.

I should have paid my rent 10 days ago. I just told the taxman that he's not getting any VAT off me for a whole quarter, and he fucking hates that. I have no idea what my bank balance is, but I'm sure that what little money I have is being frittered away at a frighteningly quick rate.

However.

I could possibly delay a few weeks and get another contract. I could have stayed in hospital, letting them do their blood tests and fretting over my kidneys - which have proven resilient so many times before - and waiting patiently for them to finally take a look at my original complaint: my fucked foot/ankle/leg. It feels like I've torn a bunch of ligaments and muscle. It feels like my old injury has suffered major complications.

But, two weeks work gives me the best part of 3 months rent. If I can limp through the contract, I go from zero to hero. I've been so depressed about having to watch the pennies and not being able to treat my girlfriend to romantic dinners and whisk us off to exotic locations, or at least make plans to have fun. My plans have all been focussed on stopping the ship from sinking.

You might think I'm mad to take such a risk with my health, but mental health is part of it. Stress is part of it. Money and the need to not run out of it, is something that has to be considered. I don't trust myself: that I'm able to knuckle down and get on with the job. I did a good job of keeping my mouth shut in my last contract and it sorted me out financially a bit. This is my chance to continue that streak of improvement, if I can hold my shit together despite my health being a bit iffy. This is my chance to get in front. This is my chance to reduce all that stress and those worries and that anxiety and that depression about having to be super careful with money.

Anyway, let's see what happens tomorrow, eh? Let's see how sympathetic people are, about the fact that I've just been discharged from a high-dependency hospital ward, where I narrowly avoided chronic kidney failure, which would have meant having to have a kidney transplant and all the rest of that kind of shit. My leg is fucked, but I've found some contraption that allows me to get around without crutches. Still though, it looks like I broke my ankle or something. Surely, I've got to get cut a bit of slack, given what I've been through.

But, it doesn't work like that with IT contracting. Nobody owes me anything. The contract is between my company and another company. It's not an employment contract. It's a contract that says my company will provide consultancy services to their company - I could send anybody I think is qualified. I could hire somebody on minimum wage, train them, and send them to go do the job in my place, and I'd earn just as much money. However, the client doesn't really want somebody like me. They want me and they want me tomorrow at the latest, otherwise they'll just find somebody else. London's not short of talent. It was an extremely kind personal favour, that they waited this long for me to get better.

It's going to be horrible, starting work in pain and so exhausted from the nights in hospital where you're repeatedly disturbed by patients yelling out in pain, nurses coming to measure your blood pressure and take your temperature, and phlebotomists coming to take blood samples. They wake you up at 7am for the crappy breakfast of dry bread and marmalade. It's going to be a struggle to stay awake at my desk, especially with all the pain medication I'm taking.

So, it might all go to shit anyway, but at least I tried. I could have taken my sweet time over everything, and let the hospital string me along, but eventually, I can't cope with the frustration anymore: the lack of control, when your destiny is in the hands of somebody who doesn't even know what they're looking at. Somebody who's hiring because there's a knowledge gap in their organisation: they're hiring somebody who knows what they don't know, so how can they know that the person they're hiring knows what they know? So many stupid interviews, where the interviewer just wants to talk about the lame crap that they have just about managed to memorise. So tedious. In the end, intolerable.

I'm falling asleep and it's 5 o'clock and I didn't wake up until after 10:30am. Tomorrow's going to be fucking awful. But, think of the money. Just think of the money.

Tags: #career

This is a story about artistic integrity...

He who pays the piper calls the tune. Does the piper ever get to play, for their own amusement and freedom of expression?

If you look at my life strategy, it's pretty insane. I've picked a career that uses skills that I mastered as a child, and I now find the job mind-numbingly boring, easy and soul-destroying. I've picked an industry which is essentially just keeping a running total of who owes who what: simple addition and subtraction. I've chosen maximum income, for minimum effort. My life is constrained - certain rules have to be adhered to - but I have set things up so that I can jump through the pointless hoops as effortlessly as possible.

My theory is, that if I were to mix work and pleasure, then it would break my heart whenever I had to compromise. Let's imagine my passion in life is painting. I'd like to paint 1970's sci-fi inspired futuristic cityscapes, clinging to the rocky surface of distant planets. Those paintings are very intricate; detailed. The attraction of that art, for me, is the sense of scale that's given when you paint thousands of tiny windows on the buildings, and lots of tiny people in space suits, wandering around in their futuristic world. However, there's probably only a niché market for such paintings, and they'd take hundreds of hours to paint. Commercially, I'd be far better off splattering a canvas with bright primary colours and calling it abstract modern art - it would take far less effort and would have a much broader appeal. In order to pay my rent, I'd be economically incentivised to produce crap that I hated, because it would be much more profitable.

My strategy is to earn a lot and not work very hard, so I have lots of money and spare time to pursue whatever passions I have, without compromise.

Of course, there is always compromise.

Luckily, there is a Nick Grant who is a rapper, a Nick Grant who is a photographer, a Nick Grant who is an expert in sewerage processing, a Nick Grant who is a lecturer in American Studies at the University of East Anglia, a Nick Grant who's a toastmaster, a Nick Grant who's an expert in credit risk management, a Nick Grant who's a researcher in the Elementary Particle Physics department at the University of Warwick, a Nick Grant who's the CEO of Severn Trent, a Nick Grant who's a Labour Party candidate, barrister and head of legal services for Sainsbury's, a Nick Grant who's the concertmaster of the San Diego Symphony Orchestra, a Nick Grant who's the strategy director for Cancer Research UK, and there's even a series of fictional Nick Grant Adventure books by Jamie Dodson.

This means that I can pretty much write whatever I want on the public Internet, under my real name, without the fear that most salary earning wage slaves would have, that our employers will discover our deepest darkest secrets, prejudicing our career progression and perhaps even jeopardising our employment.

However, ex-colleagues from places like JPMorgan and HSBC occasionally visit this site, and pick up juicy tidbits about the implosion of my life and see the thrashing of my legs, beneath the surface of the water, when I'm swanning about trying to look as serene as possible in my professional capacity. I have old bosses as friends on Facebook and following me on Twitter.

I took an insane gamble. Instead of locking down my social media to only friends who can be trusted to not gossip with anybody connected with my former employers; instead of editing and censoring myself; instead of setting up a pseudonym - a pen name - I write under my real name, with real details that leave me no plausible deniability, to say "it isn't me" and "it must be another Nick Grant".

I guess there aren't that many people who leave the privileged and highly paid world of financial services and IT, in pursuit of the risky dream of doing something more rewarding in an intangible way. Earning bucketloads of cash is all the reward you'd want, right? Why would you want to earn less money being an electrician? Why would you want to have all that stress and risk your life savings, trying to start your own company? Why would somebody who's been a steady dependable 9 to 5 worker, with decades of dedicated service under their belt, suddenly lose their mind and end up in psychiatric hospitals, drug rehab and homeless?

So many of us dream of making a big change in our lives, but when we face up to the reality of the risks, sacrifices and effort involved, we decide that maybe the timing's just not quite right... maybe we'll do it next year, or the year after. We end up boring our friends and family with our grand plans that will never be implemented: forever on the drawing board.

When somebody is mad enough to unshackle themselves from the golden handcuffs and give something a proper go, it's big news. There are hundreds, if not thousands of bored office-working drones, who are fascinated to know the details of the trials and tribulations of anybody who had the guts to follow through on a plan to retrain in a completely different field, or start a business. When you quit your soul-destroying job, you're the underdog; David taking on Goliath - your former colleagues want to live your exciting life, vicariously. Former colleagues are rooting for you to succeed. Former colleagues want to know if you fail spectacularly, to re-affirm that they made the right decision, staying in their nice safe boring jobs.

Bootstrapping means taking on projects where you're not beholden to somebody for the funding. The whole point of me doing a job I hate, is that it's provided the dosh to do whatever I want without having to kiss ass, kowtow and do things in a way that they approve of. The whole point of founding my businesses with my own money, was so that I could run things exactly how I wanted, without investors and lenders breathing down my neck and making stupid suggestions about my business plan.

When it comes to a personal memoir type project, where I'm pouring my guts out, I'm somewhat burning the bridge back to the straight-laced world of boring jobs for boring people with boring lives. I have a CV that says I've worked for various companies and I have various qualifications. People who get salaried jobs by sending off their CV and going for interviews, are not allowed to have exciting lives where they do things that don't neatly fit into boxes. The world that provides my income has a strict rule: fit in or fuck off.

So, I made a decision. I decided FUCK IT. I decided that I would just write whatever I wanted, whenever I wanted. I would be myself, I wouldn't censor, I wouldn't edit and waste time considering what the drones of the corporate world of wage slavery would think about my unorthodox life.

And so, with practice, my passion and - dare I say - my skill, is to document my innermost thoughts and feelings, publicly. It might not be art and it might not be commercial, but it sure as hell isn't compromised. I have moments of fear, where I think that I need to hide my blog, put a sticking plaster over the semicolon tattoo behind my ear, find out just precisely what my former colleagues are prepared to say about me: put them on the spot and say "look, do you judge me on the good work that you saw, or on the secret life that I chose to reveal to you?"

It drove me paranoid and crazy, trying to maintain a squeaky clean perfect professional image, whilst also dealing with all sorts of awful things in my private life. It exhausted me to the point where I lost my mind, covering up the fact that life outside the office was chaotic and unstable, and I didn't want anybody to know that I was just about surviving in grotty student flats, hostels, hotels and friends' sofas. I didn't want anybody to know that my engine had run out of petrol and was running on fumes. I didn't want anybody to know that I had no margin for error, no safety buffer: my finances were on the brink of total disaster.

Why should anybody know these things? If I get stuff fixed up and pick up where I left off, then who would be any the wiser? What people don't know can't hurt them, can it?

However, it hurt me. It hurt me every time a friend thought it was hilarious to tell my ex JPMorgan colleagues things that considerably damaged my reputation. It hurt me every time the grape vine managed to spread gossip about my attempts to find job satisfaction. "I heard you're an electrician now!" a colleague from HSBC who I hadn't spoken to for 6 years, said to me when we connected on LinkedIn. How the fuck do people find this stuff out?

"Oh you were in The Priory... like some kind of rock star. So cool!"

Not cool. That kind of stuff colours people's opinion of you. They make assumptions and whisper behind your back. "Shall we invite Nick to the pub at lunchtime?" somebody says. "No, better not... he's a recovering alcoholic, isn't he?" [I'm not, by the way]

What I write is repetitive. I have no idea what chapter of my life you're going to walk in on. I have no idea what I'm going to be writing about when you dip into my private world. So, I cover the same theme over and over again: I am me.

I'm no longer the straight-laced perfect employee with the immaculate CV. What are those gaps in my employment history? Well, in the context of me being your wage slave, that's none of your fucking business. You don't pay me enough to bribe me to act a certain way and to gag me. You don't pay me enough for me to compromise my integrity, my identity.

I've suffered enough boredom and I've been patient for long enough to have earned the right to be myself; the right to be creative; the right to express myself without hesitation; the right to not have to wear a mask; the right to not live in fear of negative judgement.

What happens if and when the worlds collide? Well, I've set the challenge: it's up to other people to decide whether to judge me on what they see in the office versus what they discover through my candour, in a totally unrelated context.

I'd love to make it into print. I have a penchant for debate, and strong views about government and society. At some point, my ambitions to be an author and to get involved in politics are going to be realised. Every word I write on the public Internet makes me more discoverable to somebody, somewhere, on some topic or other. If I simply wanted a book deal or to raise my profile, I could compromise and conform; I could channel my energy into being commercial and popular.

What does it mean to be authentic? You think it's some fucking option that we all have? You think it's a fucking lifestyle choice?

To be authentic is a risk and it's a privilege. You could lose friends and fall out with your family. You could lose your job. How are you going to find your true voice? The voice that speaks with childlike honesty; fearlessness; tapping into your live stream of thoughts, rather than the lines you've memorised; the act you've learned to play. It takes practice, to be able to express what you feel, rather than say what you think people want to hear. Many of us are disciplined to engage our brains before our mouths: to hesitate, withhold and communicate in a manner that conforms to social norms. We are coached and bullied into hiding our unique outlook and personality.

If I make myself unemployable, I'll be forced to try and monetise the things that I have a natural aptitude for. At the moment, writing is effortless, but I could push myself to write with more purpose, spend time editing and reconnect with some literary agents I started conversations with last year.

If I find myself barred from the land of boring jobs and immaculate CVs, then my energy - my creative output - will have to be expressed in ways that come naturally to me, not just easily. In a way, I'll be unbounded; unleashed; unchained. Of course, it invites hypomania to come and destabilise everything, but at least my crazy projects usually result in cold hard cash in my pocket and something else to add to my portfolio.

I'm scared. I can't play the game any more. I have a contract - ink dried on paper - and I can do the job with my eyes closed. I've been in hospital enough times with kidney problems to know when I'm in trouble, and to know when I can look after myself. I can't humour everybody with this "my health comes first" bullshit anymore. I'm the guy who's pissed copious amounts of blood on more than one occasion, and done the calculations: how long have I got before total organ failure will kill me? I'm the guy who knows when I'm in deep shit, and when I can take a calculated risk.

What scares me more than anything is going through all the same old shit I've been doing since I was a teenager. What scares me more than anything is playing the same fucking games, wearing the stupid fucking mask, and acting and speaking the lines I've learnt and spoken a zillion times before.

I've got a fairly simple plan: conform and comply just enough to get what I want out of some rich fucking banks who I don't give two shits about. The last thing I want to be doing in the world is help some dinosaur of a bank run a simple software project at snail's pace, but they're going to pay me a king's ransom to do it, and it gives me a tiny taste of freedom... I put up, shut up, suffer the boredom, and the reward for my patience is that I keep a bit of integrity; a bit of dignity; a bit of identity.

Maybe I should do this job or that job, people suggest. Wouldn't I be great as a carpet salesman, or a tyre fitter? Isn't my natural calling in life to be a supply chain analyst or a fork lift truck driver?

Maybe it's the mission of the company that I need to get right. Selling people financial products they don't need or want, and profiting on the margin between the borrowing rate and the lending rate, using fractional reserve banking, is hardly going to give you a warm fuzzy feeling, is it? Perhaps I should work for a charity that's managed to help a handful of individuals and a large number of donors to feel better about how disgustingly wealthy they are and ignore the fact that the gap between the rich and poor is growing. Perhaps I should simply find my place in the whole fucked up mess, where I can delude myself into thinking I'm making a positive difference.

But, I've seen too much. I know too much. I know that things are rotten to the core and it sickens me to emotionally involve myself, when everybody wants you to just STFU, keep your head down, do what you're told, not rock the boat and don't for god's sake solve any problems at the root cause.

Writing's the only time I can let rip and not get bogged down by the wilful ignorance and DGAF attitude of those around me. I'm not saying I'm superior and I've got all the answers, but I'm saying that when I get a hunch and I set out to prove my point, I've got plenty of examples of things I've done that have worked, when I'm free from constraints and naysayers.

I love this quote:

"People who say it can't be done should not interrupt those who are doing it"

Somebody's gotta be positive. Somebody's gotta do the math, calculate the risks and take a chance. Somebody has to be brave and stick to their guns. Somebody has to persevere through the setbacks. Somebody has to keep going when the way ahead looks blocked, to figure out how to overcome the obstacles.

I also love this quote:

"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes up short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat" -- Theodore Roosevelt

I feel gagged. I feel cheated out of the opportunity to demonstrate the best of my abilities; to tap into my creativity and problem solving skills. I feel jealous of those people with inherited wealth, trust funds and other advantages that allow them to dispense with the wearisome world of bullshit jobs, and instead they can flounce around reading interesting things, writing, debating & discussing, composing, painting, drawing, sculpting and generally expressing themselves.

To have those prizes just out of reach, because of the demands of societal conformity, is agonising to the point where it makes me want to give up. I've worked hard enough for long enough that I should be in a different position. I'm left miming the same actions that I've done a thousand times before, in order to keep the money flowing, the rent paid and the food on the table, which is like some kind of psychological torture.

I know it sounds ridiculous, but I knew I would get a contract fairly quickly, and I know that I will be able to run the project really well, very easily. I've seen it all before; done it all before. I can see all the way to the end: no surprises. Because it's all just a means to an end, it makes it that much harder. I've got nothing to prove, and the fact that I'm employed to solve the same old problems in the same old way, time & time again, simply proves that they might as well just give me the money and not bother with the project, if they're not going to listen to the experts who know how to build better systems than these follies; these white elephants.

I've got this easy money contract all lined up. I know what the hell is going on with my kidneys. I've been in hospital enough times with rhabdomyolysis to know when the numbers say I'm fucked, and when the numbers say I've dodged another bullet and I'm fine & dandy. I know when I'm in big trouble and in desperate need of assistance, and I know when my tough little body is patched up and working again.

It's been agonising, to string this client; this consultancy; this agent along, while I've been in limbo: who could have predicted that it'd take nearly 15 hours of dialysis before my kidneys rebooted? Was I ever worried about my life, my health? You're asking the wrong question. You'd have thought that if you pissed absolute jet black liquid and you couldn't feel your foot or your calf, you'd be straight over to A&E, but it doesn't work like that if you're already at the limit of what you can take.

I phoned my client and said I wasn't going to make the 30 minute induction and I was too sick to start work that week. Chances are, that was the end of that: they'd just cancel the contract.

Things in my life are either there to be endured, they're an adventure, something good that's happening, or I've had enough and I'm going to self destruct.

Being in hospital again has been part adventure - I've never had dialysis before - partly something good, in terms of her seeing first hand the shit that I've been through a bunch of times. But there's the actual boring work that has to be endured if I still have a contract by the time I get discharged. There's the self destruct threat, because I've solved all these problems before. Everything's been overcome, so far as I can see. My client will wait until Monday for me to start work, my blood tests are stable and my kidneys are definitely working.

I had no control over whether the client would wait for me to get well. I had no control over when my kidneys would reboot. To discharge myself would have been suicide, so it didn't matter whether I lost the contract or not.

Nobody can see that the recent acute kidney failure is not the root cause of the problem here. Why did I let the problem get so bad? Why am I not afraid of a catastrophic chain of life-changing or life-ending events? My kidneys are working AND the client says I can start work on Monday, but why would I trust my knowledge, experience and the blood test data, and discharge myself, when I could just get another job in a few weeks or months? Why don't I avoid all risk, act like a sensible normal person, and just do everything I'm told?

There's a delicate chain here: I was lucky that my client has waited this long for me to get well, I was lucky that my kidneys recovered quickly, I'm lucky that I have a job that's easy money, I'm lucky that I don't have to suffer more agents and interviews, I'm lucky that I've got a financial lifeline that fixes my cashflow, I'm lucky that this contract keeps me within touching distance of the day when things are stable again, and I have the opportunity to think about doing something rewarding, challenging, creative and everything else I need as the antidote to 20 years of office boredom.

The ticking time bomb exploded, but it was unseen. I couldn't hang on any longer. I couldn't take any more delays and setbacks. My patience for being depressed, stressed and running out of runway, without success at securing a job (that I didn't really want anyway) had expired. I'd been strung along too long. Christmas and New Year slowed everything down and stopped progress, so the agony was drawn out longer than I could take.

Somebody's going to end up not getting what they want.

The doctors want to discharge me with blood tests that show my kidneys are clearing the remaining backlog of toxic crap out of my blood on their own. They want me to have an operation to have a dialysis line put in my jugular vein. They want to do more observation, without dialysis, to know how my kidneys are doing without any assistance.

Her and our friends want me to follow the doctor's advice, and treat my health as if my life hangs by a thread. They care about me. They don't care about my client. They know that there will be other jobs.

I want good quality sleep in my own bed for a couple of nights. I want to try on my ankle splint and get used to getting around on crutches. I want to make a plan for how I'm going to get to work during the tube strike. I want to figure out my medications so I'm not fuzzy-headed and sleepy during the day. I need to not have to start all over again. I need to balance the small risk that my kidneys might take a long time to clear the backlog of creatinine, against the big risk that I can't be out of work any longer, and I can't face starting the job hunt all over again, without depression and stress destroying me.

Yeah, I'm going to feel shit. I was always going to feel shit. I'm going to wish I was more well rested. I'm going to wish things worked out differently. I'm going to wish I could just press the fast forward button and be 6 months further through the year, and everything's gone exactly how I know it's going to go, but I don't have to suffer the boredom, the monotony and the ridiculous deja-vu of solving the same problems in the same way, over and over again.

What's the alternative? I can't cut & run. I can't switch career. I can't chase some stupid pipe dream.

Some people think I'm a know-it-all. Some people think I'm reckless and stupid. Some people think the answer to all my problems is to do the things I've tried before: regular salaried jobs, doctor's advice, safe & sensible behaviour, conformity to the norm.

All I can tell you is, I can make dumb decisions and get myself into deadly situations, but I'm also a bit of an expert in recovering from some very harrowing shit.

It's a bit unfair to ask people who care about me - both loved ones and professionals - to allow me to take what they see as an unnecessary risk, but the flip side is a complex web of psychological risks and consequences that are almost too hard to explain.

If I seem impatient, foolish, arrogant, entitled or somehow like I deserve different treatment and life opportunities to everybody else, all I can say is this: at some point you can't keep trying anymore, you give up and you slip away. At some point, it doesn't seem worth the struggle and the stress, just to line somebody else's pockets and allow them the freedom to pursue their artistic creative ambitions and generally waft around having a lovely time.

If I get what I want, start my job tired and in pain, work for at least 6 months, bored out of my mind and upset that I wasn't well rested and properly prepared; but at least the cashflow hole is plugged, my stress starts to go down, I start to relax about the purse strings, I can show my love and appreciation for the people who I care about and who care about me, I can start to improve my work:life balance and I can start to dream about longer-term ambitions, without torturing myself because things are so far out of reach.

If you think I expect this to happen overnight, you're wrong. I'm forecasting 6 months to stabilise, 6 more months to build up a healthy safety cushion, and another year before I can even dare to dream and start to think about a less soul-destroying life.

As I wrote before, I've got some amazing pieces of the puzzle in place - more love and support than I've ever had in my adult life - but I still can't afford to have other important things slip away for the sake of an acceptably small risk and some short-term pain, discomfort, exhaustion and a bit of extra stress. There is no perfect solution.

There is one thing that nobody can take away from me right at the moment: I'm a penniless writer.

Tags: #writing #art #hospital #career

This is a story about filtration...

Muscle damage causes the release of myoglobin. The kidneys try to filter out the myoglobin, but it causes damage to the renal tubular epithelium, causing acute kidney failure. Creatine kinase (CK) is an enzyme and a marker that allows muscle damage to be detected by a blood test. Creatinine is a waste product produced in your muscles, normally eliminated by your kidneys. High levels of Creatinine in your blood indicate kidney failure.

So, we know that a muscle of mine must have been damaged, because my CK reading went higher than the test was able to measure. We also know that my kidneys had failed, because my Creatinine levels were also off the charts.

Dialysis has cleared the backlog of all the toxic crap that was damaging my kidneys and had caused them to fail. My kidneys are now a bit better and I'm now making pee.

The question is, are my kidneys working efficiently enough to remove all the creatinine that my muscles are creating? Also, is the original muscle injury still chucking out a load of toxic myoglobin, which is injuring my kidneys?

So, I measure how much I drink, and I measure how much I pee, and hopefully there isn't much difference - at least my kidneys should be able to get rid of the fluids and stop my body from swelling up. Also, my blood gets regularly tested. The creatinine, which is currently at about 1,000ppm, needs to drop to around 100ppm. My CK should reduce slowly over time, and certainly not increase. Provided all those things are happening, I can stop dialysis and let my body heal itself.

If my creatinine is not going down, or starts going up, then my kidneys just aren't recovered enough to be able to cope on their own. If my CK starts going up, then I still have some kind of muscle injury that's going to cause my kidneys to fail again, unless I have regular dialysis to filter the toxins out of my blood.

So, every drop of pee counts. The more I drink and the more I pee, the more creatinine and CK gets carried out of my body, making life easier for my kidneys and increasing the likelihood that I can recover without any more medical intervention.

I'm currently trying to build up a data set of blood test results, drink consumption and volume of pee, so that I can demonstrate to the doctors tomorrow that I don't need weeks and weeks more dialysis, and I can go start my new job on Monday.

So, cross your urethras for me that I can do it, and get my pee up to impressive volumes and get that nasty creatinine and CK flushed out of my system naturally, so I can go home tomorrow or Saturday.

I also get to have a rubber tube that's been inserted 24 centimetres - over 9 inches - into my groin region, removed from my body. I'm hoping to avoid having to have a similar tube inserted into the jugular vein in my neck.

Lots at stake. Pray for pee!

Tags: #hospital

This is a story about affordable care...

I've been able to roll the dice a few times - following my dreams and chasing my ambitions - because of progressive liberal socialist policies put in place by the Labour government of 1945: most notably, the creation of the National Health Service.

I chose to leave an extremely well remunerated job with an American investment bank, with amazing private medical insurance and a brilliant team of occupational health doctors. That US-style of healthcare certainly gave me access to the very best treatment, whenever I needed it, but it was part of a "golden handcuffs" deal: a job that was so much better than anything I could get anywhere else, that I had to be insane to quit.

Life is a balancing act. You can have loads of money, but no time to spend it. You can have loads of time, but no money. You can have job security, but you'll be bored and constrained. You can have freedom and be your own boss, but you will carry all the risks and responsibilities. You have to choose what works for you.

While one friend has parked his tech startup dreams and has taken a salaried job, another couple of friends have just sold their tech startup. In the space of 6 years, I made myself sick with stress, trying to run my own tech startup; I went back to my old job at the American investment bank and stayed sick until I started rebuilding my life in London as an IT consultant. In the space of those 6 years, my friends had countless sleepless nights and worked relentlessly to build their startups to the point where they were worthy of investment or acquisition. In the space of those 6 years, my friend who originally introduced me to the tech startup ecosystem, built a bunch of cool tech and very gracefully pivoted into a job that really suits him, working for a company he really admires. In the space of those 6 years, my friends from the technology accelerator program we attended in Cambridge, raised millions of pounds of investment and sold their company to a tech giant.

Friends went to Silicon Valley to follow their tech dreams. One friend had to break up with his girlfriend. Another had to move his young children away from the family support network, and live with the risk that the USA would reject him and his family's request for residency. Imagine if I had moved to America. How would I ever afford the medical bills, when things have gone badly wrong? I would have been bankrupted many many times over!

Nobody's keeping a seat warm for me in a cushy job because I went to a posh school and a prestigious university. I have no trust fund or family money behind me. Running out of money has meant homelessness. Starting a business had to be profitable from day one.

There's just no way that I would have been able to pursue the opportunities that I have, without the National Health Service. In theory the UK and US are lands of opportunity, where anybody can start a business and become rich and successful. In practice, it's almost impossible unless you're already quite wealthy. The consequences of failure are just too much to bear, for most people.

My current business is consultancy. If I'm sick, I don't get paid. If I don't have a client, I don't get paid. However, I've calculated that I only need to work a few months of the year to earn the same as as the 'secure' job I gave up. It's a calculated risk. I might end up not being able to pay my tax bill. I might end up not being able to pay my rent. But, when things go well, they go really well. The odds are in my favour: if I can just get two or three contracts in a row, not get sick, maybe have some projects that run longer than expected, then I'll suddenly be way way way ahead of where I would be if I'd just plodded along with the golden handcuffs on.

I sat awkwardly on my leg and it went numb. My foot became swollen. My leg swelled up all the way above my knee. My kidneys shut down. I was admitted to hospital and put on dialysis. I haven't had any income since September. Surely this is why it's best to have a nice 'secure' job?

I've been stressed and depressed about losing a lucrative consultancy contract. I was literally about to start working again when I got sick. Contractually, I have no rights: the company could just award the contract to somebody else. I was going to have to start the search for a client all over again, meaning yet more loss of earnings.

Here I am in hospital. I've been here for a week.

I was seen by a doctor within an hour of arriving at Accident & Emergency. I've had two private rooms with amazing views over central London. I've been seen by top consultants, surgeons, registrars, nurses, phlebotomists, physiotherapists. I've been wheeled around by porters and served meals by catering staff. My bedding has been changed and I've been given clean gowns and towels. Numerous medications have been dispensed. I've had ultrasound scans and my blood has been scrubbed clean and drained of dangerous toxins by dialysis machines. My blood pressure, blood oxygen, pulse and body temperature has been monitored around the clock. Even the amount I drink and piss is meticulously recorded by the staff on the ward.

Nobody has ever asked me for my medical insurance details, credit card or discussed how I plan to pay for all this world-class treatment. Nobody is going to send me a bill when this is over.

As luck would have it, my client has decided they will wait for me to get better, so I can start my contract. Imagine if I wasn't able to take that contract in the first place, because of the risk of getting sick. Imagine if all the profit from my contract got wiped out by a humongous medical bill. How is anybody supposedly 'free' to become rich and successful, if they can't predict when they're going to get sick and how much it's going to cost?

This story is really a re-telling of three stories. The story of the friend who inspired me to follow my startup dreams and who inspired me to write about the importance of the National Health Service for social mobility; the story of the friend who succeeded, after 6 years of sacrifice, blood, sweat and tears, with countless sleepless nights and untold stress; and the story of me, who couldn't handle the chafing of the golden handcuffs, and got unwell because of the combined stress of running a tech startup with an unsupportive partner and unsupportive family.

I'm now lucky enough to have reconnected with old London friends, repaired friendships that were damaged or neglected when I got unwell, made new friends who are incredibly loyal and caring, and I have found an amazing lady who makes me feel loved to bits and completely accepted for who I am. Her family have welcomed me with open arms and most of the get well cards I've been getting have been from her family, along with offers of help to get me back on my feet.

While the welfare state is deeply flawed and it's an impossible task to get the social support that you need, as a single man whose life is imploding, the National Health Service has been the glue between the pooh, holding my shit together and just about keeping me alive. When you add in an amazing girlfriend, her family, loyal and caring friends and the rest of the social fabric that a person needs, you finally stand a chance of getting your life back.

I read with great dismay that the US Affordable Care Act (a.k.a. Obamacare) is being repealed. What the actual fuck, America?

If you wanted a case study for a society that's as close to perfect as you're going to get in an imperfect world, we should look to London. 300 different languages are spoken in London schools. The tower blocks of Canary Wharf sit in a London borough that's 46% Muslim. There are cycle superhighways, driverless trains, an underground railway that moves 5 million people every day. The Metropolitan Police are humble public servants, who protect the vulnerable and take people to hospital, involve social services and mental health crisis teams, rather than flashing their badges and drawing their weapons. The whole city exudes tolerance, inclusion and diversity: it's in London's DNA.

You might mistakenly believe that London is a city for the rich, but it's not: because of the National Health Service. The NHS employs 1.7 million people, and funded properly - like it is in London - it shows that socialism and multiculturalism can be made to work. The last piece of Britain's nationalised socialist infrastructure, not to be wrecked by the greed of capitalism; the NHS is a fly in the ointment for the Tories who want to sell everything off for private profits and damn the lives of British citizens.

I want the railways re-nationalised. I want the energy companies re-nationalised. Most of what comes out of Westminster is good for London but bad for the rest of the UK. What we're seeing is one rule for Londoners and another for everybody else. London gets state-owned public transport where 100% of the profits are re-invested in infrastructure. London has a remarkable set of public services that create jobs as well as keeping the residents well looked after. Socialism for London and capitalism for the rest of the UK... that sucks.

In my week in hospital, I've realised that London truly offers an enticing vision of a near-utopian society, so unlike the ugly one pictured in the dark minds of the populists. London is a European city, connected by train to Paris and Brussels. London is a mercantile centre, where East literally meets West at the Greenwich meridian line: the perfect time zone to deal with both Japan and San Francisco in the same business day. The peaceful co-existence of so many cultures in one crowded city is a modern miracle. I live here because of the immigrants, not in spite of the immigrants. London simply wouldn't function without its chaotic diversity.

Getting used to living in London is hard. The congestion is hard. The clash of cultures is hard. Seeing people who look and act differently is hard. Processing the humbling fact that the world is huge and complex is hard. Realising that you're in the racial minority is hard. Living a small, neat, efficient, considerate, reserved life, where you quietly observe and ask questions, as you discover your fellow Londoners have had incredible journeys, arriving here and building their lives, is hard. It's hard damn work, letting all this chaos and complexity assault your senses.

I don't want private hospitals, private health insurance, medical bills, policemen carrying guns, offensive foreign policy and an economy that offers no hope of escape from the socio-economic background you're born into, except for a tiny handful of sports stars, lottery winners, rappers and criminals. I don't want private prisons stuffed full of black people being used as slaves. I don't want a world of "us" and "them" with torture, pre-emptive strikes, invasion of sovereign nations, regime change and covert ops to destabilise other nations.

In a week in hospital, I've benefitted from everything that's great about Great Britain in the European Union and London's huge immigrant population. Only a tiny handful of the staff who've saved my life were born in Britain. Only a tiny fraction of the medical supplies and equipment were designed, tested and manufactured in the UK. I'm a stone's throw away from mosques where alleged firebrand hate preachers are supposedly plotting against the British people. Whitechapel Market is crowded with women wearing full-face veils, but I'm just another Londoner to them. If there's an exemplary organisation to demonstrate multicultural society working perfectly, doing life-saving work, it's the National Health Service.

Affordable care not only saved my life, but it's keeping my hopes and dreams alive, so I don't have to take a zero-hours contract McJob flipping burgers, just in case I get sick.

Tags: #NHS #hospital

This is a story about seeing the light...

Nobody preaches louder than the convert. I've been accused of speaking like a sanctimonious prick on several occasions, but let's just have a little think about a book I've never read, shall we? I had the good fortune of avoiding almost all religious indoctrination, despite attending Church of England schools, the occasional event at Easter, Christmas and observing a few other antiquated religious customs.

So, let's start with revenge.

I'm pretty sure that Jesus wasn't a "never forget" and "make those bastards pay for what they did to us" grudge holding kind of guy. In fact, despite my lack of bible study, I'm pretty sure there was something he said about turning the other cheek and forgiveness. Yes, now I think about it, all that "eye for an eye" stuff definitely wasn't attributable to Big J and his disciples. You could say that bloodthirsty acts of revenge and 'pre-emptive' strikes are definitely not Christian at all.

What kind of dude was Jesus anyway? Like I say, I never read the bible, went to Sunday school, went to church or got taught much about his life, but I know this: he didn't think being disgustingly wealthy was a great idea.

I probably can't name all 12 disciples, but if I had to guess I'd say: John, Paul, George, Ringo, Sleepy, Dopey, Dasher, Dancer, Thomas, Henry, Edward and Gordon. For some reason I think that Matthew and Luke should be on that list, but those names don't exactly sound like fishermen and farmers from the Middle East.

What I can tell you about Matthew and Luke, is that they both reckoned that Jesus used to say that we should stop building piles of treasure on Earth. Both those dudes said that Jesus was all about giving up your worldly possessions so you could donate to the poor. The upshot being, Jesus wasn't intent on being a billionaire, building big tower blocks with his name on and decorating everything with blinging gold.

The Bible - although I've never read it - comes in two parts and is translated from Aramaic. Basically, it's a Syrian book... you know, the place where Saint George the patron saint of England came from. The most popular English translation runs to some 750,000+ words. It's not all the disciples' account of Jesus' ramblings and crazy shit that happened to him. There are also some fairly simple commandments in there.

The first three of the famous ten commandments are all about God being a really jealous imaginary dude who demands your undivided attention. If the commandments were in order of importance, numero uno is that you're not allowed to so much as think about another God. In fact, it's not until commandment number 6 that we get onto trivial things like not killing other people. In fact, so many commandments are given over to not saying God is a stinky pooh-pooh head and other weird rules, that rape didn't even make the list. No to murder. No to adultery. No to theft. Rape... well, it's not as big of a deal as worshiping an idol is it?

In fact, most of The Bible is full of absolute garbage. Exodus 23:19 forbids us from eating cheeseburgers. Leviticus tells us we can't get tattoos, cut the hair on the side of our head, trim our beards and most bizarrely of all, you can't mix cotton and wool clothing.

"a garment mingled of linen and woollen [shall not] come upon thee"

So, basically, we know that to study The Bible is to study a laughably backwards culture and a book written by many authors, with many agendas, over several ancient periods of time. You simply can't use it as an instruction manual for modern life.

Now, back to the original question: what would Jesus do?

It's a fairly serious question. If the dude was alive today - walking around in his sandals and his dusty robes - what kind of shit would piss him off and how would he act?

I'm pretty sure he'd be straight into the temples of the money lenders, turning their tables over and kicking their arses for the sin of usury. We can be certain that Jesus was no fan of banks and financial services.

On the pro-life debate, Jesus seemed pretty sympathetic towards mothers and the choices they want to make with their own bodies. Basically, the bible's pretty clear that other people's unborn foetuses and fertilised eggs are none of your goddam business, as explained in this passage from the bible:

"As you do not know how the spirit comes to the bones in the womb of a woman with child, so you do not know the work of God who makes everything" -- Ecclesiastes 11:5

Most telling of all, the bible contains this passage:

"[an aborted foetus] does not enjoy life's good things, and also has no burial, I say that an [abortion] is better than [an unwanted child]... [that] has not seen the sun or known anything" -- Ecclesiastes 6:3-5

Jesus would have one thing to say to those pro-life people who harass poor women who are trying to get into abortion clinics: "he who is without sin among you, let him first cast a stone at her". In other words, who the fuck are you to judge? Who the fuck are you to intimidate a poor frightened woman who's faced with an incredibly difficult decision? Jesus would be pretty mad about supposedly Christian people, acting with so little compassion and forgiveness.

All this Islamophobia and anti-refugee sentiment would certainly piss Jesus right off. He would be angry as fuck about the way that the wealthy West is slamming the door in the face of refugees they created, through bombing and drone strikes. What part of "thou shalt not kill" didn't you understand? What part of "love your neighbour as you love yourself" got mangled into "look after your own"?

How dare Theresa May - an alleged Christian - and Donald Trump, leader of "God's own country" carry on in such an unchristian manner. There isn't an ounce of Christianity in these greedy megalomaniacs, who care nothing for the poor and needy.

I'm an atheist by default, because my scientific studies have answered questions and provided truth that makes all religious faith look like a mental illness, but the sentiment - the morality - of Jesus Christ is perfectly relevant, and a useful guide for us all when thinking about how we should treat one another.

I'm never going to become some born-again Christian, repent my sins and start banging on about The Bible, but when I weep at the cruel, callous, greedy, selfish and inhumane leadership demonstrated by British and US politicians and business leaders, I do sometimes think we need a decent human being as a moral beacon for us all. Aspiring to be like the fanny-grabbing billionaire bigot Donald Trump is going to be a rocket ride straight to a metaphorical hell.

Religion has been perverted by a clergy who've lined their own pockets and committed atrocious acts of paedophilia, as well as other abuses of power. We can reject religion, while also saying that Jesus Christ sounded like a pretty cool dude. The world would be a better place if we all tried to be a bit more like Jesus: a bit more Christian.

I really don't give a fuck what fictitious character we decide we love and want to emulate - perhaps Robin Hood? - but reality TV idols and wealth worship has taken us to a terrible, terrible place.

This is obviously written from my hospital bed, where I'm a bit loopy from kidney failure and painkillers, but I hope my writing is still reasonably cogent. All I can tell you is how I cry and cry and cry when I read the news right now, because the action of our leaders doesn't match their rhetoric about peace, compassion and care for the poor and vulnerable.

Tags: #religion #politics

This is a story about the precariat...

Here I am, in psychiatric hospital with underpants on my head and pencils up my nose. I think you will agree that this makes me perfectly qualified to run the country.

Having a manifesto is something that we associate with nutters who commit mass murder. The end justifies the means, in the minds of people consumed by their political ideologies.

Admitting to having political ambitions is laughable for an ordinary British citizen. The route into politics is through namedropping, brown-nosing and suffering the bullying & infighting of the dominant political parties, as you rise through the ranks. Going into politics is not about campaigning on a manifesto which comprises your deeply held political beliefs. Going into politics is not about a commoner being elected to the House of Commons. There's no room for the riff raff in politics and you're going to need wealthy donors to back you. You'd have to be stark raving mad to think you could get into politics as a representative of the constituents in your local area.

Politics is a career; it's not about improving the lives of your fellow citizens. There's no room for anybody who hasn't made politics their specialism. An interest in government is a fetish for three-line whips.

Political office is granted in recognition of a complete lack of empathy for the proles that a prospective MP has spent their whole life exploiting. Our ministers should be selected from a pool of wealthy elites, who have no concept of life without a trust fund and the advantages of nepotism. The benches of parliament should reflect the people who helped win those seats: the wealthy donors.

Pretending that political parties are given an equal campaigning platform, and that we don't have a two party system, is a hilarious prank that's being played on the electorate. Who could possibly compete with the big two parties, who hoover up so much political donation money? If you're looking to buy yourself a peerage, are you going to waste your hard-earned cash on a party that stands no chance of winning a majority? What a joke!

The top three manifesto promises of the Tories are: plutocracy, plutocracy and plutocracy. Crush the proles. Smash their unions. Keep them insecure and divided. Oh, what a glorious thing, to see the landed gentry literally lording it over the riff raff.

Posh little girls and posh little boys grow up dreaming about the day when they'll get to destroy the welfare state and lower the living standards of ordinary people. "On yer bike!" the jumped up little twits shouted when they were youngsters, and now they're ushering in the Britain they always wanted: where the only fucking job you can get is being a Deliveroo takeaway food bicycle delivery rider.

We don't want anybody getting into politics, who has any idea what life's like for the vast majority of British citizens. We need people who live and breathe the Westminster bubble, to think about real issues, like where they're going skiing this year with their barrister chums.

- ALTERNATIVELY -

I know what it's like to claim benefits, be homeless, suffer mental illness and have to navigate an under-funded National Health Service. I know how digital transformation will affect every aspect of the world around us, and I've worked in education, retail, defence, financial services, security, transport, housing & construction and a host of other sectors too. 

I've studied the dismal science - economics - as well as starting several profitable businesses. I have in-depth knowledge of almost every tax we have: from income tax to capital gains tax; from Value-Added Tax (VAT) to corporation tax; from import duties to stamp duty. I understand trade deficits, fractional reserve banking, financial instruments and the national debt.

With a background in science and technology, I have a big-picture view that broadly encompasses every aspect of modern life. This is not stuff I've read about and only understand theoretically: I'm a practitioner and I have real-world hands-on experience. I have a worldview that starts in the subatomic realm of particle physics and finishes in the intergalactic universe of cosmology, with a geopolitical overview of terrestrial matters somewhere in-between those two extremes.

I'm not a specialist. I have no desire to study the minutiae of anything, like a stamp collector or a train spotter would, but instead I've gathered knowledge of how all the different component parts fit together. It's no co-incidence that I've been able to write game of life type software simulations: computer models.

Anybody involved in politics would benefit from being a generalist not a specialist. When all you've got is a hammer, everything looks like a nail. It's impossible to reconcile the competing views of thousands of specialists, because they all have a very narrow worldview. It's all very well being an expert in your field, but where's the balance?

If I was going to pick a bunch of people to run the country, they would be the fiction writers and the computer game designers. Without an enticing vision of the future, reactionary forces will drag us back into the dark ages. Without a working virtual world, how are you ever going to test your ideas, without your mistakes inflicting untold misery on real people?

As a prerequisite for becoming a minister, you should be able to build a thriving happy metropolis in Sim City and complete a game of Civilization through cultural influence, not war. If you're a failure in those virtual worlds how can you think you're even remotely qualified to wreak havoc on the lives of the electorate? We wouldn't turn you loose on the roads without a driving license.

All minsters and their children should attend state school and be treated by the National Health Service: you've gotta eat your own dog food. There should be a means test, that excludes wealthy families, trust fund babies and any nepotism: only a single generation of any family may enter into politics.

In fact, some of those who govern should be selected randomly, like jury service. Wanting to exercise any kind of power over your peers should be an automatic disqualification. The House of Commons should be balanced out with ordinary people, who have no interest in politics per se: it's the civic duty of every British citizen to muzzle the dangerous megalomaniacs.

Housing, transport, education, healthcare and a host of other essential services, are public services and as such, they should never be profitable. The state should have a monopoly on the things our citizens need. To allow a private firm to profit from our population's needs is a crime. The private sector is welcome to compete in the world of wants, but not needs. Simple economic theory will tell you that prices have upwardly inflationary pressure on things that you have to have: are you going to skip getting cured of that deadly disease, because it's too expensive?

Do you want to live in a world of zero-hours contract McJobs, insane house prices, stress, long hours, insecurity and indentured servitude, for the benefit of big business? That's what you're getting when you allow the country to be run by commercial interests.

We need to smash the plutocracy. We need to have dignity in labour. We need to be united, not divided by those who tell us that we're easily replaced and make us crawl over broken glass for a few mouldy crumbs. Inequality and the arrogance of the elites has reached unsustainable levels. We can't afford the rich any more.

If you think these are just the immature words of a bleeding-heart liberal who never grew up, and I don't understand the complexities of the world, I think you're being a mouthpiece of the elites when you say that it's not as simple as just dividing the wealth. It's easy to be an intellectual snob, because you believe you're destined for greatness. Just because it's not you, going with your cap in your hand to the mill owner to ask for a bowl of gruel, you could easily fall from grace at any moment. Just because you can't imagine what it's like to be poor and struggling, doesn't mean that it couldn't happen to the likes of you. Your fancy education and your expertise won't save you, when the working classes rise in anger and strike down the bourgeois rentier parasite class.

The irony of me writing this, while sipping champagne and looking out over the River Thames and the London skyline, from the balcony of my luxurious home, is not lost on me. The working-class heroes and self-made millionaires can be some of the most awful people. There's absolutely nothing humbling about rising up through the ranks and being successful; quite the opposite in fact.

I write as somebody who's been incredibly fortunate - getting propelled into a life of privilege and wealth - only to lose it all and have to rebuild from scratch. I write as somebody who knows that there's a fast track, as well as how hard it is to overcome prejudice and adversity. I write as somebody who can have delusions of grandeur as much as a sense of worthlessness. I know I'm flawed and I know I can fail, as much as I know how to succeed.

Worshipping power and status has led to layers of sycophantic courtiers, each one existing only to polish the egos of old men. Do you really want your whole country run, just so some exploitative megalomaniacs can be called Sir or Lord? Do you really think anybody deserves your respect, when they preside over the destruction of living standards in an epidemic of mental health issues, caused by the stressful modern life they created?

A central tenet of my desire for political influence, is my first-hand experience of depression, misery, exhaustion, stress and anxiety, which is an intolerable situation, created unnecessarily by unrestricted free-market capitalism. Are these the pillars that you want our working world built on? Should British citizens suffer as much as they do, just to have a crust of bread, a roof over their head and the hope of one day being able to pass on the suffering to the next generation? My answer is: no.

I don't necessarily believe that the state should own the means of production, but the workers should benefit most from the fruits of their labour. Wealth needs to be distributed, not concentrated in a few idle hands. Trickle down economics is a terrible lie.

I think that without social reform, eventually people will put down their tools and violently protest at their exploitation.

Obviously, I'm just a maniac up on my soapbox, shouting absolute nonsense, but who do you believe more: the wealthy elitist who tells you that everything's fine, or the person who's suffering at the hands of those elites?

Tags: #politics

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol

This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

This is a story about data collection...

Here's a graph of my daily step count for the last 18 months, as recorded by my iPhone. I practically always have my iPhone in my pocket, so it should be fairly accurate.

As you can see, there are big gaps.

I've added a 14-day moving average to the graph too, which is the dotted line.

How do I interpret this?

The optimistic interpretation is that I was overdoing it last year and had a big crash. There's a little gap in the graph that you can hardly see at the end of October. I was in hospital then. This year got off to a shit start and then improved and stabilised, but I still had a hiccup at the start of October. The graph is much flatter on the right hand side - on average - than it is on the left hand side. Perhaps the volatility in my life has been reduced.

The pessimistic interpretation is that there's a strongly downward trend. There are also signs of repeated periods of inactivity: shit times. Perhaps there's a cycle that would be clearer to see with more years of data.

I could bring in my Android phone data which covers the period before this, and maybe some other data sources too, but it was a pain just to produce this. 

Interestingly, if you own a smartphone, you should be aware just how much it's tracking you all the time you carry it around!

Tags: #bipolar #mentalhealth #depression #computing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

28. Anonymity

When Neil's work, the crisis team, the police and Colin first called Lara, she was shocked and worried. As time wore on, she became exhausted by the ups and downs of Neil's mental health. When Neil had disappeared, she compulsively checked her phone for any missed calls or messages, desperate for any news. Months later, the nervous energy dissipated and she became emotionally distant and withdrawn; numbed.

Lara had a voicemail and few missed calls on her mobile phone when she finished her shift. It was Neil's parents' home number. She listened to the message.

"Hi Lara, it's Colin here. I appreciate you're probably at work but phone me when you get a chance. Also, see if you can take the weekend off. You might want to come away on a trip."

Spying Anne going to her locker, Lara walked over to her.

"Can we swap shifts this weekend?" she asked, in a hushed tone.

"What the hell, Lara? You were supposed to be coming out with us on Saturday night."

"I know, but it sounds like something important's come up."

"Important how? Is this about Neil? You know how upset you were last time you got mixed up in trying to find him. You only had the memorial service a few weeks ago. Try to take your mind off everything for a while."

"It's not like that, Anne. Neil's dad sounded... different this time. I think he's made a big breakthrough."

"Well find out and let me know. It's going to take a lot to convince me though. I think it's a bad idea."

Sat in her car in the hospital car park, Lara phoned Neil's parents' house. His mum answered.

"Oh hello, dear. I expect you want to speak to Colin, don't you?"

"Yes. I'm returning his call. He left a message."

"The phone has been going crazy this week. Since the service, quite a few of Neil's old friends have been in contact. We met some of them at the service, but it seems there was something in the news and... well, I'll let Colin explain. Here he is."

"Hi, Lara?"

"Yes, Hi Colin."

"Great. Did you meet Neil's friend Anthony at the memorial service?"

"No, I don't remember meeting him, but there were a lot of people there."

"Well, he phoned us up a week later and said he'd seen something in a local newspaper. Said he didn't want to mention it because it was probably nothing."

"Umm, OK."

"Well, he posted us a newspaper clipping. It's a grainy black and white photograph of a man in a hospital bed, but I'll be damned if it isn't a dead ringer for Neil."

"But it isn't Neil?"

"Well, the newspaper says it's an Eastern European man who's lost his memory. He seems to have forgotten how to speak."

"How do they know he's from Eastern Europe?" Lara asked.

"He had an ID card in his wallet. He's from Estonia and he's called Romet Kukk. Did you speak to Matthew at the service?" Colin asked.

"No, why?"

"Well, Matthew knows Anthony. They were all at school together. Matthew phoned up and asked about Neil's disappearance. He reckons he knows somewhere Neil might have been staying."

"Staying?"

"Yeah, like a secret den from when they were kids."

"Where's this?"

"Well, the hospital is in Exeter in Devon. The den is in the same county."

"Sounds like we'd better go down there and see what we can find out."

"Good. That's exactly what I was thinking."

The memorial service had stirred up a lot of emotions and it had been very upsetting to finally let go of Neil. Friends, colleagues and family members had spoken about his life, which was moving. However, Lara had already been to the funeral of an ex-boyfriend. She was tough and she had emotionally shielded herself to some extent. Lara's parents and brothers had helped her move out when Neil was getting seriously unwell and she'd kept things at arms length as best as she could. She couldn't possibly imagine that this doppelganger would be her missing financée. She had no idea what use it would be, going to a place that Neil and Matthew used to visit years ago. It all seemed too co-incidental.

Leaving messages with the local newspaper and the hospital, nobody had been able to answer any of their queries. Lara left early on Saturday morning to pick Colin up, then the pair continued to Bristol to pick Matthew up. They drove straight to the hospital.

"Hi, we're here to see Romet Kukk. Can you tell us which ward he's on, please?" Lara asked.

"Friends or family?" the receptionist asked.

"We're family."

"Are you listed as next of kin."

"I don't think so."

"Does the patient know you're coming? Are they expecting a visit?"

"No."

The receptionist's expression was icy cold. Lara casually flashed her NHS security pass, pretending to rummage for something in her handbag.

"Let me just check where they are. Kukk was it? Mister or missus?"

"Mister." said Lara, relieved that the receptionist was going to help them.

"Oh. It says here they're not at the hospital anymore."

"Discharged? Transferred?"

"The system doesn't say."

"Which ward was he staying on?"

"The system doesn't say. I'm not allowed to see information like that. I'm sorry, that's all I know."

"That's alright. You've been really helpful, thanks." said Lara.

Spying an unmanned reception desk, Lara could see a phone number for the hospital's main switchboard on a piece of paper. She punched the number into her mobile phone but didn't dial it. Grabbing Colin, who was lingering nearby, they went back into the car park where Matthew was waiting with the car. Lara got inside and phoned the switchboard.

"Hi, can you page the bleep holder for psychiatric liaison, please?"

"Sure, no problem" the operator said.

After a few minutes wait, the operator came back.

"Connecting you now."

There was a click on the phone line.

"Psych liaison" a different voice said.

"Hi, my name's Doctor Sutton from UCLH. I was trying to find out who'd been dealing with a patient of ours at your hospital. Name of Romet Kukk" said Lara, lying.

"Yep, I was handling the case with a couple of my colleagues. Piers Cowley. How can I help?"

"Well, to be honest, we were wondering where he was. He doesn't seem to have been referred back to us."

"Yes, that's right. He wasn't discharged. He just disappeared."

"Disappeared? When?"

"About a week ago. Look, can I phone you back in about half an hour. What's your extension at the hospital?"

"Can I give you my mobile number?"

"I'd really rather phone you back on your extension if we're going to discuss the case notes in more detail. What was the number?"

"I'm in a bad signal area, we might get cut off. It's 1-3-5..." Lara hung up. "Shit."

"What's wrong?" Colin asked.

"I think he just rumbled me."

"Did you find anything out?"

"That patient isn't at the hospital anymore. Romet Kukk disappeared."

"OK, Matthew. You'd better show us where this den of yours is" Colin said.

"It's about an hour's drive from here" said Matthew.

Next chapter...