My PD Story…

50 Shades of Black (and the NDIS)

My story seems one of opposing forces, not many shades of grey – either black or bright Napisan white. At a glance – depending on the light and speed of the head turn, I am either gripping tightly to the soaring feathers of the giant eagle, the wind kissing my face and gently ruffling my golden locks, or, I am groping and flailing my way out of the giant eagle’s droppings that have knocked me on my ass and buried me neck deep in filth.

A glance that catches me in the light, sees a triumphant character, rarely struggling with feats of academia or athleticism, climbing the career ladder and winning the gorgeous wife and kids lottery. I like this glance. It’s a superpower, able to drag me out of the deepest pit.

But a glance that catches me in shadow, draws a timeline of calamity, some poor luck and the occasional kick in the bollocks. A dreary aura of trauma seemingly tethered itself to me at an early age, not able to block the light of wonderful and amazing experiences but holding on nevertheless with an ever determined grip to my usually untied shoelaces.

I bounced into this realm of the living a month and a half early through emergency caesarean. It was a procedure performed to save my mother’s life after a severe case of preeclampsia that would later be used as a case study in the training of future medical staff. My own life was more of an afterthought, it was presumed I would be dead or pretty darn sick to say the least. Even as a foetus, I was up for a challenge  and perhaps with some innate resilience I pulled through – tiny, scrawny and ginger, but otherwise loveable!  My eventual list of diagnoses kicked off with Talipes Equinovarus (club feet) and a hip malformation. I avoided the months in callipers others at that time endured, thanks to a forward thinking orthopaedic surgeon who opted to prescribe  exercises and some fancy boots that would slowly turn my feet the right way. I was walking around by the time I was 18 months old and though a little pigeon toed, my old trophy shrine suggests that I must’ve been able to scamper ‘round the hockey and cricket pitch just fine! 

I’m an ordinary swimmer though. For as long as I can remember, the ocean makes me a little uneasy. I’m assured this wasn’t always the case – it seems to stem from an early incident when I was all of four years old and having a great time with my brothers in the shallows of the local foreshore. A great time that was until, another local lad thought I’d make a comfortable seat. He plunged my head under the water and lounged on my back with no regard for my apparent need for air. Whilst my mother watched on helpless from the beach, my 6 year old brother recalls the slowing down of the world around him to this day, as he ran Baywatch style through the water, launching himself at and knocking my unwanted jockey into the ocean, freeing me to finally gasp in some oxygen. A clear memory for some, but my recollection is restrained to an anxiety – that keeps my head above water.

From water to fire!

My brothers are awesome – often shits – but still awesome and we all share the best of friendships. But we’re pretty lucky to have made it through, really. At one point, my scientifically minded elder brothers thought to discover the ignition point of my foam mattress, my memory of this is slightly different to theirs – apparently I was next to, and not in the bed.

The fire theme continued with a grander outdoor experiment testing the speed of flame transfer from a small contained dry grass pile to a grapevine that covered the entire rear fence of our property. Apparently the rate of spread exceeded the safety parameters that were prepared for  and our back yard was engulfed before our eyes! Again it was always under control if you were to ask my brother!

A constant, in the background of all my childhood years of fun and calamity  (I could tell some bmx or hockey stories and other ‘boys will be boys’ moments that left another Murfitt, usually me, in the emergency ward) was a condition that was undiagnosed  until I was 16. A simple defect really, but an unknown cause of many dramatic scenes that would leave me feeling weak and pathetic.

I was a slow eater, always last to finish a meal. For the life of me and to my huge embarrassment I couldn’t swallow a ‘damn tablet’ (as I came to know them – as in “Todd! Would you just swallow the damn tablet!”). As it turns out an astute radiographer discovered that my oesophagus was being impeded by an errant artery, and a web of blood vessels was slowly but surely squeezing my gullet. Leaving the smallest of openings, where only the most well chewed food could travel past. A small tablet it turns out was actually an enormous choking hazard.

And so, my first major surgery wasn’t my ‘awake’ brain surgery but open-heart surgery twenty years prior, which came with more x-rays, MRI’s and iodine injections then Evil Knievel. One of the most vivid memories for me though was the moment a physiotherapist suggested post-op that she thought I ‘might get full use of my left arm back’. I had never known there was a risk of anything else… and yet I was playing cricket for my district within a month – against doctor’s advice of course. 😬

Before I could get too comfortable with my new high performing gullet and radical scars, my brother who had just completed high school himself, picked me up from school in my very own ‘71 mini clubman, that I was ever so close to being able to drive on my own. I enjoyed seeing it pull up even though I knew it would no doubt have suffered burn-outs and doughnuts at the hands of my brother along the way. But when I opened the passenger door something was off. In an effort to ease the tension my brother got straight to the point. 

“How’s it going cancer boy!”

It didn’t take a genius to work out that the results of a biopsy taken the previous day of a growth on my back had come back, and my brother -sworn to secrecy of course- had been let in on the news. 

His abrupt sharing of the results did save any awkward or soppy ‘sit-down-son-we have-something-to-tell-you’ moments and instead I chose my ‘last supper’, we ate, and slept restlessly, before meeting my GP for an excision and skin graft in the morning. The day-surgery was a bit of a disaster itself. At one point I had a pillow to bite on and a shot of adrenaline for pain relief, whilst a chunk of my chest was sewn into the middle of my back. Leaving me the proud owner of an ugly scar on my chest and a circular patch of chest hair on my back to remind me of the ordeal!

That would be the first of two Melanoma’s removed along with their many‘let’s not take a chance’ cousins – which made up the majority of my hospital visits over the next decade. Until the more recent Parkinson’s Diagnosis and ‘awake brain surgery.’

Now that is quite a glance at some medical and family dramas that I’ve processed over the years. My generally positive spirit has always been able to look forward to the next chapter of my life.

This post is not intended to be a ‘woe is me’ grab for attention, nor is it “Go Me! Look at how strong I am”, but hopefully an insight into either my crazy mind or a potential flaw with the safety net that, I am in the same breath so very thankful for, yet embarrassed to need – our National Disability Insurance Scheme.

Of all the incidents that could haunt me, surprisingly nothing seems to come close to my experience of applying for the NDIS. Asking for help, which is hard for everybody, and a particularly lacking trait of my own personality.

Like a knife to gunfight, a positive outlook as a defence mechanism is stripped away, along with the stoic, and courageous armour which is so much more comfortable than the sackcloth of vulnerability it is replaced with. An intense focus on all that is shit and will get worse. As if not enough, this is teamed with evidence from medical practitioners concurring with your assessment and adding more detail to the level of stink. Impact statements on others, whom are subjected to your presence, are sprinkled in like a dash of salt on an exposed wound, packaged up and sent off for judgement. 

Is my turd of a situation big, bad and smelly enough? Did I hit the right keywords that will attract the rubber ‘yes’ stamp? Apparently not, I would discover some three months later after countless enquiries, with an invitation to re-apply.

I need help, but I do I really need it this much?

Should I take off my radiation suit, exposing myself to the core of a nuclear reactor, to simply apply a band-aid to a slowly but dangerously bleeding cut? There is no choice – not really. I knew that if it took one hundred applications, that is what I would do – because of the impact statements.

The support – although targeted towards me, is for others too, and the stinkiest part of Parkinson’s is that for a disease so isolating, it ironically hits those close to you equally hard. So the band-aid is for me, but it is also to stop my cut from dripping into the stinging eyes of my children, and my wife. So off with the suit…

…and back into the toxic world of negative medical reports, OT assessments, impact statements, begging for help from anyone who might know more about presenting the turd at the right angle, in the correct lighting and speaking the correct language to meet the unknown criteria of an unknown assessor.

The outcome of the second time round, was swift and support put in place within weeks. It is life changing. Previously low priorities in the world of family life, such as physiotherapy for myself, or some help in the garden give me the power to flip those impact statements. So yes, the NDIS is amazing, priceless in fact.

Yet the exposure to that radiation, though metaphorical, is particularly apt. It’s like a change to my DNA, morphing just a few positive cells of the many thousands, into negative ones, weak and pathetic, and contagious.

 

A frozen Winter – 2018

Denial: A refusal to acknowledge an unacceptable truth or emotion or to admit it into consciousness.  

I linger in what I perceive as a sweet state of being. This toxic sweetness will in turn be my unravelling. I navigate this new territory with wonder, feeling safe and secure like being wrapped in a comfortable doona, amongst soft pillows and a good book. I escape into this world where I no longer have to acknowledge a future where my husband has a disease. I float in this world half paying attention to medical appointments, letting the words wash over me, hearing them as if I’m underwater, barely audible.  

I smile and politely respond to people’s kindness, “Todd is fine, he is doing well”. “Yes, that’s right, you can’t notice his symptoms.” “I’m well, thank you.” These lines are well rehearsed, I believe they sound convincing. Do they?  
I do not dare open the door leading into this unknown world that is so foreign to me. I do not have a passport for this new place, I do not know the language, I am ill equipped to move throughout this land with confidence, I have had no training.
I resume my life pretending everything is the way it was. I believe all is well. My mind wraps itself into a protective chrysalis, I can stay here, this place is safe.  
 
I become a magician, specialising in escapism, believing I can create illusions for myself and for others. I believe the tricks are successful, I escape with ease, disappearing and reappearing, slipping into different costumes quickly, wearing elaborate masks. I crafted my performance well, or so I thought…
 
There is a small crack in my cocoon, it gradually gets bigger and wider, I am no longer able to mend it. Harsh light pours in, blinding me. I retreat, not willing to exit. Finally, without warning the cocoon breaks apart, no longer able to hold and protect me. I crash to the ground.
 
It hurts. The volume is too loud. The smells make me nauseous. The sugar high dissipates, this tempting sweet poison offering no nourishment. I emerge from this state of consciousness confused, betrayed, angry, devastated. I am forced to accept this reality, like an addict facing withdrawals and moving through the exhausting and overwhelming transition stage when giving birth.
 
When I ponder this phase I experienced, I realise with stark clarity that I lived a half life. I believed the colours were bright, the air sweet and warm. The truth is I was incapable of living in the present, and the present is all we have. I was unable to truly experience the myriad of opportunities that arose, I was disconnected, a little broken. 

However, the cocoon I inhabited was necessary, it offered protection during the long Winter, it enveloped me until I out grew its interior.  My fall back to Earth was by far the most difficult, little did I know that there embedded within me, was strength. This was hard… but I can do hard things.  

Winter 2017

Neurology, dopamine, levodopa, rigidity, tremor, young onset, insomnia… words that now swim around my mind and are solidifying into my subconscious.

My 35 year old husband has an incurable, degenerative, neurological disease. We have been assured that among the neurological family of diseases, this is the best one to have. A morbid and strange utterance to hear.

The first of many future scripts is filled, detailing a new medication that will hopefully alleviate the symptoms that have now found a home in my husband’s body. New medication that will become so familiar to us, so recognisable, yet so despised.

We are hopeful that this medication takes effect – confirming the diagnosis, as we dare not open other doors that may hold far more sinister realities. The words Motor Neurone are heard and our expressions are fixed with a mixture of horror and disbelief. I will my silent tears to stop from falling and quietly pray that this new medicine is effective, avoiding grim alternatives.

I force thoughts and visions of our future out of my mind. I continually bring myself back to the present, trying to focus on the here and now and what lies ahead of us – sharing this news with our family.

We tell our precious girls, who at the time, were 8 and 5. They comprehended what they were able to grasp, most likely not understanding the gravity of this new life path, that they are now unwittingly heading down. What does this mean for them? How will their lives change? How much will their Daddy change?

We share the news with our parents and siblings, my stomach in knots, relaying the information over and over. Shocked, saddened, pensive faces match ours. Kind words spoken, warm hugs given.

The medication takes effect. This is it. Outside, the change of seasons has commenced. Trees abandoning their leaves for another year, glistening frost covers the ground just before we are gifted with another sunrise, heralding the start of Winter.

A new season. Denial.

Summer 2017

The beginning of a new school year. I had started a new teaching position, teaching drama, visual and media arts in middle primary classes and team teaching a Year 1/2 class. I was excited to have won a teaching position, and I was looking forward to teaching what I love most, Creative arts.

It was a Thursday and I was driving home from work. What dominated my thoughts was one single sentence, “Please don’t let it be a brain tumour”. I knew that Todd was at Flinder’s Medical Centre having an MRI and seeing a specialist. Little did I know what lay ahead of me when I arrived home.  

I found Todd in the office sitting quietly, looking pensive. I immediately asked him, “What did the doctor say? Is everything ok?” He did not reply straight away, and as he sat in the office chair, nothing at all prepared me for his reply.

“I have Parkinson’s”

“What, what do you mean?” I could feel my panic rising. How can this be? What the hell? Where has this come from? I felt confused and shocked, I couldn’t believe it. This news had snaked its way into our beautiful Adelaide Hills home, which I adore, without any warning and had now decided to permanently move in, without any intention of leaving, like an unwanted house guest. 

All I remember from that evening is calling my best friend, desperately needing to find solace in someone who knows me so well. I remember blurting out the news, most likely incoherently. Claire listened, consoled and was a source of much needed strength.

I do not remember the next few days, they all blur into one. What remained constant, what continued to replay over and over in my mind was that one, ugly word, PARKINSONS. I saw it written in bold capital letters, sneering at me, it had imprinted in my brain. I saw it as I waited for sleep to come and it greeted me as I awoke in the morning, like garish, stage clown makeup.

As I arrived at work on Friday, desperately trying to be brave, to somehow lock that vile word away in the deep recesses of my brain, to hide it, to deny it. As I walked into the school office, I saw my lovely, supportive leaders and my brave demeanour betrayed me. I broke character, crying, the news spilling out like a burst dam.

This was a new beginning, my new reality. Life now would forever be altered.

 -Through Todd’s lens

A light in the darkness

I’m going to blame my psychiatrist for this one… he praised the courage of my public disclosure of my diagnosis, but challenged me with “Why stop there?”. Now after the simultaneous beauty and chaos of Christmas and New Year, some personal reflection time…

I’ve been in hiding.

I’ve been working hard, sure, writing books and editing footage (not to mention preparing for another school year) – and holidaying hard – jetting off for a New York adventure with my wife, but the truth is; for the last few months I’ve been mirroring the insidious nature of this debilitating, cowardly disease as it prefers to be unseen.

It stalks in the long shadows of the night, like the pathetically staggering, drooling zombie from any one of countless Hollywood flops; and when the sun is shining, it blends in, camouflaging, patiently awaiting the solitude of dusk, when I will succumb to this painful, contorting monster that lurks beneath.

Most of my waking energy is spent shielding others from my torment within. Is your hand shaking? Quick, put it in your pocket. Are you focussing too hard on the throbbing pain in your leg, that you missed half the conversation? Quick, nod and smile – say something witty. Now, double check if anyone is looking suspiciously… are they onto you? Walk normally, run, ride, swing a golf club, anything to reassure anyone watching, judging. In being so determined to be a positive, hope filled  story, amongst the seemingly endless barrage of despair and negativity,  I’ve strayed from the path and sacrificed a pillar of my self-worth – honesty. 

And have I actually fooled anyone? Those in self-preservation mode, denying the impact on my life – our lives, lap it up like a broadway audience after free champagne at intermission. “Bravo, good show, old chap.”In turn I seem to bathe in the applause, gladly coming back for encore after encore. They mean well…as do I… and this is ok. If I can shield you from the gluttonous pain that claws out from beyond those of us fighting this disease, of course I will. But it is fool‘s gold.

So don’t look too closely, as you might notice that my 8 year old daughter tied my shoelaces this morning – because she was emotionally intelligent enough to notice my frustration (#prouddad). Or, that my beard is terribly unkept, because either; I cannot trust my hand at the moment and I’m too scared to trim it, or the apathy that grinds away at us ‘parkies’ drops my care-factor off the bottom end of the scale.

And certainly don’t ask questions that you (and I) don’t want to hear the answer to… “You look great!”works far more comfortably than “How are your symptoms?”Or an honest “How are you, really?”

However, those who know me best can see right through any foolish facade I invent. I know this. In fact, Ive never been, nor thought I could ever be so content to be told “Hey Toddy, you look like shit!”The immense weight and pressure that I put on my own shoulders (inflated by a (prescribed) drug fuelled sense of purpose and need to role-model, now further catalysed by my bionic $60k brain enhancer!) lifts. I can inhale and exhale, unwinding just a smidge. It’s refreshing and almost therapeutic to drop the pleasantries and BS Dr Seuss style commentary of “the places I’ll go”. “Chin up, it’s not so bad”- I get it, but if I’m already standing, dressed (albeit with the help of my children), and making myself available to talk to you – then you can take to the bank that I actually don’t need a pep talk. Though, I will accept a hug, a comforting hand on the shoulder, or even a playful punch in the arm – this is where the gold can be found.

It’s ok to tell me it’s shit. It is. And until there is a cure it will get worse. So if you notice me dancing on that stage for you, do me a favour – reach up, offer me your hand and help me down. Cheering me on only makes things harder.

Writing this is difficult, I really have to cage the insatiable part of me that wants to come off as a superhero. Triumphantly vanquishing this challenge as well as, or better than anyone else could, whilst desperately wanting to please those who support me day in, day out. And so I’ll end with this:

If the level of gratitude I hold – for the generosity and support, to access brain surgery (that has changed my life and helped immensely) – was some sort of treatment, I could easily cure myself and probably rid every other person under the gaze of this horrid ever-lurking creature of the shadows. Obviously this is beyond the realm of reality, but this gratitude can and does keep alight my desire to raise awareness, and to slowly but surely shuffle down this treacherous path, one crampy, crappy step at a time. 

Add Dementia to the list…

* Please don’t use this blog to prepare for neuropsychological testing…the specifics relating to the tests have been changed to avoid any prompting or possible influencing of results on my account…😁

The black line drawing of a piano danced off the page, tormenting me with memory after memory of every previous interaction we had shared. From the plastic toy I couldn’t play as a toddler, to Billy Joel’s ‘Piano Man’ blasting from Beechy’s top of the range speakers. And yet, mysteriously, it refused to remind me of its name. 

“It’s like an organ.” I stammered out, eager to turn the page and continue the test, but Rochelle was having none of that.

“It has another name Todd, a more common name.”

“I know it does…it’s so obvious…but it’s not coming right now, I don’t know why.”  

No doubt picking up on my growing frustration, the neuropsychologist kindly allowed me to turn the page where I was greeted by a simple drawing, but an obvious one. “An Elephant.” In my mind I was wiping the sweat off my brow, the first one must have been just nerves…a little test anxiety (the irony of a principal with test anxiety doesn’t escape me.)

I looked up for affirmation from Rochelle and was very relieved to see the gentle nod and hint of a smile. I turned the page with a small sigh of relief. 

Another simple black line drawing was presented in front of me. This one was ridiculously easy…so easy…the level of difficulty of this question was … beginner.

“Todd?”

“It’s a nut.” My mind was scrambling for the answer – and knowing it was easy wasn’t helping. Gum nut? No. Chest nut? No. Peanut? No – that’s not even a nut Todd, its a legume, remember….aagh!

“I know you’ll want to know what sort… it’s from an oak tree, squirrels love them and stockpile them for the winter…” I didn’t know whether to laugh or cry at this point, this was about testing my cognitive function, and all I could do was develop a warped, version of twenty questions that the neuropsychologist had no intention of engaging in.

I slumped in my chair… statistically I knew it was no more likely for me than for the general population, but now there was only one word swelling in my mind, greedily absorbing all my positivity. How could I possibly expect to run a school with Dementia. 

I glanced at the clock.

It was nearly 3pm. My appointment had started two hours earlier, and we were only just starting the test. An eerie, unfamiliar shadow of despair was beckoning me and although grim, there was a comfort within it’s bleak, black presence that was drawing me ever closer.

Rochelle’s voice of wisdom seemed distant at first, but pulled me back into the room. “When did you take your medication last?” 

“I am due for my dose at 3pm.”

“And how long does it usually take to start working?”

“Actually, it’s quite quick…within 15 minutes or so.” I finally caught up with her train of thought and leapt aboard! I shook my pills out from their container – two 200mg levodopa tablets and a 200mg entacapone tablet (my most regular cocktail) – grabbed my wife’s pink water bottle, that I had borrowed for the day, and gulped them down. 

Rochelle offered to refill the bottle, which gave me a few minutes to breathe and await the miraculous effects of modern medication.

Whether it was the medication, or the kind and gentle prompting from my neuropsychologist, or a combination of the two, my test anxiety – if that is even what it was – seemed to melt away. My clarity of thought improving by the minute and before long I hit my strides and was cruising through the test – I even went back and got ‘the nut’!

The black line drawings, gave way to progressively harder challenges. Testing reading and vocabulary, problem solving, and short term memory. By 4pm Rochelle had tallied up the results and was able to give me the feedback that I had desperately needed to hear. My cognitive function was excellent (despite what my brother’s say) with a particular spike in my ability to think outside the square, which I believe is a good thing…😬.

There was no reason to think that my cognitive function should be an obstacle for the surgery. Another box ticked, but I was utterly drained and regretted driving myself to the test immediately. I needed a hug or at least to be nursed out to the car. Sadly, although I had spent the last three hours exposing my thoughts, challenges and abilities to Rochelle…I knew I couldn’t ask that of her. She did have a request of me though…

And so as I dragged my feet, a little disoriented from the whirlwind of emotions and thoughts playing havoc inside my head, I was quietly thankful, knowing that there would now be one more familiar, friendly face in the operating theatre with me.

Alien Abduction

“Have you had an MRI before, Todd?” The emerald green outer appearance of the figure standing before me, complimented the beige interior of the alien examination room. Dim lighting exaggerated the blue neon glow of the digital displays. In this almost relaxing decor, I was too easily coerced over to the cold gurney, that was poised as if floating in front of what was as ominous as it was enormous, cylindrical machine.

“No, I’ve had a few other scans, but not an MRI.” I allowed my imaginative lens to clear into reality and took in the simple design of the imaging device. It’s smooth plastic exterior was now not threatening at all and combined with the quiet stillness of the dimly lit room, invited me to exhale slowly, and prepare to rest. I waved away the locomotions of thoughts rushing through the station of my mind, intending to use this time presenting, as a blessing – time to process this highly unusual day.

“Nothing to worry about” interrupted the nurse, her green scrubs rustling as she prepared the gurney with a standard hospital sheet, then opened her hand gesturing me to sit. “It makes a bit of noise and will take a little time, but you’ll be fine, just remember to keep still.” 

‘That would be a whole lot easier if I hadn’t just been told I had Parkinson’s disease ’ I thought to myself, almost allowing a wry smile – It was chased quickly away though by my hyper awareness to every tremor, twitch or other involuntary movement my body was producing – or perhaps my mind was creating psychosomatically. 

I followed the instructions and lay down on the flat surface as the nurse, slipped a pillow under my legs and gently adjusted my head into the correct position. “Would you like some headphones to listen to the radio?”

A rookie MRI mistake followed. “No thanks, I’d prefer not to.” I didn’t want this quiet time, to be interrupted by whichever ‘drive you home’ radio clones they were tuned into.

“Okay” the nurse uttered as she and the technician proceeded to cage my head with a claustrophobia  inducing, plastic ceremonial headpiece; stuffing it like the business end of a Christmas turkey with cushioning, whilst tightening the contraption till my ears went numb.

“Is that too tight?” 

“No.” My damned bravado decided to man the controls of my vocal system whilst my common sense was preoccupied somewhere over the rainbow. 

“I’m just placing something in your hand, Todd – if at any time you would like us to stop, or you need a break just give it a squeeze.” 

Mr Bravado again “No problem.” – ‘They’ll wheel me out of this contraption  stone cold dead before I press for help…’

With my pulse pounding away in my crushed earlobes, and an over exuberant tremor; the nurse had me sliding into the alien tech environment of the scanner. Two thoughts competed for my attention as I came to a halt inside the MRI scanner.

“I wish they had tilted my head forward a bit, I can hardly breathe…” along with;

“Was I meant to take my wedding ring off?”

“We are ready to start Todd, the machine will make some noise as it warms up and then we will begin, are you ok?” The question seemed to be one required rather than authentic, evidenced by the preemptive turning and heading for the apparent safety behind the glass. Whatever I am in for here, it’s not a place my new friends want to be!

Slightly agitated now, my last two thoughts were ushered out of my underperforming consciousness by a surly ‘Why wouldn’t I be?’ – which thankfully translated on it’s way out as “Yes, I am fine thanks.”

I closed my eyes and contemplated that a nap was probably my best option here. It had been a heck of a day, having left my wife at home, still wiping away her tears, trying to act normally, as she began preparing our girl’s dinner, less than an hour ago. I took a deep breath and exhaled,  slowly, once again.

The scanner whirred to life with the gentle hum of a construction site, swarming with tradies, fighting each other to reach the shared deadline that must be rapidly approaching. I could hear an excavator slicing through concrete and rock then dropping it’s bucket load onto a pile of corrugated iron. A crane’s steel cable strained to pick up columns of steel, producing a squeal along with the increasing revs of the engine as it laboured to create the extra torque required…

‘Well done, Todd. Enjoy the serenity. Who would want headphones, when you can sit back and chill, to the natural elegant tones of a construction site?’ Before I could get further involved in an argument with myself, the technician informed me that we were ready to begin and kindly reminded me once more the importance of keeping still!

I escaped into a self-constructed bunker in the depths of my consciousness where I laughed – rather than cry – at the unintended carelessness of the technician. I clenched my eyes tight and relinquished control of my body to my brain stem; that up until recently at least, had been successful enough at keeping my involuntary systems in harmony. 

Bunkered down now, my breathing and my pulse, slowed to a gentle rhythm. My insistent impulse to swallow – which convinced me that any images captured would be shaken to a blur – kindly abated; yet still I was unable to escape completely from the excavation equipment. Alien beeps and honks now joined the chorus of offence, emanating from the MRI machine. It seemed to encroach ever closer into my personal space, like the walls of the garbage chute that very nearly made Princess Leia’s rescue attempt cataclysmic.

My wedding ring buzzed on my finger. A tingling warmth being created from the fine vibrations. I shuffled my hand as far down my side as I could, and felt it diminish enough to quiet my panic. Though this would surely be one of the most drawn out hours of my life – the opportunity for useful thought and reflection had now slipped off it’s perch and tumbled into oblivion.

When the cladded green technicians were finally content with my trauma, I emerged from the scanner, cloudy and shaken. An alien abduction and probing may well have been more comfortable and left me less confused. I sat on the edge of the gurney and sucked in a few oxygen laden breaths. As muddled as ever, one moment of clarity arose eloquently to make it’s point. ‘This is just the start of what is going to be one crazy ride.’ Though far from my original intention, I had no idea as to where to next, the swirling of my mind and thoughts, acted to dissolve my need to control this new uncharted direction of my life. I exhaled once again – this time with a sense of relief – que sera, sera.

Luck or Grace? Act 1

Bradykinesia is a common symptom of Parkinson’s Disease. It translates literally from the Greek – Bradys: delayed, slow or tardy; and Kinesis: movement or motion.

Not quite the stereotypical shaking…it feels like moving through a viscous liquid.

As if by magical incantation, those words of pre-emptive diagnosis, (“I think you have Parkinson’s Disease”) lingering like the smell of dog excrement on a shoe; conjured Parkinsonism symptoms instantaneously. 

The following moments could have easily taken place in the deepest depths of the ocean, where the increased pressure and aqueous solution slow our human movements down to an embarrassing, amateur-like attempt, to proceed through the foreign underwater landscape. All the while fish dart, dancing through the coral and weed, perfectly designed to be unencumbered with grace and speed in this terrain.

The invisible fluid wrapped around my legs trying desperately to hold me back, whilst it seeped into my skull and violated my thoughts, as I struggled onward to the reception desk. My left paw clung to the desk as though I could easily be swept away; whilst my right littered papers of instructions and procedures, that were well beyond my clouded mind’s capacity for cognition.

Thankfully the attending receptionist recognised what was, for me – a new and disturbing state of mind. A head full of information and questions fighting for attention, with all the manners of a parliamentary session; constructing around my common sense, an impenetrable barrier of befuddlement –  and yet for her, what must likely be, an everyday opportunity for kindness. As though gifted with pentecostal abilities, she effortlessly translated my garbled, nonsensical response to “How can I help you?”

Gently Reshuffling my paperwork along the desk with meticulous precision; her calm demeanour acted to melt away my surrounding and intruding fog, bringing me back to the world that more closely resembled the one I understood. 

‘I’ll look after these, Todd. But you best take this one straight to Medical Imaging. They are already booking for 6 months time so do that straight away…Todd, there’s a water dispenser at the end of the corridor. Have some water and follow the signage.”

I took the referral back from the receptionist, headed down the corridor and filled her wise prescription into a small, delicate and scrunchy white plastic cup. Not quite a full mouthful, I re-filled, took a breath, poured the second cup of cooled water down my throat and allowed my vision to sharpen on the sign that would direct me to Medical Imaging.

“We’re currently booking for August.” The new receptionist greeted me and collected the referral simultaneously. The gentle lift of her brow indicated that her attention had shifted to Professor Wilcox’s scrawled note at the top of the page. 

Please book this in as soon as possible.

Her kind eyes looked back to what I can imagine to have been a pasty ghostlike shell of a man, stooped with a burden of fear and confusion. Time would certainly have appeared critically important, and the receptionist swooped into action. ‘Well look at that, your lucky day…’ – her eyes fluttered back down as the squeak of an awkward chuckle prematurely escaped from the back of her mouth; betraying her silent wish to retract those ironic words – ‘…we’ve had a cancellation at 5pm, do you think you could come back today?’

Whatever action my shell indicated as a response, must have been understood as affirmative. The appointment was made and I absentmindedly navigated my way back to the symbolically safe and familiar bubble of my car. My initial and full of bravado self-talk piped up, directing me back to work; before being muffled into submission, by the single, involuntary, cool drop of salted water, sliding through eyelashes; creating a glistening trail across the open plains of my cheek before disappearing into the ginger jungle of my beard.

The car obediently switched on and took me home.

How to swing a world upside-down…

The appointment that could not be put off any longer. Flaming ball of hope? or ginger mopped head in hands?

The well-worn leather sole of his slip-on dunlop volley, shuffled forward determined to make contact with each square-inch of linoleum tile that lay in its path. The elderly gentleman at the helm, was being lovingly and patiently steered along the hallway, by whom I assumed, was his angelic wife. A little sad, but very touching, I thought as my eyes shifted to another patient; whose vacant face tilted backward, dominated by an oxygen tube and gauze strips that clung haphazardly, too hastily taped to his face. I’m sure I caught a glimpse of shame or embarrassment as the fluorescent light momentarily flickered and reflected off his otherwise tranquil, sapphire irises. His wheelchair rolled by; faint, sinister squeals emitting from the aged rubber tyres, propelled by a carer for whom it seemed dignity and hope were beyond reach.

A familiar shiver coursed up my spine, as I settled into the waiting room chair. I was dishevelled, having rushed from work, through hectic traffic, knowing that I had left tasks half finished, and staff politely filling my roles – no doubt eagerly awaiting my return. On the noticeboard in front of me I saw that the neurologist I had been allocated had been replaced by a Professor Wilcox, but I could see little need to concern myself with who was going to see me; as I was sure that they would quickly agree that this visit was precautionary only, and I would walk out with a gentle slap on the back, tickling my buoyant sense of contentment and relief.

”Todd Murfitt” – Great timing I thought as things were already going my way – I had not even reached for my phone to check emails yet, indicating a wait of less than 5 minutes for sure! I pounced to my feet and turned to see my Neurologist standing behind me, to my left. Instead of reaching for my outstretched hand as is usually custom; Professor Wilcox raised his brow a fraction and instructed me to sit back down. Ever the good student, there was no hesitation, as my suit creased back into the seated position, my gaze set awaiting my next instruction.

“Stand back up.”

I complied. 

“Take a walk down that corridor, turn, and walk back to me.” – This is going to be quick I thought, he’s not even wasting time bringing me into the consulting room. I took off down the hall knowing smugly that he could already see I was -not perfect – but average or above in terms of physical fitness and I would shortly be on my way, embarrassed to have taken time away from the patients around me. I spun around and paced back to where my Professor was this time initiating the customary handshake.

”Hi Todd, I’m Robert Wilcox. Just through here, thanks.” The hand that had just clasped mine, now motioned to the consulting room, which all of a sudden took on a slightly more ominous feel. As we sat down in our respective places, Dr Wilcox reached for a folder, sliding out a neat stack of ‘black line masters’ – that, had he been one of my teachers, I would have asked him to politely burn and never allow into this century again. Unlike the ever evolving landscape of primary education, diagnostic neurology worksheets don’t seem to date so quickly.

He explained, as he nonchalantly fanned the corners of his small paper ream, that we needed to go through some standard tests – routine of course, “piece of cake, for a school principal.” Amusing now, but Marty McFly, responding to being taunted – “Chicken?”  flickered briefly in and then just as quickly out of my vision.

I shook my head gently, a dorky wry smile tickling the corners of my mouth, there is no doubt that my entire lifetime spent in school, had left its mark…I do love a test. Powering through the paper work my confidence rose again; nailed it. Anything less than full marks and this appointment will need to stretch longer; so that I can help Dr Wilcox understand where he marked the score incorrectly. 

“Up you get, Todd.”

My chair groaned noisily as it slid back,  Dr Wilcox motioned me into position and proceeded to test me out with a range of balance, rythym and coordination actions. As sharply as my confidence had grown, it plummeted to new lows, and like caustic bile, my excuses clawed out abrasively from somewhere near the back of my throat.

“I used to be very fit…Haven’t been working out lately…It’s been a very busy morning…I’m a bit tired from racing up the stairs…This should be easy for me… I am co-ordinated…I am stronger than I look…”

Now feeling defeated I slumped back into the patient chair. Dr Wilcox nestled back behind the desk and turned my perfect test, so that I could see my work. Clearly he is trying to cheer me up. Everything will still be fine. Phew!

”Todd, what do you notice about the square you drew?”

Like a David Copperfield extravaganza, my square was unveiled, and I looked on in dazed amazement as it had been squashed into a rectangle. The house I had drawn – suffered the same effect. My handwriting had progressively shrunk. My flawless tracking between lines, was not at all – it bounced from edge to edge breaking through the intended barrier a number of times. What is this wizardry? What happened to my work?

“Todd, I think you have Parkinson’s Disease.”

through Mandy’s lens

A tip of the hat – to women

International women’s day 8th March 2019

A fitting coincidence for this week’s post – as I recall the hard to comprehend but insightful and wise referral from my GP – whom I was meeting for the first time. My featured painting above is not of Dr Wong – who proved an excellent physician in my time with her. If I were to paint or even list the women I have met, whom I admire for qualities that I aspire to myself; I’d lose any time to dedicate to this post! I decided instead given the timing of this post to paint the three most important, loving, inspiring young women in my life.

“…Neurologist…” The word reverberated, bouncing off the inside of my skull, compressing its ‘alphabetti spagetti’ letters against the bone, reorientating, and launching back through my muddied mind, slowly losing momentum, until eventually settling into focus. 

Sadly, by now I was sitting back in my car having not allowed any further advice or information from Dr Wong to penetrate into my short term memory. Most of the fundamental cores of my identity, sprout from or entangle with my mind: my intelligence (not MENSA, but no dummy!), my lateral thinking, my problem solving, my wit, my leadership. To refer me to a brain specialist was about the most disparaging insult that I had been belted with in my life – and let’s not forget that the handsome man you see now 😜, grew up in a country town, with three brothers, a mop of red hair and a tan that preferred to emerge as many individual, teeny tiny tans, rather than an even coating regular one. You have to get up very early to penetrate my alligator tough skin with an insult!

Yet, there it was, my brand new GP (having not been to the doctor since moving to town more than a year previous) who I had misjudged immediately, to be too soon out of Medical school, too timid, too gentle. This ‘caveman’ needs a doctor capable of communicating in guttural groans, interspersed with a vigorous yet simple, European sign language styled vocabulary. A doctor who is able to lather their patient chair with concentrated sulphuric acid – because they have no intention of letting me sit down long enough to start the corrosion of my derrière. A brief, deeply vibrating shudder coursed from my heels through the tip of my spine, catalysing a slow shake of my head, whilst persuading me to gently massage the back of my neck with my clammy palm. I don’t like being wrong, and my inability to cope magnanimously with my wrong presumption; escalated my current physical symptoms. Dr Wong – although packaged as delicate and dainty as a butterfly; was sharper than a hyperdermic needle and as hard hitting as Sonny Liston. 

Still, I refused to believe that my casual mention of a caffeine fuelled hand tremoring on the keyboard, could possibly indicate a problem with my brain. Perhaps arrogantly, more likely fearfully and with the safety of being alone in my car, I thought to myself as I took a final lingering glance at the referral form, “Not this brain, no way.” 

As the date of my referral loomed closer I clung to one final act of defiance against Dr Wong’s wisdom. In hindsight, so very predictably I made the last minute decision to prioritise my work over my health; and in the blink of an eye I had postponed my neurology appointment for another 3 months – allowing me to snuggle comfortably with my denial through the Christmas break – right up until the beginning of February in 2017.