Back in 2017 I wrote a blog post entitled, ‘Lonely.’ It was a deep dive into how isolating and lonely living with a hidden, chronic illness can be. Covid times did bring this reality to the forefront of those people who had never experienced a lockdown of their lives; but how quickly that was forgotten when “normal” life started up again. Before I go any further, I would like to caveat this blog by saying a few things: firstly, I know the NHS is on its knees and I understand, truly, how hard the staff work. I also know they are overworked and underpaid. I acknowledge that these professionals go into their jobs to help people; It’s just that sometimes, the system fails and the patients are the ones who suffer.
Loneliness has taken on a slightly didn’t form for me in recent years. I have sat in front of countless GPs and specialists begging for help with my facial pain. But, as always with me, (ho hum), I have never quite fit into a neat little box and been an easy case to “solve”. My facial pain is all over my face and not consigned to one side; “odd” to doctors as facial pain, including trigeminal neuralgia is only ever on one side and it is very “unusual” to see such extensive pain on both sides and on the forehead, chin, nose and eye lids. “Have you seen a psychologist to help you with this?” I have been prescribed countless drugs of all strengths, all with many side effects, all targeting nerve pain. How “odd” then that none of them have helped me, even marginally. “Most” people with the facial pain I describe would be helped by these types of drugs….”have you ever had CBT to help you?” I have had many an MRI scan to rule out any of the nasties (doctors not realising or recognising that I feel this facial pain truly IS one of the nasties!). My scans have never shown up anything big, a few things to monitor but nothing of note. “Odd” because with my symptoms you’d expect to see something at least. “Have we ever tried you on anti depressants?”
I think you get the picture. And I’d like to state that I/we as a family, have never expected GP’s especially, to have all the answers, after all, they are general practitioners. But, it is truly disheartening and isolating when each of their suggestions following any results or discussions, lead them to suggesting mental health support, I have felt so many times that I have been doubted and disbelieved. Like a liar and a storyteller, and that is a very dark and lonely place to be.
If I am being completely honest, towards the middle of last year, I had almost resigned myself to the life I was living. I felt we’d knocked on every door possible of anyone who might want to listen or be able to help, and none of the doors had been opened. I didn’t bother my GP anymore, stopped Googling specialists and treatments and just thought, this is it. Life inside. I never in a million years expected that the situation could get even worse and I certainly hadn’t expected the lack of care I then received once again from my GP. To be at the age of 37 and having to hand over phone-calls to my parents because the conversations were so incredibly hard, broke me. To cry on the phone to your GP through pain and frustration and for your GP to simply ignore you…it’s beyond words; but for your parents to then have to take over the call and point out to them how unsympathetic and cold they had been…it just shouldn’t have to be that way.
One of my newest and biggest bug bears is when people don’t actively listen to you. I’ve had one face to face with my GP in the past few months since the increased severity. This was after I was given no option but to have a face to face at the surgery because, “you made it out to see the specialist, I’d you to come and see me.” I felt like I’d been summoned to the headteacher’s office! So, in we went and the appointment began and the GP started typing/looking up results/asking me questions/responding to my answers – all without looking away from her screen to pause and look at me. Once again, there were tears, I even leaned over as I was talking and she was typing as if to say, “HELLO! YOU MADE ME COME DOWN HERE, HAVE THE DECENCY TO LOOK AT ME.” But as with the phone call, my tears didn’t impact or distract her and she still didn’t look away from her screen. Zero empathy. Things had become so bad with communications and referrals and my treatment that I had run out of energy to deal with it all, so again, at age 37, my parents had requested a meeting with said GP and the practice manager. And I’d like to state again, this was never to argue or blame or complain (well, maybe a little), but just to plead for things to improve in order to help and support me. They highlighted again the lack of empathy, lack of understanding for how hard and painful it had been to get to out of the house and to the surgery and how disappointed they had been to witness on the phone-calls but also in the face to face the lack of empathy or active listening. The GP came out of that meeting to the waiting room where I was and thanked me for coming because she knew how hard it must have been and that she hoped we could now take steps to help me moving forward. I was grateful for that, but, why did it take a meeting with the parents of a 37 year old woman for this to happen? It’s just so unacceptable. And I say that because without mum and dad, I would have given up, and I know there are so many people out there who don’t have that support system and will have given up, closed their doors and resigned themselves to no hope and a life of neglect from the very professionals who should have cared for them.
I know I mention my friends and family a lot when I write my blog posts but I wanted to highlight once again, how truly important it is to have incredible people around you. Because, in this specific case, when I/we felt we have exhausted all avenues, my gorgeous friend Jo, mentioned about a pain management centre that had been set up for Long Covid sufferers at Guys and St Thomas’ Hospital. She had initially mentioned it incase any of the work they did there would help with my M.E, but, as she was reading, came across the part where in mentioned the centre had two facial pain specialists working with them! And long story short, this is how Dr Lambru came into our lives! Without Jo, my friend, thinking of me and wanting to help me, I doubt we’d have ever found him; GPs and other specialists had never mentioned him or the centre and he had never come up in my endless internet searches.
Initially we saw him privately because it was taking an age to sort and get referrals to his NHS clinic (for example my GP referring me for dental pain problems…yeah, I know!). But, last week, I had my third appointment with him but my first at his NHS clinic. I’m not going to go fully into my treatment plan yet as I’m still getting my head around the extensive list of options available, but I want to document it as I go. I know it may not be interesting to many of you but if by writing some more blogs it brings the centre and Dr Lambru to others attention that need help, it’s worth it.
I came away from the appointment feeling well and truly overwhelmed by the information and plan. But mainly I felt quite overhwlemed and emotional about the last few minutes of the appointment. It hadn’t even crossed my mind to ask the question because I’ve been told for sooooo many years that my facial pain is a unique case and felt so disbelieved. But mum simply asked him, “do you see any other patients that present like Hannah does?” To which he then talked about many patients exactly like me. Patients who have flown over from Belfast to him that present just like; who don’t respond to nerve medications, have widespread pain, have the red/burning flare ups, the eczema, the pain when exposed to the elements. Some whom he has actually CURED, many whom he hasn’t cured but has helped regain their lives to a level where the pain is managed and worked around.
And just like that, I didn’t feel alone anymore.
I felt seen.
I felt heard.
I felt believed.
Now, I have always been seen and listened to and believed by the people closest to me, that has never been in doubt, but it hit differently coming from someone medical. Someone whose field is facial pain and someone who helps people just like me. We have said for years now, that we just need that one person to show an interest. To use me as research, to want to find our what’s going on. And it seems quite likely that that person could be Dr Lambru.
Part of my CBT homework this year is to manage my expectations and to not pin all my hope on things. I am terrible for this, especially when it comes to my illness – counting down the days to my next appointment, and when they don’t go as I hope, feeling totally disheartened and drained of all the possible hope I’d attached to the day. I’m trying to focus on the daily successes, how I’m beating my pain monster by just getting up and getting on. And to see these appointments and treatments as ‘just another day’ and if something good comes from them, winner! But that is hard to do when you’re desperate. So, I do have my hopes pinned on one man and the potential treatment pathways, the difference is, in my mind, I’m not expecting any of them to work, I’m hoping one of them does…and as we know….hope, is everything.