I have been Bi-Polar since the age of 19 and I am now 72. During this time, I have I experienced many manic episodes and depressive periods. These include being taken to a low security hospital, hand cuffed in a police car, restrained, and sectioned under The Mental Health Acts and held in a seclusion suite without a window. My detention was reviewed by a tribunal comprising a psychiatrist, GP, nurse, social worker, and an independent pastoral observer.
Bi-polar is a serious lifelong mental illness characterised by extreme high and low depressive mood swings. It can reduce the life span and long levity by about ten years and high manic episodes can seriously result in suicidal acts and self-harming. Bi-Polar can be self-managed with medication especially lithium and anti-psychotic drugs. Regular psychiatric appointments are required and adjustments in medication are made face to face or by telephone. During COVID face to face appointments were limited and relied on telephone consultations which resulted in clinical misunderstandings.
My diabetes type 1 started with a Ketoacidosis DKD Episode when I went into a coma and was hospitalised. It is necessary to manage my daily insulin and medication; now I have Diabetic Sensors which are electronically connected to my smart phone. Regular foot inspections and retinal photographs are required. In addition, I have developed CKD Chronic Kidney Disease stage 3 which is a global epidemic we’re 37 million people are affected.
Being part of the ageing population of 60-80 I am now prone to Diverticulitis which is a very painful condition of the lower abdomen which can involve an AE emergency hospital visit. It now seems that dementia is inevitable and can develop gradually with loss of memory, mobility problems that are affecting large numbers nationally and internationally. Recently, I had a medical assessment of mobility, agility, and numeracy for possible Parkinson’s Disease. I understand that the symptoms of dementia and Parkinson’s can be similar and might also reveal signs of an earlier ‘stroke’. Over time, walking has become difficult and my ‘gait’ is uneasy. Falls can become damaging resulting in the need of hip replacement. Mobility aids and a walking stick have become part of my lived experience. My eyesight has become a major problem. The eye clinic closed down during COVID. Cataracts developed in both eyes and needed removal by surgery. Glaucoma has developed and medical eye drops have been prescribed. Dental problem come with ageing, with fillings and painful extractions.
Given the complexity and overlap of all these mental and physical conditions there is an important and urgent requirement for integrated and coordinated care. For me my GP and Surgery is very important but there is also many other health care professionals and agencies responsible for my mental health and physical wellbeing. They need new ways of training to consider complex needs. Also, self-awareness and therapeutic care is important. Mersey Care have developed a number of Life Rooms and they offer inclusive projects in Art for Well Being, Music, poetry, dance, and computing.