A post for my own benefit, and for those of you who are interested in how I’m managing, health-wise.

On a routine visit to my GP yesterday, she pointed out that it was the first time I’d been to see her since May. Given the regularity of my visits to her surgery over the past two and a half years, this is an unusual but entirely happy state of affairs. So, it occurred to me yesterday that I am, in general, doing much better of late. This does not mean that I am recovered or anything: I still get hit with the occasional horrible, crushing bout of post-stroke fatigue; I still find ‘noisy’ public situations difficult and tiring; I still suffer from sharp, intrusive headaches and have weird moments of vertigo; I still limp about with a tiresomely unreliable left leg and have to sleep ten hours a night to have any hope of managing the next day — but I am certainly managing. Tom puts it this way: the bad days are still as bad, but there seem to be less of them. Reflecting on how I’ve handled the past (extremely busy) few months, I genuinely feel that I have turned some sort of a corner. The key difference, or perhaps shift, is this: I don’t have to always think about how I am feeling. Because my energy levels were so low, I was constantly having to weigh up each day’s activities in terms of their inevitable toll. An afternoon would often turn on an impossible equation (you can cook a meal or take Bruce for a walk, but not both ) and there was no space around these (incredibly basic) getting-by activities for anything that would, in my new world, count as work (reading, designing, thinking, writing, responding to email, a trip to the post office). As well as being physically debilitating, suffering from any sort of chronic health condition takes up an awful lot of mind space. If you are thinking about how much energy you have left, or how much pain you are in, you really don’t have the resources to think about much else. I suppose all that I am saying is that I feel that I have more of those resources.

On reflection, I think this recent feeling – of being a bit more capable – probably combines two factors: first, the actual incremental improvements in my condition that I continue to observe, and second, my adjustment to the realities of my post-stroke ‘normal’ — by which I mean that I am much better, and much more rigorous, at making sure I have the right amount of sleep (this really is the key for me), at eating regularly to maintain my energy, at limiting the number of things that I say ‘yes’ to, and at just fitting the right amount of stuff into each day. Put simply, I take care of myself so that I can manage to do the things that are important to me. I suppose, really, this is a basic rule of well-being, that anyone, not just someone who has had a stroke, might adhere to.