Not sure where it begins or ends

Five years on from my stroke, I tend to only share little snippets of the journey. I don’t often talk about how difficult it’s really been, not because I want sympathy, but because I’m still trying to work out how I feel about it all.

My hospital experience wasn’t great and, after discharge, it felt very much like, “Off you go.” I was handed a bag of new medication, told I’d see my GP at three and six months, then have annual nurse checks. During that first year I tried several times to get appointments because I had questions about the medication and my recovery, but I couldn’t get seen. Even now, five years later, getting a GP appointment remains incredibly difficult.

Financially, things became hard. We went from two incomes to one and ended up borrowing money. The goal was always to get me back into work so we could start repaying those loans and hopefully pay for private therapy or specialist appointments ourselves, because, realistically, there didn’t seem to be another option.

People often say, “At least we don’t go bankrupt because of healthcare in the UK.” I understand what they mean, and I’m grateful we have the NHS, but I also think reality is more complicated than that. We may not receive huge medical bills in the same way some other countries do, but illness can still leave people in serious financial difficulty through lost income, paying privately when NHS services aren’t available, or simply trying to access the rehabilitation they need.

The strange thing is that I’m not angry about having had a stroke. I’m angry that recovering from it often felt like navigating a system that didn’t really work for me. That feeling has stayed with me far longer than I expected. On the positive side, being creative has given me somewhere to channel that frustration, and it’s found its way into some of the dystopian novels I’m writing.

My first job after the stroke was with the Civil Service. Sadly, it wasn’t a good experience. Despite having an HR background, I was told I had to attend a disability event. The journey would have involved around two hours on the train into central London, a 40-minute bus journey, and then a 45-minute walk to a golf club. I explained that I simply couldn’t manage that physically. I was told that if I didn’t attend, my job could be at risk.

Looking back, I suspect I may have had grounds to challenge that, but I didn’t have the emotional energy for another fight. I just wanted to rebuild my life, so I resigned.

Ironically, that became a turning point. I realised that if I could manage travelling into central London, perhaps I could work there. Today I have an IT job near the Bank of England with an employer who provides private healthcare. We’re paying off the loans, and there’s finally enough spare each month for my partner and me to share a personal trainer. We’ve focused on rebuilding strength, especially core stability, and I’ve even started learning to paddleboard. We went camping on the Norfolk Broads this year and spent most of the time laughing as I repeatedly fell off the board or the pontoon. We’re going back in September, and I’m hoping to spend a little more time standing up than swimming!

So there have definitely been positives, and life is much better than it was.

But underneath it all, there’s still this anger that I don’t quite know what to do with. My London workdays are long—5 a.m. starts and often not home until 8 p.m.—and they push me close to my fatigue limits. Yet it’s not the tiredness that lingers. It’s the feeling that the system let me down when I needed it most.

I’m even trying to get involved with a local church community because I know I need connection and somewhere to belong.

I suppose the reason I’m posting is to ask whether anyone else feels like this. Not angry at the stroke itself, but at the experience of trying to recover within a system that often feels impossible to navigate. Have you found a way to make peace with that, or does it stay with you too?

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Sounds like life has pootled along for you in a favourable way despite the swings and roundabouts. I find that if one sets themselves up to compete with one’s own expectations of something, it can feel like a losing battle. I keep my expectations of systems in idle gear as they are managed and organised by people, much like myself, who no doubt have their own limitations and frustrations, these are big wheels, and the bigger the wheel, the more cogs needed to keep it turning. I’ve noticed I’ve started writing in metaphors, I shall stop now before it is too late.

These are poignant social and political disquiets you are experiencing, and I would say many on the forum will feel the same. I am skeptical by nature with proclivities of cynicism, but at heart an optimist. I was misdiagnosed by a GP over three months while having four strokes. Was I let down by the system? Hmmm, no, I didn’t feel that way. I didn’t expect they were strokes, she was convinced it was BPPV, I started to question her diagnosis, I suspected lack of blood or oxygen to the brain, but the idea of stroke never entered into it. Was I angry at her? Maybe deep inside me there was resentment. Resentment at not having my suggestion of lack of blood to the brain followed up or at least considered. After being discharged from hospital, it was lockdown, so force majeure, no physio for me, I had to do it all on my tod.

The countries with world class post stroke care are Germany, Sweden, Australia, Spain and Turkey. Sweden’s system for stroke management is widely considered the gold standard. The UK seems to rank first globally for palliative care systems, so maybe there is hope for us yet when we get there, and then we can boast how good the system is before we say our long goodbyes :laughing:.

Your anger shows you care, and while I don’t have that emotion for things out of my control, it means that things can improve because people are passionate about it. Channeling some of that energy into your writing is a superb way to get it off your chest, but also to make it shareable for others to pick up your ideas and relate them to the real world. I did chuckle when I read dystopian because it spoke loudly about how you are feeling about things at the moment. Being creative also gives one an out from the daily grind of dealing with such systems, it is freeing, it harks back to painting on cave walls or telling stories by the fire. Forget the hunting, building, interpersonal politics; let’s have a story, let’s draw a picture.

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thank you for your thoughtful reply :slight_smile: and sharing your story, one of my in between jobs job was working assisting pathologists at one of the district hospitals and one of the tasks was incinerating the organs held by pathology, this was until around i think 98/99 when families found out, it was a lightbulb moment to realise just how wrong it was to dispose of their loved ones in that way and not return them first..

my point is my stroke was late at night and the ambulance crew decided i would not survive so treated me in that way. that meant the little things like not needing underwear or phone (just post freedom day) and my partner was told a recepetionist would let her know what the next steps are with the body..

So I’m not angry at them but rather at us as a society, how do we keep ending up here. its why my story evolved into one about an ethics professor teaching the mercy of ending the suffering of the disabled to then collapse with a stroke infront of her students and we follow her through a journey of self discovery and i lean a little into my grandfather (cherokee tech sargent medic) particiption in the liberation of a camp at the tail end of ww2..

go to do something while recovering.. appolgies for the ramble

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Great story arch and one that has all sorts of nuances. I had a PIP assessor, proudly, tell me that she had had a stroke and she’s alright. It was at that point I knew that I would be on the empathetic back foot with her assessment.

This must of been a dreadfully helpless feeling. My situation was not deemed as final, but the paramedics thought I was drunk and should just go to bed to sleep it off.

Got to do something or have a genius for doing nothing.

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I know what you mean about being on the backfoot, my first job post stroke was admin in the civil service, and the first thing my manager said was “I dont see you as disabled” Its not so much a reaching out for understanding as a wall to understanding. This became evident when i quit as my replacement was in a motorised chair and the entrance to the office is up 10 steps with no ramps.

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Hmmm, I think that employer should heed the lessons of Gallifrey. Steps used to be a cunning deterrent, but later on the Daleks developed technology that allowed them to hover.

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Hi Nck,
Unlike you im not angry but same launch out of hospital like you’ve got yr pills get on with it. My niece has just been discharged after thyroid storm again new meds no plan for vital blood tests no apparent aftercare. We are now battling to sort this out. Same thing different illness.
The staff are amazing the facilities inadequate for the task. I can’t help but feel cynical about this pay rise while I don’t begrudge it the service must do better if the NHS is to survive. I can’t help but feel much of the money is misdirected into needless courses etc. Whatever happened to matron who could run a hospital without armies of administrators.
Sorry for my rambling on - I think you have a valid point.

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The bigger the institution, the harder it is to manage. For me, I’d like to see more smaller hospitals and clinics. I went to a quiet, smaller hospital and felt it was much better for my mental outlook on the catastrophe that had rocked my brain. When I’ve gone into what I call mega-hospitals like Glangwili, I feel like I’m in a war zone. I walked down one corridor and saw gutted rooms with wires dangling from the ceiling, the atmosphere was bleak, not to mention the lack of greenery. Courtyard spaces that looked and felt dormant and uninviting, I know these are meant to be utilitarian spaces but if a space makes you feel calm and comfortable, it can do wonders to boost morale and make suffering all the more manageable.

Totally agree with you Rups. That is the ideal. I do believe there are not enough resources and yes better many smaller hospitals to serve the community tho I suppose bigger ones needed for multi disciplinary care etc?
I do think much money is wasted on unnecessary stuff DEI and the like. I can’t think of a better example of multicultural success than the NHS and my belief is that courses dei staff and the like are therefore unnecessary but thats just a personal view. Like too many administrators but im willing to be corrected or proved wrong.
The NHS saved me theres no doubt about that and when the chips were down i could not have got better anywhere or private. I know that is not always the case though. We should jealously guard our NHS from abuse and maintain it as an example to the world.
Again all personal views it’s an interesting thread developing here good to get everyones views and experiences.

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I can’t speak for the effectiveness or otherwise of DEI, but at a cost of £70 million a year it’s a rounding error in the £240 billion NHS budget. Arguably it could still be better spent, but savings from things like agency staff (already down from £3 billion to £2 billion a year) are having much greater impact.

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