World Cat Day 2023 – The Benefits of Cats

Happy World Cat Day! I am both deeply a cat person and a dog person, even though I don’t have a dog right now, and my cats are one of the great loves of my life so, for World Cat Day, I thought I’d research and share why cats are so incredibly good for us. But before I get started with that, I wanted to share my favourite fact: we know that our relationship with cats goes back thousands of years but some research shows that cats essentially domesticated themselves in South Asia, befriending humans for a ‘mutually beneficial relationship’ (although, let’s face it, it probably started out as an easy way of getting food). (x) And clearly, we’ve always been obsessed with them: in 889 CE (also known as AD), twenty-two year old Japanese Emperor Uda described his new cat with familiar passion: “the colour of the fur is peerless,” “when it stands, its cry expresses profound loneliness, like a black dragon floating above the clouds,” and “I am convinced it is superior to all other cats.” (x) Who of us cat owners have not described our cats in similar ways and with similar pride?


IN THERAPY

  • According to the Human Animal Bond Research Institute (HABRI), pet therapy sessions have proven to decrease isolation and loneliness, increase social functioning, and improve independence in autistic individuals.
  • Cats are being used in animal-supported therapy more and more, commonly used to treat anxiety disorders, depression and Post Traumatic Stress Disorder (PTSD), as well as Attention Deficit Hyperactivity Disorder (ADHD) in children as they often help to keep them calm and focussed.
  • Cats (and animals in general) act as a good ice-breaker, both at the beginning of the session or if the session becomes difficult and the patient needs a moment to breathe; they serve as a positive, calming topic of conversation, a good release valve, before getting back to work.
  • Cats are a reassuring presence, good for reducing anxiety.

EFFECTS ON THE BRAIN

  • A positive bond with your pet can increase your dopamine, serotonin, and oxytocin levels, the hormones known as the ‘happiness hormones.’
  • Researchers have discovered that the human brain releases endorphins when stroking a cat and when listening to a cat purring, lowering our stress levels.
  • The brain also responds to a cat’s purring by releasing serotonin.
  • Playing with your cat can raise your levels of serotonin and dopamine, relaxing the nervous system, and the ‘happiness hormones’ are stimulated when we smile or laugh or talk to our cat.
  • Studies show that the bond between a person and their pet is linked to several mental health benefits, including reduced feelings of loneliness, reduced anxiety, and reduce symptoms of PTSD.
  • According to HABRI, 74% of pet owners say that owning a pet has improved their mental health. Studies have shown that the bond between human and animal increases oxytocin levels in the brain, resulting in feelings of calm and focus.
  • Research by the Mental Health Foundation and Cats Protection, in a study of over 600 cat owners, found that 87% felt that having a cat had a ‘positive impact’ on their wellbeing and 76% reported that they felt they could cope better with their lives because of the presence and relationship with their cat.
  • It has been reported that people with pets experience less anxiety than those without. Studies have also shown that cats are beneficial in reducing anxiety, especially in certain groups such as students and autistic children.
  • Spending even twenty to thirty minutes with a pet can trigger chemical changes in the body that reduce stress, including the increase of serotonin and dopamine levels in the brain and reducing anxiety.

EFFECT ON EMOTIONS

  • Our pets love us unconditionally which is very comforting when we’re struggling or feeling lonely.
  • Animals are so present that they encourage us to do the same, to be present and mindful.
  • Researchers in 2008 found that 44% of cat owners felt ‘a sense of safety’ when with their cats.
  • Caring for someone or something other than ourselves, that relies on us, can create a sense of accomplishment, fulfilment, and confidence. And the more confidence we have in ourselves, the better we tend to feel about ourselves.
  • Polish researcher Elzbieta Budzinska-Wrzesien and her colleagues concluded that when you have a close relationship with your pet – who shows you unconditional affection and doesn’t judge you – that relationship can boost your sense of wellbeing and self esteem. This bond can relieve stress, increase social interaction, and create healthy habits.
  • The love of and for a pet can often motivate a depressed person to keep going because they know they have their pet relying on them.

EFFECTS ON THE BODY

  • Studies have shown that the bond between a person and their pet can result in many health benefits, including decreased blood pressure and cholesterol levels.
  • Multiple studies show that cats have a calming effect on us, reducing our stress to the point that we are approximately 30% (different studies show slightly different numbers) less likely to experience heart disease. Even watching videos of cats of have shown to reduce our stress.
  • Another study showed that cat owners have fewer strokes than non-cat owners.
  • Stroking and cuddling your cat can reduce the cortisol, the stress hormone, in your body, which leads to decreased heart rate, blood pressure, and anxiety.
  • Some studies have shown that having your cat close by at night results in better sleep. Cat-owners who let their cat sleep on their bed or in their bedroom said they found it easier to both fall asleep and stay asleep. Compared to dog owners and those without pets, cat owners specifically indicated waking up fewer times during the night, as well as less restlessness and fatigue.
  • A cat purring has therapeutic effects both on them and on us. Studies show that purring falls between 25 – 240Hz, the frequency known to speed up the healing of injuries, including broken bones, damaged tendons, and injured joints. Some people have even reported the purring of their cat easing their migraines too.

EFFECTS ON LIFESTYLE

  • Looking after a pet requires the ability to create and stick to a routine, time management skills, organisation, and multitasking. These skills are difficult for many people, especially individuals with ADHD, so caring for a pet can aid in building and strengthening these skills, motivated by the knowledge that your pet needs your care and attention; tasks involving them can’t be procrastinated or skipped. Over time, these skills can be harnessed for non-pet related tasks.
  • Caring for a pet can also help to build a better sense of self-esteem and can improve how pet-owners, especially those with ADHD, feel about themselves in a neurotypical society.
  • ADHD pet owners have reported feeling great pride in managing to take care of their pets, especially on their own. Sometimes it’s the first time they’ve managed to build and keep a daily schedule. This builds confidence, which goes on to affect other areas of their lives. Some reported that getting a pet is what forced them to learn and improve these skills, which resulted in them taking better care of themselves as well.

I found an excellent story during my research…

“I have a cat and I couldn’t manage without him. Yes, he provides comfort and unconditional love, but he also keeps me on track. I used to work with chimps and sign language, so when I got a kitten, I placed a very high priority on his communication skills and on shaping gestures he used naturally. I also used food puzzles and other things to keep his mind active. He knows what time I need to be up for work in the morning. Unless I tell him the night before that we can sleep in, he pokes me awake 3 or 4 minutes before the alarm. If I space out cuddling with him, he gives me a minute or so, and then he stands up and uses his limited gestures to say firmly, ‘You. GO,’ and waits to make sure I’m up before he leaves the room. He knows how long it takes me to wash and dress. If I dawdle too long deciding what to wear, he’s in the doorway checking to see what’s taking so long. If I leave something in the oven and forget about it, or leave a burner on after I’ve taken a pot off it, he lets me know. Sometimes I assume he’s just looking for attention and scold him for making a ruckus when I’m trying to focus, but if it’s a safety issue, he won’t stop until I give up and say, ‘FINE! SHOW me what’s wrong,’ and then he leads me to the stove, or wherever the issue is. He’s most certainly the grown-up in the relationship.” (x)

MY CATS

If you’ve followed this blog for a while, you’ll know that I have five cats, all related to each other. Lucy came first and then we kept her second litter of kittens, Tiger and Mouse, and then – to even the vet’s surprise – Mouse suddenly had two kittens, Sooty and Sweep, that – for a number of reasons, including the pandemic – we ended up keeping. I love them all dearly and it’s sweet how, not only have they all developed different relationships with each other, they’ve developed different relationships with me.

Lucy is my anchor. She’s always there, curled up next to me or snoozing somewhere in the same room. She doesn’t want to be cuddled all of the time but she always wants to be nearby; she likes to know what’s happening and what I’m doing. It’s very sweet. And she probably looks after me more than I look after her: she regularly checks in with me, she follows me around, she gets anxious if she can’t be in a room with me, she’s always really pleased to see me when I reappear from behind the shower curtain, she tries to usher me to bed when it gets really late and then sits with me to make sure I don’t get up again, and so on. It’s adorable. She’s the queen of the house though and she absolutely knows it.

Tiger is my snuggle buddy. Up until recently, she’d come for a cuddle now and then but she was usually too busy exploring the garden or playing with the other cats (plus she does have a favourite spot for snoozing). But after I went to the US and then Germany, it’s almost like she realised that she really doesn’t like it when I go away – I think all five cats got very comfortable with my Mum and I being home all the time since the pandemic began. As soon as I got home, she was all over me and ever since, she’s been coming to me for long cuddle sessions multiple times a day. It’s very cute, especially given how independent she was before. I’m certainly not turning her down, even if her tail is a weapon of mass disruption.

Mouse and Sweep are my floofs. Sweep has always been Mouse’s baby and they are definitely a bonded pair, which is a gorgeous thing to witness: they are curled up together all the time and even in the summer heat, they lie as close together as possible without touching (although Sweep often reaches out with her paw to touch Mouse, like she’s reassuring herself that she’s still there). Sweep frequently runs to Mouse for reassurance after something traumatic happens (the most traumatic thing to ever happen to her is the unexpected appearance of the window cleaner’s brush) or runs into the room, calling for her. It’s so cute how much she loves. She’ll rush up to Mouse and flop down on top of her, getting as close as possible, something that I’m not sure Mouse always appreciates. Mouse has always been the most skittish of the pride but she’s getting more affectionate and playful as she gets older, which is lovely. And we’ve started trying to teach them all tricks, mainly for our own entertainment, and Mouse has definitely been the fastest to pick them up. And Sweep is the complete opposite. I’ve started referring to her as ‘my little neurodivergent baby.’ I don’t know if there’s any proof that neurodiversity exists in any species other than humans but it seems unlikely that it’s just us; I wouldn’t be surprised if it’s only so obvious in humans because neurodivergent individuals are forced to live in a neurotypical society, something that animals don’t seem to have, certainly not in the same way. If those pressures aren’t there, then maybe neurodivergence doesn’t manifest in the same way. Anyway. I think of Sweep as neurodivergent because she seems to think and process completely differently to the other four, like they think in words and she thinks in pictures – or the cat equivalent. She still struggles with the cat flap, she doesn’t seem to understand how doing tricks works at all, she likes to hide away from everyone but has her special bond with Mouse, she seems to experience a lot more anxiety than the rest of them… I don’t know. She’s just very different to the others, not that we love her any less.

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Sooty is my baby. She’s always seemed to think of me as her mother, even when she was a teeny tiny kitten. I wonder if that’s because Sweep and Mouse are always so entangled but whatever the reason, it’s adorable and I’m not turning down her affections. She always wants to sit on the sofa with me, demanding that I stretch out my legs so that she can stretch out between them; it’s her favourite spot. She’s also very playful and she and Lucy are a particularly playful pair, although she’ll play with anyone who will engage with her. She still feels very much a baby, Sweep too, even though they’re four now (which seems unbelievable to me but then I guess the pandemic really screwed with our perception of time) and that’s very sweet. I kind of hope she always will; I think she’ll probably always be my baby (although, to a degree, they’re all my babies).

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APRIDEOFCATS

To avoid overwhelming people with cat pictures on my Instagram, which is focussed on me as a singersongwriter, I created a new account, aprideofcats, so that I could post as many as I wanted. It’s as much as for my own entertainment as anything else. I stopped using it for a while – when I was struggling with social media in general – but I’ve recently started posting on it and having a great time, trying to choose between the ridiculous amount of cute pictures that I have of them.


So there you have it: concrete evidence that cats are amazing. I’m just kidding, although I do love cats and my cats in particular. I think it’s fascinating that just spending time with animals – and in this case, cats – can have such dramatic effects on us and our health, physical and mental. I hope this has been interesting and fun and if you liked the cute little faces of my cats, please do follow my cat instagram: there will be plenty more photos of them going up.

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A Year of Autonomic Testing and A Discovery of POTS

After I was diagnosed with Hypermobile Ehlers-Danlos Syndrome, my Mum and I did quite a bit of research. There were a lot of things that suddenly made sense and one thing that caught our attention was mention of autonomic issues, like dizziness, fatigue, chronic pain, brain fog, problems with heart rate and blood pressure… These were all problems I’ve either struggled with or had investigated in the past so, with the hEDS diagnosis and the help of my GP, we started following that path to see if it yielded any answers.

As you can see, this post has been a long time in the writing. I didn’t want to post anything until I had something to say really, beyond descriptions of the tests, but then it all just went on and on and on. Everything moves so slowly and it’s very draining. I have to hope that things are better for knowing what I’ve learned from all of this but it’s also been a very trying, sometimes traumatic experience.


MARCH 2021

It began with a phone call appointment with a neurologist, a specialist from a neurology unit in London (which I talked about in this post). It wasn’t a fun experience. The call came two hours late, it wasn’t the person it was supposed to be, and then he spent twenty five minutes of the half hour call telling me that there were tests that they could do but that they’d probably be a waste of time. It just left me feeling really confused and upset. He had eventually said he’d write to my GP about doing some tests but after the way he’d been talking, I didn’t feel very hopeful about it all. After he hung up, I didn’t quite have a meltdown – it was like I didn’t have the energy that a full on meltdown requires to happen, like a rocket needing a certain amount of fuel or whatever to launch – but it was close.


MAY 2021

Despite his apparent reluctance, the neurologist did in fact write to my GP and the blood pressure monitoring was arranged. It took forever – I think because of a shortage of the monitors – but the day did eventually arrive (I wrote more about it in this post). I went to the hospital to have the monitor fitted and to get all of my instructions; the whole thing was relatively chill (not my general experience when it comes to the medical field) and the two women who went through it all with me were really great.

It wasn’t too bad. The cuff got very tight so it was hard to forget it was there and just do the day as normal but it was fine. I did find it hard to get to sleep but the squeezing didn’t wake me up, which I was grateful for. My arm did hurt like hell in the morning, like I’d been punched repeatedly; I was convinced my arm would be bruised afterwards but it wasn’t. I couldn’t get the monitor wet so I couldn’t have a shower until after I returned it but since that’s usually when the blood pressure related symptoms present, we faked a shower: I stood for the same amount of time in the bathroom with the shower on (so that the hot, steamy environment was the same as if I were having a shower) and let the monitor take its readings. I felt shaky and dizzy and lightheaded so it should have read as if I really had had a shower.

I got through the rest of the twenty-four hour period and then took it off, to my great, great relief. My arm was sore from the squeezing and the cuff was pinching in various places. I also had that Autism thing where the constant pressure for so long was causing me anxiety, like wearing my retainer for too long. The anxiety had been growing for most of the second day so I was very relieved to be free.


JULY 2021

The second round of monitoring involved a little stick-on patch with sensors over my heart, which had a little monitor that could be attached (and then detached for a shower) to measure my heart rate. I was supposed to wear it for a week and while it wasn’t exactly comfortable and sleeping with it attached wasn’t great, the first few days went smoothly for the most part.

But, after several showers, the patch started to peel off. The sensation of it constantly brushing my skin and the itchiness of the glue (or whatever it is) as it disintegrated was quickly overwhelming and I was regularly finding myself in meltdown territory. It was creating so much anxiety that we got in contact with the people who’d sent it and they said that after roughly four days of readings, it would be fine to take it off, that they would have enough data. Removing it actually really hurt and I think me and my super sensitive skin had some kind of reaction to the adhesive because it kind of looked like I’d been burned where the patch had been for a couple of days after.


AUGUST 2021

Alongside the blood pressure and heart rate monitoring, there were a series of other tests but it was a while before I got the letter to tell me that they’d been scheduled. The first of the two appointments was in August and was a bit of a mixed bag as an experience. Despite the letter from my GP that said I’m autistic and have an anxiety and therefore need to have someone with me for hospital appointments, the receptionist almost didn’t let my Mum come in with me. I was somewhere between walking right back out and having a panic attack (said receptionist actually asked me if I was okay, which I thought was a bit rich) but fortunately it was all sorted out and after a little bit of time to collect myself, the testing went ahead. The doctor for this particular appointment (I don’t think I’ve seen a single doctor more than once through this entire process) was nice and didn’t rush me at all after the somewhat upsetting start.

The testing was fairly straightforward. They wrapped me up in monitors (I’m not going to lie – I kind of loved all of the hand ones for taking my pulse and stuff because it kind of felt like I was having superpowers measured or something, which was much more fun to think about) and then ran me through a series of tests: standing for certain periods of time, breathing exercises (which reminded me a lot of the warm up exercises I used to do during singing lessons), squeezing an inflated pressure cuff (my hypermobile fingers made this one pretty difficult), and so on. There was still the tilt table test to go but I had to come back on a separate day for that one.

Just like with the day of blood pressure monitoring, they didn’t tell me anything about the test results. Once they had all of the data from all of the tests, they’d call me in to discuss it all. I could understand that but it was frustrating when the whole thing was taking so long.


SEPTEMBER 2021

Late September, I was back at the hospital for the tilt table test. I was all wrapped up in the monitors again  and they strapped me (not uncomfortably) to the exam table so that when it moved from horizontal to almost vertical, I wouldn’t slide or fall. Everything was fine while I was lying down and they got all of their readings and then they adjusted the table so that I was almost upright.

It took about twenty five minutes before I started to feel noticeably bad. Like, more than just not great. My hands felt numb and tingly, my legs were shaky, my chest started to hurt and I got very breathless; they let me take my mask off (everyone else was still masked and I’d tested negative before going to the hospital) but I was still breathing too fast, on the way to hyperventilating. While they had an approximate end time for the test, they decided to stop there; presumably they had the information they needed and I was honestly relieved to lie back down for a few minutes. I was breathless for a long time, my head hurt, and I was pretty nauseous. I had to sit for about ten minutes before I felt solid enough to get up and back to the car.

A week later, we were called in by the cardiologist to go over the results. It was a frustrating appointment: my information wasn’t there and we had to wait while the doctor called around and tried to get a hold of it all and then, when he got it, he waffled a lot without really saying anything so getting a clear explanation wasn’t easy. As far as I can tell, my heart rate goes a little haywire when I stand for a long time or exercise too vigorously. The cardiologist diagnosed me with Postural Orthostatic Tachycardia Syndrome and prescribed me Propranolol to help with the symptoms. I’m not sure we’ve managed to get the dosage quite right yet but it is now in the right range and has been helping a bit: I’m less dizzy and breathless although that hasn’t gone away entirely (yet, hopefully).


FEBRUARY 2022

We had been offered more thorough testing at UCLH in London and we figured that it couldn’t hurt to have more information, especially from an institution that apparently has more knowledge and understanding, better resources, and so on. I was in and out of there for two days (ish), doing tests and helping them gather data on whatever weird thing is going on with my autonomic system. It was a lot but I was cautiously optimistic that what we learned would make managing the symptoms easier.

DAY ONE – We had to be there super early, which was a real struggle because the ADHD meds were seriously messing with my sleep, but I did somehow make it on time. Despite my doctor’s letter, the people at the desk and then the nurse didn’t want to let my Mum in with me. I was ready to walk out – I’ve been traumatised enough times by medical personnel that I wasn’t keen to add another tally mark to that particular chart – but Mum managed to talk to them and get them to understand. I was fitted with a blood pressure monitor, like the one from my first test, and gave me a diary to keep for the next twenty-four hours. It was similar to that first test but it required a lot more detail in the recording: I had to do certain activities at certain times, which were recorded by the monitor. It was quite a stressful and exhausting day, with the monitor bleeping continuously. I was incredibly tired (I fell asleep on the sofa more than once) and I struggled to keep up with the activities they wanted me to do – it feels like the ADHD meds have fried my brain somewhat. And then, because my sleep was so messed up, I didn’t get to sleep until after three.

DAY TWO – Waking up and get to the hospital for eight am was excruciating and the fact that I was only about ten minutes late was a miracle. Fortunately, they weren’t completely on time either. The testing that day was all done in the hospital, in one room, with one woman who was, fortunately, really nice. I spent most of the appointment lying on the exam table, hooked up to various monitors and performing different tests. Quite a few were the same as the first tests I did but there were some new ones too, like having my hand wrapped in an ice-pack for what felt like ages (although it wasn’t actually that long but my god, my hand hurt afterwards). She tried to draw blood for additional information but she couldn’t get a vein in either arm (I think that may have been due to the fact that I’d been lying down for a couple of hours at that point and so my blood pressure was weird but I’m not a doctor so what do I know) and that was uncomfortable with nothing to show for it but oh well; it apparently was a bonus if they got it.

The last part was the tilt table test and I wasn’t as affected as I had been the first time I’d gone through it but it still wasn’t pleasant. And after that, I was done. After lying (and then standing) in one position for so long, I was really stiff and my hip and knee joints were so sore that I could barely walk. I was absolutely exhausted. I made it back to where we were staying and fell asleep on the sofa straight away. I woke up for food (I hadn’t been able to eat before the appointment) and then went straight back to sleep. I was utterly drained and it took me a few days to recover fully.

Again, they didn’t have all of the results for me at the end of the appointment: those would go to the team meeting that was within the next two weeks and then they would call me with a plan, another appointment, or whatever. I think it’s safe to say at this point that my expectation of it taking more than two weeks was correct.


MAY 2022

UCLH sent a letter with a brief explanation of their findings and a time for a follow up call where they would explain those findings in more detail and discuss next steps. That took a while to schedule because of other commitments so it didn’t happen until May.

It was a short call but the nurse was really nice and so knowledgeable. She ran through the test results and what they showed and confirmed the diagnosis of Postural Orthostatic Tachycardia Syndrome. She explained the effects of the Propranolol in more detail and said that I would be receiving an invitation to their next online meeting about managing the symptoms of POTS, which will hopefully be helpful. And on top of that, she gave me a few tips to try in the meantime. So it was a good appointment and I’m looking forward to seeing if her tips help and to the meeting, which should be within a couple of months or so.


So now I’m waiting to hear about the online meeting. I haven’t had many good experiences with sessions like these but I’m nothing if not chronically optimistic; maybe this one will be better. But just knowing that POTS is the cause of the symptoms is a step forward. And the Propranolol seems to be helping although I’m not sure that we’ve got the dose quite right yet.

I wanted to write and post more about Borderline Personality Disorder during BPD Awareness Month but I’ve been really struggling with my depression and changing medications and it’s all been a bit too much; I’ve found it hard to write anything at all. I’m still trying and hopefully I’ll have something BPD related up next week, plus I have a few other posts that I’ve started that I hope to finish and post in the not too distant future.

Migraines, Tooth Pain, And Blood Pressure Monitoring

So often in my life it seems, medical stuff is like waiting for a bus: weeks or months go by and then suddenly a whole slew of them show up. And that’s certainly been true of the last few months. Just as the final module of my Masters was starting, I was hit by a series of awful migraines, suffered with terrible tooth pain, and spent twenty four hours hooked up to a blood pressure monitor, a test ordered by a neurology unit in London. So it’s been a pretty hectic time…


MIGRAINES

At the time of writing this, I’ve lost approximately half of the last forty days to migraines.

I’ve had migraines before – maybe a handful a year, depending on my stress levels and the medication I’m taking – but they usually only last for a day or so before fading away. They’re not pleasant but they weren’t seriously impacting my life. But then I had one that lasted roughly four days and I ended up in A&E because, having fairly recently had the Astra Zeneca vaccine, my doctor was worried about the extremely rare side effect of a blood clot. I was sure it was a migraine but agreed to go and after most of the day there, I was released; the doctor agreed that it was most likely a bad migraine but told me to come back if it didn’t go away. And after another day or so, it did. While I was somewhat irritated about losing a day that should’ve been spent working on my end of semester assessment (despite the pain, I was pushing myself to work on it as I could, in the moments where the painkillers actually worked – I think that’s mainly why it went on so long personally), I am really grateful to all of the hospital staff. They were all great – warm, considerate, and personable – despite the somewhat alarming COVID precautions everywhere that weren’t exactly great for my anxiety. But they were really kind and gentle with me throughout my visit, making the whole experience a lot easier than it could’ve been.

I’d thought that that was it. But then, again and again, I was hit by migraine after migraine, all lasting unusually long periods of time (for me, at least). They were averaging out at about six days each time, sometimes more. That was extremely stressful, bearing in mind that I’m at the beginning of the homestretch of my Masters with this final module accounting for 60% of my final grade, and I was utterly miserable from the pain. I was also so light sensitive; at one point, even the darkest room in the house felt too bright and I dissolved onto the floor in tears, which only hurt my head more. It was awful. That was the first time we called 111 and they called paramedics. That time they determined it was, again, a severe migraine and recommended two other pain medications to try in the hope that they’d be more effective than Nurofen.

A couple of migraines later, with minimal help from the new painkillers, I had another really bad one, which had us calling 111 and they sent paramedics (both such lovely guys who fell in love with the cats and talked musicals with me while they did their tests). This migraine was slightly different: it had all of my normal migraine symptoms but I also had this almost blinding pain at the front and right side of my face. They thought it was probably a migraine but suggested talking to my doctor about having a CAT scan and/or whether there was something going on with my cranial nerves. They also had some practical, experience based advice around pain relief (one of them had personal experience with severe migraines). They said they could escort us to the hospital on the off chance that a doctor would do a CAT scan but did acknowledge that they might just take blood and keep me there while it was checked again, like my previous visit to A&E. So we chose the second option: Mum was going to go out and get the new medication option and call my GP ASAP.

TOOTH PAIN

That was the most recent migraine (at the time of writing this). As time passed, the pain in my head started to decrease, then my face, settling in my back-top-right teeth; every time they – and finally just one (after about a week) – knocked against the bottom teeth, the pain was so bad that my entire body would freeze up.

As soon as it had settled in my teeth, we’d called the dentist and they brought me in as an emergency (a few days wait rather than a few months). The dentist checked, took x-rays and saw some decay in the painful tooth, fairly close to the nerve root, and it already has a pretty big filling in it. At one point, somehow, the hEDS diagnosis came up (I was diagnosed since my last dental appointment) and the dentist said that she’s seen and heard about multiple people with a form of EDS (or who were later diagnosed with it) struggle with tooth decay, as well as being scolded by their dentists for not doing a good enough job with their dental hygiene even though they actually were; it was often the EDS causing problems, not necessarily their actions. This really is the diagnosis that keeps on giving (imagine a sarcastic snort at the end of that sentence).

Anyway, she diagnosed an abscess and gave me two treatment options: extraction or root canal therapy, which would involve multiple, multi-hour sessions that would be painful, ultimately might not work, and probably wouldn’t last into my late thirties. The whole thing felt pretty overwhelming and I ended up in tears. Extraction was the obvious choice as far as I was concerned and everyone else agreed; there seemed to be way too many downsides to the root canal option (plus it sounded horrendous and I find dental work, even fairly straightforward stuff, very distressing) and even if I was inclined to choose it, it’s the worst possible time given the end of my Masters. Even an extraction is going to be a significant disruption. I’m applying for extenuating circumstances, which both my supervisor and module leader have encouraged, so hopefully that’ll mean I end up with the same amount of time to do the work as everyone else.

So, I’ve been referred for an emergent extraction under general anaesthetic but I don’t know when that’s going to happen. They also prescribed me some antibiotics for the mean time. Now it’s a waiting game. But several days after the appointment, either the antibiotics are working or the nerve is dying or both because the pain is getting better and I feel more human. There are periods of time where I can actually ignore it, which is a huge deal considering how much pain I’d been in. So that’s definitely something to be grateful for.

BLOOD PRESSURE MONITORING

A couple of months ago, I had an appointment with a doctor from a neurology unit in London, which I believe I mentioned in this post. After spending most of the appointment vehemently telling me there was no point in getting any tests, he somewhat reluctantly offered to write to my GP, suggesting I have my blood pressure monitored for twenty four hours. It took forever to get a monitor from the hospital but finally test day came.

I had to go to the hospital where they fitted the monitor (found the right size for my arm, wrapped me up, made sure it was taking readings, looped the cable behind my neck, and used the tie from my coat to secure the monitor/data recorder around my waist) and gave me the instructions and paperwork to go along with the monitor. I wasn’t allowed to get it wet so I couldn’t have a shower while wearing it but since that’s when I usually get my blood pressure related symptoms, we devised a plan where I would go through the motions – with the shower on to create the heat and steam – so that it would still record whatever was happening to my blood pressure during a shower, as much as possible at least. The whole process was relatively stress free and the two women who sorted me out were great, warm and extremely competent but flexible to my needs. I’m really grateful to them for making it so easy.

All done, we headed home. It was a bit weird with the weight of the monitor, the too long cable getting caught on stuff, and so on but overall, it was fine. The cuff got very tight – tighter than I remembered them getting when you get a one off test – but it wasn’t a big deal and the rest of the day went on as normal. It was a bit of a struggle to get to sleep because I couldn’t get comfortable with the cuff on my arm but once I did get to sleep, the inflating and squeezing didn’t wake me up, something I’d expected to happen.

However, when I woke up, my arm was really sore. I felt like I’d been punched a hundred times in the same place, convinced the skin was bruised underneath the cuff (it wasn’t and no bruise ever emerged but damn, it was tender). I think the cuff had slipped in the night as well because I had several error readings on that second day.

I had my pretend shower and, as usual, felt shaky, dizzy, and lightheaded; having thought ahead, I’d timed things so that the monitor would be taking the reading right at the end of my fake shower. I’m intrigued to see what that reading says. That done, Mum helped me wash my hair, leant over the side of the bath; I had an online meeting and couldn’t bear the thought of doing that with unwashed hair. It wasn’t very dignified, especially with all the extra towels wrapped around me to keep the monitor dry, but it got the job done.

I wore it for the rest of the twenty four hours and then, with great relief, unwrapped the cuff. By the end, my arm felt really sore from the squeezing, plus it had started to pinch in various places at some point. There’s also that Autism-sensory-thing of wearing something constantly constricting, which starts causing anxiety after certain periods of time, like a long day in skinny jeans or wearing my retainer all day. Does that make sense? The anxiety had been building for the last few hours and it was wonderful to take it off.

Mum dropped it back at the hospital, so now I guess it’s another waiting game. I don’t know when we’ll find out the results and the conclusions drawn from them. I assume that they’ll let us know at some point, although it wouldn’t be the first time we’ve had to chase results. As I said, all we can do now is wait.

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So, yeah, hectic. At a very inconvenient time. But that’s life and I’m determined not to let it spoil the last of my Masters and this project that I’ve been looking forward to for so long. I am going to make the most of every good day I have, take the extenuating circumstances gratefully, and continue working as hard as I can.