It doesn’t happen very often these days: The forced removal of the mask, I mean. Dramatic events tend to proceed it. Brutal, in fact – so much so that my inner scaredy cat or angry lioness come out despite my better judgement.
Wednesday morning was hellish. Frightening. Confronting. Forcing me, once again, to face the core of anxiety I usually take such pains to crush and hide. Briefly: Chest pain, at 2 am, and waves of panic (which, of course, made a bad situation worse), ended in a visit to the Minor Injuries Unit (and an ECG, among other checks), followed by a visit to the local surgery – and the instruction to phone for an ambulance if the pain returned and lasted for more than half an hour.
All the tests done in the hospital seemed to indicate that my heart was fine (though I am to have treadmill tests done soon) – but the anxiety flooding into my body made logic, battering impotently outside, unable to gain entrance.
Wednesday was terrifying, though a visit from a kind friend soothed me. I was due to attend a gig, in a local pub and in which a friend was playing, that evening. I nearly cancelled, several times. It all felt too unsafe, too many unknowns, nowhere to hide.
This is an old, old one, this need to squirrel away and hide, actually be unseen, when frightened. Safe, confined spaces are a part of my ritualising process, part of my way of trying to handle the worst of the panic. Difficult to explain to those who do not get anxiety.
I drove three of us down town and parked near the pub. Fear is like a feral cat: You cannot persuade it to behave normally, or to obey your commands and it can bite with no warning. Trying to stroke its fur doesn’t work because it has never been trained to react that way.
Panic set in as I prepared to get out of the car – and, for ten awful minutes (or thereabouts; I wasn’t looking at a watch, to be honest) my entire Jolly Strong Ali mask just fell away and that scared, shaky, insecure little girl stood there instead. I felt as if I were ambulance watching, waiting for pain which lasted a half hour, incubating something really scary and horrible…
…and I travelled back, to Winter 1963, when I was five. I can remember sitting on my mother’s lap, in our Drawing Room, wrapped in a tartan rug, gasping for breath, terrified (and catching the cadence of Mum’s terror too), hearing the siren of the approaching ambulance and trying not to cry because tears made the asthma worse.
‘Phone for an ambulance’ summons up such a weight of dread and fear: The countless times my father went into a diabetic coma and the sound of sirens zooming up our road; the night he died (which is vivid in my mind, although I wasn’t there at the time); other incidents over the years.
I can see, as a counsellor I saw last year pointed out, that I was brought up in a state of medical emergency; that family health problems dominated my childhood; that anxiety started early and had some justification in reality: If we did not treat my father’s collapses as ambulance jobs, as serious, he might die (as, in fact, he did after what turned out to be his final hypo). Waiting was not an option.
I can see that this has followed me into adulthood, this knee-jerk response to pain and physical symptoms, this need to get help immediately, this absolute terror of waiting.
When I am feeling relaxed, I can see the childlike mind clearly and can even begin to pick holes in its weave of fear. I can say to that littler self, ‘Not every medical problem ends in disaster – and not every symptom needs to be checked!’
But that five year old takes over all too easily still – and she was the one standing, small and bewildered, beneath the mask. Fortunately I was with two friends I trust – and this made the sudden transition from adult in control to frightened little girl a bit easier to cope with.
The evening was lovely. Listening to the advice of my friends, I allowed myself to relax with a small amount of alcohol. Later, inspired by the band, I danced crazily. In a sense, that passionate burst of movement was all about doing it anyway; it was all about putting two fingers up at the Grim Reaper and saying, in effect, ‘All right, if I am going to have a heart attack, let’s have one last frenzied dance first!’ It was anger (which has continued all of today) in the face of, and in reaction to, my own fear and sense of horrible vulnerability.
I was brought up surrounded by syringes in a big greenish glass box filled with fluid, and little bottles of insulin; I was weaned on blood tests and the counting of blacks and of tension as each meal approached. I was brought up thinking it normal that my male parent should come off his moped during a hypo, or cut his head open in Bury Knowle Library when skating too close to the thin ice of pre-meal danger. I was brought up in an atmosphere of medical unsafety, of physical fragility, of running away and trying to hide from fear.
I had to symptom-watch as a child. We all did. There was no alternative. We had to be on our guard. Unfortunately, the habit has followed me into adulthood. I can see this very clearly. But I seem to be powerless to overcome it and push it firmly into the past.
I think the removal of the mask is a good and healthy thing, however. I think it is an essential part of the healing and trusting process. It means that I am beginning to allow others to help me be on my guard and symptom watch – and this, in turn, may well eventually let me relax sufficiently to stop watching so zealously and neurotically.
The anger? Necessary. Feared all my life. No more to be said on that front today.