Saturday 4 April 2015

Lowlife 115 – Rough Treatment

Rough Treatment

By Dominic Horton

In last week's edition I wrote about Joe Mallen, the chainsmith from Cradley Heath, who used to make chain by hand in the middle part of the last century. Given the physicality and rigours of Joe's job it would be no surprise if he suffered from a bad back during his time and I would imagine that it was an occupational hazard for him. The bad back that I suffer from periodically has got progressively worse recently and it has lead me to seek physiotherapy treatment from the NHS. But given that the cause of my discomfort is not due the kind of physical exertions that Joe Mallen undertook, but rather by sedentarily sitting at a desk for long spells, I feel like a bit of a fraud.

Jolly D daring to sit in Tom Corneronly's seat in the
Flagon & Gorses - it didn't last long, when Corneronly came
in the pub Jolly D moved immediately, out of respect. 
I first experienced the back problem 10 odd years ago while I was playing for Greenhill FC. I took a throw-in during a match I felt a sudden pain up my back and in my shoulder and consequently I couldn't raise my arm above waist height as it was agony. I told the team manager, my associate Harry Gout, that I wasn't able to take throw-ins because of the pain and that I was going to have to be substituted as I was in great discomfort.   His predictably unsympathetic reply was, “you'll be ok, just get someone else to take throw-ins. You're not coming off, just get on with it.” We won the game so I suppose Gout was justified in his decision, though it was hardly reminiscent of Jose Mourinho. 

I sought treatment and the physiotherapist, Lucy, told me that I have an incredibly stiff back and in her opinion it is due to being desk-based all day. She explained to me that she was going to manipulate my spine, which would hurt but it would do me good. She was right on both counts. Lucy is only a wee strip of a woman so I don't know where she found the force from to bash my back around so vigorously but her frame belies her strength. Lucy said that she is going on holiday for two weeks but another physio at the practice, Jerome, would continue the treatment. At the next appointment Jerome walked into the room and he was a muscle bound man mountain of 6' 5” and 17 stones and he said, “I am going to give your spine a good working to loosen it up.” I thought, “Oh, f*ck, if little Lucy generated that much power this fella is going to kill me.”

Jerome started to manipulate my back and I was bracing myself for a battering from the big man but it turned out that he was a gentle giant and instead of the force ten gale I was expecting I was given what seemed like a pleasant massage. I could have kept silent but I knew he needed to exert a bit more pressure on my back for the treatment to be successful so I said, “Lucy was a little more robust when she manipulated my back so you can put a bit more clout into it if you want to.” This was a mistake. His first thrust on my back winded me and I thought he was going to break my ribs with the pressure. I thought that I was going to walk out of the surgery as flat as a cartoon character that has been run over by a steam roller.
A sinister looking Neddy La Chouffe outside the Flagon
 & Gorses

Now that I no longer work for the bank I don't have the luxury any more of private health care where you can pick your physiotherapy appointment date and they even pop the kettle on for you when you turn up. This time my GP told me that I would have to wait weeks for an appointment but not to worry as one of the GPs in the surgery is an acupuncture specialist and that will be of great help to me. But the receptionist informed me that all acupuncture slots are full and she told me to call back in a month.

The woman at physio department said to me on the telephone that it would be eight weeks before a therapist could see me and she gave me details of the appointment and she said she would send me a confirmation letter. I said you don't need to confirm things in writing as I have it down in my diary. The woman said no, she has to send me a letter; I said just pop me an email then, it's cheaper than the post but she said no, it has to be a letter. One wonders how much money the cash strapped NHS wastes on sending out letters in this digital age where in most cases people are happy with an email or text message, which are considerably cheaper to send (not to mention better for the environment as no paper is used and there are no transport costs.)

Geraldine Strathdee, Clinical Director
for Mental Health, NHS England.
The woman called back later in the day to say there had been a cancellation and that I could have treatment first thing the following day. I thought I had better see the physio with a clear mind given my previous experiences as the treatment was painful enough without being groggy headed after a few tipples the night before. But being Magic Monday I had already planned to meet Neddy La Chouffe, Jolly D and the rest of the crew for the usual start to the week routine at the Flagon & Gorses. It will be fine, I'll take it steady I thought. Which in my defence I did.

I drank loads of water before I went to the appointment and all in all I didn't feel too bad. But the surgery waiting room was roasting and immediately I felt dry mouthed and dehydrated. I started to emit a light sweat and the booze terrors kicked in. I couldn't look at any of the other waiting patients in the eye. I glanced up to the TV, which like most doctor's practices does not show normal programmes but broadcasts short health information films and the like. Ominously the screen had facts and information about boozing from Drink Aware and it told me that alcohol can lead to suicide, self-harm or psychosis: top of the morning to you too.

A recent article by Geraldine Strathdee, Clinical Director for Mental Health NHS England, in The Guardian stated that a third of all GP visits are by people with a mental health condition so scanning round the waiting room I decided to pass the time by having a game of guess the mental health patient. There were six people in the room including me so it was perm any two from the remaining five. A fella with a beard, a sullen demeanor and shoddy, unpolished shoes looked like a prime candidate (not that I am stereotyping as anyone can have mental health problems of course) but before I could assess the other runners and riders the physiotherapist popped her head around the door and shouted, “Dominic Horton please.”

The physio was an attractive woman in her 30's, Laura, and her sunny disposition made my booze terrors melt away into the spring day. Laura asked me a series of questions and put me through a number of tests to determine the problem and to make a diagnosis. She opined that there is more to my back issue than sitting at a desk as given all of the exercises that I do daily to loosen my spine up it should not be as stiff as it is. Laura said she wants to me to go for an x-ray, a blood test and possibly an MRI scan to investigate further. The booze terrors came back with a vengeance and my mind ran wild with the possibilities of what is causing the bad back.
Jose Mourinho having bubble trouble, by request of 
Toby In-Tents.

As is usually the case the whole of the appointment was taken up by the physio's examinations so I didn't receive any treatment. I asked Laura if she could manipulate by back, even if it was just for ten minutes or so, but she said, sorry time's up. And I have to wait three weeks to see Laura again as she is going on holiday which means I'll either have to bite the bullet and pay for a private physiotherapist or get my dear son Kenteke to watch a Youtube video of how to manipulate a back so he can perform the procedure on me. For payment of a bag of sweets of course.

My comfy sofa doesn't do my back any good at all and Lucy the physio advised me years ago that hard seats and beds are more helpful than soft ones. That is the very reason why I spend many an hour sitting on the firm settles in the Flagon & Gorses, it is not for enjoyment but purely for curative reasons.

© Dominic Horton, April 2015.

Lowlife is dedicated to the memory of the late Jonathan Rendall
Email: lordhofr@gmail.com


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