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Since around Xmas time, the same question has been on my mind, and as the weeks go by it is frustrating me more and more. 

Without beating around the bush, it's a simple one. Do I continue to do the RCGP sessions? If you don't know, I work with the Royal College of General Practitioners (RCGP) a few times a year, doing sessions with med students who are learning to work in the GP environment. Doing staged consultations, as an expert patient, presenting with symptoms I am familiar with, i.e Depression and Anxiety. I have done this for a few years now, and while I find it pretty bloody stressful, I also take some comfort from the fact that I am helping others to understand the conditions, and maybe help them be in a better position in the future to help future patients. 

I have said time and again, I find the sessions exhausting, more mentally than physically, and sometimes it can trigger a bit of a wobble for me. However, I really love the engagement with the students, being able to talk about bouts of depression, and dealing with day to day life with severe bouts of anxiety. So you can see where I am going with this. There are genuine pros and cons. 

Each session I do requires me to take a day off work, for the physical sessions which are now returning, I also need to travel to Central London for the day, and pay for transport or parking. In return I get to stretch myself outside comfort zone a little, engage with the next generation of GP's (some of them anyway), and explain from a first person POV what it is like trying to live when things are bad. I don't for one second think this is an unfair balance. I also get an Amazon voucher for my time, so I am very grateful for that.

A couple of months back, I was approached by one of the teams at Kings College London (KCL) about the possibility of doing some sessions for them too. At the time I was in one of my more positive frames of mind, and really keen to get back to doing what I could for the cause, and was happy to talk to more people about living with depression and anxiety. I have to say the first couple of experiences were a little daunting. New people, new procedures, and the likelihood of becoming a lead in a session of my own at some point. For someone with anxiety, that's a big change and ask. But looking back, I went through the same when I started working with the RCGP too. 

Over Xmas and the New Year, I had a bit of a wobble, and my head went a bit funny, and I started doubting myself. Not only taking on work with KCL, but also questioning my continued work with the RCGP too. A technical error on the last KCL session left me unable to participate, and in that moment I panicked a little about what the hell I was doing. I was out of my depth, completely out of my comfort zone, and floundering. I made my apologies and bowed out quickly, then spent the next few weeks contemplating. So, here I am!

To compound things more, I contracted Covid a couple of weeks back, which coincided with the first RCGP session of 2022, so I missed that too. The longer I have been away, the more I have doubted myself. I have always said as soon as you start to have doubts and questions about something, it is time to get out. But it just doesn't sit right with me. 

I am not irreplaceable, I am sure there are plenty more people who could and would do the sessions in my place. I don't think it is about ego and having some sort of bragging rights either. To me, when feeling positive about things, I love the idea that I am able to help people understand what others are going through. Be it blogging to let others struggling know they are not alone, or explaining to someone, whilst in a rational state of mind, what it is like to be in that situation, and how doctors and the medical world can best help those struggling.  

It is ironic that something that I do to help with mental health has caused me sleepless nights, hours and hours of painful contemplation, and yet still it isn't a simple "I'm done" in my head. I need to be sure of what I do next.

  • Pros     Rewarding, enlightening, educational for others
  • Cons   Tiring, uses annual leave, travel stress

I know I have made an impression on some of the students in the time I have been doing this. I know deep down inside I want to continue to help anyone in any way I can. Teaching, counselling, sharing. But I would be lying if I said it doesn't come at a cost. So I am stuck!

I am away in Svalbard for a week mid Feb, so think I will take that time in the arctic to weigh it all up, without any other pressures, and go from there. But am always interested to know what others would do in a similar situation. I'm not a martyr, not a hero or a saint, but I know I make a tiny bit of a difference, and like a dirt devil in the desert, I know from small things, big changes can come. 

So.... WHAT DO I DO ???

Hurrah for summer, it has finally arrived, after a long wait. Unlike last year, when summer sprung itself upon us early in the year. The wait this year has been torture. But now it is here, it brings with it a few things.

The temperature went from 6c daily average to mid 20's in what seemed like a day. Hot, sweaty, and irritable, summer me is here too! Unfortunately, the weather and date also brings with is uncertainty, anxiety and stress. More people back out and about, restless nights, and decision time.  Like my head needs much more to get in a knot about right now. Morning runs are hectic, with lots of people out and about, so today I decided on a much earlier run. Quieter roads, but less sleep. Moan, moan, moan, I know!

But front and centre of all of this is June21st. The date the UK Government has set for step 4 of the roadmap out of lockdown. In turn, it is the final stage of the process before finding out what the masterplan is regarding Work From Home. Up until now, with things moving so slowly, it has been pretty bearable. However with the final step just weeks away, the dread and fear that work might say "back to the office" completely consumes my every waking moment. Or at least that is how it feels. 

There has been a lot of positive talk about a new approach to how our roles are carried out. If we need to be at a certain location to carry out our jobs effectively. If the new work/life balance that so many, including myself, have found, plays a part in the road ahead. Talk of flexible working, spending time between home and office, sounds delightful for the main part, and 18 months ago I would have ripped the hand off that offered that to me. However, now, well now is different. 

After 15-16 months or so of working from home, so many answers are clear. Can we operate effectively, yup, through a pandemic, through peak  service, and through so many other challenges. Working from home has not caused a single stumble. In fact, when the brown stuff has hit the fan, being close to my work PC, has actually benefited the company. With almost instant access to systems, to get stuck straight in. Communication between the workgroup has improved, with time now allocated on team catch ups, where as before things were less structured. And so many other positives to be found. 

I realise that is all well and good, however work are paying the wages, so get to make the decisions to best suit the business, I can't argue with that for a moment. Seeing how chalk and cheese the plans of many large companies are make me feel it could swing one of two ways, or of course just hang dead centre, and there be no change required. I say no change required, as I appreciate there are two sides to every story, and we all have our own stories of the pandemic to tell.  Some have dearly missed the contact and face to face communication of their workgroups. Feeling isolated and trapped at home, with no outlet for their thoughts. For others, working from home has posed huge challenges to the requirements of their role, making life so much more difficult. For those groups of people, I hope that the road ahead offers contact and respite from the pressures faced over the pandemic. 

But let's be real for a minute, this is my blog, and about my feelings and thoughts, so back to the nitty gritty. I simply don't want to go back to working in an office. This time of year, and the rise in temperatures just reminds me of the years gone by, squabbles over use of the aircon, too hot, too cold, windows open or closed.... Til the AC system just breaks (multiple times annually) and we are left wishing we had just agreed and left it be. Last summer and this summer so far, I open my window when I want, heating on when I want, AC on.... you get the picture. 

Although we have had lots of work done on the house in the past year, I have not had to take any time off for it, nor deliveries, and rarely for any medical appointments, as its all close to home, and can be worked into the working day. 

Anyway, enough procrastination, I think I have made my point. I am terrified that we will be told to return to the office. I have grown very comfortable with my own space, and environment, and the thought of sharing that with others again is dreadful. I am bad enough being around people I choose to be in the company of, let alone those I am squashed in with in the name of work. 

The next two weeks are going to be horrible. I am already sinking myself into a destructive cycle of running and cycling. Doing my best to enjoy myself, rather than damage myself. Sleep is getting worse, quiet moments of the day starting to be consumed by spiraling negative thoughts. The smallest thing now spins up the whirlpool of the mind, and turns it into something dreadful and scary, without even giving it a chance. 

Hopefully, in a couple of weeks time, we will at least have a solid idea of what happens next. Does the rumoured ultra flexible new system come into play? How much flexibility will there actually be? I guess time will tell now, and in the meantime all I can do is hold tight, and wait and see. 

It is good to know that some around me understand my fears, and that in general, line management are happy with work from home as it is, or at least that is how it seems. Keep your fingers crossed please, and lets hope that as much as possible, the road ahead offers everyone  what they need to keep them sane, and able to do their jobs to the best of their ability.