Benjamin Button?

There‘s every chance my heart stopped in the accident and the person giving CPR got me back going.

If so, I was sort-of dead.

My recovering is therefore a bit of a Benjamin Button moment. Every day I get a little more like a person my current age. At the start I was dead. Then I was lying in bed with full care. Then I was recovering, just able to get out of bed. Eight weeks on, I still wake up sore and achey. I‘m told that what‘s getting old feels like.

I can‘t wait to get back to feeling my usual age, and then staying there as long as possible.

The bigger the city

A business school friend of mine who grew up in a small town in Germany once told me, upon response that i was moving to London, that „the bigger the city, the lonlier you are“.

I‘ve been lucky that since moving to London 6+ years that has not been explicitly the case. I‘ve been fortunate to know a good number of people in London (it was one of the key reasons for leaving Frankfurt for London) and met many more along the way. My key issue in my social life is i‘m never in London - i’m constantly travelling for work. But that‘s a whole other story!

Since the accident and wearing a halo brace i‘ve been fascinated by the level of attention i have / have not received. I‘m far from inconspicuous. Yet - many people don‘t even look, drop eye contact once caught looking or simply don‘t ask what happened or i‘m ok or need help. Children are an exception - they will stare and usually ask their parents what happened. On the tube few people actively offer a seat.

This is a big city phenomenon. Interesting it is a phenomenon that attracts people to big cities. I have heard in my circle of friends the term „anonymity“ mentioned a few times. People choose to live in big cities to be anonymous - to walk down the street not being seen, to not be interrupted at a restaurant, to feel they are not judged and can do as they feel. Small fish in a big pond. We all know those people and we also know those who are the opposite - they like being the big fish in a small pond.

To be clear i‘m not seeking attention!

Outside of friends and family i‘ve only been asked 9-10 times if i‘m ok or „what happened?“. The last one, just moments ago out the front of a busy Farringdon Station on a beautiful autumn‘s day, was a retired nurse from Melbourne. Of all places, she‘d worked in the Women‘s and Children Hospital in Melbourne in the spinal care ward. A typical nosey nurse or someone just used to a small community of medicos or someone used smaller sized city? Who knows. But it was a lovely chat - to hear about her double bipass and mechanical heart valve implants, her victory over breast cancer and her recent fall smashing her wrists.

Stopping to say to every person you meet on your way to a meeting in any reasonably sized town let alone city would be highly inefficient. However, it is a gesture of human connection that adds to the rich tapestry of our lives that i argue here can happen in a big city or small one by simply learning when is appropriate and then actively asking people how they are or if they need help or what happened. Especially in a world when everyone i glued to their ~6.1 inch appendage that dominates day to day.

 Can our EQs develop to handle this human connection in big as well as small cities? With some awareness and a little less self centricity perhaps its possible and we‘ll all be better for it.

To be or not to be

Someone said to me once „only boring people get bored“. That statement has been bouncing around in my head for the past few weeks as I put myself squarely in the slow lane to recover. See The Tumble

Of course, recovering from a C-spine injury needs to happen at its own pace and in the context of the person. In my case, I was very fit and active at the time. Life was moving fast - we were preparing for a wedding, I was commuting to Johannesburg for work almost every week, I was building a bank from scratch, I was doing bike tours each weekend and we were trying to spend time with our friends across Europe. It was busy. You could argue it was too much.

I have gone from that pace of life to sleeping 8-10 hours each night, a coffee walk to The Elgin, napping during the day, reading (Calypso and Harry Potter!), watching Netflix (Fauda has been great!) and enjoying the companionship of visitors (thank you for taking the time out to visit!). That is a full day for me, now. One I get to enjoy for the time being.

But even then it is too easy to spend 1-2 hours mindlessly scrolling Facebook, Instragram and the news for some little dopamine hit. Sometimes I crave a little more of a hit and sneak a look at my work emails, heaven forbid. We have tuned our brains for constant stimulation. I think that divides us into two groups - one that creates and one that consumes. I am sad that I feel I‘ve largely fallen on the ‚wrong‘ side of that. I say ‚wrong‘ because I aspire to be more of a creator using consumption as inspiration. Today I feel I consume far to much.

One activity I‘ve not mentioned so far is taking (long overdue) French lessons. As I write it occurs to me that language is of course the medium that facilitates the creation and consumption. Spoken language is one medium vs art or otherwise. I‘m very much enjoying studying the French language at the moment. Être ou ne pas être.

I think you have a choice whether to keep your self suitably busy when in recovery or not. That may need outside stimulus or training ahead of time. I see it important - just as important as the physical/physiological recovery is the mental/psychological recovery. I‘m testing whether creation is a better way to recover than consumption! So, I choose to be / être, at least for the moment.








The tumble

Having a fall and then realising you can’t feel your legs or your hands is terrifying. Truly terrifying. Short of knowing you are going to die, there can’t be many more terrifying situations.

In my case it was momentary. Lying on my back on the bitumen, seeing my arms and legs in the air and not being able to feel them, I promptly passed out. The ambulance records say a GP doctor who happened to be walking along Travistock Road in Fitzrovia, London, quickly came to my aid and began CPR until the ambulance arrived. The ambulance took four minutes to arrive, get me on a stretcher and whisk me away to St Mary‘s hospital in Paddington. Given how sore and compressed my chest was I felt all four minutes of CPR; from a person I don’t know nor likely ever will. He (I think) will forever be an unknown hero to me.

I’m getting told to slow down and take it easy as I get discharged from hospital today (17th August). After 10 days in hospital and 8 days in a halo I have many months of recovery ahead of me. But it’s hard to not to search for that little rush of dopamine after completing a task the physio or doctors set quicker or more strongly than expected. After all, I spend most of my „normal“ days seeking some sort of positive reinforcement for my actions. At work I solve problems for my clients and seek to define the impact we create. In the consulting firm I work for I seek to get good reviews from my colleagues for that work. This all feeds into my end of year assessment, bonus structure and therefore the luxuries we can afford. For sport each targeted session results in increased fitness which allows me to ride faster for longer. At home, each good deed and contribution to the household results in increased happiness as a couple. Action and reaction. But resting doesn’t feel like an input. And that’s where the big reminder lies.

I am repairing four vertebrae: C2 that is split in two, C3 that is split in three and C4 + C5 that are mush with multiple hairline fractures. I am repairing the bruising on the spinal cord through immobilisation as well as a fractured clavicle. Ideally, also, the second of my two vertebral arteries that supply the brain with oxygen, that closed under the swelling, will open up. That I‘m even writing to you today shows how extraordinarily lucky I‘ve been given the huge trauma on my neck. I escaped major spinal surgery so now there is only one thing to do: let the body heal itself.

The NHS Paramedics, Doctors, Nurses, Physios, Occupational Therapists and support staff have been incredible. I called some of the equipment they had to work with „optional“ because it was optional that they worked. The taps sometimes worked, there were blackouts, the heating/cooling was binary: either Saharan hot or Alaskan cold, and all the while they maintained a dedicated focus on care. The first question was always: „are you in pain“? And we worked each day from there. Their support for Peggy was always very considered. If we needed more time together they would give it. If we wanted more information, they would seek to provide it. Often all that was needed was a friendly hello in the corridors to make the place feel a little more human. And that‘s what counts.

I had been intensely working for the last two months with a client in South Africa to build a greenfield Corporate Bank. While lying in A&E immediately after the accident it was a relief to know that they would understand the situation. I let go of that worry like a helium balloon. I am very grate from the support from the team and the client for that compassion.

I can‘t wait to get on my bike again. We have requested the CCTV footage from the camera in the street to determine how I came off the bike. Accidentally hitting the street furniture divider between the bike lane and the main road is just plain odd (albeit not impossible!). That there were no other cars around is lucky. When Peggy inspected my clothing after it was cut off me in the Ambulance there were no signs of a fall. My Kask Protone helmet was split in multiple pieces and the foam heavily compressed (there is no doubt it saved my brain). I was otherwise unscathed. Crazy. But there‘s no need to cry over spilt milk. That time has passed. For me the form of transport that fills me with the most joy is cycling. It always has and always will. Do wear your helmet people, all times! Please!

To Peggy, my sister who flew over and close friends in London that visited especially Phil, Kat and Hanne: thank you. In times of need we all need strong people around us. You were amazing. And also amazing for the support you gave Peggy who rose to the challenge of this adversity in such a strong and loving way. I love you.

For now the priority is keeping clean, rest and managing the pain medication. I will keep you posted!

My faves in London


Classic boozers

Food

Places to go for one thing:

A bit different: