Sunday, 26 February 2012

Happy Baking

In an attempt to get me going again after spending in time in hospital post O-Levels I spent a term at cookery school. Although finding it immensely difficulty socially and getting rather confused and lost almost every day I did come away with an ability to cook albeit slowly & occasional strop.  What I have discovered is that baking relaxes me.  Indeed there are times when I know I need to bake sub consciously even though I don't feel particularly bad on the surface.  

This certainly improves relations with the neighbours as I end up baking more than we can eat.

So I've decided every now and again to post one of my favourite recipes.  Every recipe I post is one that I have given to others and has been followed successfully by them.

HEALTHY CAKE OR CHUCK, CHOP, CHUCK CAKE


1.2kg fruit - this should give you a good kilo after peeling, coring and stoning the fruit. 



I usually use apples, pears and dates.  However in the summer/autumn I’ll use apples and whatever is relatively cheap on the market plums, peaches, nectarines, apricots, raspberries, blackberries or blueberries. The choice is yours.

225g butter - preferably unsalted
250g castor sugar
5 eggs
275g plain flour sifted with ½ tsp of salt.

You will need either a 9"/20cm tin or 2 1lb loaf tins. Either butter and flour them or 
use greaseproof liners

Method 

Preheat oven to gas mark 3, 160ºC, 325ºF.  Put baking sheet in.
  1. Cream the butter then beat in the sugar well.
  2. Add the eggs one at a time beating well until it is a light cream. Add a desertspoon             of flour with each egg.
  3. Stir in the sifted flour and salt with a wooden spoon.
  4. Wash, peel, core as appropriate the fruit you've chosen.  Cut the fruit, with the exception of one apple (2 if very small) and some dates into largish chunks.  Fold carefully into the cake mixture.
  5. Pour the mixture into a buttered and floured 20cm/9” tin or 2 1lb loaf tins.
  6. Peel, core and slice the remaining apple into rings and press down lightly onto the cake top.  Halve the dates and add to the top. If using loaf tins you will need to cut the apple rings in half/
  7.  Put in the oven on the baking tin and bake for 1¾ - 2 hours.  Check after about 1½ hours.  If it’s getting a bit brown cover with foil.  Will be firm to touch when it’s ready.
  8. Leave to cool in the tins for 5 minutes before removing and leaving on cooling racks.

 Does keep well and will freeze.

By the way I call it a healthy cake because of all the fruit that goes in it!

Happy Baking

Oh yes I should say that I was prompted to post this by Richard Worth's posting of his very successful loaves today.

Thursday, 9 February 2012

Stuck in Traffic

I reckon there are three types of drivers when it comes to traffic jams.

Firstly there is the deluded driver who believes that by huffing and puffing, letting everyone know their annoyance at the delay and continually checking the time, they will speed up the dispersal of the cars.  In truth all they are doing is unsettling their mood that may affect their judgement for the rest of the journey if not the whole day.

Secondly there is the fretter, the 'if only' driver who reproaches themself for not taking the alternative route, getting off one junction earlier, checking for roadworks before leaving or failing to begin their journey earlier.  Well it's true things may have been different if another option had been taken but not necessarily better. I'm sure I'm not the only person who has turned off at the sight of a long traffic jam only to join another one created by drivers with a similar idea.  If the fretter had left earlier they may simply have ended up closer to the front of the traffic jam and, God forbid, possibly involved in it.  All that can be said for certain is that guilt and worry will have been provoked and that is not a healthy state of mind to be in.

Thirdly there is the driver for whom light has dawned - there is nothing they can do that will make the traffic jam disappear.  This driver realises the opportunity to take alternative routes or leaving earlier has gone and that there is nothing to be gained from brooding on this fact apart of course from a brief assessment of what has happened for future reference.  What can be done is leave the radio on for traffic alerts so the driver stays up-to-date, to relax a bit, chat to passengers, take charge by replanning the day and being ready to move ahead when it is possible.

What character is most likely to drive on most safely and in the the best mood for the rest of the day? 

Well dealing with the consequences of Encephalitis is a bit like that.  This is a very simplified approach I admit but it is based on my own experience of now 27 years living with acquired brain injury and depression.

It is immensely frustrating not being able to do what been as easy as breathing.  The desire to be able to do it NOW is overwhelming.  Even when the ability has been relearned, remembered, recovered the stamina to do it as much or as long as you want is missing.  Then you simply shift the frustration to why can't I do it so easily or for as long.

Well in case you've forgotten, which you won't, the poor old brain and body has been through quite a lot.  Forcing it to 'travel' at a pace that is beyond if just risks complete exhaustion and pulling you back down.

Equally fretting about and worrying that you are not following the route through life you had planned won't change the fact that you've had encephalitis in one form or another.  It won't contribute anything positive as to how you move forward.  Continually reflecting on it will give you a degree in resentment and/or guilt.  I try very hard not to 'what if' as 'what if' didn't happen nor will it happen.  This does require discipline, is not always successful but on the whole caging these thoughts so they don't pollute me is worthwhile.

Then there is the third driver of life.  Someone who acknowledges that things have happened in both the longer and more recent past, someone who listens for guidance as to what has happened in the past and is happening in the present and who seeks to put themself in the best position to move forward with their life.  As the traffic jam moves be it by a couple of yards, a hundred yards or even reaches second gear it is always moving forward.  One only reverses to let emergency vehicle through before regaining that distance.

Saturday, 31 December 2011

Two feet forward, how many back? Or should that be Jay Walking?

As I haven't quite worked out how to copy across some clipart I'll just have to explain my chain of Js. I really wanted the point where the horizontal bar meets the upright of the J to be the left most point of the next J going up so that if you toppled off the right part of the horizontal bar you'd fall into the loop of the next J and not down to the bottom.  Hope this makes sense as if it doesn't there's no point in reading on!
   J
  J
 J
J

Recovering can be a risky time – just like jay walking across a busy road.

As I get better I try to do more, as I try to stretch myself I often fall back a bit.  As I am spreading my resources further things that had previously been easier can be harder.  But only temporarily, falling down forward into the bottom of the new ‘J’ and not back down into the bottom of the previous one.  And then I climb a steep learning curve. 

I reach a plateau period when I’ve found I can do the new ‘thing’ with some confidence. 

And after a rest period I begin all over again.

I found out that maximum recovery does not equal full recovery.  I have discovered that pushing onwards and upwards and onwards and upwards can result in falling down with a thump and bruising confidence severely.  Recognising and accepting this has been liberating. I'm in a position I didn't think I would be even 5 years ago. By not trying to start another J I can scamper along the top of my J and back again in real safety.  Okay when I say scamper that I implies an energy and speed that I don't actually possess.  Perhaps saunter would be more accurate.

Wednesday, 14 December 2011

Stage 5 - 7 Explore - Consolidate


        5           EXPLORE

Moving forward means working out what can be done.  This can range from day-to-day needs through to the irregular, from domestic to work to leisure.  Trial and error comes to the fore.

I can do quite a lot of things on an individual basis.  Discovering that I need to consider the cumulative effect of these individual actions was rather painful and led to the many and sometimes long bout of tears as I collapsed again and again exhausted.  EXPLORING what can be done safely, perhaps from having to do things close together due to external factors, has led to a less traumatic life although it really is boring being sensible.  So spacing out activities is crucial to maximising life.

       6           LEARN

I remember some things some of the time, occasionally I remember everything and some days I completely give up on remembering anything.  Basing my life on the maximum point of my executive functions and mental energy was a disaster.  Expecting that one day I would be like this all day, everyday ended up being mentally, physically and emotionally crippling.  Identifying realistic targets and ambitions and allowing myself to enjoy exceeding them would have been much more helpful, healthy and sustainable.

So I base my routine on I can’t remember.  I have charts for the day, for the week and a calendar.  I tick off as I go along.  I can go days or occasionally weeks with scarcely using it except for the odd glance.  But on those days when I really, really need these charts, it’s not a big thing they are there waiting to be used and I don’t have to waste precious mental energy on remembering the basics.

Often I have stumbled across ways of coping although I prefer to think of them as my Eureka moments.  Supermarkets have bewildered me they are noisy, bright, full of people and require decisions.  It’s all very well saying make a list of what you need but you have to remember to take it and once at the supermarket remember you’ve got it.  One day I found myself gripping the trolley so tightly it acted as a focus for me almost a security blanket against the hustle and bustle.  So now when ever I go I make a point of gripping the trolley and using it as a stability point.  It works.  I know it does as sometimes I forget to.  I find deciding what to wear incredibly difficult.  Getting dressed regularly took hours.  One day and I don’t know why I rearranged my clothes by colour, so jumpers and t-shirts are muddled together now rather than separate.  Since then I have severe difficulties a few times a month rather than a few times a week.

I had to reconcile the fact I hate being touched with belonging to a tactile, loving extended family.  Over time I realised that if I went to hug a relation I coped better than if someone came and caught me unawares.  I eventually managed to tell the family and so we all LEARNT that I initiate hugs.

You could say I’m just playing with words or gestures but I’d rather say I’m LEARNING what are the most effective ways for me to manage my life.

       7          CONSOLIDATE

I have met people who are fascinated by their illness, love talking about it and frankly enjoy it.  Yet they never seem to put into place the changes they recognise they need.  You could say accuse me of navel gazing but I say I analyse to improve.  What I might discover whilst doing one task might be equally applicable to another.   Understanding what I find difficult in a given situation has allowed me to understand the impact of acquired brain injury.

CONSOLIDATING is not the end of the process.  As I’ve learnt new things and taken on different challenges I’ve found it hard to allocate mental energy or handle the extra demands I want to take on.  However because I have CONSOLIDATED what I have learnt I know that by referring back to my 7 Steps I usually find a way to incorporate these into my life or indeed as a result of my ACCEPTANCE, UNDERSTANDING, COMPREHENSION, GRIEVING, LEARNING AND CONSOLIDATION that I have to stop doing this task to maintain what has already been achieved.  I may not enjoy having to stop actually I hate it but I know I have not lost control because I am choosing to recognise what I can’t do. 

Grieve - Stage 4


           4   GRIEVE

Mourning is a healing process.  You are allowed to miss the person who has died and also to wonder what your own life will be like without them and what it would be like if they were still here.  There will be triggers, photos, birthdays, anniversaries, a football team winning the FA Cup, which will bring your loss back to the front of your mind.  This might be a momentary flicker or leave you surrounded by tissues.  Society allows this, even recognises as healthy.

I underwent significant changes in personality, ability and expectation for life.  For a long time I expected I would return to Me Version 1 but this hasn’t happened.  I do get frequent glimpses of this person but for the most part they are completely lost to me. 

I still feel this loss even now.  I really don’t know who I am.  However since it occurred to me to treat the disappearance of Me Version 1 as a bereavement I have found it much easier.  I can GRIEVE for those parts of me without reproaching myself for self-pity yet can move forward as I’m not hanging around waiting for them to return. 

Stages 1 - 3 Acceptance to Comprehend


1              ACCEPTANCE

Having encephalitis wasn’t much fun.  There was no real reason as to why the fairly common virus decided to visit my brain. I didn’t do anything to provoke it. I wasn’t a bad teenager. It wasn’t fair that I succumbed to the illness.  It wasn’t fair that no-one could tell my poor parents what was going on for months and that initially they were given incorrect information and advice.

The recovery wasn’t a bundle of laughs either for any of us.  So little help and support meant we were making it up as we went along.

Feeling in the dark and uncertain as to what I could expect from myself, indulging in a pity of self pity and wanting to solve issues NOW has recurred periodically.  Over time I have realised that in attempting to identify and deal with the issues that I have had, both old and new ones, is too much in one go. 

From this experience I have decided that the first stage is ACCEPTANCE that I have had encephalitis, that I have acquired brain injury and that this interferes with my life. It’s hard to view this as a standalone position.  It’s hard not to ask why me but that isn’t constructive. You’re asking yourself a question that has no answer.

So I attempt to keep myself focused on simply ACCEPTING the situation exists and not seeking to address everything in one go. 

2              UNDERSTAND

Seeking the answers to the inevitable questions of why has this happened is difficult.  There are so many questions it is confusing, particularly as it can be hard to work out which should be the first question to answer and where does one question end and the next one begin.  What are the short term changes, what are the long term consequences; education, careers, relationship and finances at the very least.

As much as you want to know straight away, it’s just not going to happen.  Realising that is the case is an immense help.  UNDERSTANDING that there are many facets of your life that will be affected to varying degrees, that it will take time to return to functioning more fully and that trial and error will be involved is the next step.

3              COMPREHEND

Working out what any changes are, realising these changes may alter from the short to the longer term of their own accord, spotting the little things you’ve done without realising (for example I found myself using a finger to trace the words on a page like a small child which was a big step forward as it meant I had found a way into being able to read with less stress and suddenly realised one day that I was doing this less and less) and being aware of energy levels, both mental and physical, and that they will need to be managed on an on-going basis.  

Tuesday, 13 December 2011

Seven Stages of Managing


I can’t say I had no help in coping.  I saw a quite well known, although rather eccentric, cognitive behavioural therapist who was helpful.  Mind you, you do lose faith in someone when they say they don’t think this will work in your case!  Looking back I think I must have taken this as a challenge as I certainly have incorporated my take on CBT into my life.

From what I learnt through successes, failures, bloody-mindedness, despair and enjoyment of things I probably would not have experienced had I not been ill, I began to recognise patterns recurring. 

I also realised that splitting down tasks into component parts and that each part should be seen as an individual action.  For example people say they are going to write a list of things they need to do that day as if this is a single task.  It isn’t.  To write a list requires

1                    finding a pen
2                    finding some paper
3                    remembering why you have the pen and paper
4                    establishing what is to go on the list
5                    grouping tasks together eg in the house, outside, shopping etc
6                    prioritising what has to be done first
7                    compiling the list
8                    remembering where the list is or simply that it exists.

There are days when I zoom through to number 8 in my head but others when I can only do bit by bit.  Thank goodness for post-it notes.  I use these to write single items on and then rearrange them on a door until it makes sense.  Recognising that I don’t have to dash off my to do list in five minutes but rather that I can go so far and then have a break has been so enabling. 

Since working this out the number of tantrums and tears has diminished greatly albeit the frustration remains.

From this navel gazing over many years I have identified seven stages.  By adhering to them I have been so enabled to increase what I can do comfortably on a daily basis.  Although to be frank there are times when either forget or deliberately ignore them.  You can’t be sensible all the time.  These stages are:

1                    Accept
2                    Understand
3                    Comprehend
4                    Grieve
5                    Explore
6                    Learn
7                    Consolidate

I shall flesh out what I mean by these stages over the next couple of postings.