Hospital

I went to hospital on Monday to see a consultant to check up on the moles I’ve been worrying about. Here’s what I tapped out on my iPhone as I sat waiting to go in:

Hospital

It scares the living sh1t out of me. Just walking here brings deep anxiety to the surface. My heart rate is up, I’m conscious of my chest.

We don’t see illness and death unless we go looking for it these days, but here it all is. Everyone you look at you don’t know if they’re losing their life or here to save them. Especially the older people.

The NHS is fantastic, but support staff sometimes look right through you. Two members of staff are currently hailing each other down the length of a corridor in front of me, while I sit here with several others wondering whether fate has something lethal, painful or banal in store.

I will likely end my life in one of these places. And in this very hospital we witnessed the start of life too – my son was born here. But this hospital despite its cleanliness and modernity reeks more of entropy, human decline and infirmity than life.

It brings back my melanoma which is why I am here. I don’t want to die here, but maybe I will.

It turned out to be banal. That’s the weird thing about health. Like life, you take it for granted for much of your life, although you know you shouldn’t. But also, like life, you have to take it for granted – to some extent – otherwise you don’t make the best of it.

In the space of five minutes lethal turns to banal and in the space of five days fear to insouciance. I’m glad it’s this way round. But the useful goad to action, which having melanoma on my mind has been, is something I now need to find from a happier more positive place.

Reading my old friend Aristotle again sat on a tube ride yesterday – and talking to half a dozen different really thought-provoking people this week – I have some emerging ideas…

Sleep

I was talking to a good friend on Friday about fatigue. One thing you don’t get with small children is any rest. On Saturday we had a day out, buses, boats, trains, ice creams and by the time we got home we were all shattered. A good day though.

I had the same experience with slightly bigger kids at work all last week. Meetings, conversations, communiques and some adult variant tears and tantrums. It all got done and objectively it was a very good and effective week. But…

What’s true of both is I ran my batteries on ‘drain’. A combination of complex emotions at work and simpler but no less demanding ones at home means I’m dog tired.

I have an excuse for a bad night’s sleep on Saturday – next door had a house party. But there’s no excuse for last night. After the clocks going back and two hours of ‘trick or treating’ an early night was what I really needed. But distractions and ‘jobs’ got in the way.

It’s 100% my own fault. I had the diagnosis, I ignored the medicine. Periodic rest and consistent good sleep are the key to happiness, contentment and any sustained attempt at eudaemonia. Note to self, get some.

Time

In this age of austerity, a lot of people are leaving my organisation through voluntary redundancy. Voluntary redundancy can be quite a good way to part company, but inevitably for some when the moment of farewell comes it is hard. Different people deal with it in different ways. Some have a knees up, some have and make speeches. Some slip away quietly, others have a go at the ‘leadership’ which includes me.

I’ve noticed though that some people – especially those who are nearly or over 60 and who have worked for 25 to 30 years for us – get quite frantic. This manifests itself as an incredible drive to get things ‘fixed’ before they leave. This can be their overall legacy, a last piece of work or sometimes just a detail they feel they can’t rest until they’ve sorted. It reminds me of the ‘nesting’ stuff we did before our first child was born – objectively you need to focus on the big change coming in your life, but instead you fuss about cot sheets, wallpaper and in our case finishing building the kitchen.

I was talking to a thoughtful and clever person at work about this today and I advanced my emergent theory of the ‘sands of time double whammy’. I believe our brains are Bayesian probability engines. Everything we do, see and think in some way gets incorporated into our brain so that we act and react based on a quasi-instinctive, but highly tuned estimation of the ‘thing to do’ in any situation based on the vast experience dataset we carry in our heads. So why the ‘double whammy’?

My theory (constructed in a thoroughly Bayesian fashion through a blend of unremembered facts, data, experience and sources) is that our perception of time over duration is relative – and related to how long we’ve been alive. My thesis is that the reason summer holidays seemed endless when I was little is bacause 6 weeks when you’ve only lived a few hundred weeks is a significant proportion of your total life. 6 weeks when you’ve lived several thousand weeks is much less – hence it feels like it passes faster.

Of course we could argue about the stimuli, as an adult you’re busier as a child you have days and days doing the same things. But it seems to me – and I’ve observed in others – as you age the passage of time accelerates. A Bayesian brain which logs everything is hardly going to ignore hard earned experience so new experiences and today must compete for salience with old and the many yesterdays.

That’s half the ‘whammy’. The other half is the ‘sands of time problem’. At 40 something I can still reassure myself I have a good chance of living as long again as I have lived so far. A good chance. But I know that’s becoming increasingly untenable. Within the next 5 years the odds of doubling my life so far will diminish rapidly.

So how will I feel when I am nearly 60, potentially leaving a life’s work, time running faster and faster and the end looming closer and closer? As I said to two different people today, come find me with a gun and shoot me if I’m still working flat out in an Executive job when I’m in my middle fifties.

Not that I’d be too old, just that my days will be racing away and the sands of my time pouring through my hourglass. If I’m still trying to please my boss, make my end of year targets and conjure up another organisation change I need to move on and get a life before the end of life gets me.

Anger

Last weekend I had a ‘falling out’ at work on my mind. Someone had confronted me and asked to come to an important board meeting and I’d said No. The following morning the person stormed in and accused me of being irascible and aggressive before storming out and slamming the door. I was surprised, hurt and sad.

It so happened last weekend I had some time to kill on a train. So while brooding I read a bit of Aristotle’s ethics on the topic of anger. In general my temper is slow to rise. I can soak up a lot and am quite stoical but then when it (unusually) snaps I can say hurtful things, sometimes clinically hurtful, which I regret, often for a long time.

One of the things I’ve tried to do – and having kids has helped with this – is to connect a bit more with my emotions. Part of this involves getting cross more readily but less severely and responding better ‘in the moment’ rather than bottling things up, brooding or dishing up verbal vengeance. Aristotle would approve. For him to be too slow to anger was as much a defect as to be too quick. The ‘golden mean’ of ‘appropriate’ and ‘fitting’ behaviour is what he is all about.

When I lived in France in the 1990s, shouting, being rude and saying what you thought was a normal part of French office life. I remember the first time after extreme provocation that I lost it with someone thinking “That’s it, game over, one of us will have to resign”. The next day the guy I’d had a shouting match with greeted me like a long lost brother and shook me warmly by the hand. It was as if at last he felt he could work with and trust me now we’d had a stand up row. In my experience the ‘golden mean’ for anger in France is very different to that in the UK – just look at their street protests…

So why did I feel so bad about my spat the other week? Partly because the person I’d said ‘no’ to sharply had felt hurt by it. I was also, in truth, worried in case it turned into a grievance or an HR problem. But most of all I was worried that maybe I was out of line, and I had been aggressive, although it hadn’t felt like it at the time. Cue Aristotle for a soothing intellectual balm from 2500 years ago:

“At any given time it is possible to praise someone who seems deficient in anger, and at another praise someone who is excessively angry. There is no simple formula to determine how a man should act in a given situation or how far he can err before he is considered at fault. This difficulty of definition is inherent in all cases of perception. Questions of degree are bound up in the circumstances of particular cases. The solution in every case rests on one’s own moral sensibility. But this much is clear: in all areas of human conduct the mean is the most desirable and its attainment is the source of all moral virtue.”

I felt better for reading that. On Monday I went to talk to my accuser. I explained how the incident and subsequent exchanges had made me feel, I shared some context on the situation, my response and the history of previous board meetings. The result was a rapprochement and reconciliation. I achieved conciliation without contrition.

I’m still left with a question though: what is the golden mean for anger in the modern workplace. I remember coming back the the UK after 5 years of working in France and quite missing their candour and frankness. Sometimes people were really rude, but problems got sorted and people said what they thought.

Perhaps a bit more honest emotion in UK workplaces might be a good thing. I’m trying to show more – and feel more – these days, and it seems to work more often than not, but it’s important to be governed by the ‘golden mean’.

Mourning

It has been a sad week for me. We took our trusty hound to be put to sleep on Tuesday. A bad business. He really was on his last legs with a huge tumour on his side, but it’s a horrible thing to have to go and do and will haunt me for a long time.

What shocked me was feeling the life go out of him. I was holding his head and his breathing became shallower, his nostrils flared progressively less and the tension went from his neck. Then I let go and saw him twitch a little, his once powerful shoulders suddenly sunken and then expected him to turn his head to look at me – perhaps accusingly.

But instead his eyes were fixed ahead and his muzzle rested on the floor. My partner wanted to close his eyes, but couldn’t and I saw his lower eyelid livid red and starting to sag. And I realised he was definitively gone.

Entropy, whichever law of thermodynamics, blind watchmakers, all hadn’t prepared me to see the organising energy which is life simply disappear in front of my eyes. He went from faithful companion, pain in the ass, geriatric incontinent and once proud rosette and race winner to a heap of skin, bone, microbes and sagging eyelid.

Whatever else life is, it is the most extraordinary force. We all take it for granted and seldom actually see it disappear in front of us in modern life. It’s the first time I’ve actually been with a large living thing when it died. I dread being with a human at their end but recognise one day I likely will.

I was shocked and chastened by seeing the very end of a life – 6 stone in weight, 3.5 feet high, 6 feet sprawled, 45 mph cruising speed, a big powerful, dopey, loveable, furry, white socked, bad breathed, friendly to everyone, cat chasing, stair jumping, bed stealing, door greeting, under your feet getting, leaning on you when stroked, tiger striped ex-racing Greyhound.

He’s chasing bunnies again in his dreams and is at rest. It’s a stark reminder for me though of how fragile, precious and extraordinary simply being alive actually is. And I understand now, perhaps for the first time, what mourning means.