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Inside Out: Julie-Ann Rowell's poems on life with chronic illness

We present a series of poems from Inside Out, the new collection from Julie-Ann Rowell.

The poems in this remarkable collection offer a fearless account of an individual grappling with the physical, emotional and social challenges of living with chronic illness.

FND – Functional Neurological Disorder – is a disorder in the functioning of the nervous system, whose symptoms include a variety of physical, sensory and cognitive symptoms such as seizures, dizziness, chronic pain, speech impairment, paralysis.

The poet documents her journey from diagnosis, through hospitalisation, discharge and eventual recovery. Inside Out is a moving and uplifting testament to the resilience of the human body and spirit.


Our half-moon garden is surrounded by a tall fence,

an overhang at the top, a padlocked gate.

Is it designed to keep us in as well as keep others out?

I'd like to debate this, but it never comes up.

I watch staff hurrying along the path outside.

Once saw my CBT Therapist crammed

into her cycling gear. The path must be an important

route between somewhere and somewhere; I’ll never

find out. I gaze through the diamonds of wire at a blackbird

on the trimmed lawn, foraging in sight of the sick.

A cat often slides under the gate,

white and grey-flecked it steals its way

to the automatic door leading to the dining space

I’ve come to hate.

Sometimes, I have the garden to myself: a shed

full of chairs in disrepair and attempts at borders

with sprawling bushes, the occasional strawberry

plant coming into season. Potted plants with

fizzy drink cans stuffed in them, shreds

of roll-ups on the hexagonal paving.

It’s where I’m supposed to relax –

'Try the garden,’ the OT said, ‘to clear your head.’

Benches face in on each other; in the centre

a circle of greenery edged with painted stones

decorated by former patients, some bright, all suns and stars,

others indecipherable which makes perfect sense.

*

My head shakes from side to side.

Neurologist calls it a No-No pattern.

I wonder what I’m saying No to.

It could be anything considering what’s

going on right now. I’m communicating

a big fat NO because I can’t help myself,

it’s exhausting. My neck strains

with pain. I’m dizzy, it’s hard to read a book.

I want to stop saying No and say Yes

to something. It would have to be

meaningful, not merely a cup of coffee

or that dress online with the cinched waist.

I ask Neurologist, ‘Will the No-No

ever stop?’ He can’t be sure,

it’s well locked in. My brain’s rewired

like a circuitry set I played with as a child

only this circuitry can’t be altered easily.

Is it No-No to life with its complex

terms and conditions? I hope not.

That’s partly why I’m in this unit hidden

from the world. But the world is never

far away. One of the patients mocks

my tic this morning at breakfast.

‘It goes like this.’ She gives a fairly

decent impression. I’ve never liked her

except she’s confined to a wheelchair –

her legs saying No-No for fifteen years.

*

Receptionist brings post to our rooms,

leaves it on the bed if we’re not there.

‘You receive the most of anyone’, she says.

Letters do the talking. I find it hard to speak.

I’ve swallowed my voice. It’s working

its way back up, climbing my throat

with crampons and rope.

Receptionist might not realise but

she brings love into the room. A friend

writes every day, a note, a card, a letter

telling me how much I’m cared about.

She holds me in her words,

tending to me, knowing I can’t answer,

not even a text, my fingers scurrying

to make sense, my tiny phone’s screen a blur.

The window bay is full of cards.

They stand firm in their neat rows because

the window doesn’t open. No breeze

to scatter them, blow their sense to

the sticky linoleum floor, nor

sooth the saturating heat. But they speak.

*

I venture into town on my own,

a short way in among the shoppers

when Woman stops and turns,

her eyes dark pith, ‘You’re drunk!’

She’s dressed in baggy floral trousers,

padded jacket (fabric probably from Nepal).

I can’t find a retort, wobbling around

hands shaking. Not respectable.

My throat goes into a laryngospasm:

sentences form but cannot be spoken.

She looks me over as if I’m on sale,

the goods seriously defective.

I fumble for the FND leaflet in my pocket,

but she storms off, her indignation

intact. I tremble my way home head lowered

in case of a stampede of disapproval –

a well-dressed woman tanked in daytime,

probably pissing her knickers.

A BBC Play for Today flicks through my mind –

‘Edna, the Inebriate Woman’, an alcoholic

on a psychiatric ward, looking old-young,

her belongings in a worn-out plastic bag.

How sorry I’d been at nine years old

for her sorriness. Now my fifty-eight-year-old self

struggles, my eyes pooling so the pavement

shivers away from me. It doesn’t matter,

imagine Edna, keep walking, making demands –

‘It’s my right, I’ve got every right.’

Inside Out is published by Turas Press

About The Poet: Julie-Ann Rowell is a multi-award-winning poet whose work has won, and been shortlisted for, many prestigious awards. Her poems have been included in over twenty anthologies and many more are published in magazines and journals. She has an MA in Creative Writing from Bath Spa University.

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