Lorna's Journey Views

Wednesday, 3 October 2018

It's off to work we go....


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Shortly after I finished my radiotherapy treatment, I attended appointments with Occupational health to discuss how I was going to manage to get myself off the sofa and back into work….

I thought I was ready to consider a return to work, however the first appointment I attended highlighted that I REALLY wasn’t. When I discussed my job role and responsibilities with the doctor, it became clear to both him and to me that I needed more time before a return to work. I needed to be stronger both physically and emotionally. Following this appointment I started having some counselling sessions to help me become more emotionally robust (as I've discussed in my previous blog post).

The irony of the whole situation is: I work as a Physiotherapist in a programme that aims to support people with health conditions to return to the workplace. Maybe I should become a client instead…?

A big step for me towards a return to work was building up my exercise tolerance and stamina. I did this through a regular but gradual return to daily exercise. As I have mentioned in a previous blog, the ‘Move More’ programme funded by Macmillan was a good supportive starting place for this.


Learning to pace myself so I don’t ‘crash and burn’ with fatigue has been incredibly challenging. Part of my job role is educating my clients about the importance of pacing activity and resting at intervals. I do actually know what I should and shouldn’t do, but sometimes I ignore the advice I should actually be taking…always difficult to take your own advice!

Six weeks after the initial appointment, I had a follow up appointment with Occupational health. At this appointment the doctor (with my line manager’s support) and I agreed a return to work plan. 
I was to return to work on a “phased return” basis. I was to gradually increase my working hours over a four week period. The tasks I would start back to would be office based initially, gradually building up to seeing clients again. This was guided and determined by my symptoms.


I did not feel as though I was rushing back to work, at this stage it felt right, it felt exciting, I WAS BACK IN CONTROL OF ME !!!

Wow! I was absolutely wiped after the first half day. I was both mentally and physically drained. I came home and had to go to bed for several hours. The concentration I needed for those hours at work; talking to colleagues and re-orientating myself took the most out of me. It had been quite some time since I had been in a situation where I had to communicate with a number of people. I hadn’t been prepared for how tiring this aspect would be.
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PACING LORNA…PACING


The second day wasn’t quite as bad. I was still tired and needed to rest but not for as long. With a combination of daily rests and ensuring I was eating energy boosting foods I got through the first week. It was great to be back at work and feel useful and productive again…I am not designed to be a housewife.

Over the past month I have gradually built up my hours, and I have also started walking to and from work rather than driving which has increased the challenge too.

Compared to my starting point a month ago I feel I am both physically and mentally in a totally different place. I am starting to feel like the ‘Lorna’ I used to be even if my hair is still annoyingly short…!!

One positive to come from this experience is I feel I have a better appreciation of how difficult this process can be, how frustrating this process can be but also and most importantly how valuable the skills of pacing my activities can be. 
I think it’s also learning to be kinder to myself and less impatient with myself. Hopefully, my experiences will enhance my approach to my clients when I return to work.

 I have my first client booked in for an appointment........ and...... this Physio ..........is back in the building……

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