Westminster Autism Commission speech 2 - A Spectrum of Harm

The speech I gave on Wednesday 28th March at the launch of the Westminster Autism Commission's latest report into fake cures "A Spectrum of Harm"

This report started life when one of the Commission members, shortly after our successful healthcare inquiry report, asked “Shouldn’t we do something about quackery and fake cures?”

Well, the short answer was yes we should, but it took a while to piece together exactly *how* to do so. We were at a loss to begin with, as to where the responsibility even lay in legislation and just who we were wanting to talk to.

And this wasn't a problem unique to us, so many people have told us their stories of how they've not known what to do when spotting a social media post advertising a false remedy, or heard someone recommending a treatment that sounds strange or dangerous.

The continual expansion of the internet and social media has been a boon for a huge number of autistic people like myself; we use it to reach out to our community and support each other across fields and oceans.

But there is a nasty edge to the internet and the surface doesn't need scratching very hard to find an ugliness waiting to take advantage of other people’s desperation and lack of knowledge.

The fear that strikes into my heart is not of the charlatans and snake oil salesman themselves, these people have always existed, but that we, as a community, have become "profitable", that being autistic is still being seen as "wrong" and needing to be "fixed".

Parents will always search for ways to mould their child to their own ideal and initially struggle with things that don't fit their preconceived ideas; you know the stereotypes - the son who's sexuality doesn't match his father's, the daughter whose lack of ambitions horrified the mother who broke the glass ceiling, the grandchild who just won't "settle down and get a real job"!

But this isn’t about demonizing parents, it’s about supporting them - what we desperately need now is active guidance for parents towards support groups and autistic adults they can learn from, guidance for school staff and medical professionals on how to report concerns about dangerous treatments being used or talked about, and guidance in how to tackle the huge giants of social media and get them to realise that not every adverts money should be accepted and evidence bases are needed to promote treatments and therapies!

But more than that, we need those who hold the power to regulate to step up and start taking responsibility;

When it comes to vile ‘treatments’ such as MMS, we need the MHRA to extend to cover all healthcare products and not just those deemed ‘medicine’ by the NHS,

We need the Food Standards Agency to be clearer about its remit which extends beyond sandwiches and takeaways!

We need more clarity from all the agencies with responsibilities over what the public are told about products and how they can access them, and we need easier routes to advice and reporting.

These regulatory bodies should be easy to use for us and hard to escape from for those who seek to do us harm!

There needs to be repercussions for those pedalling these products; legal consequences – fines and prosecutions.

At this point I would like to thank the representatives of the agencies that did engage with us, and came to our evidence session, along with all the people who responded to our survey.

I would especially like to thank Emma Dalmayne for her tireless work in this area, it’s not easy to go out there every day and fight against people so entrenched in their mind-sets that they don’t see, or don’t care, about the harm they are doing.

We know that sadly, we will never be able to fully stop the actions of abusive people in this world, but between Emma’s work and our Commission’s report here today we hope we can make it harder for good people to get conned down those paths, make it harder for not so good people to make money out of those scams and ultimately make it harder for people to find out about them.

Vulnerable people are being targeted and we lack the arsenal to defend our rights as human beings, we need to bring the guidance, legislation and regulations into the smartphone century and realise that having the world at our fingertips means we need to be more aware of what is out there and what hopes, dreams and snake oil is being sold to people.

We do not need fixing, we do not need curing, but we do need supporting in our fight.

If you wouldn’t want it done to your child, then don’t stand for it being done to an autistic child.

Tales of Wisdom; Operation Extraction!

So I've been fairly quiet recently in terms of blogs, social media and general non-work activities.

It all started in October when I came down with the flu. Not a really bad cold but the genuine I can't get my legs to move for 5 days, even breathing hurts, flu.

Having had the flu twice before in my life (once was the awful swine flu version) I know how long affects can linger and still cause issues. So I was expecting the dull aches and joint pain and excessive tiredness to roll on for a few weeks at least which is why it took me so long to realise that the pain from my left side jaw was abnormal. I could tell that my gums had receeded slightly during the flu and thought that it was just a hangover pain from that, an ache in the bones from sensitivities and the flu.

It took me about a month to work out that actually, that teeny nub of a wisdom tooth had started moving again and it was essentially teething pain! A trip to the dentist at the start of December revealed that the tooth was trying to erupt but was so impacted it was on it's side, pushing into the next molar as its back point was erupting through the gum.

Ah great

This meant surgery to remove the tooth

Oh

Okay

The thing is I've had a pretty healthy life so far, made it to 30 without ever having had any big medical procedures like surgery. Sure I'd had MRIs done for medical research and the odd xray and ECG but nothing major, nothing that would involve General Anaesthetic. And this would.

I could have tried the local route but given how little of the tooth was through the gum it was going to be a fair bit more traumatic for my body than when I had two baby teeth cracked out at 13! (No adult teeth grew for my 5s, we thought this would make future wisdom teeth less of a problem!)

I was also acutely aware of how difficult I find regular dentist appointments and how utterly pushed to the edge of my coping ability I was by a molar filling a few years ago. No, going fully under was the best way for this to happen!

So, having decided on the best way forward I was then stymied by the eternal curse of the UK - the NHS waiting lists!

My dentist was unable to do the procedure so had referred me to a specialist surgery just before Christmas, and they in turn referred me on to Lister hospital - at the time of referral at the start of January Lister were advertising a 15 week waiting period.

I figuratively gritted my teeth at this (literally doing so was far too painful!) and simply began to carefully manage my pain relief routine (which now include codiene three times a day) and carry on with work as normal.

On my own I probably would still be waiting for Lister to get in touch about a consultant appointment ahead of the surgery bit luckily for me I have a very caring, very interfering family!

I'd spent a few days with my Grandparents while my mum and stepdad were on holiday and my Grandad had seen the pain I was in, even with the religiously followed pain relief schedule, and decided enough was enough. Cue a few days later a conversation with my brother where he admitted that they'd been talking together behind my back about arranging for me to go private for the procedure!

Now, I'm a complete JAM 30-something thanks to rent rates and exorbitant train fares so there was no way I could ever afford private care, I could barely afford the price quoted just for the initial consultation! Luckily my brother is a complete softy when it comes to me and he pulled off a modern-day miracle by convincing my Grandad that it was his own idea to offer me the help I needed!

As it turned out the £2k price tag was a bit more than my state-pension grandfather could afford but my mum was willing to add a contribution to the pot so all I had to cover was the £150 pre-surgery consultation fee which my dad ended up giving me after the surgery! I did still have to cover the mounting costs of pain relief however - there were definitely days my resolve to not get them on prescription was severely tested, especially the day I worked out I'd spent over £60 on them!

Once we'd decided to go ahead with the private option it was all really quick. (It didn't feel like it at the time as I was still struggling into work everyday on huge amount of pain relief and a limited diet!)

I called for an appointment Thursday 25th, was given Monday 29th for the consult and had the surgery less than 2 weeks later on Friday 9th!

The one thing I did find distressing with it all moving so fast though was the lack of time to process what I knew and what I still needed to know - I was calling the hospital from work the day before the surgery to check what I was supposed to do about taking my pain relief the next morning as I was nil by mouth from midnight!

The hospital was not far from my flat but I would be going home with my mum afterwards as they wouldn't release me to go home alone post GA - fine by me, I wanted home comfort TLC anyway!

I was due at the admissions by 11am so had to plan my night before and morning carefully; last big meal at 10.30pm so when I went NBM at midnight my stomach had enough in it to last! I set alarms for 5.45am so I took all my usual medication plus pain relief with the last glass of water I was allowed before going back to sleep to "waste" the hours before I was due to leave - pretty sure my anxiety wouldn't have fared well against trying to do anything else that morning!

Arriving at the hospital was odd, I had loads of stuff in my mum's car to go back to hers after (like my huge bed blanket and multiple pyjamas!) but the bag I took in was fairly small - I wasn't expected to stay more than a few hours after coming round.

I had, naturally, completely freaked out the night before and had written on my phone a slightly rambling, slightly soppy 'letter' to my brother and had even set an alarm to go off on my phone that evening telling my mum the password to unlock my phone "just in case"!

Once admitted I was lead through to a lovely room where my mum helped me pass the time with idle chatter before the student doctor arrived. Mum had to go back to work then so I was left to twiddle my thumbs and answer the same questions multiple times - I was starting to doubt my own answers by the third time round!

Having finally got my hands on the after care leaflets I started reading the information and was trying to work out the likelihood of making it to work on Monday morning when I was given a gown and stockings to put on. I was told I could keep my underwear on which was a relief, and could put my long towelling dressing gown on over the top, which was good as I epically failed at working out how to do the ties up by myself!

The stocking though were a nightmare! Awful things that made me feel vaguely queasy as soon as I'd wrestled them on. The foot bit seemed to be wrong no matter which way I turned it and I couldn't work out why only the tips of my toes were poking out.

I had just about got myself sorted and was messing around with my sensory frog and social media postings when they came to take me down to theatre - I shuffled off down the hall in my stupid stockings, slippers, towelling robe and flapping open gown, clutching my frog with the strength of a front rower!

My anxiety was spiking massively at this point, I knew what was coming even though I'd never been through this before. A cannula and then lights out, simple right? Well, it might have been had the first cannula gone in properly! Maybe it was because I was so tense and nervous or maybe it was just bad luck but they buggered up the first try in my left hand and had to take it out. This left me lying there going through my usual shock reaction to a needle (I normally go extremely white and neatly pass out just having blood taken as I can feel the needle under my skin!) and feeling like I wanted to be sick and yet still not able to have the sleepy stuff pumped into me! At this point a very kind lady helped me transfer my frog to my now achy and taped up left hand so they could put the cannula in to my right. I was very surprised they hadn't taken him off my already, and when I slurred something to that effect the lovely nurse told me that I could keep him with me and covered my hand holding him with the sterile blanket! 

Cannula now inserted into the right hand I think I actually passed out before the anaesthetic hit me as it felt exactly like previous needle related faints did!

Next thing I know I'm looking out of very heavy lidded eyes at a glaring white ceiling with a very odd sensation over my whole head and neck. A face looms into view and says something to me but my ears are like they are underwater. Then there's a very peculiar feeling and a slight gag reflex and I realise the breathing tube has just been pulled out and suddenly I'm aware of how strange that had felt!

The voice comes back a bit clearer now telling me that I'm in recovery and doing nicely. Another voice joins in above my head but I can't really tell what's going on, I think I fade back to sleep at this point because the next thing I know the bed I'm on is moving and I'm feeling seasick. Still barely able to lift my own head or keep my eyes open I'm wheeled back into my room and asked to shift across to the bed there. How I managed to coordinate my limbs in the right way to achieve this I'll never know because I was so heavy everywhere I could barely feel my extremities!

Settled into the bed I think I dozed for an hour or so until I was woken by a nurse doing one and taking my blood pressure - a sensation I've never liked and always had a minor sensory reaction to. At this point I became aware of how hot I was and almost desperately tried to free myself of some of the numerous layers on my lower half - I had on the medical stocking, calf wraps of some kind, a foil type blanket, and actual blanket and then a duvet! I was cooking under all that!

I convinced the next nurse to take off the weird calf wrap things that apparently were an extra anti-DVT device to keep my muscles stimulated (even though I was only under for an hour or so I was given them "just in case"!) and I was able to start cooling down. The stockings still irritated me like hell though, tight and extremely uncomfortable in my highly sensory sensitive state.

No one had really been able to give me an accurate idea of what any of this post-op recovery would be like so I was just lying there in my dopey state wondering what would happen next. I eventually managed to get a nurse to give me some painkillers that I could take with small sips of water as my entire left side of my face felt like it had been hit by a car. The surgeon came by around that time to check in on me and tell me that everything had gone well, giving me his office card to call if I had any problems in the immediate recovery period.

After some more sleeping and more begging for the stockings to come off they did and I was able to move my legs about enough to lift myself higher on the propped bed and reach my phone on the side table to text my mum. I was incredibly surprised so little time had passed at this point - only 3 hours had passed from my last text saying the anaesthetist had come to take me down. I still had the cannula in which was causing me discomfort so the latest obs nurse agreed to take it out before my mum arrived. When she got to my room I was feeling miles better as the two little tablets had kicked in and I had regained enough feeling in my throat and jaw to talk reasonably unslurred. We stayed a little while as I was still not fully ready to leave but after half an hour of chatting (including a call to the grandparents) I was okay to get myself dressed and pack up my stuff ready for discharge!

Pt 2 continues in "Tales of Wisdom: The Recovery"