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HELPING YOUR BODY HELP ITSELF 2: Antibiotic Resistance & Urinary Tract Infections

Antibiotic resistance (AMR) is a global issue, affecting countries across all regions and income levels, posing significant challenges to public health and treatment efficacy. Persons with spinal cord injury or disorder (SCI/D) are particularly susceptible to antibiotic resistance due to their heightened risk of recurrent infections. This blog takes a look at these themes in releation to supporting the immune system to cope with chronic urinary tract infections, a topic that my own health challenges have led me to explore. 

In response to this rising challenge of antibiotic resistance, the government announced its new national action plan on antimicrobial resistance, a five year plan to protect people and animals from the risk of drug-resistant infections.Researchers are making progress, but clinical trials need to be developed to ensure safety and efficacy in humans. 

Researchers from Imperial College London have made significant strides in combating antibiotic resistance. They have discovered a method to impair antibiotic-resistant bacteria, such as E. coli and K. pneumoniae, by inhibiting a protein that drives resistance formation within these bacteria. Dr. Furniss from Imperial emphasizes that “due to the challenges in discovering new antibiotics, it is crucial to develop strategies that extend the lifespan of existing antimicrobials.” 

Additional progress was made in January 2024 when scientists discovered a new class of antibiotics that can kill one of the major drug-resistant bacteria threatening human health. Gram-negative bacteria are protected by an outer shell containing lipopolysaccharide (LPS). No new antibiotic for Gram-negative bacteria have been approved in more than 50 years, but this study with Zosurabalpin successfully treated highly drug-resistant strains of pneumonia and sepsis in mice, and is now being tested in human trials. 

Protecting our own health and that of others around us, means taking steps to help prevent antibiotic resistance. This starts with using preventative measures related to good nutrition and certain foods that can help avoid antibiotic use whenever possible.

If antibiotics are essential, standard measures should be taken to inhibit the development of resistance: clinical recommendations suggest:

  • Avoid their use with viruses.
  • Avoid saving antibiotics for next time.
  • Take a course exactly as prescribed and complete it to the end.
  • Do not take antibiotics prescribed for another person. 

For people like myself with SCI/D, other effective preventative measures like good hygiene and catheter maintenance are crucial, and a prevention strategy may include use of grapefruit juice and seed extractD-mannoseCranberry juice or extract, and choosing a diet that limits formation of debris and stones in the bladder or kidneys, which can attract further infection. This means stablising the pH of the urinary tract through diet: minimising intake of sugary and processed food, being measured in eating oxolate-rich foods, and also limiting dietary sources rich in purines

Thanks to the Harpal Clinic London for helping me explore my own health more deeply.

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Blue Space Time

The benefits of ‘blue space’ and of nature, adventure and connection are increasingly being recognised. Wise to the health advantages of time outdoors, a group of reflective explorers on a ‘sea kayaking retreat’ left a huddle of wheelchairs sat on the shore beside the waters of Moray, Scotland.  A diverse set of adventurers, we were delighted to explore beneath cliffs, archways and geological beauties of the coastline, treated to rich bird life, pods of dolphins and the inspiration of a great group of people. 

The Moray coastal area is a hidden gem, a ‘blue zone’ of Scotland with its picturesque and rugged coastline, a tapestry of rock and rolling natural beauty that etches a line between the North Sea and restorative countryside. We had five days together on the water, and we could feel our bodies and minds release and reset. Blue spaces in nature provide a calm and healing environment. The world’s ‘Blue Zones’ illustrate that the combination of nature, activity and connection with others in meaningful ways is crucial to our health and longevity.

The sea is ever-changing, a reflection of the expansive sky that shifts from moody greys to brilliant blues, merging to sky, magical light cast over the landscape. Dolphins and seals play in the waters, and charming fishing villages with unique character punctuate the hues of blue. 

The water-based retreats had sea kayaking as a focus and were inspired by my own reverence for nature. I’ve always found nature to be like the CEO of my life. If I ever feel unclear, overwhelmed, stressed and even physically injured, relaxed time outside always seems to rebalance me. I contributed a chapter about the healing power of nature to the book ‘Wilder Journeys: True Stories of Nature, Adventure and Connection (Watkins Publishing, 2023).

Being paralysed from the chest down can make accessing nature more challenging, but finding ways to be in these blue spaces has been fundamental to my wellbeing. I spent over a decade committed to a Paralympic cycling career, led primarily by my desire to spend more time outside and to move my body. Now spending time in these restorative blue spaces helps me navigate through life with a sense of balance and peace. 

There are plenty of possibilities out there for water-connected time out. Finding a way to enjoy the benefits of blue space in a way that suits you is likely to elevate your health and sense of wellbeing, be it wild swimming, paddleboarding, surfing or simply being beside a body of water. Whatever you do, you’ll be enhancing your immune system and supporting your metabolism and mitochondria. Do it with a few other lovely humans and you’ll also be helping your health with important feelings of belonging and connection.

Nature restores us. If connected ‘time out’ in Scotland or Mallorca appeals, either as part of a retreat or one to one, drop me a line. I would also like to acknowledge a very special organisation I am collaborating with, whose lens on nature mirrors my own. THE BLUE DOT – providing Eco Therapy for humans of the modern world – whose mission is to help people draw on the 4.5 billion years of nature’s unparalleled wisdom. As the team there highlight,

“Extraordinarily creative; Nature has no ego, never judges, criticises or neglects. Transcending our politics and interpersonal conflicts, Nature provides a powerful mirror for us to reflect on ourselves, others and the world around us – challenging us to expand our awareness and commitment within our healing process.”

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Helping our body help itself…

One of my big interests as a result of years in high-performance sport and living with a spinal cord injury is how we can optimize our health. By health I mean having good energy and an ability to be present and engage with where we are, what we are doing or who we are with. Managing energy is important in a sporting context to train and perform, but I am acutely aware of how my health often hasn’t been optimal. I have had too many hospital stays, most of them very avoidable! If we don’t have good mental and physical energy for every part of our life: work, relationships, social and fun stuff, then we are living sub-optimally. 

Many of us are living with chronic stress, too much desk or computer time, dutifully conforming to expectations of our job or role, not prioritising our wellbeing and at the cost of our happiness and health. I think this quote by Belinda Kirk from her book the Adventure Revolution sums it up well (p.47). 

“We have an innate need to belong, so we dutifully follow rules and conform. This tendency has enabled humanity to build civilisations. We’re told that by behaving like this we can create efficiency and achieve success, but we’ve somehow lost the balance along the way…”  

I have definitely lost balance at times. I have often over-done things from physical training to certain foods (some of which I thought were healthy), and in the process compromised my immune system and intermittently lost my spark. We often sacrifice our health for habits that don’t serve us. Many of us rely on a health system that is great at managing acute trauma but typically not chronic conditions as a result of our lifestyle choices. We feed our brains with news that is usually bad, fill our bodies with processed food and drink, and immerse ourselves in environments that are often polluting to our energy. The risk to our wellbeing is greater than ever, and our health system is stressed.

If we want to change things we have to make an effort, but our human tendency is to resist change as it takes us out of our comfort zone. It is easier to keep on doing what we always did, but this then keeps us limited. Often, it takes a crisis before we are willing to change.

Living with paraplegia creates more vulnerability to health issues. In 2022 I was about to pedal a cool Formula 1 handbike on the back of a yacht to generate power on the boat whilst sailing to Greenland, but instead spent a fortnight in an Icelandic hospital with sepsis. Due to antibiotic resistance I needed back-shelf antibiotics. It was scary, and that was the crisis that triggered me to delve deeper into how we can take more responsibility for our health and wellbeing.  

Most of know what it is like to feel unwell, to have pain or no energy, and of course, the opposite too: to feel energised and vibrant. What would it be like to experience more of that vibrancy and health? Is it possible to feel physically and mentally great all or most of the time? 

Initiatives like the Zoe podcast and products have generated wider interest (at least in the UK), but also fields like functional medicine (focused on finding root causes), regenerative, longevity and lifestyle medicine are growing in popularity. 

My own interest in this was piqued last year on listening to podcasts by Dr Gladden at Gladden Longevity in the USA, and since then I have begun digging deeper into the ideas and searching for areas of expertise closer to home. This month I visited the Harpal Clinic in London, their mission to: “Help your body help itself”.  I met with Dr Bains, the founder, and some of her dedicated team. I am excited to be a case-study for their holistic approach to finding root causes, combining functional medicine with stress and lifestyle methods. The consultation was to explore my own health, as well as helping me consider some of the broader issues that can impact us with a spinal cord injury.  

Whilst the detail of our health and lifestyle patterns are unique to each of us, my aim is to share any insights that might be useful to you too. I’ll explore some general themes like sleep and brainwave health, stress and the mind-body connection but also some specifics like digestive system health, skin health, bladder health and urinary tract infections (UTI’s). I hope to add in some perspectives from medics, practitioners and experts to help enhance the quality and to provide different voices on each topic. More soon…

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Standing on my own two feet…

Nature offers us so many metaphors that reflect the processes and changes of our own life. Spring is here. Buds burst into life and paint a maze of colour. Early morning air is filled with birdsong and lambs play in the fields. It is the season of new life, re-birth and the promise of opportunities that light and warmth bring. For me, Spring especially presents opportunity this year: a whole new possibility that has been absent from my landscape for many years.

Have you ever had an experience where something is emerging that is so far removed from your ‘normal’ that you don’t know quite how to share it with anyone? We hardly dare speak about it as it feels so fragile, perhaps with roots that run deep into our being. We sense the excitement and curiosity, as well as the fear and vulnerability. 

I am navigating this process at the moment. Last year, a new paradigm emerged for me as I entered into exploring healthspan and how to optimise it. An opening came to speak with a healthspan and longevity specialist, Dr Jeffrey Gladden MD FACC (Gladden Longevity), who suggested that by using  a multi-disciplinary scientific approach it might be possible to aim for recovery of my long-injured spinal cord. I felt an initial loud “Yes!” However, stepping forward into this possibility has been more challenging than I expected. You may have noticed a crowdfunder that has one contribution of $25 (thank you Ryan!), and two podcasts about the project thanks to Gladden Longevity & Inspire Campfire (Scott Wurtzbacher, who introduced us). The project has not yet taken flight, perhaps not surprising given that when we are ‘wobbling’ with our external goals, the path does not open easily. 

I rarely accept the ‘status quo’, and I fundamentally believe that we are responsible for our own reality, creating it with the small thoughts and actions we allow in each moment. I created the ‘Pole of Possibility’ in Antarctica and I live a life focused on possibility. My default is to embrace life without cynicism, skepticism or fear. Part of me is observing my role in this project not yet ‘taking flight’.

How do we move stuckness and open new ways forward? How do we decide which path to take and whether it is the right one for us?  In the past I have used all kinds of processes. I use my thinking brain to consider ‘reasons for’ and ‘reasons not to’, I might break down my fears and worries into tiny parts and find small solutions that gradually build my sense of safety and confidence to step forward. I connect to my deeper core of knowing by spending time in nature, meditation and other ways of listening within. I visualise and practice what I call ‘creating future in the present’. The combination of our smart thinking mind with our inner stillness help us dance with uncertainty and find ways through these ‘big’ sorts of life decisions. 

I share here some of my process in respect to this healthspan and spinal cord injury (SCI) repair project.  
On the ‘resistance’ side, I find myself asking questions like “Is it really possible to repair a body that has been paralysed for thirty-one years?” (Perhaps a limiting belief);  “Who am I to try?” (Maybe I am doubting my self-worth); “Does it matter to me given I am already fortunate to have such a rich, full, purposeful life?” (Perhaps avoidance or an excuse); “Whilst paralysis isn’t ‘ideal’, we all have incredible capacity to adapt and I have learned to love my life as it is, why risk change?” (Perhaps I have a fear of change); “What are the risks and could it make things worse?” (Sounds like a reasonable question!). 

On the ‘receptive’ side, I find myself asking questions of positive possibility like “Health is paramount and how could optimising it enable more good energy and contribution to the world?”; “Paralysis and its complications are rising in frequency – one person is paralysed in the UK every two minutes, consuming a lot of energy and other resources for individuals, families and health systems. Could this project give useful insights to help wellbeing of all with SCI?” ; “There are fifteen million paralysed humans in the world who tend to die on average around twenty percent younger than our able-bodied friends; what if we could all live with an enhanced healthspan?”. 

I have been paralysed now since 1993, unable to move or twitch a muscle from the chest level down, nor feel touch or pain below this level (classed as a ‘complete’ spinal cord injury). My body has developed its own curious ways of communicating with me, signals which I don’t always interpret soon enough or translate into appropriate action. For this reason, I have had some near misses, as many paralysed people do. If we could develop better means to avoid or detect some of these peripheral health issues like bladder, kidney, lung or skin infections, the risk of complication or mortality would be reduced. 

In recent years and with increasing regularity, I hear of a new breakthrough and how someone with paralysis has walked. From ‘tech’ aids like exoskeletons, spinal cord simulation and electrical implants to more fundamental changes via stem-cell work, there are ‘surprise’ results around the world.  Those who gain recovery attribute it to various causes: intense neuro-physio, stem cells, and neuroplastic effects of the brain and wider nervous system. When you love your life and you have been marinated in a paradigm of ‘no cure’, it is easy to dismiss these stories as someone getting lucky, or an injury being incomplete (meaning the spinal cord is not entirely severed).

Any idea of a long healthspan and restoring function with an injured spinal cord would have fallen on deaf ears even just a decade ago. The paradigm then was that paralysis was for life and full of complicated health challenges.

Medical technology has advanced and many scientists are optimistic about future treatments that can heal a damaged spinal cord. Whilst effectiveness has been limited, scientists continue to work on ideas to help spinal nerve tissue grow back and heal. There were breakthroughs in 2023 using both stem cells that signal nerve cell repair, and in a separate study, using an artificial matrix to help cells grow. Advances in research and development of regenerative medicine methods and stem-cell technology research have brought us to an interesting place where spinal cord injury no longer seems ‘incurable’. Sometimes the biggest scientific discoveries are made when ideas from different fields collide. I am fortunate to arrive in this interesting though challenging place, one which rocks my comfort zone and the ‘old’ paradigm that spinal cord injury is ‘incurable’, or that the health challenges it brings are something we have no agency to improve.  

The Project

Dr Gladden has insight and experience with regenerative medicine and has offered to apply regeneration medicine methods to optimise my body environment for healing. The work with Dr Gladden will assess the ‘health’ of my paralysed body using various diagnostic and laboratory tests to assess each system of my body. The results combined with his experience and knowledge of treatments to bring the body to optimal health, will prepare me for the possibility of cutting-edge SCI stem-cell treatment with leading researchers and clinicians.

The aim of the project is to take a multi-disciplinary approach,merging regenerative medicine methods with regenerative stem-cell research, neuro-physiotherapy, neuroplasticity and other modalities in approaching two specific questions:

  • How can the body environment best be optimised in people with SCI to optimise healthspan and reduce minimise risk of life-threatening secondary conditions / early mortality?
  • Has medical science advanced to the point that with a multi-disciplinary approach, joining together different fields of medicine and research, that spinal cord communication can be recovered even after decades of paralysis? 

My life as a paraplegic has been so rich in experiences, adventures, unique perspectives and human connections that I have grown to love it. When you love your life, it is easy not to embrace change; but change is the only thing certain in this life. It always guarantees learning and holds intriguing possibility. 

This project has been slow to ‘take flight’ in part due to my discomfort with asking for support for something that feels so ‘wild’ to my own thinking. It eases my discomfort that it an contribute knowledge and insight to a growing global health issue, not only for SCI but for all of us interestsed in optimising our health. I sincerely thank anyone who resonates with it and thank you for either contributing or sharing.

More details on the project and the revised, staged approach I plan to take are within the fundraiser link here https://gofund.me/44b3531a I would like to invite you to be part of this journey with me, and to offer something back. If you are able donate $25 or more, please email me via my website and let me know what you would most appreciate from the ‘menu’ of things I am offering in return for donations, listed within the fundraiser.

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Inspiration from India

I recently returned from a journey through southern India. I love the unique energy, vibrancy and sense of chaos of this incredible country. From representing an empowerment charity at a disability inclusion festival via a cycle tour, a very special orphanage and an incredible stay at an Ashram, I felt inspired and enriched. However, by the time I returned home I was longing for the peace and simplicity of a more routine, predictable life. 

Time in India was a great reminder of the complexity of life. How do we flow and flourish and engage with all the choices and possibilities around us, meet the needs and expectations of everything that we are committed to, and maintain a sense of strength, calm and balance? It is an art that takes practice. 

It feels wonderful when we get it right and things feel to flow; less joyful when we get out of balance and we have that sense that there is ‘never enough’ time or energy. 

Thanks to this time in India it has re-focused me on what I really enjoy, and that is exploring and tuning our mindset so that we can be our optimal selves. We have the ability to shift our perceptions, to employ strategies to support us through change and to new aspirations, as well as to tame any rising ‘not enough-ness’, fear or vulnerability. We can strengthen our natural energy to change and adapt. We can be open to receive support from the connections, communities and the natural world that surround us. We can be kind and compassionate to ourselves to navigate from the busy-ness of more challenging times to a place where we re-connect with our sense of calm and our solid foundation.  

I am excited to share with you ‘Innergoldlife Retreats’: opportunities to do just this, set in the beautiful natural environments of Mallorca (Spain) and Scotland. These one-week retreats will bring focus to sculpting your mindset and changing your perspectives to support you with changes, challenges and transitions in life. The programmes are designed to enhance your natural energy and to inspire you with special environments and people, with time in nature and in the spirit of an aligned group. Perhaps you would you like to join one of these opportunities to explore some ‘Inner Gold’? Or know someone who would? 

I will host a discovery call on this theme and the retreats on Thursday 29th February, 5pm UK. If this lights any curiosity in you, please come and find out more by clicking this link to REGISTER

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Kilimanjaro by Handbike

We all have psychological barriers: things that seem daunting enough to feel impossible. Climbing Kilimanjaro by handbike should have been in that category…read on to find out why it wasn’t!

The intimidation of the unknown can be enough to stop us, as does our tendency to ‘ambiguity bias’: we tend to take decisions favouring known outcomes rather than taking chances on choices with unknown probabilities, or to favour a narrative of likely ‘failure’ and in doing so we almost inevitably generate that outcome. But this wasn’t the case for me with Kilimanjaro.

Climbing Kilimanjaro had never seriously been on my radar. After all, how would I? Climbing mountains was something I did before becoming paralysed from the chest down. But a ‘four-minute-mile’ effect impacted my mental view of it. For years, runners had been striving against the clock, but the elusive four minutes had always beaten them. It was a seemingly unconquerable mountain, until Roger Bannister succeeded. Within months, many other runners broke the four minutes and it became common place. Wharton School professors analysed the lessons for business of the four-minute mile phenomenon, in a book entitled ‘The Power of Impossible Thinking’. It wasn’t human evolution, genetic engineering or physiology that made the difference, but the shift in the mental model. Others suddenly saw how they could do something they had previously thought impossible.

Kilimanjaro had circled around me for decades: the volcanic slopes of the world’s largest free-standing mountain inevitably caught my eye when I once visited Tanzania, and soon after that I met an American paraplegic guy who had made an attempt up Kilimanjaro. He had reached Gilman’s Point, the first point on the crater rim. Following that I heard of the first paraplegic to summit Mt Kilimanjaro unassisted, by handbike, and more recently Martin Hibbert, paralysed in the Manchester arena bombing, summitted Kilimanjaro in a special wheelchair. The logistics company I contacted even had a ‘recommended wheelchair route’ for the mountain and as a small team of us gathered with the summit in mind, I came to the assumption that climbing Killmanjaro by handbike would be no problem, “Hakuna matata!”

On summit day, our fifth day on the mountain, clinging to aggressive scree, I wondered what on earth I’d been thinking. Inching forward then sliding almost as far back again, I waivered in my belief. The scree steepened, the slope finally too vertical to hold the rocks and volcanic rubble. As I looked up, I felt the doubt creeping into my neurons. “How?” It was impossible to navigate assisted, never mind unassisted! The steep, broken slabs of rock were way beyond the capability of my handbike, and it was an amazing set of wheels, The clearance and gearing on the ICE trike and the terrain it can manage is astounding.

Positive mental models are wonderful. They stretch us, challenge us, enable seemingly impossible things to unfold. But sometimes our desired end state, a compelling goal, our natural cognitive mechanisms and the overall mood of a team can take us into an optimism bias. All of this is good, as long as it doesn’t blind us too much or get in the way of thorough preparation.

There is no smooth, wheelchair accessible trail up Kilimanjaro. It takes intent, desire, resilience, the right equipment, a positive energy and a good team. There is a compelling, beautiful mountain awaiting and clearly, the possibility exists to make it.

Thanks to the team of guides and porters, we did make it to the roof of Africa and to the summit of Kilimanjaro. It was harder than we anticipated, the effects of altitude tougher, the length and difficulty of the scree magnified beyond expectation. I needed help. Between pedalling I was pushed, pulled, shoved and carried. Lucas the Masai was targeted as the strong, tall, blood-drinking main man for piggy-backs!

If you fancy Kilimanjaro, whether you are walking or going with wheels, please go to this mountain with the mantra of ‘pole pole’ (slowly, slowly in Swahili). Nothing about a four-minute mile will help you get up, other than adopting a mental model of moving beyond what seems impossible. Be optimistic, but also be wise to the facts. It is not a walk in the park: you will likely laugh and cry on the journey, there will be headaches, the scree is long and steep, the crater rim is spectacular.

Once again though I am reminded of just what is possible when a good team, good technology and a bit of tenacity come together. Thank you all involved!
Special thanks to ICE trikes and to my team-mates Kevin Benstead, Steve Bate, Mike Webster, Sherrill Mason, Bow Monk, Amelia Monk, Jannie Johnson, to African Scenic Safaris, and to the charities who partnered with us: Voice of Specially Abled People and World Jenny’s Day

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Serendipity

His finger was fissured from years of hard work as he pointed it toward me, a flicker of memory dawning.

“You…” he began a kind of wagging at me and I smiled back. “I remember you! It was my first week at Aberdeen Coastguard. We rescued you. I’m Gramps. At least that’s what they all call me.”

Gramps leaned forward and shook my hand.

I was sheltering from the smirr of late July rain beneath the bulging yellow cockpit of a Sea King helicopter at Morayvia, an aerospace experience near the Royal Air Force base in northeast Scotland. Above me sat my teenage nephews, playing at pilot and co-pilot. Before me stood the man who in one decision thirty years previously, had probably saved my life.  

In 1993, at the foot of sea cliffs just south of Aberdeen, my body lay crumpled after a fall. What should have been an innocuous day rock-climbing had gone awry, transformed into a rescue dilemma for my friends and the emergency services. Gramps told me the story of how he had made the call to wait for the helicopter that was on its way from RAF Lossiemouth instead of hauling me out by lifeboat. He knew there was a newly adapted stretcher on board that would reduce the chance of further damage to my spinal cord. Retrieval of my body via the big yellow bird meant a whole lot less moving and handling and exponentially less risk to my spine. I had an unstable neck fracture and a body teetering on the brink. His decision all those years ago had at least saved my arms from paralysis, and most probably my life.

“Thank you” I held his craggy hand longer than was usual. I felt such gratitude to this fellow human. “Thank you for giving me this life”. It was Gramps’ first day volunteering at Morayvia. He introduced me to the man beside him, Bob, another volunteer who was behind the new style stretcher that had lifted me out of the precarious sea-cliff scene.  

“Thank you too” I shook Bob’s hand also, tingling with a sense of connection and appreciation for these two men who had committed their lives to service.

It was thirty and a third years after becoming paralysed, and in the smirr of that benign afternoon, I sat in deep appreciation.

In gratitude.

In that incident all those years ago, I was the unconscious and unaware recipient of so much help. Without it I would have been unable to experience this precious gift of life.

When we are vulnerable, when things seem a little desperate, when we are in need, that is when we must learn to accept. Being paralysed has taught me to accept help in bucket loads. There is so much that I cannot do alone, so acceptance and trust have become woven into my fabric and way of life.

The memory of that day was fossilised deep in a fissure of Gramp’s eighty-year old mind, reactivated by our meeting. Our serendipitous encounter.

Serendipity literally means ‘finding something good without looking for it’. Perhaps one of the greatest gifts of becoming paralysed is the practice of that. A constantly challenging environment is best navigated with a peaceful inner landscape, with a curious and optimistic mind. Where we allow our mind and energy to go impacts our reality. The night before I was paralysed I spoke the words “I”d rather be dead than paralysed. I can’t imagine anything worse”. Did I attract it in? Who knows, though the opposite of serendipity might be called misfortune.

We are capable of way more than we can imagine. Our mind is powerful beyond belief. We can attract what we fear most, just as we can attract serendipitous events.

When we swim along in the flow of life, whether the sunshine is on our face or we feel a little swamped, it can be easy to forget the emotional portals available to us. Magical gateways into a different, better experience. Gratitude is one of them. The chance to feel grateful is available to us in any moment, from the smallest minutiae to the greatest events. It offers a fast-track into feeling intensely alive.

Thanks Gramps and Bob. In gratitude of you then and now.  

And thanks to the Press & Journal for managing to pick up on our serendipity too, https://www.pressandjournal.co.uk/fp/news/moray/5989873/ex-coastguard-left-speechless-meeting-a-paralympian-forres-morayvia/

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So you think you shouldn’t cry?

I’ve been inspired to write this blog by my dear friend Bernie Nolan, a wise and experienced practitioner of acupuncture and Traditional Chinese Medicine. He trained in Japan and Korea and has many decades of practice and experience. He is currently recovering from heart surgery. We spoke today…

“How are you doing?” I asked him.

“Yes, getting stronger” he replied, “I’ve walked out to the café a few times”. There was a small pause before he delved in deeper. “But I keep crying for no reason. I don’t get it as I haven’t got anything to cry about. It’s all gone well and everyone has been so good to me.”

I reminded him he’d just had major heart surgery and we chatted about what the heart represents in Chinese Medicine: the seat of all emotions. The heart houses our emotional and spiritual wellbeing (Shen), which affects our mental function and our vitality.

“Not really a surprise you’re crying then” I giggled, reflecting on how frequently I cry without any obvious cause. When I cry it always seems to release something and leaves me feeling better.

Knowing that our emotions, organs and physical health are intimately connected doesn’t make us immune to experiencing all of it. Despite all the knocks and experiences we have, we often wonder why we are ill or emotional, almost denying or fighting it for fear that something ‘worse’ might follow. But any event can act as a trigger, shock or shift the balance and have an ensuing physical or emotional affect.

I used to think that crying was unhelpful rather than healing. We often view anything that takes us out of our ‘normal’ as threatening, uncomfortable or a cause to worry. But what if being comfortable with being uncomfortable is an important aspect of being human? It may even a very healthy, helpful thing.

When we find ourselves in challenging situations, unexpected or planned for, we face choices about if and how to move through the membranes of fear that inevitably veil us. We doubt our capacity to manage; wonder if we will ever adapt; we grapple with our perceptions of the situation in which we find ourselves. We may enter a psychologically difficult or darker place, a part of us perhaps shrivelled, lost, unconfident or fragile without the comfort and life of what we once knew.

“I would rather be dead than paralysed” was my own judgement around the terror of a life unable to walk, and twelve hours later, I was there. I entered the blackness, the depression associated with loss or decay of our known world. A motorbiker crashed at a hundred miles an hour into a wall; he lay opposite me in hospital, a brace on his spine for a while before he walked away. Then a friend died in a climbing accident as innocuous as my own.

When tough stuff arrives with us, there is no just, no reasoning. We are thrown off piste without a map. We judge or worry that how we are feeling or responding is not okay. We may seek distraction and support from others, medication, healing or therapy or anything for a rapid fix. All of that is good, but what else can we do to help ourselves from within, without the need to look outside? With some simple ‘inner’ steps, we have the possibility to transcend the struggle by alchemising our perception of any life situation. Here are a few of my go-to actions to help when things get out of balance:

  • Focus on small positive actions. What is one tiny thing you can do now that you or someone you care about might appreciate? Take baby steps, one at a time, focusing on the next small action. The cumulative positive effect of baby actions is great.
  • Give time to an activity (or activities) that you enjoy and that that take you into the moment. This activates the ‘positive task network’ of the brain, which helps us be in the here and now. It enables us to experience ‘flow’ which releases helpful, mood-enhancing neurochemicals in our brain.
  • Stop unhelpful thoughts. Thinking about what might be, could be, should be, or might have been all activate the default mode network of the brain. It is useful for planning and organising, but there are negative effects about ruminating too much over the past or future, and it will often cause use to feel down or anxious. Learn more here, https://youtu.be/vo_VANW35b0
  • Talk to yourself like you would to your best friend or someone you love: encouraging, resassuring, reminding yourself of strengths and replacing unhelpful thoughts with those of appreciation. This can feel extra powerful if you put one hand over your heart, and the other over your stomach area.

Struggle exists in the gap between accepting what is and wishing for what was or might be. The ‘other place’ seems somehow better. We compensate for what is not. But what if where we are and the emotions and physical things we are experiencing are perfectly okay: nothing to fear, nor avoid, guaranteed to shift and change like the weather. The sun will shine again…

I write this with the knowing that this can be hard. For years I sought action and distraction. I set ever-greater challenges. They started small…how to pull my pants on when you’re paralysed, learning to swim… But soon I was handcycling across mountain ranges and continents, then training and competing for Paralympic medals. Others elevated me with perceptions of resilience and ability to overcome. But I wonder if I was a fugitive, dodging something indeterminate. I still forage for freedom anywhere I can. Moving my body. Seeking adventure: other lands, other people, experiences far and wide.

In the process of foraging, we look high and low. We look up to others who seem to represent something that we perhaps lack – resilience, strength, ability, skill. We look down at those who reflect something that we fear is within us – weakness, depression, anger, helplessness. We play in a world that judges and positions and assigns comparative merit. Podiums. Prizes. Awards. We rustle and hustle between being better and fearing worse, aspiring to, aligning with or rejecting others that support our process. Despite the muddle, being out of our comfort zone gradually leads us to releasing pain and past.

We feel it. We heal it.  

The philosopher’s stone is the mythical alchemical substance that turns base metals into precious ones like gold. When pushed to probe at our limits, we may resist and wish for easier times, but perhaps this struggle is exactly what can transform. Our own philosopher’s stone.

At those edges, in the extremes of discomfort, we can find our own formula of substances and philosophies that help us live more brightly than we ever otherwise could. Keep exploring, both out and in, knowing that only lived experience can show us the magic.

At those edges of life, the darkness dwindles. Everything can lighten. A glow emerges, a landscape lit by a bright new dawn.


Wishing you all brightness after dark.

Bernie, you already see it.

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On Possibility

One of my mantras is that “Ability is a state of mind not a state of body”. The original version of this was actually “Disability is a state of mind not a state of body”, but words beginning with ‘dis’ hold little attraction: I spend my days focused on ability and possibility thinking instead.

As we skied back from creating the ‘Pole of Possibility’ in Antarctica last month, my mind burned with a billion lightbulbs. In the previous days I had been listening to an audio book about the structure and neurochemistry of the brain and my own neurons had been fired into a state of illumination. No doubt it was all enhanced by the fractal patterns of ice and the light scattered into rainbows that sparkled across the icescape. But how on earth had we come to be on this exploratory adventure skiing to a horizon that merges the most serene and pristine mountains on the planet with the heavens?

How do surprising and unusual futures come to pass? How do we truly live in the realms of possibility?

I contemplated the decade or more that had led to that moment, noticing the twists and turns, the iterations of the plan and the team. There were occasions when the whole idea had been tossed to the side for something more urgent, or when it had been abandoned and left festering. But this particular project, the ‘Pole of Possibility’ had been like an itch that kept demanding a scratch, constantly recalling my attention. I was often bamboozled by the obstacles. I knew that careful attention, diligent planning and experimenting, alongside medical and mobility technology would enable us to be successful. The daily distractions and ‘sand’ of life often succeeded in pulling me away, but I couldn’t let go. Questions of ‘Why?’ and ‘How?’ became more present. It was time to truly commit to delving deeply into possibility.

Committing to a ‘Possibility Mindset’ seems critical to shift us to a view where we are leading, designing and creating with a powerful and transformative lens. With possibility at the forefront, we focus on what we can do, on how we might solve, on how we overcome and negotiate challenges big and small, personal and collective. Starting with the end in mind and then reverse engineering the baby steps back to our current reality is a way to start breaking down the overwhelm of big possibilities. Constantly checking our perspectives, our mental narratives and our fixed ways of thinking enables us to free up the blocks, allowing us to be curious, creative and to challenge the status quo.

So, here I write to encourage you to DREAM. Dream big and bright. Believe that we can. Possibility is at the core of ensuring that we inspire and nurture an attractive, appealing, healthy future. In the realms of possibility we are explorers: seeking, learning, adapting, discovering, ingredients vital to flourish in our uncertain, rapidly changing, potentially overwhelming world.

If more possibility mindset sounds appealing for your life or work, please get in touch about an Adventure in Possibility. Consider joining Karen on 12-16th May in Scotland for the first open Adventure in Possibility or to enquire about future dates and opportunities.  

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Pole of Possibility: Captain’s Blog 4, 10th Jan 2022: The Edge of Everything

As I shift into consciousness the sounds of our last morning in Antarctica filter through. Snow sliding softly off the tent wall. The squeaky crunch of footsteps. White noise of a windless, peaceful morning. I resist leaving the warmth of my sleeping bag cocoon, but it is time to pack. In a few hours we will fly away to re-enter the ‘normal’ world again, back to continents where more than lichen can live, where living is apparently less harsh.

“A briefing for entry into a harsher environment” the reading was titled.The five of us sat around digesting another dehydrated meal in a bag and the twenty-four hour sunlight super-heated our micro tent world. It was our last night out camping on the ice before arrival at Union Glacier, our start and end point for exploring Antarctica. Celine began reading. We laid about in the billow of soft sleeping bags to listen. The harsher environment of course is “real life”: it can be tough, and the lessons learned ‘here’ are useful for ‘there’.

To my surprise I am not feeling ready to return. I thought by now I would be excited for some simple luxuries: a soft bed, a heated blanket, a delicious frothy coffee or the sight of something green. There are people and places I look forward to again but my soul is already grieving for expedition life, for the dualities that it brings: complexity and simplicity, space and confinement, alone-ness and together-ness, vulnerability and strength, connection and disconnection. I miss waking up huddled closely with my tent-mates and the time skiing silently in big open white-scape. I miss the detailed organisation of kit and systems and the contrasting uncertainty of every hour of every day. I miss feeling small and vulnerable as well as strong and capable. I miss the clear, invented purpose of every day.

I think about the trace we have etched in the pristine landscape. We have left no rubbish and tried to minimise our impact. The wind will blow away our tracks but a yellow trail of urine marks our route. As we re-traced our path back from the Pole of Possibility, I regret that we did not share pee holes or carry it out with us. Peeing in the wilds is normally so innocuous, but stains on pure white look like ugly contamination.

In white landscape and twenty-four hour daylight, a timeless-spaciousness quality permeates where metrics lose their grip. In an environment calling for resilience, a togetherness-connectedness thing evolves where relationships become more vital.

It is harder than we anticipated to leave, but Antarctica has been a reminder that we are adaptable, resilient, purpose-seeking, capable humans. No matter how harsh our environment may be, we seem to find ways to connect, collaborate and create ways to not only survive, but to thrive.

In a tiny corner of Antarctica at Union Glacier, we wave goodbye to new friends. It seems inspiring and against all odds that a camp even exists here. In this wild, inhospitable and beautiful place, exploratory humans seek out a home every year. Despite only a handful of days spent there before our journey, we were welcomed back from our 300km with warm hearts, fancy dress, fun and friendship. It has been incredible to be nowhere and then somewhere, to experience vast expansive space and then immersion in a diverse quirky international family, a super special gathering of people seeking the edge of everything.

Just as a photograph can’t always capture the profundity of a place or a moment, it is sometimes difficult to find words that describe how something has sculpted us. An experience can impact us so deeply that we don’t immediately know how to translate it for others. And may never.

For now though, THANK YOU to all that have been part of this project, for helping us get to and back safely from the POLE OF POSSIBILITY.